Histology of the MSK system Flashcards

1
Q
A
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2
Q

function of skeletal muscle?

A

movement, support, protection, thermoregulation, blood circulation

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3
Q

what type of contraction does skeletal muscle do?

A

voluntary contraction

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4
Q

what is skeletal muscle attached to?

A

bones and sphincters

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5
Q

what is the entire skeletal muscle surrounded by?

A

by epimysium (collagenous covering ‘fascia’)

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6
Q

what is the epimysium subdivided into and what are these surrounded by?

A

1) fascicles (surrounded by perimysium)
2) myofibres (surrounded by endomysium)

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7
Q

what is a skeletal muscle myofibre?

A

a cellular unit of skeletal muscle
multiple cells fused to form one long tube
multinucleated as a result

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8
Q

sarcolemma?

A

cell membrane of myofibre

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9
Q

sarcoplasm?

A

cytoplasm of myofibre cell

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10
Q

what are myofibres made up of?

A

made up of multiple myofibrils which in turn are formed by many filaments

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11
Q

what type of nuclei does the skeletal myofibre have?

A

peripheral

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12
Q

if there is lots of protein in skeletal myofibre, what does this mean for staining?

A

strongly eosinophilic sarcoplasm

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13
Q

Describe the type 1 muscle fibres?

A

lots of capillaries, mitochondria, myoglobin (gives red colour)

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14
Q

how do the type 1 muscle fibres work?

A

can contract for long periods with limited energy demand - force contraction is low

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15
Q

Describe the fast twitch (type 2) muscle fibres?

A

fewer mitochondria and myoglobin (pale colour)

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16
Q

how do type 2 muscle fibres contract?

A

fast powerful contractions but can’t be sustained for long
subdivided into three subtypes

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17
Q

what are the three types that the type 2 muscle fibre is divided into?

A

2a oxidative, fatigue resistant
2b glycolytic
2x/c intermediate between these

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18
Q

what do you need to differentiate the subtypes of type 2 muscle fibres?

A

need special stains e.g. ATPase, NADH, SDH, COX - the differentiation is not visible on routin H&E

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19
Q

in what sections is striation best observed in?

A

in longitudinal sections

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20
Q

what is striation formed by?

A

formed by regular arrangement of structural proteins as well as actin and myosin filaments into sarcomeres (contractile unit)

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21
Q

where does a sarcomere span?

A

spans Z-line to Z-line

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22
Q

what are the proteins in sarcomeres? - they can be three types:

A

structural
contractile
regulatory

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23
Q

what is the Z-line/disc?

A

site of attachment of actin
α-actinin, desmin, vimentin

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24
Q

what is the M-line?

A

site of attachment of myosin
- myomesin

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25
Q

what is the H-band?

A

only myosin is present (pale with darker M line in middle)

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26
Q

what is the I band?

A

only actin present (pale region surrounding dark Z-line)

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27
Q

what is the A-band?

A

overlapping actin and myosin (dark region spanning central Z-line

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28
Q

smooth muscle, type of contraction?

A

involuntary

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29
Q

what are the functions of smooth muscle?

A

peristalsis, regulate blood flow, urination respiration

30
Q

where are smooth muscles found?

A

GI tract, urogenital tract, respiratory tract, vessels etc.

31
Q

myocytes?

A

cells of smooth muscle
not fibres
they are fusiform shaped or ‘spindle shaped’

32
Q

describe the shape of smooth muscle?

A

no striation
cigar-shaped
nuclei are centrally located

33
Q

describe the contractions of the smooth muscle?

A

contractions have more elasticity than skeletal muscle, but are slower and sustained for long periods with minimal energy requirements

34
Q

meaning of unitarian?

A

gap junctions

35
Q

multiunit?

A

no gap junctions - so contraction does not spread from one cell to the next

36
Q

how can we tell dense connective tissue apart from smooth muscle?

A

shape: much thinner in connective tissue fibrocytes, should be ‘cigar’ in smooth muscle
position: centre of cell in smooth muscle, between collagen fibres in connective tissue

37
Q

functions of bone?

A

shape and support, protection, storage (minerals), development and storage of blood cells

38
Q

describe bones:

A

dynamic
high tensile strength
relatively lightweight
hardness (matrix - hydroxyapatites) strength (collagen)

39
Q

what does periosteum do?

A

lines the outer surface of all bones, two layers

40
Q

what are the two layers of periosteum?

A

outer fibrous
inner osteogenic (more cellular)

41
Q

function of periosteum?

A

important role in bone modelling, fracture repair

42
Q

what is the osteoid?

A

extracellular matrix: 25% water, 25% protein, 50% mineral salts
organic components (glycosaminoglycans, collagen-I fibrils)
inorganic components (hydroxyapatite [combination of Ca, Phosphate]

43
Q

if the osteoid is mineralised, why is it eosinophilic?

A

must be decalcified with acid to soften enough for histology

44
Q

osteogenic cell?

A

stem cell –> osteoblasts
osteogenic layer of periosteum

45
Q

osteoblast?

A

produces osteoid (bone matrix)
line up along osteoid
flat (inactive), ‘teardrop’ (active)
CANNOT divide

46
Q

osteocyte?

A

osteoblast surrounded by osteoid
maintains osteoid matrix
stellate processes (communication)
CANNOT divide

47
Q

osteoclast?

A

from haemotopoietic cells
(NOT osteogenic cells!)
monocyte lineage: recycles osteoid
multinucleated, eosinophilic (acidic digestive enzymes)
CANNOT divide
Have Howship’s lacunae; digesting osteoid will have a ‘ruffled border’ against the bone

48
Q

what are the two type of bone cells?

A

woven (immature) and lamellar (mature)

49
Q

what are the two sub-types of lamellar bone cells?

A

compact
spongy (cancellous trabecular)

50
Q

describe the woven bone cells?

A

rapidly (fetal growth, repair), increasing osteocytes, haphazard interlacing collagen

51
Q

describe lamellar bone cell?

A

decreasing osteocytes, organised collagen fibres

52
Q

describe the compact lamella bone cell?

A

dense deposits of matrix with few spaces between matrix elements (e.g. outer shells of the diaphysis and epiphysis)

53
Q

describe the spongy lamellar bone cell?

A

aka cancellous trabecular
delicate 3D latticeworks deposits of matrix e.g. interior of the epiphysis, endosteal surface of diaphysis

54
Q

describe compact bone?

A

very strong, flexion-resistant bone found along the outer surface, especially diaphysis

55
Q

what is the structural unit of the compact?

A

it is the osteon: this converts mechanical force into biochemical stimuli

56
Q

central (Haversian) canal of compact bone?

A

runs longitudinally, space for nerve and blood vessels

57
Q

lamellae of compact bone?

A

concentric layers around the central canal

58
Q

lacunae of compact bone?

A

spaces between lamellae occupied by osteocytes

59
Q

canaliculi of compact bone?

A

small channels containing osteocyte stellate processes, radiate from lacunae

60
Q

cement line of compact bone?

A

the outer limit of the osteon

61
Q

the perforating (Volkman) canal of the compact bone?

A

transverse connecting between adjacent central canals

62
Q

function of metaphysis and epiphysis of trabecular bone:

A

transmit forces form joint surfaces to compact bone
is a reservoir for calcium and other minerals

63
Q

what is trabecular bone lined by?

A

by endosteum (similar to periosteum)

64
Q

structure of trabecular bone?

A

similar structure to compact bone but w/o central canals and is surrounded by marrow

65
Q

describe woven bone?

A

haphazard collagen arrangement
more osteocytes than lamellar bone
weak (collagen is not arranged to oppose loading) but faster to form
In adults, indicate some abnormality

66
Q

describe lamellar bone?

A

regular arrangement of collagen fibres according to stress from bone loading
fewer osteocytes than woven bone
very strong but slowly remodelled from woven bone

67
Q

type of cartilage?

A

hyaline, elastic, fibrous

68
Q

what lines cartilage - and where doesn’t this line?

A

perichondrium lines it except at articular surfaces

69
Q

what are the two layers of perichondrium?

A

outer fibrous layer
inner chondrogenic layer