Exam II Anatomy 2 Flashcards

1
Q

lymphatic systm

A

Consists of two semi-independent parts
A network of lymphatic vessels
Lymphoid tissues and organs scattered throughout the body

Returns interstitial fluid and leaked plasma proteins back to the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

lymph

A

interstitial fluid once it has entered lymphatic vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

functions of lymph system

A

Draining excess interstitial fluid & plasma proteins from tissue spaces

Transporting dietary lipids & vitamins from GI tract to the blood

Facilitating immune responses
recognize microbes or abnormal cells & responding by killing them directly or secreting antibodies that cause their destruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

lymph vessels

A

A one-way system in which lymph flows toward the heart

Lymph vessels include:
Microscopic, permeable, capillaries
Lymphatic collecting vessels
Trunks and ducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

lymph capillaries

A

Similar to blood capillaries, with modifications

Very permeable

Loosely joined endothelial minivalves

The minivalves function as one-way gates that:
Allow interstitial fluid to enter lymph capillaries
Do not allow lymph to escape from the capillaries

Withstand interstitial pressure and remain open

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

lymphocytes

A

T cells
Manage the immune response
Attack and destroy foreign cells

B cells
Produce plasma cells, which secrete antibodies
Antibodies immobilize antigens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Other Lymphoid Cells

A

Macrophages – phagocytize foreign substances and help activate T cells

Dendritic cells – spiny-looking cells with functions similar to macrophages

Reticular cells – fibroblastlike cells that produce a stroma, or network, that supports other cell types in lymphoid organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

lymphoid tissue

A

Diffuse lymphatic tissue
Lymphatic follicles (nodules)
Lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

lymphoid tissue function

A
  1. Diffuse lymphatic tissue – scattered reticular tissue elements in every body organ (not enclosed by a capsule)
    Larger collections appear in the lamina propria of mucous membranes and lymphoid organs.

found outside of lymphatic system organs

  1. Lymphatic follicles (nodules) – solid, spherical bodies consisting of tightly packed reticular elements and cells

Have a germinal center composed of dendritic and B cells

Found as part of larger lymphoid organs (lymph nodes) or embedded within non-lymphoid organs like Peyer’s Patches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

lymph nodes

A

Lymph nodes are the principal lymphoid organs of the body

Nodes are imbedded in connective tissue and clustered along lymphatic vessels

Aggregations of these nodes occur near the body surface in inguinal, axillary, and cervical regions of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

lymph node function

A

Their two basic functions are:
Filtration – macrophages destroy microorganisms and debris

Immune system activation – monitor for antigens and mount an attack against them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

lymph node structure

A

Nodes are bean-shaped and surrounded by a fibrous capsule

Trabeculae extended inward from the capsule and divide the node into compartments

Nodes have two histologically distinct regions: a cortex and a medulla

The cortex contains follicles with germinal centers, heavy with dividing B cells

Dendritic cells encapsulate the follicles

The deep cortex houses T cells in transit

T cells circulate continuously among the blood, lymph nodes, and lymphatic stream

Medullary cords extend from the cortex and contain B cells, T cells, and plasma cells

Macrophages sit in these cords and phagocytize foreign matter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

circulation in lymph nodes

A

Lymph enters via a number of afferent lymphatic vessels

It meanders through sinuses and exits the node at the hilus via efferent vessels

Because there are fewer efferent vessels, lymph stagnates somewhat in the node

This allows lymphocytes and macrophages time to carry out their protective functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

other lymphoid organs

A

The spleen, thymus gland, and tonsils

Peyer’s patches and bits of lymphatic tissue scattered in connective tissue

All are composed of reticular connective tissue and all help protect the body
Only lymph nodes filter lymph

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

spleen

A

Largest lymphoid organ, located on the left side of the abdominal cavity beneath the diaphragm
It is served by the splenic artery and vein, which enter and exit at the hilus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

function of the spleen

A

Site of lymphocyte proliferation

Immune surveillance and response

Cleanses the blood by removing old RBC

Stores blood platelets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

structure of the spleen

A

Surrounded by a fibrous capsule, it has trabeculae that extend inward

Two distinct areas of the spleen are:
White pulp – area containing mostly lymphocytes suspended on reticular fibers and involved in immune functions
Red pulp – remaining splenic tissue concerned with disposing of worn-out RBCs and bloodborne pathogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

thymus

A

A bilobed organ that secrets hormones (thymosin and thymopoietin) that cause T lymphocytes to become immunocompetent

The size of the thymus varies with age
It increases in size and is most active during childhood
It stops growing during adolescence and then gradually atrophies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

internal anatomy of the thymus

A

Thymic lobes contain an outer cortex and inner medulla

The cortex contains densely packed lymphocytes and scattered macrophages

The medulla contains fewer lymphocytes and thymic (Hassall’s) corpuscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

thymus

A

The thymus differs from other lymphoid organs in important ways
It functions strictly in T lymphocyte maturation
It does not directly fight antigens

Star-shaped thymocytes secrete the hormones that stimulate lymphocytes to become immunocompetent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

tonsils

A

Simplest lymphoid organs; form a ring of lymphatic tissue around the pharynx

Location of the tonsils
Palatine tonsils – either side of the posterior end of the oral cavity
Lingual tonsils – lie at the base of the tongue
Pharyngeal tonsil – posterior wall of the nasopharynx (A.K.A. Adenoids)

Lymphoid tissue of tonsils contains follicles with germinal centers

Epithelial tissue overlying tonsil masses invaginates, forming blind-ended crypts

Crypts trap and destroy bacteria and particulate matter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

peyer’s patches

A

Isolated clusters of lymphoid tissue, similar to tonsils
Found in the wall of the distal portion of the small intestine
Similar structures are found in the appendix

Peyer’s patches and the appendix:
Destroy bacteria, preventing them from breaching the intestinal wall
Generate “memory” lymphocytes for long-term immunity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

malt

A

Mucosa-Associated Lymphatic Tissue is composed of:
Peyer’s patches, tonsils, and the appendix (digestive tract)
Lymphoid nodules in the walls of the bronchi (respiratory tract)

MALT protects the digestive and respiratory systems from foreign matter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

immunity

A

resistance to disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what are the two intrinsic systems of the immune system?

A

Innate (nonspecific) defense system
First - external body membranes (skin and mucosae)
Second - antimicrobial proteins, phagocytes, and other cells
Inhibit spread of invaders
Inflammation most important mechanism

Adaptive (specific) defense system
Third line of defense attacks specific foreign substances
Takes longer to react than innate system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

innate defenses

A

surface barriers
chemical barries
respiratory system modification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are surface barriers,
chemical barriers, and
respiratory system modification

A

Surface/Physical barriers ward off invading pathogens
Skin, mucous membranes, and their secretions

Chemical barriers inhibit or destroy microorganisms
Acids of skin and stomach
Enzymes – lysozymes – kill microorganisms
Defensins – antimicrobial peptides – inhibit growth

Respiratory system modifications
Nose hair coated in mucous
Cilia sweep pathogens out of trachea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

internal defenses

A

cells and chemicals

29
Q

what are the internal defenses?

A

Necessary if microorganisms invade deeper tissues
Phagocytes – macrophages, neutrophils

Natural killer (NK) cells – kill infected and tumor cells by lysis (not phagocytic)

Antimicrobial proteins – interferons (protect uninfected cells) and complement proteins (enhance immune response)

Inflammation (macrophages, mast cells, WBCs, and inflammatory chemicals)

Fever

30
Q

benefits of inflammatory response

A

Prevents spread of damaging agents

Disposes of cell debris and pathogens

Encourages repair

31
Q

cardinal signs of acute inflammation

A
Redness
Heat
Swelling
Pain
(Sometimes 5. Impairment of function)
All consequences of  vasodilation and capillary permeability
32
Q

fever

A

Abnormally high body temperature

Caused by Pyrogens secreted by leukocytes and macrophages

Increases metabolic rate  faster repair

33
Q

adaptive defenses

A

It is Specific – recognizes and targets specific antigens

It is Systemic – not restricted to initial site

It has Memory – allows stronger attacks to “known” antigens

Two separate but complimentary “systems”
Humoral (antibody-mediated) immunity
Cellular (cell-mediated) immunity

34
Q

antigens

A

Substances that provoke an immune response

The targets of all adaptive immune responses
Both humoral and cellular

Most are large molecules not normally found in body (“nonself”)

Self-antigens are cell surface protein markers that identify an organism’s own cells as being part of it’s own body
Self cells not immunogenic until placed in another organism – as in transfusion reaction or transplant rejection

35
Q

antigenic determinants

A

The parts of an antigen that are immunogenic (stimulate an immune response)

These are the “receptors” to which antibodies and lymphocytes bind

36
Q

humoral immunity

A

1.Lymphocytes produce antibodies
2. Antibodies bind extracellular antigens
3. Targets are extracellular
bacteria, fungi, parasites
4. B lymphocytes participate in humor immunity
5. B lymphocytes mature in Bone marrow

37
Q

cellular immunity

A

1, Lymphocytes attack target cells
Directly kill infected cell or
Indirectly kill it by alerting other macrophages
2. Targets are intracellular
Virus-infected cells, cancer cells i.e. abnormal ‘self’ cells
3. T lymphocytes participate in cellular immunity
4. T lymphocytes mature in Thymus

38
Q

cells of cellular immunity

A

Helper T cells – initiate the humoral immune response
Cytotoxic T cells – directly attack and kill foreign cells
Memory T cells – store immunological memory
Suppressor T cells – terminate the immune response
Antigens-presenting cells (APCs) – engulf antigens and present them on their own cell surface for T cells to recognize

39
Q

cells of humoral immunity

A

B lymphocytes transform into:
Plasma cells – produce antibodies
Memory B cells – store immunological memory

40
Q

antibody structure

A

4 polypeptide chains linked by disulfide bonds
2 Heavy Chains – long
2 Light Chains - short
Variable regions are altered to match each antigens to form two identical antigen-binding sites
Constant region remains unaltered – determines antibody classes

41
Q

immunoglobulins

A

Grouped into one of five Ig classes
IgD – found on the surfaces of B-cells
IgM – responds to antigens in food or bacteria – the first class of antibodies produced during the immune response
IgG – attacks bacteria, viruses, and toxins – the only class that crosses the placental barrier
IgA – found in exocrine secretions
IgE – found in exocrine secretions – integral in inflammatory and allergic responses

42
Q

antibody mechanisms of action

A

Neutralization: they attach to and cover up the toxic portions of bacteria, viruses or toxins

Agglutination: clump cells together - immobilizes cells – easier to kill/phagocytize

Precipitation: takes soluble antigens out of solution

Compliment Fixation: induces lysis of target cell

43
Q

immune responses stages

A

primary and secondary

44
Q

primary immune response

A

occurs when the B-cell and T-cells first encounter a specific antigen

Triggers proliferation of the specific B-cell and T-cell populations
Produce antibodies for several weeks
Individual shows symptoms

45
Q

secondary immune response

A

occurs when memory B-cells or memory T-cells are activated

Secondary response is faster and shorter in duration than the primary immune response

46
Q

mechanisms of breathing

A

Pulmonary ventilation, or breathing, consists of two phases
Inspiration-gases flow into lungs
Expiration-gases exit lungs

Breathing is not respiration!

47
Q

thoracic cavity pressures

A

atmospheric and respirtatory pressures

48
Q

atmospheric pressure

A

Patm)
Pressure exerted by air around us
760 mm Hg at sea level = 1 atmosphere

49
Q

respiratory pressures

A

Neg. resp. pressure is Patm

Zero resp. pressure = Patm

50
Q

Intrapulmonary Pressure

A

Pressure in alveoli
Fluctuates with breathing
Always eventually equalizes with Patm

51
Q

Intrapleural Pressure

A

Intrapleural pressure (Pip)
Pressure in pleural cavity
Fluctuates with breathing
Always a neg. pressure (

52
Q

pressure relationships

A

If Pip = Ppul or Patm  lungs collapse
(Ppul – Pip) = Transpulmonary pressure
Keeps airways open

53
Q

homeostatic imbalance

A

Atelectasis (lung collapse)
Example:
Pneumothorax - air in pleural cavity
From either wound in parietal or rupture of visceral pleura
Treated by removing air with chest tubes; pleurae heal  lung reinflates

54
Q

pulmonary ventilation

A

Mechanical processes that cause volume changes in thoracic cavity
Volume changes  pressure changes
Pressure changes  gases flow to equalize pressure

Boyle’s Law

Relationship between pressure and volume of a gas
Gases fill container; if container size reduced  increased pressure  gas flows out

Pressure and volume are inversely proportional

55
Q

inspiration

A

Active process
Inspiratory muscles contract
Thoracic volume increases
 intrapulmonary pressure drops (to 1 mm Hg)
Lungs stretched and intrapulmonary volume increases
Air flows into lungs, down its pressure gradient, until Ppul = Patm

56
Q

expiration

A

Quiet expiration is normally a passive process

Inspiratory muscles relax
Thoracic cavity volume decreases
Elastic lungs recoil and intrapulmonary volume decreases
Ppul rises (to +1 mm Hg)
Air flows out of the lungs down its pressure gradient until Ppul = 0

Note: forced expiration is an active process: it uses abdominal and internal intercostal muscles

57
Q

surface tension of alveolar

A

The attraction between H2O molecules at gas-liquid interface
Resists any force that tends to increase surface area of liquid
If alveoli were coated with H2O alone the surface tension would be too strong and they would collapse

58
Q

surfactant

A

Surfactant
Detergent-like lipid and protein complex produced by type II alveolar cells

Reduces surface tension of alveolar fluid and discourages alveolar collapse

Insufficient quantity in premature infants causes infant respiratory distress syndrome
 alveoli collapse after each breath

59
Q

Nonrespiratory Air Movements

A

May modify normal respiratory rhythm
Most result from reflex action; some voluntary
Examples include-cough, sneeze, crying, laughing, hiccups, and yawns

60
Q

Basic Properties of Gases: Dalton’s Law of Partial Pressures

A

External respiration
Internal respiration

To understand the above processes, we must first consider
The physical properties of gases

61
Q

Basic Properties of Gases: Henry’s Law

A

Gas mixtures in contact with liquid
Each gas dissolves in proportion to its partial pressure
At equilibrium, partial pressures in two phases will be equal (i.e. dissolved and undissolved)
Amount of each gas that will dissolve depends on its solubility
CO2 20 times more soluble in water than O2

62
Q

Transport of Respiratory Gases by Blood

A
Oxygen (O2) transport
Carbon dioxide (CO2) transport
63
Q

Oxygen Transport

A

98% of oxygen is bound to hemoglobin and the other 2% is dissolved in plasma

Because oxygen is not easily dissolve in water, hemoglobin binds O2 and dramatically increased the amount of blood in the plasma

Oxygen can travel

(a. ) bound to hemoglobin or
(b. ) dissolved in plasma

64
Q

The role of hemoglobin in oxygen transport

A

Without hemoglobin very little oxygen would dissolve into the plasma- an amount that is not sufficient for cell demand

In the presence of hemoglobin a higher concentration can be dissolved in blood when pressure equilibrium is reached

65
Q

oxygen and hb

A

Loading and unloading of O2 facilitated by change in shape of Hb
As O2 binds, Hb affinity for O2 increases
As O2 is released, Hb affinity for O2 decreases

Fully saturated (100%) if all four heme groups carry O2

Partially saturated when one to three hemes carry O2

66
Q

co2 transport

A

Dissolved: 7% - although CO2 is more soluble in plasma than oxygen only a small amount is dissolved in it.

Converted to bicarbonate ions: 70% - an enzyme converts the CO2 in RBCs into bicarbonate
Bound to hemoglobin: 23% -
Hemoglobin also binds H+ - hemoblogin acts as a buffer binding H+ to resists pH changes
Hb and CO2: carbaminohemoglobin – formed when CO2 and hemoglobin bind, it decreases affinity for O2

67
Q

influence of co2 on blood pH

A

Changes in respiratory rate and depth affect blood pH
Slow, shallow breathing  increased CO2 in blood drop in pH
Rapid, deep breathing  decreased CO2 in blood  rise in pH

Changes in ventilation can adjust pH when disturbed by metabolic factors

68
Q

homestatic imblanaces of hb and o2

A

Chronic obstructive pulmonary disease (COPD)
Irreversible decrease in ability to force air out of lungs
Caused by 2 conditions:
Emphysema
Permanent enlargement of alveoli; destruction of alveolar walls; decreased lung elasticity
Chronic bronchitis
Chronic excessive mucus  Obstructed airways
Treatment:
bronchodilators, corticosteroids, oxygen, sometimes surgery

Asthma
Active inflammation of airways causing airway thickening and bronchospasms

Tuberculosis (TB)
Infectious disease caused by bacterium Mycobacterium
tuberculosis

Cystic fibrosis
Abnormal, viscous mucus clogs passageways  bacterial infections

Lung cancer
Leading cause of cancer deaths in North America