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454 Cards in this Set

  • Front
  • Back
poikilocytosis
varying cell shapes
how can a Nissl stain be used to differentiate microglia from oligodendroglia?
microglia are not discernable in a Nissl stain while oligodendroglia is (small dark nuclei w dark chromatin)
name 2 substances produced by an eosinophil
histaminase(/amine oxidase copper-containing), arylsulfatase (cleave phenol sulfates)
name the two types of mononuclear leukocytes
lymphocytes and monocytes
what are the two functions of T cell lymphocytes?
1 cellular immune response 2 regulation of B lymphocytes and macrophages
what are the 2 morphological features of microglia?
1 small irregular nuclei 2 relatively little cytoplasm
what are the 3 functions of a macrophage?
1 phagocytosis (bacteria, cell debris, senescent rbcs) 2 scavanges damaged cells and tissues 3 APC
what are the 3 morphological characteristics of monocytes?
1 large 2 kidney-shaped nucleus 3 extensive cytoplasm
what are the 4 characteristics of the plasma cell morphology?
1 off center nucleus 2 clock face chromatin distribution 3 abundant RER 4 well developed GA
How can we differentiate a mucuos-producing cell from a serous-producing cell?
mucus cell is 1 more columnar 2 less RER 3 more GA (for glycosylation) (both have granules)
tubular gland, shape of cells
columnar
acinar gland, shape of cells
pyramidal
general structure of GIT
1 lamina mucosa 2 lamina submucosa (loose CT, submucosal plexus of Meisser) 3 lamina muscularis externa (C, L, myenteric plexus of Auerbach) 4 Lamina adventitia/serosa
lamina mucosa in GIT, parts
1 epithelium (stratified squamous, columnar) 2 lamina propria (loose CT, MALT/GALT, smooth muscle) 3 lamina muscularis mucosae (C,L)
where in GIT is it no submucosa?
gingiva, hard palate
Contraction of smooth muscle - evoked by
1 Release of: neurotransmitter, hormone 2 Gap junction 3 Automatically: Interstitial cells of Cajal 4 Stretching
Ehler-Danlos sy - cause
Defect of procollagen peptidase or lysyl/prolyl hydroxylase (-> hyperelasticity of skin, hypermobility of joints)
Fibers of Purkynje - differentiation
1 Bigger 2 Pale (↑glycogen) 3 ↓Myofibrils 4 No T-tubules 5 No intercalated disks - only desmosomes and gap junctions
Mechanism of synaptic junction
1 Presynaptic membrane depolarization -> 2 Open Ca2+ channels 3 Ca2+ influx 4 Neurotransmitter vesicle exocytosis 5 Bind to postsynaptic receptor 6 Depolarize postsynaptic membrane
Muscle cell/fiber/Myofiber - development
1 Myoblast 2 Myotube 3 Myofiber
Neuron - structure of perikaryon/soma/cell body
1 Nucleus (↑, spherical, euchromatin, clear nucleolus) 2 ↑ER/Nissl body 3 ↑GA (only in perikaryon, send secretory vesicle) 4 Mitochondria - ↑ in axon 5 Inclusions: lipofuscin, melanin/age pigment (substantia nigra)
Neutrophils - lobes and relation to age
Older = more lobes (few lobes = newly formed, inflammation?, more lobes = failure to develop - nutritional deficiency?)
Proerythroblast -> Erythrocyte, duration, what happends
a 7d. Processes: 1 Condensation of chromatin 2 Expulsion of nucleus 3 Hb synthesis 4 Successive loss of basophilia (due to loss of polyribosomes)
Size of smooth muscle in organs
150-200 um
Size of smooth muscle in vessel
15-20 um
Special stain for elastic fibers
Weigert Resorcin Fuchsin
Synaptic cleft - size
20-30 nm
Triad of skeletal muscle sarcomere (diad in cardiac muscle)
2 terminal cisternae of sarcoplasmic reticulum, 1 T (transverse) tubule
Troponins - types and functions
Form complex. 1 Troponin T: bind to tropomyosin 2 Troponin C: can bind to Ca2+ 3 Troponin I: bind to actin
White vs brown fat - structure of cell
White: unilocular (lipid droplet), peripheral nucleus. Brown: multilocular, central nucleus, ↑mitochondria, thermogenin
Z-disk equivalence in smooth muscle
Dense bodies (α-actinin involvement)
Collagen - location of types
Type one: bone, Type two: carTWOlage, Type four: floor (basement membrane)
Epiphyseal plate - layers
Real people have calcified osseus. Resting zone (reserves), Proliferative zone, Hypertrophic zone, Calcified cartilage, Ossificatio zone
Erythropoiesis stages
Powerful business pollute our reeling environment: Proerythroblast, Basophilic erythroblast, polychromatic erythroblast, Othrochromatophilic erythroblast, Reticulocyte, Erythrocyte
Layers of the epidermis
Granpa shagging grandma's love child: Germinativum, Spinosum, Granulosum, Lucidum, Corneum
Muscle fiber - types
Type 1: 1 slow fat red ox. Slow = twitch, fat = lipid accumulation, red = fibers, oxidative. Type 2 = 2 fast skinny white breasts: fast twitch, low lipid, white fibers (like chicken breasts)
Muscle sarcomere - H line vs Z disc location
HAZI(hazy = overskyet), H line in is in A-band, Z disc is in I band
Schwann cell - myelinates 1/many axons?
SchWANN = sounds like one (a single Schwann cell only myelinates one PNS axon)
3rd molar, time of eruption
15-25th year
ameloblasts, structure, secrete
columnar, tomes processes, secrete enamelin and amelogenin
deciduous teeth, time of eruption
6th month-2years
ectoderm of teeth organ give rise to
enamel organ
epithelium of tongue
non-keratinized stratified squamous, filiform papillae is keratinized
mesenchyme of neural crest origin of teeth give rise to
dentin, cement, periodontal ligaments
mixed salivary glands
submandibular, sublingual
mucus-producing salivary glands
Weber's glands (to trough of circumvallate papillae)
muscle of esophagus
upper 1/3 = skeletal, middle 1/3 - mix of skeletal-smooth, lower 1/3 - smooth
odontoblasts, structure, secrete
columnar, odontoblastic processes, secrete predentin (non-mineralized)
permanent teeth, time of eruption
6th-7th year
reciprocal induction between ectoderm and mesenchyme of teeth development, morphogens
BMF-4 (bcl-2 modifiying factor) (both), FGF-8 (ectoderm), BMP-2 (bone morphogenic protein 2) (ectoderm)
serous salivary glands
parotid gland
soft palate, lips, cheeks - structure
keratinized epithelium, papillae in lamina propria, salivary glands in submucosa
types of papilla
1 filiform (filamentous, no taste buds, most) 2 fungiform (mushroom-shaped, on dorsum, can have taste buds) 3 circumvallate (surrounded by circular trench/fossa, raised outer wall (vallum), 8-10, taste buds, sulcus terminalis) 4 folliate (few in humans, taste buds, dorsolateral)
brunner/duodenal glands, location, secretion
branched tubular glands in submucosa of first 1/3 of duodenum, secrete alkaline mucoid substance
cells of small intestine
1 enterocytes 2 goblet c 3 paneth c 4 neuroendocrine c 5 stem c 6 intraepithelial lymphocytes
cells of stomach
1 mucus c (surface, neck) 2 parietal/oxyntic (HCl, intrinsic factor) 3 chief/zymogen c (pepsinogen) 4 neuroendocrine c (serotonin, ghrelin, gastrin) 5 stem cells
ducts of salivary glands
1 intercalated 2 striated 3 intralobar 4 interlobar 5 main
foveolae gastrica/gastric pit
one of the numerous small pits in the mucous membrane of the stomach that are the mouths of the gastric glands
glands of stomach
1 gl cardiacae (mucous, long gland) 2 gl gastricae propriae (branched tubular, parietal c, zymogen c, mucous c) 3 gl pyloricae (mucus, long pits)
hepatocytes - structure
1 junctions = zonula occludens, gap junction 2 microvilli 3 eosinophilic 4 20-30 um 5 can have 2 nuclei 6 much mitochondria, SER (detoxification, conjugation), peroxisomes (excess FA oxidation, catalase, uric acid formation), GA and RER (secreted protein) 7 lipid droplets
lack of intrinsic factor cause
pernicious anemia (macrocytic)
liver ducts, small to big
1 intercalated 2 striated 3 intralobar 4 interlobar 5 main
location of goblet cells
1 trachea 2 bronchus 3 larger bronchioles 4 small intestine 5 colon 6 conjunctiva in upper eye lid
mechanism of HCl secretion of parietal cells
CA give H+, H+ and Cl- is actively transported (H+K+-ATPase provide the energy)
parietal/oxyntic cells, structure and characteristics
much mitochondria (=eosinophilic), SER, exist intracellular canaliculus, CA
portal triad
1 bile/hering duct 2 branch of portal vein (venule) 3 branch of hepatic a (arteriole)
small intestine, structural characteristics to increase absorption
1 plicae circulares/circular folds/valves of kerkring (submucosa) 2 intestinal villi (lamina propria) 3 intestinal glands/cryps of Lieberkuhn (tubular glands) 4 microvilli (cells)
where can we find glands in submucosa?
esophagus, small intestine
amelogenesis imperfecta
X-linked, gene for amelogenin
appendices epiploicae/omental appendica
serosa of colon (-rectum) for little sacs into peritoneum w adipose tissue
cells of Islets of Langerhans and their secretions
1 Alpha = glucagon 2 beta = insulin 3&4 delta and gamma = somatostatin/GHIH
cement, similar to, produced by, attached to periodontal ligaments by
woven bone, cementocytes (in lacuna), fibers of Sharpey
enamel, composition
96% inorganic compounds (hydroxyapatite), 1% organic (amelogenin (control mineralization), enamelin (protease, reassembly)), rod and interrod region (after eruption covered by membrane/cuticle (outer layer) of Nasmyth)
enterocytes, structure, contain
brush border by microvilli (actin, villin, calmodulin), glycocalyx, contain = disaccharidases, fatty acid binding protein (FABP), SER, GA (chylomicrons)
enteroendocrine cells secrete
1 CCK 2 secretin 3 gastrin 4 serotonin 5 somatostatin 6 VIP (vaso-active intestinal peptide) 7 glucagon-like factor 8 substance P 9 GIP(gastric inhibitory peptide/protein)
GIT is developed from which germ layers
1 endoderm 2 ectoderm (stomodeum, proctodeum) 3 splanchnopleura
nasal vesicle, derived from
nasal placodes become nasal pits, which becomes nasal vesicles
permanent teeth, types, number
1 central incisor 2 lateral incisor 3 canine 4 1st premolar (=1st decidual molar) 5 2nd premolar (=2nd decidual molar) 6 1st molar 7 2nd molar 8 3rd molar, 32 teeth
placode
local thickening of embryonic ectoderm (cells of place u constitute a primordial group from which a sense organ or ganglion develops)
protection of small intestine
1 Peyer's patches 2 Dome c (APC) connected w germinal center 3 M c (follicle associated epithelium, transport antigen to APC) 4 plasma cells - IgA
structure of colon, missing parts in comparison w small intestine
no villi, no plicae circulares, no paneth c
teniae coli/bands of colon/teniae Valsalva
the three bands in which the longitudinal muscle fibers of the large intestine (-rectum) are collceted
vascular supply to foregut, midgut and hindgut
foregut = celiac trunk, midgut = a mesenterica sup., hindgut = a mesenterica inf.
cleft palate, types, causes, involved
anterior and posterior (landmark = incisive foramen) (anteroposterior = both), trisomy 13, multifactorial, neural crest cell
foramen cecum
pit on dorsum pharyngeal part of tongue, site of origin of thyroid gland and thyroglossal duct
motoric innervation of tongue - from
hypoglossal n/CN XII
muscles of tongue, from
occipital myotomes (somites)
oral part (anterior 2/3) of the tongue forms, which papilla? from
median tongue bud/tuberculum impar and two distal tongue buds (fusion = median groove/sulcus/lingual septum) - all from floor of pharynx (pharyngeal arch 1), all papilla
pharyngeal (posterior 1/3) of tongue, formed from
copula (''bond'') (2nd arch) and hypobranchial/hypopharyngeal eminence (3+4 arches) (overgrow and cover copula in adult)
primary palate, when, of what
6th week, intermaxillary segment (medial nasal processes)
secondary palate, finished when, of what
12th week, from palatine shelves (of maxillary prominence), fuse in incisive foramen w primary palate
sensoric innervation of the tongue, tactile? taste?
tactile = trigeminal/V, glossopharyngeal/IX, vagus/X, taste = facial/VII, IX
serous cell vs mucous cell - differentiation
serous - more pyramidal, nucleus in the middle
serous demilunes - what, where
tubular glands formed by mucous cells capped/w on top of it w serous c, sublingual and submandibular glands
striated and intercalated ducts - differentiation
intercalated - nucleus at base, as serous c, smaller, striated - central nucleus, striation = basolateral labyrinth, larger
terminal sulcus - embryologically what
line of fusion of oral and pharyngeal tongue
tubular glands are u which type of cell? why?
mucous, because of its columnar shape
Weber's gland, what, where
mucous gland, close to tonsilla lingualis
Azurophil granule
A granule that stains a red/purple color with an azure dye (used in blood stains). Are membrane-bound primary lysosomes.
Ebner glands, what, where
serous gland, at root of tongue near troughs of circumvallate papillae
exocrine part of pancreas - defining characteristics
1 no striated ducts and myoepithelials 2 pancreatic septum 3 islets of langerhans
exocrine\paracrine ducts, epithelial type
simple cuboidal or columnar
gallbladder, epi? folds? submucosa? glands?
1 columnar epi w brush border (and basolateral labyrinth = concentration) 2 abundant folds 3 no submucosa 4 mucus glands in its neck
generation of bile in the liver
1 collect in bile canaliculi (space between hepatocytes, don't have endothelia) 2 hering's canal/bile ducts (cuboidal epithelia) 3 common bile duct (columnar epi)
great salivary glands - microscopal differentiation
1 parotid - only serous, least fat tissue 2 submandibular - 50/50 serous and mucous, more fat than parotid 3 sublingual - only serous, fat (all have myoepithelial cells, striated and intercalated ducts)
hepatocytes - function and organelle
1 proteosynthesis (RER, GA) 2 glycogenesis (SER, granules) 3 lipid metabolism (SER, RER, GA) 4 Vit A storage 5 xenobiotic metabolism (microsomal part of SER, peroxisome)
MI: Diplotene
paired homologous chromosomes begin to repel each other, but are connected by chiasmata (cross-over)
pyknosis
pykno = dense. condensation+reduction of nucleus, stage of necrosis
simple columnar epithelium, function
high-volume secretion
simple cuboidal epithelium, function
ion pumping
simple squamous epithelium, function
permeability
stratified squamous epithelium, function
protection
transitional squamous epithelium, function
for stretch
Benedicts test - procedure
1 Mix reducing sugar w Benedicts reagent which contain blue Cu(II) 2 Reducing sugar reduice Cu2+->Cu1+ 3 Cu1+ precipitate as red Cu2O
Chemical fixation - types
1 Aldehydes (react w amine groups on protein) 2 Alcohol 3 Acids 4 Salts of heavy metals (Mercury, Osmium (EM: Osmium tetroxide preserve lipids) 5 Mixtures: Buffered isotonic 4% formaldehyde
Compounds w high affinity to other compounds used for affinity histochemistry
1 Antibodies 2 Lectins 3 Phalloidin (-> filamentous actin) 4 Protein A (-> Fc of Ab (<- staphylococcus aurens)) 5 NA probes
Cytochemistry and histochemistry
Methods for localizing substances in tissue sections
Embedding - types, how
Paraffin. 1st dehydrate w alcohol 2nd infilitrate embedding w hydrophilic solvent (acetone)
Fixation - how
1 Physical: heat, freezing (liquid nitrogen, -170C, under surgery) 2 Chemical: immersion, perfusion
Immunohistochemistry - usage in tumor diagnosis
For CDs, intermediate filaments, receptors, melanoma antigens, PSA (prostate specific antigen), proliferation specific antigens
Lectins - application
Agglutinate rbcs for blood grouping
PAS (Periodic acid schiff) stain - How to
1 Mix PAS positive (1-2 glycol grouping/equivalent amino/alkylamine group) saccharide w periodic acid 2 Periodic acid oxidize saccharide to dialdehydes 3 Aldehydes condense w Schiff reagent to give insoluble magenta-colored aldehyde-fuchsin
PAS - how to differentiate glycoproteins and glycogen
Treat w amylase. Amylase cleave glycogen to glucose units that are washed out of the solution
Principle of scanning electron microscopy (SEM)
Electron beam interacts w a thin metal coating preapplied to the specimen, and reflected or emitted electrons are detected.
Reducing sugar
Saccharide that has an (transient) open aldehyde (->carboxyl group) or ketone group (becomes converted to aldehyde via a series of tautomeric shifts to migrate the carbonyl group to the end of the chain). Include monosaccharides, disaccharides (-sucrose). Polysaccharides is bad reducing agents (only reducing part on end)
Role of resin in staining?
Used as glue for the cover slip after staining.
Substrates for peroxidase to give colored reaction
Hydrogen peroxide and 3,3-diaminoazobenzidine
What do we have to do prior to staining? why?
Dewax. Most stains are water-soluble.
ABC reaction
Indirect immunocytochemistry where biotin is marker of Ab2. Biotin bind to (strept)avidin coupled to horseradish peroxidase. Add 3,3-diaminoazobenzidine. HRP: substrate -> brown product
Basolateral labyrinth, parts - function, in which cells
Basolateral invaginations to increase surface area, mitochondria to fuel Na+/K+-ATPase, Zonula occludens to prevent backflow. Types: 1 PCT 2 Striated ducts of salivary gland 3 Absorptive cells of intestine 4 Epithelia of gallbladder
Brush border - structure, function, where
Microvilli-covered apical surface. ↑surface area ->↑absorption. Found in: 1 Enterocytes (w disaccharidase and FABP (FA-binding protein) 2 PCT cells
Catalytic histochemistry - principle
1 Solution of enzyme and substrate, substrate->product 2 Add marker compound which react w the substrate 3 final insoluble and visual product precipitate over enzyme site
Cilia - length and width?
to 10 um long and 0.2 in diameter
Cilia - on which cells?
1 Respiratory tract 2 Fallopian tube
Cilia and flagella, which motor protein?
Kinesin
Different types of mitochondria
1 Mitochondria w shelf-like cristae, in all cells except 2 Steroid-secreting cells - tubular cristae
Direct immunocytochemistry
Detect Ag by tagged Ab
Function of SER in steroid-secreting cells
Enzymes to 1 Synthesize cholesterol 2 Transform pregenolone (from mitochondria) to androgens, estrogens and progestogens
Inclusions - what? which?
Substances that may or may not be present in a cell, depending on the cell type. Types: 1 Stored nutrients (liver & muscle: glycogen, adipocytes: fat) 2 Secretory products 3 Indigestible compounds in long-living cells - neurons, cardiomyocytes (lipofuscin (neurodegenerative diseases - Alzheimers?), age pigment)
Indirect immunocytochemistry - advantage
1 More sensitive due to signal amplification of Ab2 2 Cheaper (don't have to ''tailor'' every uncommon Ab)
Indirect method of immunocytochemistry
Detect Ag by 2 Abs. Ab1 bind to antigen. Ab2 is tagged and binds to Ab1.
Markers for affinity histochemistry
1 Fluorochrome (any fluorescent dye used to stain or label) (ie FITC (fluorescent isothiocyanate)) 2 Biotin 3 Enzymes (catalytic histochemistry) 4 Colloidal gold particles 5 Isotops
Role of mitochondria in steroid-secreting cells, unusual characteristic
Have enzymes to cleave cholesterol side chain and produce pregnenolone = CYP11A1/20,22-Desmolase/Cholesterol desmolase (side-chain cleaving enzyme). Tubular-like cristae (only in steroid-producing)
brunner glands, synonym, where
duodenal glands, submucosa of first third of duodenum (small branched coiled tubular, alkaline secretion)
cardiac glands, location, secretion
lamina propria of abd part of esophagus and cardia of stomach, neutral mucus secretion (branched tubules)
Crypts of Lieberkuhn, synonym, where
Intestinal glands, tubular glands in lamina propria of small and large intestine
ductus deferens/vas deferens, structure
pseudostratified columnar epithelium, 3 layer of smooth muscle (L-C-L)
ebner gland
serous gland of tongue, open into bottom of trough of circumvallate papilla
Endochondral ossification - principle
Ossification on preformed Hyaline cartilage
Endochondral ossification - zones (from cartilage to bone)
1 Zone of resting/ cartilage 2 Zone of proliferating cartilage 3 Zone of hypertrophic/maturing cartilage (secrete alkaline phosphatase) 4 Zone of calcified cartilage (chondrocytes are dead or dying, leave cavities that osteocytes will take over) 5 Diaphysis (shaft of bone) (epiphyseal plate = (cartilage) growth plate)
eosin - acidic or basic?
acidic (stains basic structures, which are eosinophilic/acidophilic)
epididymis, epithelium
pseudostratified columnar w stereocilia (thin layer of smooth muscle surrounding it)
epithelium of uterine tube
ciliated and unciliated columnar cells
GAGs of cartilage
1 Hyaluronan 2 Chondroitin sulfate (-> hydrated gelatinous matrix)
gastric glands, where, secretion
mucosa of fundus and body of stomach, parietal+zymogen/chief+mucous (branched tubular)
glandular epithelium of prostate
pseudostratified columnar
Glycoproteins of bone
1 Bone sialoprotein (BSP) 2 Osteocalcin (from osteoblast, hormone, pro-ostoblastic (increased insulin from beta cells, increased adiponectin from adipocytes (increase insulin sensitivity))
Growth of cartilage
Appositional (''from outside'') from chondrogenic cell populations in inner perichondrium. Embryonic/early development - interstitial
Hydroxyapatite - formula
Ca10(PO4)6(OH)2
Intramembranous ossification, what, where
formed WI dense CT proper. Mesenchymal cell -> Osteochondral progenitor cell -> Osteoblast: produce bone matrix, -> osteocyte. Create trabeculae/spongy bone. "Spongy cells" -> red bone marrow, peripheral -> periosteum -> compact bone
Location of chondrocytes
In lacuna of cartilage - in small groups = isogenous groups. (WI group = intraterritorial matrix, between = interterritorial matrix)
Multinucleated cells
Osteoclast, Hepatocyte, Syncytiotrophoblast, Skeletal muscle
Perichondrium - where does it cover, structure
Double CT-layer. Cover except at articulations. Outer: dense CT, blood vessels and nerve, nutritional. Inner: less dense, chondrogenic chondroblast cell population
primary follicle
2 or more layers of surrounding follicular cells
primordial follicle
1 layer of surrounding cells
Proteins of Z-disk
1 Desmin, Plectin -> plasmalemma 2 α-actinin -> anchor actin
pyloric glands, where, secretion
pylorus, mucus, (coiled, tubular)
rete testis, epithelium
simple cuboidal epithelium (no smooth muscle)
Ruffled border
Where a osteoclast border bone and resorption take place (by pumping H+ and creating acid and phosphatase)
secondary follicle
contain fluid filled space
Stereocilia - structure, where
Actin-base (''macro microvilli''), immotile. Found in: epididymis and ductus deferens, inner ear
structure of the different gastric glands
pyloric and cardiac glands have short gland, pyloric glands have longer pits, gastric glands proper have short pit and long gland (1 isthmus 2 neck 3 base)
Types of bone
1 Primary/Woven (non-mature, irregular, 1st osteogenesis, alveolar+skull suture+tuberosities, less mineralized & more cells) 2 Secondary/Lamellar bone (trabecular/cancellous/spongy and compact/cortical)
weber glands
muciparous/mucus-secreting gland on posterolateral borders of tongue
weigert van gieson (WvG), staining properties of 1 collagen 2 nucleus and ribosome (basophilic) 3 muscle and cytoplasm (eosinophilic)
1 red (by saturn red) 2 brown (by w hematoxylin) 3 yellow (by trinitriophenol)
where can we find urothelium?
calyces to urinary bladder
Wolkmann canal
Goes perpendicular to the length of the bone from periosteum to central/Haversian canal
a band
entire length of myosin
acinous gland (L. grape), ie
secretory unit (s) has a grapelike shape and a very small lumen, exocrine part of pancreas
adhering junctions
zonula adherens, desmosome, hemidesmosome, focal adhesion
advantage of masson trichrome stain
+ differentiating collagen from smooth muscle
adventitia
equivalent to serosa (- secretory portion) in the rest of the body
affinity histochemistry
immunohistochemistry, lectin histochemistry (mono, di, tri saccharide), in situ hybridization
alveolar gland, ie
secretory unit has a saclike form and an obvious lumen, active mammary gland
anterograde transport in neuron, motor protein
kinesin
apocrine, what+where
granules are part of apical cytoplasm, mammary gland
astrocyte, fibrous
pri white matter, long processes
astrocyte, function
blood-brain barrier, structural support, glial scar
astrocyte, morphology
largest, vascular feet (blood-brain barrier), 2 - protoplasmic+fibrous
astrocyte, morphology
protoplasmic, fibrous (pri in white matter)
astrocyte, protoplasmic
pri gray matter, envelop surface of neuron+vessel, few fibril
autoradiography
radioactive organic building blocks, silver bromide as detectors (change to granules)
axonema
array of microtubules in cilia+flagella. 9(pair)+2 (simple) pattern
axoneme
cytoskeletal structure of inner core of cilia\flagella
azan, collagen
blue (aniline blue)
AZAN, dyes
azocarmine, aniline blue, orange G
azan, muscle\cytoplasm
orange (orange G)
azan, nucleus+ribosome
red (azocarmine)
azan, other
mucus = blue (aniline blue), RBC = red
basal body
base of each cilium\flagella
basal lamina in glomeruli+alveoli
two basal lamina abut each other
basal lamina is produced by
cell which it lies under (epithelia, myocyte, adip...)
basal lamina, layers
lamina lucida\lamina rara interna, lamina densa, lamina lucida\lamina rara externa
basement membrane
basal lamina + lamina reticularis
basophilic granulocyte, differentiation
nucleus (lobed), so dark granules that they obscure the lines of the nucleus
blood vessels flow through, and only through...
connective tissue
carbohydrate reaction
PAS
cardiac muscle, characteristics
1 striated 2 uninucleated 3 nuclei are centrally located 4 branching cells, intercalated discs
cardiac muscle, morphology
striated, non-parallel
centriole
nine set of triplets of microtubules
centrosome
pair of centrioles at right angles, organizing center for microtubules of mitotic spindle
chemotactic mediators of mast cells
prostaglandins, leukotrienes (mediate inflammation)
chondronectin
mediate chondrocyte-collagen II
chromatin bridge
inactive X chromosome\Barr body
cis-face of GA
next to RER, convex
cisterna
flattened, disk-shaped membrane-bound compartment, found in GA and RER
clathrin (L. lattice)
intracellular coating, invaginate and pinch of the receptor part in endocytosis
close junctions
gap junction + tight junction
CNS develop from
neural tube
collagen I
thick fibers, bone+tendon+dentin+skin
collagen II
second thickest, hyaline+elastic cartilage
collagen III
form network, lamina reticularis(BM)+reticular fiber, around smooth muscle+endoneurium
collagen IV
basal lamina
collagen V
chorion, amnion
components of nucleolus
nucleolar organizer DNA, nucleolonema = pars fibrosa + pars granulosa
compound glands
= many. tubular\acinar\alveolar\tubulo-acinar. can be branched
connective tissue, classification
CT proper, special CT, supporting CT
constitutive secretion
fuse immediately w plasma membrane and discharge their content to the exterior
content of ribosome
4 rRNA+a 80 different proteins
cresyl blue
stain basophilic structures blue, used in neurohistology for nissl bodies (proteosynthesis apparatus)
cresyl violet, use
stain basophilic structures violet, used in neurohistology - Nissl bodies
crista
invagination of internal membrane of mitochondria
CT proper
loose, dense
dense collagen connective tissue
↑fiber, ↓cell, regular = tendon, fascia, irregular = dermis
desmosome\macula adherens, location+protein
pri epithelia, cadherin+intermediate filament
difference between ampulla and isthmus
a. Isthmus = ↑ muscle, ↑secretory cells, ↓ ciliated cells, ↓ mucosal fold
difference between oligodendrocyte and schwann cell
schwann cell only isolate one neuron
DNA reaction
Feulgen reaction
elastic connective tissue, location
yellow ligament (occipital region), suspensory ligament of penis, vessels
elastic fibers formation is facilitated by
microfibrils, mainly fibrillin (glycoprotein)
elastin
cross-linked (by isodesmosine+desmosine) tropoelastin = elastin
EM, negative staining
object is surrounded by electron dense substance
EM, resolution power
TEM = 0,1 nm, SEM = 10-15 nm
endocrine
no ducts (excretion to capillaries), cords (parathyroid gland, islets of langerhans), follicles (thyroid)
enzymes of lysosomes
acid phosphatase, ribonuclease, deoxyribonuclease, protease, sulfatase, lipase
eosin stains
basic structures (acidophilic\eosinophilic), predominantly proteins = 1 cytoplasma 2 mitochondria 3 SER 4 collagen
eosinophil
specific granules (internum\crystalline core = major basic protein, matrix\externum = lighter)
eosinophil, differentiation
bilobed, granules are a little bit redder and much larger than neutrophilic g
ependymal cell
epithelial-ish, secrete CSF, line cavities, motile cilia
epithelia can synthesize
protein (serous), glycoprotein (mucus), steroids
epithelial classification according to spatial arrangement
flat, trabecular, reticular
ER, signalling, protein
mRNA signal sequence on 5'-end, signal-recognition particle (SRP), removed by signal peptidase in RER, receptor
erythropoiesis, cell lineage 1-3
1 proerythroblast 2 basophilic erythroblast 3 polychromatic erythroblast
erythropoiesis, cell lineage 4-6
4 orthochromatic erythroblast 5 reticulocyte 6 erythrocyte
euchromatin
less coiled, active, EM = dispersed granular material, LM = light stained basophilic areas
exocrine+paracrine, characteristics
excretion to lumen of organs, have ducts, secret is produced in secretory region and transported via duct to surface
exocrine+paracrine, classification
simple gland, compound gland
fibrocartilage, content
collagen I (unique), collagen II, proteoglycans
fibrocartilage, where
TMJ, meniscus, annulus fibrosus, pubic symphysis
fibronectin
ECM glycoprotein, bind integrins and ECM components
FISH
fluorescent in situ hybridization
flat epithelium, classification
simple+stratified+pseudostratified, squamous+cuboidal+columnar
fluorochrome
any fluorescent dye used to label or stain
focal adhesion
cell (actin) to ECM, actin is connected via integrin (+vinculin, alpha-actinin)
function of cadherin
mediate cell-cell junction (adherens junction, desmosome)
function of integrin
mediate cell-ECM (focal adhesion, hemidesmosome)
GA, function
complete posttranslational modification, package of secretory product, 'place address', storage
ganglia
aggregation of PNS nuclei, CT capsule, satellite cell
gap junction, location
between certain nerve cell, smooth+cardiac muscle
gap junction, synoynym
macula communicans, nexus
giemsa stain
for tissue culture, similar as HE
goblet cell
glandular, simple columnar epithelia, secrete mucus, apocrine\merocrine
goblet cell, location
trachea, bronchus, bronchioles, small intestine, colon
golgi type I neuron
axon extend beyond dendritic tree
golgi type II neuron
(association neuron), short axon
granulocyte formation
1 myeloblast 2 promyelocyte 3 myelocyte 4 metamyelocyte 5 band cell 6 mature granulocyte
h zone
only myosin
hematoxylin stains
acidic structures (are basophilic), DNA+RNA= nucleus, nucleolus, ribosomes, RER
hemidesmosome, location+protein
epithelia+BM, intermediate filament+integrin+laminin+collagen IV
hemoblastosis
general proliferative condition of hematopoietic tissue
heterochromatin
very coiled and unactive, electron-dense, basophilic
HIN (heideinhain iron hematoxylin), muscle+cytoplasm
grey-black (HIN)
HIN, nucleus+ribosome
grey-black
HIN, use
1 muscle striation 2 mitotic structures
histone proteins responsible for linking nucleosomes
H1\H5
holocrine, what+where
secretion consist of disintegrated part of the gland, sebaceous gland
how to differentiate cartilage
elastic+hyaline is identical and can only be identified by elastic stain, fibrocartilage = dense fibrous tissue w lacunae
hyaline cartilage, content
collagen II, hyaluronic acid
i band
only actin
integral monotopic proteins
permanently attached to the membrane from one side
integrin
ECM glycoprotein receptors involved pri in cell-ECM
intercalated disks, morphology
lines running perpendicular to the length of the muscle fiber
intermediate filament of astrocyte
glial fibrillary acidic protein (GFAP)
intermediate filament of cells of mesenchymal origin
vimentin
intermediate filament of epithelia
keratin
intermediate filament of neurons
neurofilaments
intermediate filament of smooth muscle
desmin
islets of langerhans
endocrine portion of pancreas
lamina densa
collagen IV, heparan sulfate proteoglycan
lamina lucida (interna+externa)
laminin, entactin
lamina propria\lamina propria mucosa
highly vascular CT layer below BM of mucosal epithelium
lamina reticularis
contain fibronectin, produced by underlying connective tissue
leukotrienes
eicosanoid derivative, mediate inflammation+allergy
loose collagen\areolar connective tissue\ location
lamina propria, subcutis, surround vessels+nerves+muscle
loose\areolar connective tissue, composition
↑cell, ↓fiber
luxolfast blue
makes myelin blue
lymphocyte, differentiation
nucleus (large, round, heterochromatin, nucleolus), cytoplasm (scanty, azurophilic)
lymphocyte, size
small (6-8 μm), large (up to 18 μm)
macrophage in epidermis, type
langerhans cells, dendritic cell
macrophage in liver
kupffer cell
magnification of light microscope?
1000-1500 times
megakaryocyte
35-150 μm, irregular nucleus, ↑mitochondria+GA+RER
merocrine
secretory granules (constitutive-regulated or regulated secretion))
merocrine, location
pancreas
mesaxon
plasmalemma of schwann cell that surround axon
mesenchymal cell, characteristics
star shape, scanty cytoplasm, large oval nucleus, prominent nucleoli
mesenchymal cell, characteristics
small cell body, processes (few, long, thin), nucleus (large, round, prom nucleolus, euchromatin)
mesenchymal cells give rise to
connective tissue, smooth muscle, vascular endothelium, blood cell
mesenchyme cells, origin
mesoderm+neural crest\surface ectoderm in cephalic region
mesothelium
avascular simple squamous epithelium
mesothelium (parietal+visceral), ie
peritoneum, pleura, pericardium
metachromasia
the condition in which a cell\tissue takes on a different color than the stain
metamyelocyte+band cell
gradual increased curving of nucleus
microglia
small, nuclei (=elongated, dark), short processes
microtubule create
centrosome (centriole, cell division), cilia+flagella, cytoskeleton
microtubule, structure
heterodimer by alpha and beta tubulin
microtubules
24 nm x several μm
mitochondria, size
0,5-1 μm x up to 10 μm
monocyte, differentiation
12-20 μm, nucleus (convoluted, eccentric,oval\horseshoe\kidney), azurophilic granules
movement of cilia+flagella
dynein
mucoid connective tissue\Warthon's jelly, composition
↑ ground substance, ↓fibers (collagen IV)
mucoid connective tissue\warthon's jelly, where
fetal - umbilical cord + chorion
mucosa\mucous membrane, structure
lamina propria + basement membrane + epithelium + (muscularis mucosae in GIT)
multipolar neuron
most abundant (pyramidal cells, purkinje cell)
nerve tissue develops from
neural plate (of neuroectoderm)
neuron, classification
multipolar, bipolar, pseudounipolar
neuron, organelles
dendrite = -GA, axon = -GA+nissl body (RER)
neutrophil
3,4 nuclear lobes (chromatin bridge), 12-15 micron, oxidative burst
nexin
link adjacent microtubule pairs of peripheral axonema
nuclear pores
octagonal pore complex
nucleolar organizer DNA
basesequences that code for rRNA
nucleolus is prominent during
mitotically active cells+cells that are producing much protein
nucleolus, function
produce rRNA
nucleosome
4 histone types (2 H2A, 2 H2B, 2 H3, 2 H4), 166 base pairs
oligodendrocyte
small, few process, dark nucleus
pale cytoplasm in HE
filled w water\carbohydrate\lipid
pappenheim stain
1 dry 2 may-grunwald 3 giemsa-romanovski 4 wash and dry
pars fibrosa
ribonucleoprotein fibers, pri transcript of rRNA genes
pars granulosa
granular and filamentous part of nucleolonema
parts of uterine tube, from ovary to uterus
1 fimbriae 2 infundibulum 3 ampulla 4 isthmus
Perls prussian blue stain
iron ions (and various other metal irons) green-blue (nuclei is u counterstained red)
peroxisome, size
0.5-1.2 μm
pink cytoplasm in HE
protein-rich cytoplasm
plasma envelope, size
7,5 nm
PNS develop from
neural crest (portion separating from neural tube)
polyribosome
ribosomes connected by mRNA
primary lysosome
not entered into a digestive event
primary lysosome, size
0.05-0.5 μm
protein of gap junction
connexin
proteins from (poly)ribosomes on ER can be
secreted, stored (lysosome, granules), integral proteins of plasma lemma
proteins on inner membrane of nuclear envelope
lamins A, B, C
pseudostratified epithelium
nuclei is placed differently to each other, almost always columnar
pseudounipolar neuron
sensory ganlia
purple cytoplasm
cell that is actively synthesizing protein (protein = pink, mRNA = blue)
radial spokes
link pair to central tubule in axonema
RBC, height
2,6 micron (0.8 in center)
regulated secretion
= stored until signal
RER function
1 segregate proteins for export, 2 protein glycosylation, 3 assembly of multichain protein 4 signal peptide cleavage 5 posttranslational modification of polypeptide
resolving power for light microscope
0.2μm
reticular connective tissue, composition
reticular cell, collagen III
reticular connective tissue, location
bone marrow, spleen, lymph nodes
reticular epithelium, what+where
cells are in contact only by processes (interspersed by other cells), thymus+bone marrow
reticulocyte
1%, substantia reticulofilamentosa
retrograde transport in neuron, motor protein
dynein
ribosome, size
20-30 nm
satellite cell\amphicyte
envelop nuclei in ganglia, equivalent to astrocyte
secondary lysosome
primary lysosome+phagosome\organelle
secondary lysosome, size
0,2-2 μm
SER, function
some steroid synthesis enzymes, phospholipid production, liver = neutralize, degrade, muscle = Ca2+
serous
serum or a substance having a watery consistence
serous membrane\serosa
the outermost layer of a visceral structure that lies inside abdomen\thorax
serous membrane\serosa, composition
epithelial layer (mesothelium), connective tissue layer
serous\albuminous cell, ie
a cell (esp of salivary gland) that secrete a watery\thin albuminous fluid
silver, staining properties
only stain collagen and reticular fibers (brown-black)
silver, use
1 special staining of CNS 2 reticular fiber 3 GA 4 nucleolar organizing region
simple glands
tubular, alveolar, acinar - can be simple, branched or coiled
size of eukaryotic cell
6-150 μm
size of granulocyte
12-15 μm
size of prokaryotic cell
1-5 μm
skeletal muscle
1 striations 2 nuclei (several, peripheral) 3 endomysium+epimysium
smooth muscle, characteristics
1 neat and parallel lines 2 long, narrow cells 3 nucleus (single, central, little elongated, quite large)
special AAs of elastin
isodesmosine, desmosine
special CT
reticular, elastic, adipose, hematopoietic
stem cell of bone marrow
1 hematopoietic stem cell (pluri-), 2 multipotential (lymphoid, myeloid), 3 unipotential (CF-cell), 4 precursor cell (blast)
submucosa
the layer of CT beneath mucosa\mucous membrane
supporting CT
cartilage, bone
synthesis of collagen
1 pro-alpha-chain 2 hydroxylation (proline, lysine) 3 glycosylation of hydroxylated AAs 4 self-assembly of 3 pro-alpha chain (=procollagen) 5 cleavage of propetide (ECM) = tropocollagen, 6 self-assembly into collagen fibril 7 polymerization = collagen fiber
synthesis of elastin
1 oxytalan (glycoprotein microfibrils ↑fibrillin), 2 elaunin (oxytalan w amorphous aggregates of elastin) 3 elastic fibers (elastin accumulate to occupy center of fiber bundles)
term for internal space of ER
cisternae
tertiary lysosome\residual bodies
indigestible compounds, lipofuscin and age pigment (melanin)
thrombocyte
central zone\granulomere, peripheral lighter zone\hyalomere (hyalo = vitreous)
tight junction, synoynm
zonula occludens
toluidin blue
acidic structures - basophilic stain (like hematoxylin), nuclear stain+metachromatic stain of cartilage (chondroitin sulfate), granules in mast cell (heparin)
trabecular epithelium, what
cells in cords which form web (interspersed w capillaries+nerves)
trabecular epithelium, where
liver, adrenal gland, pituitary gland
trans-face, GA
concave, off-budding
typical AAs of collagen
glycine, hydroxylysine, hydroxyproline
units of glycosaminoglycans
hexosamine, hexuronic acid
unspecific granules of granulocytes
lysosomes (azurophilic)
VH + GrT, collagen
green (green masson trichrome)
VH + GrT, elastic
V hematoxylin
VH + GrT, use
distinguish collagen fiber from elastic fiber
vitamin C deficiency cause...because....
scurvy, necessary to hydroxylate collagen
weigert resorcin-fuchsin, use
stain elastin fibers dark-purple (elective staining)
weigert van gieson, collagen
red (saturn red)
weigert van gieson, dyes
1 weigert haematoxylin 2 saturn red 3 trinitriophenol\picric acid
weigert van gieson, muscle+cytoplasm
yellow (trinitriophenol)
weigert van gieson, nucleus+ribosome
brown (w. hematoxylin)
weigert van gieson, other
all tissue are yellow except collagen
where does polymerization take place on microtubule
+ end,
zonula adherens, location
epithelial, myocytes
zonula adherens, proteins
connected to actin, transmembrane protein = cadherin, tranduction = catenin (+vinculin+actinin)
zonula occludens, prominent where, which proteins
epithelia, occludin+claudin
zonula occludens\tight junction, function
create polarity, prevent passage, block movement of integral membrane proteins
The endoplasmic matrix (internal space of endoplasmic reticulum) is connected to which structure?
The space between the two membrane surfaces of the nuclear membrane

(Guyton)
Lysosomes
a. Digests (3)
b. Filled with ...?
c. Size
d. Origin
a.
1. Damaged cellular structures
2. Ingested food particles
3. Unwanted matter, ie bacteria

b. Many granules which are protein aggregates consisting of many (>40) hydrolase enzymes & bactericidal agents (lysozyme, lysoferrin, acid)

c. 250-750 nm

d. Bud off Golgi Apparatus

(Guyton)
Peroxisomes - 2 ways in which they differ from lysosomes
1. Believed to originate by self-replication or budding from smooth endoplasmic reticulum (as opposed to GA as with lysosomes)

2. Have oxidases instead of hydrolases
(Oxidases can produce H2O2 from oxygen and different intracellular chemicals, catalase can use H2O2 to oxidize many substances (ie 50% of alcohol is oxidized in peroxisomes of hepatocytes)

(Guyton)
Nuclear envelope
The two separate bilayer membranes that separate the nucleus from the rest of the cytoplasm

(The intermembranous space is connected with ER)

(Guyton)
Phagocytosis - mechanism up to fusion with lysosomes
1. Particle attach to receptors

2. The edges of the membrane evaginate to surround the particle while more and more receptors attach to the particle ligands

3. Actin (and other contractile fibrils) surround the vesicle and contract, forcing it inward & pinching off the stem

4. Fuse with lysosomes

(Guyton)
Lysosomes - bactericidal agents
1. Lysosome (dissolves the bacterial cell membrane)

2. Lysoferrin (binds iron and other substances before they can promote bacterial growth)

3. Acid (at a pH of 5)(activate hydrolases and inactivates bacterial metabolic systems)

(Guyton)
Synthetic function of Golgi apparatus
Synthesize hyaluronic acid & chondroitin sulfate (-> mucus, ground substance, organic matrix in bone & cartilage)

(Guyton)
Protein synthesis apparatus
a. Time of formation of protein in RER
b. Time until present in GA
c. Time until secreted
a. 3-5 minutes

b. 20 minutes

c. 1-2 hours

(As determined by using radioactive amino acids in glandular cells)
(Guyton)
Uses of ATP for cellular function (3)
1. Transport of substances through multiple membranes in the cell (the renal tubular cells use as much as 80% of the ATP for transport)

2. Synthesis of chemical compounds (1 peptide linkage = 4 ATP, some cells use up to 75% of ATP for synthesis, especially during the growth phase)

3. Mechanical work (muscle, cilia, ameboid motility)

(95% of ATP is made in the mitochondria)
(Guyton)
Ameboid motion
a. Mechanism
b. Types of cells that exhibit ameboid locomotion (4)
c. What is the most important initiator of ameboid locomotion?
a.
1. Formation of new cell membrane at the leading edge of the pseudopodium and continual absorption of the membrane at the rear portions
2. Supported by attachment of the pseudopodium to surrounding tissue structures by receptors (more and more are exocytosed at the pseudopodium)
3. Actin-mediated contraction (at ectoplasm & by new filaments of actin contracting via myosin)

b.
1. White blood cells
2. Fibroblasts
3. Germinal cells of skin (repair)
4. Embryonic cells

c. Chemotaxis (positive -> toward substance, negative -> away from. Postulated that the side of the cell most exposed develop membrane changes that cause pseudopodial protrusion)

(Guyton)
Cilia and ciliary movement
a. Found on which cells (3)
b. Structure
c. Mechanism
a.
1. Surface of respiratory airways
2. Inside surface of the uterine tubes
3. Sperm (flagellum)

b. 9 peripheral doublets & 2 single tubules centrally = axoneme, connected to basal body. Peripheral doublets interconnected by dynein ATPase

c. Dynein ATPse initiate a fast forward-thrusting movement (up to 20\s) which is responsible for motility followed by a slow backward movement (flagellum move in quasi-sinuosidal waves)

(Guyton)
Formation of ribosomes
1. Genes ribosomal RNA is encoded by 5 pairs of chromosomes

2. Ribosomal RNA collects in the nucleolus (more in cells that are manufacturing much protein)

3. Ribosomal RNA in the nucleolus binds with imported ribosomal proteins to form granular primordial products

4. Exported to the cytoplasm where it assembles to for mature ribosomes

(Guyton)
How is the ribosomes attached to the endoplasmic reticulum forming the rough endoplasmic reticulum
The initial ends of many forming protein molecules have amino acid sequences that immediately attach to receptor sites on the ER

(Guyton)
How many high-energy phosphate bonds are needed to synthesize one peptide linkage?
4

(2 for making activated AMP-AA complex (ATP -> AMP) which reacts with tRNA at hydroxyl of deoxyribose of adenylic acid. And peptidyl transferase require 2: GTP->GMP)

(Guyton)
Promoter: group of nucleotides that has specific affinity for RNA polymerase. The RNA polymerase must bind with this prmoter before it can begin traveling along the DNA strand to synthesize RNA.

Repressor operator: group of nucleotides that can bind a "regulatory" protein called a repressor protein and prevent attachment of the RNA polymerase.

Activator operator: lies ahead of promoter. when an regulatory protein called an activator protein binds to this activator operator, it helps attract the RNA polymerase to the promoter to activate the operon.

Structural genes can code for enzymes together making an enzymatic pathway.

Negative feedback by repressor protein or by causing a regulatory activator protein to break its bond with the activator operator.

An operon is frequently controlled by a regulatory gene that codes for an regulatory protein - activator or repressor agent.
(Guyton)
How fast is the life cycle of the fastest dividing cells (highly stimulated bone marrow cells)? How long does mitosis last?
10 hours

30 minutes

(Guyton)
Parkinson's disease
a. Outline the pathological mechanism
b. Give the general treatment strategies form Parkinson's disease
a.
1. Dopaminergic neurons in pars compacta of substantia nigra have inhibitory projections to striatum.
2. Striatum have excitatory cholinergic projections to other neurons that project out of the basal ganglia

Pathology - loss of dopaminergic neurons -> less inhibition of cholinergic neurons

b. Therapy for Parkinson's disease
1. DA replacement therapy
2. DA agonist therapy
(In combination with #1, bromocriptine, pergolide, pramipexole, ropinirole.)

3. Anticholinergic therapy
(Muscarinic antagonists: trihexyphenidyl, benztropine, biperiden)
(Stringer)
Dopamine replacement therapy for Parkinson's disease - which agents are given and why (5)
1. Levodopa\L-dopa
Metabolic precursor of dopamine, cross the BBB

2. Carbidopa
Dopamine decarboxylase inhibitor, don't cross the BBB. Levodopa is turned into dopamine by decarboxylation.
This thus reduce the peripheral metabolism of L-dopa.

3. Tolcapone and Entacapone
COMT inhibitors -> prolong its half life

4. Selegiline\Deprenyl
MAO-B inhibitor, the enzyme that metabolize dopamine in the CNS.

5. Amantadine
A antiviral drug effective for influenza. It appear to enhance the synthesis, release, or reuptake of DA from the surviving nigral neurons

(Stringer)
Partial seizures (focal) - give characteristics
a. Partial simple
b. Partial complex
c. Partial seizures with secondary generalizations
a. Partial simple
1. Focal motor (also speech) or sensory disturbance
2. No impairment of consciousness

b. Partial complex
1. Dreamy state with automatisms
(Automatism - An epileptic attack consisting of stereotyped psychic, sensory, or motor phenomena carried out in a state of impaired consciousness and of which the individual usually has no knowledge.)
2. Impaired consciousness

c. Partial seizures with secondary generalizations
(-> generalized convulsive (tonic-clonic\grand mal, generalized nonconvulsive\absence\petit mal)

(Stringer)
Generalized seizures
a. Generalized convulsive - synonyms, characteristics
b. Generalized nonconvulsive - synonyms, characteristics
a. Generalized convulsive\Tonic-clonic\Grand mal seizures
1. Loss of consciousness and falling
2. Rigid extension of limbs
3. Clonus

b. Generalized nonconvulsive\Absence\Petit mal seizures
Impaired consciousness with staring and eye blink.

(Stringer)
Give the drug of choice for the following seizures
a. Generalized convulsive
b. Partial - simple, complex, secondarily generalized
c. Generalized nonconvulsive
a. Generalized convulsive
1. Valproate
2. Carbamazepine

b. Partial - simple, complex, secondarily generalized
1. Carbamazepine
2. Phenytoin

c. Generalized nonconvulsive
1. Ethosuximide
2. Valproate

(They are all metabolized by the liver and all except ethosuximide are highly protein bound)

(Stringer)
Antiepileptic drugs
a. Which is associated with autoinduction of its own metabolism
b. Which drug has zero-order kinetics
c. Which drug is associated with granulocyte suppression and aplastic anemia (hypo- or aplastic bone marrow)

d. Which is associated with elevated liver enzymes, nausea and vomiting, weight gain, and tremor

e. Which is associated with ataxia and nystagmus at higher doses

f. Which is associated with stomach aches, vomiting, and hiccups
a. Carbamazepine

b. Phenytoin
(= Metabolize a certain amount, ie 5mg per time unit, not a fraction like first-order kinetics)

c. Carbamazepine

d. Valproate
(May produce fatal hepatic failure, more common in children < 2 years, not dose related)

e. Phenytoin
(also hirsutism, coarsening of facial features, and gingival hyperplasia)

f. Ethosuximide
(Drug of choice for absence seizures, thought to act by blocking Ca channels in the thalamus)

(Thieme)
Respiratory - components of the intrapulmonary bronchi \ lobar\secondary and segmental\tertiary bronchi
1. Mucosa
I. Pseudostratified ciliated columnar epithelium
II. Lamina propria

2. Musculocartilaginous layer
I. Spiral muscle
(Nearly complete circle)
II. Bronchial cartilage - hyaline, but gradual increase distally in elastic cartilage, only plates\spots
III. Mixer seromucous bronchial glands
(IV. Venous plexus)

3. Adventitia
(Conveys the nutritive bronchial branches to the bronchus)

(Thieme)
Non-respiratory bronchioles
a. Components
b. Last conducting part
a.
1. Mucosa
2. Muscular layer - no cartilage
3. Adventitia

(Contain a network of abundant elastic fibers)

b. Terminal bronchioles

(Bronchioles are 0.3-0.5 mm)

(Thieme)
Respiratory system - gas-exchanging portion
a. List the structures involved in gas exchange
b. Histology of the respiratory bronchioles
c. Number of alveoli
d. Total surface area for gas exchange
e. Histology of the alveoli
f. Describe the blood-air barrier - thickness and components
a. Structures involved in gas-exchange
1. Respiratory bronchioles ->
(Avg. diameter of 0.4 mm)
2. Alveolar ducts ->
3. Alveolar sacs ->
4. Alveoli

b. Histological compoennts
Cuboidal epithelium, smooth muscle,

c. 300 million.

d. 140 m2

e. Alveoli
1. Squamous alveolar epithelium
I. Type 1 pneumocyte - 90%
II. Type 2 pneumocyte - 10%, produce surfactant, stem cells
2. Interalveolar septa - CT and capillaries

f. The blood-air barrier
0.3-0.7 um thick
Components
1. Alveolar epithelium
2. Fused basement membranes
3. Capillary epithelium

(Thieme)
Salivary glands
a. List the characteristics of serous secretory units
b. List the characteristics of mucous secretory units
c. Excretory duct system - parts and their epithelium, include if they are intralobular or interlobular structures
a. Serous secretory units
I. Acinus (berry-shaped structure of cells) with small lumen
II. Acinar cells are tall, basophilic cytoplasm, round central nucleus

b. Mucous secretory units
I. Tubules
II. Tubular cells - tall, flattened nuclei at the base
III. Myoepithelial cells
(Between the mucous cells and their basement membrane)

c. Excretory duct system
Intralobular
1. Tubule\acinus ->
2. Intercalated duct - low epithelium 3. Secretory\striated duct - columnar epithelium with basal striations (infoldings and mitochondria for basal Na-K-ATPase)

Interlobular
4. Excretory ducts - simple\pseudostratified columnar epithelium

(Thieme)
Teeth
a. Dentin - where, formed by, Tomes fibers
b. Enamel - composition, where, made of
c. Cement - composition, where, Sharpey's fibers
d. Periodontium
a. Dentin
I.The bulk of the tooth
II. Odontoblast
III. Tomes fibers\odontoblastic processes via dental canaliculi to dentinoenamel or cementodentinal junction
(No blood vessels, ground substance in denal canaliculi (organic matrix, collagen, calcium))

b. Enamel
I. Acellular, its ground substance contains 97% inorganic material, no collagen
II. Cover dentin
III. Ameloblast
(Enamel prisms is the structural units)

c. Cement
I. Few cells, resemble bone
II. Cover the dentin of the root
III. Collagen fibers that run between the cement and the bony socket - anchoring function

d. Periodontium
Periodontal\Sharpey's fibers, cement, gingiva, alveolar wall)

(Gingiva - the dense fibrous tissue and overlying mucosa that envelop the alveolar processes. The junctional epithelium overlie the dentinoenamel junction and lines the gingival sulcus)

(Thieme)
The stomach
a. Epithelium
b. The 3 types of gastric glands - which, location, structure
c. The muscular layers
a. Simple columnar epithelium

b. The gastric glands
1. Gastric glands proper
I. In body and fundus
II. Long, straight
III. The neck - mucous neck cells
(Also replenish the surface epithelium)
IV. The middle portion - chief and parietal cells
(Chief cells - columnar\cuboidal, highly basophilic, pepsinogen. Parietal cells - highly acidophilic, large, triangular, HCl & intrinsic factor)
V. The base - chief cells, enteroendocrine cells

2. Cardiac glands
I. In the cardia
II. Tubular branched
III. Mainly mucous-producing cells

3. Pyloric glands
I. In the pyloric part
II. Coiled tubular glands
III. Mainly columnar cells producing neutral mucus
IV. Gastrin-producing endocrine G cells

(All the gastric glands extend from the gastric pits. In this region the gastric pits are deeper)

c. From internal to external
1. Oblique fibers
2. Circular fibers
(Thickens to form the pyloric sphincter
3. Longitudinal fibers
(#3 is well developed. Functional distinction at angular incisure - before the digestive sac after the pyloric canal with emptying functions)

(Thieme)
The small intestine
a. Duodenum - histological characteristics
a. Duodenum
1. Kerckring's valves\Circular folds - dense, tall
(Mucosa and submucosa, increase surface area by 50%)

2. Major and minor duodenal papilla in descending\2nd part
(Major for opening of pancreatic and bile duct, minor for accessory pancreatic duct)
(The main pancreatic and bile duct produce the longitudinal fold of duodenum)
(Minor above major)

3. Tall, leaflike intestinal villi
(Villi is projections of epithelium and lamina propria, covered by absorptive epithelial cells - enterocytes which have a microvilli brush border, lamina propria core with smooth muscle for individual villus motility, blood & lymph vessel)

4. Intestinal glands\Crypts of Lieberkuhn - shallow

5. Duodenal\Brunner's glands
I. In submucosa
II. Branching tubulo-alveolar
III. Their mucus secretion neutralize the substances in the chyme

b. Jejunum
1. Kerckring's valves\Circular folds - similar as duodenal (tall, dense) in the initial part, in the last part short and far apart

2. Tall, fingerlike villi

3. Crypts of Lieberkuhn gradually deeper

c. Ileum
1. Kerckring's valves\Circular folds - only present in the first part - short, spaced far apart

2. Peyer's patches in the mucosa and submucosa
(Aggregated lymphoid nodules)

3. Shorter villi

4. Crypts become progressively deeper
Intestinal glands
a. Synonym
b. Type
c. Open into, extend to
d. Function
e. Cells
a. Crypts of Lieberkuhn

b. Short, tubular glands

c. Open at the base of the villi, extend to the muscularis mucosae.

d. Secretory and regenerative.

e. Cells
1. Enterocytes
2. Secretory goblet cells
3. Paneth granular cells
(Apical granules with lysosomal enzymes and peptidase)
4. Enteroendocrine cells

(Thieme)