The Somatosensory System

LEARNING OBJECTIVES Upon completion of this chapter, the student should be able to answer the following questions: 1 What are the major modalities of somatosensory information, and what are the corresponding pathways that convey each from the periphery to the primary somatosensory cortex? 2 Which body regions and categories of information are the exteroceptive, proprioceptive, and interoceptive divisions of the somatosensory system associated with? 3 What…

Synaptic Transmission

LEARNING OBJECTIVES Upon completion of this chapter, the student should be able to answer the following questions: 1 What are the characteristics of electrical synapses? 2 What are the specializations found in the presynaptic and postsynaptic elements of a chemical synapse? 3 What sequence of events connect the arrival of the action potential at the presynaptic terminal to the entry of calcium? 4 What sequence of…

Generation and Conduction of Action Potentials

LEARNING OBJECTIVES Upon completion of this chapter, the student should be able to answer the following questions: 1 How is a nerve membrane’s response to small-amplitude stimuli like a passive electric circuit comprising batteries, resistors, and capacitors? 2 What factors determine the time and length constants of a nerve membrane? How do these constants shape the electric responses of the nerve membrane? 3 How does an…

The Nervous System: Introduction to Cells and Systems

LEARNING OBJECTIVES Upon completion of this chapter, the student should be able to answer the following questions: 1 What are the major cell types of the central and peripheral nervous systems? 2 What are the major components of a neuron, and what are their functional roles? 3 What are the functional roles of the major glial cell types? 4 What are the main divisions of the…

Signal Transduction, Membrane Receptors, Second Messengers, and Regulation of Gene Expression

LEARNING OBJECTIVES Upon completion of this chapter, the student should be able to answer the following questions : 1 How do cells communicate with each other? 2 What are the four classes of receptors, and what signal transduction pathways are associated with each class of receptors? 3 How do steroid and thyroid hormones, cyclic adenosine monophosphate, and receptor tyrosine kinases regulate gene expression? IN THE CLINIC…

Homeostasis: Volume and Composition of Body Fluid Compartments

LEARNING OBJECTIVES Upon completion of this chapter, the student should be able to answer the following questions: 1 What is steady-state balance, and, with water balance as an example, what are the elements needed to achieve steady-state balance? 2 What are the volumes of the body fluid compartments, and how do they change under various conditions? 3 How do the body fluid compartments differ with regard…

Principles of Cell and Membrane Function

LEARNING OBJECTIVES Upon completion of this chapter, the student should be able to answer the following questions: 1 What organelles are found in a typical eukaryotic cell, and what is their function? 2 What is the composition of the plasma membrane? 3 What are the major classes of membrane transport proteins, and how do they transport biologically important molecules and ions across the plasma membrane? 4…

The Male and Female Reproductive Systems

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. Describe the general anatomical components of the male and female reproductive system. 2. Map out the organization of the testis, with the Sertoli cells and developing sperm cells within the intralobular compartment, and the Leydig cells and capillary plexus within the interlobular/interstitial compartment. 3. Describe the processes of…

The Adrenal Gland

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. Describe the anatomy and microscopic anatomy of the adrenal gland, including the chromaffin cells of the adrenal medulla and the three zones of the adrenal cortex. 2. Explain the enzymatic reactions involved in generating norepinephrine and epinephrine and integrate those reactions with the regulation of epinephrine synthesis and…

The Thyroid Gland

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. Describe the anatomy and histology of the thyroid gland, including the structure of the thyroid follicle. 2. Explain how thyroid hormones are synthesized within the thyroid gland, including the processes of iodine uptake, iodination of tyrosine residues in thyroglobulin by thyroid peroxidase/dual oxidase, and coupling to form T…

The Hypothalamus and Pituitary Gland

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. Describe the structure and composition of the pituitary gland and its structural and functional relationship to magnocellular and parvicellular hypothalamic neurons. 2. Discuss the mechanisms by which the neurohormones antidiuretic hormone (ADH) and oxytocin are synthesized, transported, and released by magnocellular neurons. 3. Diagram a basic scheme illustrating…

Hormonal Regulation of Calcium and Phosphate Metabolism

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. Describe the pool of serum calcium and phosphate, including ionized, complexed, and protein bound. Describe the normal concentration ranges of these ions and the major routes of influx and efflux. 2. Discuss the role of the parathyroid gland in the regulation of serum calcium and explain the role…

Hormonal Regulation of Energy Metabolism

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. Explain the different requirements for and utilization by different cells of fuels during the digestive phase as opposed to the interdigestive and fasting phases. 2. Integrate the structure, synthesis, and secretion of insulin with circulating fuel levels, especially glucose. 3. Utilize the different signaling pathways regulated by insulin…

Introduction to the Endocrine System

Learning Objectives Upon completion of this chapter, the student should be able to answer the following questions: 1. Name the major endocrine glands and their hormonal product or products. 2. Map out and differentiate a simple endocrine negative feedback loop and one involving the hypothalamus, anterior pituitary and peripheral endocrine gland, and list the major endocrine glands under each type of feedback loop. 3. Define a…

Role of the Kidneys in the Regulation of Acid-Base Balance

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. How does HCO 3 − operate as a buffer, and why is it an important buffer of the extracellular fluid? 2. How does metabolism of food produce acid and alkali, and what effect does the composition of the diet have on systemic acid-base balance? 3. What is the…

Potassium, Calcium, and Phosphate Homeostasis

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. How does the body maintain K + homeostasis? 2. What is the distribution of K + within the body compartments? Why is this distribution important? 3. What are the hormones and factors that regulate plasma K + levels? Why is this regulation important? 4. How do the various…

Control of Body Fluid Osmolality and Volume

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. Why do changes in water balance result in alterations in the [Na + ] of the extracellular fluid (ECF)? 2. How is the secretion of arginine vasopressin (AVP) controlled by changes in the osmolality of body fluids and in blood volume and pressure? 3. What are the cellular…

Solute and Water Transport Along the Nephron : Tubular Function

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. What three processes are involved in the production of urine? 2. What is the composition of “normal” urine? 3. What transport mechanisms are responsible for NaCl reabsorption by the nephron? Where are they located along the nephron? 4. How is water reabsorption “coupled” to NaCl reabsorption in the…

Elements of Renal Function

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. Which structures in the glomerulus are filtration barriers to plasma proteins? 2. What is the physiological significance of the juxtaglomerular apparatus? 3. What blood vessels supply the kidneys? 4. What nerves innervate the kidneys? 5. What is the location of the kidneys, and what are their gross anatomical…

Transport and Metabolic Functions of the Liver

Learning Objectives Upon completion of this chapter the student should be able to answer the following questions: 1. How does the liver contribute metabolic, detoxification, and excretory functions that are vital to life? 2. What cell types make up the liver, what is their unusual arrangement, and what is the liver's unique portal blood supply? 3. What is the function of bile as an excretory fluid,…