Skeletal System (Exam II) Flashcards

1
Q

Primary function of bone

A

Support
Locomotion/movement

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2
Q

Secondary function of bone

A

Protection
Mineral storage
Hemopoiesis

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3
Q

Bone is ______ while cartilage is _____

A

Rigid; semi-rigid

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4
Q

Both bone, and cartilage are derived from:

A

Primitive mesenchymal cells

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5
Q

Relative strength of bone and cartilage is due to:

A

Properties of ground substance and extracellular fibers

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6
Q

Bone precursor

A

Cartilage

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7
Q

Cartilage formation begins with _____ cells which differentiate into _____

A

Stellate mesenchymal cells; rounded chondroblasts

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8
Q

The rounded chondroblasts of cartilage grown and synthesize:

A

Ground substance and fibrous ECM

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9
Q

What happens when the chondroblasts grow and synthesize ground substance and fibrous ECM

A

The chondroblasts get trapped in the lacunae

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10
Q

In cartilage, further mitotic divisions produce clusters of mature ____ referred to as ____

A

Chondrocytes; isogenous groups

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11
Q

Isogenous groups of chondrocytes are separated by

A

Extracellular matrix

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12
Q

ECM surrounding the isogenous groups of chondrocytes

A

Territorial

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13
Q

Pink ECM between the isogenous groups of chondrocytes

A

Interterritorial ECM

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14
Q

Surrounds cartilage

A

Perichondrium

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15
Q

Peripheral zone of dense connective tissue, containing fibroblasts, collagen & immature chondroblasts

A

Perichondrium

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16
Q

Type of growth in which new cartilage forms within a mass

A

Interstitial growth

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17
Q

Type of growth that allows chondrocytes to retain the ability to divide

A

Interstitial growth

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18
Q

Type of growth in which new cartilage forms at surface of pre-existing cartilage

A

Appositional growth

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19
Q

Type of cartilage growth that is most common

A

Appositional growth

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20
Q

In Appositional growth, new chondrocytes are derive from mesenchymal cells of the:

A

Inner periochondrium

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21
Q

In Appositional growth, the new chondrocytes derived from mesenchymal cells of inner perichondrium differentiate first into:

A

Chondroblasts

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22
Q

In appositional growth, more mature chondrocytes present at _______ while the younger cells present at the _______

A

Center of cartilage mass
Periphery

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23
Q

Bone growth can be directly ______ cells —-> _____ OR _____ cells —> ______ to _____

A

Mesenchymal cells —> bone

Mesenchymal cells —> cartilage —-> bone

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24
Q

What is found in the perichondrium (peripheral zone of dense connective tissue)

A
  1. Fibroblasts
  2. Collagen
  3. Immature chondroblasts
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25
Q

Type of connective tissue cartilage is classified as

A

Avascular connective tissue

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26
Q

Cartilage lacks:

A

Blood vessels

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27
Q

Due to the lack of blood vessels, exchange of metabolites occurs through:

A

Diffusion through ground substance

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28
Q

Due to cartilage relying on diffusion of metabolites through the ground substance this limits the:

A

Thickness

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29
Q

If cartilage is thick it will have blood vessels in:

A

Secondary cartilage canals

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30
Q

Cartilage contains an ECM of ________ containing _____

A

Amorphous ground substance containing collagen

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31
Q

The ECM of cartilage is hydrated and contains ~60-80% h2o bound to:

A

Proteoglycans

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32
Q

The hydration status of the matrix account for its (2):

A

Flexibility
Incompressibility

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33
Q

The GAGs found in cartilage (3):

A
  1. Hyaluronic acid (non-sulfated)
  2. Chondroitin sulfate
  3. Heparin sulfate
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34
Q

Most common glycoproteins in cartilage

A

Chondronectin

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35
Q

Potentially chondronectin could have:

A

Anti-cancer properties

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36
Q

Determines the variable types of cartilage:

A

Amounts of fibers embedded in matrix

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37
Q

Type of cartilage found in articular surfaces, growth plates, nasal septum, costal cartilage (ribs), tracheal & bronchial rings

A

Hyaline cartilage

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38
Q

The precursor for bone in most skeleton

A

Hyaline cartilage

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39
Q

Collagen type that is characterized by small aggregates of chondrocytes in amorphous matrix of ground substance, reinforced with type II collagen fibers

A

Hyaline cartilage

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40
Q

Type of collagen fibers present in hyaline cartilage

A

Type II Collagen

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41
Q

Most prevalent type of cartilage

A

Hyaline

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42
Q

Greek term hylos means:

A

Glass-look

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43
Q

Type of cartilage found in:

End of long bones
Growth plate
Nasal septum
Articular surfaces
Octal cartilages
Tracheal/bronchial rings

A

Hyaline cartilage

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44
Q

common precursor for bone in the skeleton

A

Hyaline cartilage

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45
Q

Consists of alternating layers of hyaline cartilage & dense connective tissue

A

Fibrocartilage

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46
Q

Type of collagen fibers present in fibrocartilage

A

Type I & II collagen

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47
Q

Fibrocartilage is less ____ than the other types of cartilage

A

Cellular

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48
Q

Fibrocartilage lacks ____

A

Perichondrium

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49
Q

Type of cartilage found in intervertebral discs

A

Fibrocartilage

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50
Q

Type of cartilage found in these articular areas: knee, mandible (TMJ), shoulder, sternum, ligaments, tendons, joint capsules, pubic symphysis

A

Fibrocartilage

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51
Q

Cartilage that is histologically similar to hyaline cartilage with addition of large numbers of elastic fibers in ECM

A

Elastic cartilage

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52
Q

Type of collagen fibers present in elastic cartilage

A

Type II

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53
Q

Type of cartilage found in the external ear, auditory & eustacian canals, epiglottis & larynx

A

Elastic cartilage

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54
Q

Type of cartilage that has a very limited distribution throughout the body

A

Elastic cartilage

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55
Q

______ of cartilage is limited because it requires blood flow

A

Repair

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56
Q

Repair in cartilage is limited, because repair requires blood flow; this results in:

A

Production of dense connective tissue (fibrosis)

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57
Q

Invasion of cartilagenous site by blood vessels frequently results in (2):

A
  1. Death of chondrocytes
  2. Formation of bone
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58
Q

There is a tendency for all hyaline cartilage to:

A

Calcify with age

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59
Q

The calcification of hyaline cartilage is due to the deposition of ______ within the matrix

A

Calcium phosphate crystals

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60
Q

The deposition of calcium phosphate crystals within the matrix of hyaline cartilage eventually results in:

A

Bone

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61
Q

Most common repair of cartilage is done via:

A

Fibrosis

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62
Q

In the healing process of cartilage, the chondrocytes get replaced with:

A

Osteocytes

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63
Q

Old people are often stiff because they do not have the same amount of ______ in their cartilage as younger people do

A

Turgor pressure

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64
Q

Specialized support tissue in which the extracellular components are mineralized

A

Bone

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65
Q

Two characteristics of bone

A

Strength
Rigidity

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66
Q

Two main forms of bone:

A

Woven
Lamellar

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67
Q

Immature form of bone characterized by random orientation of collagen fibers

A

Woven

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68
Q

Describe the orientation of collagen fibers in woven bone

A

Random (disorganized)

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69
Q

Immature woven bone is later remodeled into:

A

Lamellar bone

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70
Q

Lamellar bone contains concentric layers called:

A

Circumferential lamellae

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71
Q

In lamellar bone, the collagen fibers of the circumferential lamellae are oriented:

A

Parallel

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72
Q

The extracellular component of bone are:

A

Mineralized

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73
Q

Lamellar bone can be either:

A

Dense & compact
Cancellous & spongy

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74
Q

Location we may find dense & compact lamellar bone

A

Cortex of long bones

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75
Q

Location we may find cancellous & spongy lamellar bone

A

Ends of bones

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76
Q

Cancellous bone contains a network of thin, bony _____ and ____

A

Trabeculae & open spaces

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77
Q

Trabeculae of cancellous bone may also be called:

A

Spicules

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78
Q

The open spaces in cancellous bone

A

Marrow cavity

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79
Q

Type of bone found in the limbs

A

Long bones

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80
Q

Shaft of long bones

A

Dipahysis

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81
Q

Diaphysis of long bones is composed of compact bone in the ______ and spongy cancellous bone in the ____

A

Cortex
Medullary cavity (marrow)

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82
Q

Type of marrow contained within long bones

A

Red & yellow

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83
Q

Red bone marrow is:

A

Hematopoietic

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84
Q

Yellow bone marrow is:

A

Fatty

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85
Q

Ends of long bones

A

Epiphysis

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86
Q

The epiphysis of long bones is composed of _____ bone covered with _____

A

Spongy/cancellous; hyaline articular cartilgae

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87
Q

Flared regions between epiphysis and diaphysis

A

Metaphysis

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88
Q

Metaphysics contains _____ if the long bone

A

Epiphyseal plate

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89
Q

The swollen ends of longs bones

A

Epiphysis

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90
Q

External surface of bone is covered by

A

Periosteum

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91
Q

A layer of fibrous connective tissue that covers the external surface of bone

A

Periosteum

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92
Q

Type of cells contained within periosteum

A

Fibroblasts
Osteoprogenitor cells

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93
Q

Internal marrow cavity is lined by

A

Endosteum

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94
Q

Parallel bundles of collagen fibers that extend from the periosteum or muscle tendon & insert into superficial layer of bone

A

Sharpey’s fibers

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95
Q

Sharpey’s fibers provide:

A

Anchorage and support

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96
Q

Resting mesenchymal cells that reside in the periosteum and endosteum

A

Osteoprogenitor cells

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97
Q

Location osteoprogenitor cells reside

A

Periosteum & endosteum

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98
Q

Osteoprogenitor cells can differentiate into:

A

Osteoblasts and osteocytes

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99
Q

Roughly polygonal, mesenchymal cells derived from osteoprogenitor cells

A

Osteoblasts

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100
Q

Osteoblasts are very _____ due to the synthesis of large amounts of protein and proteoglycans

A

Basophilic

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101
Q

Osteoblasts synthesize large amounts of:

A

Protein & proteoglycans

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102
Q

Osteoblasts are responsible for synthesis of ECM and collagen, collectively referred to as:

A

Osteoid

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103
Q

Osteoid is similar to _______ and later mineralized to form _____

A

Collagen; bone

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104
Q

Osteoblasts are responsible for calcification of matrix via secretion of:

A

Matrix vesicles

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105
Q

Matrix vesicles secreted by osteoblasts contains:

A

Alkaline phosphatase

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106
Q

The matrix vesicles bud off the osteoblasts into the matrix causing:

A

Precipitation of mineral salts

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107
Q

Mineral salts that precipitate due to matrix vesicles budding off the osteoblast (2):

A

Calcium
PO4

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108
Q

After the osteoid matrix mineralizes, osteoblasts mature into osteocytes in the:

A

Lacunae

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109
Q

Mature bone cells

A

Osteocytes

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110
Q

Large multinucleate bone cells

A

Osteoclasts

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111
Q

Osteoclasts are likely derived from ______ and have _____ properties

A

Monocyte-macrophage lineage; phagocytic

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112
Q

Osteoclasts are actively involved in:

A

Resorption & remodeling of bone

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113
Q

Location osteoclasts are usually found

A

Howship’s lacunae or resporption bays

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114
Q

What are howships lacunae/resorption bays

A

Endosteal/periosteal surface depressions

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115
Q

Type of cell that functions in calcium homeostasis

A

Osteoclasts

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116
Q

Osteoclasts function in calcium homeostasis by producing:

A

Organic acids
Lysozymes

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117
Q

Modified, folded plasma membrane, containing microvilli-like structures (where the lysozymes & organic acids secreted into the ECS chew away the bone)

A

Ruffled border

118
Q

Bone serves as a reservoir for _____ and functions in homestasis of _____

A

Calcium
Calcium

119
Q

Calcium homeostasis is regulated by two antagonistic hormones:

A

Parthormone & calcitonin

120
Q

Parathromone:

A

Parathyroid hormone

121
Q

Parathyroid hormone secreted by the:

A

Parathyroid gland

122
Q

Parathyroid hormone stimulates ____ activity leading to _____

A

Osteoclasts; bone resorption

123
Q

Parathyroid hormone _____ blood calcium levels and ____ renal excretion of kidneys

A

Increase
Decrease

124
Q

Calcitonin is secreted by:

A

Thyroid gland

125
Q

Calcitonin stimulates ______ activity and inhibits _____ activity

A

Osteoblasts
Osteoclast

126
Q

Calcitonin functions in bone ____

A

Deposition

127
Q

Calcitonin _____ blood calcium levels

A

Decreases

128
Q

Pituitary growth hormone

A

Somatotropin

129
Q

Hormone responsible for stimulating growth, especially epiphyseal cartilage and bone

A

Somatotropin

130
Q

Somatotropin _____ blood calcium levels

A

Decreases

131
Q

Oversecretion of somatotropin can lead to ____ or ______

Undersecretion of somatotropin can lead to ____

A

Gigantism or acromegaly
Pituitary dwarfism

132
Q

The majority of the organic component of compact bone is comprised of _____ synthesized by ____

A

Type I collagen; osteoblasts

133
Q

GAGs of ground substance consist mostly of (3):

A

Hyaluronic acid
Chondroitin sulfate
Keratin sulfate

134
Q

Non-collagenous organic molecules include:

A

Osteocalcin
Osteonectin
Sialoproteins

135
Q

Non-collagenous organic molecule that binds intracellular calcium during mineralization

A

Osteocalcin

136
Q

Non-collagenous organic molecule bridges/binds collagen and minerals

A

Osteonectin

137
Q

Non-collagenous organic molecule rich in Salic acid and is concentrated from plasma

A

Sialoproteins

138
Q

Mineralized component of bone is formed by:

A

Inorganic salts

139
Q

Inorganic salts that form the mineralized component of bone

A

Calcium and phosphate

140
Q

Calcium and phosphate form the mineralized portion of bone in the form of:

A

Hydroxyapatite crystals

141
Q

Ca10(PO4)6(OH)2

A

Hydroxyapatite crystals

142
Q

Bone also has the affinity for:

A

Heavy metals & radioactive isotopes

143
Q

Two examples of heavy metals that bone has affinity for

A

Lead & mercury

144
Q

Type I collagen is the primary ____ in mature bone

A

Structural protein

145
Q

Compact bone contains _______ systems also called ____

A

Haversian; osteons

146
Q

Osteons are produced via:

A

Bony remodeling

147
Q

Removal of existing bone by osteoclasts and redeposition of new bone by osteoclasts

A

Remodeling

148
Q

In bone remodeling:

_____ is responsible for removal of existing bone
______ is responsible for deposition of new bone

A

Osteoclasts
Osteoblasts

149
Q

Size of average haversian system is equivalent to the size of:

A

Osteoclast

150
Q

Outer margin of osteon is delimited by:

A

Cement line

151
Q

The tunnels created by osteoclasts are invaded by

A

Osteoblasts

152
Q

Osteoblasts become trapped in _____ in osteoid matrix and market into _____

A

Lacunae; osteocytes

153
Q

Minute canals connecting osteocytes

A

Caniliculi

154
Q

Canaliculi contain:

A

Cytoplasmic extensions of osteocytes

155
Q

When trapped, the osteocytes communicate with eachother via:

A

Gap junctions

156
Q

Within the center of each osteon is a:

A

Haversian canal

157
Q

The Haversian canal contains:

A

Blood vessels and nerves

158
Q

Longitudinal Haversian canals are connected by transverse:

A

Volkman’s canals

159
Q

What is exchanged through Haversian canals

A

Waste & nutrients

160
Q

Haversian systems are oriented:

A

Parallel to the long axis bone

161
Q

Inactive haversian systems

A

Interstitial systems

162
Q

Type of bone that lack haversian systems

A

Spongy & woven

163
Q

Haversian systems are only present in ____ bone

A

Compact lamellar

164
Q

Outer periphery of cortical bone is arranged in:

A

Circumferential lamellae

165
Q

Cortical bone is also called

A

Compact lamellar bone

166
Q

Volkman’s canals run:

A

Perpendicular to the long axis

167
Q

The osteons run through the major lines of _____ through the bone

A

Tension

168
Q

Bone growth is controlled by (3):

A

Growth hormones
Thyroid hormones
Sex hormones

169
Q

Replacement of cartilage precursor by bone

A

Endochondral ossification

170
Q

In endochondral ossification, the resulting woven bone is extensively remodeled by ____ and _____ to form lamellar bone

A

Resorption & appositional growth

171
Q

Long bones, vertebra, pelvis and base of skull all go through what process of bone growth

A

Endochondral ossification

172
Q

Direct replacement of mesenchyme by bone; NO cartilage precursor

A

Intramembranous ossification

173
Q

Mesenchymal cells differentiate into osteoblasts, produce osteoid, later mineralize into bone

A

Intramembraneous ossification

174
Q

The vault of the skull undergoes what type of bone growth

A

Intramembranous ossification

175
Q

In endochondral ossification the precursor of long bone is formed of:

A

Hyaline cartilage

176
Q

Primary center of ossification occurs in:

A

Mid-diaphysis

177
Q

Osteoprogenitor cells and oseoblasts secrete osteoid which mineralizes, forming:

A

Periosteal cuff

178
Q

Calcification of cartilage matrix inhibits:

A

Diffusion of nutrients

179
Q

When diffusion of nutrients is inhibited by calcification of cartilage matrix this results in death of ______ and spread of _____

A

Chondrocytes
Osteoblasts

180
Q

In Endochondrial ossification the osteoprogenitor cells from the ____ migrate to the ____ along with growing blood vessels

A

Periosteum; medulla

181
Q

In Endochondral ossification, two _______ occur in the epiphyses

A

Secondary centers of ossification

182
Q

In endochondral ossification, the primary center of ossification occurs in the ______ while the secondary centers of ossification occurs in the _______

A

Mid-diaphysis
Epiphysis

183
Q

A region of metaphysis that remains open (unmineralized) in endochondral ossification

A

Epiphyseal plate

184
Q

The epiphyseal plate allows for continuous:

A

Longitudinal growth

185
Q

At maturity, hormonal changes decrease _______ and cartilage plate is replace by bone

A

Cartilage proliferation

186
Q

Closur of epiphysis means complete ____

A

Ossification

187
Q

The last long bone to close in humans

A

Femur

188
Q

After closure, the growth plate persists as ____ in metaphysis, visible on X-rays

A

Epiphyseal plate

189
Q

Type of growth human and mammals have

A

Determinant growth

190
Q

The epiphyseal growth plate consists of several distinct zones in transition from:

A

Cartilage to bone

191
Q

Hyaline cartilage with clusters of chondrocytes, no cell proliferation (zone)

A

Zone of reserve cartilage

192
Q

Successive mitotic division of chondrocytes leading to columns of chondrocytes (zone)

A

Zone of proliferation

193
Q

Division ceases and chondrocytes increase in size (zone)

A

Zone of maturation

194
Q

Zone closes to the epiphysis

A

Zone of reserve cartilage

195
Q

Chondrocytes greatly enlarge, contain large amounts of glycogen and become vacuolated & calcify (zone)

A

Zone of hypertrophy (and calcification)

196
Q

Capillaries of marrow cavity growth from diaphysis into growth plate (zone)

A

Zone of (cartilage) degeneration

197
Q

In the zone of degeration, chondrocytes _____ and the lacunae are invaded by ____

A

Degenerate; osteogenic cells

198
Q

Blood vessels from marrow cavity grow into cartilage mass (zone)

A

Zone of ossification

199
Q

Osteogenic cells differentiate into osteoblasts, congregate on spicules of calcified cartilage matrix to form bony trabeculae (zone)

A

Zone of ossification

200
Q

In Intramembranous ossification, mesenchymal cells differentiate directly into:

A

Osteoblasts

201
Q

During intramembranous ossification the osteoblasts begin synthesize in _____ at multiple sites within the _____

A

Osteoid; membrane

202
Q

How many centers of ossification occur in intramembranous ossification

A

Multiple centers of ossification

203
Q

During intramembranous ossification, osteoblasts get trapped in lacunae of osteoid and become:

A

Osteocytes

204
Q

During intramembranous ossification, ______ cells at the _____ continue to divide, providing replacements

A

Osteoprogenitor cells; periphery

205
Q

During intramembranous ossification, the bone produced is:

A

Woven bone

206
Q

During intramembranous ossification, the woven bone is later remodeled by ____ & ____ to form compact bone

A

Osteoclasts & osteoblast

207
Q

Embryonic undifferentiated cells

A

Mesenchymal cells

208
Q

During intramembranous ossification what type of cells are located at the periphery

A

Osteoprogenitor

209
Q

A break in bone with no break in skin

A

Simple/ closed fracture

210
Q

A break that causes damage to skin, exposing bone

A

Compound/open fracture

211
Q

Type of break in which bone is broken in several places

A

Comminuted fracture

212
Q

Following a break, what fills the fracture site:

What does this result in:

A

Blood
Hematoma

213
Q

Immediately after a fracture, inflammatory response develops leading to:

A

Pain, swelling, redness & heat

214
Q

The acute phase of a bone break occurs:

A

First few days after break

215
Q

In the acute phase of a bone break _____ are first to arrive and infiltrate the hematoma

A

Neutrophils

216
Q

In the acute phase of a bone break, the neutrophils are the first to arrive and:

A

Infiltrate the hematoma

217
Q

In the acute phase, after the neutrophils infiltrate the hematoma, ______ then come to clean up the site of injury

A

Macrophages

218
Q

In the acute phase of a bone break, both the neutrophils and macrophages use their _____ properties

A

Phagocytic

219
Q

After around one week in the acute phase of a bone break, _____ and ____ proliferate and grow into the site

A

Fibroblasts and capillaries

220
Q

After around one week post-break, the fibroblasts and capillaries grow into the site to form:

A

Granulation tissue

221
Q

The granulation tissue formed by the fibroblasts and capillaries is ____ tissue

A

Vascular collagenous tissue

222
Q

Post-break, the granulation tissue becomes progressively more fibrous in the _____ phase

A

Chronic

223
Q

In the chronic phase post-break, the granulation tissue becomes progressively more fibrous forming:

A

Fibrous granulation tissue

224
Q

Following the formation of fibrous granulation tissue, mesenchymal cells differentiate into ____ and secrete matrix

A

Chondroblasts

225
Q

Post-break when the mesenchymal cells differentiate into chondroblasts and secrete matrix, this causes progressive replacement of granulation tissue by ______ forming _____

A

Hyaline cartilage; provisional callous

226
Q

Following the formation of the provisional callus in bone repair ______ and _____ cells from the endosteum & periosteum at the edge of the wound grow ____

A

Osteoprogenitor cells and osteoblasts
Inward

227
Q

After the osteoprogenitor cells and osteoblasts grow inward they produce a meshwork of ______ within the provisional callus

A

Woven bone

228
Q

The osteoprogenitor cells and osteoblasts produce a meshwork of woven bone within the provisional callus and deposit _____ in the collagen matrix

A

Calcium salts

229
Q

The deposition of calcium slats in the collagen matrix of the woven bone within the provisional callous transforms the provisional callous into a:

A

Bony callous

230
Q

The bony callous helps to:

A

Stabilize & bind fracture together

231
Q

When the fracture site is completely bridged by woven bone this is called:

A

Bony union

232
Q

Bony callous is progressively remodeled to form:

A

Mature lamellar bone

233
Q

Process of bone repair takes around 6-12 weeks dependent upon:

A

Severity & location

234
Q

Joint allowing for extensive movement

A

Synovial

235
Q

Synovial joints are also known as:

A

Diarthroses

236
Q

Synovial joints (Diarthroses) are surrounded by a:

A

Connective tissue capsule

237
Q

The connective tissue capsule that surrounds synovial joints:

A

Joint capsule

238
Q

The synovial joint is lined by a thin discontinuous layer of cells called the:

A

Synovium

239
Q

The synovium secretes ______ which functions to:

A

Synovial fluid
Bathes the articular surface

240
Q

Synovial joints have no basement membrane so they do not have a true ____

A

Epithelium

241
Q

Synovial joints are made up of up to four cell layers of ________ of _____ origin

A

Synovial cells
Mesenchymal

242
Q

Two of cells in synovial joints:

A

A & B

243
Q

Type A synoviocytes resemble:

A

Macrophages

244
Q

Type B synoviocytes resemble:

A

Fibroblasts

245
Q

Joint characterized by limited movement; joined by dense connective tissue, lacking an articular surface

A

Nonsynovial

246
Q

Dense fibrous tissue between bone

A

Syndesmosis

247
Q

In the skull, syndesmosis is progressively replace by bone to become:

A

Synotosis

248
Q

Synotosis of the skull are also called:

A

Sutures

249
Q

Primary cartilage joint that contains a single layer of hyaline cartilage

A

Synchondrosis

250
Q

Type of joint that unites the first rib with the sternum (only one in adult human)

A

Synchondrosis (primary cartilage joint)

251
Q

Type of cartilage found in synchondrosis

A

Hyaline

252
Q

Secondary cartilage joint

A

Symphysis

253
Q

cartilage joint that contains two hyaline cartilage surfaces connected by fibrocartilage

A

Symphysis

254
Q

Intervertebral discs are a specialized type of:

A

Symphysis

255
Q

Intervertebral joints contained intervertebral discs that are evolutionarily derived from _____ in _____

A

Notochords in chordates

256
Q

Intervertebral discs are formed of concentric layers of:

A

Fibrocartilage

257
Q

Central core viscous ground substance of intervertebral discs

A

Nucleus pulposis

258
Q

Dense layer that forms around the nucleus pulposis

A

Annulus fibrosis

259
Q

Damage to the annulus fibrosis causes the nucleus pulposus to _____ resulting in ____

A

Herniate; herniated disc

260
Q

Inflammation of joints

A

Arthritis

261
Q

Progressive degeneration and loss of articular cartilage

A

Osteoarthritis

262
Q

Osteoarthritis leads to:

A

Eburnation, pitting and erosion

263
Q

The eburnation, pitting & erosion caused by osteoarthritis leads:

A

Pain, swelling & thickening of joint capsule

264
Q

Production of irregular new bone at the edge of articular surfaces

A

Osteophytes

265
Q

Osteophytes may be referred to as:

A

Bone spurs

266
Q

Osteophytes (bone spurs) limit the:

A

Range of motion

267
Q

Progressive build up of osteophytes, osteoarthritis or trauma can lead to:

A

Ankylosis

268
Q

Bony fusion of joint with loss of mobility

A

Anylosis

269
Q

Polishing of articular surface

A

Eburnation

270
Q

Most common pathology we see of bones

A

Arthritis

271
Q

Local autoimmune reaction in joints

A

Rheumatoid arthritis

272
Q

Rheumatoid arthritis is when the body produces _____ that attack the joints

A

Antibodies

273
Q

In RA, the antibodies that attack the joints leads to pain and damage of the articular cartilage, and thickening and inflammation of the:

A

Synovial membrane

274
Q

Replacement of the articular cartilage with fibrovascular tissue

A

Pannus

275
Q

Deposit of urates & uric acid crystals in joints (especially fingers & toes)

A

Gout

276
Q

Gout is extremely painful and associated with consumption of large quantities of:

A

Red wine & meat

277
Q

Causative vegetables of gout:

A

Asparagus, broccoli, cauliflower, Brussels sprouts

278
Q

The certain vegetables associated with gout all represent _____ and are high in ____ and ____

A

New growth
Protein & nitrogen

279
Q

Bone matrix doesn’t calcify normally in children during growth resulting in softer, deformed bones & can be permanent

A

Rickets

280
Q

Rickets is due to insufficient dietary:

A

Calcium or vitamin D

281
Q

In adults, insufficient calcium and vitamin D can lead to:

A

Osteomalacia

282
Q

Failure of mineralization resulting in the softening of bones in adults (kind of the adult form of rickets)

A

Osteomalacia

283
Q

Loss of bone mass

A

Osteoporosis

284
Q

In osteoporosis the _____ by osteoclasts exceeds the _____ by osteoblasts

A

Resorption; deposition

285
Q

Osteoporosis is a common problems in ______ due to decreased ____

A

Post-menopausal women; estrogen levels

286
Q

Osteoporosis can be treated by (5): ORAL

A

1- oral calcium treatment
2- oral vitamin D
3- Chondroitin
4- glucosamine
5- gelatins

287
Q

Fosamax, a newer osteoporosis medication function by binding _____ in the GI tract to minimize _____

Possible side effects includes:

A

Phosphate; absorption

Mandibular necrosis

288
Q

Vitamin C is necessary for the synthesis of:

A

Collagen

289
Q

Vitamin C deficiency causes:

A

Scurvy

290
Q

When the bone matrix is not calcified due to lack of vitamin C:

A

Scurvy

291
Q

Vitamin D deficiency can also lead to weakening of collagen in:

A

Ligaments (periodontal ligament)