Medical Physiology for Dentistry 1st Year
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Questions and Answers

What primarily makes up the extravascular fluid?

  • Blood plasma
  • Intracellular fluid
  • Lymphatic fluid
  • Interstitial fluid and transcellular fluids (correct)

Which function of body water helps regulate body temperature?

  • Heat absorption, distribution, and evaporation (correct)
  • Lubricant in joints
  • Ionizing medium
  • Chemical and enzymatic reactions

Which anion is predominantly found in extracellular fluid (ECF) compared to intracellular fluid (ICF)?

  • Cl- (correct)
  • HPO4
  • HCO3
  • SO4

What is NOT a function of body water?

<p>Increases blood pressure (B)</p> Signup and view all the answers

What is the primary role of the cell membrane?

<p>Protect the cell and provide selective permeability (B)</p> Signup and view all the answers

Which of the following is least abundant in intracellular fluid (ICF)?

<p>Na+ (D)</p> Signup and view all the answers

What is the relationship between charge and diffusion?

<p>Opposite charges attract and enhance diffusion. (C)</p> Signup and view all the answers

What property is characteristic of facilitated diffusion?

<p>Involves a carrier protein. (C)</p> Signup and view all the answers

Which of the following correctly describes the composition of normal extracellular fluid (ECF)?

<p>Contains mainly Na+ and Cl- (C)</p> Signup and view all the answers

What is the primary function of red blood corpuscles (RBCs)?

<p>Transport oxygen (C)</p> Signup and view all the answers

What type of fluids are included in transcellular fluids?

<p>Cerebrospinal and intraocular fluid (B)</p> Signup and view all the answers

What is the primary mechanism of osmosis?

<p>Movement of solvent from high to low concentration. (A)</p> Signup and view all the answers

Which of the following is NOT a function of blood?

<p>Energy production (A)</p> Signup and view all the answers

What is the average concentration of albumin in blood plasma?

<p>4 gm/100 ml (D)</p> Signup and view all the answers

How is osmotic pressure primarily determined?

<p>By the number of particles per unit volume. (A)</p> Signup and view all the answers

Which of these components constitutes the majority of plasma?

<p>Water (B)</p> Signup and view all the answers

What substance is typically transported by carriers in facilitated diffusion?

<p>Glucose (C)</p> Signup and view all the answers

Leukopenia refers to a decrease in which type of blood cell?

<p>White blood cells (B)</p> Signup and view all the answers

Which statement correctly describes a unique feature of osmosis?

<p>It only involves solvent molecules like water. (A)</p> Signup and view all the answers

What is the main role of plasma proteins?

<p>Maintaining osmotic pressure (B)</p> Signup and view all the answers

What role does insulin play in facilitated diffusion?

<p>It regulates the number of glucose carriers. (D)</p> Signup and view all the answers

What unit is used to measure osmosis?

<p>Osmole (B)</p> Signup and view all the answers

What happens to blood volume during dehydration?

<p>Decreases (D)</p> Signup and view all the answers

Which type of blood cells are primarily responsible for the body's immune response?

<p>White blood cells (B)</p> Signup and view all the answers

What is the primary storage form of iron in the body?

<p>Ferritin (D)</p> Signup and view all the answers

Which vitamin is essential for nuclear maturation and cell division?

<p>Vitamin B12 (C)</p> Signup and view all the answers

What substance helps protect vitamin B12 from digestion and facilitates its absorption?

<p>Intrinsic factor (B)</p> Signup and view all the answers

What role does transferrin play in the body?

<p>It forms a part of hemoglobin in red blood cells. (A)</p> Signup and view all the answers

Which factor negatively affects iron absorption in the diet?

<p>Oxalates and phytic acids (A)</p> Signup and view all the answers

Where is excess iron primarily deposited in the body?

<p>Liver hepatocytes (B)</p> Signup and view all the answers

What is the role of Vitamin C in relation to iron?

<p>It facilitates iron absorption. (D)</p> Signup and view all the answers

Which trace elements act as cofactors for hemoglobin formation?

<p>Copper and cobalt (D)</p> Signup and view all the answers

What is the primary source of erythropoietin in the body?

<p>Kidney (D)</p> Signup and view all the answers

Which organ acts as an extramedullary site for erythropoiesis?

<p>Liver (C)</p> Signup and view all the answers

Which condition primarily stimulates the secretion of erythropoietin?

<p>Hypoxia (D)</p> Signup and view all the answers

Which vitamin is essential for the absorption of vitamin B12 in the stomach?

<p>Intrinsic factor (B)</p> Signup and view all the answers

What is the normal hemoglobin concentration in adult males?

<p>15 gm/100 mL blood (B)</p> Signup and view all the answers

What type of anemia is characterized by excessive hemolysis of red blood cells?

<p>Normocytic Normochromic anemia (D)</p> Signup and view all the answers

Which organ is primarily responsible for converting ferric iron to ferrous iron?

<p>Stomach (D)</p> Signup and view all the answers

What effect does anemia have on the heart?

<p>Leads to faster heart rate (B)</p> Signup and view all the answers

What is the average lifespan of platelets?

<p>7-12 days (C)</p> Signup and view all the answers

What is the primary role of platelets in hemostasis?

<p>Formation of a platelet plug (D)</p> Signup and view all the answers

What triggers the initial vasoconstriction during hemostasis?

<p>Local myogenic contraction and pain reflex (B)</p> Signup and view all the answers

Which factor plays a key role in platelet adhesion to the injured blood vessel?

<p>Von Willebrand factor (B)</p> Signup and view all the answers

What substance is released by activated platelets to promote aggregation?

<p>Thromboxane A2 (D)</p> Signup and view all the answers

During which step of hemostasis is fibrin formation critical?

<p>Stabilization of platelet plug (D)</p> Signup and view all the answers

Which of the following is not a function of platelets in hemostasis?

<p>Production of red blood cells (D)</p> Signup and view all the answers

What is the final step in the hemostatic response?

<p>Repair of the injured blood vessel (C)</p> Signup and view all the answers

Flashcards

Pinocytosis

A type of endocytosis where the cell absorbs liquid substances.

Exocytosis

The process by which a cell expels substances.

Blood Composition

Blood is 45% blood cells (RBCs, WBCs, platelets), and 55% plasma (fluid).

Red Blood Cells (RBCs)

Blood cells responsible for oxygen transport.

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Anemia

A condition where there are fewer-than-normal RBCs.

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Plasma proteins (Albumin)

Plasma proteins that maintain blood volume, by maintaining osmotic pressure.

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Blood functions

Transport, defense, and homeostasis - maintaining internal balance.

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White blood cells (WBCs)

Blood cells that fight infection.

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Extracellular fluid (ECF)

Body fluid outside of cells, about 3/4 of the ECF volume.

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Interstitial fluid

Fluid between tissue cells, part of ECF

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Transcellular fluids

Body fluids in closed spaces lined by epithelium.

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Body water functions

Body water is essential for chemical reactions, physical processes (like diffusion), regulating pH/osmolarity, temperature regulation, lubrication, and light refraction.

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Cell membrane function

Outer boundary of the cell, controls what enters/exits, made of phospholipids and proteins.

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ECF composition (cation)

ECF mainly contains sodium (Na+) and potassium (K+).

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ICF composition (cation)

ICF (inside cell fluid) mainly potassium (K+).

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Body fluid pH

ECF is around 7.4, and ICF is about 7

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Facilitated diffusion

A passive transport mechanism using carrier proteins to move substances across a membrane. It doesn't require energy.

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Carrier proteins

Membrane proteins that assist larger, charged or otherwise unsuitable molecules to cross cell membranes.

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Osmosis

The movement of water across a semipermeable membrane from an area of higher water concentration to an area of lower water concentration.

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Osmotic pressure

The pressure needed to prevent water movement across a semipermeable membrane.

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Plasma osmolarity

The concentration of particles in blood plasma, usually around 290 mosmol/L.

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Simple diffusion

The movement of molecules from high concentration to low concentration across a membrane—a passive process.

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Semipermeable membrane

A membrane that allows some molecules to pass through but not others.

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Insulin's role in glucose transport

Insulin regulates the number of glucose carriers available, affecting glucose uptake by cells.

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Intestinal Iron Absorption

Epithelial cells absorb iron by combining with apoferritin to form ferritin, increasing its absorption.

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Ferritin Storage

The main storage form of iron in the body, found in the liver and intestinal cells.

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Transferrin's Role

Blood protein that carries iron to bone marrow for RBC (red blood cell) hemoglobin production.

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Iron Deficiency Response

When blood iron levels fall, ferritin releases iron to transferrin for transport.

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Iron Excess Storage

Excess iron is primarily stored in the liver, with smaller amounts in bone marrow.

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Dietary Inhibitors of Iron Absorption

Oxalates, phytic acids, and phosphates in food interfere with iron absorption.

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Gastric HCl and Iron Absorption

Stomach acid (HCl) converts iron to a form that's more readily absorbed.

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Vitamin B12's Role in RBCs

Vitamin B12 is essential for the maturation and division of blood cells, nerve health and digestive system health.

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Erythropoiesis

The process of red blood cell production

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Erythropoietin

A hormone that stimulates red blood cell production

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Hypoxia

A condition of low oxygen levels in the tissues

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Anaemia (Definition)

A condition characterized by a decreased number of red blood cells or hemoglobin content, or both.

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Normal Hemoglobin (Males)

About 15 grams per 100 milliliters of blood

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Haemolytic anaemia

Excessive destruction of red blood cells

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Incompatible blood transfusion

A blood transfusion where the donor and recipient blood types are not compatible

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Bone marrow (Erythropoiesis)

The site of red blood cell production

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Hemostasis

The process of stopping bleeding, involving vasoconstriction, platelet plug formation, fibrin clot formation, and vessel repair.

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Vasoconstriction

The narrowing of blood vessels, particularly at the site of injury, to reduce blood flow and help form a clot.

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Platelet Plug Formation

The initial step in hemostasis where platelets stick to the injured area and aggregate to form a plug, temporarily sealing the wound.

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Platelet Adhesion

The process where platelets attach to the exposed collagen fibers at the site of injury, starting the platelet plug formation.

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Platelet Activation

Activated platelets swell, release chemicals, and become sticky, further promoting aggregation and clot formation.

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Platelet Release Reaction

Release of substances like ADP, serotonin, and thromboxane by activated platelets, which enhance further platelet aggregation and clot formation.

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Platelet Aggregation

The process where activated platelets stick to each other, forming a larger and stronger platelet plug.

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Platelet Factor 3

A pro-coagulant factor exposed on platelet surfaces after activation, which helps initiate the blood coagulation cascade.

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Study Notes

Medical Physiology for Dentistry Students

  • Course Title: Medical Physiology
  • Course Description: General and Blood Physiology
  • Course Level: 1st Year Dentistry
  • Course Code: GPΗΜ-11
  • Instructor: Dr/ Elshymaa Abdel-Hady Abdel-Hakeem
  • Department: Medical Physiology Department
  • University: Minia University

Introduction to Human Physiology

  • Physiology is the study of the functions of the human body.
  • It's divided into two parts: Physio (meaning function) and Logy (meaning science).
  • Human physiology examines how the body works under different internal and external conditions to maintain life.

Organization of the Human Body

  • The cell: The basic living unit of the body.
  • The tissue: Groups of cells with the same shape and function, arranged side by side.
  • The organ: Composed of multiple tissues with a specific function. (e.g., stomach digests, kidney excretes).
  • The system: A group of organs working together with complementary functions to carry out a particular role. Different systems work together to maintain life.
  • Different systems of the human body: Endocrine, nervous, cardiovascular, respiratory, digestive, excretory, reproductive, musculoskeletal.

Human Body Composition

  • Water: 60% of body weight in young adult males.
  • Solids: 40% consisting of a) organic (proteins 18%, fats 15%), and b) inorganic (minerals 7%).
  • Intracellular fluid (ICF): About 40% of body weight (approximately 28 liters in a 70kg male).
  • Extracellular fluid (ECF): About 20% of body weight (approximately 14 liters in a 70kg male). ECF includes:
    • Intravascular fluid: Plasma (about 1/4 of ECF volume).
    • Extravascular fluid: Interstitial fluid in spaces between cells (about 3/4 of ECF volume).
  • Transcellular fluids: Fluids in closed spaces lined by epithelium (e.g., cerebrospinal fluid, intraocular fluids).

Functions of Body Water

  • Medium for chemical and enzymatic reactions.
  • Enables physical processes like diffusion and filtration.
  • Regulates pH and body fluid osmolarity.
  • Regulates body temperature.
  • Lubricant for joints and cavities (e.g., pleura).
  • Refractive medium in the eye.
  • Protects the brain (cerebrospinal fluid).
  • Facilitates oxygen and carbon dioxide exchange (lungs and tissues).

Normal Composition of ECF and ICF

  • Data presented in a table comparing electrolytes and other components of ECF and ICF.

The Human Cell (Structure)

  • The cell membrane.
  • The nucleus.
  • The cytoplasm (including organelles):
    • Membranous: Endoplasmic reticulum, mitochondria, lysosomes, Golgi apparatus.
    • Non-membranous: Ribosomes, centrosome.

The Cell Membrane (Structure and Function)

  • Formed by phospholipids
    • Phospholipid bilayer: Hydrophilic heads facing outwards and inwards, hydrophobic tails in the middle.
  • Contains proteins
    • Peripheral proteins: On the surfaces.
    • Transmembrane proteins: Through the membrane.
  • Functions:
    • Forms a boundary.
    • Selectively permeable.

Functions of Cell Membrane Proteins

  • Receptors: Binding sites for hormones and other signaling molecules.
  • Pumps: Active transport of substances against concentration gradients (e.g., sodium-potassium pump).
  • Enzymes: Catalyzing reactions on the cell surface or within the membrane.
  • Carriers (Transport proteins): Facilitating movement of substances across the membrane.
    • Uniport: Transports one substance in one direction.
    • Symport: Transports two or more substances together, same direction.
    • Antiport: Transports two substances together in opposite directions.
  • Channels: Allowing passage of specific substances (e.g., ions).
    • Non-gated channels: Always open.
    • Gated channels: Open or close in response to stimuli (e.g., voltage-gated, ligand-gated, mechanically-gated).

Transport Mechanisms Through Cell Membranes

  • Passive transport: No energy required.
    • Diffusion: Free movement of substances from high to low concentration.
    • Osmosis: Diffusion of water across a selectively permeable membrane.
    • Filtration: Movement of fluid across a membrane due to pressure differences.
    • Facilitated diffusion: Passive transport with help of carrier proteins.
  • Active transport: Needs energy (ATP).
    • Primary active transport: ATP directly used to transport substance.
    • Secondary active transport: Transport against its gradient utilizing the electrochemical gradient of another substance.

Other Transport Processes

  • Bulk transport (i.e., Endocytosis and Exocytosis): Used for large molecules.

The Blood Composition

  • Plasma: 55% of blood volume, consists mainly of water, proteins, and other solutes.
  • Blood cells: 45% of blood volume, consisting of red blood cells (RBCs), white blood cells (WBCs), and platelets (thrombocytes).

Functions of Blood and Blood Cells

  • Transport of oxygen, carbon dioxide, nutrients, waste products, and hormones.
  • Defence.
  • Hemostasis (stops bleeding).
  • Maintaining homeostasis (internal balance of body).

Blood Proteins:

  • Albumin: Maintains osmotic pressure, transports substances.
  • Globulins: Defensive functions (antibodies).
  • Fibrinogen: Blood clotting.
  • Prothrombin: Blood clotting.

Red Blood Cells (Erythrocytes)

  • Structure: Biconcave discs, no nucleus, contain hemoglobin.
  • Function: Carry oxygen and carbon dioxide.
  • Formation: Erythropoiesis in bone marrow.
  • Regulation: Controlled by erythropoietin hormone (released by the kidneys, stimulated by low oxygen levels).

White Blood Cells (Leukocytes)

  • Types: Granulocytes (neutrophils, eosinophils, basophils) and agranulocytes (monocytes, lymphocytes).
  • Function: Immune system (defence against infections).

Platelets (Thrombocytes)

  • Structure: Small, non-nucleated cell fragments.
  • Function: Crucial for blood clotting (hemostasis).

Blood Coagulation

  • Intrinsic pathway: Activated by factors within the blood itself.
  • Extrinsic pathway: Activated by factors outside the blood (e.g., tissue damage).
  • Common pathway: Converges from both pathways to form a blood clot.

Regulation of Blood Coagulation

  • Physiological mechanisms limit coagulation to prevent unnecessary clotting.
  • Inactivation of active coagulation factors.
  • Fibrinolysis (breakdown of fibrin).
  • Vitamin K and calcium are essential for the coagulation factors, deficiency leads to bleeding disorders.

Diseases of blood

  • Anemia: Reduced RBCs or haemoglobin content, causes include incompatible blood transfusions, snake venom, infections (like malaria), and chemical toxins.
  • polycythemia: abnormally high concentration of RBCs or their haemoglobin content, can be caused from issues such as bone marrow cancers.

Other topics covered in medical notes

General and specific details on disorders of blood clotting and coagulation (Vit. K and Hemophilia)

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Test your knowledge on Medical Physiology tailored for 1st-year dentistry students. This quiz covers general and blood physiology, as well as the fundamental organization of the human body. Explore the roles of cells, tissues, organs, and systems in human health.

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