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Questions and Answers

Under conditions of induced aortic insufficiency, where the aortic valve fails to completely close, which of the following compensatory mechanisms would the myocardium most likely employ to maintain systemic blood pressure during diastole, and what would be the consequential long-term morphological adaptation?

  • Elevated heart rate via sinoatrial node modulation; restrictive cardiomyopathy.
  • Enhanced peripheral vasoconstriction via sympathetic activation; globally reduced compliance
  • Augmented end-diastolic volume through Starling mechanism; concentric hypertrophy. (correct)
  • Increased ventricular contractility via enhanced calcium reuptake; eccentric hypertrophy.

Considering the interplay between electrical and mechanical events in the cardiac cycle, how would a mutation affecting the voltage-gated sodium channels specifically within the pacemaker cells of the sinoatrial node most directly impact the temporal relationship between atrial systole and ventricular diastole, assuming no compensatory mechanisms are immediately activated?

  • Delayed atrial systole with an increased temporal gap before the onset of ventricular systole, disrupting coordinated filling. (correct)
  • Shortened atrial systole with a premature onset of ventricular systole due to accelerated depolarization.
  • Prolonged atrial systole overlapping significantly with the subsequent ventricular systole due to delayed action potential propagation.
  • Normal atrial systole unaffected, with a compensatory delay in ventricular systole due to AV node modulation.

In a patient presenting with both arterial stiffening (decreased arterial compliance) and impaired ventricular relaxation, what combined effects would these conditions have on the accuracy and interpretation of blood pressure measurements obtained via standard sphygmomanometry?

  • Accurate systolic reading but inaccurate diastolic reading due to prolonged ventricular relaxation influencing the point of Korotkoff sound disappearance.
  • Overestimation of systolic pressure and underestimation of diastolic pressure due to early appearance and abrupt disappearance of Korotkoff sounds.
  • Underestimation of systolic pressure and overestimation of diastolic pressure due to reduced pulse pressure and prolonged Korotkoff sounds.
  • Overestimation of both systolic and diastolic pressures due to increased pulse wave velocity and turbulent flow. (correct)

If a novel pharmaceutical agent selectively inhibits L-type calcium channels in ventricular muscle cells, but has no effect on sinoatrial node cells, what would be the immediate and direct consequence on the pressure-volume loop of the left ventricle?

<p>A decrease in the slope of the end-systolic pressure-volume relationship, indicating reduced contractility and increased end-systolic volume. (B)</p> Signup and view all the answers

Considering a scenario where an experimental intervention selectively enhances the reuptake of calcium ions into the sarcoplasmic reticulum of ventricular myocytes, but simultaneously impairs the function of the sodium-potassium ATPase pump, what complex effects would this have on myocyte resting membrane potential and the duration of the action potential, and how would these changes manifest in the ECG?

<p>Hyperpolarization due to enhanced calcium reuptake, followed by progressive depolarization due to impaired Na+/K+ pump, leading to a prolonged action potential and a prolonged QT interval on the ECG. (A)</p> Signup and view all the answers

A hypothetical organism experiences a gradual increase in body size over evolutionary time. Which of the following biophysical constraints would most critically necessitate the evolution of specialized tissue types to maintain homeostasis?

<p>A disproportional decrease in the surface area to volume ratio, limiting efficient exchange of gases and nutrients. (D)</p> Signup and view all the answers

Considering the evolutionary transition from unicellularity to multicellularity, which selective pressure most likely drove the initial aggregation of cells, leading to the formation of early tissue-like structures?

<p>Cooperative resource acquisition and defense against predation due to division of labor. (A)</p> Signup and view all the answers

In the context of homeostatic regulation, if a novel endocrine disruptor impairs the function of receptors in a control center, which of the following downstream effects would be most likely observed?

<p>Disrupted integration of sensory information, leading to inappropriate effector responses. (C)</p> Signup and view all the answers

Which of the following scenarios would provide the most compelling evidence for the adaptive significance of a highly convoluted columnar epithelium lining the small intestine?

<p>Experimental demonstration of enhanced nutrient absorption rates per unit area compared to a flattened epithelium. (A)</p> Signup and view all the answers

Consider a scenario where a novel mutation disrupts the formation of tight junctions in a stratified squamous epithelium. Which of the following physiological consequences would be most likely to arise?

<p>Uncontrolled paracellular diffusion of solutes and compromised barrier function. (A)</p> Signup and view all the answers

In a hypothetical organism relying primarily on behavioral thermoregulation, what evolutionary adaptation would be most advantageous in an environment with rapidly fluctuating temperatures and limited access to thermal refugia?

<p>Development of sophisticated cognitive abilities for predicting environmental changes and optimizing thermoregulatory behaviors. (A)</p> Signup and view all the answers

Given the role of surface area to volume ratio, what evolutionary pressure would cause a shift from a spherical to a more elongated shape in a single-celled aquatic organism?

<p>An increased need for nutrient absorption, despite nutrient scarcity. (B)</p> Signup and view all the answers

A researcher discovers a novel tissue type in an extremophile organism inhabiting a high-temperature environment. This tissue exhibits an unusually high concentration of chaperone proteins and modified membrane lipids. Which of the following hypotheses best explains the adaptive significance of these features?

<p>Increased thermal stability of proteins and maintenance of membrane fluidity at elevated temperatures. (A)</p> Signup and view all the answers

Given the unique electrophysiological properties of sinoatrial (SA) node cells, what is the most accurate biophysical mechanism describing the initiation of the pacemaker potential?

<p>A gradual decrease in $K^+$ permeability during repolarization, causing a net inward current mediated by specialized 'funny' sodium channels. (A)</p> Signup and view all the answers

If a researcher selectively ablates the gap junctions between atrial and ventricular muscle cells in a mammalian heart, what is the most likely immediate electrophysiological consequence?

<p>A complete dissociation of atrial and ventricular contractions, resulting in independent and asynchronous rhythms. (A)</p> Signup and view all the answers

Considering the autonomic nervous system's influence on heart rate, what specific molecular mechanism explains how norepinephrine (NE) increases the pacemaker potential firing rate in sinoatrial (SA) node cells?

<p>Norepinephrine binds to beta-adrenergic receptors, activating a Gs protein that increases cAMP, leading to enhanced $Ca^{2+}$ influx via L-type channels and an accelerated pacemaker rate. (C)</p> Signup and view all the answers

In a scenario where the medulla oblongata detects a significant elevation in arterial $P_{CO_2}$, what cascade of events would physiologically restore cardiovascular homeostasis?

<p>Activation of the parasympathetic nervous system, resulting in the release of acetylcholine at the sinoatrial node, decreasing heart rate and cardiac output. (C)</p> Signup and view all the answers

During the QRS complex within an electrocardiogram (ECG), what specific electrophysiological event is masked by the ventricular depolarization, and why is it typically obscured?

<p>Atrial repolarization; its relatively small electrical signal is swamped by the much larger ventricular depolarization. (C)</p> Signup and view all the answers

What is the functional consequence of the unique structural arrangement of cardiac myocytes interconnected by gap junctions, particularly in the context of action potential propagation?

<p>Formation of a functional syncytium, allowing for rapid and coordinated contraction of the atria and ventricles. (D)</p> Signup and view all the answers

Considering the role of Purkinje fibers in ventricular electrical conduction, what biophysical characteristic contributes most significantly to their ability to rapidly and synchronously depolarize the ventricular myocardium?

<p>Extensive branching network and increased gap junction density, facilitating rapid cell-to-cell communication. (C)</p> Signup and view all the answers

How does the inherent rhythmicity of the heart, originating from pacemaker cells, enable continued function even when isolated from external neural or hormonal regulation?

<p>The unique ion channel expression and intrinsic properties of sinoatrial node cells, causing spontaneous depolarization. (D)</p> Signup and view all the answers

If a novel drug selectively blocks transient calcium channels in sinoatrial (SA) node cells, while leaving long-lasting calcium channels unaffected, what specific alteration in the pacemaker potential would be observed?

<p>A decreased slope of phase 4 depolarization, resulting in a slower heart rate. (C)</p> Signup and view all the answers

In the context of blood clotting, how do platelets contribute to the formation of a stable thrombus beyond their initial role in primary hemostasis?

<p>By releasing factors that activate the coagulation cascade, leading to fibrin formation and clot stabilization. (A)</p> Signup and view all the answers

Flashcards

Diastole

The relaxation phase of the heart, during which the ventricles fill with blood as pressure decreases.

Systole Onset

Ventricular contraction that causes AV valves to close.

Sphygmomanometer

Device used with a stethoscope to measure blood pressure by constricting blood flow in the arm.

Pacemaker Cells

Cells in the heart muscle that generate electrical impulses, initiating action potentials and muscle contractions.

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Heart Chamber Contraction Sequence

The atria contract together, followed by the ventricles contracting together.

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Homeostasis

Optimal internal physical and biochemical conditions maintained by organisms for survival.

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Physiology

The study of physical and biochemical processes and functions in living organisms.

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Homeostatic Control System

Receives input, sends output to effector to correct imbalances.

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Tissues

Groups of cells performing similar functions.

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Four Main Tissue Types

Epithelial, Muscle, Connective, Nervous.

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Epithelial Tissue Function

Used for separation between internal and external parts of an organ.

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Stratified Squamous Epithelium

Allows separation between internal/external parts of organ.

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Columnar Epithelium

Lines internal organs, like lungs and small intestine.

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Cardiac Gap Junctions

Connections between adjacent cardiac cells that allow rapid spread of action potentials.

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Sinoatrial (SA) Node

The heart's primary pacemaker, located in the right atrium, that initiates each heartbeat.

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Purkinje Fibers

Specialized fibers that rapidly distribute electrical signals throughout the ventricles.

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Inherent Rhythmicity

The heart's intrinsic ability to beat rhythmically without external neural input.

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Unique Na+ Channels (in SA node)

Channels that open due to potassium efflux, triggering sodium channels to open in SA node cells.

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Norepinephrine effect on Heart Rate

Increases heart rate by the release of norepinephrine.

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Acetylcholine effect on Heart Rate

Decreases heart rate by the release of acetylcholine.

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Electrocardiogram (ECG)

A recording of the electrical activity of the heart over time.

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Platelets

Cell fragments in blood containing enzymes and chemicals to promote clotting.

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Study Notes

  • Homeostasis is the maintenance of optimal internal physical and biochemical conditions for survival, achieved through physiological systems and processes.
  • Physiology studies the physical and biochemical processes and functions of living organisms.
  • The receptor detects changes and sends input to a control center. The control center sends output to an effector, which corrects the balance.
  • Large size provides advantages such as improved predation and reduced vulnerability.
  • Multicellularity allows organisms to attain larger sizes and to evolve specialized tissue types.
  • Single cells are constrained in size due to the surface area to volume ratio.
  • To increase size, the number of cells increases, and cells become specialized.

Levels of Organization and Tissue Types:

  • Tissues consist of groups of cells performing a similar function.
  • Epithelial, muscle, connective, and nervous tissues are the four broad types.

Epithelial Tissues

  • Epithelial tissues are used for compartmentalization and allow separation between internal and external parts of an organ.
  • Stratified squamous epithelium separates internal and external parts of the organ.
  • Columnar epithelium lines internal organs and has secretory and absorptive functions, enabling substance movements.
  • Cuboidal epithelium makes up tubules and ducts and has secretory and absorptive functions.
  • Secretory cells, such as those in the stomach lining, secrete digestive juices and acids, and can be found in other glands.

Muscle Tissues:

  • Muscle tissues generate force.
  • Cardiac muscle causes heart contractions.
  • Smooth muscle provides motility to internal organs and controls blood vessel diameter.
  • Skeletal muscle is responsible for voluntary movements of the body.

Connective Tissue

  • Provides support.
  • Bone tissue provides structural support for muscles to move.
  • Adipose tissue cushions and supports organs, provides thermal insulation, and stores energy.
  • Blood cells include RBCs for carrying gases and WBCs for protecting against foreign substances.
  • Ligaments and tendons connect bones to bones and muscles to bones.

Nervous Tissue:

  • Nervous tissues process information.
  • Sensors/cells in the retina encode information about the external environment.
  • Glia support neurons and modulate signaling, providing insulation and immune functions.
  • Neurons communicate information from sensors, store and integrate information, and communicate commands.
  • Organs consist of multiple tissue types.

Homeostasis in Detail:

  • Multicellular organisms require a stable internal environment.
  • Cells face variations in temperature, nutrient availability, and metabolic wastes.
  • General physiological mechanisms to maintain homeostasis include negative and positive feedback.
  • Negative feedback reverses deviations from a set point, regulating many hormones.
  • Positive feedback increases deviation but culminates in an event that resets the system.
  • Feedforward information anticipates changes, as seen in the stress response.
  • An analogy for homeostasis is a house's heating/cooling system.

Temperature and Animals

  • Animals exchange heat with the environment through conduction, radiation, convection, and evaporation.
  • Environmental temperatures can fluctuate and pose problems for organisms, raising concerns about survival and Q10 values.
  • Animals are classified based on thermoregulatory characteristics as homeotherms, poikilotherms, endotherms, ectotherms, and heterotherms.
  • Thermoneutral zone exists in endotherms and endotherms alter metabolic rate to regulate temperature when too cold or hot

Adaptation and Regulation

  • Thermoregulatory adaptations include antifreeze, heat shock proteins, isozymes, blood shunts, sweating/panting, shivering, and behavioral changes.
  • Acclimatization refers to alterations in physiological processes to environmental changes.
  • Brown fat and non-shivering heat production.
  • Thermogenin uncouples proton movement from ATP production.
  • Brown fat produces heat and is found mainly in newborn infants that use it to keep heat.
  • Ectotherms regulate body temperature through behavioral adaptations, blood flow to skin (marine iguanas).
  • Heart rate and temperature quickly decreases in marine iguanas when diving into the ocean to preserve heat and smooth muscles are cut off when diving.
  • Countercurrent heat exchange mechanism includes fluids exchanging heat in tubes and equilibrate parallel and touching.

Hot and Cold Fish

  • Hot fish maintain higher temperatures and include tuna and great whites.
  • Blood oxygenated in gills goes through arteries just under the skin.
  • Hot fish tubes are arranged countercurrently.
  • Overall these hot fish cannot maintain body temps
  • Cold fish reflect the temperature of water
  • Blood is oxygenated and cooled to water temp in the gills

Size and Shape

  • Larger animals are subject to overheating so they have lower metabolic rate.
  • Body size, metabolism, and heat
  • Larger animals are subject to overheating so they have lower metabolic rate
  • Animals tend to be larger in colder climates, and have shorter, thicker limbs.
  • Regulation occurs largely in the base of the brain with the hypothalamus acts as the primary control center, and to some extent the sensors.
  • Hypothalamus acts as a thermostat when cooled metabolic heat production and body temp will rise.
  • If the hypothalamus is heated, the squirrels metabolic rate and temperature fall

Hypothermia

  • Torpor, hibernation, and heterothermy are forms of regulated hypothermia and can last a day or hours.

Animal Hormones:

  • Hormones involves sending out a chemical message to any part of the body to instruct what to do, chemical messengers that affect the function of some target cell
  • Hormones are the only cells that respond to the hormone and target cells possess a sensory receptors.
  • Endocrine mediation secretes chemicals into the bloodstream to target distant cells.
  • Autocrine mediation/autocrine substances feed back to influence the same cells that secreted them.
  • Paracrine mediation secretes chemicals that affect adjacent cells.
  • Ectocrine mediation releases substances such as pheromones to communicate with others.

Types of Hormones

  • Protein hormones have peptide bonds forming a complex protein.
  • Steroid hormones are formed from cholesterol.
  • Amine hormones have can have multiple copies of one amino acid (ex adrenaline aka epinephrine)
  • Steroids are nonpolar molecules, protein hormones are polar and water soluble, and amine hormones may be either.
  • Extracellular signals signal transduction into intracellular responses.
  • A nonpolar signal diffuses directly across the lipid bilayer to encounter its cytoplasm or nucleus receptor and a polar/large signal cannot diffuse through the cell membrane and needs a membrane-embedded receptor.

Mechanism of Hormones

  • Steroid receptor acts as a transcription factor.
  • Cortisol enters the cytoplasm and binds to the receptor and ligand to enter the nucleus.
  • Three units of a g protein coupled receptor, receptor, inactive effector protein must actitvate a the g protein.
  • Activation of the effector protein/activated g subunit activates an effector protein causing changes in cell function.
  • Cellular responses to hormones involves "fight or flight” response.

Endocrine and Nerve System

  • Hypothalamic neurons produce antidiuretic hormone, transport them to the posterior pituitary, and work with the endocrine system.
  • The Pituitary gland (anterior and posterior) and the Posterior pituitary produces neurohormones
  • ADH is present: collecting duct is highly permeable to water and results in a small volume of concentrated water and releases more of these neurohormones.
  • When there is no ADH, the collecting duct is not permeable to water.
  • Inducing labor for birth via oxytocin includes positive feedback
  • Breastfeeding involves two hormones:
  • Oxytocin comes from the posterior pituitary and is described as a milk letdown
  • Prolactin comes from the anterior pituitary with sucking stimulates nerves in the nipple and areola to travel to the hypothalamus.
  • In response, the hypothalamus stimulates the posterior pituitary to release oxytocin and the anterior pituitary to release prolactin
  • Overall, Negative feedback loops typically regulate hormone secretion

Hormonal Effects and Diseases

  • External/internal conditions trigger a "Stress" response involves epinephrine/norepinephrine release.
  • Elevated cortisol inhibits the release of CRH/corticotropin and stimulates the release of corticotropin by anterior pituitary corticotrophs.
  • Adrenal glands produce epinephrine and steroids.
  • Cross section of a thyroid gland: requires iodine in diet and Follicle cells take up iodide by Na cotransport
  • Elevated cortisol inhibits release of CRH by hypothalamic neurosecretory cells Elevated cortisol inhibits release of corticotropin by anterior pituitary corticotrophs
  • Goiters include overproduction of thyroid hormones (Graves disease).

Pancreas and Hormones

  • Acina cells in the pancreas handle digestion and exocrine processes, while the Islets of Langerhans secrete pancreatic cells.
  • Diabetes includes not enough insulin and a type 2, cells lacking receptos.
  • The control of insulin and glucagon is not hypothalamic.
  • Gonadal hormones play a role in gamete production/reproduction and actication.

The Nervous System

  • Cells include the cell body, nucleus, dendrites, axon and axon terminals.
  • The nervous system encodes, processes, and stores information to regulate physiology and behavior.
  • The Neuron's electrical charge is due to distribution of ions ( voltage of the cell established w membrane of the cell).
  • Now imagine that the cell membrane is leaky (more permeable) to Na w equilibrium potential for Na
  • Neurons leaky to K+ and the resting membrane potential is closely related to the equilibrium potential of K+ w negative ions
  • K+ leaves the cell once it becomes “leaky” causing the cell to be negative.
  • Neurons communicate via electric potentials and action potentials are sudden, large, transient changes in the membrane potential

Action Potentials

  • Let's dissect an action potential to understand how they work
  • Ion channels act as gates and the Sodium ions entering depolaroizes the cell
  • Additional voltage gated Na channel activation games open, causing a rapid spike of depolarization- an action potential
  • The refractory period makes it so the action potential doesn't spread
  • Conduction: Voltage gated na channels open in response to spreading membrane depolarization, myelin insulates, a depolarization current spreads to adjacent areas of the membranes and the cell travels quick via upstream Na
  • Myelin protects from loss of electricity and there is Saltatory conduction with Nodes of ranvier
  • synapse: junction between pre synaptic neuron &.. and synapse: junction between pre synaptic

Synapses

  • There is the presynaptic vs postsynaptic cell.
  • Electrical synapses allow action potentials to spread directly.
  • Type of chemical synapse includes neurotransmitter molecules released from a presynaptic cell induce changes in a postsynaptic cell
  • Presynaptic input allows voltage gated calcium channels
  • ACh is involved in the post synaptic cell
  • There are different neurotransmitters and the ions are different
  • An injury to the lining of a blood vessel exposes collagen fibers, where the platelets adhere and become sticky The structure of capillaries and Arteries
  • Capillary walls consist of a single layer of endothelial cells and Arteries have more elastin/connective tissue.
  • Most fish have a heart with four chambers and gills.
  • The lungfish heart has a partially divided atrium and has a a dual circuit.
  • The human heart and circulation occurs with the superior and inferior vena cava bringing deoxygenated blood into the heart from capillaries in the body
  • The heart beats at a regular rate from pacemaker cells and not neurons.

Electrocardiograms

Electrocardiograms use graphs to map electrical currents. The Cardiac cycle involves a systole, diastole, and “lub-dup" and a valve will open when it reaches the diastole.

  • The period of diastole with ventricle is relaxing and Pressure in the cuff measures from heart rate.
  • An ECG typical electrical recording is used with corresponding arterial pressures and heart sounds
  • Electrical changes occurring within heart musculature radiates over the skin on an ECG.
  • Q, R and S correspond to contraction of the ventricles
  • The Cardiovascular disease is related to ¼ of all deaths in the US and is often due to hardening of arteries.
  • Damaged endothelial cells attract WBCS, create fatty Plaque and a build up causes platelets in a blood vessel causing a throumbus.

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