M2 Study Guide Flashcards

1
Q

what are neurotransmitters synthesized by

A

neurons

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2
Q

where are neurotransmitters stored

A

synaptic vesicles in presynaptic axon terminal (knobs)

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3
Q

what are neurotransmitters released from

A

vesicles that are fused to the membrane of the synaptic knob secondary to the actions of Ca2+, synaptotagmin, and SNAREs

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4
Q

what do neurotransmitters bind to

A

receptor on postsynaptic neuron (or effector)

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5
Q

what do neurotransmitters trigger

A

physiological response downstream by initiating graded excitatory or inhibitory postsynaptic potential (EPSPs and IPSPS)

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6
Q

agonist

A

mimic action of neurotransmitter

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7
Q

antagonist

A

block action of neurotransmitter

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8
Q

facilitator

A

enhance effect of neurotransmitter

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9
Q

inhibitor

A

reduce effect of neurotransmitter

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10
Q

what binds to an ionotropic receptor

A

ligand

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11
Q

what does the ligand do after binding to an ionotropic receptor

A

opens the channel and allows an influx of that ion through the channel into the postsynaptic cell (and therefore, altering mem. potential)

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12
Q

what binds to a metabotropic receptor

A

water-soluble ligand (1st messenger)

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13
Q

what happens after a water-soluble ligand binds to a metabotropic receptor

A

triggers a G-protein-second messenger mechanism which activates the opening of ion channels of another integral protein within cell membrane, allowing for an influx of ions into the postsynaptic cell (therefore, altering mem. potential)

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14
Q

cholinergic

A

neurons that utilize ACh

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15
Q

where is ACh found

A

CNS and PNS

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16
Q

what does ACh act on

A

nicotinic receptors located in spinal cord, autonomic ganglia, and neurotransmitter junction.
muscarinic receptors located in remainder of CNS

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17
Q

what do nicotinic receptors utilize

A

utilize ion channels = ionotropic receptors

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18
Q

what do muscarinic receptors utilize

A

G-proteins/second messengers = utilize metabotropic receptors

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19
Q

where is ACh degraded and by what

A

degraded in synaptic cleft by acetylcholinesterase

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20
Q

what does acetylcholinesterase degrade ACh into

A

acetate and choline

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21
Q

how does ACh correlate to Alzheimer’s

A

cholinergic neurons degenerate = loss of ACh as neurotransmitter synthesize within these neurons (synaptic knob).
Loss of postsynaptic neurons that would have responded to ACh exacerbate disease

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22
Q

clinical signs of Alzheimer’s

A

declining language
memory loss

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23
Q

what are catecholamines derived from

A

amino acid tyrosine

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24
Q

what do catecholamines include

A

dopamine
norepinephrine
epinephrine

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25
Q

what is parkinson’s disease characterized by

A

loss of dopamine-releasing neurons within substantia nigra of the basal nuclei (basal ganglia) deep within brain

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26
Q

what are the basal ganglia responsible for

A

motor control

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27
Q

what are the effects of Parkinson’s

A

loss of motor control including abnormal (involuntary) body movements, muscle tone, and posture.
increased severity of the movements is indicative of greater loss of neurons.

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28
Q

what is Parkinson’s initially treated with

A

L-dopa to treat symptoms only (NOT the disease).
this intermediate is able to cross the blood-brain barrier vs. dopamine

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29
Q

what do norepinephrine and epinephrine bind to

A

alpha- and beta-adrenergic receptors

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30
Q

are alpha- and beta-adrenergic receptors ionotropic or metabotropic

A

metabotropic - utilize G-protein mechanism

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31
Q

pathway from starting amino acid (tyrosine) and downstream products

A

Tyrosine –tyrosine hydroxylase–> L-Dopa –dopa decarboxylase–> dopamine –dopamine beta-hydroxylase –> norepinephrine –phenylethaolamine N-methyltransferase –> epinephrine

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32
Q

what do MAO inhibitors degrade

A

enzymatic degradation of catecholamines

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33
Q

what do MAO inhibitors increase

A

the amount of catecholamines in the synapse

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34
Q

what are MAO inhibitors used to treat

A

mood disorders and various classes of depression by increasing motivation and pleasure

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35
Q

what is serotonin derived from

A

amino acid tryptophan

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36
Q

what is the ‘sleepy’ amino acid

A

tryptophan

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37
Q

what does serotonin regulate

A

sleep and emotions

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38
Q

what are selective-serotonin reuptake inhibitors (SSRIs) utilized for

A

treating mood disorders

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39
Q

what is histamine derived from

A

amino acid histidine

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40
Q

most common neurotransmitter in CNS

A

glutamate

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41
Q

what do AMPA ionotropic receptors conduct and how

A

fast EPSPs by rapid influx of Na+ into the postsynaptic cell

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42
Q

what do NMDA ionotropic receptors open and how

A

open in response to membrane depolarization secondary to the opening of the of AMPA receptors by bumping Mg2+ plug in this receptor.
opening of this receptor triggers a chain of events that will ultimately signal presynaptic cell to continue synthesizing and releasing glutamate to allow for longer-lasting response.

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43
Q

inhibitory amino acids

A

gamma-aminobutyric acid (GABA) and glycine

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44
Q

excitatory amino acid

A

glutamate

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45
Q

what is the most common inhibitory neurotransmitter

A

GABA - dampens brain’s neural activity

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46
Q

what is nitric oxide (NO) a major player in

A

blood vessel dilation (vasodilation) via smooth muscle relaxation

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47
Q

how is NO synthase triggered and what does it activate

A

G-protein/second messenger cascade triggers enzyme (NO synthase) to activate NO, which activates another cascade in the adjacent smooth muscle causes relaxation (therefore, vasodilation)

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48
Q

how is NO different from other neurotransmitters

A

not stored in vesicles and synthesized only on an as-needed basis in the postsynaptic cell and it acts on the presynaptic cell (retrograde communication)

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49
Q

what can too much NO cause

A

proinflammatory, therefore, cytotoxic

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50
Q

what lipids are neurotransmitters

A

those derived from arachidonic acid (eicosanoids) and include prostaglandins, thromboxanes, and leukotrienes

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51
Q

what are endocannabinoids derived from

A

arachidonic acid

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52
Q

what are endocannabinoids released from and act on

A

released from the postsynaptic cell (like NO) and act antagonistically on the presynaptic cell in response to a neurotransmitter binding to the postsynaptic receptor.
overall result is modulation of the signal in the postsynaptic pathway that dampens 1. transmission of pain signals in the CNS and 2. inflammatory response in many tissues

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53
Q

neurotransmitters of interest

A

nitric oxide (NO)
lipids
carbon monoxide
hydrogen sulfide
ATP/adenosine

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54
Q

what do g-proteins serve as

A

a ‘switch’ to couple a receptor to an ion channel in the cell membrane

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55
Q

general steps of g proteins

A
  1. ligand binds to transmembrane receptor (‘first messenger’) and changes its conformation (ex. shape).
  2. change in receptor conformation allows for binding of the g protein subunit where GDP bound to the g protein is replaced with GTP, ‘activating’ g protein.
  3. activated GTP-bound g protein binds to an enzyme that is embedded in the cell membrane, activating/inhibiting this enzyme.
    - once enzyme/ion channel has been activated, GTP on the g-protein alpha subunit is cleaved into GDP and phosphate; g-protein is now inactivated.
  4. specific second messenger is activated by the enzyme when bound by the g-protein:
    - cyclic AMP (cAMP)
    - cyclic GMP (cGMP)
    - diacylglycerol (DAG)
    - inositol triphosphate (IP3)
    - Ca2+
    - arachidonic acid
  5. second messenger activates particular protein kinase which will stimulate (or inhibit) signal pathways within that cell
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56
Q

what does inactive g protein within the postsynaptic cell’s cytoplasm bound to

A

guanosine diphosphate (GDP)

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57
Q

what happens after ligand (ex. first messenger) binds to the receptor

A

g protein binds to the receptor protein as well but on the intracellular side

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58
Q

what does GTP activate

A

g protein

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58
Q

what is GDP replaced with

A

guanosine triphosphate (GTP)

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59
Q

what does g protein bind to on the intracellular side

A

another transmembrane protein that is an enzyme, which catalyzes ATP into a second messenger

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60
Q

what does the second messenger activate

A

another enzyme, a kinase, which triggers modifications of the numerous activities taking place within the cell

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61
Q

will the binding of one ligand to a receptor significantly amplify the number of final products

A

yes.
these ligands are very potent in a response

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62
Q

what are extracellular matrix components secreted by

A

resident cells

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63
Q

what is the collagen precursor and what is comprised of

A

procollagen and it is comprised of 3 identical polypeptide strands in a helix.
ends are capped to prevent degradation and packaged within vesicles by golgi complex and is transferred out of the cell by exocytosis.
ends are cleaved from procollagen molecules and a series of mostly unknown steps convert to mature collagen

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64
Q

what is the function of collagen

A

provides tensile strength to tissue (structural role)

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65
Q

what are the major types of collagen

A

1
2
3

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66
Q

what is soluble tropoelastin secreted from

A

fibroblasts into extracellular matrix where it undergoes posttranslational modification to form insoluble elastin

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67
Q

what makes up microfibrils and what do they do

A

fibrillin serves as the scaffold for elastin deposition that forms an inner core

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68
Q

characteristics of ground substance

A

transparent, viscous, semi-fluid gel

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69
Q

what do the high viscosity and osmotic pressure of ground substance help

A

high viscosity helps resist compression.
high osmotic pressure helps maintain fluid balance between interstitial fluid and intracellular environment and vasculature - significant enough drop in tissue osmotic pressure can result in edema due to influx of fluid into the tissue

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70
Q

function of ground substance

A

influence fluid transport and metabolic exchange

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71
Q

what makes up proteoglycan

A

GAG + core protein (binds to GAG) + linker protein (binds core protein and GAG to hyaluronic acid backbone)

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72
Q

what make sup proteoglycan aggregate

A

proteoglycan + hyaluronic acid + some collagen

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73
Q

what makes up extracellular matrix (ECM)

A

collagen
tropoelastin
microfibrils
ground substance

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74
Q

what are the 3 types of cartilage

A

hyaline
elastic
fibrous (fibrocartilage)

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75
Q

what does the outer fibrous layer of cartilage contain

A

fibroblasts and comprised of fibrous connective tissue; contain vasculature

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76
Q

what does the inner chondrogenic layer contain

A

mostly chondrogenic progenitor cells and chondroblasts.
some chondrocytes

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77
Q

what are the cells of cartilage proper

A

chondroblasts
chondrocytes

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78
Q

function of chondroblasts

A

main producer of extracellular matrix

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79
Q

function of chondrocytes

A

secrete substances to prevent blood vessel formation, so cartilage is avascular

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80
Q

do chondroclasts exist in carilage

A

no

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81
Q

what is lacunae

A

space occupied by a cell

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82
Q

where is hyaline cartilage and perichondrium not found

A

articulating surface of joints because you want to keep growth to a minimum

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83
Q

does hyaline cartilage have elastic fibers

A

no

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84
Q

what type of collagen is predominant in hyaline cartilage

A

type 2 collagen.
type 1 in outer fibrous layer of perichondrium - fibroblasts are in the perichondral sublayer and they secrete type 1 collagen

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85
Q

location of hyaline cartilage

A

tracheal bands.
bronchi.
nasal septum.
articulating bone surfaces in long bone.
growth (epiphyseal) plates of long bones.
site of initial bone repair following a fracture.
embryonic template for long bone formation.

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86
Q

what is the 2nd type of cartilage

A

elastic

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87
Q

what is the difference between elastic and hyaline cartilage

A

elastic cartilage has elastic fibers, which provides some additional flexibility compared to hyaline cartilage

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88
Q

what type of collagen is predominant in elastic cartilage

A

type 2 collagen predominant.
type 1 in outer fibrous layer of perichondrium

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89
Q

location of elastic cartilage

A

external ear (lobe).
epiglottis.
pharyngotympanic/auditory tube (Eustachian tube).

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90
Q

what is the 3rd type of cartilage

A

fibrous cartilage (fibrocartilage).

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91
Q

does fibrous cartilage have perichondrium

A

no

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92
Q

what is fibrous cartilage great at withstanding

A

compression

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93
Q

location of fibrous cartilage

A

intervertebral discs (specifically, outer annulus fibrosis).
symphyses (ex. joints between bones of breastbone as well as joint between right and left pubic bones in hip).
foramen lacerum ‘filler.’
menisci of joints.
temporomandibular joint (TMJ).

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94
Q

true or false: cartilage growth is limited

A

true

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95
Q

where does appositional growth occur

A

width.
at the external edge of the cartilage where there are more chondroblasts and more area for these cells to secrete extracellular matrix

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96
Q

where does interstitial growth occur

A

lengthwise.
occurs at center of cartilage

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97
Q

what is the fibrous and osteogenic periosteum

A

outer and inner layers on most external portion of bone

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98
Q

what does the fibrous layer of bone contain

A

fibroblasts

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99
Q

what does the inner osteogenic layer of bone contain

A

mostly osteogenic progenitor cells and differentiated osteoblasts but can also contain osteocytes

100
Q

what are sharpey (penetrating) fibers

A

‘extensions’ of the fibrous periosteum into compact bone

101
Q

what do sharpey fibers allow for

A

better ‘adherence’ of the periosteum to the underlying bone given that the periosteum serves as attachment sites for tendons and ligaments

102
Q

what cells are in bone

A

osteoblasts
osteocytes
osteoclasts

103
Q

what are osteoblasts

A

main builder of bone by secreting osteoid into extracellular matrix

104
Q

what are osteocytes

A

secondary builder of bone.
bone maintenance/remodeling

105
Q

what are osteoclasts

A

maintenance/remodeling –> dissolve bone

106
Q

what do osteoclasts secrete to break down organic component of the osteoid

107
Q

what are the organic components of the osteoid

A

collagen
GAGs
glycoproteins

108
Q

what do osteoclasts secrete to break down inorganic salts

A

hydrochloric acid (HCl)

109
Q

what are the inorganic salts of bone

A

hydroxyapatite

110
Q

what is liberated when organic components of the osteoid and inorganic salts are broken down

A

calcium and phosphorus

111
Q

what is calcium vital for

A

muscle contraction
neurotransmitter release
blood clotting pathway

112
Q

what is phosphorus utilized in

A

forming ATP and the phospholipids that contribute to the cell membrane

113
Q

what ions are incorporated into the hydroxyapatite crystals

A

sodium
chloride
magnesium

114
Q

what are the organic components of the extracellular matrix of bone

A

collagen
GAGs
glycoproteins

115
Q

what do organic components contribute to

A

bone’s tensile

116
Q

what do low quantities of inorganic components in bone make it

A

excessively flexible (taffy like)

117
Q

what are the inorganic components of extracellular matrix of bone

A

mainly of calcium phosphate (Ca3(PO4)2 and calcium hydroxide (Ca(OH)2 that incorporate to form hydroxyapatite Ca10(PO4)6(OH)2

118
Q

what do inorganic components contribute to

A

increase bone’s rigidity while also allowing for a small amount of flexibility

119
Q

what do low quantities of organic components in bone do

A

make it brittle

120
Q

what are the different structures of Haversian system/osteon

A

concentric lamellae
haversian (central) canal
volkmann (perforating) canal
canaliculi and lacunae

121
Q

what do lacunae contain

A

space-occupying osteocytes

122
Q

what is found within canaliculi

A

the cell membrane extensions of osteocytes.
extend towards a canal containing vasculature

123
Q

what are outer and inner circumferential lamellae comprised of

A

compact bone surrounding the bone’s external (adjacent to the periosteum) and internal (adjacent to the endosteum and inner core, the medullary cavity) periphery

124
Q

what are interstitial lamellae comprised of

A

compact bone between osteons

125
Q

what are trabeculae

A

spicules of bone within medullary cavity

126
Q

what are howship lacunae

A

cavities occupied by an osteoclast

127
Q

what does the innermost medullary cavity contain

A

vasculature
lymphatics
nerves
marrow (red or yellow)

128
Q

what is intramembranous ossification

A

formation of flat bones (ex. skull, facial bones)

129
Q

what is endochondral ossification

A

formation of long bones (ex. arm and leg bones).
derived from a miniature hyaline cartilage template

130
Q

why is the bone collar formation special

A

bone collar formed initially is intramembranous ossification.
bone that is developed is forming around the hyaline cartilage template

131
Q

where is the epiphysis

A

located at the ends of long bone

132
Q

what is the epiphysis the location of

A

secondary ossification center that forms after the primary ossification site where cartilage is calcified and then chondrogenic cells are replaced by osteogenic cells that begin producing osteoid (organic component of ECM)

133
Q

what type of bone marrow does the epiphysis contain and what is it a common site for

A

contains red bone marrow within the spongy region and serves as the most common site for hematopoiesis

134
Q

what is the metaphysis

A

small, transitional region between epiphyses and diaphysis

135
Q

what is the metaphysis the location of

A

the growth plate (at the metaphyseal/epiphyseal border).
plate decreases in size with age prior to closing at adolescence due to its ossification to become the epiphyseal line

136
Q

what are the zones of the growth plate

A

zone of reserve (resting) cartilage.
zone of proliferation cartilage.
zone of maturation/hypertrophy.
zone of degeneration (calcified) cartilage.
zone of ossification.

137
Q

zone of reserve (resting) cartilage

A

typical hyaline cartilage with chondrocytes in small clusters

138
Q

zone of proliferation cartilage

A

mitotic activity of chondrocytes increase, extracellular matrix rich in proteoglycans

139
Q

zone of maturation/hypertrophy

A

mitosis has ceased and chondrocytes increase in size.
extracellular matrix begins to calcify, trapping chondrocytes in the lacunae

140
Q

zone of degeneration (calcified) cartilage

A

chondrocytes degenerate and die secondary to the calcifying extracellular matrix from increase mineralization

141
Q

zone of ossification

A

spaces in the walls of the lacunae once occupied by chondrocytes now allow for the invasion of osteogenic cells into the lacunae in addition to vasculature that also invades this zone

142
Q

what is the diaphysis

A

bone shaft

143
Q

what is the diaphysis the location of

A

primary ossification center with the process of ossification being the same as previously mentioned for the secondary ossification center

144
Q

what do the growth plates contribute to

A

the bone’s interstitial growth (or its length)

145
Q

what happens during appositional bone growth

A

bone is added to the external surface while bone is removed simultaneously internally, which widens medullary cavity as well as the bone’s overall diameter (its width)

146
Q

is the first bone of development (or after fracture) unorganized or organized?

A

unorganized

147
Q

when is primary bone tissue present

A

during development of bone or when a fracture is being repaired

148
Q

what does fracture cause

A

destruction of bone matrix and death of bone cells

149
Q

what do damaged blood vessels form

150
Q

what are removed from macrophages

A

the clot, cells and damaged matrix

151
Q

what do the periosteum and endosteum respond with

A

intense proliferation, surrounding the fracture and penetrating the fracture

152
Q

what is the process of bone formation

A

primary bone is formed as hyaline cartilage is formed, then replaced with bone, as well as connective tissue is formed and replaced.
these form irregular trabeculae or bone calluses

153
Q

what is the callus replaced by

A

secondary bone tissue from remodeling

154
Q

what type of gland is the thyroid gland

A

butterfly-shaped, bi-lobed endocrine gland located in the next ventral to the lower cervical vertebral column

155
Q

what are thyroid parafollicular cells responsible for

A

synthesis and secretion of the peptide hormone calcitonin in response to elevated blood plasma Ca2+ concentration

156
Q

what does calcitonin do to blood Ca2+ levels

A

lowers blood Ca2+ levels by inhibition of bone resorption .
ex. inhibition of osteoclast activity

157
Q

normal function of calcitonin in normal day to day

A

no real function of calcitonin in normal day-to-day Ca2+ regulation

158
Q

hypercalcemia

A

when plasma Ca2+ concentrations are extremely high due to over-secretion of parathyroid hormone by a parathyroid gland tumor (parathyroid adenoma)

159
Q

what is calcitonin vital in

A

bone formation

160
Q

size and location of parathyroid glands

A

small, paired (superior and inferior) ovoid-shaped endocrine structures on dorsal surface of thyroid

161
Q

where are chief (principal) cells most numerous and what do they do

A

most numerous within the parathyroid.
secrete parathyroid hormone (PTH) in response to decreased blood Ca2+ levels (antagonist to calcitonin)

162
Q

what does PTH act directly/indirectly on

A

bone
kidneys
gastrointestinal tact

163
Q

how does PTH increase plasma Ca2+ levels

A
  1. increasing Ca2+ resorption from bone via osteoclast activity.
  2. increasing reabsorption of Ca2+ from kidneys (less Ca2+ excreted in urine).
  3. activation of an enzyme (1-hydroxylase) in the kidneys that converts Vitamin D (obtained from diet or sunlight and first metabolized in the liver) to calcitriol [1,25-(OH)2D]. calcitriol increases Ca2+ and phosphate absorption from the small intestine into the blood
164
Q

does PTH increase or decrease bone growth

A

while PTH has an opposing effect on plasma Ca2+ levels compared to calcitonin, both promote bone growth along with calcitriol

165
Q

composition of special CT: blood

A

plasma
buffy coat
formed elements

166
Q

what are the components of plasma and the approximate fractions for each

A

Plasma makes up 55% of blood volume.
Water: 91%.
Proteins: 7%.
Salts, sugars, and lipids: 2%.

167
Q

what is the buffy coat

A

very thin, grayish layer of white blood cells mostly sandwiched between plasma and formed elements in a centrifuged blood sample

168
Q

what makes up the formed elements

A

red (erythrocytes) and white (leukocytes) blood cells along with platelets (thrombocytes)

169
Q

what is much of the formed element fraction

A

red blood cells (hematocrit) given the sheer number of these cells compared to platelets and leukocytes

170
Q

volume of blood in males

171
Q

volume of blood in females

172
Q

shape of erythrocytes

A

biconcave and anuclear

173
Q

what is hemoglobin comprised of

A

4 polypeptide (globin) chains with iron-containing heme groups associated with each globin chain

174
Q

what does O2 bind to in hemoglobin

A

binds weakly to iron of iron-containing heme group

175
Q

what does CO2 bind to in hemoglobin

A

binds to globin

176
Q

does CO have a higher or lower affinity to the iron-containing heme group than O2

A

several hundred times greater

177
Q

what do macrophages do with damaged or old erythrocytes and where

A

macrophages in the spleen and slightly in the liver digest damaged or old erythrocytes and recycle many components, including much of the hemoglobin molecule.
*excludes heme group without the iron ion which is excreted from the body via the urine and feces as a form of bilirubin + bile

178
Q

what is erythropoietin (EPO)

A

hormone secreted by kidneys that drives red blood cell proliferation and differentiation in red bone marrow

179
Q

what are the types of leukocytes

A

granulocytes and agranulocytes

180
Q

structure of granulocytes

A

multi-lobed

181
Q

what do granulocytes contain and how are they named

A

stain different colors.
named based on the histological dye that stains the granules (eosin or hematoxylin)

182
Q

what are granulocytes comprised of

A

neutrophils
eosinophils
basophils

183
Q

structure of agranulocytes

A

single-lobed

184
Q

what are agranulocytes comprised of

A

monocytes/macrophages
lymphocytes

185
Q

blood cell precursor

A

hematopoietic stem cell

186
Q

myeloid stem cell

A

precursor to progenitors that form all blood cell types except agranular lymphocytes (T and B cells) and natural killer (NK) cell

187
Q

blood cell types formed by myeloid stem cells

A

erythrocytes
thrombocytes (platelets)
granulocytic leukocytes (basophils, eosinophils, neutrophils)
agranular monocyte (macrophage precursor)

188
Q

what formed T and B lymphocytes and NK cells

A

lymphoid stem cells

189
Q

3 phases of hemostasis

A
  1. smooth muscle spasm
  2. platelet plug formation
  3. clotting
190
Q

is the hemostasis clotting mechanisms complex or simple and what does it involve

A

very complex process
involves cascade of factors

191
Q

steps of hemostasis clotting mechanism

A
  1. thrombin drives conversion of fibrinogen to fibrin
  2. fibrin is product in clot formation
  3. plasmin dissolves the clot
192
Q

A blood

A

can accept blood from A and O blood types from a donor

193
Q

B blood

A

can accept blood from B and O blood types from a donor

194
Q

AB blood

A

can accept blood from A, B, AB and O blood types from a donor

195
Q

O blood

A

can only accept O blood

196
Q

what blood is most common in the population

A

O+ blood (1/3rd of population)

197
Q

what type of blood does emergency transfusion typically involve

A

O blood (centrifuged and washed to remove antibodies) from a donor even though using same blood type is optimal

198
Q

Rh factor

A

either positive or negatie

199
Q

is Rh+ or Rh- most common

200
Q

rarest blood type

A

AB- (<0.5%)

201
Q

types of blood cancers

A

leukemia
lymphoma
myeloma

202
Q

characteristics of leukemia

A

originates in bone marrow.
acute and chronic forms.
can be of myeloid or lymphoid origin (WBC).
circulates in blood

203
Q

characteristics of lymphoma

A

originates in lymph node (T or B cells).
lymphoid origin.
Hodgkin’s vs. non-Hodgkin’s lymphoma: (+) Reed-Sternberg cells present with Hodgkin’s

204
Q

characteristics of myeloma

A

originates in bone marrow.
plasma cell origin.
typically slow-growing

205
Q

how are cells laid together in epithelia

A

laid together tightly in sheets - avascular and innervated

206
Q

what does epithelia line

A

internal and external surfaces:
- epidermis
- mucous membranes - conjunctiva and oral cavity
- endocrine and exocrine glands

207
Q

what directionality does epithelia possess

A

apical/basal/lateral (polarity)

208
Q

what does epithelial tissue form

A

boundaries between different environments - nearly all substances must pass through

209
Q

functions of epithelial tissue

A

Protection for underlying tissues from radiation, desiccation, toxins, and physical trauma.
Absorption of substances in digestive tract lining with distinct modifications.
Regulation and excretion of chemicals between underlying tissues and body cavity.
Secretion of hormones into blood vascular system.
Detection of sensation

210
Q

where do the secretion of sweat, mucus, enzymes, and other products that are delivered by ducts come from

A

glandular epithelium

211
Q

how are epithelial cells classified

A

shape:
- squamous (flattened)
- cuboidal (width and length same)
- columnar (elongated vertically)

212
Q

what can the apical surface of epithelial cells have

A

cilia or microvilli

213
Q

what is epithelial tissue classified as

A
  • simple: single layer of cells
  • stratified: >1 layer of cells
  • pseudostratified: one layer of cells that gives appearance of more than one layer being present in vertical section. simple tissue bc all cells are in contact with basal lamina
214
Q

how many layers of cells does simple epithelium consist of

A

single layer

215
Q

in what type of epithelium does absorption, secretion, and filtration occur

A

simple epithelium - the thinness of the epithelial barrier facilitates these processes

216
Q

what contains simple epithelium

A

lungs
kidneys
mesothelium
endothelium

217
Q

simple squamous

A

very thin tissue.
rapid diffusion.
ex:
- alveolus within lung
- bowman’s capsule in kidney
- endothelium within a venule (very small vein)

218
Q

simple cuboidal

A

single layer.
central nucleus.
absorption and secretion.
kidney.
ovary.
ex:
- tubules in kidneys
- follicular cells in thyroid

219
Q

what do simple columnar cells possess

A

organelle density and energy reserves to engage in the most complex and efficient secretory or absorptive functions

220
Q

where are simple columnar epithelia with microvilli found

A

lining the small intestine

221
Q

where does 90% absorption from the digestive tract occur

A

small intestine

222
Q

where are ciliated types of simple columnar found

A

in small bronchioles of the respiratory tract and in fallopian tubes of female reproductive tract.
cilia aid in the movement of mucous or reproductive cells

223
Q

what is the unicellular gland or goblet cell

A

specialized columnar cell of mucous membranes that secretes mucous for protection

224
Q

locations of simple columnar

A

stomach.
small intestine.
large intestine.
bronchioles of the lungs.
exocrine ducts and large ducts of kidney

225
Q

where is pseudostratified epithelia most prevalent

A

in upper or lower respiratory tract as ciliated types

226
Q

what do all pseudostratified cells reach / not reach

A

all cells reach basement membrane but not apical surface

227
Q

where are non-ciliated pseudostratified epithelium found

A

in ducts of larger glands or male urethra.
these may be transition zones between epithelial types

228
Q

what do cilia of respiratory pseudostratified epithelia do to propel mucous along the surfaces of cells

A

beat in a rhythmic manner –> ciliary escalator

229
Q

ciliary escaltor

A

resultant movement of mucous from the lower respiratory tract via ciliary movements

230
Q

how many layers/surfaces do stratified epithelium have and what are they

A

multiple layers of epithelial cells.
apical and basal layers, along with apical and basal surfaces for each epithelial cells within the tissue

231
Q

what are the 2 types of stratified epithelium and where are each found

A

Stratified squamous keratinized (SSK): epidermis - outer layer of skin.
Stratified squamous non-keratinized (SSNK): mucous membrane tissues - oral cavity, palpebral conjunctiva, corneal epithelium, esophagus, rectum.

232
Q

difference between SSK and SSNK

A

apical layers of tissue in SSNK are nucleated unlike SSK.
keratin granules will be seen in mid-layers of tissue in SSK, but not in SSNK.

233
Q

qualities of stratified cuboidal

A

glandular epithelium.
two-layered tissue

234
Q

qualities of stratified columnar

A

rare in human body - only found in isolated locations (ex. bulbar conjunctiva)

235
Q

where is transitional found

A

urinary epithelium - bladder, ureter, portion of urethra

236
Q

qualities of transitional

A

ability to stretch: squamous appearance when distended, cuboidal when not.
dome-shaped apical surface of apical layer of cells when not distended.
looks like stratified cuboidal tissue when non-distended, but has more than 2 layers

237
Q

qualities of H & E stains

A

Hematoxylin: basic stain that stains acidic structures a purple color.
Eosin: acidic stain that stains basic structures reddish-pink color.

238
Q

what is the external layer of the basement membrane

A

basal lamina - consists of outer lamina lucida and inner lamina densa

239
Q

what does the basement membrane serve as

A

anchor for hemidesmosomes found in basal cell membrane of basal epithelial cell layer, as well as an anchor to deep, connective tissue

240
Q

tight junctions (zonula occludens)

A

later surface nearest apical surface.
anchoring junction

241
Q

belt junctions (zonula adherens)

A

overlapping transmembrane proteins.
anchoring junction

242
Q

gap junctions

A

utilizes connexons that allow for direct cell-cell communication

243
Q

desmosomes

A

overlapping transmembrane proteins anchored into plaques in cell membrane.
anchoring junction

244
Q

hemidesmosomes

A

on basal surface of epithelial call and anchors epithelium to underlying basal lamina

245
Q

types of exocrine glands

A

merocrine/eccrine
apocrine
holocrine

246
Q

merocrine/eccrine

A

most common.
least destructive as secretions

247
Q

apocrine

A

part of cell membrane forms vesicle to contain secretant and is lost.
sweat gland sin axillary, groin, breast

248
Q

holocrine

A

most destructive to cell as cell membrane ruptures.
meibomian glands of eyelids and sebaceous associated with hair follicles in skin –> lipid-based secretion.