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BSI test 4
bones!
| Question | Answer |
|---|---|
| what is the shaft of a long bone? | Diaphysis |
| what is the distal and proximal ends of the long bone? | epiphysis |
| where is the articular cartilage located? | end of epiphysis |
| what is the articular cartilage? | hyaline cartilage covering epiphyses |
| What is the Metaphyses? | between the diaphysis and epiphyses contains epiphyseal plate and epiphyseal line |
| What is the epiphyseal plate? | layer of hyaline cartilage allows for bone to grow in length |
| what is the epiphyseal line? | cartilage is replaced with bone |
| what is the periosteum? | sheath of sense irregular connective tissue surrounding the bone surface. |
| what helps serve as an attachment point for ligaments and tendons? | periosteum |
| what is the medullary cavity? | space within diaphysis |
| what is the endosteum? | thin membrane that lines the medullary cavity |
| what is the principle artery that supplies the shaft of the bone? | the nutrient artery |
| where do the branches of the nutrient artery go? | through the canals of the haversian systems and other cavities of the bone |
| the nutrient artery enters the diaphysis via what? | the nutrient foramen |
| the bone contains an abundant matrix that surrounds | widely spaced cells |
| the bone matrix consists of | inorganic salts deposited on a mineral framework (osteoid) |
| what are osteogenic cells? | undifferentiated stem cells |
| what are osteogenic cells derived from? | mesenchyme |
| where are osteogenic cells located? | along inner portion of periosteum, endosteum, and in canals that contain blood vessels |
| what are osteoblasts | bone building cells |
| how do osteoblasts initate calcification? | by secreting alkaline phosphates |
| what are osteocytes? | mature bone cells that maintain daily metabolism of bone tissue DO NOT undergo cell division |
| what are osteoclasts? | cells derived from stem cells in the bone marrow that give rise to monocytes |
| what are monocytes | cells of the immune system |
| multinucleated osteoclasts are formed how? | differentiation and fusion of monocytes |
| what cells are responsible for bone reabsorption? | osteoclasts |
| when is the ruffled border of the osteoclast more pronounced? | when it is activated and ready to secrete lysosomes |
| compact bone is arranged in units called | osteons |
| osteons are also known as | havarsion systems |
| the havarsion canal contains what? | blood vessels and lymphatic vessels and nerves |
| perforating or volkman's canal does what? | connects central canals to eachother, to medullary cavity and to the periosteum |
| concentric lamellae and inner and outer circumferential lamellae are what? | rings of hard calcified matrix |
| what is lacunae? | spaces in matrix that hous osteocytes |
| what are canaliculi? | small channels filled with extracellular fluid connecting adjacent lacunae |
| what do canaliculi contain? | fingerlike processes of osteocytes which communicate via gap junctions with neighboring osteocytes |
| where is red marrow housed? | in the spongy bone |
| what type of bone tissue makes up most bones? | spongy bone |
| where is red marrow located in adults? | sternum, vertebrae, ribs, hip bones, clavicles, femur, humerus, and cranial bones |
| what does the red marrow contain? | adipocytes, fibroblasts, blood cells and macrophages within a network of reticular fibers |
| where is the yellow marrow located? | medullary cavity |
| what does yellow marrow contain? | adipocytes and a few blood cells |
| where are triglycerides stored in the bone? | in the yellow marrow |
| nerves follow what into the bone tissue? | vessels |
| what do nerves do for bones? | sense damage and transmit pain messages |
| bone is the storehouse for what primary minerals? | calcium and phosphate |
| where does blood cell production take place in the bone? | red bome marrow |
| which hormone is secreted from bones? | osteocalcin |
| what is the function of osteocalcin? | helps regulate blood glucose levels |
| what is the major organic component of thematrix? | collagen |
| what is bone grown controlled by? | hormone IGF-1 |
| what is the zone of resting cartilage made up of? | hyaline cartilage with scattered chondrocytes |
| what is the function of the zone of resting cartilage? | connects epiphysis to growth plate |
| where is the zone of resting cartilage located | nearest to the epiphyses |
| what happens to section of bone in ages 18-25? | epiphyseal plate become epiphyseal line by turning into bone. this stops bone growth. |
| what happens in the zone of proliferating cartilage | chondrocytes undergo suessive mitotic divisions to form columns of cells |
| what hapens in the zone of hypertrophic cartilage? | maturation of cells, chondrocytes hypertrophy |
| lendthening of the diaphysis is a result of | the zone of proliferation cell division |
| zone of calcified cartiliage consists of what? | a cacificed matrix around hypertrophied chondrocytes |
| osteoblasts secrete what? | alkaline phosphates that initates crystallization of mineral salts |
| appositional growth is what? | thickening of the bone |
| collagen breakdown products have what? | pyridinoline structures that can be measured in urine as a rate of bone resorption over time |
| serum bone-specific alkaline phosphatase levels are used to do what? | measure rate of bone formation or bone turnover |
| how do osteoblasts and clasts communicate? | RANK RANKL OPG |
| RANKL is the receptor activator of what? | NF-kB |
| RANKL is expressed where? | membrane of osteoblasts and some immune cells |
| RANK is the preceptor for | RANKL |
| to stimulate osteoclastogenesis and exisiting osteoclast activity what does RANKL do? | RANKL binds to RANK |
| OPG stands for | osteoprotegerin |
| OPG inhibits osteoclastogenesis by doing what? | binding to RANKL so it cannot bind to RANK |
| what controls the bone remodeling process? | the balance of RANKL/OPG expression |
| PTH does what to the bone? | increases RANKL and suppresses OPG |
| IL-6 does what to the bone? | increases RANKL and suppresses OPG |
| Estrogen does what to the bone? | stimulates OPG anf suppresses RANKL |
| 50% of calcium that is stored in the plasma is | ionized and not bound to anything |
| the biologically active form of calcium is what type? | the ionized approximatly .5% of calcium in body |
| 41% of calcium that is stored in the plasma is | bound to albumin |
| 9% of calcium that is stored in the plasma is | bound to anions |
| what is calcium used for in the body? | blood clotting, muscle contraction and nerve function |
| What does ADH do? | stimulates reabsorbtion of water |
| hypercalcemia does what to the kidney | makes it insensiticve to ADH which increases urination |
| hypercalcemia does what to the blood? | increases osmolarity which makes tour brain want to drink more |
| 2/3 of plasma phosphate is in | organic compounds |
| 1/3 of plasme phosphate is in | inorganic comounds (Pi) |
| what does PTH do? | increases plasma calcium and decreases plasma phosphate |
| what is secreted in response to low plasma Ca levels | PTH |
| PTH increases | reabsorption of Ca by kidneys |
| Calcitonin | decreases plasma calcium and phosphate and decreases bone resorption |
| Vitamin D | increases plasma calcium and phosphate, increases intestinal absorption of Ca and P |
| Vitamin D is converted in the liver by Vitamin D-25-hydroxylase to | -hydroxyvitamin D3 [25(OH)D3] |
| hydroxyvitamin D3 is also known as | calcitrial |
| Vitamin D2 or D3 comes from | conversion of 7 dehydrocholesterol in the skin by UVb or radiation |
| 25(OH)D3 is what in this form? | inactive and must be converted in the kidneys |
| 1,25 hydroxyvitamin D3 is what in this form? | biologically active |
| 1,25 hydroxyvitamin D3 [1,25(OH)2D3] is also known as | calcitriol |
| PTh stimulates the 1alpha-OHase in the kidney and therefore... | is essential in the activation of Vitamin D |
| what regulatory hormone of calcium and phosphate homestasis reduces risk of cancers and other diseases? | Vitamin D |
| osteoporosis is defined as | havind a BMD 2.5 SDs below peack bone mass as measured by DXA |
| T-score of >-1.0 | normal |
| T-Score of -1.0 to -2.5 | osteopenic |
| T-Score of <-2.5 | osteoproatic |
| what is primary osteoporisis cause from? | cumulative bone loss |
| what is the most common type of osteoporosis? | postmenopausal Type:1 |
| what types are considered primary osteoporosis? | postmenopausal and senile |
| what is secondary osteoporosis caused from? | disease or drug therapy |
| what is kyphosis | hunchback of notredam |
| what can kyphosis lead to | compression of organs |