MSK Flashcards

(37 cards)

1
Q

name a short bone

A

Carpals and tarsals

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2
Q

what is a sesamoid bone

A

patella and hyoid

a bone embedded in a tendon with no proper articulations

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3
Q

What type of bone is the scapula

A

Flat

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4
Q

what is cortical bone

A

compact dense bone eg the outside of the bone

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5
Q

what is trabecular bone

A

spongy appearance network of struts with many gaps
high strength
light weight

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6
Q

what is woven bone

A

fast made disorganized fibers

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7
Q

what type of collagen would you find in bone

A

Type I and V

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8
Q

what is lamellar bone

A

organized bone that replaces woven bone, but takes longer to make

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9
Q

what is the diaphysis

A

the shaft of the bone

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10
Q

what is the epiphysis

A

the head of the bone

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11
Q

what is the layer of facia that surrounds bones

A

periosteum

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12
Q

what are the 2 types of ossification processes

A

endochondral

intramembranous

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13
Q

what is endochondral ossification

A

Hyaline cartilage occupies space initially but is ossified later on - such as fetal development and long bone fracture healing

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14
Q

what is intramembranous ossification

A

bone forms directly from mesenchyme

usually for flat and irregular bones what

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15
Q

what forms the primary ossification center in bone formation

A

osteoblasts

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16
Q

What is a medullary cavity and how is it formed

A

where bone marrow sits

formed through breaking down of

17
Q

explain intramembranous ossification process

A
  • Mesenchymal stem cells cluster to form nidus
  • Cells in the nidus become osteoprogenitor cells
  • Osteoprogenitor cells become osteoblasts
  • Osteoblasts produce ECF type 1 collagen
  • Some osteoblasts get trapped and become osteoclasts
  • Spicules/Spurs grow to become trabeculae, and periosteum forms around it.
18
Q

What is the epiphysial plate

A

A growth plate allowing bones to elongate in children as they age

19
Q

what is the epiphyseal line

A

where the growth plate has ossified

20
Q

what mediates mineralization of bone fibrous matrix

A

vitamin D and Parathyroid hormone

21
Q

what differentiates into osteoclasts in remodeling

22
Q

what are reasons for remodeling of bone

A
changing shape
replacing woven bone 
reorientation of fibrils and trabeculae structure 
response to load 
calcium release 
damage repair
23
Q

What is RANK signaling pathway

A

RANK Ligand secreted by osteoblasts
binds to monocytes and causes osteoclast differentiation
oestrogen stimulates osteoblast secretion of RANK Ligand

24
Q

What does OPG stand for

A

osteoprotegerin

25
What is the role of OPG
Antagonises RANK L | prevents bone reabsorption
26
what produces OPG
osteoblasts and stromatolites
27
what is Wolff's Law
Bone will adapt to loads under which it is placed
28
what is Calcitriol
Active Vit D
29
what does calcitriol do?
promotes absorption of calcium in the duodenum and proximal jejunum
30
when and where is calcidiol converted to calcitriol
in the kidney in the presence of PTH
31
Where is calcidiol produced and what is it produced from?
Vit D3 to calcidiol is done in the liver | under cytochrome p450 system
32
What produces calcitonin and when
Thyroid C-Cells | Hypercalcemia
33
What regulates serum phosphates
FGF-23
34
What produces FGF-23 and what does it do?
Produced by osteocytes in response to PTH decreases calcitriol increases phosphate excretion in kidneys - by decreasing Na+ PO4- cotransporters
35
what is a synarthroses joint
immobile fibrous joints e.g manubriosternal joint
36
A joint is diathroses. What does this describe
A freely moving synovial joint
37
Amphiarthroses joint describes what?
slightly mobile joints | intervertebral disks