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Physiology Integrative Chapters

front 1

classification of neural reflexes

back 1

look at specific neuron (efferent)
o Autonomic or somatic (always acting in an excitatory way)?
o Where is it happening? Spinal or cranial?
o Innate or learned?
o How many neurons? Mono (direct connection between efferent and afferent sides) or polysynaptic (almost all neurons)?

front 2

skeletal muscle reflexes

back 2

 Key thing for mono – Direct synapse from sensory neuron onto efferent neuron
 Poly uses a CNS interneuron which can get very complex, most common (all autonomic neurons)
• Convergence – Many sensory neurons feeding into few interneurons
• Divergence – Few interneurons feeding many efferent neurons
 Contraction = excitation of efferent neuron
 Relaxation = inhibition of efferent neuron

front 3

autonomic reflexes

back 3

 All are polysynaptic
 At least one synapse between sensory & CNS & synapse between preganglionic w/postganglionic neurons
 AKA visceral reflexes
 All are polysynaptic
 Many show tonic (continuous) activity
 Can be integrated in spinal cord or brain
 Limbic system = emotionally driven reflexes
 Examples: Urination, breathing, eating, body temperature, blushing, getting goosebumps, etc.

front 4

Proprioceptors

back 4

 Proprioceptors -> CNS -> Alpha motor neurons (somatic motor neurons that innerve skeletal muscle fibers that contract) -> Extrafusal muscle fibers
o Proprioceptors – sensory receptors that monitor position in space, movement, etc.
o Proprioceptors include: joint receptors, muscle spindles & golgi tendon organs

o - Joint receptors – In capsules & ligaments to detect mechanical distortion around joints

front 5

muscle spindles (picture)

back 5

- Sensory receptors that sense muscle length & changes in muscle length
 Present in intrafusal muscle fibers
 Stretch the whole length of the muscle tissue
 Intrafusal muscle fibers have a muscle spindle in them and recognize the change in length of the spindle over time
 Intrafusal fibers are contractile at the end but not in the middle (where muscle spindles lie)
 Sustained contraction requires alpha-gamma coactivation and coactivation)
• Alpha motor neurons (somatic) innervate extrafusal fibers, Gamma innervate contractile portion of intrafusal fibers

front 6

golgi tendon organs (picture)

back 6

 Respond to muscle tension during isometric contraction
 Reflex response = relaxation
• Inhibiting muscle neurons causing them to not fire and causing relaxation
 Prevents damage to tissue
 Found in junction of muscle fibers and tendon

front 7

patellar tendon (knee jerk) reflex

back 7

• muscles are often arranged in antagonistic muscle groups. If you’re going to flex (contract) one muscle, you must extend (relax) its antagonist.
• Knee jerk example – very simple monosynaptic muscle reflex
• Sensory neuron branches in spinal cord:
o One part directly synapses with somatic motor neurons for quad muscle contraction and the Other part synapses on inhibitory neurons for hamstrings.
o Quad contracts, hamstring relaxes & your leg shoots out.
 Inhibition of hamstring is part of the response

front 8

flexion reflex (step-on-a-lego reflex) (picture)

back 8

• Reflex from stepping on something sharp or touching something hot (step-on-a-lego reflex)
• Polysynaptic muscle reflex
• Pulls body away from harmful stimuli

front 9

body movement

back 9

 Multiple skeletal muscles signaling CNS that integrates signals and coordinates a response
 All polysynaptic
 Reflex movements
 Voluntary movements
 Rhythmic movements

front 10

reflex movements

back 10

• Stimulated by sensory receptors
• Simple, integrated in spinal cord or brain stem
• Rapid, inherent response
• Ex: knee jerk, cough
• Brain does receive sensory input to coordinate body-wide responses

front 11

voluntary movement

back 11

• Stimulated by external stimuli or conscious thought
• Complex, integrated in CNS (usually brain)
• Learned movements
• Ex: playing the piano, swimming, riding a bike
• With practice, learned movements can become subconscious – muscle memory, more like a reflex

front 12

rhythmic movement

back 12

• Start & stop are voluntary
• Intermediate complexity, integrated in spinal cord with higher level input
• Ex: Running, quiet breathing patterns
• Once started, CNS interneurons called central pattern generators maintain repetitive activity
• Ex: Take an animal that is paralyzed where the “start” signal for walking is blocked. If you support the animal on a treadmill and electrically stimulate the spinal central pattern generator for that movement, the legs will start walking.

front 13

neural control of movement (table)

back 13

 3 levels of control:
• Spinal cord – spinal reflexes & has central pattern generators, reflex responses
• Brain stem & cerebellum – control postural reflexes & hand/eye movements, fine tunes movement
• Cerebral cortex & basal ganglia – voluntary movements, higher processing

front 14

visualization technique

back 14

o Picture yourself doing what you’re about to do
o Psychological process stimulates physiological process
o Presynaptic facilitation- Mental process in cerebral cortex stimulates signals in muscle groups
o Used is sports, any kind of performance, anxiety disorders, cancer treatment & pain management

front 15

parkinson's disease

back 15

o Has helped researchers understand how basal ganglia integrates signals
o Symptoms: abnormal movements (tremors), speech difficulty, lose facial expression, personality changes
o Dopamine activity is key
 Give patients a precursor of dopamine, L-dopa, that can cross the blood-brain barrier.

front 16

visceral (autonomic muscle control)

back 16

o Mostly controlled by autonomic nervous system
o Hormones, in addition to neural cues, regulate contraction
o Skeletal muscle is attached to bone, smooth & cardiac are not.
o If you contract smooth or cardiac muscle, you change the shape of the organ
o Often very specific in the way that an organ is controlled, so we will cover that as we discuss those tissues.

front 17

homeostasis

back 17

o Body is constantly fighting to keep a relatively constant state
o Taking in water & ions, either need to use it or excrete it
 Sweat, Urine, Feces, Ventilation
o Water and salt are two of the most important molecules to regulate
 Ion concentrations in interstitial fluid used for transport
 Mess up concentrations and neural function (and other functions) are messed up
 Key for cell volume

front 18

osmolarity and tonicity

back 18

front 19

systemic integration (picture, response to low blood pressure or blood volume)

back 19

baroreceptor reflex

front 20

myogenic autoregulation

back 20

o Decrease in blood pressure past the point of vasoconstriction and reduces the blood flow into the glomerulus
o Kidneys can also adjust for differences in blood pressure
o Keeps GFR (glomerular filtration rate) constant over a wide range of pressures (80-180 mm Hg)

front 21

tubuloglomerular feedback (picture)

back 21

increase in blood causes and increase in the amount of fluid being pushed through the tubes

front 22

autonomic regulation

back 22

o Sympathetic control changes resistance in arterioles
o increase in NE causes either vasoconstriction or vasodilation in arterioles depending on the receptor present
kidneys are slower than cardiac for these changes

front 23

hormonal regulation

back 23

spreads through the blood for a widespread effect
in the kidneys: affects slits on podycytes that control regulation

front 24

water balance

back 24

1/3 water is extracellular, 2/3 water is intracellular
3L of plasma, the rest of water is in interstitial fluid
volume of water in= volume of water out
ccan be disrupted by excessive sweating or diarrhea

front 25

water conservation (pictures)

back 25

^ KNOW THIS
• happens mostly in the kidneys
• Adjust the GFR, adjust the amount of water that is lost
• Water cannot be replenished by the kidneys, just conserved
• Happens in:Renal medulla (significant amount of reabsorption), Distal tubule (small amount or reabsorption), Collecting duct (most of the regulation of reabsorption)
• Concentration of urine varies between 50 mOsM and 1200 mOsM(based on normal body osmolarity of 300 mOsM), trying to move water without moving solutes

front 26

Vasopressin controlling water levels (picture)

back 26

• Peptide neurohormone synthesized in the hypothalamus
• Secreted by the posterior pituitary
• AKA antidiuretic hormone (ADH)
• Neurohormone is released into the blood
• Acts on collecting duct epithelium
• causes a slow change in the microtubule membrane composition (incorporates more aquaporins into the membrane)
• increases reabsorption (urine is concentrated), urine is diluted and more water is excreted in the absence of vasopressin
• Vasopressin binds to a receptor -> activates cAMP second messenger system -> inserts aquaporin into the apical membrane ->water is absorbed by osmosis into the blood

front 27

vasopressin regulation (picture)

back 27

 Blood pressure
 Blood volume
 Plasma osmolarity* (more important)
• Receptors in the hypothalamus pick up on signals
• Threshold = 280 mOsM
o Release more vasopressin and increased water resorption if you exceed 280 mOsM
o Absorb more during the day than you do at night (Allows you to urinate less at night)

front 28

countercurrent exchange

back 28

 Animals like whales that live in cold water need to circulate blood such that it conserves heat
• Puts blood vessels in close proximity conserves heat and conserve the energy that would be needed to heat the blood
•vasa recta

front 29

vasa recta (countercurrent exchange) (picture)

back 29

 Cross section of the renal medulla contains tons of ducts and tubes (vasa recta, loops of henle, collecting ducts, etc.)
 Instead of transferring heat, transfers water and solutes
 No loss to environment, kidney is a closed system
 Countercurrent multiplier to make it more dilute than it could have been on its own

• each dot represents another loop, the image represents a whole tissue
• Picks up solutes as it is moved down the loop of henle (red down) due to concentration gradients and ending the blood
• Normal gradient pumps water in and leaved solute
• Start and end at the same concentration in the blood (300 mOsM) but change concentration within the loop
• interstitial fluid is more concentrated, more dilute levels leaving the loop of henle following the concentration gradient
• urea and salt act as solutes

front 30

sodium balance (picture)

back 30

o Addition of salt increases body osmolarity
o Without regulation would create a hypertonic ECF -> cell shrinking
o salt (solutes) increase osmolarity, leads to hypotonicity
o To combat the hypotonicity: Salt addition triggers vasopressin secretion and thirst
o Increased vasopressin triggers water conservation
o Thirst increases water intake
o Regulated only via kidneys
o Changes in blood volume are noticed due to the change in blood pressure
o Key hormone: aldosterone

front 31

Aldosterone (picture)

back 31

o Fast response
 Aldosterone secretion stimulated by:
 Increased ECF K+ concentration or Decreased blood pressure Trigger the release of aldosterone
• No aquaporins in the membrane- move solutes without moving water

front 32

RAS pathway (picture)

back 32

 Renin-angiotensin system (RAS) pathway
 looks for changes in NaCl that passes through the loop of henle -> drop in NaCl levels= drop in blood pressure
 renin is released in response the to the decrease in blood pressure

front 33

Angiotensin

back 33

from RAS pathways and aldosterone
o Angiotensin I
o Angiotensin II Effects (active molecule)
 All effects increase blood pressure
• Increases vasopressin secretion (stimulates thirst)- increase in volume= increase in pressure since your body absorbs more water
• Vasoconstrictor
• Increases CVCC sympathetic output
• Increases proximal tubule reabsorption
 Medication (ACE inhibitors) that blocks the production of Angiotensin II which will lower blood pressure but may have significant side effects

front 34

Potassium regulation

back 34

• Key ion for excitable tissue (without proper regulation the concentration in the membranes will change dramatically)
• Hyperkalemia vs Hypokalemia
• Regulated by pH balance
• Kidney disease, improper eating, diarrhea, dehydration

front 35

Hyperkalemia vs Hypokalemia

back 35

• Hyperkalemia – too much K+
o Makes membrane more excitable and allows more solutes to pass through, cells cannot fully repolarize to “reset” the signal

• Hypokalemia – too little K+
o similar to hyperkalemia but opposite
o makes the membrane potential higher

weakened tissue and responses for both conditions

front 36

control of volume and osmolarity

back 36

• drinking replaces fluid loss- reflex response to increased osmolarity, eating ice chips is effective
• salt appetite- animals lick the ground to increase salt content
• dehydration avoidance- mid afternoon nap helps you stay out of the sun during the hottest part of the day to avoid dehydration
• extreme sweating or blood loss- need to replace both the blood volume and the solutes

front 37

responses triggered by changes in volume, blood pressure, and osmolarity

back 37

front 38

Acid-base balance

back 38

o Body is normally slightly alkaline (pH = 7.40, Usually ECF & ICF pH are similar)
o Important because changes dramatically affect protein function (changes the structure of proteins which will change their function)
o Acidosis vs Alkalosis
o Related to K+ levels
o Source of pH changes (Comes from food & metabolism- biggest acid source, in all cells and plasma, bicarbonate and carbonic anhydrase which produces H+)
 In general, your body takes on more acids than bases

front 39

general Acidosis vs Alkalosis

back 39

o Acidosis
 Too low pH
 Neurons are less excitable = CNS depression -> coma -> death
o Alkalosis
 Too high pH
 Neurons are hyperexcitable = muscle twitches -> sustained contractions -> tetanus -> death

front 40

pH homeostasis mechanisms- buffers

back 40

 Moderates but does not prevent changes in pH by interacting with H+
 Proteins, phosphate ions, hemoglobin
 Not a permanent fix
 Reversible reaction
• Will increase levels of CO2
• Increased CO2 levels à increased ventilation

front 41

pH homeostasis mechanisms- renal regulation

back 41

 Cover remaining 25% of regulation
• occurs in the kidneys
• Excrete or reabsorb H+ ions
• Excrete or reabsorb bicarbonate
• relatively slow

front 42

pH homeostasis mechanisms (types)

back 42

buffers
renal regulation
ventilation

front 43

pH homeostasis mechanisms- ventilation

back 43

covers 75% of regulation
 Respiratory acidosis
• Increased plasma CO2 due to hypoventilation
• Alcohol, drugs, asthma, fibrosis, dystrophy
• Need to excrete H+ and reabsorb bicarbonate in kidneys

front 44

metabolic acidosis vs alkalosis

back 44

Acidosis
• Dietary & metabolic input increases H+
o Lactic acidosis, ketoacidosis, aspirin, diarrhea
• Respiratory compensation à hyperventilation

alkalosis
• Decrease in H+ concentrations
• Excessive vomiting, excessive antacid consumption
• Respiratory compensation àhypoventilation

front 45

respiratory acidosis vs alkalosis

back 45

 Respiratory acidosis
• Increased plasma CO2 due to hypoventilation
• Alcohol, drugs, asthma, fibrosis, dystrophy
• Need to excrete H+ and reabsorb bicarbonate in kidneys

front 46

energy sources for exercise

back 46

 ATP in muscle cells
 Phosphocreatine (PCr) converting ADP into ATP
 Lasts 10-15 seconds

front 47

manufacturing new ATP

back 47

• Glycolytic metabolism
o Anaerobic
o 2.5 times faster
o 2 ATP/glucose
o Metabolic acidosis

• Citric acid cycle
o Aerobic
o Slower
o 30-32 ATP/glucose
o Both glucose & fatty acids with O2

store as glycogen. muscle and liveer glycogen stores provide 2000kcal worth of energy (20 miles of running). afterwards can use a combo of fatty acids and glucose for energy

front 48

hormone regulation of energy production

back 48

• Glucagon, cortisol, growth hormone, epinephrine, and norepinephrine all increase during exercise
o Mobilize liver glycogen (turning it in to glucose) raising blood glucose levels
• Insulin decreases
o If blood sugar is up, why does insulin decrease?
 Keeps glucose free for muscle fibers
 Contracting muscle fibers do not need insulin for glucose uptake (GLUT4 transporter)
 Transported to bring glucose from the blood to cells are independent of insulin

front 49

oxygen consumption during exercise

back 49

• Oxidative phosphorylation uses up O2
• Can quantify intensity by measuring O2 use (VO2)
• VO2 max, athletes can have musch higher VO2 max than normal people

front 50

limiting metabolic factors

back 50

• Mitochondria
o Important for ATP generation (oxidative phosphorylation)
o Training increases number of mitochondria in muscle fiber
• Cardiovascular or pulmonary system?
o Which holds you back more?
o When cardiac output is 90% max, ventilation is only 65% max

front 51

ventilation response to exercise

back 51

 As exercise begins
• Mechanoreceptors and proprioreceptors sense movement and signal motor cortex
• Motor cortex signals medulla oblongata to increase ventilation
• Central, carotid & aortic chemoreceptors monitor CO2, pH & O2
• Increase alveolar ventilation as needed
• Under moderate exercise, levels stay constant

front 52

cardiac response to exercise

back 52

• Cardiac output increases dramatically
o Resting = 5 L/min, Average person = 20 L/min, Trained athlete = 40 L/min
o Cardiac Output (CO)= heart rate x stroke volume
o CO= (SA node rate + autonomic nervous system input) x (venous return + force of contraction)
o Decrease parasympathetic activity -> rising heart rate
o Sympathetic takes over and stimulates heart
 Increases contractility (more blood per beat)
 Increases heart rate
o Sympathetic division triggers body-wide vasoconstriction
o Skeletal muscle vasodilates
 Due to changes in microenvironment
• Temperature, CO2, O2, H+ concentration
• Overrides vasoconstriction signal

front 53

blood flow during exercise

back 53

o Muscle gets about 1/4 of the blood (1.2L/min) at rest
o Exercise increases blood flow to muscles to almost 90%
o Trained athletes can increase blood flow to muscles to 22 L/min

front 54

blood pressure response to exercise

back 54

o Increases slightly
 Skeletal muscle vasodilates
 Cardiac output increases
o How does pressure stay increased?
 New threshold?
 Signal inhibition?
 Muscle chemoreceptors?

front 55

temperature regulation during exercise

back 55

• As you exercise your body “wastes” energy in the form of heat during metabolism
• Body temperature can reach 104-108°F
• Two responses:
o Increased cutaneous blood flow
o Sweating
 Lowers body temperature through evaporative cooling
 Problems: Dehydration, Reduced blood volume
 Disease: Hyperhidrosis, Hypohidrosis