Pathophysiology Chapter 1: Cell Membrane and Transport
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Pathophysiology Chapter 1: Cell Membrane and Transport

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Questions and Answers

What is the primary function of the sodium/potassium pump in cellular transport?

  • To generate energy for the cell through the breakdown of ATP
  • To maintain the electrochemical gradient across the plasma membrane (correct)
  • To facilitate the transport of glucose into the cell
  • To regulate the pH balance within the cell
  • Which of the following types of cellular receptors is directly linked to an ion channel?

  • Tyrosine kinase receptor
  • G-protein linked receptor
  • Channel linked receptor (correct)
  • Catalytic receptor
  • What is the primary mechanism by which cells maintain homeostasis?

  • Adjustment of cellular metabolism
  • Regulation of gene expression
  • Maintenance of a stable internal environment (correct)
  • Modulation of cellular transport mechanisms
  • Which type of cellular communication involves the release of chemical messengers that bind to receptors on adjacent cells?

    <p>Paracrine signaling</p> Signup and view all the answers

    What is the primary function of the extracellular matrix?

    <p>To regulate cellular migration and adhesion</p> Signup and view all the answers

    How do cells respond to changes in their environment?

    <p>By activating signaling pathways</p> Signup and view all the answers

    What is the primary function of the basement membrane?

    <p>To maintain the integrity of the extracellular matrix</p> Signup and view all the answers

    Which type of cellular adaptation involves changes in the structure or function of cellular components?

    <p>Metaplasia</p> Signup and view all the answers

    What is the primary difference between water soluble and lipid soluble chemical messengers in a signal transduction pathway?

    <p>Water soluble messengers require a receptor on the surface of the target cell, while lipid soluble messengers can diffuse through the plasma membrane.</p> Signup and view all the answers

    What is the primary function of negative feedback loops in the regulation of hormone secretion?

    <p>To decrease hormone production in response to a stimulus</p> Signup and view all the answers

    What is the term for the process by which the body adjusts its sensitivity to the concentration of a signaling hormone?

    <p>Downregulation</p> Signup and view all the answers

    What is the term for the movement of water from an area of high concentration to an area of low concentration?

    <p>Osmosis</p> Signup and view all the answers

    What is the term for the pressure exerted by solutes in a solution?

    <p>Osmotic pressure</p> Signup and view all the answers

    What is the primary cause of edema?

    <p>Decreased capillary oncotic pressure</p> Signup and view all the answers

    What is the primary function of the lymphatic system in maintaining water balance?

    <p>To remove excess fluid from the interstitial space</p> Signup and view all the answers

    What is the relationship between sodium, potassium, chloride, and bicarbonate in maintaining the osmotic balance of the extracellular environment?

    <p>Sodium and potassium have opposing effects, while chloride and bicarbonate have opposing effects.</p> Signup and view all the answers

    What is the term for the ability of a genetic trait to be expressed despite not being fully penetrant?

    <p>Expressivity</p> Signup and view all the answers

    What is the primary mechanism by which the carbonic acid-bicarbonate buffer system maintains pH homeostasis?

    <p>Le Chatelier's principle</p> Signup and view all the answers

    What type of epigenetic modification involves the addition of a methyl group to the cytosine residue in DNA?

    <p>DNA methylation</p> Signup and view all the answers

    What is the term for the ability of cells to adapt to changes in their environment through reversible changes in cellular structure or function?

    <p>Cellular adaptation</p> Signup and view all the answers

    What is the term for the deficiency of magnesium in the body?

    <p>Hypomagnesemia</p> Signup and view all the answers

    What is the term for the process by which cells die due to a lack of oxygen?

    <p>Hypoxia</p> Signup and view all the answers

    What is the term for the study of heritable changes in gene function that occur without a change in the underlying DNA sequence?

    <p>Epigenetics</p> Signup and view all the answers

    What is the term for the ability of a gene to be expressed in a particular individual, but not in others, despite having the same genotype?

    <p>Penetrance</p> Signup and view all the answers

    Study Notes

    The Cell Membrane, Transport, and Cellular Adhesion

    • Homeostasis is the maintenance of a stable internal environment despite changes in the external environment, and it's essential for the normal functioning of the human body.
    • The cell membrane is composed of phospholipids and proteins, and their distribution influences membrane permeability to ions, hydrophilic, and hydrophobic compounds.
    • Transport mechanisms across the cell membrane include:
      • Passive transport: diffusion, facilitated diffusion, osmosis
      • Active transport: uses energy to move solutes against a gradient, e.g., sodium/potassium pump
    • The sodium/potassium pump uses energy from Na+ and K+ electrochemical gradients to drive the net movement of other solutes, such as Na+/glucose co-transport and Na+/Ca2+ exchange or counter-transport.
    • Mechanisms that bind cells together include:
      • Extracellular matrix
      • Basement membrane
      • Cell adhesion molecules
      • Specialized cell junctions

    Mechanisms of Cellular Communication and Signal Transduction

    • A chemical/cellular messenger is a molecule that transmits a signal from one cell to another.
    • Cellular receptors have specific characteristics and play a crucial role in cellular communication.
    • Cells communicate through:
      • Contact-dependent mechanisms
      • Hormonal mechanisms
      • Paracrine mechanisms
      • Autocrine mechanisms
      • Neurohormonal and neurotransmitter mechanisms
    • Solubility of a chemical messenger influences its transport and mechanism of communication with a cell.
    • There are three classes of plasma membrane receptors:
      • Channel-linked receptors
      • Catalytic receptors
      • G-protein-linked receptors
    • Signal transduction pathways involve:
      • Binding of a chemical messenger to a receptor
      • Activation of a signaling cascade
      • Response to the signal
    • Regulation of hormone secretion occurs through positive-feedback and negative-feedback loops.

    Sodium, Chloride, and Water Balance

    • Total body water (TBW) is divided into:
      • Intracellular fluid (ICF)
      • Extracellular fluid (ECF)
      • Interstitial fluid
      • Blood plasma
    • TBW decreases with age.
    • Osmosis is the movement of water from a higher to a lower solute concentration.
    • Osmolality, osmolality, tonicity, osmotic pressure, and oncotic pressure are important concepts in understanding water balance.
    • Water movement across bodily fluid compartments is driven by solute concentration, affecting cell volume in iso-tonic, hyper-tonic, and hypo-tonic solutions.
    • Forces controlling fluid movement across the capillary wall include:
      • Capillary hydrostatic pressure
      • Interstitial oncotic pressure
      • Capillary oncotic pressure
      • Interstitial hydrostatic pressure
    • Edema develops due to:
      • Decreased capillary oncotic pressure
      • Increased capillary permeability
      • Increased capillary hydrostatic pressure
      • Lymphatic obstruction
    • Electrolyte distribution:
      • Intracellular fluid: high in K+, low in Na+
      • Extracellular fluid: high in Na+, low in K+
    • Sodium, potassium, chloride, and bicarbonate maintain osmotic balance in the extracellular environment.

    Acid-Base Balance

    • Physiologic buffering systems maintain pH homeostasis.
    • Le Chatelier's principle applies to alterations in the carbonic acid-bicarbonate buffer.

    Mechanisms of Inheritance

    • Genetic terms include:
      • Dominance
      • Recessiveness
      • Incomplete dominance
      • Codominance
      • Polygenic inheritance
    • Inheritance patterns include:
      • Autosomal dominant
      • Autosomal recessive
      • X-linked dominant
      • X-linked recessive
      • Mitochondrial inheritance
    • Penetrance and expressivity describe the degree to which a genotype is expressed phenotypically.
    • DNA mutations can cause diseases, and their outcomes depend on the type of mutation.
    • Epigenetics involves:
      • DNA methylation
      • Histone modification
      • Chromatin remodeling
    • Epigenetic modifications influence gene expression and disease development.

    Cellular Adaptation, Injury, and Death

    • Cellular adaptations include:
      • Hypertrophy
      • Hyperplasia
      • Atrophy
      • Metaplasia
      • Dysplasia
    • Cell injury and death can occur due to:
      • ATP depletion
      • Reactive oxygen species
      • Calcium entry
      • Mitochondrial damage
      • Membrane damage
      • Protein misfolding
      • DNA damage
    • Reversible cell injury can progress to irreversible cell injury and death.
    • Mechanisms of cell injury include:
      • Ischemia and hypoxia
      • Ischemia-reperfusion
      • Free radicals and reactive oxygen species

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    Understand the importance of homeostasis, cell membrane composition, and transport mechanisms in the human body. Learn about phospholipids and proteins' influence on membrane permeability.

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