Human Anatomy Flashcards

1
Q

What plane separates the anterior and posterior parts of the body

A

The frontal plane

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2
Q

What plane separates the left and right sides of the body

A

The sagittal plane

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3
Q

What plane transects the upper and lower halves of the body?

A

The transverse plane

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4
Q

What terms would you use to describe something towards the midline v.s away from the midline

A

Lateral - Away from the midline
Medial - Towards the midline

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5
Q

What terms would you use to describe something towards a base v.s away from the base

A

Proximal - toward a base
Distal - away from a base

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6
Q

What terms would you use to describe towards the head v.s towards the tail

A

Cranial - towards head
Caudal - towards tail

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7
Q

What are the four parts of thoracic cavity?

A
  1. Left pleural cavity
    - surrounds left lung
  2. Mediastinum
    - contains the trachea, oesophagus, and major vessels
  3. Pericardial cavity
    - surrounds heart
  4. Right pleural cavity
    - surrounds right lung
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8
Q

What are the two components of the abdominopelvic cavity?

A
  1. Abdominal cavity
    - contains many digestive glands and organs
  2. Pelvic cavity
    - contains urinary bladder, reproductive organs, last portion of digestive tract
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9
Q

What separates the thoracic and abdominopelvic cavities?

A

The diaphragm

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10
Q

What does each letter represent?

A

A - Hypochondriac
B - Lumbar
C - Ingual
D - Epistatic
E - Umbilical
F - Hypogastric

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11
Q

What are the levels of molecular organisation from smallest to largest?

A

Atoms combine to form _Organic/Inorganic molecules _which interact to form Cells which secrete and regulate Extracellular material/fluids. The two of these combine to form tissue, which is either epithelial, connective, muscle or nervous. These tissues combine to form _organs _which interact to form organ systems

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12
Q
A

A - Cephalic
B - Cervical
C - Thoracic
D - Brachial
E - Antebrachial
F - Carpal
G - Manual
H - Abdominal
I - Pelvic
J - Pubic
K - Inguinal
L - Lumbar
M - Gluteal
N - Femoral
O - Patellar
P - Crural
Q - Sural
R - Tarsal
S - Pedal
T - Plantar

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13
Q

Identify and describe this tissue

A

Epithelial tissue:
- Covers exposed surfaces
- Lines internal passageways and chambers
- Produces glandular secretions

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14
Q

Identify and describe this tissue

A

Connective tissue:
- Three main components:
* Specialised cells
* Extracellular protein fibres
* Matrix (refers to collection of fibres and “ground” substance (ie blood has a liquid matrix called plasma)

  • Defining characteristic is that that most cells are not in contact with each other
  • Role is to provide structural support, protect organs, and store energy
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15
Q

Identify and describe this tissue

A

Fluid connective tissue:
- Blood, contained in cardiovascular system
- Lymph, contained in lymphatic system

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16
Q

Identify and describe this tissue

A

Loose connective tissue:
- Fibres create loose, open framework
* Areolar tissue
* Adipose tissue
* Reticular tissue

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17
Q

Identify and describe this tissue

A

Left - Connective Dense regular
Right - Connective Dense irregular

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18
Q

Identify and describe this tissue

A

Elastic connective tissue

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19
Q

Identify and describe this tissue

A

Left - Hyaline cartilage
Middle - Fibrous cartilage
Right - Elastic cartilage

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20
Q

Identify and describe this tissue

A

Bone

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21
Q

Identify and describe this tissue

A

Skeletal muscle:
- Cells are long, cylindrical, striated and multinucleated
- Location: Combined with connective tissues and neural tissues in skeletal muscles
- Functions: Moves or stabilises the position of the skeleton; guards entrances and exits to the digestive, respiratory, and urinary tracts; generates heat; protects internal organs

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22
Q

Identify and describe this tissue

A

Cardiac muscle
- Cells are short, branched, and striated, usually with a single nucleus; cells are interconnected by intercalated (inserted/fitted within) discs
- Found in the heart
- Functions to circulate blood and maintain blood pressure

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23
Q

Identify and describe this tissue

A

Smooth muscle
- Cells are short, spindle-shaped, and nonstriated, with a single central nucleus
- Location: Found in the walls of blood vessels and in digestive, respiratory, urinary and reproductive organs
- Functions: Moves food, urine, and reproductive tract secretions; controls diameter of respiratory passageways; regulates diameter of blood vessels

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24
Q

Identify the letters on the diagram

A

A - Axon
B - Axon hillock
C - Nucleus
D - Nucleolus
E - Glials
F - Dendrites

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25
Q

Identify and describe this tissue

A

A - Simple Squamous (lung tissue)
B - Simple Cuboidal (kidney)
C - Simple Columnar (stomach)
D - Transitional (Bladder)
E - Stratified Squamous (Oesophagus)
F - Stratified Cuboidal (Sweat gland)
G - Stratified Columnar (Salivary duct)
H - Simple Pseudostratified Columnar (trachea)

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26
Q

Like wtvr man just look at this idek if you need to know it

A
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27
Q

Describe the organisation of muscle tissue from smallest to largest

A
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28
Q

What are the six organs/components of the integumentary system and their functions?

A
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29
Q

What are the three accessory structures of the integumentary system?

A
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30
Q

What are two components of the cutaneous membrane (skin)?

A
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31
Q
A
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32
Q
A

Corny
Luck
Granules
Spin
Basal

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33
Q
A
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34
Q

Cancer

A
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35
Q

Identify and describe this tissue

A
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36
Q

Describe the subcutaneous layer

A
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37
Q

What are the four steps to skin repair

A
  1. Bleeding occurs at the site of injury immediately after the injury, and mast cells in the region trigger an inflammatory response
  2. After several hours, a scab has formed and cells of the stratum basale are migrating along the edges of the wound. Phagocytic cells are removing debris, and more of these cells are arriving via the enhanced circulation in the area. Clotting around the edges of the affected area partially isolates the region
  3. One week after the injury, the scab has been undermined by epidermal cells migrating over the meshwork produced by fibroblast activity. Phagocytic activity around the site has almost ended, and the fibrin clot is disintegrating
  4. After several weeks, the scab has been shed, and the epidermis is complete. A shallow depression marks the injury site, but fibroblasts in the dermis continue to create scar tissue that will gradually elevate the overlying epidermis
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38
Q
A
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39
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40
Q
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40
Q

Describe the sebaceous gland

A
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41
Q

Describe holocrine secretion

A
  1. Cell disintegration: In holocrine secretion, the entire cell disintegrates to release its contents, including oils, lipids, or other substances. The cell ruptures, and its contents become the secretion.
  2. Occurs in sebaceous glands: A prime example of holocrine secretion is in the sebaceous glands of the skin, which produce sebum to lubricate and protect the skin and hair.
  3. Cell replacement: After the holocrine cells disintegrate, new cells are produced by mitosis to replace them, maintaining the cycle of secretion.
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42
Q
A
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43
Q

What’re the two types of exocrine glands?

A

Sebaceous glands
Sweat glands

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44
Q

What’re the two types of sweat glands?

A
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45
Q
A
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46
Q

Describe osteocytes

A

Function:
Primary role is to maintain the mineral content of the bone matrix and regulate bone turnover. They are critical for sensing mechanical stress in bones and relaying signals to other bone cells (osteoblasts and osteoclasts) to initiate bone formation or resorption as needed. They also help regulate the flow of nutrients and waste within the bone by extending cytoplasmic processes through canaliculi.
Location:
Osteocytes are embedded deep within the bone matrix inside small cavities called lacunae. The lacunae are interconnected by thin, tube-like channels known as canaliculi, allowing the osteocytes to communicate and share nutrients with neighbouring cells.

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47
Q

Describe Lacunae

A

Function:
Lacunae serve as protective cavities that house osteocytes, keeping them isolated but connected to the larger network of bone tissue. They provide a structural niche where osteocytes can monitor bone integrity and communicate via the canaliculi system. Lacunae contribute to bone’s ability to withstand stress and strain without losing function.
Location:
Lacunae are found throughout both compact (cortical) and spongy (trabecular) bone. They are small, hollow spaces within the bone matrix, scattered between the layers of lamellae (concentric rings of bone tissue) in compact bone.

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48
Q

Describe Osteoblasts

A
  • Function: Osteoblasts are bone-forming cells responsible for producing the organic components of the bone matrix, primarily collagen type I, which forms the bone’s framework. They initiate the mineralization process by depositing calcium and phosphate into the matrix, leading to the hardening of bone tissue. Their activity is regulated by hormones like parathyroid hormone (PTH) and growth factors.
  • Location: Osteoblasts are typically found on the surface of bone tissue, in regions of active bone formation, such as growth plates, the periosteum (the outer layer of bone), and regions undergoing repair. They are particularly active during childhood and adolescence when bone growth is rapid.
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49
Q

Describe Osteoclasts

A
  • Function: Osteoclasts are large, multinucleated cells responsible for breaking down bone tissue during the process of bone resorption. They dissolve the mineral and organic components of bone by secreting acids and proteolytic enzymes, which release calcium and phosphate into the bloodstream. This process is essential for bone remodelling, growth, and the regulation of blood calcium levels.
  • Location: Osteoclasts are typically found on the surface of bones in regions undergoing active resorption. They are particularly prevalent in areas undergoing remodelling, such as near fractures or along trabecular bone in the spongy region.
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50
Q

Describe Osteoprogenitor Cells

A
  • Function: Osteoprogenitor cells are stem cells capable of differentiating into osteoblasts, which are responsible for new bone formation. These precursor cells are crucial for bone development, growth, and repair, particularly after fractures or other injuries. They also play a role in the normal turnover of bone tissue by providing a continuous supply of osteoblasts for bone maintenance.
  • Location: Osteoprogenitor cells are located in the inner layer of the periosteum, the endosteum (the lining of the marrow cavity), and in the bone marrow. They are most active during growth periods, healing, or bone remodeling.
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51
Q

What are the parts of the appendicular skeletal system?

A
  1. Pectoral girdle (clavicle , scapula)
  2. Upper limb
  3. Pelvic girdle (supporting bones and sacrum)
  4. Lower limb
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52
Q

What are the parts of the axial system

A

Skull
Sternum
Ribs
Vertebrae
Sacrum

Super sharp razors vanquish soldiers

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53
Q

What are the first four steps of bone development and ossification?

A
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54
Q

What are the last three steps of bone development of ossifiction?

A
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55
Q

An ____, also known as a ____ _____, is the fundamental structural unit of compact bone. It consists of concentric rings of bone tissue called ______ arranged around a central canal known as the ____ canal. This canal contains blood vessels and nerves that supply the bone tissue with nutrients and remove waste

A

osteon
Haversian system
lamellae
Haversian

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56
Q

Describe the difference between periosteum and endosteum

A
  1. Location
    - Periosteum: Outer surface of bones (except at joints).
    - Endosteum: Inner surface of bones, lining the medullary cavity and spongy bone spaces.
  2. Structure
    - Periosteum:
    Two layers:
    * Outer fibrous layer (collagen-rich).
    * Inner osteogenic layer (contains osteoblasts and osteoclasts).
    - Endosteum:
    * Thin, single layer of cells (osteoblasts and osteoclasts).
  3. Function
    - Periosteum:
    * Provides attachment for muscles and tendons.
    * Supplies blood to the bone.
    Involved in bone growth and repair.
    - Endosteum:
    * Participates in bone remodeling.
    * Maintains the inner bone structure and medullary cavity.
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57
Q

What are the four stages of bone development through life

A
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58
Q

Appositional vs Interstitial

A
  1. Definition
    - Appositional: Increases bone thickness.
    - Interstitial: Increases bone length.
  2. Location
    - Appositional: Periosteum (outer surface).
    - Interstitial: Epiphyseal plate (growth plate).
  3. Process
    - Appositional: Osteoblasts add new bone on the outside.
    - Interstitial: Chondrocytes expand cartilage from within.
  4. Outcome
    - Appositional: Thickens bones; continues for life.
    - Interstitial: Lengthens bones; stops after puberty
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59
Q

Define concentric lamellae

A
  1. Definition
    - Circular layers of calcified bone matrix arranged around a central canal (Haversian canal) in compact bone, forming an osteon.
  2. Function
    - Provide strength and structure to bones.
    - Resist twisting and compressive forces.
    - House osteocytes in lacunae for bone maintenance.
  3. Location
    - Found in osteons, the cylindrical units of compact bone, surrounding the Haversian canal.
  4. Structure
    - Collagen fibers in each layer are oriented in different directions to resist fractures and mechanical stress
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60
Q

Define interstitial lamallae

A

Definition:
- Interstitial lamellae are remnants of old osteons that have been partially resorbed during the process of bone remodeling. They fill the spaces between newly formed osteons in compact bone.

Function:
- Interstitial lamellae provide additional strength to the bone by filling in the gaps between osteons, making the bone more solid and cohesive. They help maintain the structural integrity of compact bone.

  • Location:
    Interstitial lamellae are found between osteons in compact bone, filling the spaces that would otherwise be empty. These remnants are irregularly shaped and incomplete compared to the concentric lamellae of osteons.
  • Structure:
    They consist of fragments of lamellae that do not form a complete circular structure, as they are the remnants of previously resorbed osteons
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61
Q
A
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62
Q
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63
Q

Describe the trabeculae of spongy bones and why that makes those bones “spongy”

A
  1. Description
    - Trabeculae are the thin, needle-like or plate-like structures that form the network within spongy (cancellous) bone. They consist of lamellae with embedded osteocytes, and are oriented along lines of stress to provide structural support.
  2. Why They Make Bones “Spongy”
    - Trabeculae create a porous, lattice-like structure with many spaces in between. These spaces are often filled with bone marrow (red or yellow) and blood vessels. The porous nature of this network gives spongy bone a lightweight and spongy appearance while still providing strength and support to the bone
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64
Q

Describe compact bones

A
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65
Q

Compare and contrast compact v.s spongy bones in terms of structure, function, location, bone marrow, blood supply and presence of osteons

A
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66
Q

What contributes to the regulation of development/growth of bones?

A
  1. Hormones: Growth hormone (GH), thyroid hormone, and sex hormones (estrogen and testosterone) stimulate bone growth and development, especially during puberty.
  2. Nutrients: Adequate intake of calcium, phosphorus, and vitamin D is crucial for bone mineralization and strength.
  3. Mechanical Stress: Physical activity and weight-bearing exercises stimulate bone remodeling and increase bone density.
  4. Genetics: Genetic factors determine the overall size and shape of bones, as well as the peak bone mass one can achieve.
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67
Q
A
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68
Q

Give me the description, function and an example of sutural bones

A

Description:
Small, flat, irregular bones found between the flat bones of the skull
Example:
Sutures of the skull (e.g., between parietal bones)
Function:
Fill gaps in the skull and add strength to the structure

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69
Q

Give me the description, function and an example of irregular bones

A

Description:
Complex-shaped bones with irregular surfaces
Example:
Vertebrae, pelvic bones
Function:
Provide protection, support, and attachment for muscles

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70
Q

Give me the description, function and an example of short bones

A

Description:
Cube-like bones with equal length, width, and thickness
Example:
Carpals (wrist bones), tarsals (ankle bones)
Function:
Provide stability and support with limited movement

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71
Q

Give me the description, function and an example of pneumatized bones

A

Description:
Bones that are hollow or contain air-filled spaces (sinuses)
Example:
Ethmoid bone (in the skull)
Function:
Reduce bone weight and enhance voice resonance

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72
Q

Give me the description, function and an example of flat bones

A

Description:
Thin, flattened bones with parallel surfaces
Example:
Skull, ribs, sternum, scapula
Provide protection for internal organs and muscle attachment

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73
Q

Give me the description, function and an example of long bones

A

Description:
Long, cylindrical bones with expanded ends
Example:
Femur, humerus, tibia, radius
Function:
Support body weight and facilitate movement

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74
Q

Give me the description, function and an example of sesamoid bones

A

Sesamoid bones are small, round structures that are embedded within tendons, typically found at locations where tendons cross over joints, such as the patella (kneecap) in the knee and the flexor hallucis brevis in the foot. These bones serve several important functions: they help to reduce friction between the tendon and the underlying bone, enhance the leverage of the muscles by altering the direction of tendon pull, and distribute stress across the joint during movement, which can help protect the tendon from wear and injury. By improving the mechanical efficiency of the musculoskeletal system, sesamoid bones play a crucial role in facilitating smooth and effective joint function

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75
Q

Describe sutures

A
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76
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77
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78
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79
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80
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81
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82
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83
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84
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85
Q

Describe orbits

A
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86
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87
Q

Describe the nasal complex

A
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88
Q
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89
Q

Describe paranasal sinuses

A
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90
Q
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91
Q

Describe the hyphoid bone

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92
Q
A
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93
Q

Describe the vertebral column

A
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94
Q
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95
Q
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96
Q

Describe the thoracic cage

A
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97
Q
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98
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99
Q
A
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100
Q

What is a demifacet

A

A demifacet is a half-sized facet on a vertebra that forms part of a joint. It is a small, flat surface on the side of a vertebral body where the head of a rib connects. These demifacets allow ribs to articulate with two adjacent vertebrae.

Example:
In the thoracic vertebrae (specifically T2 through T9), there are superior and inferior demifacets. For example, the T6 vertebra has a superior demifacet that articulates with the head of the sixth rib and an inferior demifacet that articulates with the head of the seventh rib.

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101
Q

Describe the appendicular skeletal system

A
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102
Q
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103
Q

Describe the pelvic girdle

A
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104
Q
A
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105
Q

Describe the scapula

A
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106
Q

What articulates with the glenoid cavity?

A

The glenoid cavity articulates with the head of the humerus. This articulation forms the shoulder joint, also known as the glenohumeral joint, which allows for a wide range of arm movements.

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107
Q
A
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108
Q

Describe the three components of the hand

A
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109
Q

Mnemonic:
So
Long
To
Pinkie
Here
Comes
The
Thumb

A
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110
Q
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111
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112
Q
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113
Q

What are the three components of the feet?

A
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114
Q
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115
Q

Describe synarthrosis joints

A
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116
Q

Describe amphiarthrosis joints

A
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117
Q

Describe diarthrosis joints

A
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118
Q

Describe plane, pivot and saddle joints

A
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119
Q

Describe hinge, condylar and ball-and-socket joints

A
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120
Q

What are the different types of movement at the joints?

A
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121
Q

Describe the Temporal mandibular jaw

A
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122
Q
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123
Q
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124
Q

Sternoclavicular joint

A
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125
Q

Describe the elbow and radio-ulnar joints

A
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126
Q
A
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127
Q

Describe the joints of wrist and hand

A
  • Carpometacarpal joint
    Connects the metacarpals to the distal carpals
  • Intercarpal joint
    Connects one carpal bone to another
  • Metacarpophalangeal joint
    Connects metacarpals to the proximal phalanges

-Interphalangeal joint
Joint between the proximal, middle, & distal phalanges

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128
Q
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129
Q
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130
Q

From medial to​ lateral, brachial plexus structures are organized how?

A

roots​ - trunks​ - divisions​ - cords​ - nerves

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131
Q

The brachial plexus is composed of cutaneous and muscular branches of the ventral rami of spinal nerves​ __-__

A

C5-T1

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132
Q

Describe the hip joint

A
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133
Q
A
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134
Q

Describe the knee joint

A
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135
Q

Describe the joints of the ankle and foot

A
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136
Q
A
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137
Q

Describe the joints of the foot

A
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138
Q

What are the three layers of skeletal muscle?

A

Epimysium
Endomysium
Perimysium
The collagen fibres of all three layers come together to form a tendon that attaches the muscle to bone, cartilage, skin or another muscle

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139
Q

Describe the outer epimysium

A
  • Layer of dense irregular connective tissue surrounding the entire skeletal muscle
    Separates the muscle from surrounding tissues and organs and is connected to the deep fascia
  • A fascia is a sheath of stringy connective tissue that surrounds every part of your body. It provides support to your muscles, tendons, ligaments, tissues, organs, nerves, joints and bones.
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140
Q

Describe the central perimysium

A

Divide the muscle into internal compartments each of which contains a bundle of muscle fibres called a fascicle.
Contains collagen and elastic fibres, and numerous blood vessels and nerves supply each fascicle

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141
Q

Describe the inner endomysium

A
  • Surrounds each individual muscle cell and bind each muscle fibre to its neighbour as well as supports the capillaries that supply the individual fibre
  • Scattered myosatellite cells, which are cells that differentiate and become skeletal cells, lie between the endomysium and the muscle fibres
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142
Q

Tendons connect skeletal ______ to a skeletal _____
Tendons that form thick, flattened sheets are called ______

A

muscle
bone
aponeuroses

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143
Q

Neuromuscular junctions (NMJ) are located within what layer of the skeletal muscle organ?

A

The endomysium

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144
Q

In the skeletal muscle cell, the plasma membrane is called the _____, and within that the ______ acts as cytoplasm but exclusively within muscle cells

A

sarcolemma
sarcoplasm

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145
Q

Some myoblasts do not fuse with developing muscle fibres, but remain in adult skeletal muscle tissue as stem cells called _____ ____

A

myosatellite cells

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146
Q

What conducts electrical impulses within the sarcolemma?

A

Transverse tubules (T tubules)

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147
Q

The _______ ______ is a membrane complex that acts as a storage and release site of calcium ions which regulate individual myofibril contractions

A

sarcoplasmic reticulum

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148
Q

On each side of a T (transverse) tubule, the tubules of the SR enlarge, fuse, and form expanded chambers called ______ _____ which in combination with a T tubule is known as a ______. The membranes of that are in close contact and tightly bound together, but there is no direct connection between them

A

terminal cisternae
triad

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149
Q
A
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150
Q

The overall organisation levels from largest to smallest goes:

  1. Muscle fascicle
  2. Sarcomere
  3. Skeletal muscle
  4. Myofibril
  5. Muscle fibre
A

3, 1, 5 , 4, 2

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151
Q

What are the four proteins the thin filament contains

A
  1. Actin – The primary protein that forms the backbone of the thin filament. It provides binding sites for myosin during muscle contraction.
  2. Tropomyosin – A protein that wraps around the actin filament, blocking the myosin-binding sites on actin when the muscle is relaxed.
  3. Troponin – A complex of three proteins (Troponin T, Troponin I, and Troponin C) that regulate the position of tropomyosin and, consequently, the access of myosin to actin. It binds calcium ions to trigger muscle contraction.
  4. Nebulin – A large protein that is associated with the actin filament and helps to stabilise its structure, although its role is not as prominent as the other three
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152
Q

Describe the structure of the thick filament

A
  • Myosin Molecules – The thick filament is primarily made up of hundreds of myosin molecules. Each myosin molecule has two main parts:
  • Myosin Heads: These are the globular heads of myosin that extend outward from the filament. Each head contains an actin-binding site and an ATPase site that hydrolyzes ATP to provide energy for muscle contraction.
  • Myosin Tails: The long, rod-like tail regions of myosin molecules bundle together to form the backbone of the thick filament.
  • Arrangement – The myosin molecules are arranged in a staggered, overlapping fashion. The heads of myosin protrude outwards at regular intervals, creating a pattern that allows them to interact with the actin filaments during muscle contraction. These heads are oriented in opposite directions at either end of the filament.
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153
Q

In the centre of the thick filament, there is a region where no myosin heads project. This is called the ____ zone or the __ zone. This region corresponds to the middle of the sarcomere and does not interact with the thin filament.

A

bare
H

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154
Q

The thick filaments are anchored in the centre of the sarcomere at the _____, which helps maintain the alignment of the filaments.

A

M line

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155
Q

The thick filament is crucial in muscle contraction. When stimulated by an action potential, the myosin heads bind to the actin in the thin filament, forming ___-_____. This interaction, powered by ATP hydrolysis, allows the myosin heads to “pull” the actin filaments toward the centre of the sarcomere, leading to muscle shortening and contraction.

A

cross-bridges

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156
Q

Just look at this

A
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157
Q

Describe the five steps of a muscle contraction

A
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158
Q

Six steps of something man

A
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159
Q

What are the steps for both the initiation and depression of muscle contraction

A
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160
Q

Describe motor neurons

A

A motor unit is a single motor neuron and all of the muscle fibres it controls. Some motor neurons control a single muscle fibre, but most control hundreds. The smaller the size of a motor unit, the finer the control of movement will be. In the eye, where precise muscular control is critical, a motor neuron may control only two or three muscle fibres. We have less precise control over power-generating muscles, such as our leg muscles, where a single motor neuron may control up to 2000 muscle fibres

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161
Q

The resting tension in a skeletal muscle is called ____ ____

A

muscle tone

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162
Q

_____ _____ are monitored by sensory nerves that control the muscle tone in the surrounding muscle tissue

A

Muscle spindles

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163
Q

______ occurs in muscles that have been repeatedly stimulated to produce near-maximal tension; the intracellular changes that occur increase the amount of tension produced when these muscles contract.

_____is the opposite and is a result of lack of use and stimulation of the muscle

A

Hypertrophy
Atrophy

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164
Q

What are the three types of muscle fibres

A

Slow (red)
Fast (white)
Intermediate

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165
Q

Describe slow muscle tissue

A

= Small diameter and take up to 3x as long to contract
Specialised to continue contracting for long times
Fatigue slowly bcuz their mitochondria continue producing ATP throughout the contraction process

= Utilise aerobic metabolism which requires oxygen from two different sources:
Skeletal muscles containing slow muscle fibres have a larger network of capillaries than muscles dominated by fast muscle fibres. This means that there is greater blood flow to the muscle, and the red blood cells can deliver more oxygen to the active muscle fibres.

= Slow fibres are red because they contain the red pigment myoglobin (MĪ-ō-glō-bin). This globular protein, like haemoglobin (the oxygen-binding pigment found in red blood cells), binds oxygen molecules. As a result, slow muscle fibres contain large oxygen reserves that are mobilised during a contraction.

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166
Q

Describe white muscle tissue

A

= Have a large diameter
= Densely packed myofibrils
= Large glycogen reserves
= Relatively few mitochondria
= Contract quickly upon stimulation
= Tension produced is directly proportional to the number of myofibrils, however the contractions use large amounts of ATP and are supported primarily by anaerobic metabolism (glycolysis)
= Glycolysis does not require oxygen and converts stored glycogen to lactic acid. Fast fibres fatigue rapidly because their glycogen reserves are limited and because lactic acid builds up and the resulting acidic pH interferes with the contraction mechanism.

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167
Q

Describe intermediate type muscle tissue

A

Have properties between those of fast and slow fibres. For example, intermediate fibres contract faster than slow fibres but slower than fast fibres

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168
Q
A
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169
Q

What are the four muscle configurations in the body?

A
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170
Q

Describe parallel muscles

A
  • Muscle fibres run parallel to the long axis of the muscle.
  • Tend to have a relatively uniform width and can contract over a greater distance, though they typically generate less force compared to other muscle types.
  • Muscle fibres are aligned along the direction of pull, usually in a straight line.
  • They can be flat (e.g., rectus abdominis) or spindle-shaped with a thicker belly and tapered ends (e.g., biceps brachii).
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171
Q

Describe convergent muscles

A
  • Fibres are spread out over a broad area but converge toward a single point or tendon.
  • Versatile movement as the muscle can pull in different directions depending on which fibres are activated.
  • Spread out from a wide origin (often broad and fan-shaped) and converge to a single point, typically at a tendon or a small insertion.
  • Often have a triangular or fan-like shape. Like the pecs.
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172
Q

Describe pennate muscles

A
  • Muscles where the fibres are arranged obliquely to their tendons, resembling a feather. This arrangement allows for a greater number of fibres in a given area, which helps increase the force of contraction, although the range of motion is reduced compared to parallel muscles.
  • The muscle fibres attach diagonally to a central tendon, resembling the structure of a feather. Depending on how the fibres are arranged, they can be classified into three types
  • Pennate muscles generate high force but have a limited range of motion due to their angled fibre arrangement.
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173
Q

What are the three types of pennate muscles

A
  • Unipennate: Fibres are on one side of the tendon (e.g., extensor digitorum).
  • Bipennate: Fibres are on both sides of the tendon (e.g., rectus femoris).
    *Multipennate: Multiple tendons with fibres attaching from different angles (e.g., deltoid).
    Shape: The feather-like arrangement can vary depending on whether it’s unipennate, bipennate, or multipennate.
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174
Q

Describe circular muscles

A
  • A circular muscle, or sphincter, the fibres are concentrically arranged around an opening . When the muscle contracts, the diameter of the opening decreases. An example is the orbicularis oris of the mouth
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175
Q

Each muscle begins at an ____, ends at an ____, and contracts to produce a specific action. The origin of a muscle usually remains stationary, and the insertion moves, or the origin is proximal to the insertion.

A

origin
insertion

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176
Q

Muscles are grouped into four categories according to their primary actions

A

= Agonist (Prime Mover): This is the main muscle responsible for producing a specific movement. It provides the majority of the force. For example, during elbow flexion, the biceps brachii acts as the agonist.

= Antagonist: This muscle opposes the action of the agonist. It helps control or slow down the movement, and it relaxes when the agonist contracts. For instance, in elbow flexion, the triceps brachii is the antagonist.

= Synergist: These muscles assist the agonist by adding extra force or reducing unwanted movements. They help stabilise joints and ensure smooth movement. An example is the brachialis, which assists the biceps during elbow flexion.

= Fixator (Stabiliser): Fixators stabilise the origin of the agonist so that it can work more efficiently. They hold certain body parts steady while the movement occurs. For example, the muscles of the shoulder girdle act as fixators during arm movements.

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177
Q

____: The force applied by muscles to move a load.
____: The weight or resistance being moved (e.g., body parts or external objects).
____: The pivot point, typically a joint, where movement occurs.

A

Effort
Load
Fulcrum

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178
Q

What are the three types of fulcrums?

A

= First-class lever: The fulcrum is between the effort and the load (e.g., neck movement, where the atlanto-occipital joint is the fulcrum, neck muscles provide effort, and the head is the load).
= Second-class lever: The load is between the fulcrum and the effort (e.g., standing on tiptoes, with the ball of the foot as the fulcrum, body weight as the load, and calf muscles providing effort).
= Third-class lever: The effort is between the fulcrum and the load (e.g., elbow flexion, with the elbow as the fulcrum, biceps applying effort, and the forearm and hand as the load).

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179
Q

Describe pulleys

A

Pulleys change the direction of muscle force. For example, the patella acts as a pulley, redirecting the force of the quadriceps tendon to improve the efficiency of leg extension at the knee.

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180
Q
A
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181
Q
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182
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183
Q
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184
Q
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185
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186
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187
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188
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189
Q
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190
Q

Describe the compartment and sectional anatomy of the upper arm

A
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191
Q
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192
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193
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194
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195
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196
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197
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198
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199
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200
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201
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202
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203
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204
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205
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206
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What are the four types of CNS glial cells

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207
Q

Describe the subdivisions of the nervous system

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208
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Describe the cells of the nervous system

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209
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210
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Describe the PNS nervous system glial cells

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211
Q

Describe the four types of neurons

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212
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What are the five types of neuron pathways / circuit types

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213
Q

Describe action potentials

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214
Q

Describe myelination

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215
Q

Look at this

A
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216
Q

Describe chemical synapses

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217
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217
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Describe the spinal cord

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218
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219
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Describe the meninges of the spinal cord

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220
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221
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Describe white matter and grey matter

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222
Q

Describe the organisation of the spinal cord

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223
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224
Q

Describe the spinal nerves

A
225
Q
A
226
Q

Describe ramus communicans

A
227
Q
A
228
Q

Describe the cervical plexus

A
229
Q
A
230
Q

Describe the brachial plexus

A
231
Q
A
232
Q

Describe the lumbar plexus

A
233
Q
A
234
Q

Describe the sarcal plexus

A
235
Q
A
236
Q
A
237
Q

Describe for ways to explain reflexes

A
238
Q

Describe the sensory tracts of the spinal cord (1st, 2nd and 3rd order neurons)

A
239
Q
A
240
Q

Describe the somatosensory tracts

A
241
Q
A
242
Q

Note difference between anterior and posterior spinocerebellar tracts and the directionality and destination of their pathways through the CNS

A
243
Q

Describe the corticospinal tract

A

See also, the homonculus and how it looks

244
Q
A
245
Q

Describe the four motor pathway tracts

IMPORTANT

A
246
Q

Describe the levels of somatic motor control

A
247
Q

Describe effectors

A
248
Q

Describe affectors

A
  • Affectors, like nociceptors, transmit pain signals when the skin is damaged, alerting the body to potential harm.
  • Thermoreceptors in the skin send temperature-related information to the brain, helping regulate body heat.
  • Mechanoreceptors, such as those in the fingertips, detect pressure or texture changes and relay these sensations for fine motor control or object recognition.
249
Q

Describe day 23-30 of brain embryo development

A
  • Day 20–21: Formation of the Neural Plate
    Neural Plate Formation: Around day 20, the ectoderm, which is the outermost layer of the embryonic tissue, thickens along the dorsal midline, forming the neural plate. This thickening marks the beginning of nervous system development.
    Somite Formation: At the same time, mesodermal tissue on either side of the neural plate forms paired blocks called somites. These somites are critical for later development of the vertebrae, skeletal muscles, and dermis.
  • Day 22–24: Neural Groove and Neural Fold
    Neural Groove: The neural plate starts to invaginate (fold inwards), forming a groove along its midline called the neural groove.
    Neural Folds: The lateral edges of the neural plate rise, forming neural folds. These folds will eventually come together and fuse.
  • Day 25–26: Neural Tube Formation
    Closure of the Neural Tube: By about day 25, the neural folds begin to fuse in the middle and zip up in both directions, eventually creating a hollow structure called the neural tube. The neural tube is the precursor to the brain and spinal cord.
    Neural Crest Cells: As the neural tube closes, cells at the edges of the neural folds, known as neural crest cells, begin to migrate away. These cells will give rise to various structures, including peripheral nerves and other specialised cell types.
  • Day 27–30: Early Brain and Spinal Cord Development
    Formation of Brain Regions: By day 28, the anterior portion of the neural tube starts to develop into the primary brain vesicles—prosencephalon (forebrain), mesencephalon (midbrain), and rhombencephalon (hindbrain).
    Spinal Cord Formation: The remainder of the neural tube, extending caudally from these vesicles, begins differentiating into the spinal cord.
  • At day 30, the basic structure of the central nervous system has been established, with regional specialisation evident in the brain and spinal cord.
250
Q
A
251
Q

Describe Prosencephalon (Forebrain)

A

The prosencephalon, or forebrain, is the most anterior part of the developing brain. It later subdivides into the telencephalon and diencephalon. The telencephalon gives rise to the cerebral cortex and basal ganglia, responsible for complex functions such as cognition, sensory processing, and voluntary movement. The diencephalon forms structures like the thalamus and hypothalamus, which regulate autonomic functions, hormone release, and act as a relay station for sensory information.

252
Q

Describe Telencephalon

A

The telencephalon is the most anterior part of the forebrain and eventually forms the cerebral cortex, basal ganglia, and limbic system. The cerebral cortex is responsible for higher cognitive functions, including thought, language, memory, and perception. The basal ganglia play a key role in movement control and reward processing, while the limbic system (including the hippocampus and amygdala) is critical for emotion regulation and memory formation.

253
Q

Describe Diencephalon

A

The diencephalon lies just beneath the telencephalon and differentiates into the thalamus, hypothalamus, epithalamus, and subthalamus. The thalamus acts as a relay station, directing sensory information to the appropriate areas of the cortex. The hypothalamus regulates homeostatic processes, including hunger, temperature, and circadian rhythms, and controls hormone release through the pituitary gland. Together, these structures help integrate sensory input with bodily functions and emotional responses.

254
Q

Describe mesencephalon

A

Mesencephalon (Midbrain)
The mesencephalon, or midbrain, lies between the forebrain and hindbrain and is a relatively smaller region. It plays a crucial role in processing auditory and visual information and controlling motor movements. The midbrain houses structures like the tectum and tegmentum, which coordinate eye movements, reflexes to visual and auditory stimuli, and basic functions related to arousal and alertness.
* The mesencephalon does not subdivide, but its walls thicken and the neurocoel becomes a narrow passageway with a diameter similar to that of the central canal of the spinal cord.

255
Q

Describe Rhombencephalon (Hindbrain)

A

The rhombencephalon, or hindbrain, is the posterior part of the brain and subdivides into the metencephalon and myelencephalon. The metencephalon develops into the pons and cerebellum, essential for coordinating movement and maintaining balance. The myelencephalon forms the medulla oblongata, which controls vital autonomic functions like breathing, heart rate, and blood pressure. Together, these structures support essential survival functions and smooth motor control.

256
Q

Describe Metencephalon

A

The metencephalon is a part of the hindbrain that develops into the pons and cerebellum. The pons functions as a communication hub, linking various parts of the brain and playing a role in sleep and respiration. The cerebellum coordinates voluntary motor activities, fine-tuning movement and maintaining balance and posture. It also contributes to motor learning and cognitive functions, such as attention and language processing.

257
Q

Describe Myelencephalon

A

The myelencephalon is the most caudal part of the hindbrain, forming the medulla oblongata. The medulla regulates essential autonomic functions, including heart rate, blood pressure, and respiratory rhythms. It serves as a pathway for neural signals between the brain and spinal cord and houses reflex centres that control actions like swallowing, coughing, and sneezing. This structure is crucial for basic survival functions

258
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A
259
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A
260
Q

The ______ serves as the connection between the brainstem and the spinal cord. Its lower section resembles the spinal cord, while the upper portion has a thinner membrane. It relays sensory information to the thalamus and other brainstem centres and contains essential control centres for autonomic functions, such as regulating heart rate, blood pressure, and digestion.

A

medulla oblongata

261
Q

The ___, located immediately above the medulla, acts as a “bridge” by connecting the cerebellum to the brainstem. It plays a critical role in both somatic (voluntary) and visceral (involuntary) motor functions, thanks to its nuclei.

A

pons

262
Q

The _______ (midbrain) processes visual and auditory information, coordinating rapid motor responses to these sensory inputs. It also contains centres that help maintain levels of consciousness, supporting wakefulness and alertness.

A

mesencephalon

263
Q

The ___ lies deep within the brain, attaching the midbrain to the cerebrum, and has three main parts:
1. The ____ houses the pineal gland, an endocrine structure that secretes hormones.
2. The ____ acts as a relay and processing centre for sensory information.
3. The _____ serves as a control centre for autonomic functions, emotions, and hormone production. Through a narrow stalk, it connects to the pituitary gland, linking the nervous and endocrine systems to regulate essential physiological processes.

A

diencephalon
epithalamus
thalamus
hypothalamus

264
Q

The ______, the brain’s second largest part, sits behind the pons and below the cerebral hemispheres, with two smaller hemispheres of its own. It plays a critical role in fine-tuning motor activities, automatically adjusting movements based on sensory input and previous experiences of learned motion.

A

cerebellum

265
Q

The _____ is the brain’s largest region and is divided into two large hemispheres, separated by the longitudinal fissure. Its outer layer, the ____ ____, consists of gray matter with characteristic folds (____) and ridges (____) that increase surface area. The cortex is divided into lobes, named after the cranial bones located above them (e.g., the parietal lobes lie beneath the parietal bones).

A

cerebrum
cerebral cortex
sulci
gyri

266
Q

The _____ is responsible for conscious thought, intellectual processes, memory, and complex motor functions, making it central to cognition and behaviour.

A

cerebrum

267
Q

Describe grey and white matter in the brain

A

In the brain, gray matter forms an inner region surrounded by white matter tracts. This structure surrounds fluid-filled ventricles and passageways that connect to the spinal cord’s central canal. Much like in the spinal cord, the brain’s white matter encases regions of gray matter, which appear as nuclei, or clusters of neuron cell bodies, with various shapes. However, gray and white matter arrangements in the brain are more complex than in the spinal cord. In the cerebrum and cerebellum, white matter is covered by a superficial gray matter layer called the cortex.

268
Q

The “_____ ____” include cortical areas of the cerebrum and cerebellum, along with nuclei in the diencephalon and mesencephalon, which adjust activities in lower brainstem and spinal cord nuclei. These centres process sensory information and control motor responses, either through the spinal cord and spinal nerves or directly via cranial nerves

A

higher centres

269
Q

Describe the ventricular system in the brain

A

Consists of four fluid-filled chambers called ventricles, which contain cerebrospinal fluid (CSF) and are lined by ependymal cells. There are two lateral ventricles, one in each cerebral hemisphere, a third ventricle located within the diencephalon, and a fourth ventricle situated between the pons and cerebellum, extending into the upper part of the medulla oblongata. Each ventricle plays a role in circulating CSF, which helps cushion the brain and supports its metabolic functions

270
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A
271
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A
272
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A
273
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A
274
Q

The ____ ventricles in each cerebral hemisphere have a complex structure, divided into sections: a body, anterior horn, posterior horn, and inferior horn. These are separated by the ____ ____, a thin partition. The body of each lateral ventricle lies in the parietal lobe, the anterior horn extends into the frontal lobe, the posterior horn into the occipital lobe, and the inferior horn curves into the temporal lobe. While there’s no direct connection between the two lateral ventricles, each connects to the ____ _____ in the diencephalon via an interventricular foramen (foramen of Monro).

A

lateral
septum pellucidum
third ventricle

275
Q

The ____ _____ (or aqueduct of the midbrain) in the mesencephalon connects the third and fourth ventricles. In the medulla oblongata, the fourth ventricle tapers into the central canal of the spinal cord. _____ ____ flows from the ventricles into the central canal, then through foramina in the fourth ventricle’s roof into the subarachnoid space surrounding the brain and spinal cord. This circulation pathway is supported by the protective structure of the cranial meninges, which differ slightly from the spinal meninges.

A

cerebral aqueduct
Cerebrospinal fluid (CSF)

276
Q

What are the three types of cranial meninges?

A
  1. Dura mater
  2. Arachnoid mater
  3. Pia mater
277
Q
A
278
Q
A
279
Q

Describe the cranial dura mater

A

Two Fibrous Layers:
- Outermost Layer: Periosteal cranial dura
* Attached to the periosteum of cranial bones.
- Innermost Layer: Meningeal cranial dura

Space Between Layers:
- Filled with interstitial fluid and blood vessels (including dural sinuses).
- Dural Sinuses: Collect blood from brain veins before draining into the internal jugular veins in the neck.

Meningeal Dura Folds:
- Occurs at four specific sites within the cranial cavity.
- Creates partitions to support the brain and limit its movement.

Structural Importance:
- Stabilises brain position and ensures proper blood drainage.

280
Q

Describe The falx cerebri

A

Is a sickle-shaped fold of dura mater located between the cerebral hemispheres in the longitudinal fissure. It attaches anteriorly to the crista galli and posteriorly to the internal occipital crest and tentorium cerebelli, containing two major venous sinuses: the superior sagittal sinus and the inferior sagittal sinus.

281
Q

Describe the tentorium cerebelli

A

Acts as a protective covering for the occipital lobes of the cerebrum and separates the cerebellar hemispheres from the cerebrum, extending across the skull at right angles to the falx cerebri. It houses the transverse sinus within its structure.

282
Q

The ______ mater is a delicate membrane that covers the brain, positioned between the outer dura mater and the inner pia mater. In anatomical studies, there appears to be a narrow subdural space separating the dura mater and the arachnoid mater, although this space likely does not exist in living individuals.

A

arachnoid

283
Q
  • Beneath the arachnoid mater lies the ____ ____, which contains a web-like network of collagen and elastic fibre that connect the arachnoid to the pia mater.
  • Finger-like extensions of the arachnoid mater, known as _____ _____, penetrate the dura mater and extend into the superior sagittal sinus, allowing cerebrospinal fluid (CSF) to flow into the venous circulation.
  • This layer acts as a protective roof over cranial blood vessels, while the pia mater beneath serves as the floor. The arachnoid _____, which consist of connective tissue fibre, support the cerebral arteries and veins and are surrounded by cerebrospinal fluid, helping to cushion and stabilize the brain.
A

subarachnoid space
arachnoid granulations
trabeculae

284
Q

Describe the cranial pia mater

A

A highly vascular membrane that tightly adheres to the brain’s surface, conforming to its contours and lining the sulci. It is anchored to the brain by the extensions of astrocytes, which help maintain its attachment. The pia mater serves as a supportive floor for large cerebral blood vessels, allowing them to branch and follow the brain’s convolutions. This close association ensures that the superficial areas of the cerebral cortex receive an adequate blood supply, which is crucial for brain function and health.

285
Q

Describe the blood-brain barrier (BBB)

A
  • The blood-brain barrier (BBB) is a critical mechanism that isolates the central nervous system (CNS) from general circulation, ensuring a stable environment essential for proper neuronal function and control.
  • It is formed by capillary endothelial cells that are tightly interconnected by tight junctions, preventing the diffusion of materials between cells and allowing only lipid-soluble compounds to pass into the brain’s interstitial fluid.
286
Q

The endothelial cells of the BBB have few _____ vesicles, which restricts the movement of larger molecules, necessitating passive or active transport mechanisms for water-soluble compounds. Various transport proteins are involved, and their functions are highly specific.

A

pinocytotic

287
Q

_____, a type of neuroglia, closely associate with CNS capillaries and secrete chemicals that further limit the permeability of endothelial cells, contributing to the selective nature of the BBB.

A

Astrocytes

288
Q

The BBB is _____ and _____; for instance, it ensures a constant supply of glucose to neurons, even during low circulating glucose levels, while actively regulating the concentration of neurotransmitters like glycine by absorbing it from the brain’s interstitial fluid and releasing it into the blood.

A

selective
directional

289
Q

Describe the Hypothalamus and BBB

A
  • Increased Permeability for Hormone Sensing: The hypothalamus contains permeable capillaries that allow access to circulating hormones, enabling direct detection of blood-borne signals, like glucose and electrolyte levels, critical for homeostasis.
  • Direct Influence on Blood Chemistry: This permeability facilitates the release of hypothalamic hormones (e.g., TRH, GnRH) directly into the bloodstream, helping regulate vital body processes like metabolism and reproduction.
  • Selective Monitoring and Exception to the BBB: Unlike other brain regions shielded by the BBB, the hypothalamus monitors blood for factors such as osmolarity, temperature, and nutrients, allowing rapid adjustments in bodily functions via neuroendocrine signalling.
290
Q

Describe the Pineal Gland and BBB

A
  • High Capillary Permeability: The pineal gland capillaries are highly permeable, allowing hormones, particularly melatonin, to enter circulation unimpeded, coordinating sleep-wake cycles and seasonal biological rhythms.
  • Regulation of Circadian Rhythms: By directly releasing melatonin into the bloodstream, the pineal gland influences sleep cycles and circadian rhythms, especially in response to light exposure patterns.
  • Endocrine Communication Beyond the BBB: Unlike BBB-protected areas, the pineal gland freely communicates with the systemic circulation, providing feedback on circadian and seasonal changes that inform CNS and endocrine responses.
291
Q

Describe the Posterior Pituitary Gland and BBB

A
  • Direct Hypothalamic Connection: The posterior pituitary lacks a BBB, allowing it to act as an extension of the hypothalamus, enabling fast transport of neurohormones like antidiuretic hormone (ADH) and oxytocin.
  • Rapid Response Hormone Release: Hormones such as ADH (which controls water balance) and oxytocin (affecting uterine contractions and lactation) are released directly into the bloodstream, providing immediate physiological responses.
  • Neuroendocrine Coordination: The posterior pituitary’s design ensures it works in sync with the hypothalamus, acting as a hub for hormone release, bypassing the BBB to regulate blood volume, stress responses, and reproductive functions.
292
Q

Describe the Choroid Plexus and BBB

A
  • Primary Site of CSF Production: The choroid plexus, located in the third and fourth ventricles, produces cerebrospinal fluid (CSF) which circulates within the CNS, providing cushioning and nutrient transport.
  • Selective Blood–CSF Barrier: Specialized ependymal cells within the choroid plexus form a barrier, filtering blood and controlling the entry of ions, vitamins, and nutrients into the CSF, similar to BBB selectivity.
  • Dual Protective Role: The choroid plexus prevents toxins and pathogens from reaching the CNS through blood vessels, adding another layer of defense that complements the BBB in protecting the brain’s microenvironment.
293
Q

Describe Cerebrospinal Fluid (CSF) and BBB

A
  • Physical Protection for Neural Tissue: CSF surrounds the brain and spinal cord, absorbing shocks and preventing delicate neural tissues from making direct contact with the skull, acting as a cushion against physical impacts.
  • Chemical Stability and Environmental Control: The BBB and CSF together maintain an optimal environment for neurons by controlling ion concentration, nutrient levels, and waste, safeguarding the brain from blood composition fluctuations.
  • Efficient Nutrient and Waste Transport: CSF allows regulated movement of vital compounds while isolating harmful substances, thereby maintaining the delicate ionic balance required for nerve impulses, functioning alongside the BBB to keep CNS tissues in ideal condition.
294
Q

Describe the Formation of CSF and BBB

A
  • Filtration via Choroid Plexus: CSF is filtered from blood within the choroid plexus through specialized ependymal cells that prevent large molecules and harmful substances from entering the brain’s ventricles, maintaining BBB-like selectivity.
  • Control of Ion and Nutrient Exchange: Ependymal cells regulate the entry of ions and other compounds into CSF, protecting CNS tissues from fluctuations in blood chemistry, in tandem with the BBB’s selective permeability.
  • Efficient Production and Renewal of CSF: The choroid plexus produces 500 mL of CSF daily, with the total CSF volume being replaced every 8–12 hours, ensuring fresh, filtered fluid circulates continuously, removing waste and maintaining a stable internal environment.
295
Q

Describe the CSF Flow and BBB

A
  • CNS Pathways and CSF Circulation: CSF flows from the lateral ventricles to the third and fourth ventricles, then into the subarachnoid space, providing a medium for nutrient distribution and waste removal throughout the CNS.
  • Selective Reabsorption Mechanism: CSF is reabsorbed into the bloodstream via arachnoid granulations, which prevent large molecules from entering the CSF, preserving the brain’s protected environment similarly to the BBB.
  • Minimised Direct Blood Exposure: CSF reabsorption carefully limits the brain’s contact with blood, reducing exposure to blood-borne toxins or pathogens and supporting the BBB’s role in maintaining CNS isolation.
296
Q

Describe the three Functions of CSF:

A
  1. Protection: CSF prevents contact between delicate neural structures and surrounding bones, reducing the risk of injury from mechanical forces.
  2. Support: The brain is essentially suspended within the cranium, floating in CSF. Although a human brain weighs about 1,400 grams in air, its effective weight is reduced to about 50 grams when supported by CSF.
  3. Transport: CSF facilitates the movement of nutrients, chemicals, and waste products. The ependymal lining is generally permeable, allowing CSF to maintain constant chemical communication with the interstitial fluid of the CNS.
297
Q
A
298
Q
A
299
Q

Describe the Relay Stations and Processing Centers of the medulla.

A
  • Many ascending sensory and descending motor tracts synapse in sensory or motor nuclei within the medulla. Key nuclei include the gracile and cuneate nuclei, which relay somatic sensory information to the thalamus, and the solitary nucleus, which receives visceral sensory information. The olivary nuclei relay information from various brain regions to the cerebellar cortex and form the prominent olives on the medulla’s surface
300
Q

Describe the Nuclei of Cranial Nerves of the medulla

A

The medulla contains sensory and motor nuclei for five cranial nerves (VIII, IX, X, XI, and XII). These cranial nerves innervate muscles in the pharynx, neck, and back, as well as visceral organs in the thoracic and abdominopelvic cavities.

301
Q

Describe the Autonomic Nuclei of the medulla:

A
  • The reticular formation includes nuclei that regulate vital autonomic functions. Major centers include:
  • Cardiovascular Centers: Adjust heart rate, cardiac contraction strength, and blood flow to tissues. They consist of cardiac and vasomotor centers.
  • Respiratory Rhythmicity Centers: Set the basic breathing pace, regulated by inputs from apneustic and pneumotaxic centers in the pons.
302
Q
A
303
Q

Describe Functions and Features of the Pons

A

The pons is a key structure in the brainstem involved in various essential functions. It acts as a relay centre, connecting the cerebrum and cerebellum, which facilitates coordination of voluntary movements. It also plays a critical role in autonomic functions such as regulating breathing patterns. Additionally, the pons houses nuclei (pneumotaxic, apneustic) involved in sensory information processing and cranial nerve functions, such as facial sensation, hearing, and eye movement

304
Q

What are the three tracts of the pons

A
  1. Longitudinal tracts connect the pons to other CNS areas.
  2. Anterior cerebellar peduncles contain efferent cerebellar tracts for interhemispheric communication.
  3. Inferior cerebellar peduncles consist of both afferent and efferent tracts connecting the cerebellum with the medulla oblongata.
305
Q
A
306
Q
A
307
Q
A
308
Q

Describe the tectum of the mesencephalon

A

The posterior surface of the mesencephalon is known as the tectum, which contains two pairs of sensory nuclei, collectively referred to as the corpora quadrigemina:

309
Q

Describe the corpora quarigemina

A
  • Superior Colliculi: These nuclei are involved in processing visual information. They receive input primarily from the lateral geniculate nucleus of the thalamus on the ipsilateral side and are important for reflexive movements of the eyes and head in response to visual stimuli.
  • Inferior Colliculi: These nuclei process auditory information received from the medulla oblongata. They play a key role in reflexive responses to sound and relay auditory signals to the medial geniculate nucleus in the thalamus for further processing.
310
Q

Describe the Reticular Formation of the mesencephalon:

A
  • The mesencephalon contains significant nuclei of the reticular formation, which is involved in various involuntary motor responses and contributes to the regulation of wakefulness and alertness. Stimulation of this region can produce diverse motor responses, including reflexive actions.
311
Q

Describe the Major Nuclei of the mesencephalon

A
  • Red Nucleus: This nucleus has a rich vascular supply, giving it a reddish appearance. It processes information from both the cerebrum and cerebellum and is involved in issuing involuntary motor commands that help maintain muscle tone and limb position. It plays a role in coordination and motor control.
  • Substantia Nigra: Located lateral to the red nucleus, this area contains darkly pigmented neurons that are critical for motor regulation. The substantia nigra is closely associated with the basal nuclei, helping to modulate motor output and control movement. Dysfunction in this area is linked to disorders like Parkinson’s disease.
312
Q

Describe the cerebral peduncles of the mesencephalon

A

The cerebral peduncles are prominent structures on the ventrolateral surfaces of the mesencephalon. They contain:
* Ascending fibre: These fibre transmit sensory information to the thalamus, allowing the brain to process sensory input from various parts of the body.
* Descending fibre: These fibre carry voluntary motor commands from the primary motor cortex of each cerebral hemisphere through the corticospinal pathway. They play a crucial role in executing voluntary movements by relaying signals from the brain to the spinal cord.

313
Q

Describe the diencephalon

A
  • The diencephalon comprises about 2% of the grey matter in the central nervous system (CNS), yet it plays a crucial role due to its extensive connections. Almost all motor and sensory systems in the CNS synapse within this region.
  • The diencephalon serves as a link between the brainstem and the cerebral hemispheres, consisting of the epithalamus, the left and right thalamus, and the hypothalamus. Various figures illustrate the diencephalon’s position and its relation to other brain structures.
314
Q

Describe the The Epithalamus

A
  • The epithalamus forms the roof of the third ventricle and houses the pineal gland.
    The epithalamus includes a membranous anterior section with a choroid plexus that extends through the interventricular foramina into the lateral ventricles. Its posterior part contains the pineal gland, an endocrine organ responsible for secreting melatonin.
  • Melatonin is believed to regulate circadian rhythms, and may also influence reproductive functions.
315
Q

Describe the Thalamus

A
  • Largest Nuclei Collection: The thalamus is the CNS’s largest nuclei group, integrating and relaying sensory and motor information.
  • Diencephalon Structure: Comprises most of the diencephalon’s tissue, forming lateral walls around the third ventricle.
  • Sensory Relay Centre: Almost all ascending sensory data (except olfactory and spinocerebellar) synapse in the thalamus before reaching the cerebrum or brainstem.
  • Filtering Function: Acts as the final synapse for sensory input to the primary somatosensory cortex, filtering and selectively transmitting sensory data.
  • Motor Coordination: Regulates motor activities at conscious and subconscious levels.
316
Q

What are the eight homeostatic functions of the hypothalamus

A
  1. Control of Skeletal Muscle Contractions: Directs motor patterns linked to emotions such as rage and pleasure.
  2. Regulation of Autonomic Functions: Coordinates autonomic centres that manage heart rate, blood pressure, respiration, and digestion.
    Integration of Nervous and
  3. Endocrine Systems: Influences endocrine activity in the pituitary gland.
  4. Hormone Secretion: Produces antidiuretic hormone (ADH) and oxytocin, which are released into the bloodstream.
  5. Emotional and Behavioural Drives: Triggers sensations that alter behaviour, such as thirst.
  6. Voluntary and Autonomic Coordination: Monitors cerebral activities to adjust autonomic responses during stress.
  7. Body Temperature Regulation: Controls physiological responses to maintain temperature.
  8. Circadian Rhythms: Coordinates daily activity cycles in response to light, adjusting related brain and gland functions
317
Q
A
318
Q
A
319
Q
A
320
Q
A
321
Q
A
322
Q
A
323
Q

Describe the adrenal medulla

A
324
Q

Describe the parasympathetic region

A
325
Q

How does an afferent signal start?

A
326
Q
A
327
Q
A
328
Q

Describe gustation (taste) as a sense

A
329
Q
A
330
Q

Describe retinal organisation

A
331
Q

Describe visual pathways

A
332
Q
A
333
Q
A
334
Q
A
335
Q

Describe the eye orbit

A
336
Q
A
337
Q

Describe balance as a sense

A
338
Q
A
339
Q

Describe the somatic nervous system

A
340
Q

Describe the autonomic nervous system

A
341
Q

What are the eight functions of blood

A
342
Q

In the blood, plasma makes up __-__% and formed elements make up __-__%

A

46-63%
37-54%

343
Q

Describe the percentage composition of plasma

A

92% water
7% plasma proteins
1% other solutes

344
Q

What are the four different types of plasma proteins

A
  1. Albumins:
    * Percentage: About 60% of plasma proteins.
    * Function: Key contributors to osmotic pressure, helping to maintain fluid balance in the blood. They also transport fatty acids, thyroid hormones, and some steroid hormones.
  2. Globulins:
    * Percentage: Roughly 35% of plasma proteins.
    * Types: Includes immunoglobulins (antibodies) that support immune defence, and transport globulins that bind small ions and hormones, especially those that are insoluble or would be filtered out by the kidneys.
  3. Fibrinogen:
    * Percentage: Approximately 4% of plasma proteins.
    * Function: The largest plasma protein, crucial for blood clotting. Fibrinogen converts to fibrin, forming the structural framework of a blood clot. If blood is not treated to prevent clotting, fibrinogen is transformed into fibrin, resulting in serum when clotting proteins are removed.
345
Q

What are the types of other solutes in plasma

A
346
Q

What are the formed elements in blood

A
347
Q

Describe white blood cells

A

Whole blood comprises plasma and formed elements, and its viscosity is significantly higher than that of water—five times more viscous—due to interactions among proteins and cells. Blood volume can be estimated at about 7% of body weight; for example, a 75-kg person has approximately 5.25 litres of blood. Blood is slightly alkaline, with a pH between 7.35 and 7.45, and a temperature of about 38°C. Terms like hypovolemic, normovolemic, and hypervolemic describe low, normal, and excessive blood volumes, respectively, which can impact health, particularly in conditions like kidney failure.

348
Q

Describe hypovolemic

A
  • Definition: A condition of low blood volume.
  • Causes: Results from blood loss (trauma, surgery), severe dehydration (vomiting, diarrhoea), or conditions like diabetes insipidus.
  • Consequences: Leads to low blood pressure, reduced organ perfusion, and shock. Symptoms include weakness, dizziness, rapid heart rate, and confusion.
349
Q

Describe Normovolemic

A
  • Definition: A state of normal blood volume.
  • Significance: Essential for maintaining blood pressure and adequate tissue perfusion. Indicates a balance between blood production and loss.
  • Clinical Relevance: Vital in surgeries and critically ill patients, where monitoring fluid balance is crucial to avoid complications.
350
Q

Describe Hypervolemic

A
  • Definition: An excess of blood volume.
  • Causes: Occurs due to fluid retention from heart failure, kidney dysfunction, excessive salt intake, or overadministration of IV fluids.
  • Consequences: Can lead to high blood pressure and strain on the heart, causing heart failure or edema. Symptoms include shortness of breath, swelling, and hypertension.
351
Q

Describe red blood cells

A
  • Structure and Function: Red blood cells (RBCs) are anucleate, biconcave discs that transport oxygen and carbon dioxide, constituting nearly half of blood volume. Their shape increases surface area for gas exchange and allows them to stack and pass through narrow capillaries smoothly.
  • Cellular Adaptations: RBCs lack most organelles, relying on anaerobic metabolism from plasma glucose, ensuring oxygen is transported to tissues. Their 120-day lifespan is due to the inability to repair damaged enzymes or proteins.
  • Haemoglobin Role: Haemoglobin (Hb) comprises over 95% of RBC protein, with each molecule binding iron to transport oxygen. Oxyhemoglobin gives blood a bright red colour, while deoxygenated blood appears dark red.
352
Q

Describe the erythrocyte life cycle

A
353
Q

Describe erythropoiesis

A
  • Erythropoiesis Process: RBC formation (erythropoiesis) occurs mainly in adult red bone marrow, especially in the vertebrae, sternum, and pelvis. In extreme cases, yellow marrow can convert to red marrow to increase RBC production.
  • Nutritional Requirements: Amino acids, iron, and vitamin B12 are essential for proper erythropoiesis.
  • EPO Regulation: Erythropoietin (EPO), produced by the kidneys and liver in response to low oxygen, stimulates cell division in erythroblasts and speeds up RBC maturation. Under peak conditions, bone marrow can produce up to 30 million RBCs per second.
354
Q

Describe the four blood types

A
355
Q

Describe the Rhesus factor in pregnant women

A
356
Q

Describe a surface antigen cross-reaction

A

A cross-reaction occurs when an antibody meets its specific surface antigen (Figure 20.4b). First, the red blood cells clump together, a process called agglutination (a-glū-ti-NĀ-shun). The RBCs may also hemolyze (rupture). The clumps and fragments of RBCs under attack form drifting masses that can plug small blood vessels in the kidneys, lungs, heart, or brain, damaging or destroying affected tissues. To avoid cross-reactions, the blood types of the donor and recipient must be compatible. This involves choosing a donor whose blood cells will not undergo a cross-reaction with the plasma of the recipient.

357
Q

Look at this list of possible end products of hematopoietic stem cells

A
358
Q

Leukocytes are divided into two groups based on the presence or absence of cytoplasmic granules: (1) _____
(2) _____

A

granulocytes
agranulocytes

359
Q

_______ is the process by which white blood cells (WBCs) are attracted to sites of infection or tissue damage. When body cells are injured or infected, they release specific chemicals into the surrounding fluids, creating a gradient that WBCs can detect. This chemical signal guides the WBCs to the source of the inflammation or infection.

A

Chemotaxis

360
Q

______, also known as emigration, is the process through which WBCs move out of the bloodstream and into surrounding tissues. During diapedesis, WBCs squeeze between adjacent endothelial cells in the capillary walls, allowing them to exit the bloodstream and reach the affected area where they can combat pathogens or assist in tissue repair.

A

Diapedesis

361
Q

Describe neutrophils

A

Neutrophils make up 50 to 70% of circulating white blood cells (WBCs). They are characterised by their pale granules, which contain lysosomal enzymes and bactericidal compounds. With a lobed nucleus, neutrophils are the first responders to injury sites, acting as active phagocytes that engulf bacteria. They have a short lifespan of around 10 hours and can consume one to two dozen bacteria before dying, releasing chemicals that attract additional neutrophils.

362
Q

Describe eosinophils

A

Eosinophils account for 2 to 4% of circulating WBCs and are similar in size to neutrophils but possess red-staining granules and a bilobed nucleus. They target objects coated with antibodies and are particularly active during allergic reactions and parasitic infections. Eosinophils release enzymes that help reduce inflammation.

363
Q

Describe basophils

A

Basophils are the least common WBCs, comprising less than 1% of the population. They have deep purple granules that contain histamine and heparin, which promote inflammation by dilating blood vessels and preventing clotting. Basophils migrate to injury sites and release their granules into interstitial fluids, enhancing local inflammation and attracting eosinophils and other basophils.

364
Q

Describe monocytes

A
  • Monocyte Proportion: Make up 2–8% of WBCs and are the largest type, about 2-3 times the size of RBCs.
  • Circulation and Differentiation: Circulate briefly before becoming free macrophages in tissues, where they act as mobile phagocytes.
  • Functions at Injury Sites: Arrive after neutrophils, release chemicals to attract other immune cells, and stimulate fibroblasts to produce scar tissue.
365
Q

Describe lymphocytes

A
  • Proportion and Size: Lymphocytes make up 20–30% of WBCs and are slightly larger than RBCs, with a large nucleus surrounded by a thin cytoplasmic halo.
  • Role in Immunity: Primary cells of the lymphatic system, essential for specific immunity against pathogens.
  • Types and Functions:
  • T Cells: Directly attack foreign cells.
  • B Cells: Differentiate into plasma cells that produce antibodies.
  • Natural Killer (NK) Cells: Conduct immune surveillance and destroy abnormal cells, like cancer cells.
366
Q

Describe the heart

A

The heart, about the size of a fist, consists of four muscular chambers: the right and left atria and the right and left ventricles. These chambers work together to pump blood through two circuits: the pulmonary circuit, which transports carbon dioxide-rich blood from the heart to the lungs for gas exchange and returns oxygen-rich blood to the heart; and the systemic circuit, which carries oxygen-rich blood to the body’s cells and returns carbon dioxide-rich blood back to the heart.

367
Q

Describe the ventricles and atria of the heart

A
  • Right Side of Heart: The right atrium collects deoxygenated blood from the systemic circuit, while the right ventricle pumps it to the lungs via the pulmonary circuit for oxygenation.
  • Left Side of Heart: The left atrium receives oxygenated blood from the lungs, and the left ventricle pumps it through the systemic circuit to supply the body.
  • Circulatory Flow: Blood flows in sequence through these circuits, moving from systemic to pulmonary and back, ensuring oxygenation before returning to body tissues.

Blood Vessel Roles:
- Arteries: Transport blood away from the heart (oxygenated in systemic, deoxygenated in pulmonary).
- Veins: Return blood to the heart (deoxygenated in systemic, oxygenated in pulmonary).
- Capillaries: Facilitate gas, nutrient, and waste exchange with tissues, linking arteries and veins in both circuits.

368
Q

Describe the development of the heart

A
369
Q
A
370
Q
A
371
Q
A
372
Q
A
373
Q
A
374
Q

Describe the pericardium

A

The pericardium surrounds the heart and consists of two parts: the outer fibrous pericardium and the inner serous pericardium. The fibrous pericardium is made up of a dense network of collagen fibers that stabilise the position of the heart and associated vessels within the mediastinum.

375
Q

The lining of the pericardium is the ______ ______, which has two layers: the outer ____ layer and the inner ____ layer, also known as the epicardium. The space between these two layers is the pericardial cavity, which typically contains up to __ mL of pericardial fluid. This fluid, secreted by the pericardial membranes, acts as a lubricant, reducing friction between the visceral and parietal surfaces as the heart beats. To visualise this relationship, imagine pushing your fist toward the centre of a partially inflated balloon, where the balloon represents the pericardium and your fist represents the heart.

A

serous pericardium
parietal
visceral
50

376
Q
A
377
Q

Contrast the visceral and parietal layers of the epicardium

A

The visceral layer of the serous pericardium (epicardium) covers the surface of the heart and consists of two layers: a mesothelium and an underlying layer of areolar tissue. The parietal layer of the serous pericardium is made up of an outer dense fibrous layer and an inner mesothelium.

378
Q

Describe the myocardium

A

The myocardium is the cardiac muscle tissue forming the atria and ventricles. It includes cardiac muscle cells, connective tissues, blood vessels, and nerves. The atrial myocardium is thin and organized into layers that form figure eights as they connect both atria. In contrast, the ventricular myocardium is thicker, with muscle orientation varying from layer to layer; the most superficial muscles wrap around both ventricles, while deeper layers spiral around and between them.

379
Q

Describe the endocardium

A

The endocardium covers the inner surfaces of the heart, including the heart valves, and consists of simple squamous epithelium that is continuous with the endothelium of the attached great vessels.

380
Q

Describe cardiac muscle tissue

A
  • Intercalated discs form junctions between adjacent cardiac muscle cells.
  • Cardiac muscle cells rely on aerobic respiration for energy, containing many mitochondria and large stores of myoglobin, glycogen, and lipids.
  • Their T tubules are shorter than those in skeletal muscle and do not form triads with the sarcoplasmic reticulum.
  • Cardiac muscle has a greater number of blood vessels than red skeletal muscle tissue.
  • Cardiac muscle cells can contract without nervous system stimulation.
381
Q

As a result, cardiac muscle cells function as a single, enormous muscle cell, with contractions spreading throughout the _____. This property leads to the term ____ _____.

A

myocardium
functional syncytium

382
Q

Key features of the intercalated discs of the heart include:

______ that bind the plasma membranes of two cardiac muscle cells together, preventing separation during contractions.
_____ ______, where actin filaments anchor to the plasma membrane, allowing maximum efficiency during muscle contraction.
___ ____, enabling direct electrical connections between cells, allowing action potentials to spread rapidly.

A

Desmosomes
Fascia adherens
Gap junctions

383
Q

Describe the cardiac skeleton

A
  • Structure and Function: The cardiac skeleton is a connective tissue framework that supports the heart, distributes muscle contractions, isolates atrial and ventricular cells, and adds elasticity.
  • Connective Tissue Composition: Made of reticular, collagen, and elastic fibres; each cardiac muscle cell has an elastic sheath, and cells are connected by fibrous cross-links.
  • Connective Tissue Layers: These layers form dense bands that encircle the bases of major vessels (pulmonary trunk, aorta), surround the heart valves, connect fibrous rings around valve openings, and separate atria from ventricles.
384
Q

Describe the Functions of the Cardiac Skeleton

A
  1. Stabilises the positions of muscle cells and valves.
  2. Provides support for cardiac muscle cells, blood vessels, and nerves within the myocardium.
  3. Distributes forces of contraction.
  4. Reinforces valves, preventing overexpansion.
  5. Offers elasticity, returning the heart to its original shape after contraction.
  6. Physically isolates atrial muscle cells from ventricular muscle cells, which is vital for coordinating cardiac contractions.
385
Q
A
386
Q
A
387
Q
A
388
Q

Describe the right coronary artery

A

The right coronary artery (RCA) circles the heart to the right (when viewed from above) within the coronary sulcus. In addition to the atrial branches, it gives off two major branches: the right marginal branch and the right posterior interventricular branch.

The right coronary artery branches off the ascending aorta and turns to the right, lying within the coronary sulcus between the right auricle and the pulmonary trunk. In approximately 60% of individuals, the RCA is the dominant coronary artery, providing the posterior interventricular branch.

389
Q

Typically, the branches of the RCA supply blood to…

A
  1. The right atrium.
  2. A portion of the left atrium.
  3. The interatrial septum.
  4. The entire right ventricle.
  5. A variable portion of the left ventricle.
  6. The postero-inferior one-third of the interventricular septum.
  7. Portions of the conducting system, including the sinoatrial (SA) node.
390
Q

As the RCA curves across the anterior surface of the heart, it gives off ____ ____ that supply the right atrium and part of the left atrium.

A

atrial branches

391
Q

The right ____ ____ forms near the heart’s right border, extending toward the apex along the right ventricle’s anterior surface and supplying blood to the right atrium, interatrial septum, and right ventricle. As the RCA moves across the heart’s posterior surface, it gives off the ____ _____ _____, which supplies the interventricular septum and nearby ventricular areas.

A

marginal branch
posterior interventricular branch

392
Q
A
393
Q
A
394
Q

A small branch near the base of the RCA penetrates the atrial wall to reach the _____ node, also known as the cardiac pacemaker. Another small branch to the ______ node, a part of the heart’s conducting system, originates from the RCA near the posterior interventricular branch.

A

sinoatrial (SA)
atrioventricular (AV)

395
Q

Describe the autonomic control of the heart

A
396
Q
A
397
Q
A
398
Q

The _____ _____ is a thick connective tissue sheath, composed mainly of collagen and some elastic fibers. It is typically thicker in veins than arteries and blends with nearby tissues to stabilize the vessel.

A

outer adventitia

399
Q

The _____ , the middle layer, consists of smooth muscle layers encircling the vessel’s lumen, held by loose connective tissue. Stimulated by the sympathetic nervous system, this muscle layer enables vasoconstriction (lumen narrowing) and vasodilation (lumen widening), affecting blood pressure and flow. Collagen fibers link the media with the intima and adventitia, and arteries have an external elastic membrane separating media from adventitia.

A

media

400
Q

The ______ is the innermost layer, containing an endothelial lining and elastic connective tissue. In arteries, it includes an internal elastic membrane, and in larger arteries, this layer is more developed than in smaller ones.

A

intima

401
Q

The muscular and elastic components in arteries and veins provide strength and allow changes in luminal diameter with shifts in blood pressure or volume. However, vessel walls are too thick for direct diffusion from the bloodstream to surrounding tissues or even within the vessel walls. To supply the smooth muscle and connective tissues of the media and adventitia, large vessels contain smaller blood vessels known as the _____ ______ (“vessels of vessels”)

A

vasa vasorum

402
Q

Compare the valves, lumens, walls and lining of arteries and veins

A

Arteries:
- Walls: Thick with abundant smooth muscle and elastic fibres to handle high pressure.
- Lumen: Smaller, circular, and retains shape in sections; walls contract, constricting the lumen.
- Lining: Non-contractile endothelial lining that folds when constricted, creating a pleated appearance.
- Valves: None, as blood flow is maintained by high heart-generated pressure.

Veins:
- Walls: Thinner, with less smooth muscle and elastic content due to lower pressure.
- Lumen: Larger and often collapses in sections, appearing flattened or distorted.
- Lining: Smooth, unfolded lining without pleats.
- Valves: Present to prevent backflow, especially in low-pressure areas such as the limbs.

403
Q

During _____ ____, elastic arteries stretch to accommodate the rapid pressure increase, then recoil during _____ to help maintain blood flow and moderate pressure drops.

A

ventricular systole
diastole

404
Q

Describe elastic arteries

A

Elastic arteries are large vessels (up to 2.5 cm in diameter) that carry significant blood volumes from the heart. Examples include the aorta, pulmonary artery, and main branches like the carotid and subclavian arteries. The intima is thick, with an endothelial layer and elastic connective tissue separated from the media by the internal elastic membrane. The media has many elastic fibers and few smooth muscle cells, making the walls highly resilient to pressure changes without contracting in response to stimuli.

405
Q

Describe muscular arteries

A

Muscular arteries are medium-sized vessels (around 4 mm in diameter) that deliver blood to skeletal muscles and organs. Most visible arteries are muscular, though many are too small to see without magnification. The media of muscular arteries is thicker and contains more smooth muscle cells than elastic arteries, with an internal elastic membrane separating it from the intima. The autonomic nervous system and local signals control their lumen diameter by adjusting the muscle in the media, allowing for independent regulation of blood flow to specific organs.

406
Q

_______ are small vessels, about 30 μm in diameter, only visible microscopically. They have a thin adventitia and a media with one or two layers of smooth muscle cells, which may be incomplete. They adjust their lumen size in response to local conditions, sympathetic input, or hormonal signals, controlling blood flow between arteries and capillaries.

A

Arterioles

407
Q

_______ are the smallest and most delicate blood vessels, with walls thin enough to enable nutrient and waste exchange between blood and interstitial fluid. This thin structure allows for quick diffusion over short distances, with blood flowing slowly to allow time for exchange. Materials move across their walls either through endothelial cells or gaps between them, depending on the structure.

A

Capillaries

408
Q

A typical capillary wall is made up of one to three endothelial cells on a basal lamina, with a diameter of about 8 μm—just enough for a red blood cell to pass through. ______ capillaries have a complete endothelial lining with tight junctions, found in most tissues. _______ capillaries have pores in their walls, allowing for more rapid exchange, due to an incomplete endothelial lining.

A

Continuous
Fenestrated

409
Q
A
410
Q

______, or discontinuous capillaries, are flattened, irregularly shaped capillaries similar to fenestrated capillaries but with larger gaps between endothelial cells and a thin or absent basal lamina. This structure allows for free exchange of water and larger solutes, including plasma proteins, between blood and interstitial fluid. Blood flow is slow in them, enabling ample time for absorption and secretion.

A

Sinusoids

411
Q

What are the Four mechanisms facilitate the exchange of materials across capillary and sinusoidal walls

A
  1. Diffusion across Endothelial Cells: Lipid-soluble materials, gases, and water move through the cell membranes via simple diffusion.
  2. Diffusion through Gaps: Water and small solutes pass through the gaps between adjacent endothelial cells, while larger solutes can diffuse through gaps in sinusoids.
  3. Diffusion through Pores: In fenestrated capillaries and sinusoids, water and solutes can move through specialized pores.
  4. Vesicular Transport: Endothelial cells use vesicular transport, involving endocytosis on the luminal side and exocytosis on the basal side, to transport water and specific solutes, both bound and unbound.
412
Q

A network of capillaries is known as a ____ ____, which arises from a single arteriole and drains into several venules. Blood flow from arterioles to venules is steady, but within a capillary bed, it varies significantly. This fluctuation is due to smooth muscle cells in arterioles that contract and relax several times per minute, creating a pulsed blood flow instead of a continuous stream, a process controlled by _____ at the tissue level.

A

capillary bed
autoregulation

413
Q

Capillary beds are also supplied by multiple muscular arteries, known as ______, which fuse instead of forming a linear series of arterioles, creating an arterial _____. This interconnection, found in organs with high circulatory demands like the brain and heart, ensures a reliable blood supply; if one artery is blocked, others can maintain perfusion.

A

collaterals
anastomosis

414
Q

________ ______ are direct connections between arterioles and venules, commonly found in visceral organs and joints. These vessels can regulate blood flow to capillary beds through smooth muscle contraction and relaxation. When AV anastomoses are dilated, blood bypasses the capillaries, flowing directly into the venous system.

A

Arteriovenous (AV) anastomoses

415
Q
A
416
Q

______ are the smallest veins that collect blood from capillaries. The smallest, called _____ _____, resemble expanded capillaries and lack a complete media, containing only isolated smooth muscle cells. Larger ones (over 50 μm in diameter) have a thin media with one or two layers of smooth muscle cells and are dominated by connective tissue

A

Venules
postcapillary venules

417
Q

Veins, known as _____ _____, have a high capacitance, meaning they can accommodate large changes in blood volume relative to blood pressure. Their elastic walls stretch when blood volume increases and recoil when it decreases, allowing them to function as blood reservoirs.

A

capacitance vessels

418
Q

_____ are often found between arteries and veins. These connections reduce the impact of temporary or even permanent occlusion (blockage) of a single blood vessel

A

Anastomoses

419
Q

Describe the overall flow of the circulatory system

A
420
Q

The aorta begins at the ____ ____ of the left ventricle, with the first segment being the _____ ____, from which the left and right coronary arteries originate. The _____ ___, which curves over the heart, connects the ascending aorta to the descending aorta and gives rise to three elastic arteries: the _____ trunk, the ____ ____ _____ artery, and the ___ ____ artery

A

aortic valve
ascending aorta
aortic arch
brachiocephalic
left common carotid
left subclavian

421
Q
A
422
Q
A
423
Q
A
424
Q
A
425
Q
A
426
Q
A
427
Q
A
428
Q
A
429
Q
A
430
Q
A
431
Q
A
432
Q
A
433
Q
A
434
Q

What are the four visceral arterial branches

A
  • Bronchial arteries supply the lungs.
  • Pericardial arteries supply the pericardium.
  • Mediastinal arteries supply the structures in the mediastinum.
  • Esophageal arteries supply the esophagus
435
Q

What are the two parietal arterial branches

A
  • Intercostal arteries supply the chest muscles and the vertebral column.
  • Superior phrenic arteries provide blood to the upper surface of the diaphragm.
436
Q
A
437
Q
A
438
Q
A
439
Q
A
440
Q
A
441
Q
A
442
Q
A
443
Q
A
444
Q

The abdominal portion of the inferior vena cava receives blood from six major veins

A
  1. Lumbar veins: Drain the lumbar region and connect to the azygos vein (right side) and hemi-azygos vein (left side), which both empty into the superior vena cava.
  2. Gonadal veins: Drain the ovaries or testes; the right gonadal vein drains directly into the inferior vena cava, while the left drains into the left renal vein.
  3. Hepatic veins: Drain blood from the liver into the inferior vena cava at the level of vertebra T8-T10.
  4. Renal veins: Collect blood from the kidneys, and are the largest vessels draining into the inferior vena cava.
  5. Adrenal veins: Drain the adrenal glands; the right typically drains into the inferior vena cava, while the left drains into the left renal vein.
  6. Phrenic veins: Drain the diaphragm; similar to the adrenal veins, only the right phrenic vein drains into the inferior vena cava, while the left drains into the left renal vein.
445
Q

Describe The Hepatic Portal System

A

The hepatic portal system is a specialised venous system that begins in the capillaries of the digestive organs and ends in the liver sinusoids. Unlike other organs, the liver drains directly into the inferior vena cava. Instead of blood from the digestive organs traveling straight to the inferior vena cava, it first flows into the hepatic portal vein, which is formed by the union of veins from the celiac, superior mesenteric, and inferior mesenteric arteries.
This portal system is significant because it transports nutrient-rich blood, containing absorbed substances from the stomach and intestines, directly to the liver for processing, storage, or excretion. Blood in the hepatic portal vein often has elevated levels of glucose and amino acids compared to other systemic veins.

446
Q
A
447
Q

What three major veins contribute to the hepatic portal vein

A
448
Q
A
449
Q

Look at this

A
450
Q

Describe Blood volume maintenance and interstitial fluid balance

A
  • Systemic capillaries, with a pressure of about 35 mm Hg, push water and solutes into interstitial fluid, moving around 3.6 L daily. This fluid is then returned to the bloodstream by lymphatic vessels, maintaining blood volume and balancing interstitial fluid composition. Any damage to a major lymphatic vessel can disrupt this balance, risking a rapid loss of blood volume.
451
Q
A
452
Q
A
453
Q
A
454
Q
A
455
Q
A
456
Q
A
457
Q

Look at this

A
458
Q

Describe cardiovascular changes that occur at birth

A
459
Q
A
460
Q
A
461
Q
A
462
Q
A
463
Q

Describe the distribution of lymph nodes

A
464
Q
A
465
Q

Describe the aortic arches at 4 weeks of cardiovascular development

A
466
Q

Describe the vena cava at 4 weeks of cardiovascular development

A
467
Q

Describe the hepatic portal and umbilical vessels at 4 weeks of cardiovascular development

A
468
Q

Just read

A
469
Q
A
470
Q
A
471
Q
A
472
Q
A
473
Q

Describe the lobes of the lung

A
474
Q

Describe the trachea

A
475
Q
A
476
Q
A
477
Q

Describe bronchi and bronchioles

A
478
Q
A
479
Q
A
480
Q

Describe the lungs

A
481
Q
A
482
Q

Describe Alveoli & Blood Air Barrier

A
483
Q
A
484
Q

Describe the development of the respiratory system

A
485
Q

Describe the Pleural Cavities & Fluid

A
486
Q
A
487
Q
A
488
Q

Describe inhalation

A
489
Q

Describe the respiratory regulation centers of the brain

A
490
Q
A
491
Q
A
492
Q
A
493
Q
A
494
Q
A
495
Q

Describe the glomerulus

A
496
Q
A
497
Q

Describe Circulation to a Nephron

A
498
Q
A
499
Q

Describe the Macroscopic Kidney

A
500
Q
A
501
Q

Describe Microscopic Kidney

A
502
Q
A
503
Q

Look at this

A
504
Q
A
505
Q

Describe urine transport

A
506
Q
A
507
Q
A
508
Q
A
509
Q
A
510
Q

Describe the Micturition Reflex

A

Micturition = the act of urinating

511
Q

What components make up the endocrine system? (8)

A
512
Q

How does the endocrine system work?

A
513
Q
A
514
Q

Describe the hypothalamus and hypophysis

A
515
Q
A
516
Q

What are the six types of hormone classification

A
517
Q
A
518
Q

Describe thyroid follicles

A
519
Q

Describe the parathyroid gland

A
520
Q
A
521
Q

What are the three zones of the adrenal cortex that produce corticosteroids

A
522
Q
A
523
Q

Describe the pancreas

A
524
Q
A
525
Q
A
526
Q

Describe the pineal gland

A
527
Q

What hormones interact with the kidneys (3)

A
528
Q

How does the heart respond to high blood pressure?

A
529
Q
A
530
Q
A
531
Q

Describe the development of the reproductive system before differentiation (3-6 weeks)

A
532
Q

Describe the development of the male reproductive system (week 7 - month 7)

A
533
Q
A
534
Q
A
535
Q
A
536
Q

Describe spermiogenesis

A
537
Q
A
538
Q
A
539
Q
A
540
Q

What are the three accessory glands of the male reproductive system?

A
541
Q
A
542
Q
A
543
Q

Describe the testes

A
544
Q
A
545
Q

Describe the descent of the testes

A
546
Q
A
547
Q
A
548
Q
A
549
Q
A
550
Q

Describe the development of the female reproductive system as of 7 weeks to birth

A
551
Q
A
552
Q

Describe ovaries and oogenesis

A
553
Q

This is oogenesis in the ovaries btw

A
554
Q

What are the four steps in the formation of the tertiary ovarian follicle

A
555
Q

Just look at this

A
556
Q

Describe the ovarian cycle

A
557
Q

Also look at this

A
558
Q
A
559
Q
A
560
Q
A
561
Q
A