More Cloze Passages in Physiology
Most text taken from lecture slides.
The alimentary canal consists of, in order of food processing, (1), (2), (3), (4), (5), and (6). (7) glandsâthe (8), (9), (10), and (11)âsecrete digestive juices. (12) are digested throughout the alimentary canal; (13) are digested starting in the stomach by (14); (15) and (16) are digested in the (17) by (18) and (19). Nutrients are absorbed in the small intestine, where the surface area is maximized by protrusions of villi and microvilli. The (20) side of (21) absorbs these nutrients and transmits them through their (22) to capillaries and hence into the circulatory system.
The production of pepsin in the stomach is an example of postivie feedback. (23) secrete protons and chloride ions into the (24), forming hydrochloric acid, while (25) secrete pepsinogen, the inactive precursor to pepsin. HCl helps convert pepsinogen to pepsin; once formed, pepsin cleaves pepsinogen to form more pepsin.
A diverse gut microbiome is important for health, and low microbial complexity in the gut is correlated with high metabolic disease risk and chance of obesity. The bacterium (26) causes stomach ulcers and (27) the diversity of the stomach microbiome.
 Gas exchange is mediated by (1). (2) are inflated air sacs in the lungs that enable the large surface area required for efficient (3); a layer of (4) coats the (2), keeping them inflated. Too high a (5) leads to collapse of the (2) and hence respiratory distress syndrome.
Blood is pumped throughout the body in the (6) and (7) circuits, the former through the body and the latter through the lungs. Deoxygenated blood passes through the (8), and oxygenated blood through the (9). (10) carry blood to the heart, while (11) carry blood away from the heart. Blood cells are differentiated through life: stem cells in bone marrow form (12) and (13) cells: from (12) cells are derived (14) (red blood cells), (15), and (16) (white blood cells), whereas from (13) cells are derived (17) and (18) cells.
The heart is a pump, contracting and relaxing. Contraction is known as (19), relaxation as (20). (21) (0.1 s) followed by (22) (0.3 s) allows the storage of blood in the ventricular chambers; subsequent (24) (0.4 s) allows for the pumping of blood through the systemic and pulmonary circuits; this cycle is known as the cardiac cycle. The progress through the cardiac cycle can also be tracked electrically via (25). [Look at an electrocardiogram and identify each of the pulses.]
The circulatory system is regulated by epinephrine. (26)âG-protein coupled receptorsâon (27) cells in the heart bind to epinephrine, making the (27) cells oscillate faster and hence increasing the heart rate. (26) on muscle cells around arteries also bind to epinephrine, allowing for (28) and hence a larger blood supply to muscles in conjunction with the increased heart rate.
 The basic functional unit of the kidney is (1). (2) have shorter loops, whereas (3) have longer loops. After forced osmosis through (4), the filtrate enters (5), during which nutrients are absorbed into (6). The filtrate then descends the (7), during which water leaves the filtrate via (8) in the membrane. Reascending the loop, dissolved ions are (9) out of the filtrate to maintain the (10) in the intercellular fluid. In the descending (11), the membrane is highly permeable to (12) but not very permeable to (13); in the ascending (14), the membrane is no longer permeable to (15) but is permeable to (16). In (17), more nutrients and ions are absorbed from the filtrate and waste products are introduced into the filtrate. Finally, the filtrate descends down through (18)), variably permeable to water and permeable to salt and urea, both of which are important for maintaining the (19) in the intercellular fluid.
Antidiuretic hormone (ADH) is produced by the (20) as the result of a (21) feedback loop. (22) in the (23) are sensitive to changes in the blood osmolarity (with a normal value of ~300 mOsm/L) and trigger the release of ADH upon a (24) in blood osmolarity, activating (25), increasing the permeability of the collecting duct to water via (26) receptors and thus increasing water reabsorption. (27) also generates a sensation of thirst, signaling for water intake; both mechanisms serve to regulate blood osmolarity.
The kidney also serves to regulate blood pressure. The contraction of (28) in the heart causes a (29) in pressure, which drives the flow of blood away from the heart and through the arteries. The resistance to flow in (30) reduces the blood pressure of blood in veins to nearly nothing. Blood pressure can be regulated by changing the diameter of the arteriesâvia (31) or (32), increasing and decreasing blood pressure respectivelyâand by changing blood volumeâincreasing the volume of extracellular fluid by drinking water, for example, (33) blood pressure, whereas becoming dehydrated (34) blood pressure.
Sensors in (35) detect changes in blood pressure. If a decrease in blood pressure is detected, (35) releases (36), which leads to the generation of (37), which binds to the muscle around arteries, leading to constriction and hence an increase in blood pressure. (37) also binds to (38), leading to the release of (39), which binds to (40) and increases the reabsorption of water and ions, increasing blood volume and blood pressure. This is the (41) pathway.
Blood pressure control medication targets the (41) pathway. For example, ACE (angiotensin-converting enzyme) inhibitors inhibit the conversion of (42) to (43), (44) blood pressure. Other inhibitors block the (37) receptor and (39).
  Hormones are secreted (1) that travel through the blood. In contrast to neurons and (2) signaling, hormones are (3)-acting but can produce (4)-lasting responses. Hormones come in three main classes: those derived from eicosanoids (fatty acids), from peptides, and from lipids. Water-soluble and lipid-soluble hormones enter cells via different pathways: water-soluble hormones are stored in (5), expelled into blood, and bind to (6) receptors on a cell; lipid-soluble hormones are released without (7), bind to (8) in blood, diffuse into cells, and bind to receptors in the (9).
(10) glands secrete hormones into the bloodstream, whereas (11) glands secrete chemicals into the lumen or the outside of the body, like chief cells, salivary glands, and sweat glands. The posterior pituitary produces two specific hormones, (12) and (13), both of which are (14) hormones. The anterior pituitary produces (15), which stimulates protein synthesis, the production of (16) via RTKs and MAP kinases, and the growth of muscles and connective tissues.
















