Final Exam Supplemental Instruction Iowa State University Leader: Course: Instructor: Date: Kristina AnS 214 Keating 5/6/2014 Digestive System 1. The digestive system is made up of two groups of organs the ______________________ which includes the esophagus and stomach and the _________________ digestive organs which includes the teeth and tongue. The six processes involved in digestion are ______________, _______________, __________________, _____________________, ______________, and __________________. Saliva contains ___________________ for starch digestion and ______________________ which is activated by stomach acid. Salivation can be triggered by _____________, _____________, and _____________ of food during the ________________ phase. This stage also includes ___________ secretions and _____________. After food has been broken down and moistened in the mouth it moves into the ________________ in the form of a bolus. The bolus is then pushed along by contractions called ________________. It then reaches the stomach where chemical digestion of ___________ and ______________ begins. When food enters the stomach a _______________________ response occurs where the stomach resists stretch, but then relaxes to allow space for the food. In the gastric pits are _____________ cells that produce HCl and intrinsic factor and ______________ cells that secrete inactive pepsinogen. HCl activates _____________________ and ________________ which begin digestion of proteins and fats. __________________ cells control the mixing of food and chemicals by regulating the frequency of peristaltic waves. This makes up the _______________ phase of digestion. The final intestinal phase begins when food moves into the _____________________ which is made up of three parts the duodenum, _______________, and ________________. The __________ secretes bile which is then stored in the ________________. Bile is then injected into the small intestine where ________________ function to emulsify and absorb fats. The pancreas functions in protein digestions by secreting _______________, _____________, and ____________________ into the small intestine. The small intestine has structural modifications such as ______________, ______________, and _______________ that increase its ability to absorb nutrients. Food is moved along through the process of intestinal _______________. This process includes ____________________ and peristaltic ____________. Contents of the small intestine are moved along towards the ____________________. The presence of food in the ________________ causes the large intestine to undergo mass movements in the __________________________. This forces feces into the ______________. ________________ control allows the external anal sphincter to relax, while a _________________________ is responsible for the relaxation of the internal anal sphincter. This process is called _________________. Nutrient Digestion 2. Carbohydrate digestion begins in the _________________. However, it is halted in the stomach due to the inactivation of ______________________ by acid. ______________ amylase resumes carbohydrate digestion in the small intestine. Other ________________ enzymes act on other sugars such as fructose. Protein digestion begins in the _____________ due to the action of ___________________ (inactive). This inactive form is activated by __________. In the small intestine the enzymes _______________, Supplemental Instruction 1060 Hixson-Lied Student Success Center 294-6624 www.si.iastate.edu _____________________, and ______________________ continue protein digestion. Fat digestion takes place in the _______________________. Bile salts ______________ fat globules. Pancreatic _______________ then breaks down the fat into free _______________________ and monoglycerides. They combine with bile salts to form _______________ which ferry the components to the intestinal mucosa. The fatty acids and monoglycerides leave the ______________ and enter epithelial cells. They then form __________________. These are extruded by ___________________ and enter ______________. Finally they are carried away by _____________. Respiratory System 3. The upper respiratory system which is also the ___________________ zone has three functions: ___________, ______________, and ______________ inhaled air. Cells in this zone secrete _______________ to trap any foreign particles. If a particle makes it past this area it will come into contact with the _______________ which will result in a coughing reflex to expel it. The final part of the respiratory system, which resides in the respiratory zone, is the ________________. This is where ______________________ occurs. __________________ is the amount of air moving in and out during normal respiration. ____________________ is the maximum amount of air inspired after maximal expiration. Dead space is the space in the ___________________ where air remains and cannot undergo gas exchange. _____________ dead space also includes ______________ dead space. Alveolar ventilation rate is _______________ X ___________________________. The respiratory system has three characteristics: ________________ which is the ability to stretch, ________________ which is the tendency to return to original size and shape, and ______________________ which is the attraction between like molecules. Due to Boyle’s Law (___________________) air can enter the lungs. Inspiration is an ________________ process, but expiration is a _______________ process. The pressure of each gas on the lungs is dependent upon is proportion in the total mixture. This is _______________ Law. ________________ Law says that the amount of gas dissolved in a liquid depends on the solubility, _______________, and ____________________ of the gas. Oxygen is transported in the blood by ______________________ which can load ____ oxygen molecules at a time. Carbon dioxide is primarily transported as _________________. 4. Diagram the production of HCl. 5. Diagram an alveolus. 6. Describe what is happening in the diagram below. 7. Review the table of digestive substances. Inactive Hormone (if applicable) Trypsinogen Activating Factor Enterokinas e, trypsin Active Substance Function Location Trypsin Brush border Chymotrypsinogen Trypsin Chymotrypsin Procarboxypeptidase Trypsin Carboxypeptidase None Acid and fat in small intestine CCK None Acid and fat in small intestine Secretin None Increase in stomach pH Gastrin None Food Salivary Amylase None Carbohydrat es Pancreatic Amylase Protein digestion, activation of other hormones Protein digestion Protein digestion at carboxyl end Inhibit gastric secretion and motility Inhibit gastric secretion and motility Increase stomach secretions Starch digestion Starch digestion Pepsinogen HCl Pepsin None Proteins Aminopeptidase Chief cells/ stomach Brush border None Proteins Dipeptidase None RNA RNase None DNA DNase None Fat in duodenum High blood sugar Pancreatic Lipase Protein digestion Protein digestion at amine end Break up dipeptides Degrade RNA Degrade DNA Fat digestion Lower blood sugar Low blood sugar Glucagon None None Insulin Brush border Brush border Duodenum Duodenum G cells Mouth Pancreas Brush border Pancreas Pancreas Pancreas Pancreas Raise Pancreas blood sugar None Alcohol None Fat in duodenum None Food ACh None Food Histamine None Food HCl None HCl Lingual Lipase None Serotonin None Acid and fat in duodenum Acid and fat in duodenum Bacteria None Bacteria Lysozyme None Food Mucus None Acid and fat in small intestine Gastric Inhibitory Peptide None Alcohol Dehydrogenase Bile Somatostatin Ig A Alcohol digestion Fat emulsificati on Increase stomach secretions Increase stomach secretions Activate pepsin, break up cells walls, kill bacteria Digest fats Inhibit gastric secretion Inhibit gastric secretion Inhibit bacterial growth Kill bacteria Lubrication for swallowing Suppress gastric secretion and motility Stomach Liver/ gallbladder Stomach Enteroendocrine cells Parietal cells/ stomach Mouth, active in stomach Stomach Stomach Mouth Mouth Mouth Duodenum Nervous System 1. The nervous systems gather information from _______________________, then interprets the information during ___________________, and finally produces a response called ____________________. The central nervous system is made up of the _________ and __________________. The peripheral nervous system is made up of a ___________ division and a ______________ division that divides farther into the sympathetic and parasympathetic systems. There are three types of neurons ____________, __________, and __________________. They have three properties that allow them to conduct signals including secretory activity, ________________, and _________________. The bloodbrain barrier of formed by _________________. An action potential is initially generated at the ______________________. This initial signal will open ________________ channels and is an ___________________ response. _________________ helps to speed up an action potential. In the central nervous system __________________ form this wrapping, in the peripheral nervous system _____________________ form this wrapping. The signal will travel in a process called __________________________ “jumping” from one node of Ranvier to the next. This phenomenon is due to sodium being _______________ at higher rates than if there was no covering on the neuron. When the action potential arrives at the axon terminal of the ____________________ neuron it opens voltage-gated ______________ channels. Synaptogonium proteins then bind ________ and promote fusion of synaptic _____________ with the axon membrane. ________________ of neurotransmitters can then take place. If there is ACh in the synapse ____________________________ can degrade it. Muscles 2. The five characteristics of muscle are _______________, _______________, _______________, ______________, and __________________. Skeletal muscle is _______________ and ________________. Muscle grows primarily by hyperplasia _________________. This is an increase in muscle cell __________. After birth muscle growth is primarily __________________ or an increase in muscle cell size. This growth is regulated by ________________ which has negative feedback on muscle mass. This protein can be further regulated by __________________ which will inhibit it and allow muscle growth. ________________ is a contractile protein that is a dimer that looks like two golf clubs. ________________ is another contractile protein that looks like a pearl necklace. Actin is made up of two parts ______________ and ________________ actin. There are also two regulatory proteins in muscle contraction. They are _______________ and _________________. The protein that binds to actin (________________) blocks the ________________. The other regulatory protein(_____________) binds ___________ which will allow it to move tropomyosin away from the active site and _________________ can form. Troponin is made up of three subunits ______, ______, and _______. The process of an action potential signaling the myofilaments to slide is called ___________________________. Cross-bridges will form and a muscle will ____________. For relaxation to take place ______________________ must degrade ACh from receptors. Calcium is pumped back into the sarcoplasmic reticulum by __________________. Cardiovascular 3. Blood enters the heart through the vena cava into the right atrium. It continues through the _____________________________________ into the right ventricle. This valve is prevents ________________________ into the right atrium. The valve is connected to ____________________ and ___________________________. These muscles contract to pull the valve into a closed position. From the right ventricle, blood moves into the pulmonary ______________ via the ______________________________. At this point the blood is oxygen ______________. It then moves onto the lungs where it will become oxygen _________ before returning to the heart via the _________________________. Blood enters the heart’s left atrium and moves through the left atrioventricular valve, which is also called the ____________ or ____________ valve, before entering the left ventricle. Finally blood will leave the heart via the _________________ after passing over the aortic semilunar valve. Unlike the atrioventricular valves, the semilunar valves do not possess ________________________. They rely on _________________ to keep the valves closed and prevent backflow into the __________________. An electrocardiogram is a diagram of the heart’s conduction cycle. The P wave shows ____________________________________. The ________________________ shows ventral depolarization. The T wave shows ____________________________. A heart beat originates with the depolarization of __________________________ cells at the ___________________________ also called the _______________________. The electrical signal is transmitted to the ____________________________ which connects the ____________________ and ________________________. Without input from the SA node the heart would beat at around __________________. The electrical signal continues through the AV bundle also called the _______________________________ into the left and right ___________________ located in the septum. This carries the impulse towards the _____________ of the heart. Finally, the signal is conducted into _________________________________ which will depolarize the _________________ fibers in the ventricles. Without input from the SA or AV nodes these cells would depolarize at about ______________________. __________________. The SA node has the fastest depolarization of the cell in the heart making it the heart’s _______________________. 4. Illustrate a neuron. 5. Diagram an action potential. Include sodium and potassium permeability curves and refractory periods. 6. Draw and label a sarcomere. 7. Sketch the triad and movement of calcium during muscle cell contraction. 8. Diagram the cross-bridge cycle. 9. Label the waves and describe what is happening. Immune System 1. The immune system has two lines of the defense the and defense systems. In the first line of defense and are the first barriers to foreign invaders. The second line of defense includes antimicrobial proteins, , , and . One of the most important defenses is the response. Its four signs include , , , and . One internal defense of the innate immune system is phagocytosis. First the phagocyte must be mobilized; this occurs in four steps , , , and . Phagocytosis begins when a adheres to a . The phagocyte then forms a pseudopod that engulfs the particle and forms a . This will fuse with a forming a phagolysosome. The particles in the phagolysosome will be . Finally, they will undergo to remove the waste. The second line of defense is the adaptive immune system which has , is , and is . The adaptive response is executed through the action of marrow and that mature in bone that mature in the thymus. They must gain and before they are ready to fight infections. One branch of the adaptive immune system is the response which leads to the production of antibodies. Antibodies combine with antigens to form an . They can also defend against antigens by four processes , , , and . When stimulated a B cell will form with the same antigen-specific receptors. Most of these cells will become which will mark antigens for destruction. The rest of the cells will become . These provide a way for the body to react if it encounters the same antigen in the future. Active humoral immunity can come from an or humoral immunity can come from . Passive or . A second branch of the adaptive immune system is the T helper cells come from cells and cytotoxic T cells come from cells. Helper cells are activated by cells stimulate response. . Helper to divide faster to create more antibodies, activate , and other immune cells. MHC proteins signal a foreign antigen, while MHC proteins self. Renal System 1. Kidneys function as the major organ. They regulate blood pH, volume, and composition. The kidney can regulate blood glucose levels through . There are three layers of protective tissue around the kidneys. The which anchors the kidney in place, the which acts as a cushion, and the which provides protection from infection. The structural unit of the kidney is the . If this structure is contained in the cortex it is called a . If it extends far into the medulla it is called a . Nephrons are made up of a , which is the glomerulus and its capsule, and a . The renal tubule contains the visceral layer and a . This includes foot processes known as and filtration continues to include the , . The renal tubule , , and . The formation of urine occurs in three steps. In the first step, , blood is filtered through the filtration membrane. Glomerular cells degrade large molecules that make it through the filter. The rate of filtration can be controlled via two intrinsic mechanisms. In the mechanism glomerular filtration rate is controlled by constriction or dilation of afferent arterioles. In the mechanism GFR is controlled by macula dense cells releasing a compound in response to high levels of salt. Under extreme stress, extrinsic controls take over and the sympathetic nervous system releases of . This triggers the release to activate angiotensinogen to angiotensin I and ultimately to angiotensin II. The second step of urine formation is . More reabsorption takes place in the . In the DCT and collecting ducts reabsorption is hormonally controlled. Parathyroid hormone controls the absorption of , antidiuretic hormone controls and anti natriuretic hormone control formation is absorption, and aldosterone reabsorption. The final step in urine . 2. Name and describe the four steps for phagocyte mobilization (how does the phagocyte reach the pathogen in the first place?): Step 1: Step 2: Step 3: Step 4: 3. Using the diagram to the right, list the steps of phagocytosis: Step 1: 1 2 Step 2: Step 3: 3 Step 4: 4 4. What occurs after step 4 represented in the diagram? Endocrine System 1. Endocrine glands are ________________. Their responses tend to act much ____________ than those of the nervous system. The endocrine system acts through chemical messengers in the blood or lymph called _________________. Their effects can take place in the cell where they are produced called a(n) _________________ effect or they can have effects on cells other than the one that secreted them called a(n) _________________ effect. There are two classes of hormones ______________________ and ________________________. Steroid hormones and TH circulate in the blood bound to ___________________ while all other hormones circulate freely. Concentration in the blood is affected by the rate of ____________ and speed of ____________. The amount of time it takes for half a hormone to be removed from the blood is called the _____________________. Hormones can be released in response to various stimuli. One type of stimuli called _______________ stimuli is classified by changing levels of ions and nutrients in the blood. Ca+2 is regulated in this way. If Ca+2 levels get too high ______________ deposit calcium into the bone matrix. However, if Ca+2 levels are too low ________________ degrade the bone matrix to release calcium into the blood. An extremely low level of blood calcium in a lactating cow can cause _________________________. A second type of stimuli called ____________________ stimuli is characterized by nerve fibers stimulating hormone release. When one hormone triggers the release of another hormone this is called a ________________ stimulus. The posterior pituitary stores the two hypothalamic hormones ______ and _______________. The anterior pituitary secretes the six hormones _______, _______, ________, _________, ________, and ________. All of these are classified as _______________. They are secreted by cells in the anterior pituitary called ________________, _________________, __________________, ___________________, and _________________. The hormone that can be regulated indirectly by IGFs is also regulated by _______ and _______. ___________ stimulates the production of gonadal hormones, while ________ stimulates gamete production. Both of these hormones are regulated by __________. Prolactin is regulated by _____________ also called prolactininhibiting hormone. _____________ stimulates uterine contractions during childbirth. TSH regulates the normal function of the ______________ gland. This gland requires iodine or else it will swell causing a ____________. It produces two hormones _______ which is more active than _________. In the pancreas alpha cells secrete ____________ and beta cells secrete ______________. Glucagon can cause the breakdown of ____________ to glucose called ________________________. It can also cause the synthesis of glucose called ________________________. Hypoactivity or hypersecreteion of ________________ can cause diabetes mellitus. Three symptoms of diabetes are ______________, _________________, and___________________. When one hormone cannot exert its effects without another hormone present that is called _______________________. _______________ is when more than one hormone produces the same effect on a target cell. Finally, when one hormone _______________ another, it is called an antagonist. The effectiveness of a hormone depends on _________________________, ______________________, and ____________________________________. Reproductive System Male 1. In the male reproductive system the _____________ produce sperm. They are contained inside a sac of skin called the _______________. It can maintain a temperature lower than core body temperature through two mechanisms the __________________ and ____________________. Another mechanism for temperature regulation is a countercurrent heat exchanger called the ___________________________. The three accessory sex glands in the male are the ___________________________, _______________________, and _____________________. The combination of sperm and accessory sex gland fluid is ______________. It contains ____________________ from the seminal vesicles to help sperm reach the egg. Sertoli cells form the blood-testisbarrier, produce ______________, ________________, and ____________________, and absorb cast off from developing spermatozoa. ______________ cells produce androgens stimulated by the effect of the hormone ________. Due to androgen-binding protein from the sustenacular cells, there is an increase in _________________ in the testes. This leads to an increase in ________________________. Sperm production is made up of two stages ___________________ and _________________. Spermatogonia at the basement membrane are ________________. They undergo mitosis to form a Type A daughter cell that ________________ the basement membrane and a Type B daughter cell that ________________ into a sperm cell. However, this cell is not ______________ and is transcriptionally _____________. It must undergo ___________________ to become a mature sperm cell. 2. Reproductive System Female 2. In the female reproductive system an oocyte begins with oogenesis in the _______________. After maturing into a ________________________, the oocyte will be ___________________. From here it moves into the portion of the uterine tube called the ____________________. The oocyte then moves into the _________________ where fertilization can occur and finally into the _______________. From the uterine tube it moves into the __________________. If fertilization has occurred it will implant into the __________________ and continue developing. There are two distinct phases seen in the ovary. The phase before ovulation is the ___________ phase which includes the growth of the follicles. The second phase is the _________________ phase and includes activity of the CL. At the same time there are three distinct phases in the uterus. The first, which would occur if a female were not pregnant, is the _______________ phase. During this phase the _______________________ is shed or resorbed. The next phase is the ____________________ phase in which _______________ initiates the development of a new functional layer and increases receptors of ___________________in the endometrium. The last phase is the _______________ phase. During this phase the _______________ continues to develop in preparation for an embryo. Maternal recognition of pregnancy is caused by ____________________ secreted from the blastocyte. During development in utero _________________ ducts form into the female reproductive tract due to a lack of ____________________. If androgens are present the __________________ ducts form into the male reproductive tract. During the _________________ phase of the ovarian cycle follicles develop from the ____________ follicle to a __________________. First, primordial follicles become ________________ follicles. During this stage _____________ cells become cuboidal. The follicle then becomes a ________________ follicle. It now has a layer of flat __________________ cells that produce ________________. The follicle also develops a ____________________ to help protect the egg. Finally, the follicle becomes a __________________ follicle. It contains a large antrum filled with ________________. At this stage the oocyte is a ______________ oocyte. It then undergoes ____________ to become a secondary oocyte which is ready to ___________________. Estrous Cycle 3. The first stage of the estrous cycle is _______________ or standing heat. During this stage __________________ levels are high which cause an ______ surge. This leads to ___________________ and formation of a CL. The next stage is __________________. Estrogen levels start to decline, while ___________________ levels are rising. If fertilization has occurred the embryo will move towards the ______________. During ____________________ progesterone levels are very high. If pregnant the ______ will remain and produce progesterone. If not pregnant it will regress due to the action of _______________. Finally, the female goes into ___________________ and progesterone levels decrease. If the female stops cycling she is in ______________________. 4. Trace the events involved in the synthesis, release and hormonal action of T3 and T4. Include a list of the effects of thyroid hormone on the body. 5. Complete the table. Hormone GH Produced Stored Target organ Function TSH FSH LH ACTH PRL Oxytocin TH Glucagon Insulin 6. Complete the table. Substance Produced in the. . . Anterior Pituitary Target cells Function(s) Increase LH receptors LH ABP Spermatogenesis, SSC, libido, RBC production, etc. Seminal vesicles Uterus, cervical mucus