Skeletal System (Exam II) Flashcards

1
Q

What is the primary function of bone?

A

Support & locomotion/movement

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2
Q

What is the secondary function of bone?

A

Protection, mineral storage, hemopoeisis

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3
Q

Bone is ____, while cartilage is _____.

A

Rigid; semi-ridid

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4
Q

Both bone and cartilage are derived from:

A

Primitive mesenchymal cells

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5
Q

What is the relative strength of bone and cartilage due to?

A

Properties of ground substance and extracellular fibers

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6
Q

_____ is a bone precurser

A

Cartilage

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7
Q

Cartilage formation begins with ____ cells which differentiated into ______.

A

Stellate mesenchymal cells; rounded chondroblasts

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8
Q

The rounded chondroblasts of cartilage grow and synthesize:

A

Ground substance and fibrous extracellular matrix

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9
Q

When the chondroblasts grow and synthesize ground substance & fibrous extracellular matrix, what happens?

A

The chondroblasts get trapped inside lacunae

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10
Q

In cartilage, further mitotic divisions produces clusters of mature _____ referred to as _____.

A

Chondrocytes; isogenous groups

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11
Q

The isogenous groups of chondrocytes are separated by:

A

Extracellular matrix

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12
Q

The ECM surrounding the isogenous groups

A

Territorial matrix

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13
Q

The pink ECM between the isogenous groups of chondrocytes:

A

Interteritorial matrix

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14
Q

Cartilage is surrounded by:

A

Perichondrium

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15
Q

The peripheral zone of dense connective tissues, containing fibroblasts, collagen & immature chondroblasts

A

Perichondrium

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16
Q

In what type of growth, does cartilage form within the mass?

A

Interstitial growth

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17
Q

What type of growth allows chondrocytes to retain the ability to divide

A

Interstitial growth

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18
Q

Type cartilage growth where new cartilage forms at surface of pre-existing cartilage

A

Appositional growht

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19
Q

What type of cartilage growth is more common?

A

Appositional

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20
Q

In appositional growth, new chondrocytes are derived from mesenchymal cells of the:

A

Inner perichondrium

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21
Q

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

A

Chondroblasts

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22
Q

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

A

Center of cartilage mass; periphery

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23
Q

Bone growth can be directly ______ cells to ______ OR ____ cells to _______ to ________

A

Mesenchymal cells —-> bone

Mesenchymal cells ——> cartilage ——> bone

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24
Q

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

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

What type of connective tissue is cartilage?

A

Avascular

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26
Q

Cartilage lacks:

A

Blood vessels

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27
Q

Since cartilage is a vascular, exchange of metabolites occurs via:

A

Diffusion through ground substance

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28
Q

Since cartilage relies on diffusion of metabolites through the ground substance, this limits the:

A

Thickness of cartilage

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29
Q

If cartilage is thick, it will have blood vessels in:

A

Secondary cartilage canals

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30
Q

Cartilage contains an ECM of ______ containing ___.

A

Amorphous ground substance containing collagen

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31
Q

The ECM of cartilage is hydrates and contains ~60-80% H20 bound to:

A

Proteoglycans

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32
Q

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

A

Flexibility & incompressibility

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33
Q

The GAGs found in cartilage (3):

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

The most common glycoprotein in cartilage is:

A

Chondronectin

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35
Q

Potentially, chondronectin can have:

A

Anti-cancer properties

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36
Q

What determines the different types of cartilage:

A

Amounts of fibers embedded within matrix

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37
Q

Type of cartilage found within articular surfaces, growth plates, nasal septum, coastal cartilage (ribs), tracheal and bronchial rings:

A

Hyaline cartilage

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38
Q

Precursor of bone in most skeleton:

A

Hyaline cartilage

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39
Q

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

A

Hyaline cartilage

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40
Q

What type of collagen fibers are present in hyaline cartilage:

A

Hyaline cartilage

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41
Q

What is the most common type of cartilage:

A

Hyaline cartilage

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42
Q

The Greek term hylos means:

A

Glass look

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43
Q

Specific locations for what type of cartilage:

  1. End of long bones
  2. Growth plates
  3. Nasal septum
  4. Articular surfaces
  5. Octal cartilage
  6. Tracheal & bronchial rings
A

Hyaline cartilage

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44
Q

What is a common precursor for bone in the skeleton?

A

Hyaline cartilage

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45
Q

Consists of alternating layers of hyaline cartilage and dense connective tissue:

A

Fibrocartilage

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46
Q

What type of collagen fibers are present in fibrocartilage:

A

Type I & Type II collagen

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47
Q

Fibrocartilage is less ____ than the other types of cartilage

A

Cellular

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48
Q

Fibrocartilage lacks:

A

Perichondrium

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49
Q

What type of cartilage is present in intervertebral discs?

A

Fibrocartilage

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50
Q

What type of cartilage is found in these articular areas:
Knee
Mandible (TMJ)
Shoulder
Sternum
Ligaments
Tendons
Joint capsules
Pubic symphysis

A

Fibrocartilage

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51
Q

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

A

Elastic cartilage

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52
Q

What type of collagen fibers are present in elastic cartilage?

A

Type II

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53
Q

Type of cartilage found in the external ear, auditory eustachian canals, epiglottis, and larynx?

A

Elastic cartilage

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54
Q

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

A

Elastic cartilage

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55
Q

____ in cartilage is limited because it requires blood flow

A

Repair

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56
Q

Because repair in cartilage is limited, because it requires blood flow, this results in production of:

A

Dense connective tissue (fibrosis)

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57
Q

Production of dense connective tissue:

A

Fibrosis

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58
Q

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

A
  1. Death of chondrocytes
  2. Formation of bone
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59
Q

There is a tendency for all hyaline cartilage to:

A

Calcify with age

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60
Q

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

A

Calcium phosphate crystals

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61
Q

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

A

Bone

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62
Q

The most common repair of cartilage is done via:

A

Fibrosis

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63
Q

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

A

Osteocytes

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64
Q

Old people are stiff because they do not have the same amount of ____ in there cartilage as younger people do:

A

Turgor pressure

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65
Q

Specialized support tissue in which the extracellular components are mineralized

A

Bone

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66
Q

What are two characteristics of bone

A

Strength & rigidity

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67
Q

What are the two main forms of bone?

A

Woven & lamellar

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68
Q

Immature form of bone characterized by random orientation of collagen fibers

A

Woven bone

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69
Q

describe the orientation of collagen fibers of woven bone

A

Random, disorganized

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70
Q

Immature woven bone is later remodeled into:

A

Lamellar bone

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71
Q

Lamellar bone contains concentric layers called:

A

Circumferential lamellae

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72
Q

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

A

Parallel

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73
Q

The extracellular components of bone are:

A

Mineralized

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74
Q

Lamellar bone can be either:

A

Dense & compact or cancellous & spongy

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75
Q

Where might we find dense and compact lamellar bone?

A

Cortex of long bones

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76
Q

Where might we find cancellous & spongy lamellar bone?

A

Ends of bones

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77
Q

Cancellous bone contains a network of thing, bony: (2)

A

Trabeculae and open spaces

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78
Q

Trabeculae of cancellous bone can also be called:

A

Spicules

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79
Q

The open spaces of cancellous bone:

A

Marrow cavity

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80
Q

What types of bones are found in the limbs?

A

Long bones

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81
Q

Shaft of long bones:

A

Diaphysis

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82
Q

The diaphysis of long bones contains compact bone in the _____, & spongy cancellous bone in the ____

A

Cortex

Medullary cavity (marrow)

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83
Q

What type of marrow is contained within long bones?

A

Red marrow or yellow marrow

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84
Q

Red bone marrow is:

A

Hematopoietic

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85
Q

Yellow bone marrow is:

A

Fatty bone marrow

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86
Q

Ends of long bones:

A

Epiphysis

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87
Q

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

A

Spongy/cancellous bone covered with hyaline articular cartilage

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88
Q

Flared regions between epiphysis & diaphysis:

A

Metaphysis

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89
Q

The metaphysis contains the ____ of long bones:

A

Epiphyseal plate

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90
Q

The swollen ends of long bones:

A

Epihysis

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91
Q

The external surface of bone is covered by:

A

Periosteum

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92
Q

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

A

Periosteum

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93
Q

What type of cells are found within periosteum?

A

Fibroblasts & osteoprogenitor cells

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94
Q

The internal marrow cavity is lined by:

A

Endosteum

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95
Q

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

A

Sharpeys fibers

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96
Q

Sharpeys fibers provide:

A

Anchorage & support

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97
Q

Resting mesenchymal cells that reside in the periosteum and endosteum

A

Osteoprogenitor cells

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98
Q

Where do osteoprogenitor cells reside?

A

Periosteum & endosteum

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99
Q

Osteoprogenitor cells can differentiate into:

A

Osteoblasts & osteocytes

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100
Q

Roughly polygonal, mesenchymal cells derived from osteoprogenitor cells

A

Osteoblasts

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101
Q

Osteoblasts are very ____ due to the synthesis of large amount of protein and proteoglycans

A

Basophilic

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102
Q

Osteoblasts synthesize large amounts of:

A

Proteins & proteglycans

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103
Q

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

A

Osteoid

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104
Q

Osteoid is similar to _____ and later mineralizes to form ___.

A

Cartilage; bone

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105
Q

Osteoblasts are responsible for calcification of matrix via:

A

Secretion of matrix vesicles

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106
Q

The matrix vesicles secreted by osteoblasts contain:

A

Alkaline phophatase

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107
Q

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

A

Mineral salts

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108
Q

Mineral salts that precipitate due to matrix vesicles budding off the osteoblasts:

A

Calcium and PO4

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109
Q

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

A

Lacunae

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110
Q

Mature bone cells:

A

Osteocytes

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111
Q

Large multinucleate bone cells:

A

Osteoclasts

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112
Q

osteoclasts are likely derived from _____ & have _____ properties

A

Monocyte-macrophage lineage; phagocytic

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113
Q

Osteoclasts are actively involved in:

A

Resorption & remodeling of bone

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114
Q

Where are osteoclasts usually found:

A

Howships lacunae or resorption bays

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115
Q

What are howships lacunae or resorption bays?

A

Endosteal/periosteal surface depressions

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116
Q

Type of cell that function in calcium homeostasis:

A

Osteoclasts

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117
Q

osteoclasts function in calcium homeostasis by producing:

A

Organic acids & lysozymes

118
Q

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

A

Ruffled border

119
Q

Bone serves as a reservoir for ____ & function in homeostasis of _____

A

Calcium ; calcium

120
Q

What are the two antagonistic hormones that regulate calcium homeostasis:

A

Parathormone & calcitonin

121
Q

Parathormone =

A

Parathyroid hormone

122
Q

Parathyroid hormone is secreted by:

A

Parathyroid gland

123
Q

Parathyroid hormones stimulates ______ activity leading to ______.

A

Osteoclast activity; bone resorption

124
Q

Parathyroid hormones ____ blood calcium levels & _____ renal exertion by kidneys

A

Increase; decrease

125
Q

Calcitonin is secreted by:

A

Thyroid gland

126
Q

Calcitonin stimulates _____ activity and inhibits ____ activity

A

Osteoblasts; osteoclasts

127
Q

Calcitonin functions in bone _____.

A

Deposition

128
Q

Calcitonin _____ blood calcium levels

A

Decreases

129
Q

Pituitary growth hormone:

A

Somatotropin

130
Q

Hormone responsible for stimulating growth especially epiphyseal cartilage and bone

A

Somatotropin

131
Q

Somatotropin _____ blood calcium levels

A

Decreaes

132
Q

Oversecretion of somatotropin can lead to _____ or ______. Under secretion of somatotropin can lead to ____.

A

Gigantism or acromegaly

Pituitary dwarfism

133
Q

The majority of the organic component of compact bone is comprised of ______, synthesized by _____.

A

Type I collagen synthesized by osteoblasts

134
Q

GAGs of ground substance consist mostly of: (3)

A

Hyaluronic acid, Chondroitin sulfate, keratin sulfate

135
Q

Non-collagenous organic molecules include:

A

Osteocalcin, osteonectin, & sialoproteins

136
Q

Non-collagenous organic molecule that binds intracellular calcium during mineralization

A

Osteocalcin

137
Q

Non-collagenous organic molecule that bridges/binds collagen & minerals

A

Osteonectin

138
Q

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

A

Sialoproteins

139
Q

Mineralized component of bone is formed by:

A

inorganic salts

140
Q

Inorganic salts that form the mineralized component of bone:

A

Calcium & phosphate

141
Q

Calcium & phosphate form the mineralized component of bone in the form of:

A

Hydroxyapatite crystals

142
Q

Ca10(PO4)6(OH)2

A

Hydroxyapatite crystals

143
Q

Bone also has the affinity for:

A

Heavy metals and radioactive isotopes

144
Q

2 examples of heavy metals that bone has affinity for:

A

Lead and mercury

145
Q

Type 1 collagen is the primary _____ in mature bone.

A

Structural protein

146
Q

Compact bone contains ___ systems also called ____.

A

Haversian systems; osteons

147
Q

How are osteons produced?

A

Bony remodeling

148
Q

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

A

Remodelng

149
Q

The size of the average haversian system is equivalent to:

A

Size of osteoclast

150
Q

The outer margin of osteon is delimited by:

A

Cement line

151
Q

What invades the empty tunnels created by osteoclasts:

A

Osteoblasts

152
Q

Osteoblasts become trapped in _____ in osteoid matrix & mature into _____.

A

Lacunae ; osteocytes

153
Q

Minute canals connecting osteocytes:

A

Canaliculi

154
Q

The canaliculi contain:

A

Cytoplasmic extensions

155
Q

Osteocytes communicate with eachother when they’re trapped through:

A

Gap junctions

156
Q

Within center of each osteon:

A

Haversian canal

157
Q

The Haversian canal contains:

A

Blood vessels and nerves

158
Q

Longitudinal Haversian canals are connected by transverse:

A

Volkman’s canals

159
Q

What is exchanged through Haversian canals?

A

Waste & nutrients

160
Q

Haversian systems are oriented:

A

Parallel to the long axis of bone

161
Q

Inactive haversian systems:

A

Interstitial systems

162
Q

____ bone lacks haversian systems

A

Spongy & woven bone

163
Q

Haversian systems are only present in _____ bone.

A

Compact lamellar

164
Q

Outer periphery of cortisol bone is arranged in:

A

Circumferential lamellae

165
Q

Cortical bone is also called:

A

Compact lamellar bone

166
Q

Volkman’s canals run _____ to the long axis of bone.

A

Perpendicular

167
Q

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

A

Tension

168
Q

Bone growth is controlled by (3)

A

Growth hormone, thyroid hormone, sex hormones

169
Q

Replacement of cartilage precursor by bone:

A

Endochondral ossification

170
Q

In endochondral ossification, the resulting woven bone is extensively remodel by ______ & ______ to form lamellar bone.

A

Resorption & appositional growth

171
Q

Long bones, vertebra, pelvis and base of skull all undergo what type of bone process:

A

Endochondral ossification

172
Q

Direct replacement of mesenchyme by bone; NO cartilage precursor

A

Intramembranous ossification

173
Q

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

A

Intramembranous ossificaton

174
Q

The vault of the skull undergoes what type of bone growth

A

Intramembranous ossification

175
Q

In endochrondral ossification, the precursor of long bone is formed of:

A

Hyaline cartilage

176
Q

The primary center of ossification occurs in:

A

Mid-diaphysis

177
Q

Osteoprogenitor cells and osteoblasts secrete osteoid which mineralizes forming:

A

Periosteal cuff

178
Q

Calcification of cartilage matrix inhibits:

A

Diffusion of nutrients

179
Q

Diffusion of nutrients is inhibited by the calcification of cartilage matrix this results in death of _____ & spread of _____

A

Chondrocytes and spread of osteoblasts

180
Q

In endochondral ossification, the osteoprogenitor cells from the ____ migrate to the _____ along with growing blood vessels

A

Periosteum —-> medulla

181
Q

In endochondral ossification two _____ occur in the epiphysis

A

Centers of ossification

182
Q

In endochondral ossification, the 1’ center of ossification occurs in the _____ while the 2’ centers of ossification occurs in the _____.

A

Mid-diaphysis

Epiphysis

183
Q

_____ is a region of metaphysis that remains open (unmineralized) in endochondral ossification:

A

Epiphyseal plate

184
Q

The epiphyseal plate allows for continuous:

A

Longitudinal growth

185
Q

At maturity, hormonal changes decrease _____ & cartilage plate is replaced by bone.

A

Cartilage proliferation

186
Q

Closure of epiphysis means complete:

A

Ossification

187
Q

Last long bone to close in humans:

A

Femur

188
Q

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

A

Epiphyseal line

189
Q

Type of growth humans and mammals have:

A

Determinate growth

190
Q

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

A

Cartilage to bone

191
Q

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

A

Zone of reserve cartilage

192
Q

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

A

Zone of proliferation

193
Q

Division ceases and chondrocytes increase in size: (zone)

A

Zone of maturation

194
Q

The zone closest to the epiphysis:

A

Zone of reserve cartilage

195
Q

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

A

Zone of hypertrophy (& calcification)

196
Q

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

A

Zone of (cartilage) degeneration

197
Q

In the zone of degernation, chondrocytes ______ and the lacunae are invaded by _____.

A

Degenerate ; invaded by osteoprogenitor cells

198
Q

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

A

Zone of ossification

199
Q

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

A

Zone of ossification

200
Q

In Intramembranous ossification, mesenchymal cells differentiate directly into:

A

Osteoblasts

201
Q

During Intramembranous ossification the osteoblasts begin synthesizing ____ at multiple sites within the _____.

A

Osteoid within the membrane

202
Q

How many centers of ossification occur in Intramembranous ossification

A

Multiple centers of ossification

203
Q

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

A

Osteocytes

204
Q

_____ cells at the _____ continue to divide, providing replacements

A

Osteoprogenitor cells @ the periphery

205
Q

During Intramembranous ossification the bone produced is:

A

Woven bone

206
Q

During Intramembranous ossification, the woven bone is later remodeled by _____ & _____ to form compact bone.

A

Osteoclasts & Osteoblasts

207
Q

Embryonic undifferentiated cells:

A

Mesenchymal cells

208
Q

During Intramembranous ossification what type of cells are located at the periphery?

A

Osteoprogenitor cells

209
Q

A break where there is no break of skin:

A

Simple/ closed fracture

210
Q

A break that causes damage to the skin exposing bone:

A

Compound/open fracture

211
Q

Type of break in which bone is broken in several pieces

A

Comminuted fracture

212
Q

Following a break, what fills the fracture site? What is this also called?

A

Blood fills fracture site; aka hematoma

213
Q

Immediately after fracture, inflammatory response develops leading to:

A

Pain, swelling, redness & heat

214
Q

The acute phase of a bone break occurs:

A

First few days after break

215
Q

In the acute phase, _____ are first to arrive.

A

Neutrophils

216
Q

In the acute phase, the neutrophils are first to arrive and:

A

Infiltrate the hematoma

217
Q

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

A

Macrophages

218
Q

After about 1 week in the acute phase of a bone break, _____ & _____ proliferate and grow into the site

A

Fibroblasts & capillaries

219
Q

After about 1 week post break, the fibroblasts & capillaries grow into the site to form:

A

Granulation tissue

220
Q

The granulation tissue formed by the fibroblasts & capillaries is ______ tissue.

A

Vascular collagenous tissue

221
Q

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

A

Chronic phase

222
Q

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

A

Fibrous granulation tissue

223
Q

Following the formation of fibrous granulation tissue, ______ cells differentiate into _____ and secrete matrix.

A

Mesenchymal cells; chondroblasts

224
Q

Post break, when the mesenchymal cells differentiate into chondroblasts & secrete matrix, this causes progressive replacement of granulation tissue by ______ forming _______.

A

Hyaline cartilage; provisional callous

225
Q

After the provisional callous is formed in bone repair, _____ & _____ cells from the endosteum & periosteum at the edge of the wound grow ____.

A

Osteoprogenitor cells & osteoblasts

226
Q

After the osteoprogenitor cells and osteoblasts grow inward, they produces a mesh work of ______ within the provisional callous.

A

Woven bone

227
Q

The osteoprogenitor cells and osteoblasts produce a mesh work of woven bone within the provisional callous and deposit _____ in the collagen matrix

A

Calcium salts

228
Q

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

A

Bony callous

229
Q

The bony callous helps to:

A

Stabilize and bind fracture together

230
Q

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

A

Bony union

231
Q

The bony callous is progressively remodeled to form:

A

Mature lamellar bone

232
Q

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

A

Severity and location

233
Q

Joint allowing for extensive movement

A

Synovial

234
Q

Synovial joints are also known as:

A

Diarhtroses

235
Q

Synovial joints (diarthroses) are surrounded by a:

A

Connective tissue capsule

236
Q

The connective tissue capsule that surrounds the synovial joints:

A

Joint capsule

237
Q

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

A

Synovium

238
Q

The synovium secretes ____ which functions to _____.

A

Synovial fluid which bathes the articular surface

239
Q

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

A

Epithelium

240
Q

Synovial joints are made of up to 4 cell layers of ______ of _____ origin.

A

Synovial cells of mesenchymal origin

241
Q

Two types of cells in synovial joints:

A

A & B

242
Q

Type A synoviocytes resemble:

A

Macrophages

243
Q

Type B synoviocytes resemble:

A

Fibroblasts

244
Q

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

A

Nonsynovial

245
Q

Dense fibrous tissue between bones:

A

Syndesmosis

246
Q

In the skull, syndesmosis is progressively replaced by bone to become _______.

A

Synotosis

247
Q

Synotosis of the skull is also called:

A

Sutures

248
Q

Primary cartilage joint that contains a single layer of hyaline cartilage:

A

Synchondrosis

249
Q

What type of joint unites the first rib with the sternum (only one in adult human)

A

Synchondrosis (primary cartilage joint)

250
Q

What type of cartilage is found in Synchondrosis?

A

Hyaline cartilage

251
Q

Secondary cartilage joint

A

Symphysis

252
Q

cartilage joint that contains two hyaline cartilage surfaces connected by fibrocartilage plate

A

Symphysis

253
Q

Intervertebral discs are a specialized type of:

A

Symphysis

254
Q

Intervertebral joints contain intervertebral discs that are evolutionarily derived from _____ in _____.

A

Notochord in chordates

255
Q

Intervertebral discs are formed of concentric layers of:

A

Fibrocartilage

256
Q

Central cord of viscous ground substance of the intervertebral disc

A

Nucleolus pulposis

257
Q

Dense layer that forms around the nucleolus pulposus

A

Annulus fibrosus

258
Q

Damage to the annulus fibrosus causes nucleus pulposus to _____ resulting in _____

A

Herniate ; herniated disc

259
Q

Inflammation of joints:

A

Arthritis

260
Q

Progressive degeneration and loss of articular cartilage

A

Osteoarthritis

261
Q

Osteoarthritis leads to:

A

Eburnation, pitting, erosion

262
Q

The eburnation, pitting, and erosion caused by osteoarthritis leads to:

A

Pain, swelling, and thickening of joint capsule

263
Q

Production of irregular new bone at edges of articular surfaces

A

Osteophytes

264
Q

Osteophytes may also be called:

A

Bone spurs

265
Q

Osteophytes (bone spurs) limit the:

A

Range of motion

266
Q

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

A

Ankylosis

267
Q

Bone fusion of joint with loss of mobility:

A

Ankylosis

268
Q

Polishing of articular surface:

A

Eburnation

269
Q

Most common pathology we see of bones:

A

Arthiritis

270
Q

Local autoimmune reaction in joints

A

Rheumatoid arthritis

271
Q

Rheumatoid arthritis is when the body produces _____ that attacks the joints:

A

Antibodies

272
Q

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

A

Synovial membrane

273
Q

Replacement of articulate cartilage with fibrovascular tissue:

A

Pannus

274
Q

Deposited of urates and uric acid crystals in joints (especially fingers and toes)

A

Gout

275
Q

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

A

Red wine & meat

276
Q

Causative vegetables of gout:

A

Asparagus, broccoli, cauliflower & brussel sprouts

277
Q

The certain veggies associated with gout all represent ____ & are high in _____ & _____

A

New growth & protein & nitrogen

278
Q

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

A

Rickets

279
Q

Rickets is due to insufficiency in dietary _____ or ____

A

Calcium or vitamin D

280
Q

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

A

osteomalacia

281
Q

Failure of mineralization resulting in softening of bone in adults: (pretty much adult form of rickets)

A

Osteomalacia

282
Q

Loss of bone mass

A

Osteoporosis

283
Q

In osteoporosis the ____ by osteoclasts exceeds the _____ by osteoblasts

A

Resorption ; deposition

284
Q

Osteoporosis is a common problem in ______ due to decreased _____

A

Menopausal women due to decreased estrogen levels

285
Q

Osteoporosis can be treated by: (5) ORAL

A

Oral calcium
Oral vitamin D
Chondroitin
Glucosamine
Gelatin

286
Q

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

Possible side effect includes:

A

Function by binding phosphates in GI tract to minimize absorption

Mandibular necrosis

287
Q

VItamin C is necessary for the synthesis of:

A

Collagen

288
Q

Vitamin C deficiency causes:

A

Scurvy

289
Q

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

A

Scurvy

290
Q

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

A

Ligands (periodontal ligament)