Exam 1 Part Three Flashcards

1
Q

The flat bone of skull is formed by

A

Intramembranous ossification

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2
Q

Contains concentric lamallae

A

Osteon

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3
Q

Spongy bone is formed by

A

Trabeculae

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4
Q

End of a long bone

A

Epiphysis

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5
Q

Organic components of bone matrix

A

Osteoid

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6
Q

The parathyroid hormone stimulates

A

Osteoclasts to become active

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7
Q

The endosteum lines

A

The medullary cavity

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8
Q

Osteoclasts are responsible for

A

Bone resorption

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9
Q

Vitamin D increases

A

Calcium absorption in intestine

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10
Q

Hydroxyapatite is

A

Calcium phosphate/ hydroxide crystals

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11
Q

The immature cells that produce osteoid are called

A

Osteoblasts

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12
Q

Hyaline cartilage is found in these places

A

Trachea, layrnx, fetal skeleton

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13
Q

A small space within compact bone housing an osteocyte is termed a

A

Lacuna

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14
Q

Endochondral ossification begins with a _____ model of bone

A

Hyaline cartilage

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15
Q

Production of new bone _______as a result of increased sex hormone production at puberty.

A

Increases rapidly

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16
Q

An epiphyseal line appears when

A

Epiphyseal plate growth as ended

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17
Q

The condition of inadequate ossification that may accompany aging and is a result of reduced calcification is called

A

Osteopenia

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18
Q

The femur is an example of a?

A

Long bone

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19
Q

A large, rough projection of a bone is termed a

A

Tuberosity

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20
Q

Identify the three types of cartilage, describing the extracellular matrix of each type

A

1) Hyaline
2) Elastic
3) Fibrocartilage
A matrix of protein fibers embedded within a gel-like ground substance. Chondroblasts are the cells that produce the matrix of cartilage. Once they become encased w/in the matrix they have produced and secreted, the cells are called chondrocytes & occupy small spaces called lacunae. These mature cartilage cells maintain the matrix & ensure that it remains healthy & viable

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21
Q

Describe the structure of the periosteum, & list its functions

A

It is a tough sheath that covers the outer surface of bone, except for the areas covered by articular cartilage. Made of dense irregular connective tissue & consists of an outer fibrous layer & an inner cellular layer.
Its functions are:
*Protects the bone from surrounding structures
*Anchors blood vessels & nerves to the surface of bone
*Provides stem cells (osteoprogenitor cells & osteoblasts) for bone width growth & fracture repair

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22
Q

What are the types of bones?

A

Long bones, short bones, flat bones, irregular bones

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23
Q

What are the functions of the skeletal system?

A

1) Support: Provides structural support & serve as the framework for the entire body
2) Protection: surrounds soft tissue- ex. ribs and sternum protect the heart and lungs, - skull protects the brain
3) Movement: skeletal muscle is attached to bone so it pulls on the bone when it contracts
4) Hemopoiesis: The process of blood cell production. Red bone marrow produces red blood cells, white blood cells and other blood elements
5) Storage of mineral & energy reserves: storage of minerals and lipids(fats)—yellow marrow stores fat –(found in long bones) stores calcium and phosphate–minerals are released into the blood when needed

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24
Q

Endochondral ossification basic steps

A

1) A hyaline cartilage model of bone forms
2) Bone first replaces hyaline cartilage in the diaphysis
3) Later, bone replaces hyaline cartilage in the epiphyses
4) Eventually, bone replaces hyaline cartilage everywhere, except the epiphyseal plates & articular cartilage
5) By a persons late 20s, the epiphyseal plates have ossified, & lengthwise bone growth is complete

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25
Q

Osteoporosis is

A

In which bone mass becomes reduced enough to compromise normal function. A large number of older women & a smaller number of older men suffer from this.

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26
Q

Name the steps of appositional growth

A

1) Stem cells at the internal edge of the perichondrium begin to divide, forming new stem cells & committed cells
2) The committed cells differentiate into chondroblasts
3) These chondroblasts begin to produce & secrete new cartilage matrix. As a result, they push apart & become chondrocytes, each occupying its own lacuna
4) The new matrix has been produced peripherally, & thus appositional growth as occurred

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27
Q

Describe the microscopic anatomy of compact bone

A

Organized structure when viewed under the microscope. A cylindrical osteon is the basic functional & structural unit of mature compact bone. Osteons run parallel to the diaphysis of the long bone.

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28
Q

An osteon is a three-dimensional structure that has several components

A
  • The central canal
  • Concentric lamellae
  • Osteocytes
  • Canaliculi
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29
Q

Simple fracture=

A

(Closed) Bone does not break through the skin

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30
Q

Compound fracture=

A

(Open) Broken ends of the bone protrude through the skin

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31
Q

Complet fracture=

A

Bone is broken into two or more pieces

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32
Q

What are the steps to fracture repair in bones

A

1) A fracture hematoma forms
2) A fibrocartilage (soft) callus forms
3) A hard (bony) callus forms
4) The bone is remodeled

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33
Q

comminuted fracture is

A

Bone is splintered into several small pieces between the main parts

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34
Q

Incomplete fracture=

A

Fracture extends only partway across the bone

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35
Q

Greenstick fracture=

A

Partial fracture; convex side of bone breaks-the other side is bent

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36
Q

Transverse fracture=

A

Fracture at right angles to the long axis of the bone

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37
Q

Spiral fracture=

A

Fracture spirals around axis of long bone; results from twisting stress

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38
Q

What kind of secretion does the sebaceous glands secrete?

A

Holocrine

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39
Q

Sesamoid bones are

A

small round & flat bones that form within tendons, highly variable from individual to individual except for the patella

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40
Q

Flat bones

A

have two parallel plates of compact bone with a thin layer of spongy bone sandwiched in between them

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41
Q

Mesenchyme are

A

Star shaped cells- They are stem cells that give rise to all connective tissue

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42
Q

Osteoprogenitor is

A
From mesenchyme (usually in the endosteum)
Can divide & differentiate into osteoblasts
Differentiate during bone formation and after bone fracture...
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43
Q

Fibroblast

A
  • Produce all connective tissue fibers

* Collagen, reticular & elastic fibers

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44
Q

Cartilage forming cells

A

Chondroblast

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45
Q

Encased chondroblasts

A

Chondrocytes

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46
Q

Bone forming cells

A

Osteoblast

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47
Q

Osteocytes are

A

Encased osteoblasts

*mature bone cells occupying lacuna (maintains bone)

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48
Q

Osteoclasts are

A

Bone destroying cells

  • Giant multinucleate (fused bone marrow stem cells)
  • contain lysosomes
  • secret HCI
  • dissolve bone matrix (osteolysis)
  • frees Ca++ into the blood
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49
Q

What are the 3 types of cell secretion?

A

Merocrine (eccrine), apocrine, holocrine

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50
Q

What is the mature cell of cartilage?

A

Chondrocyte

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51
Q

What kind of bone is the patella?

A

Sesamoid bone

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52
Q

What is one unit of compact bone called?

A

Osteon

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53
Q

What causes skin color?

A

Melanin, carotene, blood

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54
Q

Where are melanocytes located?

A

Stratum Basale

55
Q

What is the waterproof protein of skin & hair?

A

Keratin

56
Q

What is the band of cartilage between diaphysis and epiphysis?

A

Epiphyseal plate..

57
Q

Bone matrix composition

A

Organic framework: collagen fibers
*Secreted by osteoblasts, roughly 1/3 the weight of bone.
*Due to its toughness & flexibility, provides bone its tensile strength (acting like rebar)
Inorganic salts: Ca3(PO4)2-Calcium Phosphate
• Hardest matrix material
• Tooth enamel!
• Rigid
• Brittle
• Small plates of Ca3(PO4)2 lie alongside the collagen fibers (like cement with rebar)

58
Q

Trabeculae

A

form a lattice-like network of struts.

  • Significantly decrease the weight
  • Keeps strength
59
Q

“Direct” ossification

A

Intramembranous Ossification

60
Q

Describe Intramembranous Ossification

A
  • Eight weeks of development- 8 weeks
  • Osteoblasts form within connective tissue (“dermal bones”).
  • Only about 10% of your bones form this way: many in the skull, clavicle, scapula, os coxae & all sesamoid bones (including patella)
61
Q

What are the steps to Intramembranous Ossification

A

Step 1 – Mesenchyme cell clusters become osteoprogenitor cells that become osteoblasts.
Osteoblasts produce osteoid. Osteoid begins to mineralize as the ossification center…
Step 2 – Bony spicules (trabeculae) begin to radiate out from the ossification center. Any trapped osteoblasts become osteocytes; blood vessels branch & grow.
Step 3 – Over time, this bone assumes the structure of spongy bone with blood vessels trapped in trabeculae
Step 4- Bone remodeling results in two layers of
compact bone with spongy bone and small marrow cavities in between. A sandwich!

62
Q

Endochondral Ossification is

A
  • “Indirect” ossification via cartilage
  • A hyaline cartilage skeleton model is made first, then that cartilage is converted into bone.
  • Most bones form this way…
63
Q

Summary of Endochondral Bone-

A
  • Hyaline cartilage model develops (in fetus via chondroblasts).
  • Cartilage calcifies and periosteal collar forms.
  • Primary ossification center (osteoblasts in diaphysis.
  • Secondary ossification centers (epiphysis).
  • Replacement of cartilage w/ bone (except epiphyseal plates.
  • Complete ossification (epiphyseal line)
64
Q

Appositional bone growth

A
  • proceeds as periosteal cells differentiate into new osteoblasts which lay down bone on the bone’s exterior.
  • New osteons will organize over time.
  • Osteoclasts on the endostium will dissolve bone enlarging the marrow cavity…
65
Q

Hormones influence what in bones?

A

Ca++ balance, as well as the timing of growth spurts & the end of growth

66
Q

Calcitonin from the thyroid & parathyroid hormone from the parathyroid glands control

A

homeostasis of Ca++

67
Q

Human Growth Hormone & Thyroxine maintain

A

epiphyseal cartilages until growth is done

68
Q

Estrogen & testosterone accelerate

A

bone growth & the “closure” of epiphyseal plates



69
Q

Ligaments join

A

bone to bone

70
Q

Tendons join

A

Muscle to bone

71
Q

Bursa

A

small pockets of synovial membrane, filled with synovial fluid, eases motion & cushions friction

72
Q

Tendon sheaths are

A

Tubular bursae that surround tendons with bony friction

73
Q

Articular discs are

A

Articular discs: fibrocartilage pads that limit movement, also called menisci

74
Q

Name the different knee injuries

A
  • Meniscus tear
  • ACL tear
  • Medial colateral tear
  • Patellar ligament tear
75
Q

Rotator cuff injury

A
  • Shoulder- greatest range of movement!

* Muscles (with tendons) hold head of humerus in glenoid fossa

76
Q

Carpal tunnel syndrom

A

Any compression of either the median nerve or the tendons in the tunnel results in carpal tunnel syndrome.

77
Q

Tennis elbow

A

Also called lateral epicondylitis is a painful condition resulting from trauma or overuse of the common extensor tendon of the posterior forearm muscles. It arises from the lateral epicondyle of the humerus, the attachment site of the common extensor tendon

78
Q

What are the indications that bone is alive?

A

It grows, repairs, thickens and undergoes atrophy

79
Q

Osteocytes communicate through?

A

Canaliculi

80
Q

Describe the characteristics of articular cartilage

A

A thin layer of hyaline cartilage covering the epiphysis at a joint surface. It helps reduce friction & absorb shock in movable joints

81
Q

What are the characteristics of the medullary cavity

A

The hollow, cylindrical space within the diaphysis. In adults it contains yellow bone marrow

82
Q

The characteristics of the endosteum are

A

An incomplete layer of cells that covers all internal surfaces of the bone, such as the medullary cavity. Contains osteoprogenitor cells, osteoblasts, & osteoclasts, & is active during bone growth, repair, & remodeling

83
Q

Why is spongy bone able to withstand stress in an area such as the expanded end of a long bone?

A

Spongy bone is lighter & able to withstand stresses applied from many directions.

84
Q

What is ossification?

A

The developmental process of bone formation

85
Q

What are the effects of exercise on bone mass

A
  • Bone has the ability to increase its strenght over a period of time by increasing the amounts of mineral salts deposited & collagen fibers synthesized
  • Bones of athletes become thicker
  • Weight lifting or walking help build and retain bone mass
  • lack of exercise weakens bone
86
Q

What is the difference between intramembranous ossification and endochondral ossification?

A

Intramembranous ossification [flat bones] & endochondral ossification [long bones].The essential between them is the presence or absence of cartilaginous phase

87
Q

Bones growth in length is called?

A

Interstitial growth

88
Q

Bones growth in diameter or thickness is called?

A

Appositional growth

89
Q

Interstitial growth occurs

A

Within the epiphyseal plate as chondrocytes undergo mitotic cell division in zone 2 & chondrocytes hypertrophy in zone 3
*these activities combine to push the zone of resting cartilage toward the epiphysis, while the new bone is being produced at the same rate in zone 5, resulting in increased bone length.

90
Q

Appositional growth occurs

A

Within the periosteum. Osteoblasts in the inner cellular layer of the periosteum lay down bone matrix in layers parallel to the surface. As these lamellae increase in number, the structure widens. As new bone is being laid down the osteoclasts along the medullary cavity resorb bone matrix, creating an expanding medullary cavity

91
Q

List the four types of arteries that are found in a long bone and what portion of each bone does the artery supply

A

1) Nutrient artery-Diaphysis
2) Metaphyseal arteries & metaphyseal veins-Diaphyseal side of the epiphyseal plate
3) Epiphyseal arteries & epiphyseal veins-Epiphyses
4) Periosteal arteries & periosteal veins-External circumferential lamellae & the superficial osteos within the compact bone at the external edge of the bone

92
Q

Supraorbital forearm

A

Frontal bone

93
Q

Foremen magnum

A

Occipital bone

94
Q

Sella turcica

A

Sphenoid bone

95
Q

Cribriform plate

A

Ethmoid bone

96
Q

Transverse foramina

A

Cervical vertebrae

97
Q

Costal demifacets

A

Thoracic vertebrae

98
Q

Xiphoid process

A

Sternum

99
Q

Upper Jaw

A

Maxillae

100
Q

Which bones form the hard palate?

A

Palatine bones & maxillae

101
Q

The bony portion of the nasal septum is formed by the?

A

Perpendicular plate of the ethmoid bone and vomer

102
Q

The mandible articulates with the_____bone.

A

Temporal

103
Q

Some muscles that control the tongue and larynx are attached to the?

A

Hyoid bone

104
Q

The frontal and parietal bones articulate at the ___ suture

A

Coronal

105
Q

The compression of an infant’s skull bones at birth is facilitated by spaces between unfused cranial bones called

A

Fontanelles

106
Q

What are the openings in the sphenoid

A

Foramen rotundum, foramen spinosum, optic canal

107
Q

Each temporal bone articulates with the

A

Occipital, zygomatic, sphenoid, & parietal bones, and the mandible

108
Q

Most____vertebrae have a long spinous process that is angled inferiorly

A

Thoracic

109
Q

The clavicles articulate with the _____ of the sternum

A

Manubrium

110
Q

What are sutures, & how do they affect skull shape & growth?

A

Immovable joints that form the boundaries between the cranial bones. (coronal, lambdoid, sagittal, & squamous)
They allow the cranium to grow & expand during childhood. In adulthood, when cranial growth as stopped, the sutures fuse and are obliterated.

111
Q

Identify the first two cervical vertebrae

A

C1-Atlas-supports the head via its articulation with the occipital condyles of the occipital bone
C2-Axis-during development the body of the atlas fuses to the body of the axis
The fusion produces the most distinctive feature of the axis, the prominent dens
The dens acts as a pivot for the rotation of both the atlas & the skull

112
Q

Identify the region of the vertebral column that is most likely to experience a herniated disc, & discuss the causes of this problem

A

The cervical and lumbar intervertebral discs are the most common discs to be injured, because the vertebral column has a great deal of mobility in these regions, and the lumbar regions bears increased weight.
It occurs when the gelatinous nucleus pulposus protrudes into or through the anulus fibrosus.

113
Q

What are the 5 regions of the vertebral column

A

1) Cervical vertebrae
2) Thoracic vertebrae
3) Lumbar vertebrae
4) Sacrum
5) Coccyx

114
Q

Describe the similarities and differences among true, false and floating ribs

A

Ribs 1-7-true ribs which connect individually to the sternum by separate cartilaginous extensions called costal cartilages
Ribs 8-12-false ribs their costal cartilages do not attach directly to sternum, instead they fuse to the costal cartilage of rib 7
Ribs 11-12-floating ribs because they have no connection with the sternum

115
Q

Lateral malleolus

A

Fibula

116
Q

Supraspinous fossa

A

Scapula

117
Q

Tarsal bone

A

Talus

118
Q

Capitulum

A

Humerus

119
Q

Radial notch

A

Ulna

120
Q

Acetabulum

A

Os coxae

121
Q

Lesser trochanter

A

Femur

122
Q

Medial malleolus

A

Tibia

123
Q

Sternal end

A

Clavicle

124
Q

The female pelvis typically has which characteristics?

A

Wide subpubic angle, greater than 100 degrees

125
Q

The posterior surface depression at the distal end of the humerus is the

A

Olecranon fossa

126
Q

The spine of the scapula separates which two fossae?

A

Infraspinous, supraspinous

127
Q

The femur articulates with the tibia at the femur’s

A

Medial & lateral condyles

128
Q

The bony feature palpated on the dorsolateral side of the wrist is the

A

Styloid process of radius

129
Q

Identify the bone that articulates with the os coxae at the acetebulum

A

Femur

130
Q

When sitting upright, you are resting on your

A

Ischial tuberosities

131
Q

The two prominent bumps you can palpate on the sides of your ankle are the

A

Medial malleolus & lateral malleolus

132
Q

The glenoid cavity articulates with which bone or bone features?

A

Head of the humerus

133
Q

Compare the anatomic and functional features of the pectoral & pelvic girdles

A

Pelvic:

  • Deep, secure socket for limb attachment
  • Lightweight
  • Weight-Bearing

Pectoral:

  • Shallow socket for limb attachment
  • Massive
  • Flexibility
134
Q

How do the glenoid cavity & the acetabulum differ?

A

Compared to the acetabulum (hip-joint) the glenoid cavity is relatively shallow
The glenoid cavity is found in the upper body, where the humerus joins the scapula and is referred to as the shoulder socket. It is not very deep and allows for a great range of motion.
The acetabulum is in the lower body, where the ilium joins the femur. It is a deep socket and is very secure for the support and ability to bear the weight of our bodies