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

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2
Q

lymph

A

interstitial fluid once it has entered lymphatic vessels

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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

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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

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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

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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

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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

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8
Q

lymphoid tissue

A

Diffuse lymphatic tissue
Lymphatic follicles (nodules)
Lymph nodes

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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24
Q

immunity

A

resistance to disease

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25
what are the two intrinsic systems of the immune system?
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
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innate defenses
surface barriers chemical barries respiratory system modification
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What are surface barriers, chemical barriers, and respiratory system modification
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
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internal defenses
cells and chemicals
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what are the internal defenses?
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
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benefits of inflammatory response
Prevents spread of damaging agents Disposes of cell debris and pathogens Encourages repair
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cardinal signs of acute inflammation
``` Redness Heat Swelling Pain (Sometimes 5. Impairment of function) All consequences of  vasodilation and capillary permeability ```
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fever
Abnormally high body temperature Caused by Pyrogens secreted by leukocytes and macrophages Increases metabolic rate  faster repair
33
adaptive defenses
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
antigens
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
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antigenic determinants
The parts of an antigen that are immunogenic (stimulate an immune response) These are the “receptors” to which antibodies and lymphocytes bind
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humoral immunity
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
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cellular immunity
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
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cells of cellular immunity
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
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cells of humoral immunity
B lymphocytes transform into: Plasma cells – produce antibodies Memory B cells – store immunological memory
40
antibody structure
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
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immunoglobulins
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
antibody mechanisms of action
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
immune responses stages
primary and secondary
44
primary immune response
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
secondary immune response
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
mechanisms of breathing
Pulmonary ventilation, or breathing, consists of two phases Inspiration-gases flow into lungs Expiration-gases exit lungs Breathing is not respiration!
47
thoracic cavity pressures
atmospheric and respirtatory pressures
48
atmospheric pressure
Patm) Pressure exerted by air around us 760 mm Hg at sea level = 1 atmosphere
49
respiratory pressures
Neg. resp. pressure is Patm | Zero resp. pressure = Patm
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Intrapulmonary Pressure
Pressure in alveoli Fluctuates with breathing Always eventually equalizes with Patm
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Intrapleural Pressure
Intrapleural pressure (Pip) Pressure in pleural cavity Fluctuates with breathing Always a neg. pressure (
52
pressure relationships
If Pip = Ppul or Patm  lungs collapse (Ppul – Pip) = Transpulmonary pressure Keeps airways open
53
homeostatic imbalance
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
pulmonary ventilation
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
inspiration
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
expiration
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
surface tension of alveolar
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
surfactant
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
Nonrespiratory Air Movements
May modify normal respiratory rhythm Most result from reflex action; some voluntary Examples include-cough, sneeze, crying, laughing, hiccups, and yawns
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Basic Properties of Gases: Dalton's Law of Partial Pressures
External respiration Internal respiration To understand the above processes, we must first consider The physical properties of gases
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Basic Properties of Gases: Henry's Law
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
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Transport of Respiratory Gases by Blood
``` Oxygen (O2) transport Carbon dioxide (CO2) transport ```
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Oxygen Transport
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
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The role of hemoglobin in oxygen transport
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
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oxygen and hb
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
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co2 transport
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
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influence of co2 on blood pH
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
homestatic imblanaces of hb and o2
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