Biomedical Sciences Flashcards
what is the job of the nucleus?
transmit and express genetic info
built from DNA - chromatin
what is PKU?
faulty gene - no phenylalanine = quantities are toxic to CNS
what is the job of the mitochondria?
aerobic respiration
ATP to energy
what is the job of the ribosomoes?
RNA/protein
synthesise proteins
what is the job of the endoplasmic reticulum?
smooth - makes lipids, steroids, hormones
rough - protein synthesis
what is the job of the golgi apparatus?
stores proteins to be transported
what are lyzosomes?
contain enzymes
what are microfilaments and microtubules?
cytoskeleton
maintain shape of cell
describe plasma membranes
selective barrier
hydrophillic head hydrophobic tail
membrane proteins - immunological, receptor for hormones, enzymes, transport
what is passive transport?
active transport?
bulk transport?
lipid diffusion, osmosis
NA K pump
endocytosis exocytosis
what are the phases of mitosis?
interphase prophase metaphase anaphase telophase
what are the phases of meiosis?
prophase 1 metaphase 1 anaphase 1 telophase 1 prophase 2 metaphase 2 anaphase 2 telophase 2
what are the divisions of the nervous system?
sensory
motor - voluntary/somatic
involuntary/autonomic - sympathetic/parasympathetc
what are neurones?
neuroglia?
- cells that conduct
- cells that support neurones
what is myelin?
produced by schwann cells. Fatty layer around nerve cells - gaps = nodes of ranvier
types of neuroglia?
- astrocytes - blood vessels
- oligodendorcytes - form myelin
- microglia - phagocytes
- ependymal - linin cells
what are the meninges?
dura mater
arachnoid mater
pia mater
what is the circulus arteriosus?
supplies o2 and glucose to the brain
job of the cerebrum? thalamus? hypothalamus? cerebellum? midbrain? pons? medulla oblongata?
- intelligence, memory
- sensation
- autonomic NS. linked with pituitary
- balance and equilibrium
- visual and auditory reflexes
- cranial nerves
- resp/BP/hear rate/circulation
what is CSF?
forms in ventricles
protection, maintains pressure, shock absorber, lubrication
how many spinal nerves?
31
what do the 31 spinal nerves split into?
- 8 cervical
- 12 thoracic
- 5 lumbar
- 5 sacral
- 1 coccygeal
cervical plexus supplies? brachial? lumbar? sacral? cocygeal? thoracic nerves?
- head/neck/diaphragm
- skin/muscles in chest area
- abdomen/pelvis/ankle/foot
- pelvis, sciatic nerve
- cocyx
- ribs and intercostal muscles
job of nasal cavity?
filtrate, warm, humidify, smell
where do the adenoids live?
palatine tonsils?
nasopharynx
oropharynx
job of the pharynx?
air/foodwar
taste, hearing, protection, speech, swallowing
- facial artery and veins
- vagus/glossopharygeal, sup c plexus
describe the larynx?
- hyaline cartilage - thyroid, cricoids, arytenoids
- elastic cartilage - epiglottis
sound, speech, protection, air passage - sup/inf laryngeal arteries
- internal jugular vein
vagus and sup c plexus
describe the trachea?
16- 20 rings of hyaline cartliage
support, bring up mucous, cough, air filter, warm, humidify
thyroid artery and inf thyroid vein
sup c plexus and vagus nerve
describe the bronchi?
right - 3 branches, 3 lobes
left - 2 branches, 2 lobes
RL bronchial arteries and veins
vagus and sup c plexus
what are bronchioles?
finest branches of bronchi
what are the alveoli?
small air sacs, CO2 O2 exchanged here. External respiration
describe how breathing works?
active inhalation
passive expiration
pause
negative pressure in thoracic cavity = resp pump
what is elasticity?
compliance?
can lung return to norm shape
how much can lung inflate
how many resp cycles per min?
15
what is external resp?
internal resp?
exchange of gas between alveoli and blood
exchange of gas between blood and body cells
how is co2 excreted?
bicarb ions, dissolved in plasma, in erythrocytes
layers of the heart?
pericardium
myocardium - muscle
endocardium - smooth blood flow
AV valves of the heart are?
R - tricuspid
L - mitral
how is valve backlfow prevented?
chordae tendinae
how does heart contraction happen?
SA node to AV node = ventricles contract
how many cardiac cycles per min?
60-80
what is Blood pressure?
pressure blood exerts on walls of vessels
120/80
how is bp controlled?
autonomic NS
baroreceptors
chemoreceptors
higher centres in the brain
what is the pulse?
distension in an artery wall bc left ventricle contracts
what is blood flow controlled by?
autonomic NS
layers of artery?
tunica adventitia
tunica media
tunica intima
what are capillaries?
connect arterioles to venules
thin walls for passage of water and small molecules
what are veins?
return blood at low pressure back to the heart
how do thick vessels recieve blood?
vasa vasorum
areas of a kidney?
cortex - capsule around kidney
medulla - pyramids
hilum - area of blood and lymph supply
renal pelvis - recieves urine formed
how is urine moved to the ureter?
peristalsis
what is the job of a nephron?
to form urine
tubule with blind end = bowmans capsule
continues to convoluted tubule, loop of henle, distal convoluted tubule, collecting duct
what happens to blood passing through the kindey?
blood to glomerulus if filtrated and returned to normal circulation by renal vein
job of the kidney?
urine formation
water balance and urine output
electrolyte imbalance
how is rune formed?
selective filtration
selective reabsorption
secretion
composition of urine?
96% water
phosphate, ammonia, K, urea, uric acid, creatinine, Na, Cl
direction of urine travel?
hilum to bladder to urethrea
how does ingestion happen?
salivary glands produce amylase = bolus
bolus moved to oseophagus and peristalisis to somach
phases of swallowing?
buccal phase - voluntary. bolus formation
pharyngeal phase - involuntary
oseophageal phase - involuntary. Peristalsis
action of stomach?
store food produce gastric juice muscular action absorption - water, alcohol, lipid sol drugs dissolves iron out of food by HCL acid
action of gastric acid?
water - liquify HCL acid - activates pepsinogen to pepsin = kills microorganisms, bicarb neutralises duodenum enyme action intrinsic factor - absorbs vit B12 mucous - protection
phases of gastric secretion?
cephalic phase - before food hits stomach
gastric phase - food in stomach
intestinal phase - secretion slows down
what secretes gastric juice?
pariteal cells
chief cells
mucous secreting cells
what is pernicious anaemia?
reduced intrinsic factor
action of small intestine?
duodenum, jejunum, ileum movement of food secretion of intestinal juice digestion complete protection from bacteria, lymph hormones absorption
action of the pancreas?
sodium bicarb
pancreatic juice
exocrine - enzymes
endocrine - hormones, insulin
action of gall bladder?
acids - emulsify
pigments faeces
needed for vit k absorption
liver action?
amino acid breakdown glucose to glycogen de saturates fat heat production secretes bile stores vitamins forms plasma proteins detoxification
main action of small intestine?
digestion and absorption through villi
action of plasma?
cellular component of plasma?
carrier medium
erythrocytes, leucocytes, platelets
functions of blood?
gas transport nutrients to cells hormone transport defence mechanisms haemostatic
composition of plasma?
90% water electroyltes nutrients gases waste hormones plasma proteins
action of water in plasma?
types of plasma proteins?
transport - heat dispersal
- albumins, globulins, fibrinogen
action of electrolytes in plasma?
buffer, membrane excitability
why is a rbc the shape that it is?
increased surface for diffusion
thin = rapid o2 diffusion
felxible = small capillaries
what is a rbc made up of?
globin - protein
haem - iron containing complex - carries o2, H, NO, CO`
how are rbc created?
erythropoiesis - red bm produces cells
immature cells reach circulation and mature
kidneys regulate this
if there is reduced o2 what happens?
inreased o2?
testosterone release?
increased kidney function
reduced kideny function
increased erythropoiesis
what is a reticulocyte?
immature rbc = reduced o2 capacity. 120 day life span
where do rbc’s breakdown?
spleen
liver
bone mareow
where are rbc’s produced?
rbm of sternum, ribs, upper ends of long bones
what is nutritional aneamia? pernicious aneamia? aplastic anaemia? renal anaemia? haemorrhagic anaemia? haemolytic anaemia?
- iron/folate/vit b12 deficient
- vit b12 not absorbed
- bone marrow failure
- reduced erythropoeitin bc kidney failure
- loss of lots of blood
- rupture of rbc’s
what is polycythaemia?
excess rbc
primary cause - tumour in bone marrow
secondary - reduced o2 = increased erythropoietin
excess = thrombus formation
what blood type is the universal recipient?
universal donor?
AB
O
what is a transfusion reaction?
when blood types are incompatible
- agglutination
- haemolysis
action of WBC’s?
phagocytosis
identify cancer cells
cleaning up dead and injured cells
types of leucocytes and actions?
1 - neutrophils - attracted by chemotaxis, stick to foreign substances, 1st line of defence. Diapedesis, pseudopodia, lysosome
2 - eosinophils - associated with allergic reactions, release toxic granules to kill
3 - basophils - heparin and histamine
4 - agranulocytes 1 - monocytes, 2 - lymphocytes
5 - lymphocytes
what is a monocyte?
immature macrophage
produced IL 1 - activates t lymphs, increased body temp
b lymphocytes are respobsible for what type of immunity?
humoral antibody response
activated b lymphs - plasma cells secrete ig’s and memory cells produced
action of antibodies?
agglutination
antitoxins
lysis
opsonisation
what immunity do t lymphs produce?
cell mediated immunity
action of helper t cells?
t suppresor cells?
produce cytokines = promote t lymphs
produce antibodies and t lymphs
regulate t lymph action
where t cells mature? and develop further where?
thymus gland
lymphatic tissue
what about thrombocyte allows it to cause haemostasis?
actin and myosin
what are the stages of haemostasis?
1 vasoconstriction
2 formation of platelet plug
3 coagulation
discuss the stages of haemostasis?
1 - cut vessel - constricts and produce thromboxanes, platelets adhere to vessel wall and release serotonin
2 - platelets attach to collagen and aggregate to produce ADP which attracts more platelets. Positive feedback creates a temporary seal after 6 mins
3 - blood turns from a liquid to a gel. Thrombin turns fibrinogen to fibrin and a fibrin mesh is formed.
what are the types of clotting cascade?
intrinsic
extrinsic
what is the extrinsic clotting cascade?
10 seconds long
tissue damage repair
factor III tissue thromboplastin - released by damaged cells
what is the intrinsic clotting cascade?
> 10 mins
vessel damage
factor XII haegman factor - comes from circulation. starts when factor XIII contacts exposed collagen
how does clot breakdown happen?
fibrinolysis
factor x turns plasminogn to plasmin
what factors affect the clotting time?
Vit K levels - needed for synthesis of clotting factors
thrombocytopenia
haemophilia
drugs - aspirin warfarin
what can cause necrosis?
radiation therapy
bisphosphonates
spont/result of trauma
what are the 5 signs of acute inflammation?
rubor - redness - increased vascularity
calor - heat - increased blood flow and cytokines
dolor - pain - stretch bc swelling, bradykinin
tumor - swelling - fluid exudate
functio laesa - loss of function
what happens during the acute inflammation period?
defence mechanism
brings proteins, cells and fluids to area of damage
breakdown of damaged tissue
remove debris
what is in the inflammatory exudate?
immunoglobulins fibrin polymorphs lymphocytes plasma mononuclear cells
what cells are involved with acute inflammation?
chronic?
neutrophils
lymphs, plasma cells, macrophages
what are the 3 phases of acute inflammation?
initial vascular
increased vascular permeability/exudate forms
cellular phase
what happens in the intial inflammation phase?
triple response of lewis
- flush - dull red line - cap dilation
- flare - red irreg zone - arterial dilation
- wheal - zone of odeama - fluid exudate
= increased permeability of exudate
what happens during vascular permeability and exudate formation phase?
- toxins/physical agents causing necrosis = leakage chem mediators cause swelling = large intracellular gaps = leakage
what is the cellular phase?
neutrophils migrate to area
what are the response times of acute inflammation?
- immediate - 30-60mins. Histamine release
- delayed - 2-3 hours, lasts over 8 hours. Dead neutrophils, bradykinin, complement
- immediate but prolonged - >24 hours, direct necrosis of epithelium
what is the role of the lymphatic system?
limit local oedema
carries antigens to nodes for lymphocyte recognition
what are the sequale of acute inflammation?
resolution
suppuration
organisation - damage replaced by granulation tissue
chronic inflammation
why might chronic inflammation occur?
de novo progression from acute repeated episodes of acute 1. resistant infectious organisms 2. microorgans that persist in damaged regions 3. irritant non living foreign objects 4. poss normal tissue 5. unknown
features of chronic inflammation?
macrophages, lymphocytes, plasma cells
tissue destruction
fibrous tissue
balance of healing and destruction
how do macrophages and lymphocytes accumulate at the wound?
recruitement from circulation
local proliferation
prolonged survival
what is the role of cytokines?
recruit macrophages, stimulate phagocytes
how can chronic inflammation appear?
chronic ulcer chronic abscess cavity thickening of wall granulomatous inflammation fibrosis
sequlae of chronic inflammation?
resolution
regeneration
repair
what is healing by primary intention?
damaged edges in close proximity and minimal damage
- inflammation
- proliferation
- maturation and remodelling
discuss the stages of healing by primary intention?
1 - haemostasis - clot controls bleeding. Inflammation phase - bacteria and debris removed by phagocytes and cytokines
2- fibroblasts enter wound, angiogenesis - new capillaries. collegen deposition and granulation tissue. epithelialisation, contraction
3- scar tissue replaces fibrous tissue. Rearrangement of collagen, strenghtens. apoptosis - cells not needed.
what is healing by secondary intention?
ongoing tissue damage, significant tissue loss, edges of wound brought together`
describe secondary intention healing?
can lead to tissue damage if lasts too long, lasts as long as debris is in wound
epithelial cells proliferate from edges to centre
can last a long time
what is fibrosis and what are its effects?
scar tissue formed when there is a large loss of tissue
- adhesions, fibrosis, shrinkage
what are local factors that affect healing?
persisting infection, poor blood supply excessive movement, irradiation, corticosteroids
what are systemic factors that affect healing?
age, nutritional deficiencies, metabolic diseases, malignancies,systemic drugs
how do extractions heal?
by secondary intention
wide seperation of wound edges
= large haematoma including mucosa and bone
stages of healing after XLA?
1 - inflammation - coagulation. PLatelets form platelet plug and attract immune mediators. in the first week granulation tissue forms and bone resorbs at the socket margins
2- fibroblats and ep cells from PDL, bone and g mucosa migrate and regenerate accross the defect.
3 - woven bone is remodelled and cortical/cancellous bone forms. Reduced height of alv bone. Socket obliterated 20-30 weeks post XLA
what happens 2 weeks after an XLA?
epithelial continuity resumes at 10-14 days. Osteoblasts appear at base of socket. Granulation tissue is replaced by woven bone
what happens 4-6 weeks after an XLA?
resorption of socket walls. Disappearance of lamina dura
what is the non specific immune response?
physical/chem/cellular immunity that responds to antigens. 1st time encounter
- defence at body surface
- phagocytosis
- natural antimicrobial substances
- inflammatory response
what is the specific immune response?
how body deals with a specific antigen
distinguishes between self and non self cells by MHC
what is humoral immunity?
antibody mediated
how do antibodies protect the body?
help immune cells ingest antigens
inactivate toxins
attack bac/viruses
activate complement
what are antibodies formed of?
glycoproteins - 4 polypeptide chains - 2 long, 2 short
IgA action? IgD? IgE? IgG? IgM?
- lie in mucous membranes, blood, saliva, breastmilk
- activates basophils and mast cells
- immediate allergic reactions
- secondary antibody response
- deal with primary encounters
what are modes of action of antibodies?
agglutination
opsonisation
lysis
antotoxins
what are types of complement pathway?
- classical pathway - antibody dependent
- alternative pathway - antibody independent
action of complement?
opsonisation, chemotaxis, increased phagocytosis, agglutination, lysis, ab formation
what is active disease?
passive disease?
natural - had disease
artificial - vaccines
natural - mother to baby immunity
artificial - ready made antibodies
what is type 1 hypersensitivity?
type 2?
type 3?
type 4?
- imediate IgE release - Anaphylaxis
- cytotoxic - immediate. antobodies against self cells.
- immune complex mediated - 4-6 hours. Excessive amounts of complexes/not all cleared away
- delayed type - 24-48-72 hour onset. Over reaction of T lymphs to antibodies
what is acromegaly?
excess growth hormone once plates
what is gigantism?
over production of growth hormone in childhood before long bone epiphysis close
what is achondroplasia?
most common type of dwarfism. defect in cartilage formation/div of cells at epiphyseal plates
what is pituitary dwarfism?
growth hormone deficiency
what is hyperplasia?
increased sixe bc increased cell number
reversible with removal of stimuli
what is hypertrophy?
increased cell size
response to stimuli bc increased functional activity. physiological or pathological.
what is hypoplasia?
failure to achieve correct size during development
what is aplasia?
full failure of development of an organ
what is atrophy?
partial or complete wasting of part of the body. reduced cell size, increased apoptosis
physiological - disuse of muscle
pathological - result of disease
what is a haematoma?
tumour like lesion from cells which are normally present, benign and normal differentiation but normal architecture
what is a cyst?
pathological cavity and fluid
what is metaplasia?
one cell type turning into another
reversible
response to irritation
what is dysplasia?
pre malignant state
aberrent differentiation
what is neoplasia?
genetic alterations = loss of norm control of cell growth
how are tumours classified?
- behaviour - benign/malignant
- origin - ep/CT/lymphoid tissue
what is a carcinoma?
sarcoma?
- malignant epithelial neoplasm
- connective tissue
what is a benign tumour like?
slow growing/ non invasive/well defined/differentiated/dont metastasise
problem bc pressure and destruction
what is a carcinoma in situ?
malignant signs but no invasion/metastasis
what are malignant tumours like?
rapid growth, invade, poorly defined and differentiated
where is a carcinoma more likely? how does it spread? age group?
sarcoma?
- epithelium, lymph spread,, older
- connective tissue, blood spread, younger
what is a papilloma?
adenoma?
sqaumous cell carcinoma?
adenocarcinoma?
- non glandular ep
- glandular
- non glandular malignant
- glandular malignant
what are benign blood vessel cancers? malignant?
- haemangioma
- angiosarcoma
what are benign fat tumours? cartilage? osteoma? angioma? fibroma?
- lipoma//liposarcoma
- chondroma//chondrosarcoma
- osteoma//osteosarcoma
- angioma//angiosarcoma
- fibroma//fibrosarcoma
structure shape of benign tumour, malignant?
- benign - sessile, pedunculated, papillary
- malignant - fungating, ulcerated, annular
tx of benign tumours? malignant?
- surgical excission, enucleation
- surgery/chemo/radio
what are types of carcinogens?
chemicals, environmental factors,UV light, ionizing radiation, angiogenic viruses
how does metastatic spread happen?
- lymphatic
- haematogenesis
- transcoloemic
- implantation
cancers of the oral cavity?
- papilloma - white bc keratin
- fibroma - benign fibrous
- SCC - most common primary malignancy metastasis to nodes of neck
- verroucous carcinoma - form of SCC
- BCC - sun exposure
- pleomorphic adenoma - s.gland
- ameloblastoma
- lipoma
- liposarcoma
- kaposi’s sarcoma
- osteosarcoma
- leukaemia
- lymphoma
- haemangioma
what is the job of the lymphatic circulation?
collects tissue fluid/ maintains fluid balance plasma proteins into the bloodstream tissue drainage immunity/defence absorption in small intestine
what is in lymph?
clear, colourless fluid, no plasma proteins, lymphocytes
where does the thoracic duct empty into?
right lymphatic duct into subclavian veins
what is MALT?
mucosa associated lymphoid tissue
collections of lymphoid in GI tract
peyers patches - small intestine
tonsils
what is the job of the lymph nodes?
filtering
phagocytosing
proliferation of lymphocytes
what is reticular and lymphatic tissue?
macrophages and lymphocyte
what is the job of the spleen?
phagocytosis
blood reservoir
termination of RBC’s
types of hormones?
1- proteins/peptides/modified amino acids
2- steroids
posterior section of pituitary gland does?
anterior section?
- nervous tissue - vasopressin/oxycontin
- glandular - trophic/gonadotrophic
hypothalamus releases what?
- vasopressin - enhances water absorption
- oxycontin - contraction of uterine smooth muscle
what does the ant portion of the pituitary gland produce?
thyroid stimulating - stimulates thyroid adrenocorticotrophic hormone - cortisol follicle stimulating - sperm production lutenising - ovulation/testosterone prolactin - breast development and milk
types of thyroid hormones?
thyroxine
triiodothyronine/calcitonin
what do thyroid hormones control?
mental and physical development
healthy skin/hair
nerve fibre excitability
control of BMR
job of calcitonin?
reduced blood calcium levels
produced by c cells
job of parathyroid gland?
parathyroid hormone - regulates the level of calcium + help of calcitonin
job of PTH and calcitonin?
increased renal calcium re absorption
mobilise calcium from bones
stimulate calcium absorption
inhibits renal absorption
job of adrenal cortex?
outer layer
corticosteroid production - influence and regulate salt and water balance
what is the job of the adrenal medulla?
catecholamines - epinephrine
cortex produces?
medulla produces?
- mineralcorticoids, glucocorticoids, sex hormones
- adrenlaine, noradrenaline
pancreas produces?
insulin/glucagon
endocrine cells?
iselts of langerhans
- alpha = glucagon
- beta = insulin
- delta - somatostatin
- gamma - pancreatic polypeptide
thymus job?
pineal gland job?
- T lymphocytes
- melatonin
serotonin job?
histamine job?
prostaglandins?
erythropoeitin?
- haemostasis, intestinal secretio
- mast cells/basophils
- inflammation, pain production
- erythropoiesis