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PHGY 216 Exam Study Guide @

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PHGY 216 Exam Study Guide @ ...

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  • August 18, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • PHGY 216
  • PHGY 216
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PHGY 216 Exam Study Guide @
2024-2025
regulating fluid balance - Answer the pituitary gland and kidneys work together to
maintain fluid levels through a negative feedback loop

-> Via hormonal control

-> ie. ADH/vasopressin

ADH - Answer antidiuretic hormone/ vasopressin

-> controls H2O permeability

-> Determines ECF Osmolarity

-> makes membrane PERMEABLE to H2O

-> release stimulated by stress, inhibited by alcohol

RAAS - Answer renin-angiotensin-aldosterone system

-> Controls ECF volume

-> important role in regulation of Na+

Renin - Answer hormone (ENZ) secreted by the kidney into the blood; it raises blood
pressure by influencing vasoconstriction (narrowing of blood vessels)

-> Released from granular cells of the juxtaglomerular apparatus

-> Acts on Angiotensinogen

What stimulates the release of Renin? - Answer low blood pressure in the afferent
arteriole

-> low Na+ load (decreased NaCl)

-> increased sympathetic nerve activity

Need to expand the plasma volume to increase arteriolar pressure to normal

Angiotensin - Answer A normal blood protein produced by the liver, angiotensin is
converted to angiotensin I by renin (secreted by kidney when blood pressure falls).

-> Converted to Angiotensin 2 by ACE

ACE - Answer angiotensin-converting enzyme

-> converts Angiotensin to angiotensin II

, Aldosterone - Answer released from adrenal cortex

-> works at the distal tubule and collecting duct

-> increased Na+ reabsorption

-> Creates new Na+ channels + Na+/K+ ATPases

-> Promotes K+ secretion

-> release stimulated by increased K+ levels in the plasma

Granular cells - Answer secrete renin

-> in the juxtaglomerular apparatus

macula densa - Answer The cells of the distal tubule at the juxtaglomerular apparatus.

They are receptors that monitor filtrate osmolarity as a means of regulating filtration
rate.

-> play a role in autoregulation

atrial natriuretic hormone - Answer hormone secreted by the atrial muscle cells that
regulates fluid and electrolyte homeostasis

-> stimulus for release = atrial stretch

-> promotes natriuresis, increases GFR, decreases cardiac output

ECF hypertonicity - Answer Dehydration

-> caused by insufficient water intake, heavy sweating, vomiting, osmotic diarrhea,
diabetes insipidus + diabetes mellitus

-> water moves out of the cells until ICF equilibrates with ECF

-> cells shrivel

-> compromises brain function

ECF hypotonicity - Answer Overhydration

-> caused by rapid H2O ingestion without electrolytes, excess ADH

-> fluid moves from ECF to ICF

Isotonic ECF disturbances - Answer Loss of fluid and electrolytes

Isotonic fluid loss - Answer isotonic dehydration;

Hemorrhage

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