exam 1 histo Flashcards

1
Q

1-oral mucosa

2-lining mucosa

3-masticatory mucosa

4-specialized mucosa

A

1-strat squamous epi & lamina propria
also see langerhans, merkel & melanocytes

2-nonkeratinized epi (nuclei present in all layers)

  • inner lining of lips, cheeks, soft palate, floor of mouth
  • elastic fibers in lam propria

3-keratinized/parakeratinized

  • in gingiva & hard palate
  • tall narrow CT papillae
  • mucoperiosteum as attachment to bone

4-keratinized w/ papillae & taste buds
-found on dorsal surface of tongue

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2
Q

1-tongue

2-filiform

3-fungiform

4-circumvallate

5-taste buds

6-von ebner

7-foliate

8-dorsal tongue

A

1-interlacing skeletal muscle bundles covered by oral mucosa
-dorsal divided by sulcus terminalis (V-shaped)= ant 2/3 and post 1/3

2-most numerous, conical, keratinized, no taste buds

3-mushroom shaped, visible, numerous near tip of tongue, lightly keratinized, some taste buds

4-large, dome shaped, 1 row of papillae anterior to sulcus terminalis, taste buds in lateral walls of papillae w/ taste receptors

5-small intraepithelial organs w/ neuroepithelial cells

6-ducts of serous glands of von ebner empty into base of furrow…thin serous secretion washes food material away from taste buds, permitting new taste sensations

7-not well developed in humans, on lateral of tongue, w/ taste buds

8-posterior to sulcus terminalis has accumulations of lymphatic tissues= lingual tonsil in lam propria of base of tongue

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3
Q

1-palate

2-hard palate

3-soft palate

4-salivary glands

5-structures of salivary glands

6-serous cells

7-mucous cells

8-myoepithelial (basket) cells

A

1-forms roof of mouth separating oral & nasal cavities
-numerous submucosal mucous glands

2-anterior bony part covered by masticatory mucosa, adheres to periosteum

3-mobile, important during swallowing

4-3 pairs of major & minor salivary glands making saliva—reaching oral cavity via ducts

5-branched tubuloalveolar glands
-capsule formed by dense CT—gives rise to CT septa—divde gland into lobules

6-watery secretion w/ electrolytes & enzymes

  • pyramidal in shape, eosinophilic cytoplasm w/ basophilic granules
  • protein secreting cell
  • nucelus= round & near center of cell

7-thick, viscous

  • pale cytoplasm
  • flattened nucleus near basal

8-contractile cells w/ numerous processes

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4
Q

1-acini

intralobular ducts
2-intercalated ducts

3-striated ducts

4-excretory (interlobular/interlobar) ducts

A

1-composed of serous cells only, mucous cells only or mucous cells w/ cap of few serous (serous demilune)
-outer surfaces of acinus is surrounded by contractile myoepithelial cells—both myoeptihelial & acinus surrounded by basal lamina

2-drain 2 or more secretory units
-in lobulue & lined by low cuboidal epi

3-drain 2 or more intercalated ducts

  • drain single lobule
  • simple cuboidal that become columnar closer to excretory ducts
  • like ion transporting cells (have basal infolding)

4-between lobules that they drain
-strat cuboidal epi then becomes strat columnar as ducts diameters inc
near major outlet of major duct the epi becomes strat squamous

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5
Q

1-saliva

2-parotid gland

3-submandibular fland

4-sublingual gland

5-sjogrens syndrome

A

1-moistens & cleanses oral cavity

  • has a-amylase to digest carbs
  • has lysozymes & IgA to contral flora in cavity
  • production under control via ANS—
  • symp stimulation= small amounts of protein rich (viscous) saliva= dry mouth & thirst
  • parasymp= production of watery rich saliva

2-25% of saliva—only serous
-rich in proteinshigh a-amylase activity

3-70% of saliva—mixed but mostly serous (80%) 20% mucous (serous deminulunes)

4-mixed-mostly mucous salivaray gland—CT capsule illdefined
-30% serous= serous demilunes—& 70% mucous

5-autoimmune disorder—exocrine glands are attacked
-radiation = damage to salivary gland = dry mouth syndrome

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6
Q

1-tubular part of digestive tract

2-mucosa

2a-epi lining

2b-lam propria

2c-muscularis mucosae (interna)

A

1-esophagus, stomach, small & larges intestines, rectume & anal canal
-4 layers—mucosa, submucosa, muscularis externa, & adventitia/serosa

2-formed by epi lining, lam propria, & muscular muco

2a-functions: formation of selectively permeable barrier between digestive tract & tissues of body

  • faciliate transport & digestion of food & absorption of food
  • production of hormones (enteroendocrine)
  • protection of epi lining by production of mucus

2b-loose CT—has blood & lymph vessels & lymphoid tissue in diffuse/nodular form
-lymphoid tissue of digestive tract= gut associated lymphoid tissue (GALT)—immuno barrier protecting against microbial pathogens

2c-layer of smooth muscle—inner circular & outer longitudinal —allows movement of mucosa independent of digestive tract

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7
Q

tubular digestive tract

1-submucosa

2-muscularis externa

3-adventitia/serosa

A

1-CT, usually dense w/ many blood & lymph vessels, glands & lymph tissue
-scattered parasymp ganglia—makeup submucosal or meissners nerve plexus—part of enteric nervous

2-formed by smooth muscle—inner circular, outer longitudinal…has inner oblique layer

  • parasymp cells= ganglia of myenteric (auerbachs) nerve plexus—between inner/outer layers of SM
  • interstitial cells of cajal—network between neurons of myenteric plexus & SM of muscularis externa= gastroenteric pacemaker for motility of digestive

3-outer layer of loose CT

  • organ embedded in CT, outer layer of CT has no clear demarcation= adventitia
  • where gut lies in ab cavity, outer layer of CT covered by mesothelium (simple squamous)—outer CT layer= serosa
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8
Q

1-esophagus

2-mucosa

3-lamina propria

4-muscularis mucosae

5-submucosa

6-muscularis externa

7-auerbach myenteric plexus

8-adventitia

9-GERD

A

1-long straight muscular tube that transmits food from oropharynx to stomach

2-strat squamous non keratinized epi-–epi can become keratinized if subjected to abrasion

3-loose CT—proximal & distal protions have simple tubular mucus glands= esophageal cardiac glands

4-longitudinally arranged SM-–thick in proximal bc of swallowing

5-dense irregular CT w/ collagen & elastic fibers
-tubuloalveolar mucus glands—esophageal proper—scattered throughout length of esophagus

6-changes throughout esophagus—usually inner circular & outer longitudinal

  • upper 1/3rd of esophagus= skeletal muscle, continuous w/ pharynx muscles
  • middle 1/3rd- SM are internal to skeletal & # incs distally
  • distal 1/3rd= only SM

7-found between outer & inner muscle layers along whole esophagus

8-loose CT

9-incompetent barrier at gastroesophageal junction

  • inflammation of esophagus & damage to epi lining= erosion of esophageal mucosa
  • untreated GERD= metaplasia of esophageal epi
  • replacement of strat squamous by simple colum= intestinal metaplasia
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9
Q

1-stomach

2-cardia

3-fundus & body

4-pylorus

A

1-mixed endo/exocrine organ that stores & digests
& secretes hormones
-digestion of carbs continues in stomach
-acidifed & transformed into viscous mass= chyme
-protein digestion initiated w/ enzyme pepsin
-triglycerides intiated by lipase
-mucosa & submosa are longitudinal folds= rugae

2-transition zone between esophagus & stomach—glands make mucus

3-histologically identical—gastric glands releasing acidic gastric juice

4-funnel shaped region that opens into small intestine—glands make mucus

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10
Q

stomach mucosa

1-epi

2-lam proria

3-muscularis mucosae

4-cardiac glands

5-gastric glands

6-pyloric glands

A

1-simple colum-–cells are surface mucous cells

  • secrete alkaline mucus= protective coat on epi surface
  • mucus protects surface of stomach from acids & enzymes by stomach —adds in lubrication
  • epi invaginates into lam propria= gastric pits
  • lead into tubular glands= project into lam propria

2-loose CT, has lymph tissue & BV—gastric glands here

3-inner circular & outer longitudinal SM layers

4-shortest & least numerous

5-largest & most numerous

6-like cardiac glands

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11
Q

1-glands of stomach (cardiac & gastric & pyloric)

cells of glands

2-undifferentiated stem cells

3-mucous neck cells

4-parietal (oxyntic) cells

5-chief (peptic or zymogenic) cells

6-enteroendocrine cells

A

1-straight, tubular & branched

  • upper portion of gland at junction of gastric pit & gland forms isthmus of gland
  • below isthmus = neck of gland
  • lower potion of gland= base of gland

2-found in isthmus & necklow columnar w/ basal oval nucleus—proliferative & source of new surface mucous cells & other cells of glands

3-found in neck—shorter (less colum) than surface mucous cells

  • round nucleus & apical secretory granules
  • progenitor & immature surface mucous cells
  • mucus produced by cells= more soluble than mucus produced by surface mucous cells

4-most numerous in neck & upper segment of glands
-large spherical cells w/ strongly eosinophilic cytoplasm & centrally located nucleus—make HCl & intrinsic factor (glycoprotein for Vit B12 absorption…w/o absorption= pernicious anemia)

5-in lower 1/3rd of glands-basophilic & granular cytoplasm. basal nucleus.
make pepsinogen & lipase—pepsinogen-> pepsin

6-found in base of glands
-part of diffuse neuroendocrine system, present in other parts of digestive system…cells have granules in basal area of cytoplasm= serotonin, gastrin, somatostatin & glucagon

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12
Q

stomach

1-submucosa

2-muscularis externa

3-serosa

4-cardia morph

5-body/fundus morph

6-pylorus morph

7-gastritis

A

1-usually dense CT, blood, & lymph vessels, lymphoid (mast cells & macrophages)

2-SM layers in 3 directions: inner oblique, middle circular (enlarges= pyloric sphincter) & outer longitudinal
-strong contractions of muscle wall= churning action, mechanically breaks down ingested matter

3-loose CT covered by mesothelium

4-simple/branched tubular glands—coiled w/ large lumens; 1:2 depth ratio-–most cells produce mucus & lysozyme

5-mucosa makes acid-pepsin juices w/ some mucus
-shallow pits: 1:4 ratio

6-simple/branched tubular—coiled
secrete mucus, lysozyme & gastrin. 1:1 ratio

7-inflammation of stomach—acute/chronic
-infection w/ helicobacter pylori= cause of most ulcers/inflammation

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13
Q

1-small intestine

2-mucosa

3-enterocytes

4-goblet cells

5-enteroendocrine

6-stem cells

7-paneth cells

8-M (microfold) cells)

A

1-terminal food digestion, secretion of enzymes/hormones & nutrient absorption
-lining of small intestine forms visible to naked eye folds= plicae circulares (circular folds)—bc of junctions of mucosa—mainly in jejunum gone by distal ileum

2-epi & lamina prop= finger like projections= villi
-between villi, epi deepens into lam propr & make tubular glands= intestinal glands or cypts of lieberkuhn—into muscularis mucosae

3–tall absorptive cells= simple colum epi

  • apex of cell covered w/ microvilli= brush border, inc surface area
  • joined by terminal bars—surface covered by glycoocalyxabsorb nutrients from lumen of SI.
  • sugars & proteins in blood capillaries & lipids into central lacteal

4-scattered between enterocyetes—inc in # towards distal of SI

5-among products= gastrin, secretin, cholecystokinin, somatostatin, glucagon, gastric-inhibitory peptide & motilin

6-in bases of intestinal ctypts…replenish epi cells in SI

7-numerous in ileum at bases of crypts—exocrine cells w/ large eosinophilic granules in apical portion of cytoplasma—produce lysozyme & antimicrobial

8-specialized epi cells, numerous in ileum…overly peyers patch. make membrane invaginations where intraepi lymphocytes & antigen presenting cells
-have present food antigens to immune cells of peyers

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14
Q

SI

1-lam propria

2-muscularis mucosae

3-submucosa

4-muscularis externa

5-adventitia

6-serosa

A

1-loose CT w/ blood, lymph & nerves—make core of intestinal villus

2-inner circular & outer longitudinal SM
-extend into villi facilitating rhythmic movements

3-CT rich in collagen & elastic fibers

  • meissners plexus present
  • duodenum the submucosa has brunners glands
  • ileum= peyers patches extend into submucosa

4-inner circular & outer longituidanl layers of SM
-auerbachs myenteric plexus between 2 layers

5-outer layer of major part of duodenum

6-outer layer of jejunum & ileum

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15
Q

1-duodenum

2-jejunum

3-ileum

4-celiac disease

A

1-villi are broad & leaf shaped

  • brunners glands in submucosa—coiled tubular glands that open into intestinal glands
  • alkaline mucous secretion= protects intestinal lining from acid stomach contents & help neutralize acidity

2-tall finger-shaped villi
-plicae circulares taller & thicker than in the ileum

3-villi are shorter than in jejunum

  • goblet cells are more numerous than in duodenum & jejunum
  • large amts of GALT in lam propria
  • peyers patches= accumulations of lymph tissue from mucosa into submucosa

4-autoimmune malabsorptive syndrome of SI that shows characteristic morph changes in proximal SI

  • loss of villous architecture bc of inflammatory & autoimmune damage to cells
  • sensitivity to dietary gluten
  • inflammation bc of CD* T cells in surface an CD4 T in lam propria
  • withdrawal of gluten = improval of clinical symptoms but symptoms reappaear upon challenge to gluten diet
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16
Q

1-large intestine

layers of large intestine

2-mucosa

3-lam propria

4-muscularis mucosae

5-submucosa

6-muscularis externa

7-serosa/adventitia

A

1-absorption of H20 from contents of the gut lumen= solid fecal mass
-large intestine secretes mucous for lubrication, protection & hormones

2-lacks villi, has a smooth interior surface

  • surface epi invaginates into lam propria to form intestinal glands of lieberkuhn (crypts in SI, glands in LI)
  • surface of LI lined by simple colum epi= intestinal absorptive cells & goblet cells—goblet cells are predom cell type, inc in # as rectum approached
  • intestinal glands of lieberkuhn have intestinal absorptive cells, goblet cells, undifferntiated cells & enteroendocrine.

3-has lymphoid tissue, like SI

4-inner ciruclar & outer longitudinal

5-similar to SI, no glands

6-inner circular, outer longtiduinal of SM

  • outer long= discontinuous= tenia coli
  • myenteric plexus in between

7-cecum, transverse, & sigmoid= serosal layer
-ascending, descending & rectum= partly serosal surface/adventitia

17
Q

1-appendix

2-liver

3-liver function

A

1-like LI

  • lumen= small, irregular, debris= detritus
  • lam propria & submosa= infiltrated w/ lymph tissue (nodular & diffuse)
  • shorter/fewer glands w/ no teniae coli

2-metabolism of carbs, proteins & fats

  • modification of substances
  • formation & secretion of bile (exocrine)

3-exocrine ( bile) & endocrine (glucose, lipprotein, fibrogen & plasma albumin)

  • bile acids= emulsification of lipids
  • –phospholipids—solubilize cholesterol
  • –cholesterol
  • –bilirubin= breakdown hemoglobin in mononuclear phagocytic system
  • formation & storage of glycogen from glucose, lactic acid & pyruvic acid
  • lipid metabolism= formation of lipoprotein in circulating blood…
  • detox of substances (drugs)
  • hemopoiesis in fetus/neborns
18
Q

1-liver organization

2-hepatocyte

A

1-parenchyma formed by hepatocytes via anastomosing & branching plates

  • adjacent plates of hepatocytes separated by blood sinusoids
  • plates of hepatocytes & sinusoids are arranged in radial pattern around central vein= smallest tributary to hepatic vein
  • hepatic lobule= hexagonal cross section
  • corners of hepatic lobule= portal areas= portal triads= branch of portal vein= branch of hepatic artery & bile duct
  • some animals (pig, camel, racoon) lobule bound by CT but not in human…boundaries are observed via central vein & then portal areas at corners of lobule

2-polygonal in shape

  • large nuclei, round, center of cell—most= binucelate
  • cytoplasm has abundant organelles—RER, SER, GA, perozisomes, lysosomes & mitochondria= glycogen & lipid
  • form tiny channel= bile canaliculus= goes through plates of hepatocytes & terminates in bile ducts of portal areas
  • walls of bile canaliculi= formed by plasmalemma of hepatocytes
  • plasmalemma= margins of canaliculus joined by tight junctions, preventing escape of bile
  • hepatocytes have microvili protruding into bile canaliculi
19
Q

liver
1-bile ducts

2-blood supply

A

1-bile canaliculi unite w/ interlobular bile ducts in portal areas by small interconecting channels= terminal bile ductules

  • terminal bile ductules have low cuboidal epi= gradullay inc in height as they approach interlobular ducts
  • interlobular ducts have low colum epi
  • interlobular ducts join to make extrahepatic ducts that leave liver
  • *-bile moves towards portal areas while blood moves away**

2-portal vein= brings O2 poor blood from gut & glands—nutrients & toxins from intestines, blood cells & breakdown from spleen, & endocrine secretions from pancreas /intestines

  • hepatic arteries= brings O2 rich blood
  • blood from both systems mix in blood sunusoids that course along plates of heaptocytes= emptying into thin-walled central veins—central veins ultimately join to make larger veins—forming 2/more hepatic veins into IVC
  • sinusoids similar to capillaries—large diameter—formed by thin discontinuous endothelium, supported by little CT—show intracellular fenestrae, no basal lamina & are leaky
  • sinusoids separated from plates of hepatocytes by narrow perisinusoidal space of disse—facilitates exchange of material between hepatocytes & blood
  • –blood plasma moves out of sinusoids through discontinuities & fenestrae
  • –plasmalemma of hepatocyte facing perisinusoidal space have many microvilli= inc Surface area for absorption
20
Q

liver

1-portal lobule

2-liver/hepatic acinus

3-gall bladder function

4-gall bladder organization

5-mucosa—lam prop & muscularis mucosae

6-muscularis externa

7-adventitia

A

1-based on bile drainage—centered about a portal area & consists of hepatic tissue drained by interlobular bile duct
-triangular in shape

2-based on blood supply—hepatic tissue supplied by term branch of hepatic artery & portal vein
-portal lobule is diamond shaped w/ central vein

3-storage of bile
conc of bile
release of bile—contraction of SM is induced by cholecystokinin (CCK)—made by enteroendocrine

4-hollow, pear shaped organ…connected by cystic duct to common hepatic duct to make common bile duct

5-abundant, irregular folds

  • simple colum epi w/ microvili (no goblet)
  • has lam propria
  • no muscularis mucosae = no submucosa

6-irregular in thickness & orietnation
-SM= interlacing bundles= collagenous, reticular & elastic fibers

7-gall bladder lies on liver & serosa (gall bladder covered by peritoneum)

21
Q

1-pancreas general plan

2-exocrine pancreas

3-acinar cells

A

1-pancreas separated into lobules by CT septa
-pancreas divided into exocrine (secretes digestive enzymes) & endocrine (secretions are for carb metabolism)

2-lobulated, compound tubuloacinar gland

  • serous secretory units are tubular or flask-shaped & supported by delicate CT
  • acini or alveoli have 5-8 pyramidal serous acinal cells around central lumen

3-single nucleus lies toward basal surface

  • basal cytoplasm has RER & mitochondria, giving portion of cytoplasm a basophilic appearance
  • extensive FA = present near nucleus
  • zymogen granules containing digestive enzymes & pre-enzymes fill apical cytoplasm & relased by exocytosis
  • synthesis of material in basal cytoplasm by RER
  • packaging of material in perinuclear located GA
  • storage of material in apical cytoplasm by zymogen granules= released into duct system of pancreas
22
Q

1-pancreatic acinar cells

2-pancreatic secretions controlled by

3-duct system

4-endocrine pancreas

A

1-secrete precurors of amylase, lipases, endopeptidases & exopeptidases
-pancreatic juices have lots of Na bicarb that neutralize HCl, present in chyme= neutralalkaline pH needed for pancreatic digestive enzymes

2-secretin—from enteroendocrine of SI

  • cholecystokinin—diff population of enteroendocrine in SI
  • vagal parasymp input

3-centroacinal cells in lumen of acinus form first part of duct system

  • centroacinar cells are continuous outside acinus w/ intercalated
  • intralobular-w/in lobules of pancreas= formed by joining intercalated
  • interlobular- between lobules are formed by joining intralobular ducts
  • –striate ducts arent present

4-spheroidal masses of palestaining cells= islets of langerhands

  • –alpha cells= 20% of islet= glucagon=BG inc
  • –beta cells= 70% of islet= insulin= BG dec
  • –delta cells= 10%= somatostatin (inhibit alpha/beta)