Anatomy Flashcards
Right Atrium (6)
Coronary sinus, SA, AV, SVC, IVC, tricuspid
How many pulmonary arteries & veins?
2, 4
Where are mechanoreceptors? What do they sense?
aortic arch & carotid a., BP via stretch
Chemoreceptors are located where and what do they sense?
sense low PO2, aorta and carotid
Blood Volume and pressure is regulated by what 3 systems?
heart baroreceptors, ADH release (slow response), rening angiotensin-aldosterone system
Layers of Skin
Dermis, basement membrane, epidermis
What is in the dermis (3)
blood vessels, hair shaft, sebaceous glands
What makes up the epidermis (kertinocytes)?
stratum basali (stem cells), stratum spinosum (desmosomes), stratum cornium
Type 1 Collagen comes from (3) and becomes (5)?
Firbroblasts, Reticular cells, Smooth muscle
Connective Tissue, Collagen, Fibrocartilage, Bone (osteoblasts), Dentin (odontoblasts)
Type 2 Collagen comes from (2) and becomes?
Chrondocytes, retinal cells
Hyaline & Elastic cartilage, vitreous body of the eye
Type 3 Collagen comes from (4) and becomes (4)?
Fibroblasts, Reticular cells, Smooth muscles, endothelium
Loose Connective Tissue, Reticular fibers, papillary dermis, blood vessels
Type 4 Collagen come from (2) and becomes (1)?
Epi & Endothelium
Basement membrane
What 3 permanent tissues can only undergo hypertrophy and not hyperplasia?
Cardiac myocytes, skeletal muscle, nerves
Which ones are reversible - metaplasia, dysplasia, neoplasia
Metaplasia & dysplasia
What do C-cells produce?
calcitonin
What are the infrahyoid muscles in order? (4)
Thyrohyoid, omohyoid, sternohyoid, sternothyroid
Diaphragm openings for IVC, Esophagus and Aorta (I ate 10 eggs at 12)
T8, T10, T12
Layers of epidermis (Cows like green skin beans)
Stratum corneum, lucidum, granulosum, spinosum and basale
What skin layer is only on the palms & soles
lucidum
epidermis from what embryology?
epidermis
dermis from what embryology?
mesoderm
layers of the dermis
papillary, reticular, hypodermis
Retroperitoneal organs (8)?
Ascending colon, descending colon, adrenals, kidneys, aorta, pancreas, IVC, duodenum
The left coronary artery gives rise to 3 branches (the left is MAC)
muscular, anterior interventicular a. , circumflex
Contents of the cubital fossa from medial to lateral (NATN)
Nerve (median), Artery (brachial), Tendon (biceps), Nerve (radial)
Content of the greater sciatic foramen:
superior gluteal n. & a, nerve to obturator, gemellus (inf & sup), quadratus femoris, inferior gluteal n., pudendal n. posterior femoral cutaneous n. sciatic n.
Contents of the lesser sciatic foramen (P IaNo)
Pudendal n. Internal pudendal a., nerve to obturator internus
Contents of the femoral triangle (lateral to medial) NAVeL
Femoral n, a, v, lymph
Carpal bones from proximal radial to distal ulnar - Scared lovers tri positions they can’t handle
Scaphoid, lunate, triquetrum, pisiform
Trapezium “for the thumb”, trapezoid, capitate, hamate
nodes for RA, OA and where?
RA - Haygarths at MCP
OA - Heberden’s at DIP
BOTH - Bouchard PIP
External Rotators of Hip/Thigh (please go go quietly)
Piriformic, Gemellous superior/inferior, Obturator externus/internus, quadratus femoris
Nerves branching off the posterior cord of the brachial plexus (Parts)
posterior, axillary, radial, thoracodorsal, subscapular,
Order of the brachial plexus from C5 - T1 (really tired? Drink coffee)
Roots, Trunks, Divisions, Cords
Oder of lumbar plexus (T12 - L5) (really bored, drink tall boys?)
plexus roots, branches, divisions and terminal branches
Essential a.a. - PVT Tim Hall always argues, never tyres
Phenylalanine, valine, tryptophan, threonine, isoleucine, methionine, histidine, arginine, leucine, lysine
What are purely ketogenic amino acids? (lucy never lyses fat)
leucine & lysine
Branched chain amino acids (LIV)
Leucine, Isoleucine, valine
Basic amino acids (HAL)
Histidine, lysine, arginine
Vitamins in Krebs (those nasty chicks love to fuck)
thiamine, NADH, CoA, Lipase, FAD
Oxidation is a ___ of an electron/hydrogen and reduction is ____ of an electron/hydrogen.
loss
gain
___ is needed for cytochrome c and __ for cytochrome a
Iron, Copper
Cellulose bonds
glucose with beta 1 - 4 bonds
lactose bonds
glucose & galactose beta 1-4
linoleic vs. linolenic acid
omega 6, omega 3
order of cholesterol synthesis “a hard man screws chicks”
AcetylCoA → HMG-CoA → Mevalonate → Squalene → Cholesterol
rate limiting step for steroid biosynthesis
desmolase
purines & pyrumidines (All girls are PURe and King TUC and the PYRamids)
purines = adenine & guanine pyramidines = tyamin/uracil and cytosine
Nucleotides vs. nucleosides
nucleotides are pentose sugar, nitrogen base AND PHOSPHATE
Pairings in DNA - All tall guys can dunk
adenine & thymine, guanine & cytosine
8 Steps of Krebs cycle - Can I Keep Sex Slaves for my office?
Citrate, Isocitrate, alpha-Ketoglutarate, Succinyl-CoA, Succinate, Fumarate, Malate, Oxaloacetate.
Products made from keto ___ No no go find help nympho
▪ Btw citrate and isocitrate = nothing ▪ Isocitrate → a-keto = NADH (+CO2) ▪ A-keto → succinyl-Coa = NADH (+CO2) ▪ S-coa → succinate = GTP ▪ Succ → fumarate = FADH2 ▪ Fum → malate = h20 (goes IN) ▪ Mal → oxaloacetate = NADH
Amino acids that convert into TCA cycle intermediates to become glucose - Alan the Pyro, Aspar the OX, and Glu the alpha-kitten
▪ Alanine → pyruvate, aspartate → oxaloacetate, and glutamate → alpha-ketoglutarate.
Somatostatin
▪ Produced in hypothalamus to inhibit GH
▪ delta cells of pancreas to inhibit insulin and glucagon, gatrin in gastric mucosa, secretin in intestinal mucosa, and renin in kidneys
Somatotopin aka
GH
Somatomedin
from the liver and other tissue to mediate the effects of GH on cartilage
Pepsin vs. Chymotrypsin
o Both break down proteins
▪ Pepsin works in acidic environment of stomach
▪ chymotrypsin works in basic environment of duodenum
myenteric plexus vs. meissner’s plexus
o myenteric – aka auerbach’s plexus in muscularis layer for GI motility
o meissner’s – in submucosa to promote secretions
What cells make oxytocin?
paraventricular cells
What makes ADH?
supraoptic nuclei of posterior pituitary
What does the adrenal medulla produce?
Epineprhine, norepinephrine
WHat does the corus luteum produce?
progesterone
Alpha cells of the pancreas produce?
glucagon
Beta cells of the pancreas produce?
insulin
Delta cells of the pancreas produce?
somatostatin
What is released from chief cells of the stomach?
Pepsinogen
Hemoglobin dissociation curve - CADET’s looks to the Right
Co2, Acid, DPG, Exercise & Temperature (shifts to the right)
ALL - “all the little leagers”
Acute lymphoblastic leukemia affects children
AML - all my life
affects adults
CLL
affects over 60 y/o
CML
philadelphia gene
Reed-sternberg cells
non-hodgkin’s lymphoma
Burkitt’s lymphoma
non-hodgkin’s in B cells
Staph aureus systemic illnesses (STOIC)
Scalded Skin Syndrome, TSS, Osteomyelitis, impetigo, carbuncles - also endocarditis, arthritis
Streptococcus pyogenes - SEARS
strep throat, erysipeias, acute glumerulonepritis, rheumatic fever, scarlet fever
Types of ecoli - PATHI
enteropathic, adhesive, toxigenic(traveler’s), hemorrhagic (0157:H7), invasive
Painful soft chancroid
haemophilis ducreyi
hard painless chancre
treponema pallidum
Highest to lowest Immunoglobulins - GAMED
IgG, IgA, IgM, IgE, IgD
DiGeorge Disease
congenital t cell deficiency from hypoplasia of the thymus & parathyroid - results in viral/fungal infections and tetany
SCID
defective humoral and cell-mediated immunity
Dermatomyocitis
heliotrophe reddish purple rach over the face & neck from damage by complement system and proximal muscle weakness
serum sickness type of HSR
3
CREST scleroderma
calcinosis, raynaud’s. esophageal dysfunction, sclerodactyly and telangiectasia
hypertrophy of collagen fibers of subcutaneous tissue, fixed facial expression and clawlike hand
Sjogren’s syndrome
dry mouth and eyes, connective tissue and joint pain, parotid gland enlargement bilaterally, higher risk of lymphoma
T cells are most prominent in the
lymphoid paracortex of the lymph nodes
b cells are located within the
lymphoid follicles
Vitamin A
muscosal and epithelial lining & secretions, needed for proper B cell and T cell function
Vitamin E
antioxidant, protects t cells
Vitamin C
increases neutrophils & monocyte chemotaxis and is antioxidant, collagen formation, dopamine
Vitamin D
T cell proliferation
Zinc
sperm, natural killer cells
selenium
reduces arachodonic acid, thyroid
Conn’s syndrome
hypertenstion from sodium retention due to increase in aldosterone
Sheehan’s necrosis
ischemic necrosis of pituitary gland - associated with hemorhage and post pregnancy
MEN 1
Wermer’s syndrome - hyperplasia/tumors of thyrpid, parathyroid, adrenal cortex, pancreatic islets or pituitary
MEN 2a
pheochromoctyoma, medullary carcinoma of thyroid, and hyperpara
MEND 2b
pheochromoctyoma, medullary carcinoma of thyroid
Zollinger Ellison
gastrin secreting tumor in pancreas or intestines
IgA
exocrine secretions - breast milk, mucos, saliva, tears
IgG
crosses the placenta, opsonization, main IgG in serum
IgE
mast cells to release histamine for digestion
IgM
first on the scene of infection, controls A, B, O antibody response
Classical pathway of complement starts with
Ag:ab complex
Alternate pathway of complement starts with
C3
Fragments for anaphylaxis of complement
C3a and C5a
C5a is responsible for
leukocyte activation, adhesion and chemotaxis
c3b
opsonin
MAC is made from
C5b-C9
interferons
inhibits virus infected cells, enhace mac, nk cells, cytoT cells and inhibit growth tumor
HLA B27
ankylosing spondylitis
HLA DR4
RA and juvenile diabetes
antibodies against ach receptors
Myathenia gravis
TSH activated by anti-receptor antibodies
graves
IgG of desmosomes
pemphigous vulgaris
What can ferment lactose
ecoli
most common infant meningitis
ecoli
gram negative rods - 3
ecoli, shigella, salmonella
purulent OM in children
H. influenza
soft painful chancroid
H. ducreyi
condylamata lata
HPV
hard painless chancre
treponema
bacteria without cell walls
Mycoplasma pneumonia
inclusion bodies” owl eyes”
CMV
Koplik spots, cough, fever, rhinitis, conjunctivitis, subacute sclerosing panencephalitis
measles = rubeola
myocarditis/pericarditis, meningitis, respiratory infection, hand & foot rash
coxackie virus
negri bodies in CNS
Rhadovirus - rabies
IgG auto antibodies to epidermal BM
phemphigoid bullous
Erhler Danlos syndrome
abnormal collagen and elastin formation - hyperelasticity & tissue gragility
benign neoplasm of older people, raised papules/plaques
seborrheic keratosis
Somatic cells bodies with motor function - efferent
ventral rami of gray matter spinal cord
sensory fibers afferent information
dorsal rami of gray matter spinal cord
pain and temperature travel the ___ to the ____
lateral spinothalamic tract to the visceral bodies of the lateral horn
light tough travels the ___ to the ____
anterior spinothalamic tract to the thalamus
Proprioception, 2 point discrimination are going to the ___ & ___ of the ____
gracilis & cuneatus fasiculi of the medulla
muscle and position sense travel ___ to the ____
spinocerebellar tract to the cerebellum
consolidate short term memory into longterm memory
hippocampus
sphingolipids that build up in the brain, jewish/eastern europeans
Tay-Sachs