general physiology question

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amestramgram

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My question with physiology is like this - described with an analogy - imagine you are in a casino putting a coin in a machine and it has several places that it can run down (several chutes). How do you know what chute the coin is going to run down?

same deal with physiology:

you can logically "trigger" several "reactions" to a disturbance such as lasix.

How do you know which one is the right reaction to pick when they are all physiologically sensible?

Specifically, we know lasix blocks the NKCC2 channel - but if you think a couple of steps forward you should also know that it makes you lose calcium, but your serum calcium won't be a problem because PTH will upregulate? How was I supposed to know that PTH will definitely upregulate, and the NKCC2 proteins won't upregulate and eventually cancel the effect of the NKCC2 blockade?

thanks
 
you don't know how something will affect a homeostatic system until you actually give the drug and see what happens. It's hy drugs have to undergo rigorous testing from animal models to phase 1-3 trials before just handing it out to people.
 
yup yup agreed, and what about in exam situations?

Pick the most direct answer if multiple answers are correct. If something does X which then causes Y and Z and you have answer choices X, Y and Z - pick X. Usually teachers won't do this, they'll have the opposite of X, the opposite of Y and Z, then pick Z. Also, it's not beyond the realm of possibility that your prof writes bad test questions.
 
Pick the most direct answer if multiple answers are correct. If something does X which then causes Y and Z and you have answer choices X, Y and Z - pick X. Usually teachers won't do this, they'll have the opposite of X, the opposite of Y and Z, then pick Z. Also, it's not beyond the realm of possibility that your prof writes bad test questions.

Funny, I have teachers who love doing this. They also like to include things on the test we never talked or studied about, and were never mentioned in our book (undergrad).
 
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