External Forces And Their Impact On Health Care

External Forces and Their Impact On Health Care

Ā 

Health care quality and safety are not solely dependent on the actions of individual providers and institutions. A host of external forces exert a profound influence on what happens within any single organization or the behavior of any individual provider. These external forces include accreditation bodies, regulators, legislatures, insurers, and many other entities. Sociopolitical forces, including the economy and public opinion, also play a role in how and how well health care is provided.

 

To prepare for this Discussion Question:

 

Ā· Review this weekā€™s Learning Resources.

 

Ā· Choose a specific example of an external force that influences health care and safety, as discussed in Chapter 2 of your Course Text.

 

Then, analyze how it influences health care quality management. (The external force can have minimal or extensive impact on quality.) Finally, evaluate whether the impact on health care is positive or negative, providing evidence to support your position.

 

 

PAPER

 

Pay-for-Performance

 

The predominant model for the delivery of health care in the United States and other parts of the world is fee-for-service. A new model gaining in popularity is known as pay-for-performance, or P4P. In the P4P model, providers are paid for how well they provide care, not how much care they provide. There are rewards for high quality, efficient and effective care and penalties for wastefulness and medical errors. Whether or not P4P can raise the standards of care and/or lower its cost is a matter of some disagreement.

 

To prepare for this Application Assignment:

 

Review the Learning Resources for this week that discuss pay-for for-performance.

Find two additional reputable sources (i.e., news sources, accreditation and health care agencies, peer-reviewed journal articles, etc.) that address the challenges of adopting a pay-for-performance approach for ensuring quality and safety in health care.

 

To complete this Application Assignment, write a 3-page paper that addresses the following:

Summarize and analyze the challenges discussed in the two sources you selected.

Select the two most significant challenges to the successful adoption of a P4P approach, and explain why.

 
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Bio 102 Lab 03: Chemical Digestion and Nutrition

BIO 102 Lab 03: Chemical Digestion and Nutrition

 

To submit, print this document, complete all lab activities, take a photo of your bile experiment, and answer the review questions. Scan your lab pages using the free phone app AdobeScan, and upload your PDF and your bile photo to Canvas.

Ā·Ā Please turn in only pages with completed work (ie., omit pages such as page 1 that only provide instructions)

Ā·Ā Please write your name on the 1st page you submit

 

If you have a disability that makes it difficult to complete this lab, please contact your instructor.

 

Copyright Ā© 2016 by Mary Vander Maten and Jill Caporale.

OBJECTIVES

After completing this lab, you should be able to:

Provide an example of how an enzyme is named.

Explain the functions of enzymes during digestion.

Note the effect of bile salts on fats.

Complete a personal diet assessment

Explain Body Mass Index and its relationship to health.

INTRODUCTION

Enzymes are an important group of proteins that enable cells to carry out the chemical reactions needed to support life at temperatures that the cells can tolerate. Enzymes are organic, or biological, catalysts. They speed up chemical reactions that would otherwise occur at much slower rates and can be used over and over many times. The chemical that the enzyme affects is called the substrate. An enzyme is named by adding ā€œā€“aseā€ to the name of the substrate it acts upon. For example, the enzyme that speeds up hydrolysis, or digestion, of fats is called lipase and the enzyme that breaks down cellulose is called cellulase.

 

 

Part 1: DIGESTION

ā€¢Mouth: The Digestion of Starch

Amylase is a protein that is an enzyme produced by the salivary glands and pancreas. Recall that starch is a complex carbohydrate composed of many glucose molecules bonded together. Amylase begins starch digestion in the mouth and hydrolyzes the starch into less complex carbohydrates, such as maltose, a disaccharide. Starch digestion continues in the small intestines.

Starch āŸ¶ Simple Sugars

via Amylase

 

ā€¢Stomach: The Digestion of Proteins

Protein digestion is initiated in the stomach by proteases such as pepsin and continues in the small intestine.

Protein āŸ¶ Amino acids

via Pepsin

Although there is some enzyme activity in the stomach, much of the work is mechanical. Searching online, find diagrams or photos of the human stomachā€™s interior. (Figure 33.8 in your textbook does a poor job clearly showing the stomach interior). Specifically pay attention to the illustrations of the stomachā€™s interior surface to observe the rugae lining the inside of the stomach.

ā€¢Small Intestine: The Primary Site of Digestion and Absorption

Donā€™t let the name ā€œsmall intestineā€ deceive you. The name describes its relative circumference to the large intestine. In contrast, the length of the small intestine is about six meters whereas the length of the large intestine is about one and a half meters.

Most digestion and absorption takes place in the small intestine. Carbohydrate and protein digestion are completed in the small intestine. Lipid and nucleic acid digestion are initiated and completed. Although digestion occurs in the small intestine, some enzymes necessary for the digestion are produced by the pancreas.

The enzymes produced in the pancreas are transported to the duodenum by the pancreatic duct. Bile, produced in the liver and stored in the gall bladder, is delivered to the small intestine to aid in fat digestion. Bile is an emulsifier but isĀ notĀ an enzyme. It enables a more rapid enzymatic breakdown of lipids by increasing surface area of fats (by creating smaller droplets).

 

Microscopic Investigation of the small intestines

Look at a slide of columnar cells in the small intestine.

https://www.dartmouth.edu/

 

1. The brush border at the distal end of the columnar cells form the upper layer of the microvilli.

How do you think microvilli increase absorption?

 

 

2. You will notice some of the columnar cells contain small globules of mucus. These cells are called goblet cells. Why do you have cells in your intestines that produce mucus? (Isnā€™t mucus just for your nose?)

 

 

 

3. How many feet are in 6 meters? How many feet in 1.5 meters? Why are these numbers important in this lab? (For reference, the Chevy Suburban SUV is 5.7 m long)

 

 

 

Effect of Bile on Fats

Materials for at home demonstration:

2 clear drinking glasses

Dry mustard (see *Note below)

Spoon

Timer

Safety goggles recommended for all at-home experimentation/demonstration

Water

Into each glass, place both 3 Tablespoons of vegetable oil and 3 Tablespoons of distilled water (both glasses should have oil and water). You will be using dry mustard to substitute for bile. Add a pinch of dry mustard into glass B2. Stir the mixtures for one minute. Carefully observe both glasses for 3ā€“4 minutes. Record your results in Table -2.

2-2 Effect of bile salts on fat dispersal.

Tube Observation (size of fat droplets)
B1 (oil + water)  
B2 (oil + water + dry mustard)  

The mustard acts an emulsifier. Dispersing the fat globules of the oil into smaller droplets.

Spices like dry mustard are used in the preparation of salad oil are used not only for taste, but to break the oil into smaller particles, thus keeping the salad dressing as a suspension. Bile, emulsifies fat in the small intestines, dispersing the fat into smaller droplets thereby creating more surface area for lipases to work, which speeds up the digestion of fats.

*Note: If you do not have dry mustard, you can use an eighth of a teaspoon of regular liquid yellow mustard

Part 3: Stomachache

We have all experienced the gastrointestinal discomfort and sometimes pain caused by a bout of diarrhea. Make an educated guess regarding the source of the pain. Observe a diagram of the human digestive system. (Refer to your copy of the textbookĀ Campbell: Biology in FocusĀ 2nd edition it is located on page 693). Although we commonly refer to such pain as a stomachache, where is the likely emanating? Explain your reasoning.

 

NUTRITION AND HEALTH –Ā How healthy are you?

Obesity increases risk of diabetes, high blood pressure, heart disease, stroke, arthritis, and even some cancers. Chronic conditions such as diabetes and high blood pressure make COVID-19 outcomes worse, resulting in either a longer disease course or in ~3% of all COVID patients, death.

Activity 1: Personal Assessment

There are 2 ways to see if your weight is in a healthy range.

1) One method is to measure your waist circumference. It is best if women have a waist size under 35 inches and men under 40 inches. Find a tape measure and measure your waist. _________

2) The body/mas index (BMI) is another way to see if your weight is in a good range. The National Institutes of Health (NIH) has a quick BMI check here:Ā https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

Your BMI _____________

Activity 2: You are a health care worker

You are the nurse or physician for these patients. Determine the BMI and circle the correct weight range:

Patient 1 Male, 5ā€™10ā€ 200 pounds

 

BMI: ________

 

Underweight/Normal/Overweight/Obese

 

Patient 2 Female, 5ā€™ 5ā€ 110 pounds

 

BMI: _________

 

Underweight/Normal/Overweight/Obese

 

When can BMI be misleading? It does not allow for variations in muscle mass, gender, or body (ie., skeletal) frame.

Patient 3 Male college football player in top physical shape: 6ā€™ 2ā€ 245 pounds (average weight of NFL player)

 

BMI: _________

 

Underweight/Normal/Overweight/Obese

 

Is the B.M. Index representative in this case? __________________

 

 

 

 

Activity 3: Fat versus Muscle

 

Fat characteristics: less dense, less metabolically active

Muscle characteristics: more dense, more metabolically active

 

Will it be easier to maintain a target weight if your body contains more muscle or more fat in the body?

 

 

Why?

 

 

Fat tissue (like all tissue) is composed of living cells that require energy to function. Explain how this fact might impact an obese personā€™s efforts to lose weight?

 

 

 

 

 

Activity 4: Calculating Calories needed to survive

 

The calorie is a measure of the amount of energy contained in a substance. (To observe the chemical energy in a food being transformed into visible heat energy, look for videos online entitled ā€œburning a sugar cubeā€). Hence, all foods have caloric value, even ā€œjunkā€ foods. To determine the number of calories in a given food, they are actually calories are measured by burning the food in a special container and measuring the heat released. (You may have used a device similar to this in chemistry class, a bomb calorimeter.)

 

How many calories do you need each day? It depends on your gender, age, and activities.

Here are approximate examples of Calories burned/hour for a 150-pound person:

Sleeping 40 Calories per hour
Sitting 80 Calories per hour
Standing 120 Calories per hour
Walking 280 Calories per hour
Swimming or dancing 450 Calories per hour
Running 600 Calories per hour

 

1. Calculate daily calories needed for a 150-pound person if s/he sleeps 8 hours, sits 10 hours, stands 3 hours, walks 2 hours, and dances 1 hour in each 24-hour period: _________________________

 

 

2. Calculate calories for your own typical day:

Activity Time Calories
     
     
     
     
     

 

3. What are obstacles to encouraging people to engage in more physical activity? What could be done to encourage more exercise in busy daily schedules?

 

 

 

Activity 5: What kind of Calories are best?

A healthy diet can make a big difference in overall fitness. According to the CDC (Centers for Disease Control), ā€œpoor nutrition contributes to many costly diseases, including obesity, heart disease, and some cancers.ā€ (www.cdc.gov/nutrition)

Here are some recommended numbers, from U.S. Guidelines (https://health.gov/our-work/food-nutrition/2015-2020-dietary-guidelines/guidelines/appendix-7/Ā ), for aĀ normal diet of 2200 caloriesĀ per day:

10-30% protein, or 110 gramsĀ (20% of 2200 = 440 calories divided by 4 = 110 grams*)

 

25-35% fat, or 73 gramsĀ (30% of 2200 = 660 calories divided by 9 = 73 grams**)

 

45-65% carbohydrates,Ā or 275 gramsĀ (50% of 2200 = 1100 calories divided by 4 = 275 grams*)

 

*There are 4 Calories per gram of protein or carbohydrate.

**There are 9 Calories per gram of fat.

 

You can check calories and grams on food packaging, or by looking online

 

Food examples

1. We likely consume large quantities ofĀ sugarĀ in our diets. For example, a can of Coke contains 42 grams of sugar.

a. Which is true about this amount of sugar as related to the daily requirement for carbohydrates?

It is 5%

It is 15%

It is 25%

 

b. The American Heart Association recommends no more than aboutĀ 30 grams of simple sugar a day.

(https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sugar/added-sugars)

 

c. Is this simple sugar the best carbohydrate to consume? Why or why not? __________________________________________________________

 

d. List food sources of complex carbohydrates: _________________________________

_________________________________

_________________________________

_________________________________

 

 

2. Many of us may also consume too much fat. For example, a small serving of French fries at a fast food restaurant has about 230 calories and contains 44% fat (11 grams).

 

Here are some other sources of fats. Which do you eat?

 

Nuts and seeds Fatty fish Avocado

Cheese Eggs Butter and oils

 

3. What about salt? The sodium in NaCl can cause problems such as hypertension in some individuals (this will be discussed when studying the circulatory system). Processed foods are typically high in salt.

 

If you want simple help with your diet, check out MyPlate atĀ https://www.choosemyplate.gov

Review Questions:Ā (to be completed and submitted)

1. Define the term ā€œsubstrateā€:

 

 

2. Explain the role of enzymes in chemical digestion:

 

 

3. a) Test your knowledge of naming enzymes. What is the enzyme that works on the following substrates?

Substrate: lipids. Enzyme: _______________________

Substrate: peptide. Enzyme: _______________________

Substrate: lactose. Enzyme: _______________________

b) You may have heard of a friend or family member being ā€œlactose intolerantā€. This is caused by the individual lacking an enzyme to digest the sugar most commonly found in milk. What is your guess of the name of this enzyme? Doing some independent online research, what happens when a person is incapable of digesting this milk sugar, lactose? Why do you think that evolutionary change has removed the ability of grown adults to digest milk sugars?

 

4. a) Bile is made in the liver, stored in the gallbladder and is secreted into the small intestines to assist with digestion of fats through its action as an emulsifier. What is an ā€œemulsifierā€?

 

 

b) What is the difference between and emulsifier and an enzyme?

 

 

c) Performing online research, what are everyday examples of emulsified items that you eat/drink?

 

 

 

5. Explain the function of bile:

 

 

 

6. How do you think microvilli work to increase absorption?

 

 

7. What cells in your intestines produce mucus?

 

8. For each of the following substrates, state the locations of its chemical digestion occurs in the body, which type of enzyme is involved, and what units these molecules are broken down into.

 

Organic Molecule Location of digestion Enzyme involved Monomer units
Carbohydrate      
Fats (triglyceride)      
Proteins      

 

 

9. The Body Mass Index uses __________ and _____________ to see if a personā€™s weight is healthy.

 

10. Fill in the chart below.

Type of Tissue More or less dense More or less metabolic activity
Fat    
Muscle    

 

11. Number these activities in order of activity, starting with the highest (you may rank activities as tied for equal activity, denoting them as, for example, ā€œ2-tiedā€):

___ walking ___ sitting ___ running ___ riding a bicycle

___ sleeping ___ swimming ___ standing ___ using a skateboard

Why did you rank a specific activity as highest, and why?

 

12. Most processed foods have too much (check all that apply)

___ fresh fruit ___ salt ___ fresh vegetables

___ water ___ whole grains ___ fat

___ simple sugar ___ protein ___ leafy vegetables

 

 

1

Bio 102 Lab 03: Chemical Digestion and Nutrition

 
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Metatherian Mammals Ā Ā 

Follow the directions for each activity. Answer the essay questions completely using thoughtful ideas, the course text, and outside reference sources, where applicable. Proofread answers for potential writing errors.Ā 

Part A. Metatherian Mammals

 

Part A Question1) What are metatherian mammals? What are distinguishing characteristics of metatherian mammals?

Extinct mammals, they are very few living. Metatherians, which comprise marsupials and their closest fossil relatives, were one of the most dominant clades of mammals during the Cretaceous and are the most diverse clade of living mammals after Placentalia. The only living metatherian mammals are the marsupials. There were some extinct metatherians that were not marsupials, such as the Sparassodonts, but as these have gone extinct, a metatherian is now just a synonym for a marsupial Metatherians belong to a subgroup of the northern tribosphenic mammal clade or Boreosphenida. They differ from all other mammals in certain morphologies like their dental formula, which includes about five upper and four lower incisors, a canine, three premolars, and four molar. In metatherians, marsupium is present which is required for carrying the infants

Part A Question2) Describe the biogeography of metatherian mammals.

Part A Question3) Using the following websites choose one extant (currently living) metatherian (marsupial) mammal species. Conduct research about the species. Discuss and analyze the speciesā€™ anatomy, ecology, and life history. Write a species account of at least 300 words correctly citing the reference source(s) you used. Scientific names are comprised of the genus (capitalized) followed by the species name (not capitalized) and they are italicized. For example,Ā Ornithorhynchus anatinus.

 

Site Name

Web Site URL/Address

 

Mammalogy on the Internet

http://www.mammalsociety.org/mammalogy-internet

 

Tree of Life Web Project

http://www.tolweb.org/Mammalia

 

Animal Diversity WebĀ 

http://animaldiversity.ummz.umich.edu/site/accounts/information/Mammalia.html

 

Wilson & Reederā€™s Mammal Species of the World

http://www.vertebrates.si.edu/msw/mswcfapp/msw/index.cfm

 

American Society of Mammalogists: Mammalian Species

http://www.mammalsociety.org/publications/mammalian-species

 

Mammalian Species pdf Site

http://www.science.smith.edu/departments/Biology/VHAYSSEN/msi/

 

National Geographic Mammals

http://animals.nationalgeographic.com/animals/mammals/

Species Scientific Name:

Species Common Name:

Species Account:

Part B. Comparison of Metatherian and Eutherian Mammal Ecology

 

Complete the table using the websites listed in Part B. Match the eutherian (placental) mammal with a similar ecological equivalent metatherian.

 

Scientific Name of Metatherian Ā Ā Mammal

Common Name

Ecological Description

Eutherian Mammal Match

 

Petaurus Ā Ā breviceps

 

Vombatus ursinus

 

Myrmecobius fasciatus

 

Notoryctes typhlops

 

Dasycercus cristicauda

 

Sarcophilus harrisii

 

Thylacinus Ā Ā cynocephalus

List of Eutherian Mammals to Match

Peromyscus polionotus

Talpa europaeaĀ 

Glaucomys volans

Taxidea taxus

Myrmecophaga tridactyla

Canis latrans

Marmota flaviventris

Part B Essay Question: What are potential hypotheses (explanations) regarding why there are ecological equivalents between many metatherians and eutherians? Discuss your hypothesis in terms of the processes that could lead to the current ecologies and distributions of metatherians and eutherians.Ā 

 
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Animal Physiology Questions

COMPARATIVE PHYSIOLOGY-Ā Animal Physiology

 

course introduction, composition of air, water vapor in air, solubility of gases, respiration in water, gills, countercurrent exchange, boundary layers, respiration in air, mammalian lungs

 

 

air-breathing fish, bird respiration, insect respiration, cyclic respiration, oxygen transport in blood, respiratory pigments, oxygen dissociation curves, facilitated diffusion

 

 

carbon dioxide transport, pumps and channels, water compartments, circulation patterns, cardiac output, blood vessels, physics of pipe flow, blood pressure, capillaries, exercise, invertebrate circulation, clotting

 

 

feeding, food types and mechanisms, hydrothermal springs, digestion, enzymes, wood and cellulose digestion, ruminants, nutrition, vitamins, minerals, trace elements, chemical defense, metabolic rate, energy storage, oxygen

 

 

diving mammals and birds, metabolic rate and body size, size and scaling, energy cost of locomotion, running, swimming and flying, physiological time

Biology 451 – Comparative Physiology – Exam 1

Pledge: In recognition of and in the spirit of the honor code, I certify that I have neither given nor received aid on

this examination.

 

(Signature) _________________________________

 

(Full Name, printed) ________________________________Student I.D. Number ____________________

 

Water vapor over a free water surface: 46.9 mmHg @ 37ļ‚°C; 31.7 mmHg @ 30 ļ‚°C; 17.5 mmHg @ 20 ļ‚°C;

12.8 mmHg @ 15 ļ‚°C; 9.2 mmHg @ 10Ā°C

Solubility Coefficients @ 20ļ‚°C: ļ” = 31 ml O2/l H2O; ļ” = 878 ml CO2/l H2O; ļ” = 15 ml N2/l H2O

Solubility Coefficients @ 15ļ‚°C: ļ” = 34.1 ml O2/l H2O; ļ” = 1019.0 ml CO2/l H2O; ļ” = 16.9 ml N2/l H2O

MW of O2 = 32, MW of CO2= 44, MW of N2 = 28

 

For complete credit please show all calculations and units for problems 1-4 below. Write the correct answer

in the blank on the left side of the page for questions 5-7 (2 points per question)

 

Following the disastrous earthquake in Haiti, you are part of a team that has been contracted to conduct a survey of

the fauna and to document its recovery.

 

1) You land in Port-de-Paix on the northern coast of the island to begin your survey. You find an interesting group

of anolid lizards living in the vegetation adjacent to the beach. The temperature is 30 ļ‚°C, the relative humidity is

73%, and the locality is at sea level (barometric pressure = 760 mmHg). What is the partial pressure of carbon

dioxide in the air?

 

 

 

 

 

2) You begin trekking inland and discover a small freshwater lake that is inhabited by a diverse assemblage of

aquatic crustaceans. The elevation is 1815m (barometric pressure = 610 mmHg), the relative humidity is 62% and

the temperature is 20 ļ‚°C. What is the tension of nitrogen of the water in the lake?

 

 

 

 

 

3) You continue travelling inland and ascend the highest mountain, Morne de la Selle (2715 meters, barometric

pressure = 545 mmHg). At the top you discover a small pond that is inhabited by an unusual small fish species.

The temperature is 15 ļ‚°C and the relative humidity is 85%. What is the oxygen content (ml O2/liter water) of the

water in the pond?

 

 

 

 

 

4) Before departing Haiti you receive an invitation from a colleague to join her in the Aquarius underwater habitat

that is currently situated at 10 meters depth on the seafloor near the Ile de la Tortue, north of Port-de-Paix. She is

conducting experiments on corals in the surrounding patch reef area. The Aquarius habitat has open ports in the

bottom through which divers can enter the water, so the internal pressure in the habitat is the same as the ambient

pressure at that depth (1520 mmHg, relative humidity =100%, temperature = 20 ļ‚°C) and normal atmospheric air is

pumped down to the habitat from the surface. What is the partial pressure of nitrogen in the habitat?

 

 

 

 

Name _________________________________________ 2

The Aquarius habitat includes a small laboratory in which your colleague has installed aquaria to maintain the coral

specimens. The aquaria, which are filled with seawater, are equilibrated with the ambient air. Freshwater for

drinking and washing is kept in a large tank in the habitat and is also equilibrated with the ambient air in the

chamber.

 

5)_____ The tension of oxygen in the seawater in the aquaria would be (a. greater than; b. less than; c. equal to)

the freshwater in the tank.

 

6)_____ The oxygen content of the seawater in the aquaria would be (a. greater than; b. less than; c. equal to) the

freshwater in the storage tank.

 

7)_____ The tension of oxygen in the seawater in the aquaria would be (a. greater than; b. less than; c. equal to)

the tension of oxygen in the seawater surrounding the habitat at that depth.

 

 

Write the letter of the correct answer in the blank on the left side of the page (2 points each).

 

8)_____ In a mammalian circulatory system, the lowest pressure would be found in the (a. aorta; b. capillaries; c.

veins; d. vena cava.)

 

9)_____ The rate of diffusion of oxygen in air is (a. greater than; b. less than; c. equal to) the rate of diffusion of

oxygen in water.

 

10)____If the colloidal osmotic pressure is 30 mmHg and the hydrostatic pressure at a particular point in the

capillary is 22 mmHg, one would expect (a. reabsorption; b. no fluid movement; c. bulk filtration) to

occur at that point.

 

11)_____ During the ā€œclosedā€ phase of the cyclical respiration in insects, the partial pressure of oxygen in the

tracheal system (a. increases; b. decreases; c. remains relatively constant).

 

12)_____ Suppose that you perform an experiment on a mammal in which you decrease the oxygen content in the

inhaled air by 2.5%. You would predict that respiration by the animal would (a. increase; b. decrease; c.

remain unchanged).

 

13)_____ During exhalation, most of the air leaving the anterior air sacs of a bird (a. exits the mouth; b. enters the

posterior air sacs; c. flows into the lungs).

 

14)_____ The apparent viscosity of blood (a. increases; b. decreases; c. does not change) as the blood flows from

the arterioles to the capillaries.

 

15)_____ During inhalation, air flows from the (a. lungs; b. posterior air sacs; c. mouth) of a bird into the anterior

air sacs.

 

16)_____ If you monitored the pressure in the tracheal system of an insect, you would observe the lowest pressure,

relative to ambient, during the (a. fluttering phase; b. closed phase; c. open phase)

 

17)_____ Respiratory pigment molecules that are enclosed in blood cells tend to have a molecular weight that is (a.

greater than; b. less than; c. equal to) the molecular weight of respiratory pigments that are in solution in

the blood.

 

18)_____ At the normal pH of mammalian blood, most of the total carbon dioxide present is in the form of (a.

carbonic acid; b. bicarbonate ion; c. carbonate ion; d. a dissolved gas).

 

19)_____ Nearly 70% of the fat free vertebrate body is water. The smallest percentage of the water is found in the

(a. intracellular; b. interstitial; c. blood) compartment.

 

 

 

 

 

Name _________________________________________ 3

Oxygen-hemoglobin dissociation curves (a, b, & c) are graphed below. Fill in the blank with the letter

indicating the correct curve or with the correct value (2 points per blank)

20) If curve b is for the blood of a fetal

mammal, curve _____ is most likely for

the blood of the mother.

21) If curve b is for the blood of a rhinoceros,

curve _____ is most likely for the

myoglobin of its muscle.

22) If you increased the pH of a sample of

blood, curve b would shift towards

curve _____.

23) If the concentration of ATP in a blood

sample decreases, the oxygen

dissociation curve would be expected to

shift from the position of curve b

towards the position of curve _____.

24) The approximate P50 for curve c is _____

25) Suppose that you measure the oxygen

dissociation curves for a giraffe, a

gerbil and a gopher. Curve ____ is

most likely the curve for the giraffe.

26) If curve b was obtained for a blood sample tested at 30ĀŗC, curve _____ would be obtained when the blood

sample is tested at 15 ĀŗC.

27) If curve b is for blood leaving the muscle of a swimming fish, curve _____ would be the same blood after

leaving the gills.

28) If the blood sample shown by curve b was exposed to air with a high partial pressure of CO2, the curve would

be expected to shift toward the position of curve _____.

29) If curve b is for the blood of a deer, curve _____ is most likely for the blood of a seal of the same body mass.

 

The flow of blood through a portion of an unusual circulatory system is illustrated below. Fill in the blanks with the

number identifying the correct answer from the list below. The fluid has viscosity (i.e., it is not an ideal

fluid). (2 points per blank)

1. greater than 2. less than 3. equal to 30) The velocity at point B is _____ that at point C.

31) The pressure at point A is _____ that at point C.

32) In five minutes, the volume of water flowing past point A is ____ that at point B.

33) The tension in the wall at point B is ______ that at point D.

34) If the blood is stationary for a moment, the pressure at point C is ____ that at point D.

(You are viewing the vessels of the circulatory system from the side so point D is lower than point C.)

 

35) _____ Suppose that there is a mutation in mice that dramatically reduces surfactant secretion in the lungs. One

would predict that the muscular effort required to inflate the lungs during inhalation would (a. increase; b.

decrease; c. be unchanged) compared with a wild type mouse.

 

 

A B

C

D

% Sat

100

40 80

PO2 (mmHg)

a b c

 

 

Name _________________________________________ 4

36) _____ Suppose that you measured the breathing rate of a kangaroo (number of breaths per minute) while

hopping at sea level and while hopping at high altitude. If the stride frequency (number of hops per

minute) is identical at sea level and at altitude, you would predict that the breathing rate at altitude would

be (a. greater than; b. less than; c. equal to) that at sea level.

 

37) _____The lowest blood velocity in a mammalian circulatory system would be found in the (a. aorta; b.

capillaries; c. veins; d. vena cava.)

 

38) _____ The carbon dioxide content of air in the posterior air sacs of a bird is likely to be (a. greater than; b.

less than; c. equal to) that of the anterior air sacs.

 

39) _____ When compared at the same carbon dioxide tension, deoxygenated blood binds (a. more; b. less; c.

the same amount of) carbon dioxide compared with oxygenated blood.

 

40) _____ Suppose that you are a respiratory physiologist interested in the function of fish gills. You are also

unusually skilled in surgical techniques. You perform a series of experiments in which you swap the

arterial blood supply to, and venous return from, each gill arch so that blood flow through the gill lamellae

is reversed compared to the control fish. All other aspects of the experimental and control fish are

identical. You would predict that oxygen extraction in the experimental fish would be (a. greater than; b.

less than; c. equal to) that of the control fish.

 

41) _____ Suppose that you decide to repeat Scholanderā€™s famous experiments on facilitated diffusion. If you

added gelatin to the hemoglobin solution you predict that the facilitation would (a. increase; b. decrease; c.

be unaffected).

 

42) _____ Gas exchange through the skin of most reptiles (a. is much greater than; b. is much less than; c. is

approximately equal to) gas exchange in the lungs.

 

43) _____ During the ā€œflutteringā€ phase of cyclical respiration in insects, the partial pressure of carbon dioxide in

the tracheal system (a. increases; b. decreases; c. remains relatively constant).

 

44) _____ When carbon dioxide dissolves in water, the formation of (a. carbonate ion; b. bicarbonate ion; c.

carbonic acid) is the rate-limiting step. This step is accelerated by the enzyme called

45) ____________________________________________.

 

Fill in the blank with the correct word or words (2 points per blank).

46) If a gill removes oxygen from completely still water, the immediately adjacent

___________________________________ of water will soon be depleted of oxygen. Renewal of this

water is therefore important in supplying oxygen.

47) The tubeworm, Riftia pachyptilia, is an important member of many deep sea rift communities. Although it

lacks a mouth and intestinal tract, it grows remarkably rapidly and to great size. A large organ called the

___________________________________ fills the greater part of the coelom and is packed with bacteria

which provide the tubeworm with energy obtained from the oxidation of hydrogen sulfide.

48) In birds, the finest branches of the respiratory system, known as ________________________________ permit

through passage of air and are the site of exchange of the respiratory gases with the blood.

49) In insects, the openings of the tracheal system to the outside are called

__________________________________ and are highly complex structures that can be opened or closed

to allow a variable amount of gas exchange.

50) The flow of a fluid such as blood, water or air is characterized by two radically different regimes. In

_______________________________ the fluid ā€œparticlesā€ move more or less parallel to one another in

paths that are smooth and regular. The large and small scale movements of the fluid in this regime are the

same.

 

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