Anatomy Flashcards

(43 cards)

1
Q

What are the types of collagen?

A
  • Type I: Bone, tendon, skin (OI, Ehlers-Danlos)
  • Type II: Hyaline cartilage (chondrodysplasia)
  • Type IV: Basement membrane (Alport syndrome)

OI: Osteogenesis imperfecta; GAG: Glycosaminoglycan.

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2
Q

What is the structure of collagen?

A

Triple helix (Gly-X-Y repeats), crosslinked by lysyl oxidase.

The structure is critical for its tensile strength.

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3
Q

What vitamin is required for collagen synthesis?

A

Vitamin C.

Hydroxylation defects can lead to scurvy.

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4
Q

What role do elastin and fibrillin play in the body?

A

Stretch/recoil in ligaments, aorta, skin.

Diseases related to these proteins include Marfan’s syndrome and cutis laxa.

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5
Q

What is aggrecan?

A

Major proteoglycan in cartilage with a ‘bottle brush’ structure.

It plays a key role in cartilage hydration and resilience.

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6
Q

What is the function of hyaluronic acid?

A

Non-sulfated GAG; contributes to synovial fluid viscosity.

It helps in lubrication and shock absorption in joints.

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7
Q

What are the two main types of joints?

A
  • Synarthroses: Immovable (skull sutures)
  • Diarthroses: Synovial joints (knee, hip)

Each joint type serves different functions in mobility.

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8
Q

What is the composition of articular cartilage?

A
  • Type II collagen (60% dry weight)
  • Aggrecan
  • Water (80%)

This composition is vital for the cartilage’s mechanical properties.

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9
Q

What are the zones of articular cartilage?

A
  • Superficial: Lubricin (boundary lubrication)
  • Middle: High PG/water content (shock absorption)
  • Deep: Radial collagen fibers (anchors to bone)

Each zone has distinct functions and structural characteristics.

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10
Q

What is the role of the synovium?

A
  • Type A cells: Phagocytic
  • Type B cells: Hyaluronic acid production

The synovium is crucial for joint health and function.

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11
Q

How is normal synovial fluid characterized?

A

WBC <200/mm³, glucose ≈ serum, viscosity (string sign).

These parameters help assess joint health.

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12
Q

What are the two main types of bone?

A
  • Cortical: 80% skeleton (long bone shafts)
  • Cancellous: Vertebrae/pelvis (osteoporosis-prone)

The distribution of these types affects bone strength and health.

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13
Q

What is the Wnt/β-catenin pathway’s role in bone biology?

A

Osteoblast activation (↑ bone mass).

Inhibitors like sclerostin and Dkk-1 are targets for osteoporosis treatment.

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14
Q

What does the RANK/RANKL/OPG pathway regulate?

A

Osteoclast differentiation.

RANKL from osteoblasts/T cells activates osteoclasts; OPG blocks RANKL.

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15
Q

What distinguishes Type 1 muscle fibers?

A

Slow-twitch, oxidative (endurance).

These fibers are more fatigue-resistant and are utilized in prolonged activities.

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16
Q

What distinguishes Type 2b muscle fibers?

A

Fast-twitch, glycolytic (sprinters).

These fibers are designed for short bursts of power and speed.

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17
Q

What triggers muscle contraction?

A

Ca²⁺ release → actin-myosin crosslinking → sarcomere shortening.

This process is essential for muscle function.

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18
Q

What are common collagen disorders?

A
  • Osteogenesis imperfecta (Type I)
  • Ehlers-Danlos syndrome (Types I/III)
  • Alport syndrome (Type IV)

These disorders affect connective tissue integrity and function.

19
Q

What enzymes are involved in cartilage degradation?

A
  • MMPs (collagenases)
  • Aggrecanases (ADAMTS-4/5)

These enzymes are often elevated in osteoarthritis.

20
Q

What is osteoporosis associated with?

A

Wnt/RANKL dysregulation.

This condition leads to increased fracture risk due to decreased bone density.

21
Q

What is Paget’s disease characterized by?

A

↑ osteoclast activity.

Bisphosphonates are often used to target RANKL in treatment.

22
Q

Nennen Sie die 5 Hauptkomponenten des Bewegungsapparates.

A

Muskeln, Sehnen, Bänder, Knorpel, Knochen.

23
Q

Welche zwei Hauptfunktionen hat das muskuloskelettale System?

A

Strukturelle Unterstützung und gezielte Bewegung.

24
Q

Welches ist das häufigste Protein im Körper?

A

Kollagen (20-30% der Körpermasse).

25
Welche strukturelle Besonderheit haben alle Kollagenmoleküle?
Dreifachhelix aus drei α-Ketten mit Gly-X-Y Wiederholung (X=Prolin, Y=Hydroxyprolin).
26
Welche Krankheiten verursachen Mutationen in Kollagen Typ I und II?
* Typ I: Osteogenesis imperfecta, Ehlers-Danlos * Typ II: Chondrodysplasie, Stickler-Syndrom
27
Nennen Sie die 6 Schritte der Kollagensynthese.
* Gentranskription → Präprokollagen * Hydroxylierung (Vitamin C benötigt) * Glykosylierung → Prokollagen * Telopeptid-Entfernung → Tropokollagen * Quervernetzung (Lysyloxidase) * Fibrillenbildung
28
Wie wird Gelenkknorpel ernährt?
Durch Diffusion aus der Synovialflüssigkeit ('Stoßdämpfer-Effekt' bei Belastung).
29
Warum schmerzt Arthrose, obwohl Knorpel nervenfrei ist?
Durch Reizung des subchondralen Knochens und Synovitis.
30
Welche 4 Zonen hat Gelenkknorpel?
* Oberflächenzone (Tangentialfasern) * Übergangszone * Tiefe Zone (Radialfasern) * Verkalkte Zone
31
Was macht Synovialflüssigkeit viskös?
Hyaluronsäure (produziert von Typ-B-Synoviozyten).
32
Welche 3 Zelltypen finden sich im Knochen?
* Osteoklasten (Abbau) * Osteoblasten (Aufbau) * Osteozyten (Mechanosensorik)
33
Wie aktiviert der Wnt/β-Catenin-Signalweg Osteoblasten?
* Wnt bindet LRP5/6-Frizzled * Hemmt GSK-3β → β-Catenin-Akkumulation * Aktiviert Genexpression im Zellkern
34
Welche Substanzen hemmen den Wnt-Signalweg?
* Sclerostin (Mutation → Van-Buchem-Syndrom) * Dickkopf-1
35
Wie reguliert RANKL die Osteoklasten?
* RANKL (Osteoblasten/T-Zellen) bindet RANK → Osteoklastenaktivierung * OPG wirkt als natürlicher Inhibitor
36
Welche 3 Muskelfasertypen gibt es?
* Typ I (langsam, oxidativ, ermüdungsresistent) * Typ 2a (schnell, oxidativ-glykolytisch) * Typ 2b (schnell, glykolytisch, ermüdbar)
37
Wie läuft die Muskelkontraktion ab?
* Aktionspotential → Ca²⁺-Freisetzung * Actin-Myosin-Brückenbildung * Ca²⁺-Rücktransport → Relaxation
38
Nennen Sie 4 Werte von normaler Synovialflüssigkeit.
* Zellzahl: <200/mm³ (<25% Neutrophile) * Protein: 1.3-1.7 g/dL * Glucose: ≤20 mg/dL unter Serum * Viskosität: 2.5-5 cm Fadenbildung
39
Welche Marker messen Knochen- bzw. Knorpelabbau?
* Knochen: Pyridinolin/Deoxypyridinolin (Urin) * Knorpel: Kollagen-Typ-II-Telopeptid (CTX-II)
40
Welche Krankheiten verursachen Fibrillin-Mutationen?
* Fibrillin-1: Marfan-Syndrom * Fibrillin-2: Kongenitale kontrakturelle Arachnodaktylie
41
Was passiert bei Vitamin-C-Mangel in der Kollagensynthese?
Unzureichende Hydroxylierung → instabiles Kollagen (Skorbut).
42
Füllen Sie die Lücke: Die Klasse der fibrillenbildenden Kollagen ist ___ .
[I, II, III]
43
Nennen Sie die 3 Gelenktypen.
* Synarthrosen (unbeweglich) * Amphiarthrosen (beschränkt beweglich) * Diarthrosen (frei beweglich)