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Physiology · USMLE Step 1

USMLE Physiology: Organ Systems Concepts

Conceptual cardiovascular, respiratory, endocrine, GI, and muscle physiology mechanisms tested on USMLE Step 1, separate from the equations cloze deck.

39 cards · basic cards · AI-written, checked twice. Edit anything.

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What mechanism describes increased venous return leading to increased stroke volume?
The Frank-Starling mechanism
What is the physiological basis of the Frank-Starling mechanism?
Increased sarcomere stretch increases actin-myosin cross-bridge formation
Where are arterial baroreceptors located?
Carotid sinus and aortic arch
How does the baroreceptor reflex respond to a sudden rise in blood pressure?
Increased parasympathetic and decreased sympathetic output, lowering heart rate and blood pressure
What effect does vagal (parasympathetic) stimulation have on the SA node?
It decreases heart rate (negative chronotropy)
Which part of the cardiac conduction system has the fastest conduction velocity?
Purkinje fibers
During which phase of the ventricular cardiac action potential does calcium influx sustain depolarization?
Phase 2, the plateau phase
When during the cardiac cycle does most left ventricular coronary perfusion occur?
During diastole
What causes the oxygen-hemoglobin dissociation curve to shift right?
Increased CO2, increased H+ (decreased pH), increased temperature, and increased 2,3-BPG
What is the Bohr effect?
Increased CO2 and H+ decrease hemoglobin's affinity for oxygen, promoting oxygen unloading at tissues
What is the Haldane effect?
Oxygenation of hemoglobin in the lungs promotes release of CO2
What is hypoxic pulmonary vasoconstriction?
Local vasoconstriction in poorly ventilated lung regions that redirects blood flow to better-ventilated areas
What do central chemoreceptors in the medulla primarily respond to?
Changes in CSF pH caused by CO2 diffusing across the blood-brain barrier
Where are peripheral chemoreceptors located?
Carotid bodies and aortic bodies
What do peripheral chemoreceptors primarily detect?
A significant drop in arterial PaO2

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