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BSI test 4

bones!

QuestionAnswer
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
Created by: jeanieceford
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