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160 Cards in this Set
- Front
- Back
functions of blood?
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-transport
-stabilization of pH and electrolyte conc. in interstitial fluids -body temp. regulation -pathway for migration of WBCs btwn. various connective tissue compartments |
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materials transported via blood?
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O2, CO2, hormones, waste, nutrients, enzymes
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amount of blood in adult?
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5-6 liters
(~7% total body weight) |
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3 components of blood?
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-RBCs (erythrocytes)
-WBCs (leukocytes) -platelets (thrombocytes) |
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functions of...
RBCs? WBCs? platelets? |
-RBCs=oxygen transport
-WBCs=defense against microorganisms -platelets=blood clotting |
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the 3 components of blood are suspended in a yellowish clear liquid composed of water, proteins, and other solutes called...
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plasma
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plasma is composed of...
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water (90%)
proteins (7%) electrolytes nutrients (2%) gases hormones, enzymes, vitamins, wastes |
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plasma is _?_% of total blood volume.
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55%
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cellular components make up _?_% of total blood volume
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45%
-buffy coat = WBCs and platelets -RBCs |
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the clear fluid that remains after blood coagulation is ___.
anticoagulants and centrifugation yield___. |
serum
plasma |
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blood smear is stained with ___.
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Wright's stain
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hemoglobin results in RBCs characteristic ___ staining property.
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acidophilic
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what type of dye is methylene blue and what color does it stain structures?
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-basic/positively charged dye
-it stains acidic (neg. charged) -blue |
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what cell strucures are neg. charged and thus stain w/ methylene blue?
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DNA (in nucleus), RNA (in cyto), specific granules of basophils.
these structures are said to be basophilic. |
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what type of dye is eosin and what color does it stain structures?
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-acidic/neg charged dye
-it stains basic (pos. charged) -pink |
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what structures stain pink w/ eosin?
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hemoglobin, specific granules of eosinophils.
these structures are said to be acidophilic or eosinophilic. |
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substances formed as a result of oxidation of methylene blue are called ___.
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azures
compounds are colored a reddish blue by binding to azures. |
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primary function of RBCs
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transport of O2 and CO2.
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RBCs make up __% of all blood cells.
RBCs form __%-__% of the volume of whole blood. |
99%
35-45% |
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hematocrit is...
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percentage by volume of packed RBCs in a given sample of blood after centrifugation.
|
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erythropoietin is...
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-a hormone that adjusts RBC production to match O2 demand.
-secreted mainly by kidneys in adults and by the liver in the fetus. |
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how does the shape of RBCs help its function?
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the biconcave shape of RBCs maximizes their SA/volume ratio, thus, maximizing O2 exchange.
|
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how do RBCs get energy once they are formed?
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-get energy through glucose in plasma (via cytoplasmic glycolysis, since they don't have mitochondria)
-during formation, RBCs lose nucleus and organelles, only keeping the cytoskeleton. |
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life span of RBCs?
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-120 days
-cell mb. ruptures or aged cell is phagocytosed in spleen, liver, and bone marrow. -1% RBCs replaced daily (new ones = reticulocytes) |
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hemoglobin makes up __% of RBCs protein content.
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95% (30% weight of RBC)
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RBC membranes are organized with what 2 integral membrane proteins?
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-glycophorins
-band 3 proteins (ion transporter that transports bicarbonate out of the RBC) |
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hereditary spherocytosis (HS)
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-somatic dominant trait
-defective spectrin or ankyrin, leads to abnormal spectrin lattice binding to band 4.1 protein or the absence of ankyrin and spectrin binding. -RBCs in HS do not form their normal biconcave shape (they are round and convex) -RBCs are abnormally fragie, rapidly break down, and transport less O2. |
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anemia (hemoglobin disorder)
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-most common blood disorder
-inadequate Hb supply -causes weakness, pallor, and breathlessness. -increased destruction -decreased production, iron, Vit. B12 |
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sickle cell disease (Hb disease)
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-single pt. mutation (GAA->GUA, valine substitutes glutamic acid)
-occurs in gene that encodes the beta chain of Hb A. -sickled blood cells are more rigid and more readily adhere to endothelium, creating obstruction of blood vessels -> severe O2 shortage in tissues. |
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WBCs/leukocytes are made in...
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bone marrow
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WBCs are active in...
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tissues
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diapedesis
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WBCs leave the bloodstream by migrating btwn. endothelial cells of the blood vessels
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classification of WBCs is based on presence or absence of specific granules
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-granulocytes(myeloid cells): have specific granules (includes neutrophils, eosinophils, and basophils)
-agranulocytes: have no specific granules but do have nonspecific azurophilic granules (lymphocytes and monocytes) |
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granulocytes
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-have specific functions
-are nondividing terminal cells w/ a life span of a few days -die by apoptosis in connective tissue -include neutrophils, eosinophils, and basophils |
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non-specific (azurophilic) granules found in both granulocytes and agranulocytes are known as ____.
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lysosomes
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neutrophils
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-most numerous of WBCs (60-70%)
-short-lived (half-life=6-7 hrs, lifespan=1-4 days) -lobes of their multilobed nucleus are connected to each other by slender chromatin threads -in females, nucleus has a small appendage (Barr body) but this is not evident in every neutrophil. -first cells to appear in acute bacterial infections -inactive and spherical while circulating -they are active phagocytes of bacteria -select bacteria/particles to be phagocytosed by opsonization or chemoattractant -able to survive in anaerobic env't. -> can kill bacteria and help clean up debris in poorly oxygenated regions (inflamed or necrotic tissue) |
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azurophilic granules
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-aka primary granules
-in all WBCs -are lysosomes (contain myeloperoxidase) |
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specific granules
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-aka secondary granules
-smallest granules w/ various enzymes and antimicrobic agents (lysozyme, lactoferrin) |
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chronic granulomatous disease (CGD)
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-inherited disorder of phagocytic cells
-results from inability of phagocytes to produce bactericidal superoxide anions (O2-) -leads to recurrent life-threatening bacterial and fungal infections -caused by a defect in the NADPH oxidase of phagocytes -refers to characteristic granulomas that develop in response to chronic inflammation. -diagnostic test uses the dye nitroblue tratazolium (NBT) |
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eosinophils
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-4% of WBCs
-sausage-shaped bilobed nucleus in which 2 lobes are connected by a thin chromatin strand and nuclear envelope -function in parasitic infections and phagocytosing antigen-antibody complexes -round cells containing large pink specific granules -also contain non-specific granules (lysosomes) |
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major basic protein (MBP)
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-50% of total granule protein
-highly basic nature contributes to its toxicity |
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eosinophilia
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-increase in the number of eosinophils in blood
-assoc. w/ parasitic infection and allergic reactions |
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basophils
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-less than 1% of WBCs
-round cells w/ S-shaped nucleus -# of basophils increases during infection -have several surface receptors on their plasmalemma (including IgE receptors) -supplement the functions of mast cells in immediate hypersensitivity reactions (anaphylaxis) -specific granules of basophils contain heparin and histamine. |
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lymphocytes
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-20-25% of circulating WBCs
-round cells w/ slightly indented, dense, round nucleus that occupies most of the cell -contains a few azurophilic granules but no specific granules -subdivided into 1. B cells 2. T cells 3. null cells(circulating stem cells and natural killer cells) -function in immune response -only types of leukocytes that return from tissues back to blood after diapedesis |
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monocytes
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-constitute 3-8% of WBCs
-largest circulating blood cells -large, acentric, kidney-shaped nucleus -precursor cells of macrophages (differentiate into macrophages after leaving blood vessels and entering CT) -has numerous azurophilic granules (lysosomes) -no specific granules -has occasional vacuole-like spaces -slightly basophilic cytoplasm |
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platelets
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-aka thrombocytes
-nonnucleated, disklike cell fragments -critical for blood clotting -lifespan = 14 days -originate from fragmentation of giant polyploid megakaryocytes that reside in bone marrow -promote blood clotting and help repair gaps in blood vessel walls, preventing blood loss. |
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Skeletal muscle is innervated by this type of motor neurons.
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Somatic motor neurons
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Unlike cardiac and smooth muscle, skeletal muscle cell contain __________ of nuclei.
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Hundreds
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Hundred of nuclei within the skeletal muscle cell are an example of a _______________.
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Syncytium
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The relative strength of a skeletal muscle fiber depends on its _____________.
The strength of an ENTIRE MUSCLE is a function of the _____________ and ___________ of its component fibers. |
Number, thickness
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Damage to skeletal tissue can be overcome if two properties of the muscle fiber are intact.
Name them. |
External lamina and satellite cells
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What is the function of satellite cells?
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They are the resident precursor cells and as a result can divide to form new muscle cells after tissue damage
|
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Name the three types of skeletal muscle fibers and their properties.
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Type I (red):
* Smallest diameter * Slow, repetitive, not easily fatigued * Rich in myoglobin, mitochondria Type IIa: * Intermediate Type IIb (white): * Largest diameter * Fast, not repetitive, easily fatigued * Poor in myoglobin, mitochondria |
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Name the three coverings of muscle fibers.
Which of the coverings has connective tissue and capillaries associated with it? |
Endomysium, Perimysium, Epimysium
Only the perimysium is associated with connective tissue and capillaries |
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A myofibril is composed of _________ and _______ filaments.
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Thick (myosin)
Thin (actin) |
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Together with accessory proteins, actin and myosin form this functional unit.
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Sarcomere
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The striations within skeletal muscle fibers can be easily summed up into dark and light bands.
Given A, H, and I bands, which directly associates with dark and which with light? |
Light bands: I band
Dark bands: A band |
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This intermediate filament holds skeletal muscle fibers together.
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Desmin
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The heads of the myosin II molecules are pointing [away | towards] the center of the sarcomere
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Away
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These two protein mask the myosin binding site on actin filaments.
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Troponin and tropomyosin
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In order to open the myosin binding site on the actin filament, Ca++ is released and bind to this protein.
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Troponin C
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The myosin molecule can have its head and mid-section hinged ready for the "stroke" motion.
What two proteases help in this regard? Their action creates these regions. |
Papain:
* Creates a hinge between the head (S1) and mid-section of the myosin (S2) * The head contain two heavy chains and two pairs of light chains Trypsin: * Creates a hinge in the mid-section (heavy meromyosin and light meromyosin) |
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These two proteins are associated with the actin and myosin filaments.
HINT: They help to regulate stretching and lengthening. |
Nebulin - actin
Titin - myosin |
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This protein binds to the end of the actin filament and prevents it from growing.
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Tropomodulin
|
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This enzyme provides a ready supply of ATP at the M line.
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Creatine kinase
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This protein binds to actin and aids in the transmission of contraction to the epimysium.
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Dystrophin
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Skeletal muscles fibers are depolarized through this triad of components.
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2 terminal cisternae
1 T-tubule |
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What is the function of the sarcoplasmic reticulum?
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Store intracellular calcium and release it when the voltage-gated Ca++ channels are depolarized
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Impulses from the nerve fiber are transmitted to the muscle cell through _______________.
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Neuromuscular junction (NMJ)
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At what angle is the myosin head bound to the action filament?
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60 degrees
|
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Explain Huxley's sliding filament theory.
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During contraction, the lengths of the individual myofilaments do not change.
The two Z lines are brought closer together as the thick and thin filaments slide past each other. A band remains the same I and H bands diminish in width |
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CLINICAL CORRELATION:
What does Botulism Toxin do? |
It interferes with the release of acetylcholine leading to muscle paralysis
|
|
CLINICAL CORRELATION:
What is Myasthenia Gravis? |
It is an autoimmune disorder where self antibodies bind to the acetylcholine receptors on the post-synaptic membrane
|
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What is the function of muscle spindles and golgi tendon organs?
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They both detect change in the length of the tendon/muscle, degree of tension.
Their main function is to keep the muscle fibers and tendons from tearing |
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Where are muscle spindles and golgi tendons located?
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Within the muscle fibers
|
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What are the two types of intrafusal fibers?
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* Nuclear bag fiber
* Nuclear chain fiber |
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This disc is unique to cardiac muscle fibers.
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Intercalated discs
|
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What do intercalated discs represent?
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Specialized cell junctions between cardiac muscle cells.
|
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What kinds of junctions are in the transverse and the longitudinal portions of the intercalated disc?
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Transverse: Desmosome, Adhering junction, gap junction
Longitudinal: Gap junction |
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Intercalated discs are analogous to _____________.
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Z lines
|
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What is the function of the transverse portion of the intercalated disc?
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To anchor actin filaments and bind cells together
|
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What is the function of the longitudinal portion of the intercalated disc?
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To spread depolarization
|
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What are lipofuscin granules?
|
It is considered one of the aging or "wear and tear" pigments.
|
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What are TWO major differences between skeletal and cardiac muscle?
|
1. Cardiac muscle only have diads instead of triads (2 terminal cistarna and 1 T-tubule) -- diads are located within the vicinity of Z lines
2. Ca++ supply is transported into cardiac muscle cell from the extracellular fluid This is called the "trigger calcium" |
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Heart beat is initiated, regulated, and coordinated by these types of cells
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Cardiac conducting cells
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Sympathetic and parasympathetic fibers do this ______________.
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Modify the rate of intrinsic cardiac muscle contraction
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Smooth muscle fiber can be found in these types of organs.
List a few. |
Hollow organs: GI tract, blood vessels, secretory ducts, uterus
|
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Where are cardiac endocrine cells normally found?
|
Intraventricular septum and the walls of the atria
|
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What is produced by cardiac endocrine cells?
What is its function? |
Antrial natriuretic polypeptide
* It decreases the renal tubes ability to re-absorb Na+ and H2O * Increase Na+ and H2O loss (natriuresis and diuresis) |
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Smooth muscles cells lack these elements of skeletal and cardiac muscles.
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Sarcomeres, myofibrils, troponin
|
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Do smooth muscles have thin and thick filaments?
What are they attached to? |
Yes
Dense bodies |
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Dense bodies are composed of ___________ and resemeble the ___________ of striated muscles.
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alpha-actinin, Z lines
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What is the function of the Caveolae in smooth muscles?
|
Function in the sequestering and release of Ca++
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In smooth muscle, the myosin molecule is in the inactive state. What enzyme helps to activate it?
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MLCK
|
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Explain how the contraction of smooth muscle.
|
1. Nerve signal activates release of Ca++ from caveolae.
2. Ca++ binds to calmodulin 3. Calmodulin-Ca++ complex activates MLCK 4. Conformational change occurs in myosin unmasking the myosin actin-binding site 5. Actin binds on the S1 of myosin 6. Contraction |
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Name the two nonneural factors involved in modulating the activity of MLCK.
|
Estrogen increases the concentration of cAMP -> activating MLCK
Progresterone decreases the concentration of cAMP -> deactivating MLCK |
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Name two types of smooth muscle and describe them.
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1. Multiunit
* Richly innervated - every muscle cell receives individual innervation * Specialized for precise, graded contraction * Found in iris, vas deferens 2. Unitary * Minimal innervation * Impulse transmitted via nexus (gap junction) * Regulated by oxytocin, stretching * Found in the wall of hollow organs |
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Name the two types of contractile nonmuscle cells in smooth muscles.
|
1. Myoepithelial
2. Myofibroblasts |
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What is the function of myoepithelial cells?
|
To push secretions out of the cells and into ducts.
- Seen in mammary glands, lacrimal glands |
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What is the function of myofibroblasts?
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To contract/close wounds by decreasing the size of the opening
|
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The lateral plate mesoderm splits into two layers.
Name them and their function. |
1. Somatic Mesoderm [BODY WALL]
- Forms the inner lining of the body wall, bones, and connective tissue - Associated with ectoderm 2. Splanchnic Mesoderm [GUT WALL] - Form the mesothelial covering of the viscera. |
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The musculoskeletal system develops from three sources.
Name them. |
1. Lateral plate mesoderm
2. Paraxial mesoderm 3. Neural crest cells |
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What are the two types of bone formation?
List the differences. |
1. Intramembranous ossification
- Mesenchyme precursor ossifies directly into bone 2. Endochondral ossification - Preformed hyaline cartilage directly ossifies into bone |
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The skull can be divided into two parts and those parts can be further subdivided into separate portions.
Name them. |
1. Neurocranium
a. Membraneous neurocranium b. Chondrocranium - Prechordal neurocranium - Chordal neurocranium 2. Viscerocranium |
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The membranous neurocranium is equally derived from ____________ and _____________.
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Neural crest cells, paraxial mesoderm
|
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The membranous neurocranium undergoes this type of ossification.
|
Membranous ossification
|
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Define the following terms:
1. Cranioschisis 2. Cranial meningocele 3. Meningoencephalocele |
1. Cranioschisis: Failure of the cranial neuropore to close; brain tissue exposed to amnion = anencephaly
2. Cranial meningocele: The meninges herniate through the defect 3. Meningoencephalocele: The meninges and brain tissue herniate through the defect |
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At birth, the skull bones are separated by __________.
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Sutures
|
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Name the three major sutures of the head.
|
Sagittal
Coronal Lamboid |
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The sagittal suture is derived from this cell type.
The coronal suture is derived from this cell type. |
Neural crest cells
Paraxial mesoderm |
|
What is the term for an area where two or more bones meet and the sutures are wide?
|
Fontanelle
|
|
What is the most prominent fontanelle?
|
Anterior fontanelle
|
|
Define the following terms:
* Craniosynostosis * Scaphocephaly * Acrocephaly * Brachycephaly |
Craniosynostosis: The premature closure of sutures
Scaphocephaly: Closure of the sagittal suture Acrocephaly: Closure of the coronal suture Brachycephaly: Close of the coronal and lamboid suture |
|
The chondocranium is made of the following two separate cartilages.
Name them. |
Prechordal and chordal chondrocranium
|
|
What is the cellular origin of the prechordal and chordal chrondocranium?
|
Prechordal: neural crest cells
Chordal: paraxial mesoderm |
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What is the type of ossification that the chondocranium undergoes?
|
Endochondral ossification
|
|
What is the cellular origin of the viscerocranium?
|
Neural crest cells
|
|
What forms from the first and second pharyngeal arches?
|
First arch:
Dorsal portion: maxilla, zygomatic bone, temporal bone Ventral portion: mandibular process, mandible Second arch: Ossicles - incus, stapes, malleus |
|
Which portion of the mesoderm aids in the development of bone and connective tissue?
|
Lateral plate mesoderm - somatic layer
|
|
What is the function of the apical ectodermal ridge (AER)?
|
It is essential for limb growth
|
|
On the limb, where is the AER located?
|
At the most distal apex
|
|
The AER maintains this zone of highly proliferative cells.
|
Progress zone
|
|
What occurs as the AER moves distally?
|
The proximal edge of the limb begins to forms muscles and cartilage
|
|
When are handplates and footplates formed during the embryogenesis?
|
6th week - first constriction
|
|
What occurs at the 8th week of embryogenesis with respect to hand and footplates?
|
Second constriction - limb extremities recognized
Formation of separate digits on hands and feet |
|
What occurs at the 7th week of embryogenesis with respect to the hands and feet?
|
ULL - Upper Limb Lateral rotation of 90 degrees
LLM - Lower Limb Medial rotation of 90 degrees |
|
Define the following terms:
* Dactylys * Brachydactyly * Syndactyly * Polydactyly * Cleft hand foot |
Dactylys: Limb defects affecting the digits
Brachydactyly: Shortening of the digits Syndactyly: Fusion of two or more digits Polydactyly: Extra digits on the upper or lower limb Cleft hand foot: Lobster claw deformity |
|
In the 1960s, this drug was given for resolving the symptoms of morning sickness.
|
Thalidomide
|
|
Thalidomide was found to cause limb defects in fetuses.
Define the terms associated with limb defects: * Meromelia * Amelia * Phocomelia * Sirenomelia |
Meromelia: Partial absence of the limbs
Amelia: Complete absence of the limbs Phocomelia: Rudimentary hands/feet on trunk Sirenomelia: Mermaid syndrome |
|
Cartilage differentiates from ___________ to form bones.
The process of bone formation is called ____________. |
Mesenchyme, lateral plate mesoderm - somatic mesoderm
|
|
All long bones of the fetus are completed by the _______ week.
|
12th
|
|
Ossification of the fetal bones begins at the _____________ and progress to the ______________.
|
Diaphyses, Cartilage anlage
|
|
At birth, the ___________ is ossified and the _____________ is still cartilaginous.
|
Diaphyses, Epiphyses
|
|
Limb development is regulated along 3 axes.
Name them. |
Anterior-posterior
Dorsal-ventral Proximal-distal |
|
Describe the patterning of the proximal-distal axis.
|
* Limb growth initiated by FGF10
* BMP in the ventral ectoderm induces the AER * Radical fringe restrict the AER to the distal tip * Engrained-1 in the ventral ectoderm represses the Radical fringe * AER express FGF4 and FGF8 -- maintain progress zone |
|
Describe the patterning of the anterior-posterior axis.
|
Regulated by the ZPA (zone of polarizing cells)
* ZPA produces retinoic acid (vit. a) and induces SHH - Positioning of thumb on anterior side (radial) |
|
What occurs if their is misexpression of the retinoic acid?
|
Mirror image duplication of limb structures
|
|
Describe the patterning of the dorsal ventral axis.
|
* Engrained-1 on the ventral side represses WNT7a -- restricting to the dorsal ectoderm
* WNT7a induces LMX1 in dorsal ectoderm |
|
Vertebrae are formed from the ______________ of the ______________.
|
Sclerotome, paraxial mesoderm
|
|
Each vertebrae develops from the combination of ___ somites.
Give a number. |
2
|
|
Sclerotome cells migrate around the spinal cord and notochord at the ____ week.
|
4th
|
|
The patterning and shape of vertebrae and the vertebral column is shaped by the ____ genes.
|
HOX
|
|
This portion of the paraxial mesoderm somites permits spinal movement.
|
Myotome
|
|
What is resegmentation?
|
The combination of the caudal and cranial half of the somite to form the vertebrae.
|
|
The intervertebral disc is composed of the ____________ and _____________.
|
Nucleus pulposus, nucleus fibrosis
|
|
What is the origin of the nucleus pulposus?
|
The notochord
|
|
What is the origin of the nucleus fibrosis?
|
The sclerotome
|
|
What is the Klippel-Feil sequence?
|
It is a vertebral defect where the person has fewer cervical vertebrae
|
|
What is spina bifida?
Define spina bifida occulta, spina bifida cystica |
Spina bifida: imperfect fusion or alignment of vertebrae
Spina bifida occulta: The incomplete fusion of the vertebral spine -- bony defect [MINOR] Spina bifida cystica: The incomplete fusion of the vertebrae where spine is open to the outside environment. [SEVERE] |
|
Name the derivations of the different muscle type.
Skeletal Smooth Cardiac Integumentary Glands |
Skeletal: Paraxial mesoderm - myotome of somites
Smooth and Cardiac: Splanchnic mesoderm of the lateral plate Integumentary Glands: Ectoderm |
|
The somites of the paraxial mesoderm can differentiate into:
|
* Sclerotome
* Dermomoyotome - dermotome - myotome |
|
The myotome itself can be split into the following regions:
|
VLL (ventrolateral lip)
DML (dorsomedial lip) |
|
The ventral hypomere contains muscles for the ___________ and ____________
|
* Body wall of the thorax and abdomen
* Limbs |
|
Muscles of the lateral and ventral body wall are called _____________
|
Hypaxial muscles
|
|
How many somites are there in the body wall?
Break down the somites per region. |
42-44
4 occipital 8 cervical 12 thoracic 5 lumbar 5 sacral 8 coccygeal |
|
Muscle patterns are regulated by _________________
|
Connective tissue
|
|
Muscles of the dorsomedial lip (dorsal epimere) are collectively called ___________
|
Epaxial muscles
|
|
The epaxial muscles are composed of the ____________ and _________
|
Erector spinae
Transversospinalis |
|
The myogenic regulatory factors inducing development of the ventrolateral lip and dorsomedial lip are _________ and ___________ respectively
|
VLL: MYF4 and MYO-D
DML: MYF5 and MYO-D |
|
What is the role of MYO-D?
|
It is an important regulator / inducer of muscle differentiation.
|