Table of Contents
Preface vi
Acknowledgments vii
1 Cell Physiology 1
I Cell Membranes 1
II Transport Across Cell Membranes 2
III Osmosis 5
IV Diffusion Potential, Resting Membrane Potential, and Action Potential 7
V Neuromuscular and Synaptic Transmission 12
VI Skeletal Muscle 16
VII Smooth Muscle 21
VIII Comparison of Skeletal Muscle, Smooth Muscle, and Cardiac Muscle 22
Review Test 24
2 Neurophysiology 33
I Autonomic Nervous System (ANS) 33
II Organization of the Nervous System 37
III Sensory Systems 38
IV Motor Systems 49
V Higher Functions of the Cerebral Cortex 55
VI Blood-Brain Barrier and Cerebrospinal Fluid (CSF) 56
VII Temperature Regulation 56
Review Test 58
3 Cardiovascular Physiology 65
I Circuitry of the Cardiovascular System 65
II Hemodynamics 65
III Cardiac Electrophysiology 70
IV Cardiac Muscle and Cardiac Output 75
V Cardiac Cycle 84
VI Regulation of Arterial Pressure 86
VII Microcirculation and Lymph 90
VIII Special Circulations 92
IX Integrative Functions of the Cardiovascular System: Gravity, Exercise, Hemorrhage, and Vasovagal Syncope 95
Review Test 100
4 Respiratory Physiology 113
I Lung Volumes and Capacities 113
II Mechanics of Breathing 115
III Gas Exchange 121
IV Oxygen Transport 123
V CO2 Transport 128
VI Pulmonary Circulation 130
VII V/Q Defects 131
VIII Control of Breathing 133
IX Integrated Responses of the Respiratory System 135
Review Test 137
5 Renal and Acid-Base Physiology 146
I Body Fluids 146
II Renal Clearance, Renal Blood Flow (RBF), and Glomerular Filtration Rate (GFR) 150
III Reabsorption and Secretion 154
IV NaCl Regulation 157
V Regulation 161
VI Renal Regulation of Urea, Phosphate, Calcium, Magnesium, and Uric Acid 165
VII Concentration and Dilution of Urine 167
VIII Renal Hormones 172
IX Acid-Base Balance 172
X Diuretics 180
XI Integrative Examples 180
Review Test 183
6 Gastrointestinal Physiology 193
I Structure and Innervation of the Gastrointestinal Tract 193
II Regulatory Substances in the Gastrointestinal Tract 194
III Gastrointestinal Motility 198
IV Gastrointestinal Secretion 202
V Digestion and Absorption 212
VI Liver Physiology 216
Review Test 219
7 Endocrine Physiology 224
I Overview of Hormones 224
II Cell Mechanisms and Second Messengers 226
III Pituitary Gland (Hypophysis) 230
IV Thyroid Gland 235
V Adrenal Cortex and Adrenal Medulla 238
VI Endocrine Pancreas-Glucagon and Insulin 244
VII Calcium Metabolism (Parathyroid Hormone, Vitamin D, Calcitonin) 247
VIII Sexual Differentiation 252
IX Male Reproduction 252
X Female Reproduction 255
Review Test 260
Comprehensive Examination 269
Appendix A Key Physiology Topics for USMLE Step 1 290
Appendix B Key Physiology Equations for USMLE Step 1 292
Appendix C Normal Blood Values 293
Index 295