PrepBank · বিষয়ভিত্তিক প্রশ্ন
Physiology
Physiology
PrepBank · পাতা ৬ / ৯ · ৫০১–৬০০ / ৮৮৮
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2. Cortical activation of the indirect pathway leads to decreased thalamic output
3.Substantia nigra activation (via D1) of the direct pathway leads to increased thalamic output
4. Substantia nigra inhibition (via D2) of the indirect pathway leads to increased thalamic output
It is the combination of these pathways that allows for precise control of motor movement, balancing the excitatory direct pathway with the inhibitory indirect pathway.
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Explanations:
Synonyms for Factor IX are
Plasma thromboplastin component(PTC);
Christmas factor;
Antihemophilic factor B
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Ref : Sembulingam 6th edition (Page- 921)
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Substances which increase salivary secretion
• Sympathomimetic drugs like adrenaline and ephedrine.
• Parasympathomimetic drugs like acetylcholine, pilocarpine, muscarine and physostigmine.
• Histamine.
Substances which decrease salivary secretion
• Sympathetic depressants like ergotamine and dibenamine.
• Parasympathetic depressants like atropine and scopolamine.
• Anesthetics such as chloroform and ether stimulate the secretion of saliva. However, deep anesthesia decreases the secretion due to central inhibition.
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Circular, non- nucleated, biconcave disc
● Diameter 7.8 micrometer
● Thickness 2.5 micrometer at thickest point and 1 micrometer or less in the center
● Surface area 140micrometer2
● Volume 90-95 micrometer3
● Each RBC contains 29 pg of Hb
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Metabolic effects of prolonged vomiting are-
-Metabolic alkalosis
-Hypovolemia leading to lactic acidosis
-Hypokalemia
-Hypochloremia
-Paradoxical aciduria
-Compensatory hypoventilation
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1. HDL receptors on peripheral tissue /hepatocytes
2. Apo A
3. LCAT
4. CETP
5. HL
ABC of Biochemistry 6th - P: 221
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Definite cyanosis appears whenever the arterial blood contains more than 5 grams of deoxygenated hemoglobin in each 100 ml of blood. A person with anemia almost never becomes cyanotic. Conversely, in a person with Polycythaemia vera frequently has cyanosis, even under otherwise normal conditions.
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Explanation:
Stages of shock
• A nonprogressive stage (sometimes called the compensated stage)
• A progressive stage
• An irreversible stage
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➤ Decreased use of ketone body to spare it for brain.
➤ Use of fatty acid almost exclusively.
➤ Decreased protein catabolism with decreased urinary nitrogen loss.
Events occurring in brain
➤ Uptake and utilization of ketone bodies
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1.The bipolar cells of the spiral ganglion, which are located in the cochlea’s modiolus, are the first-order neurons of the auditory pathway.
2. The second-order auditory pathway neurons are made up of neurons from the dorsal and ventral cochlear nuclei in the medulla oblongata.
3. Both the superior olivary nuclei and the lateral lemniscus nucleus comprise the third-order neurons.
4.The subcortical auditory centre is formed by the medial geniculate body, where the fibres of third-order neurons terminate.
5.The nerve fibres from the medial geniculate body travel as auditory radiation via the internal capsule to the temporal cortex.
6.In the midbrain, the inferior colliculus of the tectum receives some fibres from the medial geniculate body.
7.The reflex movements in response to auditory stimuli are mediated by the auditory radiation fibres.
8.The temporal lobe of the cerebral cortex houses the cortical auditory centres. The perception of auditory impulses, analysis of sound pitch and intensity, and identification of sound source are all concerns of the cortical auditory centres.
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Blood = Plasma (55%) + Formed elements (45%)
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The normal range for INR in a healthy person is 0.9 to 1.3. A high INR level (e.g., 4 or 5) indicates a high risk of bleeding, whereas a low INR (e.g., 0.5) suggests that there is a chance of having a clot. Patients undergoing warfarin therapy usually have an INR of 2.0 to 3.0.
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Leptin (from the Greek word leptos, meaning "thin") is derived from the lep gene, located on chromosome 7, which transcribes a 167 amino acid peptide with a molecular weight of 16 kilodalton (kD).
Leptin, the protein hormone, was first discovered in 1994. It is produced by fat cells-adipocytes, and it signals the brain to tell you when to stop eating.
When leptin is released, it is secreted into the blood, whereby it travels to a region of the brain called the hypothalamus. There then begins a cascade of events that is meant to reduce food intake.
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Explanation:
'P' wave may become tall peaked or broad and bifid (notched)
Tall, peaked: right atrial hypertrophy
Bifid broad: left atrial hypertrophy
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Yet, in the healthy athlete, alveolar ventilation ordinarily increases almost exactly in step with the increased level of oxygen metabolism.
The arterial PO2, PCO2, and pH remain almost exactly normal. In trying to analyze what causes the increased ven-
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The cell and the intracellular organelles are surrounded by semipermeable membranes. Biological membranes have a lipid bilayer core that is populated by structural and functional proteins. These proteins contribute greatly to the semipermeable properties of biological membrane.
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held together by (1) hydrophobic bonding; (2) hydrogen bonding; (3) ionic attractions; and (4) Van der Waals forces.
It also obeys the thermodynamic mass action law
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1. Urinary free cortisol excretion increases (normal < 100ug/day).
2. Plasma cortisol increases (normal 10ug/dl, average).
3. Dexamethasone suppression test (DST).
Here synthetic steroid (dexamethasone) is given which is expected to reduce ACTH and cortisol secretion by negative feedback. Normally plasma cortisol decreases, but failure of plasma cortisol reduction following DST suggests Cushing's syndrome.
4. Plasma ACTH (normal = 9.52 pg/L)
Moderately increaed in Cushing's disease, markedly increased in ectopic ACTH and very low or undetectable in adrenal tumor.
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Activation of Factor X is pivotal in both pathways.
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Examples of Bipolar neuron are-
-Olfactory cells
-Bipolar cells of retina
-Vestibular ganglia
-Hair cells of cochlea
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Compensatory reactions activated by hemorrhage-
-Vasoconstriction
- Tachycardia
-Venoconstriction
-increase secretion of Catecholamines, vasopressin, EPO, Renin, Glucocorticoids, Aldosterone
-Tachypnoea
-Restlessness
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★ Decreased blood volume stimulates the secretion of renin (because of decreased renal perfusion pressure) and initiates the renin–angiotensinaldosterone cascade. Angiotensin-converting enzyme (ACE) inhibitors block the cascade by decreasing the production of angiotensin II. Hyperosmolarity stimulates antidiuretic hormone (ADH) [not aldosterone] secretion. Hyperkalemia, not hypokalemia, directly stimulates aldosterone secretion by the adrenal cortex.
Reference-Ganong physiology/26th/P-348/T-20.6 & BRS physiology/6th/P-244
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Effects of increased vagal tone
On CVS -
-Negative inotropism
-Negative chronotropism
-Decreases excitability
-Decreases conductivity
On GIT-
-increased secretion of GIT
-increased motility of GIT
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The ascending arousal system is a complex polysynaptic pathway comprised of monoaminergic, cholinergic, and histaminergic neurons that project to the intralaminar and reticular nuclei of the thalamus which, in turn, project diffusely to wide regions of the cortex including the frontal, parietal, temporal, and occipital cortices (Figure 14-3). Collaterals funnel into it not only from the long
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a) OFF-center bipolar cells and
b) ON-center bipolar cells.
These cells respond in opposite ways to the glutamate released by the photoreceptors because they express different types of glutamate receptors. Like photoreceptors, the bipolar cells do not fire action potential and only respond with graded postsynaptic potentials
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2. The duration of the action potential is 1 to 5 milliseconds in skeletal muscle, about five times as long as in large myelinated nerves.
3. The velocity of conduction is 3 to 5 m/sec, about 1/13 the velocity of conduction in the large myelinated nerve fibers that excite skeletal muscle.
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In humans, the frequency of the dominant EEG rhythm at rest varies with age. In infants, there is fast, beta-like activity, but the occipital rhythm is a slow 0.5-2-Hz pattern. During childhood this latter rhythm speeds up, and the adult alpha pattern gradually appears during adolescence. The frequency of the alpha rhythm is decreased by low blood glucose levels, low body temperature, low levels of adrenal glucocorticoid hormones, and high arterial partial pressure of CO2 (PaCO2). It is increased by the reverse conditions. Forced over-breathing to lower the PaCO2 is sometimes used clinically to bring out latent EEG abnormalities. The frequency and magnitude of the alpha rhythm is also decreased by metabolic and toxic encephalopathies including those due to hyponatremia and vitamin B12 deficiency.
The frequency of the alpha rhythm is reduced during acute intoxication with alcohol, amphetamines, barbiturates, phenytoin, and antipsychotics.
Propofol, a hypnotic/sedative drug, can induce a rhythm in the EEG that is analogous to the classic alpha rhythm.
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Isotonic contractions maintain constant tension in the muscle as the muscle changes length. This can occur only when a muscle’s maximal force of contraction exceeds the total load on the muscle. Isotonic muscle contractions can be either concentric (muscle shortens) or eccentric (muscle lengthens).
Isometric Contractions
In contrast to isotonic contractions, isometric contractions generate force without changing the length of the muscle . This is typical of muscles found in the hands and forearm: the muscles do not change length, and joints are not moved, so force for grip is sufficient. An example is when the muscles of the hand and forearm grip an object; the joints of the hand do not move, but muscles generate sufficient force to prevent the object from being dropped.
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Definition: It is the hypercalcemic disorder due to excessive secretion of PTH.
Causes:
1. Parathyroid adenoma (80 %).
2. Primary hyperplasia of parathyroid gland (15 %). 3.Parathyroid carcinoma.
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Islets of Langerhans consist of four types of cells:
• A cells or α-cells, which secrete glucagon
• B cells or β-cells, which secrete insulin
• D cells or δ-cells, which secrete somatostatin
• F cells or PP cells, which secrete pancreatic polypeptide.
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• Heparin is administered parenterally because it is not absorbed in the gut due to its high negative charge and size; intramuscular injections are avoided because of the risk of developing hematomas. Subcutaneous administration is predominantly given for deep vein thrombosis prophylaxis. In order to maintain its antithrombotic effect throughout the duration of percutaneous coronary intervention (PCI), heparin must be rebolused or continually infused because of its short half-life.
• Heparin is the most commonly used anticoagulant in the world administered to minimize thrombotic complications during PCI; its onset of action is immediate after intravenous administration. In addition to avoiding thrombotic complications, anticoagulation strategies must be designed to avoid major bleeding complications, as they are associated with increased morbidity, mortality, and cost.
• The combination of heparin and glycoprotein (GP) IIb/IIIa inhibitors has a potent anti-ischemic effect, but also has an increased risk of serious bleeding complications that must be balanced carefully. Although randomized trials have demonstrated the reduction of ischemic events with GP IIb/IIIa inhibitors in patients who undergo PCI for non-ST elevation acute coronary syndromes and ST-elevation myocardial infarction, bleeding complications are also increased.