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NBME Physiology- Incomplete Flashcards

BRS Physiology
1. Cell Physiology

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423444080Cell membranes are composed primarily of what?phospholipids and proteins
423444081Describe the phospholipids in the phospholipid bilayerphospholipids have a glycerol backbone which is hydrophilic and two fatty acid tails which are hydrophobic. The hydrophobic tails face eachother and form a bilayer
423444082can lipid soluble substances cross cell membranes?O2, CO2, steroids cross cell membranes because they dissolve in the hydrophobic lipid layer
423444083can water soluble substances cross cell membranes?Na+, Cl-, H2O cannot dissolve in the lipid of the membrane, but may cross through water filled channels or be transported by carriers
423444084What are the types of proteins in cell membranes?integral proteins peripheral proteins
423444085how are integral proteins anchored to the cell membrane?hydrophobic interactions
423444086can integral proteins span the cell membrane?yes
423444087what are examples of integral proteins?ion channels transport proteins receptors G proteins
423444088are peripheral proteins embedded in the cell membrane?no
423444089are peripheral proteins covalently bound to membrane components?no
423444090how are peripheral proteins attached to the cell membrane?loosely by electrostatic interactions
423444091What are the types of intercellular connections?tight junctions Gap junctions
423444092what is another term for tight junctions?zona occludens
423444093tight junctions are often the attachments between which kind of cells?epithelial cells
423444094can tight junctions be an intercellular pathway for solutes?yes, depending on: size, charge, characteristics of the tight junction
423444095what are the two types of zona occludens?tight leaky
423444096what are tight zona occludens and where are they seen?impermeable renal distal tubule
423444097what are leaky zona occludens and where are they seen?permeable renal proximal tubule and gallbladder
423444098What are gap junctions?the attachments between cells that permit intercellular communication
423444099what is an example of gap junctions?those that permit current flow and electrical coupling between myocardial cells
423454503what are the characteristics of simple diffusion?only form of transport that is not carrier mediated occurs down electrochemical gradient does not require metabolic energy
423454504What is the equation for measuring simple diffusion?J = -PA (C1-C2) J= flux [mmol/sec] P= permeability [cm/sec] A= area [cm^2] C1= concentration1 [mmol/L] C2= concentration2 [mmol/L]
423454505what is the meaaning of the minus sign preceding the diffusion equation?the direction of flux is from high to low concentration.
423454506when can the minus sign preceding the diffusion equation be ignored?if the higher concentration is called C1 and the lower concetration called C2
423454507Simple diffusion across electrochemical gradient: uphill or downhill?downhill
423454508Facilitated diffusion across electrochemical gradient: uphill or downhill?downhill
423454509Primary active transport across electrochemical gradient: uphill or downhill?uphill
423454510cotransport across an electrochemical gradient: uphill or downhill?uphill
423454511countertransport across an electrochemical gradient: uphill or downhill?uphill
423454512is simple diffusion carrier mediated?no
423454513is facilitated diffusion carrier mediated?yes
423454514is primary active transport carrier mediated?yes
423454515is cotransport carrier mediated?yes
423454516is countertransport carrier mediated?yes
423454517does simple diffusion require metabolic energy?no
423454518does facilitated diffusion require metabolic energy?no
423454519does primary active transport require metabolic energy?yes
423454520does cotransport require metabolic energy?indirectly
423454521does countertransport require metabolic energy?indirectly
423454522does simple diffusion exploit a sodium gradient?no
423454523does facilitated diffusion exploit a sodium gradient?no
423454524does cotransport exploit a sodium gradient?yes, same direction
423454525does countertransport exploit a sodium gradient?yes, opposite direction
423454526what does inhibition of the Na/K pump do to primary active transportinhibits if the transport in question is the Na/K pump
423454527what does inhibition of the Na/K pump do to cotransport?inhibits
423454528what does inhibition of the Na/K pump do to countertransport?inhibits
423454529permeability describes what?the ease with which a solute diffuses through a membrane
423454530what does permeability depend on?the characteristics of the solute and the membrane
423454531what are the factors that increase permeability?increased oil/water partition coefficient decreased radius of the solute decreased membrane thickness
423454532what has the highest permeabilities in lipid membranes?small hydrophobic solutes
423454533what does the flux of an ion across a membrane depend on?concentration difference potential difference
423454534what are the types of carrier mediated transport?facilitated diffusion primary active transport secondary active transport
423454535What are the characteristics of carrier mediated transport?stereospecificity saturation competition
423454536what is an example of stereospecificity?D-glucose is not transported by facilitated diffusion
423454537what is an example of competition in carrier mediated transport?galactose is a competitive inhibitor of glucose transport in the small intestine
423459241What are the characteristics of facilitated diffusion?occurs down electrochemical gradient does not require metabolic energy and is passive more rapid than simple diffusion is carrier mediated and therefore exhibits stereospecificity, saturation, and competition
423459242which is more rapid, simple diffusion or facilitated diffusion?facilitated diffusion
423459243what is an example of facilitated diffusion?glucose transport in muscle and adipose cells
423459244why is glucose uptake by adipose and muscle impaired in diabetes mellitus?carriers for facilitated diffusion of glucose require insulin
423459245what are the characteristics of primary active transport?uphill requires ATP/is active is carrier mediated so exhibits saturation, stereospecificity and competition
423459246what are examples of primary active transport?Na-K pump Ca2+ pump proton pump
423459247what is the usual stoichiometry of the Na-K pump?3Na/2K
423459248what are the specific inhibitors of the Na-K pump?cardiac glycosides: ouabain digitalis
423459249where is the Ca2+ pump?sarcoplasmic reticulum
423459250what is the sarcoplasmic reticulum and endoplasmic reticulum Ca++pump called?SERCA
423459251where is the proton pump?gastric parietal cells
423459252what inhibits the proton pump?omeprazole
423462072What are the characteristics of secondary active transport?transport of >=2 solutes is coupled one of the solutes moves downhill and provides the energy for the uphill transport of the other solute energy is provided indirectly by the Na+ gradient
423462073what are examples of symport?Na+-glucose cotransport in small intestine Na+-K+-2Cl- cotransport in thick ascending limb
423462074what are examples of countertransport?Na-Ca exchange Na-H exchange
423462075What does inhibition of the Na-K pump on the basolateral side of cells of the renal proximal tubule do to Na-Glucose transport on the luminal side?decreases the transmembrane Na gradient and consequently inhibits Na-Glucose transport
423462076what does poisoning the Na-K pump do to Na-Ca exchange?inhibits it

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