Final Exam Prep Flashcards
Which muscles are involved with eye movement?
6 skeletal muscles (control them voluntarily):
1.lateral rectus
2.medial rectus
3.inferior rectus
4. superior rectus
5. superior oblique
6. inferior oblique
Lateral rectus
Controlled by abducens VI: Moves eye laterally, abducts the eye
Medial rectus
Controlled by oculomotor (III). Moves eye medially
called rectus because….
They go straight back
inferior rectus
controlled by: oculomotor (III)
moves eye down
all eye muscles except the ____ move back to the common tendinous ring
inferior oblique
Cornea
can be transplanted without fear of rejection because it has no blood vessels
superior rectus
controlled by oculomotor (III): moves eye up
all cranial nerves involved in eye movement move through…
superior orbital fissure:
cranial nerves that go through this structure are:
oculomotor iii
trochlear iv
abducens vi
and ophthalmic division of v
superior oblique
controlled by trochlear iv: depresses eye and turns it laterally
innervates an eye muscle that loops through a pulley-shaped ligament in orbit
inferior oblique
controlled by oculomotor iii: moves the eye up and laterally
CN5
Trigeminal
stimulates the lacrimal gland, mucous membranes, and the submaxillary and sublingual glands. Provides sensory innervation to the face.
Largest cranial nerve
decubitus ulcer
pressure sores, result from skin breakdown. common in older patients with fragile skin. Its common in areas of bony processes, ischial tuberosities, greater trochanter, sacrum. This is why we do turns every 2 hours. if peron isnt moved, can get skin breakdown. very careful with diabetic patients who have less skin sensitivity
stages of decubitus ulcers
- skin is unbroken, but inflamed and red
- skin is broken down to epidermis or dermis
- ulcer extends to subcutaneous fat layer. gets down pretty deep. infections can spread easily
4.Ulcer spreads down to muscle or bone
Third degree burn
1.caused by a burn that spreads below the follicles,
- burns all the way through the dermis below the follicles.
3.no more progenitor stem cells left.
4.may need skin graft.
5.also called a full thickness burn
Basal cell carcinoma
1.cancer in the basal cells.
2.least likely to metastasize.
3.least malignant, slow growing.
4.Fully cured by surgical excision in 99% of cases
basal cell carcinoma occurs in
the basal cell layer of the epidermis. Stratum basale. caused by UV radiation. Most common (80% of skin cancers)
describe basal cell carcinoma
stratum basale cells proliferate, invading dermis and subcutaneous tissue.
appearance of basal cell carcinoma
most often on sun exposed areas of the face. look like shiny dome-shaped nodules that develop a central ulcer with a pearly beaded edge.
Squamous cell carcinoma
1.second most common type of skin cancer.
2.comes from keratinocytes of the stratum spinosum. likely to grow rapidly and metastasize.
- if caught early and removed surgically or by radiation therapy, the chance of complete cure is good
4.keratinocytes break through basal layer of the epidermis, doesnt have basement membrane cap
appearance of squamous cell carcinoma
scaly, reddened papule, (small rounded elevation). most often on head (scalp, ears, lower lip) and hands
why is basal cell carcinoma unlikely to metastasize?
basal cells have built-in ability to make fibers and proteins tend to seal themselves off
Why is it bad for keratinocytes and other epidermal cells to break into the dermis?
cancerous epidermal cells lose their positional information. They grow out of control and enter the bloodstream.
melanoma
cancer or melanocytes. most dangerous skin cancer. highly metastatic and resistant to chemotherapy. Accounts for 1% of skin cancers
why is melanoma likely to metastasize?
melanocytes naturally have the ability to produce cytoplasmic extensions. so theyre quick to invade other tissues
function of cytoplasmic extensions on melanocytes
transfer melanin granules to keratinocytes
neoplasm
new growth
what kind of skin cancer accounts for most skin cancer deaths?
melanoma. Only about 1% of skin cancers, but 85-90 % of all skin cancer deaths.
melanoma caused by
Mutations occur in the DNA of a melanocyte, which has the ability to produce cytoplasmic extensions.
stratum spinosum named for
pointy ends: protruding cell processes that join cells together via a desmosome.
melanoma can begin wherever there is
pigment
melanomas can appear from
pre-existing moles approximately 1/3. looks like spreading brown to black patch
melanomas are likely to metastasize to
lymph and blood vessels
key to surviving melanoma
early detection. survival rates decline with increasing thickness of the melanoma
ABCDE
Asymetrical
Border:irregular border
Color:2 or more colors
Diameter: diameter greater than a pencil eraser head
Evolution or elevation:is it growing upward or elevated?
Alopecia areata
Autoimmune disorder where immune system attacks the hair follicles. Results in hairless patches.
alopecia
absence of hair from areas of the body that normally have hair
decubitus ulcer cause
Interference with blood supply. Caused by continuous pressure
etiology of alopecia areata
1.immune system targets hair follicles which disrupts the normal hair life cycle.
2.alopecia areata disrupts hair growth leading to hair loss.
- thought to be caused by genetic and environmental factors like, stress, and viral infections and certain medications.
4.Has no cure
vitiligo etymology
a vine winding.
vitiligo
most prevalent skin pigmentation disorder. caused by a loss of melanocytes and uneven dispersal of melanin. unpigmenetd light spots are visible surrounded by normally pigmented areas
Can happen to anyone.
Patches of no pigmentation.
Is autoimmune disorder where immune system incorrectly attacks melanocytes.
80% of all autoimmune cases are in women
why do some people have darker skin than others?
darker skin: delivery of lots of melanosomes into keratinocytes in stratum spinosum. more resistant to UV radiation. less likely to get cancer. need more sunlight for vitamin d needs
mole
benign growth of melanocytes
everyone has the same number of
melanocytes. only type and amount of melanin that varies producing different skin tones
Hair bulge and hair bulb
Bulge: hold progenitor stem cells around where arrector pilli muscle attaches.
Hair bulb: holds hair
Functions of epithelial tissues
covering and lining membranes,
glandular epithelium
function of covering and lining epithelium
- Makes outer layer of skin
- lines body cavities
- covers organs and walls of organs
function of glandular epithelium
fashions glands of body
t/f:nearly all substances given off or received by the body must pass through an epithelium?
nearly all substances given off or received by the body must pass through an epithelium?
TRUE
roles of epithelium
- protection
- absorption
- Filtration
- excretion
- secretion
- sensory reception
five distinguishing characteristics of epithelium
- apical basal polarity
- specialized contacts
- supported by connective tissue
- avascular but innervated
- regeneration
apical surface:
not attached to surrounding tissue. Exposed to either outside of the body or cavity of internal organ
basal surface attached to
attached to underlying connective tissue
simple epithelia
single cell layer
where is simple epithelia found?
where absorption, filtration and secretion occur
stratified epithelia
two or more cell layers stacked on top of one another. where protection is important. Skin surface, lining of mouth.
squamous, cuboidal columnar
- squamous: flat, disc shaped
- cube shaped
- column shaped
stratified epithelia are named after
shape of cells in apical layer
endothelium
inner covering. Single layer of squamous cells that line the walls of the heart, blood vessels and lymphatic vessels
mesothelium
found in serous membranes lining ventral body cavity and covering its organs
capillaries consist exclusively of
endothelium
functions of simple cuboidal epithelium
secretion and absorption. Ducts of glands and kidney tubules
simple columnar epithelium
absorption and secretion. has dense microvilli on absorptive cells
has tubular glands that secrete mucus containing intestinal juice. some have cilia that move substances along
simple columnar epithelium location
lines digestive tract from stomach to rectum
pseudostratified columnar epithelium function
secretes or absorbs substances. Lines most of the respiratory tract
most widespread of the stratified epithelium
stratified squamous epithelium
describe stratified squamous epithelium
free squamous surface cells, cells of deeper layers are cuboidal or columnar
where is stratified squamous epithelium found?
wear and tear. External surface of the skin. Extends a little into every body opening that is continuous with the skin. Outer layer is keratinized.
stratified cuboidal epithelium found in
ducts of larger glands. sweat glands and mammary glands. Rare. Two layers of cuboidal cells
stratified columnar epithelium location
Pharynx, male urethra. lining glandular ducts. Transition areas. Junctions between other types of epithelia. Only apical layer is columnar
transitional epithelium
forms lining of hollow urinary organs. stretches. Apical cell shape varies on degree of distension
gland
one or more cells that secretes a particular product
fundamental types of epithelial tissues
- simple squamous epithelium
- simple cuboidal epithelium
- simple columnar epithelium
- pseudostratified columnar epithelium
- stratified squamous epithelium
- stratified cuboidal epithelium
- stratified columnar epithelium
- transitional epithelium
basal lamina made of
made of glycoprotein secreted by epithelial cells. Adhesive supporting sheet. Faces epithelium