MS. KA: THURSDAY 5/15/14

When Ralph arrived for work on a Thursday afternoon everything was moved out. Ralph had to return the key to the old office. Jim IcyBurg said Ms. Brando had the company vehicle keys and that Ms. Brando had everything else that was in the office in her car to move it to the new company building. Then Ralph called Ms. Brando and she said to go get Bambi at Trucks grocery store where he works and to take him to the gym. Then Ralph realized he needed to get gas.
As Ralph was pulling into PoorDame LN to go to his house, Ralph happens to see Ms. Brando stopping at the stop sign at the end of PoorDame LN when Ralph was about to turn right going down it.
Ms. Brando must've visited her daughter Glenda who lives at the coldasac right next to Ralph.
Ralph stops as Ms. Brando sees him and explains to her that he needed to get gas money for his truck. She said, "So you weren't prepared for work?"
Ralph said, "Yeah I just thought I could drive the company vehicle today.
Ms. Brando asked, "ok you start at 3:00 today instead of 2:30PM. Is that a safe vehicle for Bambi to ride in?"
Ralph says, "Yes! It's safe."
Then Ralph went and got gas next to trucks grocery store where Bambi works and Ralph's hood started smoking.
Ralph put gas in his truck and it was exactly 3:00 when he arrived in trucks grocery store parking lot.
Ralph's truck was making rattling noises and Bambi kept saying the same thing over and over again there was also a lot of traffic for some reason.
Once Ralph got to the Themes highway Red light with Allisaw bank that was on left and the gas station that was on right, all a sudden the truck stopped completely.
Ralph couldn't start the truck so he put the truck in neutral when the stop light turned green.
Then out of panic, Ralph's adrenaline was moving a 3 ton pick up truck.
But while attempting to move it, Ralph was not in time for it to get to the other side when it was still green.
There was also was a big humpy hill like thing that Ralph had to push this truck over to actually get to the other side of the light before it turned red. Ralph was also wearing flip flops as we'll so it was difficult.
Bambi kept saying, "You want me to call ms. Brando? She can help, can't she?"
Ralph kept assuring Bambi, "No Bambi. Everything will be alright. Everything's cool!"
Then a guy named Chip with his daughter got his tow rope and towed Ralph and Bambi to the tire place parking lot.
After that Ralph had Chip drive him and Bambi to the gym which is close by but he didn't want Bambi to walk because Bambi has a bad hip and Bambi is old.
Then Bambi kept on mentioning what happened so Ralph said, "it's ok Bambi. We got this taken care of. Let's just enjoy our work out and exercise so you can achieve your goals today."
When Ralph and Bambi got in the locker room Ralph called his dad but he was an hour out of town.
Ralph called his brother Jagger but he was also an hour out of town picking up his kids.
So Ralph called his his and his brothers friend named Denominator who lives with Jagger. Denominator was driving around with his girlfriend.
Denominator wasn't picking up the phone.
All a sudden Denominator texted, "I can't pick up right now. What's up?"
Ralph told denominator the situation and Denominator said he's really busy.
So Ralph asked Denominator if they are able to pick Ralph and Bambi up at 5:45pm.
Denominator said, "Yeah can you give trialy gas money?"
Ralph said, "Yes! I'll give her $50 and I'll give you an Advil for your head ache and $10"
So Bambi and Ralph finished up the time period and Ralph texted Denominator to call themselves staff from another department so it wouldn't confuse Bambi.
They brought Bambi home and Ralphs dad texts saying, "I'm home."
"Is Jagger home too?", Ralph asks in a text.
He says yes.
So when Ralph got home, he asked his brother Jagger if he can drive his truck to finish the day.
He said, "If you put gas in my truck."
So Ralph gave the truck keys to his vehicle to his dad to have him and his brother Jagger pick up his truck and Ralph drove His brother Jagger's truck to finish the rest of his shift.
Denominator and his girlfriend Trialy said Ralph didn't have to pay them anything right now but whenever they are in a bad situation like this to help them out.
Ralph agreed to do this.
So everything worked out as planned with no telling Blimpy and without making things a million times more stressful.

quiz 5

Marks for this submission: 2/2.

Question50

Marks: 2/2

Sperm swim faster in an alkaline environment and are more sluggish in an acidic environment.

Answer:

TrueFalse

Correct

Marks for this submission: 2/2.

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Aging and Health: Food for Thought

Aging and Health: Food for Thought

By Angela Murphy

I like to look at the whole picture when it comes to almost anything, and the body is no exception.  When I was reading the forum responses, I noticed a few that alluded to the fact that aging has no direct effects on the digestive system, and throughout the module this sentiment has recurred, why does aging affect anything?  These anatomical parts are built to do what they do, just look at their shapes, sizes and locations.  How do they wear out?  With this in mind, and your indulgence, the sage will now take the stage…

         In terms of daily routine and function the respiratory and nervous systems are of obvious and paramount importance.  The lungs keep our cells supplied with oxygen and respire the carbon dioxide waste produced; while, the brain, spinal cord, and all the cranial and peripheral nerves have us wired to do everything the body does, respiring, circulating, digesting, blinking, sneezing, on and on.  As we learned in chapter 7 the nervous system is run on chemical electricity.  However, looking long term the cardiovascular system is where it’s at, “you’re only as old as your arteries,” is the root of aging and the first domino when looking at organs and ultimately systemic malfunction.

         “Old” blood vessels are stiff, hardened, and clogged.  This means a person could be 34 years old on the outside but 60 years old on the inside.  It’s the same reason why it’s a bad idea to buy a used sports car.  It may not have many miles on it, but you know they are hard driven miles.  So, it’s not how many years you have on your body that’s important, but how hard those years have been lived, and what you have done to compensate for any hard living (the body is very resilient).  With this new definition of “age” in mind, I will explain the impact on the digestive system and the body in general.

         If your circulation is poor, and inefficient the digestive system’s ability to do its job is definitely impacted, hepatic portal circulation being first to come to mind.  This results in poor nutrient absorption, and we all know the homeostatic negative feedback for this would be, “eat more.”  So, between mal-absorption in the intestines and inadequate dietary nutritional choices, it’s no wonder our poor metabolisms end up having to compensate by slowing down 5-8% every 10 years starting in middle age.  They don’t get enough starting fuel to run at full capacity, so homeostasis compensates by decreasing demand and slowing our “furnace,” aka metabolism.

         So, what can we do to improve our cardiovascular health, thereby the health of the entire body and slow “aging”? 

1.   I’ll start with everyone’s favorite, exercise.  You should do some activity a few times a week, every week.  Regularity is what matters the most.  Regularity gives results.   Whatever activity it is it should be somewhat aerobic, and include some stretching and weightlifting.  Benefits of each:

a.   Aerobic, if your heart rate is elevated, then it and your blood vessels are working.  This helps to strengthen the skeletal, cardiac and smooth muscles.  Plus you’re maintaining stable blood oxygen levels which is very important in burning fat and keeping muscle soreness to a minimum.

b.   Stretching is not only a great way to improve the condition of your skeletal muscles, but it also stretches everything else inside, like your organs and blood vessels.  Stretching imparts flexibility to not only skeletal muscles, but also smooth muscles.  Where there is flexibility there is strength, which creates stamina and endurance.  Not to mention it helps prevent muscle soreness after exercise by squeezing out any lactic acid that may have accumulated in the muscle tissue.

c.    Weight bearing activities are also useful, but women, should be particularly mindful of engaging in them.  After menopause estrogen production declines, and this hormone helps maintain the health and normal density of a woman’s skeleton.  Weight bearing activities improve bone density and strength in men and women.

2.   Go to the dentist.  Peridontal (gum disease) is no joke.  The mouth and accompanying oral cavity is the main entrance to the body, our front porch, if you will.  If you don’t clean it well (floss, brush 2 minutes, and rinse 2x a day), and get it checked regularly all kinds of bacteria, viruses, and foreign matter will find their way not only into your digestive and respiratory systems, but also your circulatory system.  Blood vessels are closest to the surface of the skin in the mouth.  Medications for fastest delivery, besides injection, are administered “sublingually,” dissolved under the tongue.  The mouth is immediate access to your circulatory system and therefore all organs of your body.  Keep your mouth clean, and you’ll make yourself and everyone around you smile.

3.   Watch your fluid intake.  Too much fluids is very hard on the kidneys.  When we overwork them they age faster, as with any body part.  Kidneys are imperative to efficient circulation, and we can’t live without both of them.  The recommendations for 8 glasses of water per day are accurate (remember water companies have bottom lines too), however this accounts for all sources of water including: water in solid food (44% of 8 glasses), water that is drunk (36% of 8 glasses), and water produced by the body from metabolism (20% of 8 glasses).  Looking at water needs in this fashion, in turns out that on a daily basis, we only need to consume about 2-4 glasses per day depending upon your activity level, which may have additional needs.  Remember all drinks have water.  Overconsumption of fluids will not only flush nutrients from your system (including your skin making it sag more) and tax your kidneys, but it is also addictive.  The more you drink the more you want.  In case you’re wondering, the ideal daily beverage would be a bottled, flat (noncarbonated), mineral water.

4.   Diets don’t work long term because they are generally a temporary change, so they may achieve a satisfactory temporary result.  Additionally, they are hard on your body’s homeostasis.  But, as we all know, nutrition is ultimately about your lifestyle.

5.   So what should you eat to improve overall health?

·      I’ll start with what we shouldn’t eat.  Be wary of sugar, fried and processed foods.

·      This is what the food pyramid tells us, the bulk of our diet should come from grains, and then vegetables, and then fruit.  After which come dairy, then meat and beans, and finally oils.

·      What the food pyramid and its basis on fiber doesn’t tell us, is that it did not come, “…about as a result of thorough academic research, methodical clinical investigation, and penetrating peer reviews.” (Monastyrsky, p. 3).  Our “modern” ideas of what we should consume, and how much is based on marketing and commercialism.  John Harvey Kellogg (1852-1943) was a practicing physician and also a successful entrepreneur who started a little known company that produces, among other things, sugared breakfast cereals fortified with fiber, known as the Kellogg Company.  Kellogg’s influence is responsible for how the food pyramid was built.  He had the access, authority, and resources to espouse his dietary recommendations over a long period of time to lots and lots of people.  So, fiber took hold as the basis of our diet.

6.   So what’s wrong with consuming lots of fiber?

a.   It’s indigestible, that should be the first red flag, meaning our digestive system does not have the means to extract any meaningful amount of nutrition from it.  We are not herbivores, plant eaters, we are omnivores, plant and meat eaters.  When we consume insoluble fiber, it bulks up, by absorbing liquids including acid, in the stomach making you feel full, but once it enters the small intestine and your body is unable to get all the nutrients it requires, you get hungry again.  Hunger is your body’s way of saying I need nutrition, not I need to feel full.  Remember the stomach is really just a holding tank that is doing more mechanical digestion, hopefully killing incoming germs and breaking down proteins.

b.   The small intestine is a very long, flexible tube with many folds inside of it.  It is designed to absorb nutrients from liquid chyme, the digested material from the stomach.  However, if clumps of solid indigestible fiber are to pass through our hose-like intestines, here are some consequences:

                                                                i.     It will overwork those smooth muscles, eventually leading to loss of tone, and a slowing of peristalsis. 

                                                               ii.     Fiber, because it is indigestible gets into places and plugs things up.  It is a likely culprit in creating those inflammations in the appendix and gallbladder.  What else could be stuck in these small openings causing inflammation if everything else is digested down to liquid? 

                                                             iii.     Fiber is also tough on the sensitive mucous linings of the digestive system.  When these linings are compromised all manner of problems occur: ulcers, infections, malnutrition, and cancer, just to name a few.

c.    Adopt a low fiber diet as your lifestyle and, assuming you don’t supplement with refined sugar, fruit juice or soft drinks, you will also naturally be adopting a low carbohydrate diet.  Some benefits:

                                                                i.     It is an effective preventative for cardiovascular and endocrine (controls the hormones, second in command of the body behind the nervous system) disorders.

                                                               ii.     Effective and lasting weight loss, aided by a general reduction of appetite and faster satiety, when eating.

                                                             iii.     “Advantages of a low-fiber diet come from the combined effects of better digestion and improved endocrine functions, which impact health, well-being, and longevity.” (Monastyrsky, p. 264).

d.   Even though a low-fiber and hence low-carbohydrate diet maybe ideal, you can’t just stop ingesting carbohydrates and fiber suddenly without your body reacting to the change.  People who have tried the South Beach or Atkins diets will tell you that your body has learned to work with a higher carbohydrate intake, that crazy homeostasis again, and when this is lowered you may experience, constipation, headaches, and moodiness.  Once this happens it is only natural that people abandon the “low-carb lifestyle.”  But if you want to be healthy and active into old age, it is the way to go.  So make little changes, take baby steps; that way you won’t freak out your homeostatic mechanisms, and you’ll be on your way to long lasting success in attaining your health goal(s).

e.   One more observation, copious amounts of fiber consumption is seen more frequently in women.  We are always trying to lose weight.  We eat salads, vegetables, fruits, pastas, stay away from meat, drink lots of water, take fiber laxatives, on and on in an effort to be at a healthier weight.  That is why so many of the digestive and hormonal (endocrine) issues are more prevalent in women.  We are stuffing ourselves with indigestible stuffing hoping to have healthier and more efficient and functional bodies, so we can fully participate in life activities.  But until you get a handle on how to treat your body you can’t ever fully engage the world the way you should.   Become a body mechanic and fine-tune your habits, and contentment will follow.

chapter 13

Chapter 13:

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

7.The most important chemical stimuli leading to increased rate and depth of breathing is:

a.increased hydrogen ion in the blood

b.decreased carbon dioxide in the blood

c.decreased oxygen level in the blood

d.increased blood pH

e.increased carbon dioxide in the blood

8.Oxygen binds with hemoglobin in the blood to form:

a.oxyhemoglobin

b.carbonic acid

c.bicarbonate ion

d.carbon dioxide

e.plasma

9.Which one of the following is NOT a function of the paranasal sinuses:

a.they help to moisten air

b.they produce mucus

c.they are olfactory receptors for smell

d.they act as resonance chambers for speech

e.they lighten the skull

10.Obstruction of the trachea by a piece of food can lead to:

a.hemothorax

b.pulmonary tamponade

c.aspiration pneumonia

d.pleurisy

e.pneumothorax

TRUE/FALSE.Write ‘T’ if the statement is true and ‘F’ if the statement is false.

11.The respiratory membrane is the air-blood barrier, where gases are exchanged.

12.Inflammation of the pleura is often caused by decreased secretion of pleural fluid called pleurisy.

13.Exchanges between blood and tissue cells occur in capillary beds.

chapter 10

#4 Quiz Study Guide - Submit numbered answers only.

Chapter 10:

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1.In a centrifuged blood sample, the buffy coat between the formed elements and the plasma contains:

a.leukocytes and erythrocytes

b.leukocytes and platelets

c.platelets and erythrocytes

d.leukocytes only

e.erythrocytes only

2.The matrix of blood is called:

a.buffy coat

b.erythrocytes

c.lymphocytes

d.plasma

e.formed elements

3.The most numerous white blood cells are the:

a.monocytes

b.lymphocytes

c.neutrophils

d.basophils

e.eosinophils

4.Bleeding disorders often result from a lack of which one of the following vitamins:

a.vitamin A

b.vitamin D

c.vitamin B12

d.vitamin K

e.vitamin C

5.An immature RBC is called a:

a.reticulocyte

b.agranulocyte

c.megakaryocyte

d.hemocytoblast

e.granulocyte

6.ABO blood groups are based on the presence of:

a.A antigens

b.B antigens

c.O antigens

d.A and B antigens

e.A, B, and O antigens

7.Which of the following is a blood clotting disorder:

a.anemia

b.polycythemia

c.leucopenia

d.leukocytosis

e.hemophilia

8.Which one is the correct sequence going from the outermost to the innermost layer of a blood vessel wall:

a.tunica externa, tunica intima, tunica media

b.tunica intima, tunica media, tunica externa

c.tunica media, tunica intima, tunica externa

d.tunica media, tunica externa, tunica intima

e.tunica externa, tunica media, tunica intima

9.Excessive erythrocytes result in:

a.leucopenia

b.polycythemia

c.leukocytosis

d.pernicious anemia

e.sickle cell anemia

10.Generalized vasoconstriction occurs as a result of:

a.a decrease in sympathetic nervous system firing

b.an increase in blood pressure

c.a decrease in parasympathetic nervous system firing

d.an increase in sympathetic nervous system firing

e.an increase in parasympathetic nervous system firing

11.Which one of the following formed elements is the most abundant:

a.erythrocytes

b.platelets

c.basophils

d.eosinophils

e.lymphocytes

TRUE/FALSE.Write ‘T’ if the statement is true and ‘F’ if the statement is false.

12.Blood plasma is largely water.

13.Normal blood volume in healthy males is 5-6 liters.

14.Cold temperatures have a vasoconstricting effect on blood vessels.

15.The larger arteries contain valves to prevent the backflow of blood.

16.Like all blood cells, lymphocytes originate from hemocytoblasts contained within red bone marrow.

17.Blood type A will respond to a blood transfusion of blood type B with anti-B antibodies.

18.Normal pH of blood is between 7.35 and 7.45.

19.The temperature of blood is slightly lower than body temperature.

Chapter 11:

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1.The right and left renal veins empty blood from the:

a.common iliac vein

b.hepatic portal vein

c.inferior vena cava

d.kidneys

e.vertebral vein

2.The aortic semilunar valve is composed of:

a.three cusps and opens when the right atrium contracts

b.two cusps and opens when the left ventricle contracts

c.two cusps and opens when the right atrium contracts

d.three cusps and opens when the left ventricle contracts

e.two cusps and closes when blood is filling the pulmonary circuit

3.Which of these pathways correctly traces blood as it travels from the aortic arch to the left arm:

a.ascending aorta, right coronary arteries

b.aortic arch, left common carotid artery, left internal carotid artery

c.aortic arch, brachiocephalic trunk, right common carotid artery

d.abdominal aorta, celiac trunk, left gastric artery

e.aortic arch, left subclavian artery, left axillary artery, left brachial artery

4.Pulmonary veins:

a.transport oxygenated blood to the heart

b.transport blood rich in carbon dioxide to the lungs

c.split off the pulmonary trunk

d.return blood to the right atrium of the heart

e.transport oxygenated blood to the lungs

5.Which of these arteries is NOT a branch of the abdominal aorta:

a.renal arteries

b.gonadal arteries

c.inferior mesenteric artery

d.common iliac arteries

e.left common carotid artery

6.The carotid artery is located in the:

a.groin

b.leg

c.abdomen

d.armpit

e.neck

7.When the ventricles contract, the bicuspid (mitral) valve prevents blood from flowing from the:

a.right atrium to the left atrium

b.left ventricle to the left atrium

c.left atrium to the right atrium

d.right ventricle to the right atrium

e.left ventricle to the right ventricle

8.Which one of the following blood vessels in the fetus has the highest concentration of oxygen:

a.inferior vena cava

b.umbilical arteries

c.left atrium

d.ductus venosus

e.ductus arteriosus

9.The external iliac vein receives blood from all of the following EXCEPT:

a.femoral vein

b.fibular vein

c.popliteal vein

d.anterior tibial vein

e.vertebral vein

10.A person with a heart rate of 75 beats per minute and a stroke volume of 60 mL per beat has a cardiac output of:

a.0.8 mL/minute

b.4500 mL/minute

c.1.25 mL/minute

d.120 mL/minute

e.6000 mL/minute

TRUE/FALSE.Write ‘T’ if the statement is true and ‘F’ if the statement is false.

11.Systole means contraction of the ventricles.

12.Hypotension is diastolic blood pressure below 100 mm Hg.

13.Diastolic blood pressure is the pressure in the arteries at the peak of ventricular contraction.

Chapter 12:

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1.Allergic contact dermatitis following skin contact with poison ivy would normally lead to:

a.immunodeficiency

b.anaphylactic shock

c.delayed hypersensitivity

d.immediate hypersensitivity

e.acute hypersensitivity

2.The fluid that is forced out of the capillary beds by hydrostatic and osmotic pressures and into the tissue spaces is called:

a.lymph

b.plasma

c.interstitial fluid

d.venous blood

e.arterial blood

3.Musoca-associated lymphatic tissue (MALT) includes:

a.tonsils only

b.tonsils and spleen

c.spleen

d.tonsils and Peyer’s patches

e.thymus gland

4.Immune sera are used for all of the following EXCEPT:

a.botulism

b.tuberculosis

c.rabies

d.tetanus

e.snake bites

5.Which one of the following is NOT one of the four most common indicators of the inflammatory response:

a.redness

b.fever

c.pain

d.heat

e.swelling

6.The relatively common autoimmune disease in which the thyroid gland produces excessive amounts of thyroxine is called:

a.systemic lupus erythematosis

b.Graves’ disease

c.Glomerulonephritis

d.Multiple sclerosis

e.Myasthenia gravis

7.The specific antibody class that has the ability to cross the placental barrier and provide immunity to the fetus is:

a.IgE

b.IgD

c.IgG

d.IgA

e.IgM

8.Regardless of whether it matures into a B cell or a T cell, a lymphocyte that is capable of responding to a specific antigen by binding to it is said to be:

a.complemented

b.incompetent

c.immune

d.immunocompetent

e.clonal

9.IgA:

a.is mainly found in mucus and secretions such as tears and saliva

b.is passed from mother to fetus during pregnancy

c.can fix complement

d.is involved in allergies

e.is the most abundant antibody in blood plasma

TRUE/FALSE.Write ‘T’ if the statement is true and ‘F’ if the statement is false.

10.The pharyngeal tonsils are also known as the adenoids.

11.The process by which white blood cells move in and out of blood vessels is called phagocytosis.

12.Artificially acquired passive immunity is conferred when one receives immune serum for poisonous snake bites.

13.There are three major immunoglobulin classes: IgM, IgA, and IgD.

14.Allergies, or hypersensitivities, are normal immune responses.

15.The flaplike minivalves of the lymph capillaries act like one-way swinging doors that allow lymph fluid to enter the lymph capillaries but not exit.

Chapter 13:

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1.Hyperventilation leads to all of the following EXCEPT:

a.buildup of carbon dioxide in the blood

b.fainting

c.dizziness

d.brief periods of apnea

e.cyanosis

2.The respiratory conducting passageways perform all of the following functions EXCEPT:

a.humidify air

b.exchange gases

c.purify air

d.warm incoming air

e.allow air to reach the lungs

3.When oxygen enters the respiratory system, what is the next structure to which it travels immediately upon leaving the trachea:

a.main (primary) bronchi

b.alveoli

c.bronchioles

d.pleura

e.tertiary bronchi

4.The gas exchange that occurs between blood and tissue cells at systemic capillaries is called:

a.pulmonary ventilation

b.internal respiration

c.external respiration

d.expiration

e.respiratory gas transport

5.The respiratory movement representing the total amount of exchangeable air is the:

a.expiratory reserve volume

b.dead space volume

c.vital capacity

d. inspiratory reserve volume

e. tidal volume

6. Which one of the following does NOT contain paranasal sinuses:

a. sphenoid

b. frontal

c. mandible

d. maxilla

Available from:	Thursday, 4 August 2011, 08:00 AM
Due date:	Sunday, 11 September 2011, 11:55 PM