NEET MDS Lessons
Physiology
The Cardiac Cycle: the sequence of events in one heartbeat.
systole - the contraction phase; unless otherwise specified refers to left ventricle, but each chamber has its own systole.
diastole - the relaxation phase; unless otherwise specified refers to left ventricle, but each chamber has its own diastole.
1) quiescent period - period when all chambers are at rest and filling. 70% of ventricular filling occurs during this period. The AV valves are open, the semilunar valves are closed.
2) atrial systole - pushes the last 30% of blood into the ventricle.
3) atrial diastole - atria begin filling.
4) ventricular systole - First the AV valves close causing the first heart sound, then after the isovolumetric contraction phase the semilunar valves open permitting ventricular ejection of blood into the arteries.
5) ventricular diastole - As the ventricles relax the semilunar valves close first producing the second heart sound, then after the isovolumetric relaxation phase the AV valves open allowing ventricular filling.
Cells, cytoplasm, and organelles:
- Cytoplasm consists of a gelatinous solution and contains microtubules (which serve as a cell's cytoskeleton) and organelles
- Cells also contain a nucleus within which is found DNA (deoxyribonucleic acid) in the form of chromosomes plus nucleoli (within which ribosomes are formed)
- Organelles include:
- Endoplasmic reticulum : 2 forms: smooth and rough; the surface of rough ER is coated with ribosomes; the surface of smooth ER is not , Functions include: mechanical support, synthesis (especially proteins by rough ER), and transport
- Golgi complex consists of a series of flattened sacs (or cisternae) functions include: synthesis (of substances likes phospholipids), packaging of materials for transport (in vesicles), and production of lysosomes
- Lysosome : membrane-enclosed spheres that contain powerful digestive enzymes , functions include destruction of damaged cells & digestion of phagocytosed materials
- Mitochondria : have double-membrane: outer membrane & highly convoluted inner membrane
- inner membrane has folds or shelf-like structures called cristae that contain elementary particles; these particles contain enzymes important in ATP production
- primary function is production of adenosine triphosphate (ATP)
- Ribosome-:composed of rRNA (ribosomal RNA) & protein , primary function is to produce proteins
- Centrioles :paired cylindrical structures located near the nucleas , play an important role in cell division
- Flagella & cilia - hair-like projections from some human cells
- cilia are relatively short & numerous (e.g., those lining trachea)
- a flagellum is relatively long and there's typically just one (e.g., sperm)
-
- Villi Projections of cell membrane that serve to increase surface area of a cell (which is important, for example, for cells that line the intestine)
Hypoxia
- Hypoxia is tissue oxygen deficiency
- Brain is the most sensitive tissue to hypoxia: complete lack of oxygen can cause unconsciousness in 15 sec and irreversible damage within 2 min.
- Oxygen delivery and use can be interrupted at several sites
|
Type of |
O2 Uptake |
Hemoglobin |
Circulation |
Tissue O2 Utilization |
|
Hypoxic |
Low |
Normal |
Normal |
Normal |
|
Anemic |
Normal |
Low |
Normal |
Normal |
|
Ischemic |
Normal |
Normal |
Low |
Normal |
|
Histotoxic |
Normal |
Normal |
Normal |
Low |
- Causes:
- Hypoxic: high altitude, pulmonary edema, hypoventilation, emphysema, collapsed lung
- Anemic: iron deficiency, hemoglobin mutations, carbon monoxide poisoning
- Ischemic: shock, heart failure, embolism
- Histotoxic: cyanide poisoning (inhibits mitochondria)
- Carbon monoxide (CO) poisoning:
- CO binds to the same heme Fe atoms that O2 binds to
- CO displaces oxygen from hemoglobin because it has a 200X greater affinity for hemoglobin.
- Treatment for CO poisoning: move victim to fresh air. Breathing pure O2 can give faster removal of CO
- Cyanide poisoning:
- Cyanide inhibits the cytochrome oxidase enzyme of mitochondria
- Two step treatment for cyanide poisoning:
- 1) Give nitrites
- Nitrites convert some hemoglobin to methemoglobin. Methemoglobin pulls cyanide away from mitochondria.
- 2) Give thiosulfate.
- Thiosulfate converts the cyanide to less poisonous thiocyanate.
- 1) Give nitrites
1) Storage - the stomach allows a meal to be consumed and the materials released incrementally into the duodenum for digestion. It may take up to four hours for food from a complete meal to clear the stomach.
2) Chemical digestion - pepsin begins the process of protein digestion cleaving large polypeptides into shorter chains .
3) Mechanical digestion - the churning action of the muscularis causes liquefaction and mixing of the contents to produce acid chyme.
4) Some absorption - water, electrolytes, monosaccharides, and fat soluble molecules including alcohol are all absorbed in the stomach to some degree.
Gonadotropin-releasing hormone (GnRH)
GnRH is a peptide of 10 amino acids. Its secretion at the onset of puberty triggers sexual development.
Primary Effects
FSH and LH Relaese
Secondary Effects
Increases estrogen and progesterone (in females)
testosterone Relaese (in males)
Growth hormone-releasing hormone (GHRH)
GHRH is a mixture of two peptides, one containing 40 amino acids, the other 44. GHRH stimulates cells in the anterior lobe of the pituitary to secrete growth hormone (GH).
Corticotropin-releasing hormone (CRH)
CRH is a peptide of 41 amino acids. Its acts on cells in the anterior lobe of the pituitary to release adrenocorticotropic hormone (ACTH) CRH is also synthesized by the placenta and seems to determine the duration of pregnancy. It may also play a role in keeping the T cells of the mother from mounting an immune attack against the fetus
Somatostatin
Somatostatin is a mixture of two peptides, one of 14 amino acids, the other of 28. Somatostatin acts on the anterior lobe of the pituitary to
- inhibit the release of growth hormone (GH)
- inhibit the release of thyroid-stimulating hormone (TSH)
Somatostatin is also secreted by cells in the pancreas and in the intestine where it inhibits the secretion of a variety of other hormones.
Antidiuretic hormone (ADH) and Oxytocin
These peptides are released from the posterior lobe of the pituitary
The hepatic portal system
The capillary beds of most tissues drain into veins that lead directly back to the heart. But blood draining the intestines is an exception. The veins draining the intestine lead to a second set of capillary beds in the liver. Here the liver removes many of the materials that were absorbed by the intestine:
- Glucose is removed and converted into glycogen.
- Other monosaccharides are removed and converted into glucose.
- Excess amino acids are removed and deaminated.
- The amino group is converted into urea.
- The residue can then enter the pathways of cellular respiration and be oxidized for energy.
- Many nonnutritive molecules, such as ingested drugs, are removed by the liver and, often, detoxified.
The liver serves as a gatekeeper between the intestines and the general circulation. It screens blood reaching it in the hepatic portal system so that its composition when it leaves will be close to normal for the body.
Furthermore, this homeostatic mechanism works both ways. When, for example, the concentration of glucose in the blood drops between meals, the liver releases more to the blood by
- converting its glycogen stores to glucose (glycogenolysis)
- converting certain amino acids into glucose (gluconeogenesis).
Neurons :
Types of neurons based on structure:
a multipolar neuron because it has many poles or processes, the dendrites and the axon. Multipolar neurons are found as motor neurons and interneurons. There are also bipolar neurons with two processes, a dendrite and an axon, and unipolar neurons, which have only one process, classified as an axon.. Unipolar neurons are found as most of the body's sensory neurons. Their dendrites are the exposed branches connected to receptors, the axon carries the action potential in to the central nervous system.
Types of neurons based on function:
- motor neurons - these carry a message to a muscle, gland, or other effector. They are said to be efferent, i.e. they carry the message away from the central nervous system.
- sensory neurons - these carry a message in to the CNS. They are afferent, i.e. going toward the brain or spinal cord.
- interneuron (ie. association neuron, connecting neuron) - these neurons connect one neuron with another. For example in many reflexes interneurons connect the sensory neurons with the motor neurons.