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Senior Science
HSC Course
Stage 6
0 2
2 0
b er
c to T S
g O EN
a t in D M
o r EN
p
or AM
I n c
SSCHSC43169 P0025972
Acknowledgments
This publication is copyright Learning Materials Production, Open Training and Education Network – Distance
Education, NSW Department of Education and Training, however it may contain material from other sources which
is not owned by Learning Materials Production. Learning Materials Production would like to acknowledge the
following people and organisations whose material has been used.
• Senior Science Stage 6 Syllabus, Board of Studies, NSW, Amended November 2002
• Photographs and X-rays courtesy of Fran Philipson, Orana Radiology, Shelley Hudson, Ingrid Kaschik, and
Rizwan Gaffer Masood.
All reasonable efforts have been made to obtain copyright permissions. All claims will be settled in
good faith.
Illustrators: Robert Colwell, Thomas Brown, Barbara Gurney, Tim Hutchinson, José Monteiro
Consultants: Fran Philipson, Helen Walsh, Melissa Halpin and Colin McKay (Dubbo School of Distance
Education)
Merelyn Devine (Camden Haven DEC)
Anne Migheli (Walgett DEC)
Nella Sharp (Balranald DEC)
Sue Benson (Southern Cross DEC)
Di Skelton (Karabar DEC)
Maria Gavranic (Sydney Secondary DEC)
Yvonne Kinch (OLP)
Jenny Glen
Jim Stamell
Copyright in this material is reserved to the Crown in the right of the State of New South Wales. Reproduction or
transmittal in whole, or in part, other than in accordance with provisions of the
Copyright Act, is prohibited without the written authority of Learning Materials Production.
© Learning Materials Production, Open Training and Education Network – Distance Education, NSW Department
of Education and Training, 2000. Revised November 2002 51 Wentworth Rd. Strathfield NSW 2135.
Contents
Resources............................................................................................ iv
Icons .................................................................................................... vi
Glossary.............................................................................................. vii
Introduction i
ii Medical technology – bionics
Module overview
This module deals with parts of the body that can be replaced or treated
to improve the health and/or quality of life of an individual.
You will understand how the heart works and the use of biomaterials
used in conjunction with the heart such as artificial heart valves and
pacemakers.
You will learn some of the causes of hardened arteries and the various
medical procedures which aim to restore blood flow in diseased arteries.
Artificial joints used in small and large joints are addressed and the
substances they are made of are explained.
Introduction iii
Resources
Internet access is essential for many parts of this module. If you do not
have Internet access at home seek out Internet access at a public library,
internet café, TAFE, school or friend’s place.
You will need the following equipment to carry out activities and
experiments during the module. In most cases, you should have many of
the items listed around your home.
Part 1
• Bionics audiotape/internet audio files
• stop watch or clock with a second hand
Part 3
• coloured pencils or felt tip pens
• glass, glass jar
• uncooked chicken leg bone
• white vinegar
Part 4
• fresh chicken wing
• small pair of scissors
• small sharp knife
• tweezers
• board or dish to hold the specimen being dissected.
• mortar and pestle–optional
• silicone strip
Part 5
• information sources for medical technological developments
• scissors
• glue
• calcium hydroxide (builder’s or mortar lime)
• medium jar
• two small clean glasses
• straw
• small whisk or fork
Part 6
• Blu Tac® or plasticine
• ruler
The safety glass icon points out that care needs to be taken
when carrying out a task.
Introduction v
Glossary
The following glossary provides a scientific meaning for many of the
term used in this module, Medical technology–bionics.
The HSC examiner will expect you to understand the meaning of every
scientific term used. If you find a term that you do not understand, then
look it up in a scientific dictionary or ask your teacher for assistance.
acetabular component component that fits into cup–shaped socket in the
pelvis
alveolus site of gas exchange in the lung; sac in the lung
surrounded by a network of capillaries (plural:
alveoli)
aneurysm abnormal enlargement (dilation or outpouching) of
the artery wall
angioplasty repair of a blood vessel
aorta blood vessel; carries oxygenated blood from the heart
to the body except the lungs
arhythmia irregularity or loss of rhythm of heartbeat
arteriosclerosis a number of diseases in which the walls of the
arteries become thickened and lose their ability to
stretch; commonly called ‘hardening of the arteries’
artery large muscular blood vessel carrying blood to body
tissue from the heart
artery plaque layers of cholesterol, blood and cell fragments that
coats artery walls
articular cartilage cartilage on the ends of bones in a joint
atherectomy removal of plaque from artery wall using a catheter
with a cutting blade
atherosclerosis building up of fatty deposits to form plaque in the
innermost layer of the artery wall; the most common
form of arteriosclerosis
arthroscope long, thin tube with a camera at one end which is
inserted into joints to assess joint damage
artificial heart valve synthetic device allowing the flow of blood in one
direction when implanted in the heart; replaces
diseased heart valves
artificial lung an implant in a vein delivering oxygen to blood and
removing carbon dioxide from blood
Introduction vii
bronchiole air passage to and from the alveoli
bundle branch block the AV junction in the heart fails to transmit some
electrical signals to the ventricles
bypass surgery veins from other parts of the body are removed and
placed in an area to bypass a blocked artery;
alternatively small arteries in the chest are redirected
to the heart
calcified become hardened by calcium salts
calcium phosphate salt which hardens the collagen matrix in bones
cancellous bone spongy bone at the ends of long bones
capillary very small blood vessel carrying blood to and from
body tissue
cardiac of the heart
cardiac arrest the heart is fibrillating as a result of unsequenced
cardiac contractions
cardiac catheterisation a diagnostic study to evaluate the coronary arteries
cardiomyopathy any disease of the heart muscles; usually produces an
enlarged heart
cardiopulmonary A combination of external cardiac compression
resuscitation (CPR) (ECC) and expired air resuscitation (EAR) to
maintain heart and lung function of the body
cartilage strong flexible substance made of collagen; cartilage
is used to support and protect the body from shocks
and impacts; the ends of the bone are covered with
cartilage to make a smooth, flexible joint which
minimises friction between the surfaces of the joint
catheter tube passing into body
cellular respiration chemical reactions which release energy for
organisms
cemented a plastic compound is used as a type of grouting
material, forming an interlocking mechanical bond
with the bone holding artificial joints in place
circulatory system arteries, veins, capillaries and the heart delivers
oxygen and nutrients to cells around the body and
removes wastes
cobalt/chromium hard white/silver mix of the metals cobalt and
alloy chromium which is resistant to corrosion, is durable
and biocompatible; used in biomedical implants
cochlea spiral–shaped part of the inner ear which delivers
sounds to the brain as electrical impulses
Introduction ix
externally outside
femoral head ball shaped top end of femur bone in leg
fibrillation electrical impulses in the heart cause the heart to
quiver rather than contract; no effective blood
movement results
hardened arteries a number of diseases in which the walls of the
arteries become thickened and lose their ability to
stretch
heart attack blood flow to heart muscles is impaired limiting the
heart’s ability to contract
heart–lung machine pumps blood around the body and exchanges gases
with the air
heart transplant replacing a diseased heart with a healthy heart from a
donor
heart valve folds of tissue around an opening that allow blood to
flow in one direction only through the heart
high density ‘good’ cholesterol which assists in removing LDL
lipoprotein (HDL) from artery walls
hinge joint the extremities of two joining bones fit like a hinge
humerus the bone in the upper arm
inhale drawing air into the lungs
(heart valve) where the valve does not close completely
insufficiency
internal inside the body
joint the place where two or more bones meet
keyhole surgery a tiny camera and light on the end of a probe allows a
surgeon to detect abnormalities within the body and
carry out surgery without opening the body
laser angioplasty a thin tube (catheter) is inserted into an artery and
moved through the blood vessels to the blocked
artery. The laser emits short pulses of photons that
cause the plaque to vaporise
ligament strong band of collagen connecting two bones at a
joint. Restricts unwanted movement of the joint and
helps to prevent dislocation.
lipoproteins fatty protein which carries cholesterol in the blood
stream
low density ‘bad’ cholesterol often deposited on artery walls
lipoprotein (LDL)
Introduction xi
sick sinoatrial node the sinoatrial node or the atria are damaged, causing
syndrome the atria not to contract properly
silicone organic compound which is non–reactive with body
tissue
sinoatrial (SA) node a group of cells located in the right atrium which
sends electrical impulses causing the heart chambers
to contract
sliding joint allows movement from side to side or back to front
stainless steel an alloy of iron, carbon, chromium which is highly
resistant to corrosion; is biocompatible and used in
biomedical implants
stenosis where the valve opening becomes narrow
stent device inserted in a narrowed area of a coronary
artery to expand the artery
stethoscope instrument which amplifies sounds such as the heart
beat
stroke interruption of blood flow in the brain; may be
caused by a blood clot to the brain or a ruptured
artery in the brain
superalloy cobalt/chrome or titanium alloy
synovial fluid fluid which lubricates joints
synovial joints joints containing synovial fluid for joint lubrication
and movement
synovial membrane inside layer of the synovial capsule that secretes
synovial fluid
tachycardia abnormal rapid heart action
tendon tough, rope–like strands which connects muscle to
bone
thermography images of the body’s infra–red radiation shows
relatively hot and cold areas of the body
thrombectomy the removal of a thrombus, or clot, which is
obstructing blood flow
titanium used in artificial joints; durable, lightweight, strong
biocompatible material
trachea connects pharynx to bronchi
tricuspid valve heart valve with three flaps for blood to flow through
ulna bone in the lower arm
Introduction xiii
Gill Sans Bold
Senior Science
HSC course
Stage 6
0 2
20
r
e
c to b T S
g O EN
a t in D M
o r EN
r p
In co A M
Senior Science Stage 6 HSC Course
Lifestyle chemistry
Spare parts
Fixing a broken heart
Heart to heart
Bone to bone
Breathing easy
Peek–a–boo
Information systems
Option
Gill Sans Bold
Contents
Introduction ............................................................................... 2
Summary................................................................................. 19
Appendix 1 .............................................................................. 21
Appendix 2 .............................................................................. 23
Suggested answers................................................................. 25
These devices can be separated into those used externally and internally
(implanted).
Diagram Name
Do you or any of your family members use any of these external devices?
Outline each device, who uses it and how it helps.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
crowns
the task.
dentures
glasses
contact lenses
prosthetic limbs
Answers are not provided for this activity to encourage you to complete
Biomedical implants
Have you heard of ear implants; metal pins screws and plates inserted
into bones; artificial hip and knee joints; pacemakers; and artificial heart
valves? These are all examples of biomedical devices that are implanted
into the body to assist body function.
Cochlear implants
© The Bionic Ear and The University of Melbourne
microphone
hook over ear
implant receives radio
waves (and sends signals
through electrode)
speech
processor ear drum
Medical metal implanted in the body is generally made from alloys such
as titanium/cobalt/chromium/molybdenum or stainless steel.
These metals will not corrode once in the body and are strong enough to
hold bones together for many years.
If you have access to a computer database package, you could carry out
the following activity using a database. If you do not have access to a
database package you can store data in a table provided in Appendix 1.
When was the last time you cut yourself? Did you bleed much?
That blood was meant for the cells in that part of the body. It was
supposed to take nutrients and oxygen to cells and remove carbon
dioxide and wastes from cells instead of flowing onto the skin’s surface
and staining your clothes.
Blood circulates around the entire body, taking nutrients (from food) and
oxygen (from the lungs) to cells in the body. What keeps the blood
pumping through your arteries, veins and capillaries? That’s right–its
the heart.
Your circulatory system is made up of the heart and all the arteries,
veins and capillaries in your body. Without your circulatory system to
provide essential things such as nutrients and oxygen to your cells, your
body would cease to function.
The heart
Your heart is essential to your life. Have you ever thought about how
much work it must do in a day just to keep you alive? On average, your
heart beats 70 times in a minute. That calculates to over 4200 times an
hour and over 100 000 a day–and that’s without exercise!
This section takes a closer look at this major organ and its structure.
1 Listen to The heart section of the Bionics audiotape/internet audio files.
Use this information to complete the labels indicated with letters on the
diagram of the heart on the following page.
Letter Label
L
body
he lungs
to t
to the
L
G
F
y
e bod A
th
m H
ro
f
B I
E
C D J
View of the heart as though seen in a person facing you. The left side of the
heart is on your right.
As your heart beats, blood flows through arteries in pulses. You can feel
these pulses on certain parts of the body. The most common places to
feel these are on the wrist and neck. If you have ever taken your pulse,
you might have had some difficulty finding it on your wrist. For this
reason it may be easier to take your pulse on your neck.
Place two fingers on your neck as shown above, but don’t press too hard.
You should feel your pulse beating. If not, press a little harder or softer
until you feel your pulse.
Turn to Exercise 1.1 at the back of this part to plan and carry out an
investigation on heart rate at rest and with sustained physical activity.
Cardiac contractions
The term cardiac refers to the heart. Cardiac muscle refers to muscles in the
heart. You might wonder how the cardiac muscles know when to contract.
The answer lies in specialised cells and electrical impulses within the heart.
Specialised cells on the wall of the right atrium are located in the sinoatrial
(SA) node. These cells are a natural pacemaker, starting an electrical chain
reaction. An electrical impulse from the SA node causes the atria to contract.
This sends blood through the valves to the ventricles on both sides of the heart
as shown in the diagram below.
sinoatrial node
sending impulse to
atrium muscles
to contract
blood is forced
into the ventricles
Atria contracting.
sinus
node
impulse from
the sinoatrial node
moves through
the AV junction
to the ventricles
causing the ventricle
muscles to contract.
This forces blood into
the aorta and pulmonary
artery.
Ventricles contracting, sending blood from the heart to the lungs and body.
The first beat is caused by the tricuspid and bicuspid valves closing after
atria muscles have contracted squeezing blood into the ventricles. The
second beat is caused by the closing of pulmonic and aortic valves after
the ventricles contract, pumping blood around the body and to the lungs.
What is the best way for you to hear a heartbeat? A stethoscope would do
this job well, however its unlikely you have one at home. Holding your ear
to a person’s chest or back may be the only option. Ask a willing person at
home if you can listen to their heartbeat for about ten seconds.
1 What did you hear? Describe the sounds below.
_____________________________________________________
_____________________________________________________
2 With your knowledge of the heartbeat, explain why the heart sounds as
you described above.
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
A condition causing a very slow heart beat at rest of around 40 beats per
minute is called bradycardia.
VT, bundle branch block, complete heart block and bradycardia are
forms of arhythmias. This means abnormal beating. Another cause of
abnormal beating can be sick sinoatrial node syndrome. In this
instance the sinoatrial node or the atria are damaged, causing the atria not
to contract properly. Symptoms of sick sinoatrial node syndrome are
tiredness, shortness of breath and fainting.
Disrupted electrical signals in the heart can cause the heart to stop
beating or to quiver instead of pumping. The heart quivering is called
fibrillation. Cardiac arrest is the name given to conditions in which
the heart stops pumping. (Cardiac arrest is not to be confused with a
heart attack, which is caused by a lack of blood to the heart
tissue itself.)
Summary
1 ucilorrcaty smstey
_____________________________________________________
_____________________________________________________
2 itruma
_____________________________________________________
_____________________________________________________
3 envietrcl
_____________________________________________________
_____________________________________________________
4 nussi deno
_____________________________________________________
_____________________________________________________
5 marsyhihta
_____________________________________________________
_____________________________________________________
6 wconr
_____________________________________________________
_____________________________________________________
7 ipn
_____________________________________________________
_____________________________________________________
Appendix 1
This page can be torn out, kept, added to as you learn about the relevant
implants and returned with the Exercise in Part 4. You will receive the
following reminder each time you are required to add information to the
table below.
cochlear
implant
pins, screws
and plates
pacemaker
artificial heart
valves
small artificial
joints
load bearing
artificial joints
Appendix 2
Suggested answers
Diagram Name
crowns
dentures
eye glasses
contact lenses
prosthetic limbs
1
Letter
Letter
Label Label
Cardiac contractions
1 Specialised cells in the sinus node in the right atrium initiates an
electrical impulse in the heart.
2 The initial electrical impulse causes the atria to contract.
3 The electrical impulse passes to the ventricles via the AV junction.
4 The AV junction slows the impulse to allow the atria to relax before
the ventricles contract.
5 If the electrical signals become unsequenced, blood could be
pumped back to the atria instead of passing to the lungs or the body.
Other answers are acceptable.
Summary
1 Circulatory system–the heart, arteries, veins and capillaries in the
body circulating blood.
2 Atrium–one of the two top chambers of the heart which fill with
blood and pass blood to the ventricles.
3 Ventricle–bottom chambers of the heart with muscular walls to
pump blood to the lungs and body.
4 Sinus node–group of specialised cells in the right atrium that start an
electrical chain reaction, causing the heart to pump.
5 Arhythmias–the unsequenced or unusual beating of the heart.
6 Crown–can replace missing teeth, cover existing teeth or be attached
to broken or chipped teeth. May be made of porcelain, stainless
steel, polymer glass or gold.
7 Pin–used to hold bones together and join artificial joints to bones;
medical pins are made of cobalt/chromium, molybdenum and
stainless steel.
8 Cochlear implant–electrode implanted into the cochlea to improve
hearing; developed by Dr Graeme Clark–an Australian scientist
from Melbourne.
9 Biomedical device–device used to aid the functioning of the human
body such as dentures, cochlear implants and artificial joints.
10 Heart rate–heart rate increases with increased activity.
Exercises - Part 1
Exercise 1.1
You must now plan, carry out and report on the relationship between
heartbeat rate at rest and with sustained physical activity. You may refer
to Appendix 2 to help you plan your investigation.
Aim
Apparatus
Method
How will you carry out your investigation? Present your method as a
procedure.
If you have access to a data logger, it can used to detect and record your
heart rate during various activities.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Before carrying out the activity, predict the outcome you expect from
carrying out the method you outlined (in one or two sentences).
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Results
How will you present your results? They should be easy to read and
clearly show the trend you expect to observe.
Conclusion
What happened to your heart rate with physical activity? Explain your
observations. Comment on any problems or ways of improving the
experiment.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
ventricular tachycardia
fibrillation
cardiac arrest
bradycardia
Exercise 1.3
Certain Australian scientists and Australian companies have a proud
record in the development of cochlear implants. Use an Internet search
engine such as www.google.com to trace the historical development of
cochlear implants. Highlight the names of any Australian scientists,
organizations or companies when you have completed the exercise.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Senior Science
HSC Course
Stage 6
0 2
20
r
e
c to b T S
g O EN
a t in D M
o r EN
r p
In co A M
Senior Science Stage 6 HSC Course
Lifestyle chemistry
• Spare parts
• Fixing a broken heart
• Heart to heart
• Bone to bone
• Breathing easy
• Peek–a–boo
Information systems
Option
Gill Sans Bold
Contents
Introduction ............................................................................... 2
Pacemakers .............................................................................. 3
Faulty valves.......................................................................................10
Summary................................................................................. 20
Suggested answers................................................................. 21
Part 2 covers a range of heart diseases from faulty heart valves and
enlarged hearts to hardened arteries. The medical techniques used to
correct these heart conditions range from heart valve replacement and
balloon angioplasty to heart transplants. The information in Part 2 may
make you squeamish, however, you are likely to take good care of your
heart as a result.
Pacemakers
Write your ideas about the function of a pacemaker. You will review your
response after the following set of activities. If you have no idea, ask
someone their ideas about the function of a pacemaker.
_________________________________________________________
_________________________________________________________
_________________________________________________________
No answers are offered for this section to encourage you to write your
own summaries.
Turn to Exercise 2.1 to outline the need for and function of pacemakers.
If you do not have access to the Internet then try encyclopedias and medical
books in a public library as data sources.
1920
1930
1940
1950
1960
1970
1980
1990
2000
Answers are not provided for the previous activity to encourage you to
gather and process information.
Heart valves
1 Turn to page 11 of Part 1. You should have labelled four heart valves.
Repeat those labels on the following diagram of a heart.
blood flow
open valve
Heart valve open, allowing blood to pass from an area of high pressure to low
pressure.
Once blood has passed through the valve, the distribution of pressure
changes. The downstream side of the valve now has higher pressure than
the upstream side of the valve. This puts pressure on the flaps of the
valve, causing it to close as shown below.
valve closed
blood flow
The heart valve closes with higher ‘downstream’ pressure.
You might wonder why the blood doesn’t flow backwards from high to
low pressure. The answer is the one–way valve action.
The valves are structured such that they close firmly when acted on by
high pressure from ‘downstream’, preventing the backwards flow
of blood.
If you have ever entered a shop turnstile, you will know that it will turn
one way only, allowing you into the shop. Can you exit the shop the
same way you came in? No. You generally must pass through a
checkout or another door where bags are checked. The turnstile
functions in a similar way to heart valves – allowing a one–way
passage only.
Find a door in your home that will only open one way. Imagine the door is a
heart valve and you are blood under high pressure.
1 Stand on the side of the door so the door opens away from you.
The door should be closed.
2 You are under high pressure and the area on the other side of the door is
under low pressure. You are only able to push on the door using your
high pressure. Push the door open and walk through to the other room.
3 Now that you are on the other side of the door, and you are still blood
under high pressure, you push the door behind you, shutting it.
4 Imagine the door had no handle. You are blood under high pressure and
all you are able to do is push, not pull. You have a natural tendency to
move from high pressure to low pressure. This means that you want to
go back through the door to where you came from which has low
pressure, but you are unable to open the door. The door only opens in
one direction – causing you to remain on that side of the door.
Well done – you just simulated the action of a heart valve. Complete the
following questions based on this activity.
Turn to Exercise 2.2 at the back of this part to explain the function of heart
valves.
Faulty valves
Not all people are lucky enough to go through life with healthy hearts.
Unsynchronised beating is not all that can go wrong with your heart.
Faulty valves can cause symptoms such as:
• chest pain
• shortness of breath
• inability to sleep
• fatigue and an inability to carry out daily activities
• swollen ankles
• abnormally large abdomen.
There are two problems that can occur with heart valves.
• Stenosis – where the valve opening becomes narrow.
• Insufficiency or regurgitation – where the valve does not close
completely.
Stenosis
Heart valves can become calcified. This means they can become coated
in layers of calcium salts. This can be likened to coating your one–way
door with layer upon layer of paint each month of your life. The result is
a narrowing of the valve opening.
When the valve opening is smaller, less blood can pass through the
opening at any one time. This decreases the heart’s efficiency and less
blood is being pumped to the body.
Insufficiency or regurgitation
Valves can become diseased or worn out. This results in the valves not
closing completely.
valve closes
preventing
‘backward
blood flow’.
In this case of insufficiency, not only is the body not receiving enough
blood, the heart’s efficiency is cut down as is the lung’s efficiency.
This results in the symptoms of tiredness and shortness of breath
discussed earlier.
If you had trouble understanding this concept, the following activity may
help you.
gate 2
(calcified valve allowing
less traffic through)
gate 3
(calcified valve allowing
less traffic through)
gate 4
(healthy valve)
Use the diagram on the previous page to write the question for the following
answers.
1 _____________________________________________________
_____________________________________________________
Gates two and three are suffering from stenosis.
2 _____________________________________________________
_____________________________________________________
Less cars appear between gates two and three because gate two is
narrow, allowing less cars through.
3 _____________________________________________________
_____________________________________________________
Around half the traffic is flowing between gates three and four as
compared to traffic flowing between gates one and two.
4 _____________________________________________________
_____________________________________________________
Less blood is leaving the heart than is entering the heart.
5 _____________________________________________________
_____________________________________________________
The person with this condition is likely to experience fatigue and
shortness of breath.
Look at the diagram on the following page. The arrows indicate the flow
of traffic on a freeway, which is similar to the flow of blood. The gates
represent heart valves that only allow traffic to flow one way. One gate
is faulty, allowing traffic (blood) to flow backwards.
gate 2
(healthy valve
allows traffic
one way only)
cars bunched
up facing both
directions
gate 3
(diseased valve allows
traffic to flow backwards)
gate 4
(healthy valve allows
traffic one way only)
less traffic is
flowing
Turn to Exercise 2.3 at the back of this part to create a webpage explaining
heart valve conditions.
Use the information you have read and recorded to attempt the questions
on the next three pages. If you find a question too difficult go on to the
other questions. Use key words in the questions you had difficulty with
to search out further information on the Internet that could help
with answers.
4 List five materials currently used in artificial heart valves in the table
below. Gather your information from web sites.
5 From the following qualities, match the material from the above
question to the qualities listed below that make it useful as a valve
implant. The first one has been done for you as a guide.
(Each material may have more than one quality. You may need to
draw your own conclusions on the qualities each material must have
based on the evidence available.)
Thromboresistant
Light weight
Smooth
Durable
Strong
Material
pyrolytic carbon
6 Explain two problems associated with some heart valve designs and
the materials used.
_____________________________________________________
_____________________________________________________
_____________________________________________________
Use the letters below to begin 20 sentences which will help you
remember information in this part. The object of this activity is to create
about a single page summary that you can revise before an exam.
a ________________________________________________________
b ________________________________________________________
c ________________________________________________________
d ________________________________________________________
e ________________________________________________________
f_________________________________________________________
g ________________________________________________________
h ________________________________________________________
i_________________________________________________________
j_________________________________________________________
k ________________________________________________________
l_________________________________________________________
m________________________________________________________
n ________________________________________________________
o ________________________________________________________
p ________________________________________________________
r_________________________________________________________
s ________________________________________________________
t_________________________________________________________
u ________________________________________________________
Suggested answers
Technological advances
Heart valves
aortic valve
tricuspid valve three flaps
three flaps
Faulty valves
1 What are gates two and three suffering from in terms of diseased
heart valves? Other answers are acceptable.
2 Explain the traffic conditions between gates two and three in terms
of diseased heart valves. Other answers are acceptable.
3 How much traffic is flowing between gates three and four as
compared to traffic flowing between gates one and two? Other
answers are acceptable.
4 Compare the amount of blood entering the heart (freeway) to the
blood leaving the heart. Other answers are acceptable.
5 If a person has a heart with diseased valves as shown in the diagram,
explain two symptoms they are likely to experience. Other answers
are acceptable.
6 The backwards arrows between gates 3 and 4 indicate blood flowing
in both directions.
7 Blood is flowing in both directions between gates 2 and 4.
8 Blood is flowing both ways between gates 2 and 3 and 3 and 4
because gate 3 is faulty, allowing blood to move backwards through
the gate.
9 Gate 3 is suffering from insufficiency.
10 The diagram shows traffic banking up to gate 2. Gate 2 is
experiencing excess pressure as a result of gate 3 not functioning
properly.
ball valve
bileaflet valve
4
Materials currently used in replacement heart valves
pyrolytic carbon
titanium
cobalt/chrome alloy
knitted polyester
Thromboresistant
Light weight
Material
Smooth
Durable
Strong
pyrolytic carbon
titanium
cobalt/chrome alloy
knitted polyester
Exercises - Part 2
Exercise 2.1
Imagine you are 47 years old. You have been experiencing shortness of
breath, seemingly constant exhaustion and a fluttering feeling in your
chest. You are referred to a cardiac specialist. The cardiac specialist
tests the electrical signals within your heart and recommends the
implantation of a pacemaker. You listen to her explanation about the
procedure.
Exercise 2.2
Heart valves have a specific function. Their structure is closely related to
their function.
In one paragraph, explain their structure, how heart valves work and
relate this to their function. You may use diagrams in the margin to help
with your answer.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Exercise 2.3
Imagine you are a patient experiencing tiredness and shortness of breath.
Your doctor explains you are likely to have faulty heart valves, although
he doesn’t have time to explain it to you.
You go home and search the Internet to find out what could be wrong
with your heart valves. Imagine that you find a webpage that fully
explains two problems associated with faulty heart valves that you could
have. Use the space provided below to create a web page that you think
fully explains the two possible heart valve conditions. Be as creative and
innovative as you like. This page has been left blank for this purpose.
Senior Science
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b er
c to T S
g O EN
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p
or AM
I n c
Senior Science Stage 6 HSC Course
Lifestyle chemistry
• Spare parts
• Fixing a broken heart
• Heart to heart
• Bone to bone
• Breathing easy
• Peek–a–boo
Information systems
Option
Gill Sans Bold
Contents
Introduction................................................................................ 2
Atherosclerosis.......................................................................... 6
Summary ................................................................................. 17
Suggested answers................................................................. 21
Heart transplants
Before beginning Part 3, turn to the experiment on page 16 where you place
a chicken bone in vinegar. You will need at least three days to complete this
experiment. It is strongly suggested you start this experiment now, as your
results and conclusions will be sent in with the exercises from this part.
In some cases, there is more wrong with a person’s heart than an irregular
heartbeat, faulty valves or artery plaque. Possible heart problems are:
• cardiomyopathy (any disease of heart muscle; usually causes an
enlarged heart)
• autoimmune disease (in which the body’s immune system attacks
the heart).
Heart transplants are often the only option for some sufferers of heart
disease. In the future artificial hearts may replace heart transplants.
You are about to gather information to help you outline areas of current
research with regards to heart transplants and artificial hearts.
If you do not have access to the Internet then try encyclopedias and medical
books in a public library as data sources. Record the date of publication and
when the information was last revised. The next page is available for you to
record the information.
Turn to Exercise 3.1 at the back of this part to summarise current research in
heart transplants and artificial hearts and their impacts on society.
When the arteries supplying blood to heart muscles become blocked, the
heart muscles no longer have the requirements to function. The heart
muscle cells can die rapidly and, without intervention, the person will
die. Arteries leading away from the heart can also become blocked with
fatty residue. What would you expect to happen if blood is prevented
from flowing out of the heart as it is pumping? The thought isn’t pretty
is it!
The question then is – what causes blocking of arteries and what can be
done to treat and prevent it?
Answers are not supplied for this audio activity to encourage you to
complete the activity.
The question then is – how can one maintain low levels of LDL and
increase HDL in the blood? The answer lies in diet.
The table on the next page requires you to label seven diagrams. Each of
these diagrams represents one of the techniques that could be used to treat
atherosclerosis. By carefully looking at each diagram and reading the notes,
you should be able to select a suitable label from the list above.
After you have labeled the seven diagrams check your answers.
balloon is blown
up repeatedly,
dye showing pressing plaque
artery width artery against artery
walls
plaque
plaque
blood
plaque artery
pushed to the
artery walls catheter
artery
artery
plaque
artery catheter
vein is used to
bypass the
clogged artery,
restoring blood
flow
hardened
artery
with little
blood flow
Cardiac catheterisation
Balloon angioplasty
Laser angioplasty
Bypass surgery
Thrombectomy
Atherectomy
Stents
Statement
Turn to Exercise 3.2 at the back of this part to outline three procedures
which restores blood flow in arteries affected by atherosclerosis.
For each of the diagrams below, colour the blood in the center of the artery
in red, the plaque yellow and the artery wall in pink.
artery
plaque
A blood clot to the brain can block blood flow to brain cells, causing one
form of stroke, and possibly shutting the brain down. This can kill
the person.
Blood may be thinned with aspirin, minimising the danger of blood clots
and potential strokes.
The skeleton protects many of the internal organs. For example, the
brain is encased in the skull, the heart and lungs are surrounded by the rib
cage and the spinal cord runs within the canal formed by the vertebrae
(backbones).
Colour the skull, rib cage and spine in three different colours on the skeleton
draw below. This will highlight the bones that protect vital organs.
Human skeleton.
an protects The system upright skeletal and vital maintains organs stance.
_________________________________________________________
_________________________________________________________
The diagram below shows the different types of tissue inside the longest
bone in the human body (the femur).
Bones are living body parts. They are made of cells, just as your skin,
lungs and heart are made of cells. Your bones store many mineral salts
containing calcium, phosphorus, sodium and potassium. The above
diagram shows ‘spongy’ bone with pores in the bone at each end and a
hollow centre containing bone marrow.
This means that, in general, the ends of bones (the epiphysis) are more
able to absorb shocks than the straighter section of bone.
Indicate the shock absorbing abilities of cancellous bone and the diaphysis
by labelling the diagram on the previous page.
You may have the idea that bones are solid, inflexible structures that
break or shatter under great stress. You may change you ideas after the
following activity.
Aim
• To remove calcium compounds from a chicken bone.
• To examine the flexible nature of bones.
Method
1 Observe the solid structure of the bone prior to the experiment by
attempting to bend the bone.
2 Place the chicken bone in the glass, jar or container.
3 Completely submerge the bone in vinegar.
Summary
0% 50% 100%
You probably didn’t realise all the activities you have carried out in this
module. The amount you shaded in the right column should indicate the
knowledge you have gained so far in Medical technology – bionics.
You can be the judge of the amount you have learned – and the amount
of revision you require.
Suggested answers
artery
balloon is blown
up repeatedly,
dye showing pressing plaque
artery width artery against artery
walls
plaque
plaque
blood
plaque artery
pushed to the
artery walls catheter
artery
Stents Atherectomy
artery
plaque
artery catheter
vein is used to
bypass the
clogged artery,
restoring blood
flow
hardened
artery
with little
blood flow
Bypass surgery
Cardiac catheterisation
Balloon angioplasty
Laser angioplasty
Bypass surgery
Thrombectomy
Atherectomy
Stents
Statement
Exercises - Part 3
Exercise 3.1
Choose two areas of current research into heart transplants and two areas
of current research into artificial hearts. For each research area:
• explain the research
• explain the possible implications of the research with regards to heart
transplants or artificial hearts
• explain how you think the research could impact on society (this can
be the same for many areas of research).
2 ___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3 ___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Exercise 3.3
This experiment is continued from Calcium compounds in bones on
page 16.
1 Draw a diagram of the chicken bone submerged in vinegar.
The space provided indicates the size of the diagram required.
Use pencil and label parts of the diagram.
Results
Draw the bone as bent as you can make it, or take a photograph and glue
in the space provided.
Which type of testing did you just carry out on the chicken bone?
Explain your answer.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
State the non–destructive tests you did on the chicken bone before and
after placing it into vinegar. Explain why these tests are non–destructive.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
State the different types of results you gathered from destructive and
non–destructive testing. It may help you to refer to the physical and
chemical properties of the chicken bone in your answer.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Given that bones are made of collagen and calcium compounds, which of
these were removed from the bone with the use of vinegar? Use your
observations of your chicken bone to help explain your answer.
You may also refer to page 16 to help explain your answer.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Senior Science
HSC Course
Stage 6
0 2
20
r
e
c to b T S
g O EN
a t in D M
o r EN
r p
In co A M
Senior Science Stage 6 HSC Course
Lifestyle chemistry
• Spare parts
• Fixing a broken heart
• Heart to heart
• Bone to bone
• Breathing easy
• Peek–a–boo
Information systems
Option
Gill Sans Bold
Contents
Introduction ............................................................................... 2
Silicone joints......................................................................................13
Joint fixation........................................................................................19
Summary................................................................................. 21
Appendix ................................................................................. 23
Suggested answers................................................................. 25
The definition of a joint is the place where two or more bones meet.
Joints can be classified according to the structure and the material that
connects the joints or the degree of movement that occurs at that joint.
Joint structures
Ligaments
Tendons
Synovial fluid
Cartilage
A rubbery substance which is used to support and protect the body from
shocks and impacts. The ends of the bone are covered with cartilage to
make a smooth, flexible joint.
Write the joint structure described by the statements below in the space
provided.
1 A rubbery substance covering ends of bones. __________________
2 ‘Rubber bands’ that hold bones together. __________________
3 Very strong flexible substance. __________________
4 Connects muscle to bone. __________________
5 Protects and supports bones against impacts. __________________
6 Lining on the inner surface of a joint capsule. __________________
7 Slippery fluid lubricating a joint. __________________
8 Prevents dislocation of bones. __________________
Turn to Exercise 4.1 at the back of this part to examine joint structures in
chicken limbs.
Joint movement
Features of synovial joints are shown in the diagram below.
Synovial joint.
The most common ligament reconstructions are for the shoulder and
knee.
2 Which sports do you think are likely to injure the knee and shoulder?
______________________________________________________
______________________________________________________
An example is where the femur joins the pelvis at the hip. Examine the
diagram that follows. You can see the end of the femur is shaped like a
ball. The pelvis has a socket (or cup) where the femur joins the hip.
Ba
ll and socket hip joint.
1 Do you have a mortar and pestle that you use in the kitchen? If so,
move the pestle around in the mortar. Another way to demonstrate a
ball and socket joint is to make a fist with one hand and a cup shape
with the other. Place the ball (fist) in to the socket (cupped hand).
Now rotate your fist.
You should have found that a ball and socket joint allows the following
range of movements:
• bending
• straightening
• movement away from the body
• movement towards the body
• rotation movements
Hinge joint
Hinge joints are another type of synovial joint. They occur where the
extremities of two joining bones fit like a hinge.
Sliding joint
The joints between the ribs and the vertebra joints are sliding joints.
This type of joint is shown in the diagram above. You can see that each
of the adjoining vertebrae is separated by a disc.
Move your back to see the range of movements that are possible.
Pivot joint
Move your neck to see the range of movements that are possible.
Which movements are the result of the pivot joint between the axis and the
atlas?
_________________________________________________________
_________________________________________________________
The knuckle joints in the hand are examples of double hinge joints.
This is where the bones of the palm join the bones of the fingers.
1 Move your fingers at the knuckle joints. Sketch a diagram of your hand
then draw arrows on the diagram showing the range of movements
possible. Use thick arrows to show the main directions and thinner
arrows showing the other directions of movement.
The joint formed by the carpal bone and the metacarpal of the
thumb is not a ball and socket joint. This joint is an example of a
saddle joint. The bone extremities are shaped like a saddle in this
synovial joint as shown below.
Locate this joint in your hand. What sorts of movements are possible?
_________________________________________________________
_________________________________________________________
Turn to Exercise 4.2 at the back of this part to locate the different types of
joints and the range of movements they allow.
Artificial joints
Silicone joints
Joints can be damaged through sports or accidents or degrade as a result
of arthritis. In many cases a diseased or damaged joint can be replaced
by an artificial joint.
a b c d e f g h i j k l m n o p q r s t u v w x y
a b c d e f g h i j k l m n o p q r s t u v w x y
1 flexible
_____________________________________________________
3 light weight
_____________________________________________________
4 smooth
_____________________________________________________
6 impervious to water
______________________________________________________
8 absorbs impacts
______________________________________________________
You may have heard of the bionic man. The term bionic refers to the
scientific study of living things as functional models for technical
development of therapeutic devices, which imitate the functions of
particular body parts. A bionic device is therefore an artificial body part
specifically designed to function in a similar way to natural body parts.
You have already studied pacemakers and artificial heart valves.
These are examples of bionics.
toe joints
knuckle joints are replaced
by silicone
are replaced joints
by silicone
joints
Turn to Exercise 4.3 at the back of this part to plan, carry out and report on
an investigation into the properties of silicone.
Joints can also be damaged through impact sports over time and joint
bones can become weak with age or diseased.
Medical science has developed various artificial ball and socket joints,
which are designed to replace worn joints, giving people greater freedom
of movement and quality of life.
The diagram on the below shows a typical ball and socket hip joint.
The diagram on the next page shows the components of an artificial ball
and socket hip joint. The components of the natural joint and artificial
joint look similar.
femur
pelvis
femoral head
(covered in
UHMWPE)
femoral stem
(superalloy)
You may need to stop the audio to jot down your points. The points should
consist of key words and should not take sentence form eg. ‘joints made of
superalloy metal,’ or ‘superalloy – cobalt/chromium and titanium’.
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
• _____________________________________________________
Turn to Exercise 4.4 at the back of this part to address questions on artificial
joints.
Joint fixation
If you were to make a coffee table, you would probably use glue and
nails to hold the table together. How do you think artificial joints are
held in place in the body?
Years ago, a metal rod was attached outside the bone with screws as
shown on page 16.
About 80% of hip replacements last 20 years. X–rays of the hip region
showing the condition of the bone, age, weight, general health and
lifestyle are all used to decide whether a cemented or uncemented
implant is best for a patient. A person can walk without support almost
immediately after a cemented hip replacement. However, an uncemented
hip replacement may require a person to use crutches or a walker for
8–10 weeks. Uncemented implants are preferred for younger, active or
very heavy people.
Try to find some people who have had implant operations who are willing
to share their experiences with you.
Turn to Exercise 4.6 at the back of this part to discuss cementing and
uncementing implants into place.
Summary
Complete the following crossword using the clues on the following page.
1 2
3 4
5 6 7
9 8 10
12
11 13
15 16
14
17
18
19 20
21 22
23
24
25
1 a substance beginning with ‘t’ that 1 tough, rope–like strands that connect
comprises artificial joints muscle to bone
3 the vertebrae joints are examples of 2 the elbow is an example of this type of
this type of synovial joint joint
4 very strong, flexible substance present 4 material covering the ends of bones
in bones, ligaments and tendons where bones meet at a joint
8 most of the joints in the body are these 5 artificial joints may be cemented or
type of joints ________________ into place
Appendix
Studies have shown that superalloy metals show very little or no wear
over time, even after 15 years. The metal is clearly strong enough to last
for many years however, the joint itself had a limited life for
several reasons.
The constant rubbing action between the superalloy metal and the ultra
high molecular weight polyethylene (UHMWPE) causes the UHMWPE
to fatigue, causing greater resistance in the joint. In almost every case,
the UHMWPE degrades long before the superalloy metal.
Other research involves studies into the structure of synovial joint fluid,
enhancing the durability of the superalloy/UHMWPE interface and
causing the debris to break off in larger pieces.
Suggested answers
Joint structures
1 A rubbery substance covering ends of bones. cartilage
2 ‘Rubber bands’ that hold bones together. ligament
3 Very strong flexible substance. collagen
4 Connects muscle to bone. tendon
5 Protects and supports bones against impacts. cartilage
6 Lining on the inner surface of a joint capsule. synovial membrane
7 Slippery fluid lubricating a joint. synovial fluid
8 Prevents dislocation of bones. ligament
Joint movement
1 The fibrous capsule encloses the joint.
2 The synovial membrane lines the joint capsule. It secretes synovial
fluid into the cavity.
3 Synovial fluid fills the joint cavity. It lubricates the joint and
provides nutrients.
4 Articular cartilage covers the end of the bones in a joint. It is
smooth, shiny and white. Articular cartilage reduces the friction
between the bones in a joint.
Hinge joint
You should only be capable of moving your forearm up and down from
the elbow and not side to side. This is because the joint is a hinge joint,
only allowing movement in one plane.
Sliding joint
You can bend further forwards than backwards because the extensions at
the back of the vertebrae inhibit the backwards–bending motion.
Pivot joint
The atlas pivot joint allows the head to look from side to side.
(Movement between the vertebrae also allows you to tilt your head
forward and back and from side to side).
Silicone joints
1 flexible
2 holds a particular shape
3 light weight
4 smooth
5 acid resistant
6 impervious to water
7 cracks under moderate pressure
8 absorbs impacts.
Summary
1 2
1
T I T A N I U M H
E 4
I
3
S L
C O L L A I D I N G 4
G E N
5
A 6
D 7
G
U F R O C E
9
S Y N O V I A L J O I
8
T N T 10
E
H C E I D 12
M
11
L I G A M E N T X B S I L I C O N 13
E
P M I I A U N
E B O 15
G B 16
T
N B A L L A N D S O C K E T
14
L
17
C O B A L T C E I N E
E I C U U H M 18
W P E
D D C I 19 20
21
R 22
S C K N
P E E U H L G
D I A P H Y S I S
23
P R E E
V I I E O S 24
O P S T R M
T H T O A I
Y C A N C E L L O U S
25
S N L M
I T O
S Y
Exercises - Part 4
Exercise 4.1
Aim
Apparatus
Method
Results
Conclusion
Exercise 4.2
Choose four joint types from the following list:
• ball and socket joint
• hinge joint
• pivot joint
• sliding joint
• double hinge joint
• saddle joint.
a) Indicate one site each for the four joint types, showing locations on
the body diagrams below.
b) Indicate all the range of movements possible for each of the four
joints. You may use arrows and/or sketch in limbs showing the
range of motion possible on the front and side diagrams below.
(Use pencil.)
Extract from Senior Science Stage 6 Syllabus © Board of Studies NSW, 1999.
Aim
What are you trying to find out? (refer to the syllabus extract above)
_________________________________________________________
_________________________________________________________
Apparatus
What will you need to carry out your investigation? Explain why you
will require each piece of equipment listed on the right.
Apparatus Justification
_____________________ _______________________
_____________________ _______________________
_____________________ _______________________
_____________________ _______________________
_____________________ _______________________
Method
How will you carry out your investigation? Remember that you must test
acid resistance, flexibility and imperviousness to water. However, you
may choose to test all the properties of silicone.
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
________________________________ _______________________
Results
How will you record your results for each type of test? How will you
highlight your results? Will you include drawings or photographs? The
lines on the following page before the conclusion are for you to justify
your choice of results presentation.
Conclusion
Discussion
Explain how each of the properties of silicone makes it suitable for use in
bionics. (Imagine the conditions that would exist inside the body, such
as a watery environment, to help you explain your answer.)
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
h) Colour in the area(s) of the artificial hip joint that degrades most
after years of use.
Exercise 4.5
By now you should have compiled information about implants – their
type, materials and parts of the body. This should be in the form of a
database. If this was not possible, you would have compiled your data as
a table.
You can present this information to your teacher as a database (on disk,
CD or as a print out) or as a completed table (from Appendix 1) in Part 1.
Attach this information to this page.
Senior Science
HSC Course
Stage 6
0 2
20
r
e
c to b T S
g O EN
a t in D M
o r EN
r p
In co A M
Senior Science Stage 6 HSC Course
Lifestyle chemistry
• Spare parts
• Fixing a broken heart
• Heart to heart
• Bone to bone
• Breathing easy
• Peak–a–boo
Information systems
Option
Gill Sans Bold
Contents
Introduction ............................................................................... 2
How do I breathe?..............................................................................10
Summary................................................................................. 17
Appendix 1 .............................................................................. 19
Appendix 2 .............................................................................. 21
Suggested answers................................................................. 23
These days, doctors seem to know all there is to know about the body
and how it works. Have you ever stopped to think ‘how do they know’?
Do you think we would know so much without technology?
Your lungs are part of your respiratory system. You may remember
how they work to exchange carbon dioxide and oxygen with the air.
The following section should help you recall the role of the respiratory
system in maintaining you as a functioning organism.
The respiratory system exchanges oxygen and carbon dioxide with the
environment. Respiratory organs transport air to the blood vessels for the
exchange of gases to take place. Air is also returned to the environment
by the respiratory system.
nose
nasal passage
trachea wall
(magnified)
epiglottis
cilia
to the stomach
trachea
bronchus
rib bronchiole
alveoli
right lung
showing left lung
lobes dissected to show
internal structure
diaphragm air
capillaries
cluster of
alveoli
alveolus
Air enters the lungs when we breathe in (inhale) through the nose
and mouth. Trace the passage of air into the lungs using the
previous diagram.
Colour the organs the air passes through in order from the mouth and nose
until it reaches the alveoli.
a) Colour the trachea red.
b) Colour the bronchi in orange.
The bronchi divide into the bronchioles. Bronchioles then divide into
alveoli which are small round pockets supplied with a great deal of blood.
Air leaves the lungs through the bronchioles then the bronchi, then the
trachea when we breathe out (exhale). This air is higher in carbon dioxide
and lower in oxygen.
You have already coloured in the bronchi and trachea in a previous diagram.
What colour are these structures?
_________________________________________________________
The diagram on the following page shows the exchange of gases between
the alveoli and the capillaries on a microscopic scale.
Label the following structures on the diagram below. The labels appear in
italics.
1 The dark arrow at the top of the diagram indicates blood low in oxygen
and high in carbon dioxide from the body.
2 The structure surrounding the alveoli cavity is the blood capillary.
3 The wall surrounding the alveoli cavity is the wall of alveolus.
4 The double headed arrow indicates inhaled and exhaled air.
5 Each circle inside the blood capillary represent a blood cell.
6 The arrow from the blood capillary into the alveoli cavity indicates
movement of carbon dioxide.
7 The arrow from the alveoli cavity to the blood capillary indicates
oxygen movement.
8 The dark arrow at the bottom of the diagram indicates blood flow to
the body, high in oxygen and low in carbon dioxide.
There are two ways gases move. These are by diffusion and across
pressure gradients. Your lungs utilise differences in pressure to draw
air into your lungs and expel air from the lungs. The structures most
responsible for causing this difference in pressure are the
diaphragm (die–ah–fram).
Gases always move from areas of high pressure to areas of low pressure.
For you to inhale, your lungs must have lower pressure than the pressure
outside your body. The air will move from high pressure outside your
body to the area of low pressure inside your lungs. For you to exhale,
your lungs must have higher pressure than the pressure outside your
body for the air to move from high to low pressure, out of the body.
You should have seen weather maps that have areas of high (H) and areas of
low (L) pressure. High and low pressures are indicated on the lungs below
as H and L inside circles.
1 Draw arrows pointing from the H to the L through the trachea on the
lungs below, as this shows movement of air from high pressure to low
pressure.
2 Circle the correct word in the sentence below each diagram.
L
mouth and nose
cavity L
trachea
H H
lung
L
L
trachea
H H
L
L
lung
H H
diaphragm
lowers
diaphragm
rises
Turn to Exercise 5.2 at the back of this part to investigate the action of the
diaphragm in inhalation and exhalation.
In this activity you will need a small amount of lime (a source of calcium
hydroxide). You may be able to obtain this from your teacher, a
bricklayer or builder or a hardware store.
Turn to Exercise 5.3 at the back of this part to investigate carbon dioxide in
exhaled air.
Cardiopulmonary resuscitation
Do you remember how the heart works from Part 1? The heart keeps
blood pumping to the lungs and body. See if you can fill in the missing
words in the sentences below.
1 Blood, which is low in ________________ and rich in ____________
________________ is pumped from the _____________ to the lungs.
What if the heart stops? Blood can’t be pumped to the lungs to take
oxygen to the cells. The body would starve for oxygen and cells would
begin to die.
You are capable of keeping a person alive when their heart has stopped.
It is likely you already know how to apply cardiopulmonary
The application of ECC and EAR can mean the difference between life
and death. If body cells can continue to exchange carbon dioxide with
oxygen in the blood, cells can be kept alive until the body can resume
normal functions.
3 Answer the following question as you would if you were sitting your
final HSC exam. Your answer should be explanatory and concise.
Explain why cardiopulmonary resuscitation techniques can maintain
life when the heart has ceased beating.
______________________________________________________
______________________________________________________
There are other ways a person may be kept alive when the heart has
stopped beating. These are called life support systems.
This list gives you some guidance on what you should take notes on
during the lecture.
Turn to Exercise 5.4 at the back of this part to explain the roles of specific
devices in maintaining life.
Summary
Appendix 1
Appendix 2
Artificial respirator.
a thousand
hollow fibre
membranes
}
carbon dioxide
oxygen several millimetres
helium to fit into a vein
expanding helium
balloon
Artificial lung.
Suggested answers
air inhaled
air exhaled
carbon dioxide
oxygen
trachea
H H
lung
L
L
trachea
H H
L
L
lung
H H
Cardiopulmonary resuscitation
1 Blood, which is low in oxygen and rich in carbon dioxide is pumped
from the heart to the lungs.
2 Here the blood exchanges carbon dioxide for oxygen in the alveoli,
then travels back to the heart where it is pumped around the body.
3 CPR techniques use chest compressions above the heart to keep
blood pumping around the body, delivering life–giving oxygen to
body cells. This can keep a person alive until the body can resume
its normal functioning. Other answers are acceptable.
Exercises - Part 5
Exercise 5.1
Many technological developments have allowed the body to be studied in
great detail. Choose two such technological developments (some ideas
are available on page 4).
Internet
local surgery
other
How knowledge of the body has improved How knowledge of the body has improved
with this technology with this technology
Exercise 5.2
Turn to the diagrams in Appendix 1 which demonstrate an experiment.
These diagrams show the action of the diaphragm in expanding the lungs.
Use the diagrams in Appendix 1 to complete the following.
1 Write an aim for this experiment.
_____________________________________________________
_____________________________________________________
2 Record all the apparatus present in the diagrams.
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
3 Once the apparatus is assembled, explain what is manipulated to
cause the apparatus to work.
_____________________________________________________
_____________________________________________________
_____________________________________________________
You may refer to page 11 and 12 which discusses high and low pressure
associated with the movement of air in the lungs to help you complete
the following questions.
4 Cut out the diagram from Appendix 1 showing the expanded
balloons and glue it below on the left. With reference to areas of
high and low pressure inside the balloon and outside the jar, explain
why the balloons in the bell jar have expanded.
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
Exercise 5.3
The materials you will need for this activity are italicised in the sentences
below. Search through the text for these items and collect them before
beginning your experiment. Make sure you read and heed the safety
warnings before you use lime.
1 Limewater is made by adding a small amount of lime (lime can be
obtained from a bricklayer, builder or hardware store) in a medium jar
with 2 cups of water.
Shake well.
Keep the lime away from your eyes and skin. Lime or limewater in the eyes
must be immediately washed away with lots of water.
Allow the jar to stand until the water appears clear and the excess
calcium hydroxide has settled to the bottom. Leave overnight with
the jar covered to minimise exposure to the air.
2 Gently pour the same amount of the clear liquid into two small clean
glasses, being careful not to disturb the calcium hydroxide on the
bottom of the jar.
3 For one of the samples of clear liquid, whisk it for one minute with a
small whisk or with a fork.
4 Was there any change in the colour of the liquid? Record your
observations below.
_____________________________________________________
5 Use the information on page 13 to explain what your observation
indicates.
_____________________________________________________
_____________________________________________________
_____________________________________________________
6 Use a straw to blow air from your lungs into the second sample of clear
liquid for one minute.
Ensure that you blow through the straw; do not draw liquid up the straw.
7 What observation did you make?
_____________________________________________________
8 Use the information on page 13 to explain what your observation
indicates.
_____________________________________________________
_____________________________________________________
Exercise 5.4
Explain the role of two of the following devices in maintaining human
life.
• artificial respirator
• artificial lung
• heart lung machine
• monitoring devices
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Senior Science
HSC Course
Stage 6
0 2
20
r
e
c to b T S
g O EN
a t in D M
o r EN
r p
In co A M
Senior Science Stage 6 HSC Course
Lifestyle chemistry
• Spare parts
• Fixing a broken heart
• Heart to heart
• Bone to bone
• Breathing easy
• Peek–a–boo
Information systems
Option
Gill Sans Bold
Contents
Introduction ............................................................................... 2
X-rays....................................................................................................4
Ultrasound ............................................................................................5
Thermography ......................................................................................7
Appendix 1 .............................................................................. 11
Appendix 2 .............................................................................. 13
Suggested answers................................................................. 15
Part 6: Peek-a-boo 1
Introduction
You have worked well through Parts 1 to 5 to get to this point. You have
read through several long appendices to gather information.
Part 6: Peek-a-boo 3
X–rays
X–ray summary
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
MRI summary
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Ultrasound
image of
inside the
transducer knee
computer
knee
Part 6: Peek-a-boo 5
area of ultrasound scan
amniotic sac
amniotic fluid
12 week foetus
Ultrasound summary
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Thermography
Part 6: Peek-a-boo 7
right leg left leg
5
4 3 4
2 2
3 1
2
4 4
3
2
3
3
1
4
3
3
Thermography summary
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Part 6: Peek-a-boo 9
knee cap
(patella)
1
5
4
2
Turn to Exercise 6.3 at the back of this part to complete a practice test on the
Medical technology – bionics module.
Appendix 1
Fractured bone.
Part 6: Peek-a-boo 11
12 Medical technology – bionics
Gill Sans Bold
Appendix 2
3
1 2
4 6
5
7
8 9
Part 6: Peek-a-boo 13
14 Medical technology – bionics
Gill Sans Bold
Suggested answers
Ultrasound
image of
inside the
collected sound knee
transducer waves are
converted to a
computer image
computer
transmits sound reflected sound
waves to the waves are
body collected by
the transducer
Part 6: Peek-a-boo 15
Minimally invasive medical techniques
knee cap
(patella)
1
5
arthrscopic
arthroscope instrument
4
2
3
ligament
cartilage
Exercises - Part 6
Exercise 6.1
Write the type of non–invasive medical technique above each of the
images and record the advantages and disadvantages for each.
Part 6: Peek-a-boo 17
Exercise 6.2
a) Define minimally invasive surgery.
______________________________________________________
______________________________________________________
b) Explain the process of keyhole surgery as opposed to open surgery.
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
c) Explain the advantages of minimally invasive surgery.
______________________________________________________
______________________________________________________
______________________________________________________
d) Explain the major disadvantage of keyhole surgery.
______________________________________________________
______________________________________________________
______________________________________________________
e) Provide three examples of medical procedures that can be achieved
through minimally invasive keyhole surgery.
______________________________________________________
______________________________________________________
______________________________________________________
f) Give three examples of interesting things you learned from the
Minimally invasive medical techniques section of the Bionics
audiotape.
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Exercise 6.3
This exercise is an open book practice test for Medical technology –
bionics. Use Parts 1 – 6 to complete this exercise.
Part A Multiple choice. Circle the letter of the most correct answer.
1 Specialised cells in the right atrium of the heart sends an electrical
impulse which causes the heart to beat. The group of specialised
cells is called the:
(A) tricuspid valve
(B) AV junction
(C) bicuspid valve
(D) sinoatrial node.
2 Ultrahigh molecular weight polyethylene (UHMWPE) is used in:
(A) all artificial heart valves
(B) replacement silicone joints
(C) large replacement joints
(D) pacemakers.
3
Part 6: Peek-a-boo 19
4 Which type of synovial joints do elbow and knee joints classify as?
(A) hinge joints
(B) pivot joints
(C) ball and socket joints
(D) sliding joints
5 The cochlear implant is an invention which:
(A) replaces joints in the fingers and toes
(B) aids hearing
(C) replaces diseased heart valves
(D) aids heart beat.
6 The invention that allowed heart surgery to take place successfully
was:
(A) pacemakers
(B) artificial heart valves
(C) the heart lung machine
(D) the artificial lung.
7
Part 6: Peek-a-boo 21
12 a) Explain the action of heart valves in the heart.
__________________________________________________
__________________________________________________
b) Draw an example of an artificial heart valve in the space below.
c) Explain how the artificial heart valve you drew above acts in the
same way as a heart valve.
__________________________________________________
__________________________________________________
13 a) Explain the role of the circulatory system.
__________________________________________________
__________________________________________________
b) Explain how cardiopulmonary resuscitation can maintain life
when the heart has stopped beating.
__________________________________________________
__________________________________________________
__________________________________________________
14 a) Identify two life support systems used in hospitals.
__________________________________________________
b) Choose and circle the name of one of the life support systems
stated above. Explain the role of this life support system in
maintaining human life.
__________________________________________________
__________________________________________________
c) Outline one surgical procedure which can take place
successfully as a result of this life support system.
__________________________________________________
__________________________________________________
Part 6: Peek-a-boo 23
17
a) What ball and socket joint does the above artificial joint replace
in humans?
__________________________________________________
b) What is the artificial thigh piece labelled ‘A’ above made of?
__________________________________________________
c) What is the structure labelled ‘B’ in the above diagram made of?
__________________________________________________
d) Explain why the structure labeled ‘B’ degrades faster than the
structure labeled ‘A’ in the above diagram.
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
e) Explain how uncemented implants attach to bone for stability.
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
ii) ________________________
________________________
________________________
________________________
________________________
________________________
Part 6: Peek-a-boo 25
Student evaluation
We need your input! Can you please complete this short evaluation to
provide us with information about this module. This information will
help us to improve the design of these materials for future publications.
1 Did you find the information in the module clear and easy to
understand?
_____________________________________________________
3 Which sort of learning activity did you enjoy the most? Why?
_____________________________________________________
_____________________________________________________
4 Did you complete the module within 30 hours? (Please indicate the
approximate length of time spent on the module.)
_____________________________________________________
_____________________________________________________
Please return this information to your teacher, who will pass it along to
the materials developers at OTEN – DE.