basin lang Flashcards

(50 cards)

1
Q

Which of the following connective tissue components is located in the ECM but not in the ground substance?

Collagen bundles
Fibronectin
GAGs
Hyaluronan
Proteoglycans

A

collagen bundles

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2
Q

What cells numerous in loose connective tissue are filled with secretory granules and stain with metachromasia?

Macrophages
Mast cells
Fibrocytes
Active fibroblasts
Leukocytes

A

Mast cells

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3
Q

What is the first step of collagen production that occurs after the protein undergoes exocytosis?

-Cross-linking of collagen fibrils with a short-linking collagen
-Removal of the terminal nonhelical domains by peptidases
-Hydroxylation of lysine and proline
-Assembly of subunits to form a larger structure
-Disulfide bond formation

A

Removal of the terminal nonhelical domains by peptidases

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4
Q
  1. What is an important part of the role played by macrophages dur-
    ing maintenance and renewal of strong extracellular fibers in con-
    nective tissue?

-Storage for a major energy source needed for ECM maintenance
-Production of specific collagen subunits
-A sentinel function against invaders entering the ECM
-Secretion of MMPs
-Presentation of antigens important for assembly of collagen
bundles

A

Secretion of MMPS

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5
Q

Sulfated GAGs are important constituents of what extracellular
structures?

-Hyaluronan
- Elastic fibers
-Type I collagen
- Proteoglycans
- Multiadhesive glycoproteins

A

proteoglycans

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6
Q

Which of the following contains binding sites for integrins and is an
important part of the ECM in both loose connective tissue and dense
irregular connective tissue?
a. Aggrecan
b. Fibronectin
c. Perlecan
d. Fibrillin
e. Most types of collagen

A

Fibronectin

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7
Q

Dense regular connective tissue typically involves which of the fol-
lowing features?
a. Contains mostly synthetically active fibroblasts
b. Contains much ground substance
c. Contains a similar cell population as areolar connective tissue
d. Predominant tissue type in the stroma of most organs
e. Predominantly located in tendons and ligaments

A

Predominantly located in tendons and ligaments

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8
Q

Research scientists at a small biotech firm are investigating new
methods of controlling the growth and metastasis of malignant
cells in patients diagnosed with breast cancer. They have developed
a novel peptide-based drug, potentially deliverable therapeutically,
that disrupts the tumor cells’ ability to adhere to the ECM, which
in turn triggers apoptosis. Which of the following is the most likely
target of such drugs?
a. Cadherins
b. Adhesins
c. Integrins
d. Glycolipids of the cell membrane
e. Fibrillin

A

integrins

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9
Q

A 36-year-old man is referred by his family physician to the pulmo-
nary clinic. He complains of shortness of breath following physical
activity and decreased capacity for exercise. He says that strenuous
exercise including yard work is impossible without sitting down and
resting every few minutes. After taking several deep breaths during
the physical examination, he begins to wheeze. He is not a smoker
and works in an office not exposed to dust, fumes, or other irritants.
He appears slightly jaundiced. Serum alpha-1-antitrypsin (AAT)
concentration analysis is below normal and is followed up with AAT
phenotype and DNA testing that indicates one copy of S and one of
Z mutations with 40% abnormal AAT production. Urinalysis shows
elevated levels of desmosine and isodesmosine. These excreted com-
pounds normally contribute to efficient lung function by which of
the following mechanisms?
a. Posttranslational modification of fibrillin
b. Cross-linking elastin
c. Activating elastase
d. Activating AAT
e. Binding type IV collagen to elastin

A

Cross-linking elastin

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10
Q

A 33-year-old homeless woman has been living in an abandoned
building and eating dried meat and bread from the dumpster behind
a delicatessen. She smokes cigarettes “bummed” from others. She
presents at a free clinic with bleeding under the skin, particularly
around hair follicles, and bruises on her arms and legs. She is irrita-
ble, clinically depressed, and fatigued with general muscle weakness.
Her gums are bleeding, swollen, purple, and spongy, with several
loose teeth. She has an infected toe, which may be broken. She is afe-
brile, a glucose finger-stick is normal, and the urine dipstick shows
no sugar, protein, or ketones. You suspect a vitamin deficiency. What
might be the underlying mechanism for this patient’s symptoms?
a. Decreased degradation of collagen
b. Stimulation of prolyl hydroxylase
c. Formation of unstable collagen helices
d. Excessive callus formation in healing fractures
e. Organ fibrosis

A

Formation of unstable collagen helices

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11
Q

The molecular basis for the shock absorbing properties of cartilage involves which of the following?
a. Electrostatic interaction of proteoglycans with type IV collagen
b. Ability of glycosaminoglycans to bind anions
c. Noncovalent binding of glycosaminoglycans to protein cores
d. Sialic acid residues in the glycoproteins
e. Hydration of glycosaminoglycans

A

Hydration of glycosaminoglycans

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12
Q

What distinguishes cartilage from most other connective tissues?
a. Its extracellular matrix is rich in collagen.
b. Its predominant cell type is a mesenchymal derivative.
C.Its predominant cell type secretes both fibers and proteoglycans.
d. It lacks blood vessels.
e. It functions in mechanical support.

A

It lacks blood vessels.

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13
Q

Which feature is typical of elastic cartilage?
a. Primary skeletal tissue in the fetus
b. No identifiable perichondrium
c. Found in intervertebral discs
d. Most widely distributed cartilage type in the body
e. Collagen is mainly type

A

Collagen is mainly type

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14
Q

Which area in cartilage is relatively collagen-poor and proteoglycan-rich?
a. Fibrocartilage
b. Territorial matrix
c. Epiphyseal plate
d. Interterritorial matrix
e. perichondrium

A

Territorial matrix

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15
Q

What is the source of the mesenchymal progenitor cells activated for the repair of hyaline cartilage of accident-damaged costal cartilages?
a. Perichondrium
b. Adjacent loose connective tissue
c. Bone of the adjacent ribs) and sternum
d. Chondrocytes of the injured cartilage
e. Stem cells circulating with blood

A

Perichondrium

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16
Q

How does articular cartilage differ from most other hyaline cartilage?
a. It undergoes mainly appositional growth.
b. It contains isogenous groups of chondrocytes.
c. It lacks a perichondrium.
d. Its matrix contains aggrecan.
e. It is derived from embryonic mesenchyme.

A

It lacks a perichondrium.

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17
Q

Which step occurs first in chondrogenesis?
a. Appositional growth
b. Conversion of chondroblasts to chondrocytes
c. Formation of mesenchymal condensations
d. Interstitial growth
e. Secretion of collagen-rich and proteoglycan-rich matrix

A

Formation of mesenchymal condensations

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18
Q

Osteoarthritis is characterized by the progressive erosion of articu-lar cartilage. The matrix metalloproteinases involved in this erosion primarily act on which matrix component?
a. Aggrecan
b. Link proteins
c. Network-forming collagen
d. Fibril-forming collagen
e. Chondronectin

A

Fibril-forming collagen

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19
Q

A 28-year-old woman visits the family medicine clinic complaining of loss of the sense of smell, nosebleeds, problems with swallowing, and hoarseness. She admits to “casual, social use” of cocaine on a regular basis since her sophomore year of college. A complete examination of her nose with a speculum and otoscope shows severe rhinitis (inflam-mation). There is also perforation and collapse of the nasal cartilage resulting in a “saddle nose” deformity. Erosions in the enamel of her front teeth are noted. The breakdown of the nasal cartilage releases collagen fibers primarily of which type?

a. Type I
b. Type II с. Type III
d. Type IV
e. Type VII

A

Type II

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20
Q

A 66-year-old man who suffered from severe osteoarthritis is referred to an orthopedic surgeon for replacement of his right knee.
He had been actively involved in both high school and intercollegiate football and had continued running until about the age of 45 as a form of relaxation and exercise. With the patients permission, the removed joint is used by investigators performing a proteomic analysis of different joint tissues. The meniscus was found to contain almost exclusively type I collagen and aggrecan was undetectable.
What is the most likely explanation for this result?
a. The meniscus normally consists of dense regular connective tis-sue, which contains primarily type I collagen.
b. The meniscus normally consists of fibrocartilage, which contains only type I collagen.
c. The meniscus had undergone repeated rounds of repair due to wear-and-tear during which its hyaline cartilage component was replaced by dense connective tissue.
d. Osteoarthritic injury in the knee resulted in the chondrocytes of the meniscus switching from expression of genes for type II collagen to type I collagen.
e. Elastic cartilage is normally replaced by fibrocartilage during aging and this process can be accelerated by exercise.

A

The meniscus had undergone repeated rounds of repair due to wear-and-tear during which its hyaline cartilage component was replaced by dense connective tissue.

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21
Q

Which component of bone impedes the distribution of nutrients and oxygen to osteocytes?
a. ECM
b. Canaliculi Periosteum
d.Cell processes
e. Haversian canals

A

Haversian Canals

22
Q

Which if the following most accurately describes compact bone?
a. Predominant bone type in the epiphyses of adult long bones
b. Also known as cancellous bone
c. Characterized by the presence of osteons
d. Lines the medullary (marrow) cavity
e. Forms the diploe in cranial bones

A

Characterized by the presence of osteons

23
Q

In healthy bone, canaliculi are likely to contain which one of the following?
a. Capillaries
b. Nerve axons
c Osteocytic processes
d. Osteoid
e. Osteoclasts in resorption lacunae

A

Osteocytic processes

24
Q

Which of the following most accurately describes the endosteum?
a. Composed of two layers: osteogenic and fibrous
b. Continuous with the joint capsule
c. Attached to the bone surface by collagen bundles called Sharpey
fibers
d. Lines the medullary cavity
e. Contains mature osteocytes

A

Lines the medullary cavity

25
In the diaphysis of a typical long bone, which of the following structures is in closest proximity to the trabeculae of cancellous bone? a. Interstitial lamellae b. Osteons c. Sharpey fibers d. Outer circumferential lamellae e. Inner circumferential lamellae
Inner circumferential lamellae
26
Which "zone" of endochondral ossification in the growing femur of an adolescent is the farthest from that bone's secondary ossification center? a. Zone of hypertrophy b. Zone of reserve cartilage c. Zone of calcified cartilage d. Zone of ossification e. Zone of proliferation
Zone of ossification
27
The major lubricant for diarthrotic joints is synthesized by cells located in which joint structure? a. Nucleus pulposus b. Synovial membrane c. Articular cartilage d. Annulus fibrosus e. Fibrous capsule
Synovial membrane
28
A 25-year-old man presents with persistent joint pain and a history of recurrent fractures of each humerus. His hematocrit and complete blood count (CBC) are normal, but blood calcium levels are high. Hormone levels are all within normal ranges except PTH that exceeds normal by threefold. Which if the following could be prescribed to offset the effects of the elevated PTH? a. Vitamin D b. Vitamin C c. Recombinant RANK ligand d. Somatotrophin (growth hormone) e. Calcitonin
calcitonin
29
A 42-year-old woman, who has been a type 1 diabetic for 30 years, falls when she trips over the vacuum cleaner hose. She tried to break her fall by placing her hand out to save herself and in the process с- her wrist was forced backward, breaking her radius near the wrist. Which of the following is produced in the first step in healing this bone injury? a. Osteoid b. Hematoma c. Bony callus d. Fibrocartilage e. Compact bone
hematoma
30
A 46-year-old woman presents with pain in the left leg that worsens on weight bearing. An x-ray shows demineralization, and a bone biopsy decalcified with EDTA shows reduction in bone quantity. The patient had undergone menopause at age 45 without estrogen replacement. She reports long-standing diarrhea. In addition, laboratory tests show low levels of vitamin D, calcium, and phosphorus, and elevated alkaline phosphatase. A second bone biopsy was taken but not decalcified, which showed extensive deposition of uncalci-fied osteoid on all the bone surfaces. On the basis of these data, the best diagnosis would be which of the following? a. Osteoporosis b. Scurvy c. Osteomalacia d. Rickets e. Hypoparathyroidism
osteomalacia
31
Which biochemical component of the erythrocyte cell surface is primarily responsible for determining blood type (eg, the A-B-O system). a. Fatty acid b. Carbohydrate c. Nucleic acid d. Protein e. Cholesterol
carbohydrate
32
What cell in circulating blood is the precursor to microglia and most antigen-presenting cells? a. Eosinophil b. Basophil c. Lymphocyte d. Monocyte e. Mast cell
Monocyte
33
What is the approximate life span of a circulating erythrocyte? a. 8 days b. 20 days c. 5 weeks d. 4 months e. 1 year
4 months
34
Which cell type has cytoplasmic granules that contain heparin and histamine? Eosinophils b. Basophils c. Lymphocytes d. Monocytes e. Neutrophils
Basophils
35
A differential cell count of a blood smear from a patient with a parasitic infection is likely to reveal an increase in the circulating numbers of which cell type? a. Neutrophils b. Lymphocytes c. Monocvtes d. Basophils e. Eosinophils
eosinophils
36
Which of the following blood cells differentiate outside of the bone marrow? a. Neutrophils b. Basophils c. Eosinophils d. Tlymphocytes e. Megakaryocytes
Tlymphocytes
37
Examination of a normal peripheral blood smear reveals a cell more than twice the diameter of an erythrocyte with a kidney-shaped nucleus. These cells are less than 10% of the total leukocytes. Which of the following cell types is being described? a. Monocyte b. Basophil Eosinophil d. Neutrophil e. Lymphocyte
monocyte
38
A 43-year-old anatomy professor is working in her garden, pruning rose bushes without gloves, when a thorn deeply penetrates her forefinger. The next day the area has become infected. She removes the tip of the thorn, but there is still pus remaining at the wound site. Which of the following cells function in the formation of pus? a. Cells with spherical nuclei and scant cytoplasm b. Biconcave cells with no nuclei c. Cells with bilobed nuclei and many acidophilic cytoplasmic d. Very small el like elements with no nuclei but many granules e. Cells with polymorphic, multilobed nuclei
Cells with polymorphic, multilobed nuclei
39
A 35-year-old woman's physician orders laboratory blood tests. Her fresh blood is drawn and centrifuged in the presence of heparin as an anticoagulant to obtain a hematocrit. From top to bottom, the fractions resulting from centrifugation are which of the following? a. Serum, packed erythrocytes, and leukocytes b. Leukocytes, erythrocytes, and serum proteins c. Plasma, buffy coat, and packed erythrocytes d. Fibrinogen, platelets, buffy coat, and erythrocytes e. Albumin, plasma lipoproteins, and erythrocytes
Plasma, buffy coat, and packed erythrocytes
40
A hematologist diagnoses a 34-year-old woman with idiopathic thrombocytic purpura (ITP). Which of the following symptoms/ characteristics would one expect in this patient? a. Normal blood count b. Hypercoagulation c. Decreased clotting time d. Abnormal bruising e. Light menstrual periods
Abnormal bruising
41
In which of the following cells involved in erythropoiesis does hemoglobin synthesis begin? a. Orthochromatic erythroblast b. Polychromatophilic erythroblast c. Reticulocyte Basophilic erythroblast e. Proerythroblast
Basophilic erythroblast
42
Which of the following can be used to describe megakaryocytes? a. Multinucleated b. Formed by fusion of haploid cells c. Precursors to bone marrow macrophages d. A minor but normal formed element found in the circulation e.Possess dynamic cell projections from which one type of formed element is released
Possess dynamic cell projections from which one type of formed element is released
43
Which cytoplasmic components are the main constituents of the dark precipitate that forms in reticulocytes upon staining with the dye cresy! blue? a. Golgi complexes b. Hemoglobin c .Nucleoli d. Nuclear fragments e. Polyribosomes
Polyribosomes
44
Which process occurs during granulopoiesis but not during erythropoiesis? 6. Ehlomate one intestosis c. Nucleus becomes increasingly lobulated d. Overall cell diameter decreases e. Overall nuclear diameter decreases
Nucleus becomes increasingly lobulated
45
What fate often awaits granulocytes that have entered the marginat-ing compartment? a. Undergo mitosis b. Crossing the wall of a venule to enter connective tissue c. Cannot reenter the circulation d. Differentiate into functional macrophages e. Begin to release platelets
Crossing the wall of a venule to enter connective tissue
46
What is the earliest stage at which specific granulocyte types can be distinguished from one another? a. Myelocyte b. Band form c. Reticulocyte d. Metamyelocyte e. Promyelocyte
Myelocyte
47
Which cell type is capable of further mitosis after leaving the hemo-poietic organ in which it is formed? a. Basophil b. Eosinophil Reticulocyte d. Lymphocyte e. Neutrophil
lymphocyte
48
Shotget elite gene i di eats to with a erytio (familial polycythemia). During the seventh to ninth months of fetal development, the primary effect on her red blood cell production was in which of the following? a. liver b. Yolk sac c. Spleen d. Thymus e. Bone marrow
Bone marrow
49
A 54-year-old man presents with recurrent breathlessness and chronic fatigue. After routine tests followed by a bone marrow biopsy, he is diagnosed with lymphocytic leukemia. Chemotherapy is administered to remove the cancerous cells, which also destroys the precursor cells of erythrocytes. To reestablish the erythrocytic lineage, which of the following cells should be transplanted? a. Reticulocytes b.orthochromatophilic erythroblasts c. metamyelocytes d. Basophilic erythroblasts e. Metamyelocytes
Basophilic erythroblasts
50
A smear of blood from a 70-year-old leukemia patient reveals a larger than normal population of cells that have large, round nuclei with one or two nucleoli. The cytoplasm of these cells shows azuro-philic granules. Which of the following forms of leukemia would you suspect? a. Promyelocytic leukemia b. Basophilic leukemia c. Lymphoblastic leukemia d. Stem cell leukemia e. Eosinophilic leukemia
Promyelocytic leukemia