MSK: Week 3 Flashcards

1
Q

What variables affect muscle contraction

A
  • Length

- tension

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2
Q

Define Isometric Contraction

A

Contraction where tension changes but muscle length stays the same

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3
Q

Define isotonic contraction

A

Contraction where muscle length changes but tension stays the same

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4
Q

Define concentric contraction

A

Where muscle length shortens

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5
Q

Define Eccentric contraction

A

Where muscle length increases

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6
Q

Is the axon terminal of motor neurons myelinated

A

Yes

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7
Q

Where are acetylcholinesterase located

A

On the post-synaptic membrane junctions in the motor end plate

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8
Q

What are three biological roles of myosin

A
  1. Assembles into fragments
  2. Uses ATPase enzymes
  3. Binds to actin
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9
Q

Describe the structure of myosin

A

Has two heavy chains

Has four light chains

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10
Q

How large are the heavy chains on myosin

A

200,000 MW

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11
Q

What are the sizes of the light chains

A

1 pair = 16,000 MW

1 pair = 20,000 MW

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12
Q

Describe the structure of actin

A

F-actin filament consisting of G-actin monomers

F-actin filaments make a chain of two alpha helices

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13
Q

What is the size of a single G-actin monomer

A

41,800 MW

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14
Q

What structure is wrapped around the F-actin alpha helices

A

Tropomyosin

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15
Q

What is the role of Titin

A

Connects the Z-line to the M-line in the sarcomere

M-line = Middle of the sarcomere

It prevents over-stretching by recoiling

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16
Q

What is the molecular size of tropomyosin

A

35,000 MW

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17
Q

How often does a troponin complex appear along the tropomyosin chain

A

Every 38.5nm along

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18
Q

What does a troponin complex consist of

A
  1. TnI - Inhibitory
  2. TnT - Binds to tropomyosin
  3. TnC - Binds to calcium
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19
Q

Define fracture

A

Breach in continuity of bone

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20
Q

Name two ways fracture occur

A

Non-physiological loads applied to normal bone

Physiological load applied to abnormal bone

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21
Q

How do I describe on what part of the bone the fracture is located

A

Proximal 1/3
Middle 1/3
Distal 1/3

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22
Q
Define the following fracture names:
Transverse
Oblique
Spiral
Communicate
Segmental 
Avulsed
Impacted
Torus
Greenstick
A
  1. A transverse cut through the bone
  2. A diagonal cut through the bone
  3. A curved cut through the bone
  4. A crack on the bone
  5. Cuts through the bone that breaks it into segments
  6. A piece of bone that breaks off the tips of the bone
  7. A cut through the tip of the bone
  8. A swelling in the bone
  9. A semi-cut through the bone (not all the way through)
23
Q

Define fracture angulation

A

Where the normal axis of the bone has been altered such that the distal bone points in another direction

24
Q

Define an intra-articular fracture

A

A bone fracture in which the break crosses into the joint surface

This damages the cartilage always

25
What is the opposite of intra-articular fracture
Extra-articular
26
What two fracture patterns are unique to children
- Heals faster | - Bones are more plastic
27
Outline the stages of fracture healing
1. Haematoma 2. Inflammation 3. Repair 4. Remodelling
28
What happens during a haematoma
- Bleeding - Blood clots at fracture site - Periosteum stops - Osteocyte death
29
What happens during an inflammation
- Fibrin clot organisation (platelets rich in chemoattractants) - Neovascularisation (natural formation of new blood vessels) - Cellular Invasion
30
What do haemotopoietic cells do during inflammation
They clear debris + produce repair cytokines
31
What do osteoclasts do during inflammation
Resorb dead bone
32
What happens during the process of repair
Callus formation: Fibroblasts produce collagen Chrondroblasts from cartilage Osteoblasts produce asteroids Matrix mineralisation occurs Increased Vasculosity
33
Define the process of remodelling
1. Woven bone structure replaced by lamellar bone 2. Increased bone strength 3. Healing
34
What are the three principals of fracture management
1. Reduce (the fracture) 2. Immobilise 3. Rehabilitate (the patient)
35
What is the role of seasmoid bones
Reduce pressure and friction
36
Where are osteocytes and osteoblasts derived from
Mesenchymal cells (osteoprogenitor cells)
37
What do osteoblasts and osteocytes secrete
Osteoids
38
Where are osteoprogenitor cells loacted
Close to the bone surface
39
What happens to osteocytes during bone formation
Become trapped in the matrix they secrete
40
How are osteoblasts connected
Via canaliculi
41
What do canaliculi accomplish
Allow passive movement of O2 and nutrients
42
What is the role of osteocalcin
They have a high affinity for calcium
43
Difference in osteoid layout in woven and lamellar bone
In woven, it is disorganised In lamellar, the osteoids are arranged in parrallel fibres
44
When do osteoids begin to mineralise
When the conc. of phosphates and calcium is high
45
What two enzymes allow mineralisation to take place
Osteocalcin Alkaline Phosphatase
46
How does osteocalcin aid in mineralisation
Joins calcium together
47
What is bone arranged as in lamellar
Osteons
48
What is found in the centre of each osteon of lamellar bone
Central Haversian canal (containing blood vessels)
49
Where does intramembranous ossification take place
Flat bones of the skull Cortical bone shafts
50
Where does endochondrial ossification take place
All other bone
51
When does intramembranous and endochondrial ossification take place
Both in the second trimester
52
Describe the process of intramembranous ossification
1. Small clusters of progenitor cells within a primitive mesenchyme transform into osteoblasts 2. These deposit isolated bone islands 3. Islands enlarge + unite 4. Deposition of bone continues until all the bones are filled in P
53
What type of bone is produced during intramembranous ossifictaion
Woven bone
54
What type of synovial cells are found in the synovial joint
Type A - Phagocytic Type B - RER rich