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BMS 302- Unit 2
Question | Answer |
---|---|
gluconeogenesis is | synthetic, during fasting state |
what cells need glucose? | adipose, muscle, most other |
what cells DONT need glucose? | liver, nervous |
what cells detect increases or decreases in blood glucose? | beta |
metabolic processes that require insulin | glycogenesis, lipogenesis |
glucagon is released from | alpha cells |
glucose can be found in urine if | blood glucose is larger than 180 mg % |
epinephrine is released from | medullary cells of the adrenal gland |
insulin shock can be treated with | glucose or glucagon injections |
how often should you be screened for diabetes? | every 3 years after 45 |
blood glucose measured in | mg%, mg/dL, mg/100mL |
four components of refractive system | vitreous humor, aqueous humor, lens, cornea |
what component of refractive system can change as needed? | lens |
convex | converging, positive dipoter, hyperopia (farsighted), long focal length, weak refraction |
concave | diverging, negative dipopter, myopia (nearsighted), short focal length, strong refraction |
dipoters | 1/meters |
normal refractive power and focal length | 59, 17 |
3 near response reflexes | accommodation, pupillary, convergence |
accommodation does what to refraction | increase |
In the accommodation reflex, the ciliary muscle _______, which ______ the tension on the suspensory ligaments, and _____ the refractive power of the lens. | contracts, decreases, increases |
NS of ciliary muscle | PANS (increased=contraction) |
type of muscle of ciliary | multi-unit smooth |
atropine (cholinergic antagonist) with ciliary muscle | block contraction, keeps lens flat |
near point ___ with age | increases |
NS of pupillary dilation | SANS |
muscle type in iris | multi-unit smooth |
spherical lens focuses light in | all axes |
cylindrical lens focuses light in | one axis |
the ___ between a hard lens and a cornea with an irregular surface helps correct the refractive defects | tear layer |
o blood | universal donor |
ab blood | universal recipient |
transfusion reaction | result of immune complexes formed |
packed cells | cells only, no plasma |
naturally occurring antibodies | natural exposure; form naturally |
caucasian Rh | 85% positive |
african Rh | 100% positive |
asian Rh | 95% positive |
whole blood | formed elements and plasma |
serum | plasma with fibrinogen removed (cells allowed to clot) |
buffy coat | white cells and platelets |
plasma | liquid fraction of blood with anti-coagulant added |
formed elements | red cells, white cells, platelets |
coagulation | blood clotting |
agglutination | interaction between antigens and antibodies that results in clumping |
three rules of blood typing | 1) antigens on cell, antibodies in plasma/serum 2) agglutination only antigen+antibody 3) antigens on cell determine blood type |
functional syncytium | mass of cells that function as one |
pacemaker cell | cells capable of spontaneously depolarizing |
ectopic pacemaker | pacemaker cell out of expected site |
isoelectric line | baseline for ECG |
intercalated disk | gap junction |
fibrotendonous rings | insulation |
slow response action potentials | SA, AV, ectopic |
fast response action potentials | bundle of his, bundle branches, purkinje, atrial, ventricular |
prepotential of slow response | Na+ & Ca2+ in slowly, K+ reduced permeability |
depolarization of slow response | Ca2+ in rapidly |
repolarization of slow response | K+ out rapidly |
depolarization of fast response | Na+ in rapidly |
plateau of slow response | K+ out slowly, Ca2+ in slowly |
SA compared to AV | steeper and faster |
ECG is a recording of | electrical impulse, sum of electrical activity over time |
P wave | atrial depolarization |
QRS complex | ventricular depolarization (and atrial repolarization) |
T wave | ventricular repolarization |
leads | counterclockwise starting from 1 at top |
lead II electrodes | neg= right arm, pos= left leg |
einthoven's law | lead 2= lead 1 + lead 3 |
increased P duration | damaged atrial cells (ischema) |
increased PR interval | interference in conduction between SA and purkinje |
increased QRS | non-simultaneous activation of ventricals |
left mean electrical axis deviation | hypertension, obesity, tumor, pregnancy, left hypertrophy |
right mean electrical axis deviation | right hypertrophy, pulmonary hypertension |
av block | prolonged QR interval |
bundle branch block | prolonged QRS complex |
polydypsia | excessive thirst |
poyuria | frequent urination |