CTO Quiz #3 Flashcards

1
Q

What are some synonyms for “cell body” of a neuron?

A

Perikaryion; Soma.

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2
Q

What does a neuron look like?

A

Typically there is a large, euchromatic nucleus with a prominent nucleolus with lots of rER (Nissl Substance) in the cytoplasm. Some neurons contain lipofusin because of longevity.

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3
Q

Where do axons arise from the neuron?

A

Axons arise from the axon hillock, which is often called the “initial segment” of the axon (where action potentials are first generated).

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4
Q

Where does protein synthesis take place in the neuron?

A

Protein synthesis takes place in the cell body and, to a lesser extent in the dendrites. There is little (if any) protein synthesis in axons.

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5
Q

What is found in greater abundance in the cytoplasm axon than in the neuronal cell body?

A

Neurotubules and neurofilaments.

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6
Q

How are things transported within the axon?

A

Kinesin motors transport things in an anterograde manner along microtubules (toward synapse). Dynein transports things in a retrograde (toward the soma) manner.

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7
Q

What is transported within the axon?

A

Organelles, such as mitochondria and vesicles. Also proteins and cytoskeletal elements.

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8
Q

What is the difference between fast and slow axoplasmic transport?

A

How far the kinesin or dynein motor carries something before it detaches and has to be picked up by another transport molecule.

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9
Q

What is the general speed of fast and slow axoplasmic transport?

A

Slow transport is about 0.2-4mm/day, while fast is 20-400 mm/day.

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10
Q

What are synaptic vesicles?

A

These are membrane bound structures that contain neurotransmitter.

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11
Q

What are the presynaptic and postsynaptic densities?

A

The presynaptic density contains the proteins required for docking and release of vesicles of neurotransmitter. The postsynaptic density contains the receptors and associated regulatory molecules and enzymes.

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12
Q

What is an action potential and what ions are responsible for it?

A

An action potential (nerve signal) is the sudden depolarization of the neuron due to movement of sodium ions through voltage gated sodium channels.

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13
Q

Why do action potentials move in one direction and not “double back” on themselves?

A

After an action potential, the voltage-gated sodium channel inactivates for a period of time, producing a period in which it cannot be activated (absolute refractory period) and preventing the signal from “doubling back”.

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14
Q

What ion is responsible for the processes that result in release of neurotransmitter from the nerve terminal?

A

Depolarization at axon terminal opens voltage-gated calcium channels that result in calcium entry which causes docking and fusion of synaptic vesicles (with release of transmitter).

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15
Q

How does neurotransmitter cross the synapse?

A

Neurotransmitter crosses by simple diffusion. That is why the synapse must be narrow.

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16
Q

What are the possible effects of a nuerotranmsitter on the postsynaptic cell?

A

Neurotransmitters can be stimulatory (i.e., increase the chances of generating an action potential), inhibitory (decrease the chances of generating an action potential) or modulatory (having some longer term effect on the postsynaptic cell through second messengers).

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17
Q

What are the three mechanisms for termination of action of neurotransmitter?

A

Inactivation of neurotransmitters occurs by reuptake, enzymatic degradation or diffusion away from the synapse (usually to be taken up by glia).

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18
Q

What are the two broad types of receptors for neurotrasmitters?

A

Neurotransmitters bind to ionotropic (ligand-gated ion channels) or metabotropic receptors. The latter type consist of transmembrane proteins that are linked to 2nd messenger systems.

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19
Q

What is a Schwann cell?

A

A Schwann cell is derived from neural crest cells and interacts with axons in the peripheral nervous system. It may simply encase them (as unmyelinated axons) or it may wrap them tightly (as the myelin sheath).

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20
Q

What is the process of myelination of peripheral nerve fibers?

A

Schwann cells interact with specific signals (glycoproteins) on the axon and on their own membranes to wrap plasma membrane around axons. Gap junctions interconnect the wraps of myelin to allow communication within the sheath.

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21
Q

What transmembrane proteins would be in high concentration at the node of Ranvier?

A

There is a high concentration of voltage-gated sodium channels at the nodes of Ranvier (to make them sensitive sites of action potential generation).

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22
Q

What is the function of the myelin sheath?

A

Myelin allows that rapid propagation of signals via salutatory conduction, where the action potentials only need to be generated at the nodes of Ranvier and conduction is very rapid in between (longer break between nodes = faster conduction).

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23
Q

What is the range of conduction speeds from unmyelinated axons to the fastest myelinated axons?

A

The range is from <100 m/sec.

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24
Q

What are the connective tissue sheaths of peripheral nerves?

A

Nerve divided like muscle by connective tissue. The epineurium: surrounds the entire nerve. The perineurium: surrounds individual fascicles of the nerve and the enodneurium surrounds each axon.

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25
Q

What are the two general types of ganglia?

A

The two types of ganglia are the sensory and the autonomic ganglia.

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26
Q

What are satellite cells ?

A

Satellite cells surround ganglion cells and maintain proper environment.

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27
Q

Where is the gray matter in the CNS ?

A

The gray matter is located deep in the brain, near the ventricles, or on the surface of the brain (where it is called cortex).

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28
Q

What are the four types of glia found in the CNS and which type is not derived from neuroepithelial cells?

A

The astrocytes, oligodendrocytes and ependymal cells are glia that is derived from the neuroepithelium. Microglia are derived from mesoderm and migrate into the CNS.

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29
Q

What are the basic functions of each of the types of glial cells?

A

Astrocytes maintain proper ionic concentrations with nervous system. They support neurons with trophic factors and participate in clearing excess neurotransmitter. They are the origin of the signals that result in the creation and maintenance of the blood-brain barrier. Oligodendrocytes have several processes that each myelinate a segment of axon. Ependymal cells line the ventricles. They do not provide any barrier between the CSF and the brain. However, there are specialized ependymal cells (choroid plexus epithelial cells) that cover capillaries of the choroid plexus and comprise the blood-CSF barrier. Microglial cells are phagocytic cells of the CNS and they are involved in immune responses in the CNS.

30
Q

What is the blood-brain barrier and what actually comprises the barrier?

A

The blood-brain barrier is comprised of capillaries of the CNS that have tight junctions and few pinocytotic vesicles. They have specific transport molecules for many things that need to get into the brain, while blocking many things that would be harmful. The foot processes of astrocytes communicate through molecules with the endothelial cells, causing them to assume this form and function.

31
Q

What is the blood-CSF barrier and what actually comprises the barrier?

A

Choroid plexus epithelial cells form the barrier between the blood in the fenestrated capillaries of the choroid plexus and the CSF. There are tight junctions between these epithelial cells and they only allow certain molecules to pass into the CSF.

32
Q

What is the basic structure of a blood vessel?

A

The wall of blood vessels consists of layers of varying consistency and composition (from the lumen side): tunica intima, tunica media and tunica adventitia.

33
Q

What is the tunica intima?

A

This consists of simple squamous endothelial cells with basement membrane and some CT and, in most arteries, an internal elastic lamina

34
Q

What is the tunica media?

A

The tunica media consists of layers of smooth muscle and fibroelastic connective tissue. This layer is more prominent in arteries than veins)

35
Q

What is the tunica adventitia?

A

The tunica adventitia consists mostly of connective tissue that blends with the surrounding CT layers. This layer is more prominent in veins. There may be an external elastic lamina separating it from the tunica media, especially in muscular arteries

36
Q

What are vasa vasorum?

A

These are small blood vessels that supply the blood vessel wall.

37
Q

What are the nervi vascularis?

A

These are nerves that supply the blood vessels and may consist of sensory fibers and autonomic nerve fibers.

38
Q

Where in the circulatory system is blood flow slowest?

A

Blood flow is slowest in the capillaries. This is because capillaries have the greatest cross-sectional area.

39
Q

What are the features of elastic arteries and where would you find them?

A

These are the largest arteries, close to the heart. Their wall contains lots of smooth muscle and layers of elastic fibers.

40
Q

What are the features of muscular arteries?

A

Muscular arteries have a prominent internal elastic lamina in their intima and a media with 4-40 layers of smooth muscle. These include medium and small arteries, which have progressively less elastic fibers and smooth muscle as the artery becomes smaller with branching.

41
Q

What is the structure of arterioles and what do they do?

A

Arterioles contain ~1-4 layers of smooth muscle in a vey small vessel. These provide the greatest contribution to peripheral resistance (TPR) that is needed to maintain blood pressure.

42
Q

What are metarterioles?

A

Metarterioles are the smallest arterioles and regulate flow into local capillary beds via contraction of smooth muscle cells that can close off the flow to capillaries.

43
Q

What is the structure of capillaries?

A

Capillaries consist of a layer of endothelial cells and a surrounding basement membrane. There may be a pericyte within the basement membrane (which can have contractile functions despite the fact that it is not true smooth muscle).

44
Q

What are the types of capillaries?

A

There are three types of capillaries. Continuous capillaries are the most common and the endothelial cells are uninterrupted. Transport across these cells has to be either by diffusion, specific transport mechanisms or by pinocytotic vesicles. Fenestrated capillaries have small pores within the endothelial cells, which may or may not be closed by pore diaphragms. These allow for somewhat freer transport. Discontinuous capillaries have large pores and gaps between endothelial cells. They also usually have an incomplete basement membrane. They are the most common lining for sinusoids.

45
Q

What are the functions of post-capillary venules?

A

Post-capillary venules are the site of significant gaseous/nutrient exchange, as well as the site where most WBCs leave the blood stream to enter the tissues.

46
Q

What is the structure of veins?

A

Veins have three layers. The intima and media are quite thin and the tunica adventitia is the largest layer. There are bicuspid valves to prevent backflow and some longitudinal smooth muscle in the media.

47
Q

What are the functions of endothelial cells?

A

Endothelial cells are important for transfer of nutrients and wastes to and from the interstitial spaces. They are active in the inflammatory response and also have an antithrombogenic (prevent clots) function. They produce and secrete several vasoactive substances including vasoconstricors (Endothelin) and vasodialators (NO).

48
Q

What is the structure of the heart wall?

A

There are three layers (from the inside of the heart to the outside): endocardium (intima); myocardium (media, muscle cells); epicardium (adventitia).

49
Q

What are Purkinje fibers and what do they look like?

A

Purkinje fibers are modified cardiac muscle cells that are large and paler staining than regular cardiac muscle cells. These are specialized to conduct impulses from the atria toward the apex of the heart. They run in a sub-endocardial position.

50
Q

What is the structure of lymphatic vessels?

A

Lymphatic vessels have thin walls, lined by endothelium, with a connective tissue casing. They share some similarities with small veins in that they have weak walls, with valves. However, they do not contain blood cells.

51
Q

What is the hematocrit and what is a normal value?

A

The hematocrit is the relative volume of blood cells as a percentage of whole blood. It is between ~35-49%

52
Q

What is the normal hemoglobin concentration?

A

The normal hemoglobin concentration is 13.5-17.5gm/100ml

53
Q

What is a normal erythrocyte count?

A

The erythrocyte count is normally 4-5 million/microliter (4.3-6.2 million/microliter male; 3.8-5.5 million//microliter female)

54
Q

How long do RBCs live?

A

The life span of an RBC in the circulation is ~120 days

55
Q

What are the molecules that control the shape of the RBC?

A

Spectrin & actin control shape of the red blood cell and maintain it in a biconcave shape to maximize surface area

56
Q

How large in diameter are RBCs?

A

They are around 7.2 micrometers and can be used to measure structures on a microscope slide.

57
Q

What are reticulocytes and about how many should there be in the blood?

A

Reticulocytes are immature erythrocytes containing some ribosomes (basophilic stippling). They have this appearance for about a day after they are released from the bone marrow. Since about 1% of your RBCs are normally turned over each day, there should be about 1% reticulocytes.

58
Q

About how many WBCs are there in a microliter of blood?

A

About 4000-10,000 leukocytes are present in a microliter of blood.

59
Q

What are the types of WBCs?

A

There are granulocytes and agranulocytes. Granulocytes include neutrophils, eosinophils, and basophils (based on specific granules present). Agranulocytes include lymphocytes and monocytes.

60
Q

What are “azurophilic granules”?

A

Azurophilic granules are lysosomes that are present in all granulocytes. They can also be seen in monocytes.

61
Q

What is the function of neutrophils?

A

These are phagocytic cells that react to areas of inflammation and infection and destroy pathogens (esecially bacteria).

62
Q

What is the appearance of the nucleus of neutrophils?

A

These are multilobed structures (one lobe of which may be a Barr body). Therefore, neutrophils are often called “polymorphonuclear leukocytes”, “polys” or “PMNs”.

63
Q

Which granulocytes are most abundant and which are least?

A

PMNs are the most abundant and basophils are very rare in the circulation.

64
Q

What is the appearance of a PMNs that is newly released from the bone marrow?

A

The nucleus has a horseshoe shape, called a band or stab cell. These increase in acute infections (particularly bacterial), where polys are being released as rapidly as possible.

65
Q

What is the appearance and contents of specific granules in eosinophils? What is the importance of these contents?

A

Eosinophils have a bilobed nucleus. The specific granules have a red-orange appearance with a “cat eye” shape. They contain and release major basic protein in parasitic infections and allergic reactions.

66
Q

What is the appearance of basophils?

A

Basophils are very rare in the blood. They contain dark blue/black specific granules that contain heparin, histamine and slow-reacting substance of anaphylaxis. In this regard they are similar to mast cells.

67
Q

What is the smallest leukocyte?

A

Lymphocytes are the smallest leukocytes. They are the 2nd most abundant type and are important in immune reactions.

68
Q

What are the largest leukocytes?

A

Monocytes are the largest leukocyte. These differentiate into macrophage in the tissues and are part of the mononuclear phagocytic system.

69
Q

What is the most abundant formed blood element?

A

Red blood cells are the most abundent, followed by platelets (100-300,000/microliter).

70
Q

What is the appearance of a platelet?

A

These are dark-staining, disk shaped cell fragments (from megakaryocytes of the bone marrow). There is no nucleus, just cytoplasm with many layers of membrane and circumferential bands of microtubules

71
Q

How long do platelets survive in the blood?

A

The lifespan of a platelet is about 10 days.

72
Q

What is the function of platelets?

A

The cytoplasm contains clot forming substances and many vasoactive substances. They play a role in adhesion and aggregation (plugging) of endothelial injuries, formation of fibrin clots, retraction of clots (actin, myosin) and lysis of clots (plasmin).