CHAPTER 7/8 TEST REVIEW Flashcards

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1
Q

types of bones (% bone mass)

A

Compact bone
* Dense or cortical bone
* 80% of bone mass
* Spongy bone
* Cancellous or trabecular bone
* Located internal to compact bone
* Appears porous
* 20% of bone mass

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2
Q

functions of bones

A

Support and protection
Levers for movement
Hematopoiesis
* Blood cell production
* Occurs in red bone marrow CT
Storage of mineral and energy reserves
Calcium and phosphate

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3
Q

4 classes of bone…..shape/examples

A

Long bones
* Greater in length than width; for example femur, humerus
Short bones
* Length nearly equal to width; for example carpals and
tarsals
Flat bones
* Flat, thin surfaces, may be slightly curved; for example
cranial bones
Irregular bones
* Elaborate, sometimes complex shapes; for example
vertebrae

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4
Q

4 types of bone cells (functions)

A
  1. Osteoprogenitor cells
  2. Osteoblasts
  3. Osteocytes
  4. Osteoclasts
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5
Q

what is the function of osteoprogenitor cells

A

Stem cells derived from mesenchyme
* Cellular division yields another stem cell and a “committed
cell”
* Matures to become an osteoblast
* Located in periosteum and endosteum

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6
Q

what is the function of Osteoblasts

A

Form from osteoprogenitor stem cells
* Synthesize and secrete osteoid
* Initial semisolid organic form of bone matrix
* Osteoid later calcifies
* Become entrapped within the matrix
* Differentiate into osteocytes

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7
Q

what is the function of Osteocytes

A

Mature bone cells derived from osteoblasts
* Detect stress on bone; trigger new bone formation

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8
Q

what is the function of Osteoclasts

A

Large, multinuclear, phagocytic cells
* Derived from fused bone marrow cells
* Ruffled border increases surface area exposed to bone
* Located within/adjacent to a depression/pit on bone
surface
* Resorption lacuna
* Involved in bone resorption (breakdown of bone)

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9
Q

epiphyseal plate/line

A

Maintains thickness during childhood
* At maturity, rate of cartilage production slows
* Remnant is an internal thin line of compact bone
* Epiphyseal line

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10
Q

clinical view —–slide 75 Achondroplastic Dwarfism

A

Achondroplasia
* Characterized by abnormal conversion of hyaline cartilage
to bone
* Most common, achondroplastic dwarfism
* Long bones of limbs stop growing in childhood
* Other bones continue normal growth
* Short in stature but large head
* Failure of chondrocytes in epiphyseal plate to grow and
enlarge
* Inadequate endochondral ossification

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11
Q

amount of bone replaced yearly

A

20% of skeleton replaced yearly

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12
Q

hormones that influence bone growth/remodeling

A

Growth hormone
Thyroid hormone
Sex hormones
Glucocorticoids
Serotonin

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13
Q

clinical view—-slide 89 Rickets

A

Disease caused by vitamin D deficiency in childhood
Characterized by deficient calcification of osteoid tissue
Bowlegged appearance
Disturbances in growth, hypocalcemia, and tetany (cramps
and twitches)
* Caused by low blood calcium
Occurs in some developing nations
Incidence increasing in urban U.S. children

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14
Q

clinical view—-slide 95 Osteoporosis

A

Results in decreased bone mass, weakened bones prone to
fracture
Linked to age, onset of menopause, Caucasian race,
smoking, family history, and sedentary lifestyle
Postmenopausal women at most risk
Increased incidence of fracture
* Especially at wrist, hip, vertebral column
Best treatment is prevention with diet and physical activity in
young adults
Medical treatments involve
* Slowing rate of bone loss
* Attempting to stimulate new bone growth

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15
Q

Fig. 7.16—types of fractures/descriptions

A
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16
Q

steps of fracture repair

A

Fracture hematoma forms
* Blood vessels torn within periosteum
2) Fibrocartilaginous (soft) callus forms
* Fracture hematoma reorganized into a CT procallus
* Fibroblasts produce collagen fibers
* Chondroblasts form dense regular CT
* Procallus becomes fibrocartilaginous (soft) callus
99
3) Hard (bony) callus forms
* Osteoblasts adjacent to callus produce trabeculae
* Replaces callus
* Forms a hard (bony) callus
* Continues to grow and thicken
4) Bone is remodeled
* Final phase of fracture repair
* Osteoclasts remove excess bony material
* Compact bone replaces primary bone
* Usually leaves a slight thickening of bone

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17
Q

4 cranial sutures

A

Coronal suture
Sagittal suture
lambdoid suture
squsmous suture

18
Q

Where is the pituitary gland housed?

A

sella turcica

19
Q

3 auditory ossicles

A

Malleus, incus, and stapes

20
Q

hyoid bone

A

Slender, curved bone
* Inferior to skull between the mandible and the larynx
* Does not articulate with any other bone
* Medial body
* 2 hornlike processes, greater and lesser cornua
* Attachment sites for tongue and larynx muscles and ligaments

21
Q

curves of the spine

A

Cervical, thoracic, lumbar, and sacral curvatures

22
Q

kyphosis

A

Exaggerated thoracic curvature
* Produces hunchback look
* May result from osteoporosis

23
Q

lordosis

A

Exaggerated lumbar curvature, swayback
* May result from added abdominal weight

24
Q

scoliosis

A

Abnormal lateral curvature
* May require back brace or surgery

25
Q

C1 vs C2

A

Atlas (C1)
* Supports the head
* Articulates with occipital condyles at the atlanto-occipital joint
* Permits nodding “yes”
* Lacks body and spinous process
* Lateral masses connected by anterior and posterior arches
* Slight protuberances, anterior and posterior tubercles
* Superior and inferior articular facets
* Articulate with occipital condyles and the axis
* Articular facet for dens on its anterior arch

Axis (C2)
* Body of axis fused here
* Produces dens
* Acts as a pivot for lateral rotation between atlas and skull
* Atlantoaxial joint between atlas and axis
* Permits shaking the head “no”

26
Q

herniated discs

A

Nucleus pulposus protruding into or through the anulus
fibrosus
Produces a bulging of disc contents into vertebral canal
Pinches the spinal cord or nerves
Cervical and lumbar discs most commonly injured
Cervical herniated discs
* Neck pain and pain down the upper limb
Lumbar herniated discs
* Low back pain
* Pain down the entire lower limb, sciatica

27
Q

treatment for herniated discs

A

Treatment options
* “Wait and see”
* NSAIDs
* Surgery

28
Q

surgeries for herniated discs

A

Microdiscectomy—portion of disc removed
* Discectomy—vertebrae and muscles incised before removing
* Spinal fusion—two ore more vertebrae are fused
* Artificial disc replacement

29
Q

types of ribs

A

True ribs (ribs 1 to 7)
False ribs (ribs 8 to 12)
floating ribs

30
Q

parts of sternum

A

Manubrium
body
xiphold process

31
Q

number of bones upper/lower limbs

A

Bones of the upper limb
* 1 humerus
* 1 radius and 1 ulna
* 8 carpal bones
* 5 metacarpal bones
* 14 phalanges

32
Q

number of bones lower limbs

A

Bones of the lower limb (30):
* 1 femur
* 1 patella
* 1 tibia and 1 fibula
* 7 tarsal bones
* 5 metatarsal bones
* 14 phalanges

33
Q

position/names of carpals

A

Wrist bones
* Allow multiple movements at wrist
* Arranged in 2 rows of 4 bones each
* Proximal row from lateral to medial
* Scaphoid, lunate, triquetrum, pisiform
* Distal row from lateral to medial
* Trapezium, trapezoid, capitate, hamate

34
Q

position/names of tarsals

A

7 bones of the ankle and proximal foot
* Similar to the eight carpal bones
* Proximal row: talus, calcaneus, navicular bone
* Talus, superiormost and second largest
* Articulates with the tibia
* Calcaneus, largest, forms heel
* Posterior end with projection for attachment of calcaneal tendon
* Navicular bone, on medial side of ankle
Distal row includes cuneiforms and cuboid bone
* Medial, intermediate, and lateral cuneiform bones
* Wedge-shaped, positioned anterior to navicular bone
* Cuboid bone laterally placed
* Articulates with lateral cuneiform medially and calcaneus posteriorly

35
Q

true ribs

A

Connect individually to the sternum by cartilaginous extensions
* Termed costal cartilages
* Smallest true rib is the first

36
Q

false ribs

A

Costal cartilages not attached directly to the sternum
* Costal cartilage of ribs 8 to 10
* Fused to costal cartilage of rib 7
* Indirectly attached to sternum

37
Q

floating ribs

A

Ribs of 11 to 12 without a connection to sternum

38
Q

male/female pelvis

A

Female pelvis shallower and wider
* Females with wider hips
* Due to female ilium flares more laterally
* Female acetabulum projects more laterally
* Female greater sciatic notch wider

39
Q

arches of the foot

A

Medial Longitudinal Arch
Lateral Longitudinal Arch
Transverse Arch

40
Q

Clinical View: Pathologies of the Foot

A

Bunion
* Localized swelling at first metatarsophalangeal joint
* Causes toe to point toward second toe
Pes planus
* Flat feet
* Medial longitudinal arch flattened
* Caused by excess weight, posture abnormalities, weak supporting tissue
Pes cavus
* Excessively high longitudinal arches
Talipes equinovarus
* Congenital clubfoot
* Occurs when not enough room in the womb
* Feet permanently inverted
* Ankles plantar flexed

Talipes equinovarus
* Congenital clubfoot
* Occurs when not enough room in the womb
* Feet permanently inverted
* Ankles plantar flexed
Metatarsal stress fracture
* Results from repetitive pressure
* Runners especially prone

41
Q

Clinical View: Limb Malformations

A

Polydactyly, having extra digits
Ectrodactyly, absence of a digit
Syndactyly, “webbing” or abnormal digit fusion
Amelia, complete absence of a limb
Phocomelia, short, poorly formed limb
May occur due to genetic or environmental influences
* For example, drug thalidomide
* Marketed as a sleep aid
* Caused severe disruption of limb formation if taken during
weeks 4 to 8 prenatally

42
Q

bone markings/descriptions

A