Sun jai aum bhagwani ji Flashcards
What does the Pancreas secrete?
Alkaline (Bicarbonate) solution
+ Precursors of digestive enzymes
What are the 3x motor symptoms of a damaged basal ganglia?
Tremor at rest Bradykinesia Hypokinesia Rigidity (increased tone) -mood symptom(emotionally flat)
What are the 3x motor symptoms of a damaged cerebellar system?
cerebellum damaged
- intention tremor
- unco-ordinated movements
- loss of balance
- ataxia
What is ataxia?
disorder in muscle co-ordination due to damage to the cerebellum (such as trauma or disease)
what is aphasia?
disorder of speech associated with the brain
What does the bipotential gonad develop from?
intermediate mesoderm
5th week of development
What does the female internal genetalia consist of?
FUV
Fallopian tube
Uterus
1/3 Vagina
What does the bipotential gonad need to become a testis?
SRY gene
What is anabolism?
protein synthesis
occurs in male secondary sexual development
What are the 5 distinguishing features between a bronchiole and bronchus?
- small size of bronchiole (less than 1mm)
- simple columnar (instead of pseudostratified) epithelium
- club/clara cells
- absence of goblet cells and mucous glands
- abscence of cartilage plates
What is a unique feature of bronchus?
irregular cartilage plates
tubular mucous glands
What is Po2 in venous blood?
37mmHg
What is Po2 in arterial blood?
95mmHg
What is PCo2 in arterial blood?
38mmHg
What is Pco2 in venous blood?
44mmHg
What is the meaning of the range of O2 starting values?
Pro
In which of the 5 columns would the enzymes of citric acid cycle be located?
cells
What is correct mucosa muscularis and externa muscularis, or muscularis mucosa and muscularis externa?
MUSCULARIS always comes FIRST
- muscularis mucosa
- muscularis externa
What are the functions of the lamina propria?
fibrous
soft and is Loose connective tissue- allows the epithelial surface layer to move
contains lymphocytes/WBC
contains blood vessels- to take away the products of digestion/nutrients
What is the epithelium dependant on?
dependant on area, but usually secrete alot of Fluid, Mucous and Enzymes
-RAPID TURN OVER
What is the function of the muscularis mucosa?
movement INDEPENDANT of muscularis externa
- squeezing lacteals
- squeezing secretions from glands
Where is the site of sperm storage in the female reproductive tract?
isthmus
What percent does bone the organ and tissue compose in the body?
18% of body weight
What is the definition of bone the organ and bone the tissue?
Organ= multiple different types of tissue Tissue= highly specialised CT and dynamic
What are the size functions of bone?
- support (rigid framework)
- protection (internal organs/vital and soft tissue)
- movement (tendon attachment)
- Ca2+(hormone and enzyme production) and P reserve (strength of bone)
- Haemopoesis
- Fat (triglyceride) storage
What is the role of the Ca2+ and P reserve in bone?
strength of the tissue
reserve
mineral homeostasis (release of minerals into blood)
Ca2+ (99% bone tissue, 1% serum/tissue fluid), contraction and hormone and enzyme production
P (5x building blocks), DNA, cell membrane, pH, enzymes, ATP
For what 5x structures is Phosphorous the building blocks for?
- DNA
- Cell membranes
- ATP
- enzymes
- pH
What is the allocation of calcium?
99% in bone tissue
1% in serum/tissue fluid
What is located in haemopoetic tissue?
- developing blood cells (RBC, WBC, platelets)
- adipocytes
- fibroblasts
- macrophages
- all within a network of reticular fibres
How do the numbers of bone differ with age?
born= 270 centres of ossification
then body tries to head to a state of fusion (hip to vertebrae)
adult= 206
elderly=
What are the two major roles of the axial skeleton?
support
protection
(+haemopoesis)
80 bones
What are the two major roles of the axial skeleton?
movement
fat storage
126 bones
How thick is the outer epiphyseal shell?
less than 0.5mm
What is the difference between the thickness of endosteum or periosteum?
endosteum thinner
What sort of forces can the diaphysis resist?
bending and torsion
What sort of bone is compact bone?
cortical bone (cortex)
What is the composition of endosteum?
fibrocellular layer
Where are sharpey fibres located?
periosteum
tendons
ligaments
What is the composition of periosteum?
fibrocellular sheath
dense IRregular
What is it called when bone just contains air and where is it located?
Pneumatized
face and sinus bones
(otherwise would have thick neck muscles)
What is the junction between where the epiphysis and diaphysis join?
metaphysis
- hyaline cartilage and trabeculae
What is the largest bone in your body?
femur
acetabulum of pelvis bone (ball and socket joint)
What is the constancy of the pattern or trabeculae?
constantly being re-modelled - as how it is engineered is dependant on the forces imposed on it
(fighting fusion/equilibrium point)
irregular lattice
What are the two appendicular bones which contain red bone marrow?
pelvis
head of humerous
What part of bone is vascular and innervated?
periosteum
What are the four primary tissues of the body?
muscle
epithelium
nervous
connective tissue
What is the role of connective tissue?
most common body tissue- out of all CT Collagen is the most common highly variable in function binds, supports and strengthens other tissues Primarily a Structural role packaging tissue to fill up space contains BV - keeps the tissue alive contains Nerves- allows you to feel it 1. Ct 2. Cells and ECM 3. Ground substance and fibres
What is the first category of CT?
cells and ECM
What is the second category of ECM?
Ground substance and Fibres
Ct –> cells and ECM ==> ground substance and fibres
What is the organic component of bone(ECM)?
Fibres
1/3 dry weight
What is the weight of the organic component of bone?
fibres
1/3 dry weight
What is the percentage of collagen in bone?
Type 1>Type 5 (2 out of 29)
25%
stretching/pulling/tensional force in same plane- otherwise would collapse
What is the inorganic component of bone (ECM)?
ground substance
25% water
2/3 dry weight/50% hydroxyapatite crystallized salt
What percentage of ground substance is water?
25% (less hydrated relative to other CT’s ECM)
What is the main component of ground substance?
hydroxyapatite 50% bone 2/3 dry weight crystalised salt gives bone its properties \+ contains the calcium and phosphorous reserve
What is the job of cells?
resist and maintain torsion
typically tend to be low density in connective tissue
What do osteogenic cells arrive from?
UNspecialised embryonic stem cell
Mesenchyme
form Embryonic connective tissue
Where does the cell division of bone occur?
the ONLY cell to undergo division is unspecialised embryonic stem cell (mesenchyme)
What is the composition of osteoid?
70% collagen
30% proteins and proteoglycans
hence ORGANIC component(minaly collagen) prior to hydroxyapatite
What is another name for osteogenic cells?
osteoprogenitor
thin and flattened
differentiated under the influence of cues
What is calcification?
infiltration of hydroxyapatite
80% in 3weeks –> 20% in 1-2 years
due to more water BEING DISPLACED (Ca2+ needs tissue fluid to move nutrients around cells)
strong and therefore nutritive fluids cannot flow through
What can nutrients diffuse through?
Nutrients CANNOT diffuse through bone,
need tissue fluid (hence why calcification slows at end as water is being displaced (less of it) to transport the nutrients
Are osteocytes isolated and dead?
“lattice grid work of live cells”
no
as they are just trapped osteoblasts can revert back)
and arent isolated as have canaliculi
What does canaliculi allow communication with?
other osteocytes
+ osteoblasts on the surface
What is the rate of movement of osteoclasts?
1mm every 20 days
How many cells join to form an osteoclast?
MONOCYTE PRECURSOR/PROGEN 20 to form syncytium max 50 short lived acids(ph4 hydroxyapatite breakdown)+ hydrolytic enzymes from lysosomes (collagen breakdown)
What is the pH of acids released by osteoclasts?
ph4
Where are the enzymes stored in osteoclasts?
released from lysosomes remove proteins (collagen)
What are the main features of a osteoclast?
Howship’s Lacunae is FURRY as the acid has dissolved the hydroxyapatite and the collagen fibres are exposed(unlike smooth calcified bone)
ruffles border to increase contact and SA
the tight seal is called the CLEAR Zone
What dissolves collagen fibres?
hydrolytic enzymes from lysosomes
What dissolves hydroxyapatite?
enzymes
What is the texture of calcified bone?
smooth
What is the difference in histology slides of bone?
Blue Lacuna= no calcium Ca2+ salts
Bright Pink lacuna= yes calcium Ca2+ salts
How much of our skeleton is replaced?
on average we replace about 10% of our skeelton
What was appositional growth and bone reabsorption balance dependant on?
Completely independant from one another BALANCe however is dependant on AGE -young= more appositional -teenage= equal - (35+) adult- more reabsoprtion
Why cant bone undergo interstitial growth?
Bone is too rigid to expand
resists deformity
What happens to osteoblasts after they have finished secreting osteoid?
- revert back to osteogenic cells
2. die
What would happen if only appositional growth occurred?
bone would be too thick and unnecessarily heavy
therefore bone reabsorption makes it efficient
What forms resting endo/periosteum?
osteoGENIC cells
What cues bone reabsorption?
osteocytes- either dying osteocytes of monitoring osteocytes (notice the dying ECM)
cues from monocyte precursors to exit blood vessels/VENULES
This is because they see damage that THEY CANNOT REPAIR, hence release cues to settle and start boring
What inhibits osteoclast formation?
osteoBlasts inhibit osteoclasts
Note- osteoclasts die via apoptosis- tightly regulated/short lived
What is rickets?
high amounts of osteoid
-poor diet low in calcium (third world countries)
low amounts of calcium/calcification
-insufficent ca2+ to calcify quick enough
-stays soft and rubbery and deforms due to gravity and other forces
What is rickets in adults?
osteoclamacia
insufficent sunlight
insufficent vitamin D to absorb Ca2+ (through intestinal wall)
What does reformed broken bone more?
Callus
LOOSELY packed collagen of woven bone
What is the orientation of collagen in lamellar bone?
up to 90 degrees out of phase
- is dependant on the forces exposed
- can withstand forces from different directions therefore significantly stronger
What is the percent of spongy bone in bones?
20%
vary due to function
Longbone= 10% at ends/epiphysis
Vertebrae= 40% at more compression
What is the difference between bone turnover?
spongy bone has a 5x greater turnover> than compact bone
therefore high Ca2+ and P turnover, as more mineral homesostasis- as reserve can quickly be pulled down form spongy bone –> serum
also receives more nutrients as high surface area and highly vascular
Which part of the bone is most likely to be effected by a disease?
medullary cavity
as is highly vascular
What is the role of trabeculae?
resist stressors(compression) transfer force without breaking
What sort of blood vessels are located in compact bone?
Periosteal blood vessels (venules and arterioles)
Which nerves are touched during an operation to anetheasize the bone?
CANNOT anethasise periosteal blood vessels during a bone biopsy
-therefore is very painful
What is circumferential lamellae?
continuous layer around the outer and inner edge of compact bone
-due to osteoblasts putting down new layers but not always knowing to put down osteons
therefore cells ARENT typically found on the outside of bone
What happens to the periosteum in primary bone formation?
becomes endosteum
REMAINS ACTIVE
(due to the ridges become prominent and fusing together)
What can the cutting cone be referred to?
cellular drill
What is the movement of a cutting cone?
along the predominantly plane of stress
Why does the blood vessel grow into the secondary osteon?
to keep the osteoblasts alive
With what can you identify if bone is compact or lamellae?
polarized light
-can see if there are osteons or not
What junction can be seen in secondary osteon formation?
between new secondary osteon and pre-existing old osteon
=Cement line
=proteoglycan glue
Where are cement lines found?
in articular cartilage
between new secondary osteons and prexisting old osteon - sticks old and new together
What are key points in endochondral ossification?
epiphyseal plate can deform as it is rubbery soft
gets thicker, but the cartilage that is closest to the metaphysis is dying
(one osteoid)
rate of epiphyseal growth SLOWS down at the end of puberty
What are the three main functions of joints?
- force transmission (weakest part of skeleton and subject to huge amount of strain)
- growth
- movement (natural break in skeleton.can train your joints via stretching them (flexibility)
What is the weakest part of the skeleton?
joints
How long is the digestive system?
5m
9m w/o muscle and CT
What is the digestive system largest at?
largest immune system
largest organ system (including its epithelial glands- pancreas and liver)
Where is the main location of bacteria in the digestive system and what sort of relationship does it have?
1x more bacteria in the large intestine than any other place
body has a SYMBIOTIC relationship with bacteria
What is digestion?
the chemical breakdown of ingested foods into absorbable molecules
What is absorption?
the movement of nutrients, water and electrolytes through the epithelial lining of the gut –> into the blood or lymph
What is similar to bone in the mouth?
dentine
What are the features of dentine?
similar to bone
made out of odontoblasts
odontoblast cells closer to the pulp
What are the features of enamel?
crystalline rods and prisms
of calcium phosphate and c carbonate
acellular and no sensation
Hard for longevity
Where is the vascular and innervated path of teeth?
ONLY PULP
Where is the alive part of the tooth?
ONLY PULP
-as the pulp is the only part which contains blood vessels (and nerves)
What is cementum made out of?
calcified connective tissue
- cements to jaw bone
- all around ROOT
- below jaw bone
What has a rapid turn over in the mouth?
peridontal ligament (is made out of mostly collagen fibres)
What is the bone of the socket?
alveolar bone
What is periodontal disease?
the result of having food getting trapped in the gap between the tooth and root
-avoided by regular flossing
What is the periodontal ligament predominantly made out of?
collagen fibres
What are the three directions of muscle in the tongue?
LTV
Longitudinal
Transverse
Vertical
What is the arrangement of fungiform like?
non-uniform (arranged between filiform)
What are the features of the largest papilla?
circumvallate 8-12x large amounts of taste buds gustatory PORES called channels send signals to your brain so you can actually smell food
What are the five things the tongue allows you to do?
eat taste chew swallow phonetics
Where is the sublingual gland located?
under the tongue
What can cause the secretion of saliva?
smelling
seeing
tasting
thinking about food
What are the three main components of saliva?
enzyme
mucous
water
Is the liver in front or behind the stomach?
infront
therefore the gallbladder has to also be behind the liver
What are the fourth way of increasing surface area?
simple tubular glands
forming pits
Where is the myenteric nerve plexus located?
between the inner circular and outer longitudinal muscularis externa
What is the composition of the serosa?
outer mesothelium
inner CT Bed
Where are blood vessels located in the four tunics?
in both the MUCOSA AND the SUBMUCOSA
submucosa has larger as have combined here (portal vein included)
How long is the oesophagus?
25cm long (pharynx --> stomach)
What is the rate of flow in oesophagus?
5 sec for food
1 sec for fluid
What is the rate of turnover in oesophagus?
stratified squamous divide in basal layers
every 7 days
What are the four components of the stomach?
Cardia
Fundus
Body
Pylorus
What are the 6 functions of the stomach?
- secrete acid, water and enzyme
- produce chyme
- breakdown protein
- Absorption of water, ions and drugs (aspirin and alcohol) DOESNT ABSORB AND FOOD
- Transport
- Protection (against own secretions/microbes/acid/pepsin)
What is the volume of secretions of the stomach?
2-3 L daily
acids mucous enzymes
What is chyme?
food + gastric juices
Where is the absorption of aspirin and alcohol?
in stomach
stomach absorbs water, ions and some drugs (alcohol and aspirin) but NO FOOD absorbed at stomach
What is the pyloric sphincter controlled by?
volume
hormones
Why is the stomach for storage?
As food is eaten quicker than is can be digested and absorbed
(provides more time)
How fast is a churning wave?
very 20 seconds
What is the rate of turnover or surface mucous cells?
2-3days
What cells are activated at every meal time?
mucous neck cells
Where does protein breakdown occur?
20% in stomach
80% in small intestine
Waht do the chief cells secrete?
pepsinogen (protein breakdown) gastric lipase (fat breakdown)
What has the negative feed back?
gastrin cells (stomach enteroendocrine)
How big is the liver?
1.5 kg
How many metabolic functions can hepatocytes perform?
over 500
Where are hepatocytes derived from?
embryonic endoderm (epithelial gland)
What are the 5 functions of the liver?
- production of bile (similar to surfactant)
- Detoxification (drugs, poison, metabolites)
- Storage (glycogen as glucose and vitamins esp Vitamin A)
- Synthesis of Plasma Proteins (albumin, globulin, blood clotting proteins)-reassemble and repackage
- recycles old RBC into more RBC or other chemicals
What is similar to surfactant?
bile
What are the fenestrations between hepatocytes?
fenestrated endothelium of sinusoid
What are the funky names in the plates of hepatocytes?
tight junctions
lymph space of disse
What is the size of a hepatocyte?
2mm length lobule
1mm wide lobule
hexagonal in cross sections
Where space in the centre of lobule?
central vein
What is the endocrine function of the pancreas?
islets of Langerhan
1% of the pancreas
secretes insulin and glycogen
(blood glucose regulation)
What is the exocrine function of the pancreas?
secretes pancreatic alkaline solution BICARBONATE
precursors of digestive enzymes
-these digestive enzymes activated once in small intestine and DIGEST fats, carbs and proteins + NUCLEIC ACID
Where are acinus located?
in the pancreas
What is the pathway of substance movement in the pancreas?
secretory cell -> acini –> intercalated ducts –> interlobar ducts –> main pancreatic duct
How long is the duodenum?
25 cm
duodent means 12 (x2 ish)
What does jejunus mean?
empty
primary part for digestion and absorbtion
What does ileum mean?
twisted
primarily for absorbtion
What is the primary pathway of functions in the small intestine?
Digestion –> digestion + absorption –> absoprtion
What is special about the duodenum?
contains the Glands of Brunner
mucous glands
Where are the glands of Brunner located?
duodenum
What sort of glands are the glands of brunner in the duodenum?
mucous glands
What sort of folds are plicae?
circular folds
What are the covering and core of plicae?
mucosa
submucosa
What are the covering and core of villi?
epithelium
lamina propria
What are the covering and core of microvilli?
cell membrane
cytoplasm
What are the two functions of paneth cells?
secrete lysozyme (anti bactericidal) phagocytotic
What is the turn over of small intestine enterocytes?
2-3 days
-have microvilli
columnar absorptive cells
What is the turnover of the whole mucosa as it moves upwards in the small intestine?
every 5 days
What is the function of secretin?
signal the pancreas to produce pancreatic juices - to neutralise the acidic chyme with its alkalineness
secretin is secreted in response to acidic chyme coming into the small intestine
What leaves the hepatic venules?
carbs (monosaccharides), proteins (amino-acids), water and electrolytes
Where in the body does secretin, a little bit of gastrin and cholecystokinin released?
small intestine
What absorbs lipids that are too difficult to get into the venules (currently transporting monosaccharides, amino acids, water and electrolytes)
lacteals
(lactation) milked by lamina propria’s smooth muscle
fats/tryglycerides that are too big for venules
How long is the large intestine?
1.5 m long with 7 parts
What are the 6x functions of the large intestine?
- absorbs water and electrolytes
- secrete mucus
- formation of feces (chyme–> feces)
- fermentation- the manner of digesting lignin - this is their energy + proponiate and buterate for protecting enterocytes
- bacteria products (vitamin B12 vitamin K(blood clotting))
- defecation - stores fecal matter
What is the fermentation function of the large intestine?
cellulose and lignin - this is their energy
proponiate and buterate for protecting enterocytes
What is vitamin K used for?
blood clotting
What are you at risk at if you have diarrhea?
low vitamin K
product from bacteria in large intestine (as well as vitamin B12)
Out of the three functions what occurs at the small intestine?
absorption
What is the composition of feces?
30% bacteria
30% undigested dietary fibre
What distributes the flow in the large intestine?
illeocecal valve
controls chyme outflow
Where is there a high concentration of lymphocytes in the body?
small intestine
AND LARGE intestine - protection against bacteria
What is the caecum and does it change size?
dilated pouch
largest in herbivores
What determines the colour of feces?
bilirubin content
What sort of a muscle is the tenia coli?
3x strips
longitudinal muscle
Only in the decending colon and rectum
What are the lymph clusters in the large intestine called?
lymph nodules
What is located in the descending colon and rectum?
teni coli
How long is the rectum?
20 cm
how long is the anal canal?
last 2 cm
What is a complete joint replacement called?
athroplasty
What is an arthroplasty?
a complete joint replacement
What is special about the socket cup in an arthroplasty?
the back of the cup is porous to allow the SPONGY bone to grow through it
there are two ways to attach metal into body
pressfit
bone cement
What is the relationship between spongy bone and arthroplasty?
The back of the cup is porous/has pores, allowing the spongy bone to grow in it (cementing it in) -either through bone cementing or press fit
What happens to the femur in a hip arthroplasty?
The femur’s medullary space is dug out and the tip of the femur is cut off
the long SHAFT of the joint is placed down inside the femur
-in the femur’s medullary space which has been remounted
What texture is the cup?
removable polyethylene sleeve (greasy plastic)
How long does an arthroplasty last?
10-15 years
as by now the metal grinding on plastic will give off a few metal or plastic fragments
These can go behind the cup or down the shaft
osteoclasts will move in and get rid of these fragments but will in turn erode the bone
-this will result in a Loose joint
How many types of arthritis are there?
osteoid arthritis
rheumatoid arthritis
What is prupose of calcified cartilage?
There is alot of sheer force exposed to cartilage
The top 3 function layers can be deformed
all this force is being transferred to the narrow osteochondral junction
the calcified cartilage acts as a buffer
it Spreads the sheer force along the subchondral bone (increase SA)
enough to ensure that you don’t delaminate you cartilage when you put a lot of sheer force on it
Where is hyaluronic acid found in a baby?
hyaluronic acid is found in the umbilical cord
avoid knotting of the umbilical cord
due to it being a long chain
and being able to hold onto/attach water
What is osteoporosis?
when you bone has alot of pores in it
What is it called when you bone has lots of pores in it?
osteoporosis
What is the position of the collagen fibres in the middle zone?
oblique
45 degrees to the SURFACE
What sort of texture is the surface zone of articular cartilage?
felt like
What has a felt like texture?
surface zone of articular cartilage
Where does migration occur in articular cartilage?
deep zone cells mitotically dividing secreting ECM (maintaining environment) nests migrate upwards
What is the importance of the cell mitotically dividing in the deep zone of articular cartilage?
creates a reserve of chondrocytes
interstitial growth
What colour is calcified cartilage?
slightly pink
Where is the first sign of Tide mark?
at the tide mark
What is the tide mark representative of in relation to calcification?
The tide mark is the first point to find hydroxyapatite
therefore it is LOW in PG
Where is a place in articular cartilage that is surprisingly low in proteoglycans?
The tide mark
It is the first place to find hydroxyapaitite
therefore it is calcified
therefore it is low in PG