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Medical Physics Final Flashcards

Electricity-Neurons-Heart

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392131341What are 4 Characteristics of an Action Potential?1) All-or-none Respone 2) Propagation without attenuation 3) Constant amplitude of discharge (for given neuron) 3) Refractory period = 2-5msec
392131342What's the normal refractory period for cardiac muscle?250msec!
392131343How does the membrane act like a capacitor? (2 traits)1) Stores charge 2) Supports a strong electric field within the membrane
392131344What is the charge of the solution outside a membrane? (charge, etc)Outside membrane 1) Electric field = 0 2) Solution is ELECTRICALLY NEUTRAL
392131345What does the Na/K pump do?-CREATES CONC. GRADIENT - Active process Na+ = Pumped OUT K+ = Pumped IN
392131346What parameter is needed for the NERST equation to work and thus define the membrane potential of a cell?-Only ONE ion species can have appreciable permeability "If only one ion species has appreciable permeability, the membrane potential is given by the NERST equation."
392131347What does the membrane potential depend on if MULTIPLE IONS can permeate the cell? (x2)1) The permeability of the membrane to each ION 2) The [Conc] Gradients of each ION across the membrane.
392131348In the Goldman-Hodgkin-Katz equation for multiple ions within the neuron (Na, K, Cl), what does RT/F equal?RT/F = 61.5mV R= ideal gas constant; F=Faraday's constant; T= 37C
392131349What are the equilibrium potentials of each ion AND where does it concentrate when concerning a neuron: 1) K+ 2) Na+ 3) Cl-1) K+ = -90mV (conc's inside) 2) Na+ = +60mV (conc's outside) 3) Cl- = -70mV (conc's outside)
392131350What are the concentrations of Na+ and K+ governed by?Na+ / K+ PUMP!
392131351In a resting neuron, which ion has greater permeability, AND, which ion passively adjusts to the membrane potential?Resting Neuron... K+ Permeability ==> MUCH GREATER than Na+ Permeability Cl- [conc] ==> Adjusts passively to Vm
392131352What is the resting membrane potential in a a typical neuron?!?-70mV
392131353Concerning Neurons... How does lethal injection work?Neurons = very sensitive to EXTRACELLULAR Potassium! Inject High [conc] of Potassium ==> membrane potential abolished
392131354-- What equation predicts the Vm x [K+] relationship during lethal injection? -- Graphically depict the relationship as [K+] increases...-- Goldman equation predicts the Vm x [K+] relationship
392131355Define an Action Potential.Action Potential is a self-propagating depolarization-repolarization wave of the axon (not the dendrites).
392131356What is depolarization caused by?Opening Na+ Channels ==> Na+ IN Closing of K+ Channels ==> K+ IN (prevents repolarization)
392131357Depict an Action Potential. Include a time-scale, charges inside and out, and repolarization of the axon....
392131358What can alter membrane permeability (just one).Changes in Membrane Potential!
392131359Voltage-gated channels...
392131360Will a Na+ Channel Protein be closed or open at -65mV? What about -40mV?Na+ channel @ -65mV ==> CLOSED Na+ channel @ -40mV ==> OPEN
392131361"An Action Potential is a complex, non-linear phenomenon" ==> -- It ALTERS membrane Permeability -- TRIGGERS Na+ influx ==> further alters membrane potential ==> further alters membrane permeability, etc, etc...
392131362When does a neuron generate an AP?When the AXON HILLOCK has reached a potential that EXCEEDS a well-defined threshold level
392131363What can account for referred pain or masking of pain?Convergent inputs of neurons into other neurons
392131364What are 2 differences between a dendritic current and an AP?1) Dendritic signals can be graded ==> Have variable amplitude AND 2) Can be Excitatory (depolarizing) or Inhibitory (hyperpolarizing)
392131365What do local anesthetics effect on a neuron?Local anesthetics INHIBIT changes in permeability
392131366What equation is used for the Electrical model of a Neuron?Neuronal Electrical Model = Cable Equation N.E.M. = Cable
392131367What's the transmission rate of a 1) myelinated neuron and 2) an unmylenated neuron?Myelinated = 20-100 m/sec Unlmyelinated = 2-5 m/sec
392131368M.S. Disease (x4)1) age = 20-40 2) Leading cause of major disability in working age adults 3) Autoimmune 4) attack and remission cycle
392131369Synaptic Transmission being two steps...1) Electrical = AP 2) Chemical = synaptic transmission
392131370Synaptic transmission properties (x3)1) Neurotransmitters alter perability ==> inject current into dendrite 2) 1-way transmission ==> Axon->Dendrite 3) Graded input (variable amplitude) & Excitatory or Inhibitory
392131371What are Body Surface Potentials and what are they do to?EEG & ECG = Body Surface Potentials Body surface potentials are due to widespread IONIC CURRENT FLOW in a RESISTIVE MEDIUM ==> governance by OHM'S LAW
3921313722 ways to describe Body Surface Potentials ==> 1) Nerve and muscle cells act like tiny current sources 2) Body is like a bag of conducting solution with appreciable sensitivity...
392131373What are EEGs recording from a neuron?Record signals that arise from DENDRITIC ACTIVITY
392131374Alpha-wave EEG8-12 Hz ==> Relaxed wakefulness ((approx. 100 uV in amplitude)) most posterior scalp
392131375Delta-wave EEG<4 Hz (pathological)
392131376Theta-wave EEG4-7 Hz ==> Drowsiness
392131377Beta--wave EEG>13, alert wakefulness (PFC)
392131378Sharp spike EEGs may be indicative of ... (x2)Epilepsy and/or Seizure disorders
392131379Large, slow waves may be indicative of ... (x4 -- LISI)Lesion, Injury, Stroke, Infection
392131380NREM Sleep4 stages with distinctive EEG for each stage --> EEG slows with deeper (delta wave) sleep
392131381Electrocardiography (ECG) measurementHeart depolarization produces current flow and differences in potential outside the heart. ECG records DIFFERENCES IN POTENTIALS
392131382Describe how a 3-Lead ECG works--Location of 3 leads ==> Left Arm (LA), Right Arm (RA), and Left Leg (LG) -- ECG measure the difference in potential between electrodes due to current flow along the direction of the leads. I = V(LA)-V(RA) II = V(LL)-V(RA) III= V(LL)-V(LA)
392131383What are the 3 components of the Cardiac cycle and what electrical component do they correspond to?P-Wave ==> Atria Depolarization QRS-Complex ==> Ventricular Depolarization T-Wave ==> Ventricular Repolarization
392131384What is the SA node and where is it located? What is it responsible for?Sinoatrial Node = SA-Node --Primary pacemaker ==> initiates Heartbeat --silent on an ECG --depolarize the atria (P-WAVE)
392131385The amplitude of the ECG is on the order of 1 mV...
392131386Describe the timing of the electrical and mechanical events of a heartbeat.1) SA node fires 2) Atria Depolarize & Fill 3) AV node slowly conducts impulse ((receive signal from SA)) 4) Ventricles Fill 5) Purkinje fibers conduct rapid impulse throughout the ventricles 6) Ventricular contraction
392131387QRS-complex--Ventricular depolarization & atria repolarization (masked by vent. depol)
392131388T-waveVentricular repolarization
392131389What do the P-wave and QRS-complex initiate and precede?Atrial AND Ventricular Contraction
392131390What are Impulses formed by?Pacemaker cells! Leaky ion channels ==> Spontaneous cell depolarization
392131391AV Node DOES fire if SA node fails...
392131392What are 3 types of arrythmias1 -- Abnormal impulse formation and conduction 2 -- Abnormal conduction due to block at AV node (like an open circuit) 3 -- Abnormal conduction due to Extraneous Atrioventricular Connection ("Short Circuit")
392131393What's an example of "Abnormal impulse formation and conduction" arrythmia?Ventricular Fibrillation= V-FIB ==> Chaotic, ineffective beating - cause of death & secondary to heart attacks --due to multiple ECTOPIC FOCI THROUGHOUT (ischemic) HEART or abnormal conduction pattern that does not die out ==> Treated by applying a large Depol. to heart
392131394When is a pacemaker used?In the case of a Complete/3rd Degree AV Blockage ==> Impulse is BLOCKED at AV-NODE ==> causes Ventricular rate to be lower than atrial rate --Pacemaker fixes problem --Congenital
392131395What is Reentrant supraventricular tachycardia (SVT)?SVT is an example of of extraneous atrioventricular connections that cause abnormal conduction --abnormal "accessory" pathway (AP) between atria and ventricles -- Fixed via ablation of accessory pathway in cardiac-cath lab
392131396What is ectopic focus in terms of heart impulses?Ectopic focus = Injured and/or irritated cells fire ==> Abnormal pacemaker

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