P+P Part A's 7

2010 Exam
Quiz by genes644
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Last updated: August 8, 2022
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Question
Answer
Extracellular K+ ion concentration is (mM)
4
Typical intracellular Na+ ion concentration is (mM)
15
Extracellular HCO3- concentration is
25mM
Extracellular Cl-
110mM
Intracellular ionised Ca2+ concentration is
0.1uM
An example of a primary active ion-transporter is
SERCA
An example of a secondary active ion transporter is
Na+-glucose symporter
The Na+/K+ ATPase is directly inhibited by the drug
cardiac glycoside
Na+/K+ ATPase inhibition causes the following two effects
fall of intracellular K+; rise of intracellular Na+
The typical equilibrium potential for K+ ions (EK) across the plasmalemma of a resting nerve cell (measured inside relative to outside; in mV) is
-90
The typical equilibrium potential for Na+ ions (ENa) across the plasmalemma of a resting nerve cell (measured inside relative to outside; in mV) is
60
Raising the extracellular K+ concentration bathing a nerve cell would
make EK less
negative (more positive)
Reducing the extracellular concentration of Na+ ions would
make ENa more negative
(less positive)
In a nerve cell membrane, transmembrane K+ current during repolarisation of the action potential is 2 nanoAmperes. Assuming each individual K+ channel carries a net current of 1 picoAmpere, and has a statistical probability of opening of 0.5, calculate the number of functional K+ channels.
4000
What is the approximate conduction velocity of an unmyelinated nerve of at least 5µm diameter?
5m/s
What is the approximate conduction velocity of a myelinated nerve of at least 5µm diameter?
50m/s
What is the typical duration of a nerve action potential at 37°C?
2ms
The velocity of propagation of an action potential in nerve fibres is increased by
a decreased membrane conductance
A rapidly acting, reversible inhibitor of nerve conduction is
tetrodotoxin
The principal autonomic neurotransmitter released at sympathetic ganglia is
acetylcholine
The principal post-synaptic receptor sub-type in parasympathetic ganglia is
nicotinic
Chemical transmission at the skeletal neuromuscular junction is blocked by
tubocurarine
Acetylcholine applied to the heart
decreases atrial contractility
Noradrenaline released at a noradrenergic synapse is removed from the cleft by
both presynaptic and postsynaptic reuptake
A person with a steady cardiac output consumed 400mL of oxygen every minute. An arterial blood sample contained 190 mL of O2 per litre of blood, while a sample from the pulmonary artery contained 140 mL of O2 per litre of blood.
What was the person's cardiac output?
8L/min
Is a cardiac output of 8L/min higher, lower or the same as the typical value for an adult 70 kg man at rest?
higher
Stimulation of the sympathetic outflow to the cardiovascular system would initially
have a positive chronotropic effect on the heart
Administration of an α1 adrenoceptor antagonist (eg. Prazosin) would
decrease arterial
blood pressure
An increase in Vagal activity
activates muscarinic receptors in the sino-atrial node
Cardiac glycosides may act to increase the force of contraction of cardiac muscle by opening voltage gated Na+ channels
false
Cardiac glycosides may act to increase the force of contraction of cardiac muscle by increasing cytoplasmic free Ca2+ concentration
true
Cardiac glycosides may act to increase the force of contraction of cardiac muscle by reducing Ca2+ extrusion on sarcolemmal Na+-Ca2+ exchange
true
Cardiac glycosides may act to increase the force of contraction of cardiac muscle by inhibiting Na+/K+ ATPase activity - True
true
Cardiac glycosides may act to increase the force of contraction of cardiac muscle by inhibiting sarcoplasmic reticular Ca2+ pump activity
false
Arterial PO2 is normally
100mmHg
A fall of arterial PO2 can stimulate
chemoreceptors in the carotid body
A fall of pulmonary arterial and alveolar PO2
constricts pulmonary arterioles
PaCO2 in a healthy resting individual is typically (mm Hg)
40
A rise of arterial PCO2 can initially reduce arterial pH by
reacting with arterial water
inulin appearing in the urine 450 mg/min
renal plasma flow 500 ml/min
hydrostatic pressure within the glomerulus 45 mmHg
hydrostatic pressure within the Bowman's capsule 4 mmHg
plasma inulin concentration 3.0 mg/ml

Determine the glomerular filtration rate (ml/min) using any of the following values you require
150ml/min
Individual nephrons can control their own glomerular filtration rate (autoregulation) through a process called tubulo-glomerular feedback. The cells that sense the composition of the tubular feedback are
macula densa cells
Question
Answer
Identify a mechanism or drug that would increase glomerular filtration
rate
efferent arteriole vasoconstriction
Hypoproteinemia will cause glomerular filtration rate to
increase
This change (hypoproteinemia) in glomerular filtration rate is because of
the fall in plasma oncotic pressure
The U-shaped arrangement of the vasa recta blood vessels in the medulla of the kidneys
minimises disruption of the osmotic gradient that exists within the medullary
interstitium
Renin secretion by juxta-glomerular cells in the kidney
increases Na+ reabsorption by the kidney
Anti-diuretic hormone is secreted by
the posterior pituitary gland
Na+-HCO3- co-transporters are expressed
in the basolateral membrane of proximal tubular epithelium
NaHCO3 reabsorption by the kidney
raises plasma pH
In a practical class, a healthy student drank a litre of water in five minutes. Over the next thirty minutes the student produced 150 ml of urine, with a urea concentration of 96 mmol/litre. A blood sample gave a plasma urea concentration of 6 mmol/litre.

Calculate the urine flow rate (in ml/min)
5
In a practical class, a healthy student drank a litre of water in five minutes. Over the next thirty minutes the student produced 150 ml of urine, with a urea concentration of 96 mmol/litre. A blood sample gave a plasma urea concentration of 6 mmol/litre.

Calculate urea clearance (in ml/min)
80
Is a urea clearance 80ml/min larger, the same or smaller than the glomerular filtration rate?
smaller
Name an example of an accurate marker of glomerular filtration rate.
inulin
Accurate markers for glomerular filtration rate must be ... by the glomerulus.
passively filtered
A main function of the colon is the net absorption of
water, Na+ and Cl-
Glucose absorption from the lumen of the intestine is via
apical sodium-dependent
glucose transporter (SGLT); basolateral glucose transporter (GLUT)
Protein digestion is catalysed by proteases secreted from
exocrine pancreas
Salivary secretion contains
K+
The major anion secreted by pancreatic duct cells is
HCO3-
Bile is used for
emulsifying fats
Bile from the liver can be stored in the
gall bladder
Bile stored in the gall bladder can be released by the hormone
cholecystokinin
Cholecystokinin is released from the
duodenum
Cholecystokinin is released in response to
chyme
Acetazolamide
Carbonic anhydrase
Omeprazole
Gastric H+/K+ ATPase
Spironolactone
Aldosterone receptor
Dobutamine
Beta1 adrenoceptor
Suxamethonium
Neuromuscular junctional nicotonic receptor
Which of the following drugs is a Ca2+ channel antagonist that may be used for treatment of cardiac arrhythmias?
verapapmil
Verapamil has the effect of slowing conduction through the atrioventricular node
slowing conduction through the atrioventricular node
Drugs which block open or inactivated voltage-gated Na+ channels can
reduce the rate of rise of the ventricular action potential
A typical example of such a drug is
lidocaine
A drug that shows 'use-dependent block' of ion-channels is
lidocaine
10 mg of a dye (neglect its volume) was injected into the vein of a healthy adult. After equilibration a blood sample was taken and the dye concentration was found to be 3.33 µg/ml. Calculate plasma volume (rounded to the nearest litre)
3
State one assumption you need to make about the dye in order to calculate plasma volume
is not excreted
If the dye also passively equilibrated at equal concentration across cell walls, and within the interstitial fluid, what would its plasma concentration most closely match from the drop-down list (µg/ml)?
0.24
What would its concentration most closely resemble if it equilibrated equally throughout all compartments in the body (µg/ml)?
0.24
Assuming the haematocrit is 45%, what would be the blood volume in litres (rounded to the nearest litre) that corresponds to typical plasma volume?
5
Give three important factors which govern fluid exchange across the endothelial wall of muscle capillaries and the surrounding interstitial space.
capillary filtration coefficient; net hydrostatic force; net oncotic force
The net hydrostatic force (Pcap) is most subject to short-term physiological control.
true
Some 20% of the interstitial fluid formed returns to the circulation via the lymphatic system.
true
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