bone and joint Flashcards

1
Q

these lay down osteoid

A

osteoblasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

non-mineralized matrix called:

A

osteoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

three components of long bone:

A

epiphysis, metaphysis, diaphysis (long)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

epiphysis is covered by:

A

cartilage (joint)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

metaphysis is where:

A

blood suppply comes in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

main component of bone, length and strength:

A

diaphysis (it’s hollow)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is epiphyseal growth plate for?

A

cartilage laid down before become bone–>

endochondral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is epiphyseal growth plate for?

A

cartilage laid down before become bone–>

endochondral ossification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

predominant mineral?

A

Ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

mature osteoblasts

A

osteocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

these remodel bone

A

osteoclasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

autosomal dominant, defect of endochondral ossification, growth of long bone retarded, normal trunk cause dwarfism

A

achondroplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

mutation in laying down of collagen, born with multiple fractures, blue sclerae, thin skin, thin dental enamel

A

osteogenesis imperfecta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

mutation in laying down of collagen, born with multiple fractures, blue sclerae (whites of eyes), thin skin, thin dental enamel

A

osteogenesis imperfecta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

bacterial infection of bone

A

osteomyelitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

causes of osteomyelitis?

A

pyogenic cocci (staph in metaphysis–>diaphysis–>pus into epiphysis), mixed flora (drug addiction), TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

devitalized bone fragments cut off from blood supply (dead bone)

A

sequestra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

reactive bone formed to wall off infection (laying down of new bone)

A

involucrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

bone is thin, 1/3 of women >65 yrs affected, prone to fractures

A

osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

secondary cause of osteoporosis

A

hormonal problems, dietary, immobilization, drugs (anticonvulsants, heparin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

after age __ bone loss >form

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

postmenopause osteoporosis in trabecular bone (vertebrae, wrist)

23
Q

old age osteoporosis in cortical and trabecular bone of long bones (neck of femur)

24
Q

soft bones. abnormal (not calcified), disturb of vit D or PO4 metabolism

A

osteomalacia

25
osteomalacia is called __ in kids
rickets
26
causes of osteomalacia
vit D, hypophosphatemia
27
deformities in rickets
bow legs, pigeon breast, growth retardation
28
symptoms of osteomalacia and rickets
muscle spasms and fractures
29
types of fractures?
simple, compound, comminuted, complete, incompete
30
incomplete also called:
greenstick
31
fracture with several fragments
comminuted
32
causes of fracture
traumatic; pathologic
33
step one of fracture healing:
hematoma fills and surrounds injured area, clotted blood seals off fracture site
34
step two of fracture healing:
acute inflammatory response, granulation tissue. new blood vessels and fibroblasts, osteoblasts start making osteoid and sprinkle Ca
35
step three of fracture healing:
realignment by osteoclasts/osteoblasts
36
what is callus?
area of healing of fracture
37
fracture treatment
immobilization, reconstruction of any gap, debridement
38
what is debridement?
get rid of necrotic tissue
39
location of osteosarcoma?
metaphysis, long bones
40
osteosarcoma common in:
young persons, males
41
degenerative joint disease-->wear and tear of articular cartilage (soft, thin, vertical clefts, surface defects)
osteoarthritis
42
what is eburnation?
denuded bone
43
what is bone degeneration called?
bone cysts
44
what is osteophyte?
new bone formation in osteoarthritis (Heberden's nodes)
45
clinical features of osteoarthritis?
pain/stiffness, crepitus, swelling/warmth, Heberden's nodes
46
what is crepitus?
grating sensation on movement
47
systemic autoimmune disease affecting synovial joints, chronic inflammation
rheumatoid arthritis
48
rheumatoid arthritis more common in:
women
49
exudation of fluid and inflammatory cells into joint
synovitis
50
what is pannus?
ingrowth of vessels + synovial cells-->granulation tissue (inflamed synovium)
51
what is synovium?
lubrication, protection of joints
52
what does pannus do?
secrete lytic enzymes that destroy cartilage
53
immobilized joints referred to as:
ankylosis
54
complications of rheumatoid?
joint deformities, ulnar drift, lung fibrosis