Professional Documents
Culture Documents
CHAPTER 1
Checkpoint
1. What body function might a respiratory therapist strive to improve? What structures are
involved?
A)
Six LvL’s
1. Chemical — Beginning, includes Atoms that Participate in RxN’s to make Molecules such as
DNA & Glucose
1. Tissue — Group of Cells & Surrounding Materials that work Together to perform the same F’n
A) Epithelial: Covers Body Surfaces, Lines Organs, & Forms Glands
B) Connective: Connects, Supports, & Protects Body Organs [Blood Vessels]
C) Muscular: Contracts to move Body Parts & Generate Heat
D) NRVS: Carries info around body via Nerve Impulses
1.4 Homeostasis
—————————
(O) Exp: How Homeostatic Imbalances are Related to Disorders
Homeostasis — Condition of Equilibrium in the Body’s Internal Enviro via Interactions of Regulatory
Processes
Homeostasis & Body Fluids — We exchange Fluid w/ Cells to Maintain ConC-Equilibrium as well as
for Protective Reasons [Lymph Nodes]
1. Intracellular Fluid [ICF] — Fluid w/in Cells
2. Extracellular Fluid [ECF] — Fluid Outside Cells
3. Interstitial Fluid — Fluid B/W Cells
4. Blood Plasma — Found in B-Vessels. Called Lymph if in Lymphatic-Vessels
OR Cerebrospinal Fluid OR Synovial Joints OR Aqueous Humor / Vitreous Body
CTRL of Homeostasis
1. Feedback SyS’s — Cycle of Events that can be Changed for Homeostasis such as ^nC’ing
Sweat when we Feel HOT or Shivering when we feel COLD
3 Components…
(1) Receptor: Monitors Change & Sends Input to CTRL Center = Afferent Pathway
(2) CTRL Center: Brain = Evaluates Input & Generates Output = Efferent Pathway
(3) Effector: Receives Output & Produces Response
1. PoS-Feedback SyS — Strengthens Response
Homeostatic Imbalances
1. Disorder — Abnormality of Structure or F’n
2. Disease — Specific Term for Illness that has Signs & Symptoms
3. Symptoms — Subjective Changes in Body that ~Observed [Headache]
4. Signs — Objective Changes that CAN be Observed [Rashes]
5. Diagnosis — Science of Distinguishing Disorders from each other
1.5 Basic Anatomical Terminology
—————————————————
(O) Des: Anatomical Position
(O) Relate: Anatomical Names to their Regions on Body
Body Positions — Standard Position of Reference = Anatomical Position = Stands Erect, eyes
forward, Lower Limbs are Parallel & Feet are flat on Floor directed FORWARD while Upper Limbs have
their Palms facing Forward
1. Prone — Lying face-DOWN
2. Supine — Lying face-UP
Regional Names — Head, Neck, Trunk, Upper Limbs, & Lower Limbs [PG 13 EXAM!!]
1. Head — Skull [Encloses Brain] + Face [Front Portion]
2. Neck — Supports Head & Attaches to Trunk
3. Trunk — Chest, Abdomen + Pelvis
4. U-Limbs — Attaches to Trunk = Arms
5. L-Limbs — Attaches to Trunk = Legs + Butt
1. Thoracic Cavity — Chest Cavity that contains the Pericardial Cavity [Fluid that Surrounds
Heart + Pleural & Visceral Pleura] along w/ the Mediastinum [Central Part of Thoracic Cavity]
A) Diaphragm: Separates Thoracic from Abdominopelvic Cavity
4) Nasal Cavity, Mary Cavity, Synovial Cavity, & Orbital Cavity [Eyes]
Thoracic & Abdominal Cavity MeM’s — MeM = Thin tissue that Covers or Connects Structures
1. Serous MeM / Pleura: ~Open Directly to Exterior
A) Parietal Layer: Lines WALLS of Cavities
B) Visceral Layer: Covers & Adheres Viscera w/in Cavities
C) Serous Fluid: Found B/W A & B = Allows for Movement [Inflating Lungs]
Abdominopelvic Regions & Quadrants — 2 Ways we can Divide the Abdominopelvic Areas
1. Abdominopelvic Regions — 2x Horizontal + Vertical Lines [Tic-Tac] Separate the Cavity into
9 Regions [PG 20 EXAM!!!] [F.C ALL THE PARTS]
A) Subcostal Line: Top Horizontal Part
B) Transtubercular Line: Bottom Horizontal Part
C) Midclavicular Lines: Mid-Point
1. Quadrants — Midsagittal Line & Transverse Line cut through Umbilicus [Belly Button] = R/L
Upper Quadrant [R/L-UP] & R/L Lower Quadrant [R/L-LP]
1. Ultrasound Scanning — High Frequency Waves that Reflect off of Structures to give an
Image
Structure of atoms — Smallest Unit of Matter, contain P+ & Neutrons inside Nucleus with e- Outside
as Electron Shells
1. Subatomic Particles — Make up the Atom
Checkpoint
1. What are the atomic number, mass number, and atomic mass of carbon? How are they
related?
A)
Ionic Bonds — Force of Attraction that holds OPP-Charged Ions B/C one is more Electronegative than
the other and becomes the Anion [NeG-Charged], while the Ion that LOST its e-’s becomes
the Cation [PoS-Charged]
1. Electrolyte — Breaks apart into PoS & NeG Ions in Solution [Salt]
Covalent Bonds — > 2 Atoms SHARE e-’s, ~Lose/~Gain
1. Single Covalent Bond — Atoms share ONE e- Pair [H + H = H2]
2. DBL Covalent Bond — 2xPairs of e-‘s are Shared [DBL Bond]
Forms of NRG & Chemical RxN’s — Chemical RxN’s Require NRG = Capacity to do Work. There are
2 forms of NRG; PoT NRG [NRG Stored due to Position] and Kinetic NRG [NRG Associated w/ Motion]
1. Chemical NRG — Form of PoT NRG = Stored in Bonds or Molecules
2. Law of Conservation of NRG — NRG ~Created / ~Destroyed, only Transformed
NRG Transfer in Chemical RxN’s — It takes NRG to form Bonds [Endergonic RxN’s], but breaking
Bonds RELEASES NRG [Exergonic RxN]
1. Metabolism — Couples Endergonic + Exergonic to drive RxN’s
2. Activation NRG — Collision NRG of Atoms that can Break or Form Bonds
A) ConC: More Particles = more likely they will Collide
B) TemP: Gives NRG = Kinetic NRG = Stronger Collisions
C) Catalysts: Lower A-NRG and Speed up Chemical RxN’s
Water — Inorganic Compound = Uneven sharing of Valence e-’s means that it can act as a Solvent B/
C its bonds are Strong but ~Effect RxN [only Dissolves it]
1. H2O as a Solvent — Solution = Solvent [H2O] Dissolves a Solute [Ion]
A) Hydrophilic: Charged or Polar Covalent Bonds [H2O Soluble]
B) Hydrophobic: ~Polar Covalent Bonds [~H2O Soluble]
1. H2O in Chemical RxN’s — H2O is a Medium for RxN’s such Hydrolysis or Dehydration SyN
RxN’s where water is USED or MADE
1. Thermal Properties of H2O — Water can Absorb or Release Heat while having very little
Change happen to it = High Heat Capacity due to amount of H+-Bonds
A) Heat of Vaporization: High B/C LOTS of NRG Required to get H2O to Boil
Note; Mole — Amount of Substance that has a Mass in Grams EQUAL to the Sum of the Atomic
Masses of ALL its Atoms [NaCl = 58.44g = 22.99+34.45]
Inorganic Acids, Bases, & Salts — These DISSOCIATE into Ions due to H2O
1. Acid — Dissociates into H+
A) Proton Donor: Gives H+ to other Molecules
1. Salts — Dissociates into Cation & Anion = Important for making Electrical Currents
Maintaining pH; Buffer SyS’s — Convert Strong Acid/Bases into Weak Acids/Bases by using Buffers
[Either Remove or Add H+]
1. Carbonic Acid-Bicarbonate Buffer SyS — Take H+ to become CO2 or become HCO3- to
release H+
A) CO2 + H2O <—> HCO3- + H+
Carbohydrates — Sugars, Glycogen, Starch, & Cellulose. F’n = Source of NRG to make ATP to drive
Metabolic RxN’s. Composed of Carbon, Hydrogen, and Oxygen
1. 3 Major Groups of Carbs — Mono / Di / Poly Saccharides
1. Other Lipids
A) Eicosanoids: Lipids derived from Arachidonic Acid. 2 Subclasses…
i) Prostaglandins: Contribute to Inflammatory Responses
ii) Leukotrienes: Mostly Allergic RxN’s
Proteins — Contain Carbon, Hydrogen, Oxygen, AND NITROGEN
1. AAcids & Polypeptides — Each AAcid contains 1xH+, 1xAmino-Group [NH2] & 1xCarboxyl-
Group [COOH], and 1xSide-Chain [Chemical Property]
1. Functions [PG 49]
(1) Structural — Form Framework of Body [Collagen]
(2) Regulatory — F’n as Hormones to CTRL Processes [Insulin]
(3) Contractile — Shortening of Muscle for Movement [Myosin]
(4) Immunological — Antibodies
(5) Transport — Carry Substances [Hemoglobin]
(6) Catalytic — Act as Enzymes [Salivary Amylase]
1. 4 Structures to Proteins
A) Primary: AAcid Sequence [Dictates what Protein it’ll be]
B) Secondary: Folding of Peptide on itself [Alpha Helix or B-Pleated Sheet]
C) Tertiary: 3D Structure
D) Quaternary: 2xPolypeptides Bind
1. Shapes of Proteins
A) Fibrous: Insoluble in H2O & have Parallel Polypeptide Binded Chains and have Structural
Functions [Myosin, Collagen, Fibrin] [Enzymes v]
B) Globular: Soluble in H2O, Spherical Polypeptide Chains = Metabolic F’ns
Nucleic Acids: DNA & RNA — Nucleic Acids = Organic Molecules that contain Carbon, Hydrogen,
Oxygen, Nitrogen, & Phosphorous [PG 53 DIAGRAM EXAM!!!]
1. DNA — Gene = Segment of DNA = Determine Traits we Inherit
2. RNA — Relays Instructions from Gene’s for Expression via Translation
3.2 Plasma-MeM
—————————
Plasma MeM — Barrier that can be described as a Fluid Mosaic Model where the Arrangement of
the MeM resembles a Sea of Fluid-Lipids that contain a Mosaic of DIFF Proteins
1. Integral Proteins — Extend into Lipid Bilayer and are Embedded, acting as Trans-MeM
Proteins [Span Entire Lipid Bilayer and into Cytosol] = Amphipathic
A) Glycoproteins: Carbohydrate Group forms a Glycocalyx = Sugary Coat that acts as a Signal for
the Body to Recognize = Cell-Cell Communication
B) Receptors: Are Integral Proteins
MeM Fluidity — Depends upon the #-of DBL Bonds [Introduces Kinks = ^nC MeM Fluidity by
Preventing Lipids from Tightly Packing] & Cholesterol Present
1. Note — Fluidity is GOOD B/C it allows Material to Enter & Exit
Gradients across Plasma MeM — Uses ConC Gradient [Flow of Na+ inside, while flow of K+
outside] along w/ Electrical Gradient [Inside = More NeG] = MeM-PoT
1. Simple Diffusion — Substances move Freely through Bilayer w/out any Help [O2]
1. Facilitated Diffusion — Too Large or Charged, require Integral Proteins to help them move
Across MeM. Two ways…
(1) Channel-Mediated — Solute moves DOWN ConC-Gradient through a Channel
B) Glucose: Binds to Carrier Protein [GLUT], Transporter changes Shape to Bind to it, and Transports it
through MeM to Release it on the other side [EX]
1. Secondary Active Transport — NRG stored in one Gradient is used to Fuel other Gradients
= Harnesses Na+ ConC Gradient to fuel Others [Glucose]
A) Symporters: Transporters move the 2xSubstances in SAME Direction
B) Antiporters: Transporters “ “ in OPP Directions
3.4 Cytoplasm
———————
(O) Des: Structure & F’n of Cytoplasm, Cytosol, & Organelles
Cytosol — Fluid Portion that is filled w/ H2O & Dissolved Solutes and is the Site of Chemical RxN’s
such as Glycolysis and Translation [PG 75, DIAGRAM EXAM!!!]
1. Cytoskeleton — Network of Protein Filaments that extend through Cytosol
A) Microfilaments: Actin + Myosin, that Generate Movement & Provide Mechanical Support [Shape of
Cell along w/ Microvilli]
i) Microvilli: Projections of MeM to ^nC its Surface Area
1. Cilia & Flagella — Cilia = Extend from Surface that help move Substances [Mucus],
while Flagella = Move entire Cells. Both are made from Microtubules
1. Ribosomes — Site for Protein-SyN that consists of a Large & Small Subunit
A) Their Location can Differ [on ER, Free-Floating, or even in Mitochondria]
(2) Vesicle Fuses w/ Entry face & Releases Proteins Inside where they go to Medial Cisternae and
are Modified [Attach Pi or Carbohydrate or Fat]
(3) Products are then moved to Exit Face — Put into Secretory Vesicles [Exocytosis] OR
into MeM-Vesicles so the they are Incorporated into Plasma-MeM
Nucleoli — Spherical Bodies that F’n to Produce Ribosomes [rRNA] = Cluster of Protein + DNA + RNA
Transcription — DNA serves as Temple to make RNA. Occurs in Nucleus [PG 87]
1. Messenger RNA [mRNA] — Directs SyN of Proteins
2. Ribosomal RNA [rRNA] — Joins w/ Ribosomal Proteins to make Ribosomes
3. Transfer RNA [tRNA] — Contains Anticodon that Base-Pairs w/ mRNA in a Complementary
fashion, then AAcids are made based on this Bonding
RNA Polymerase — Catalyzes Transcription, but Requires a Promoter to start until Terminator is
Reached
1. Introns — ~Coding Regions, are Excised by Small Nuclear
Ribonucleoproteins [snRNPs] and also Join Exons together
2. Exons — Coding Regions, are bonded together via Alternative Splicing
3. Pre-mRNA — Contains both Exons & Introns, and
Translation — mRNA binds to Ribosomes that consist of 3 sites; P [Peptidyl] Site, A [Aminoacyl]
Site, and E [exit] Site [PG 89 DIAGRAM EXAM!!!]
1. mRNA — Binds to Small Subunit, and an Initiator-tRNA binds to the AUG on mRNA. tRNA
Anticodon [UAC] binds to the mRNA Start Codon [AUG]
1. Large Subunit — Binds to Small Subunit, and the Initiator-tRNA goes into the P-Site while the
tRNA binds to A site
1. Methionine + tRNA — Now bind to each other on the A site. The P-Site tRNA goes to E site &
is Released, while A-Site tRNA goes to P site. This repeats with multiple tRNAs until Stop Codon
is Made
Somatic Cell Division — ANY Cell other than a Germ Cell, where Cells undergo Mitosis and
Cytokinesis to Produce IDENTICAL Cells w/ the same # of Chromos. These are Diploid [2n] Cells B/
C they contain 2xSets of Chromos [23+23] and are termed Homologous Chromos [Homologs]
1. Interphase — Cell Replicates its DNA and Organelles via 3 Phases… [PG 91!!]
(1) G1 Phase — Cell is Metabolically Active, replicates its Organelles [~DNA] that lasts 8-10 HOURS
(3) G2 Phase — B/W S & M phase, lasts 4-6 HOURS where Cell Growth & Enzyme Production Occur
in Preparation for Cell Division
1. Mitotic Phase — Formation of 2xIdentical Cells that contains Stages [PG 93 EXAM!]
(1) Prophase — Chromatin Fibers Condense & Shorten into Chromos that are held together
via Centromere [Inside] while Kinetochore [Outside, Protein Complex] is the Site for Attachment of
Mitotic Spindle from Centrioles
CTRL of Cell Destiny — Cells have 3 Possible Futures; F’n w/out Dividing, or Grow / Divide, or Die
1. Cyclin-Dependent Protein Kinases [Cdk’s] — Enzymes that Transfer a Pi from ATP to
Protein to Activate them which Regulates Initiation & Regulation of DNA Replication
Reproductive Cell Division — Meiosis = Occurs in Gonads to Produce Gametes that are 23xChromos
= HAPLOID [n] Cells
1. Meiosis 2 — Very similar to Mitosis where you start with Haploid BUT end w/ 4xGametes
Cells Shape is Related to its FUNCTION — Hence, why sperm has a Flagella Tail
Body Tissues — Classified into 4xTypes according to their STRUCTURE & F’N
1. Epithelial Tissue — Covers Surfaces & Lines Organs/Ducts to form Glands and allows body to
Interact w/ Internal & External Enviro
1. Connective Tissue — Protects & Supports Organs, also Binds them together Acts as a NRG
Reserve [Fats] & Immunological Functions
Cell Junctions — Contact points B/W Plasma MeM & Tissue Cells [PG 107 - 108!!!]
1. Tight Junctions — Trans-MeM Proteins that fuse Together to seal off Passageways = Prevent
Contents from Leaking out of Cells
A) Cadherins: Trans-MeM Glycoproteins, join the Cells by Inserting into Plaques of OPP Side of the
MeM that form Adhesion Belts [Similar to a Belt around your waist] that help RESIST Separation via
Contraction
Checkpoint
1. Which types of cell junctions are found in epithelial tissue?
A.
1. B-Vessels — Epithelial Cells have NO B-V’s, while C-Tissue has Networks of them
A) Note: E-Cells are found Next to C-Tissue to use them for their B-V’s!
1. Surface Layers — Epithelial Cells FORMS Surface Layers, while C-Tissues support Frameworks
and Gland F’ns
Epithelial Tissue [Epithelium] — Cells arranged in a Sheet as Layer(s) that form Coverings & Linings
throughout the body, but is NOT Covered by other Tissues
1. 3 Main F’ns — (1) Selective Barrier (2) Secretory Surface that Releases Products into
the Surface [sweat] (3) Protective Surface that Resists Abrasion
A) Important Roles: Protection, Filtration, Secretion, Absorption, & Excretion
2xTypes of E-Tissue
1. Covering & Lining Epithelium — Forms Covering of Skin & Lining of B-V’s
2. Glandular Epithelium — Make up Secreting Portion of Glands
1. Layers
1. Simple — Single Layer of Cells that function in Secretion [Sweat] and Absorption
2) Pseudostratified — Simple BUT Extend far Up
3) Stratified — > 2 Layers that Protect Underlying Tissues
1. Cell Shape
1) Squamous — Thin = Allows Rapid Passage of substances
2) Cuboidal — Tall & Wide, MAY contain Microvilli for Secretion/Absorption
3) Columnar — Specialized for Secretion/Absorption [Contain Microvilli]
4) Transitional — Change from Squamous-Cuboidal for Organs that Stretch [Bladder]
Total Types of E-Tissues [all contain Epithelium at the end] [PG 112 - 117 EXAM!!!]
1. Simple Epithelium
1. Simple Cuboidal
A) Location: Covers Surface of Ovarys, Lens of Eye, and Lines Kidney Tubules
B) F’n: Secretion/Absorption
B) Compound Gland = Branched
4.5 C-Tissue
———————
(O) Explain: Features of C-Tissue
(O) Des: Structure, Location, & F’n of C-Tissue types
C-Tissue — Acts as a Network to Support E-Tissue and provide Nutrients for Body
Classification of C-Tissues — Two Main types with their Subtypes [PG 124 - 133!!!]
1. Embryonic — 2xSubtypes
A) Mesenchyme: Found in Skin & Bones. F’n = Forms ALL C-Tissues
B) Mucous: Found in Umbilical Cord. F’n = Support
1. Mature C-Tissue
A) Loose C-Tissue
i) Areolar C-Tissue: Found EVERYWHERE. F’n = Strength & Support
ii) Adipose Tissue: Found by Aerolar. F’n = Insulation & NRG Reserve
iii) Reticular C-Tissue: Network of Fibers
o) Location: Stroma of Organs & Filters Worn-out RBC’s
C) Cartilage — Network of Collagen that Resists DMG & Stress. Also Consists of Chondrocytes [found
in Lacunae, Bone] and Perichondrium [Surrounds Cartilage to Protect it]
i) Hyaline Cartilage: Resilient Gel, found in Bones to Provide SMOOTH Surfaces for Movement &
Flexibility
ii) Fibrocartilage: Thick = Hip Bones = Support & Join Structures
iii) Elastic Cartilage: Found in Larynx & Auricle, Provides Elasticity
D) Bone Tissue — Compact + Spongy Bone, Support bone & Store Ca+
E) Liquid C-Tissue
i) Blood Tissue: B-V’s, Transport of O2 & CO2 [RBC] or Immunity [WBC]
ii) Lymph:
Repair & Growth of Cartilage — Repair is Slow B/C its Avascular, but Grow in 2 ways
1. Interstitial Growth — Growth W/IN Tissue = Chondrocytes SyN new Matrix and Expand
[Growing bones] = LENGTH Growth
Bone Tissue — Supports Tissues, used for Movement, & Storage of Ca+
1. Osteon — Basic Unit of Compact Bone. 4 Parts…
A) Lamellae: Consist of Minerals = Hardiness of Bone
B) Lacunae: Spaces B/W ^, contain Osteocytes
C) Canaliculi: Projecting from ^, Networks of Canals for Nutrients & Waste
D) Central/Haversion Canal: Contain B-V’s & Nerves
4.6 MeM’s
—————
(O) Des: Classification of MeM’s
2) Serous — Lines Body Cavity that ~OPEN to Exterior that consist of a Parietal Layer [Lining Cavity
Wall] and Visceral [Adheres w/in Cavity] w/ Serous Fluid [Lubricant]
A) Pleura: Covers Lungs
B) Pericardium: Covers Heart
C) Peritoneum: Covers Abdominal Organs
3) Cutaneous — Covers Surface of Body
Muscular Tissue — Elongated Muscle Fibers for Movement [PG 134-135 EXAM!!!]
1. Skeletal — Striated, Voluntary. Attached to Bones [Tendons]. Multi-Nucleated
A) F’n: Movement, Protection, & Heat Production
Excitable Cells — Neurons + Muscle Fibres B/C they Exhibit Electrical Excitability [Respond to Action-
PoT’s for Effect such as Movement or NeuroTrans Release]
4.9 Tissue Repair
—————————
Stroma or Parenchyma — New Cells Originate from these two
1. Epithelial Cells — Continuous Capacity for Renewal via Stem Cells
2. C-Tissue — Continuous Capacity for Renewal via B-V’s
3. Muscular Tissue — Poor Renewal. Only undergo Hyper/Hypo-Trophy
4. NRVS Tissue — Poorest Capacity
Stratum Spinosum — Can still Divide. Covered in Thorn-like Spines = Projection of Keratin
Intermediate Filaments that insert into Desmosomes to JOIN Cells Together
Stratum Granulosum — Undergoes Apoptosis B/C they’re far from Basale = far from Vascular Portion
= ~Nutrients
A) Kerato-hylain: Assembles Keratin Intermediates into Keratin
B) Lamellar Granules: Fuse w/ Plasma MeM to Release Lipids [Hypodermis]
Keratinization & Epidermis Growth — AS Cells move up the Layers, they Accumulate more Keratin
= Keratinization = Undergo Apoptosis to Replace them overtime
1. Stratum Basale — Most Metabolically Active B/C they’re Closest to B-V’s
2. Epidermal Growth Factor — Proteins that Regulate all of the above
3. Dandruff — Excessive amount of Keratinized Cells that are Shed
Dermis — Composed of Dense, Irregular C-Tissue along w/ Collagen & Elastic Fibers = Tensile
Strength and can Stretch
1. Papillary Region — Contains Collagen & Elastic Fibers. Superficial Portion
A) Dermal Papillae: Project into Epidermis to ^nC Surface Area of 1)
B) Capillary Loops: Found in ^, contain…
i) Corpuscles of Touch: Tactile Receptors for Touch
ii) Free Nerve Endings: Dendrites = Warmth, Itching, Tickling
Surfaces of Lucidum
1. Epidermal Ridges — Ridges/Grooves = our Finger-Print = ^nC Surface Area, Protect
against Mechanism Stress, and ^nC Grip
Hair — Protection from Sunray, Particles [Eyes], and Traps them [Nose]
1. Anatomy of Hair — Composed of Keratinized Cells bounded by Proteins
A) Shaft: Superficial Portion, Projects above Skin [PG 151 DIAGRAM!!!]
B) Root: Deep Portion, in Dermis. Hair is composed of 3 layers…
i) Medulla: Pigment Granules are Located
ii) Cortex: Elongated Cells [how hair is long]
iii) Cuticle: Outermost Layer, Heavily Keratinized Cells
C) Hair Follicle: Surrounds Root, made up of External and Internal Root Sheath [Epithelial Root
Sheath], while Dermal Root Sheath surrounds Hair Follicle
1. Types of Hairs
A) Lanugo: ~Pigmented Hairs, Covers Fetus [shed later on]
B) Terminal Hairs: Heavily Pigmented, Long Hair [my arm]
C) Vellus Hairs: Peach Fuzz
Skin Glands
1. Sebaceous/Oil Glands — Simple, Branched Acinar Glands that Secret Sebum [Triglycerides,
Proteins + Cholesterol] to coat Skin & Hair to Prevent H2O Loss
A) Acne: Inflammation of Sebacous Glands via Androgens = Infection Occurs
Epidermal Wound Healing — Basal Cells go to Cut, Enlarge, and Migrate across Wound to Cover it
until they hit each other [Contact Inhibition]
Deep Wound Healing — Injury goes to Dermis & SubQ Layer = Scar’s Form
1. Inflammatory Phase — Blood Clot forms, Phagocytes Migrate to kill Microbes
1. Migratory Phase — Clot becomes Scab, Epithelial Cells Migrate & Bridge Wound while
Fibroblasts Migrate to SyN Scar Tissue
A) Granulation Tissue: Tissue Filling the Wound
Long Bone — Consists of the Following Parts [PG 171 DIAGRAM EXAM!!!]
1. Diaphysis — Bone’s Shaft [minus the Ends]
2. Epiphyses — Proximal & Distal ENDS of Bone [above & below Diaphysis]
3. Metaphyses — B/W Diaphysis & Epiphyses. Contains Epiphyseal Growth Plate
Bone/Osseous Tissue — Contains an Extracellular Matrix [15% H2O, 30% Collagen, 55% Mineral
Salts] [PG 172, PICTURES EXAM!!!]
A) Most Abundant Mineral Salt = Calcium Phosphate [Ca3(PO4)2]
B) Hydroxyapatite: ^ + Calcium Hydroxide [Ca(OH)2]
C) Calcification: Deposition of Minerals in Bone via Osteoblasts
4 Cells in Bone
1. Osteoprogenitor Cells — Bone Stem Cells derived from Mesenchyme
2. Osteoblasts — Bone-Building. SyN & Secrete Collagen Fibers along w/ Initiating Calcification
[become 3) once they Trap themselves with their own Secretion]
3. Osteocytes — Maintain Bone by Exchanging Nutrients + Waste w/ Blood
4. Osteoclasts — Break down Bone via Lysosomal Enzymes = Resorption
Compact Bone Tissue — Strongest Form of Bone [PG 174 DIAGRAM EXAM!!!]
1. Osteons / Haversion SyS — Repeating Structural Units of Bone found in ^ that consists
of Concentric Lamellae [Plates of Mineralized EC-Matrix w/ B-V’s] around a Central
Canal/Haversion Canal
1. Circumferential Lamellae — Arranged around the Shaft of a Long Bone and are Connected
via Perforating Fibers
1. Structural F’n — The way Trabeculae of Spongy Bone is Shaped is done so B/C they Orient
themselves along lines of Stress to help RESIST Bone Fractures
Veins that Carry Blood AWAY from Bones are found in 3 places
1. 1/2 Nutrient Veins — Accompany Nutrient Artery & exit via Diaphysis
2. Epiphyseal / Metaphyseal Veins — Accompany their Respective Arteries
3. Periosteal Veins — “ “
(5) 2ndary Ossification Center — Epiphyseal Artery goes into Epiphyses and proceeds OUTWARD
(6) Articular Cartilage + Epihphyseal Growth Plate Develo — Hyalin Cartilage covers Epiphyses
is used to Articulate to other Bones
1. Width Growth — Does this via Appositional Growth where Periosteal Cells Differentiate into
Osteoblasts to Secret Collagen = Surrounded and become Osteocytes
Fracture — Break in Bone and are named according to their Severity or Shape
1. Stress Fracture — Fracture w/out Visibly Breaking
Repair of Bone
1. Reactive Phase — Inflammatory Phase and Blood forms @ Fracture Site [Fractura
Hematoma], while Phagocytes kill Bacteria and Osteoclasts remove Dead Bone
1. Osteoperosis — Bone Resorption outpaces Bone Deposition B/C Ca+ is lost via Excretion =
Bone Mass DeC’s & becomes Easy to Break
1. Rickets & Osteomalacia — Same Disease, Results from Inadequate Calcification of the Bone
Matrix via Vit-D Deficiency [mostly for Youth]
Bones can be Classified into 5xMain Types [PG 194 - 195 MEMORIZE!!!!]
1. Long — What you just learned about in CH6
2. Short — Equal Length & Width = Carpal [wrist] & Tarsal [ankle]
3. Flat — Composed of 2xParallel Plates for Protection & Muscle Attachment = Skull
4. Irregular — Complex Shape = Vertebrae
5. Sesamoid — Develop in Tendons that EXP Friction & Physical Stress [Palms]
Sutural Bones — Classified via Location [~Shape] = Bones found in Sutures [Joints] B/W Cranial
Bones [Skull]
7.4 Skull
—————
(O) Name: Cranial + Facial Bones, and Indicate if they’re Paired or Single
(O) Des: Sutures, Paranasal Sinuses, Frontanels
Cranial Bones
———————
Frontal Bone — Forehead + Top half of our Eye Socket [Orbitals]
1. Supraorbital Foramen — Supraorbital Nerve Passes through = Sensation on Head
2. Supraorbital Margin — Eyebrow Bones
3. Frontal Sinuses — Mucous MeM-Lined Cavities
Sphenoid Bone — Keystone of Cranial Floor B/C it Articulates with EVERY Cranial Bond to hold them
Together
1. Sphenoidal Sinus — Drains into Nasal Cavity [gives us Mucus]
2. Sella Turcica — Saddle-Shaped Structure
3. Optic Foramen— Optic (II) Nerve enters through for Eye Sensation
Facial Bones
———————
(O) Identify: Location & Surface Markings of all Facial Bones
2xInferior Nasal Conchae — Form Inferior Wall of Nasal Cavity and ^nC its Surface Area to
Swirl/Filter Air before it goes to Lungs
2xMaxillae — Jawbones, Unite to form Upper-Jawbone. Articulate with EVERY Face bone, EXCEPT
Mandible [Lower Jawbone]
1) Infraorbital Foramen — Allows B-V’s & Nerves to reach Jaw
2) Maxillary Sinuses — Empties into Nasal Cavity
1. Fontanels — Mesenchyme-filled Spaces B/W Cranial Bones present at BIRTH = Soft Spots until
Ossification Occurs = Serves as Spacers for Growth of Skull Bones & Flexibility for Fetus Skull
during Birth [PG 212!!]
Hyoid Bone — ~Articulate w/ ANY OTHER BONE. Supports & Provides Attachment Site for Tongue
Muscles [PG 213 EXAM!] [Strangulation: Breaks ^
Vertebral Column — Series of Vertebrae [bones] that includes the Spine, Sternum, & Ribs. Also
consists of 4xCurves in Adults [1xCurve in Infants] [PG 214]
A) Why Curves?: Absorb Shocks & Maintains Balance
1. Cervical Vertebrae [Neck] — 7xBones
2. Thoracic Vertebrae [Chest] — 12xBones
3. Lumbar Vertebrae [Lower Back] — 5xBones
4. Coccyx & Sacrum — 1xBone each
Intervertebral Discs — B/W Vertebrae = Outer Fibrocartilage Ring [Annulus Fibrosus] and an Inner
Elastic Material [Nucleus Pulposus]
Parts of a Vertebra
1. Body — Weight-bearing Part and holds our Spine together
Cervical Vertebrae
1. Atlas [C1] — 1st Cervical Vertebrae, Ring of Bone that allows us to Nod
2. Axis [C2] — 2nd Cervical Vertebrae = Allows us to Pivot our Head Left & Right
3. Dens / Odontoid Process — Allows 2) to Work
Thoracic Vertebrae
(O) Identify: Location & Surface Features of Thoracic Vertebrae
Thoracic Vertebrae
1. T1 - T10 = Long & Flattened, Inferiorly Directed = Articulate w/ Ribs
A) Vertebrocostal Joint: Vertebrae + Ribs
1. T11 & T12 — Shorter & Broader, Posteriorly Directed = ~Articulate w/ Ribs
Sternum
(O) Identify: “ “
Sternum — Flat, Narrow bone that fuse at 25 [PG 224, BOTTOM LEFT!!!]
1. Manubrium — Superior Portion, Articulates w/ 1st & 2nd Ribs
2. Body — Middle, Articulates w/ 2nd through 10th Ribs
3. Xiphoid Process — Inferior = ~Articulation w/ Ribs = Broken during CPR
Ribs
(O) Identify: “ “
Ribs — 12xPairs [1-12] give Structural Support to Thoracic Cavity [PG 225 EXAM!!]
1. True Ribs [Vertebrosternal] — 1st - 7th Ribs = Articulate w/ Sternum
2. False Ribs [Vertebrochondral] — 8th - 12th = INDIRECTLY Attach OR NOT at all
Clavicle
(O) Des: Location & Surface Features of Clavicle
Scapula
(O) Des: “ “
Humerus
(O) Identify: Location & Surface Markings of Humerus
Humerus — Longest & Largest bone in U-Limbs, Articulates Proximally w/ Scapula & Distally w/ Ulna +
Radius [Elbow Joint]
1. Proximal End: Articulates w/ Glenoid Cavity to make Glenohumeral Joint
2. Anatomical Neck: Distal to ^, Site of Epiphyseal Growth Plate
3. Surgical Neck: Most Common site of FRACTURES
4. Greater Tubercle — Palpable Bony Landmark of Shoulder Region
5. Deltoid Tuberosity — Attachment Point for Deltoid Muscles
6. Medial/Lateral Epicondyle — Distal End = Forearm Muscles Attach
Pelvic Brim — Cuts Bony Pelvis into Superior & Inferior Portions
1. False [Greater] Pelvis — Superior to Pelvic Brim = our Intestinal Organs
2. True [Lesser] Pelvis — Inferior to Pelvic Brim = Vagina + Cervix
A) Pelvic Axis: Curves through True Pelvis from Pelvic Inlet to Outlet = Route babies take for Birth
Patella — Kneecap that consists of a Proximal Base [Quad Muscles] & Distal Apex
1. Patellofemoral Joint — Patella + Femur on FRONT of Kneecap
2. Tibiofemoral Joint [Knee] — Femur + Tibia + Patella = Kneejoint
Arches of Foot — 2xArches in Food that Distribute the Weight for Support
1. Longitudinal Arch — Consists of Tarsal + Metatarsal Bones Arranged as an Arch
A) Medial Part: Calcaneus -> Navicular -> 3xCuneiforms
B) Lateral Part: Calcaneus -> Cuboid -> 2xLateral Metatarsals
1. Transverse Arch — Found B/W A) & B), formed by Navicular + 3xCuneifroms & 5xMetatarsals
[PG 252!!!]
A) Ball of Foot: Carries 40% Weight
B) Heel: Carries 60% Weight
CHAPTER 9 — Joints
9.1 Joint Classification
———————————
(O) Des: Structural & F’n Classifications of Joints
Symphyses — Ends of Articulating Bones use Hyaline Cartilage and Fibrocartilage to hold them
Together = Amphiarthrosis
Synovial Joints — Contain Synovial Cavity B/W Articulating Bones to allow for Free-Movement
[Diarthroses], and the bones are Covered via Articular Cartilage to make Bone Surfaces Smooth &
Slippery [PG 262 DIAGRAM!!]
1. Articular Capsule — Surrounds Synovial Joint and Unites the Articulating Bones. Composed
of 2xLayers = Fibrous-MeM [D-Irre-C-Tissue] that attaches to Periosteum of Articulating
Bones, and Synovial-MeM [Aerolar-C-Tissue] that contains Articular Fat Pads to help
Cushion Bones
A) Ligaments: Fiber Bundles found in Fibrous-MeM = Greater Tensile Strength
Angular Movements — ^nC / DeC Angle B/W Articulating Bones [PG 265 - 268]
1. Flexion — DeC Angle B/W Bones [biceps]
2. Extension — ^nC’s Angle B/W Bones [stretching out arm]
3. Lateral Flexion — Movement of Trunk Left - Right @ Waist
4. Hyperextension — Continuation of Extension beyond Anatomical Position
5. Abduction — Move bone AWAY from Midline
6. Adduction — Move bone TOWARD Midline
7. Circumduction — Movement of Distal End of Body Part in a Circle
Rotation — Bone revolves around its own Axis [turning head side to side]
Hinge Joints — Convex Surface of 1-Bone fits into Concave Surface of another Bone to Produce an
Open/Close Movement [opening / closing door]
1) Uniaxial — ^, Permits Flexion / Extension [flexing Biceps]
Pivot Joints — Rounded Surface of Bone Articulates w/ Ring of another Bone + Ligament
1) Uniaxial — ^ = Shaking your head No [Atlas = Ring of Bone]
Saddle Joints — Surface of 1-Bone is Saddle-Shaped and Articulates w/ another Bone that Sits on top
of it [riding a horse]
1) Biaxial — ^
Range of Motion [ROM] — Range through which Bones of a Joint can be Moved
1. Structure/Shape of Articulating Bones — Some bones fit into Specific kind of other Bones
[Ball & Socket] = Limits Movement
2. Strength & Tension [Tautness] of Joint Ligaments — Tense Ligaments & Dense Materials
Limit Movement [Hip] while Less of Each = More movement [Knee]
3. Arrangement & Tension of Muscles — Tension of Muscles Reinforces the Joint and makes it
more Compact, but LIMITS Movement [Hip joint]
4. Contact of Soft Parts — Bending arm towards me = limited by my own body
5. Hormones — Relaxin = Hormone = Produced by Ovaries = ^nC’s Flexibility of Fibrocartilage
of Pubic Symphysis during Pregnancy
6. Disuse — Muscular Atrophy & Diminished Synovial Fluid = Limits Movement
Temporomandibular Joint [TMJ] — Hinge + Planar Joint formed via Mandible + Temporal Bone =
Freely Movable
1. Anatomical Components
(1) Articular Disc / Menisus — Fibrocartilage Disc that Separates the Synovial Cavity into
Superior/Inferior Components
(5) Stylomandibular Ligament — Separates Parotid Gland from Submandibular Gland, which also
Limits Mandible Movement
Knee Joint — Largest & most Complex Joint that has 3xJoints in its Synovial Cavity
A) Medial / Lateral Tibiofemoral Joint: Femur + Tibia
B) Patellofemoral Joint: Patella + Femur
1. Anatomical Components
(1) Articular Capsule — Unites Bones of Knee Joint
(2) Medial + Lateral Patellar Retinacula — Strengthens Anterior Surface of Joint
(3) Patellar Ligament — Strengthens Anterior Surface of Joint
(4) Tibial Collateral Ligament — Strengthens Medial Aspect of Joint
(5) Fibular Collateral Ligament — Strengthens Lateral Aspect of Joint
(6) Intracapsular Ligament — Ligaments w/in Femur + Tibia Connection
A) Anterior Cruciate Ligament [ACL]: Limits Hyperextension of Knee & Prevents Anterior Sliding of
Tibia + Femur
B) Posterior Cruciate Ligament [PCL]: Prevents Posterior Sliding of Tibia
i) We use ^ to walk down STAIRS or Inclines
(6) Articular Discs / Menisci — 2xFibrocartialge Discs B/W Femur & Tibia
A) Medial Meniscus: C-Shaped Fibrocartilage that Connects Bones
B) Lateral Meniscus: O-Shaped Fibrocartilage “ “
1. Osteoarthritis — Degenerative Synovial Joint Disease where Articular Cartilage is Lost, & our
movement is Limited B/C Spurs are Filled in to replace the lost Cartilage which shortens the
Space B/W Bones
1. Gouty Arthritis — Uric Acid builds up in Blood & becomes Sodium Rate which Accumulate in
Joints = Erode Cartilage
C-Tissue Components — SubQ Layer [Hypodermis] Separates Muscle from Skin and Provides a
Pathway for Nerves, B-V’s, & Lymphatic Vessels, & Insulation [PG 294!!!!]
1. 3 Layers of C-Tissue that Protect & Strengthen Skeletal Muscle
A) Epimysium: Encircles Entire Muscle
B) Perimysium: Surrounds Muscle Fibres & Separates them into Bundles [Fascicles]
C) Endomysium: Separates Individual Muscle Fibers from each other
D) Aponeurosis: All 3 Extend as a Flat Sheet [Skull]
(2) SR — Fluid-Sacs that Encircles each Myofibrils and contain Terminal Cisterns that Surround against
each T-Tuble [Triad], which Stores Ca+ & Releases it for Contraction
Sliding Filament Model — Myosin heads Attach to & walk along Thin Filaments, and PULLS them
toward M-Line = I + H Band Narrow, but A-Band ~Change Shape [PG 302 - 304 EXAM!!!]
Contraction Cycle — Sarcoplasmic Reticulum releases Ca+ into Sarcoplasm, where they bind to
Troponin to move Tropomyosin away and Myosin binds to Actin
1. ATP Hydrolysis — Myosin head contains ATP-Binding Site + ATPase to breakdown ATP in
order to Energize Myosin Head [EMH]
1. Myosin Binds to Actin — EMH attaches to Actin, Releases ADP + Pi = Cross Bridge
1. Power Stroke — Cross-Bridge Rotates, Releases ADP, & Causes Thin Filaments to slide past
Thick Filaments toward M-Line
1. Detachment of Myosin from Actin — ATP is Remade, binds to Myosin, & it Detaches from
Actin
Length-Tension Relationship — Longer Length = Zone of Overlap Shortens & Fewer Myosin Heads
Contract = LESS Power
Neuromuscular J’n — Synapse B/W Motor Neuron & Skeletal Muscle Fiber [PG 306]
1. Somatic Motor Neurons — Neurons that Stimulate Skeletal Muscle Fibers
2. Acetylcholine [ACh] — Found in Synaptic Vesicles, Released during Action-PoT’s
3. Motor End Plate — OPP of Synaptic Bulbs
4. Acetylcholine Receptors — Integral-TransMeM Proteins that Binds ACh
5. Junctional Folds — Deep Grooves in Motor End Plate, Contain ^
1. Anaerobic Glycolysis — Lack of O2 = Glucose becomes Pyruvic Acid is ReD’d into Lactic Acid
= Glycolysis creates NRG [Not much]
O2 Debt
1. Convert Lactic Acid back into Glycogen Stores in Liver
2. Re-SyN Creatine Phosphate & ATP in Muscle Fibers
3. Put O2 back into Myoglobin
4. Recovery Oxygen Uptake — Better than O2 Debt B/C our Body is RECOVERING from the
Exercise rather than us Owing it
Frequency of Stimulation
1. Wave Summation — Stimuli Arriving @ DIFF Times cause LARGER Contractions
2. Unfused Tetanus — Muscles partially Relax B/W Stimuli B/C the Stimuli are coming in too fast
3. Fused Tetanus — Muscles ~Relax at all B/C Stimuli is coming in far too fast
Motor Unit Recruitment — Recruiting Motor Units, but not all of them Contract. Some are used for
Contraction, while others are Inactive. More Recruitment = Stronger Contraction
Muscle Tone — Small amount of Muscle Tension in the same Fashion as a full on Contraction but to a
far lesser degree
1. Flaccid — Motor Neurons serving a Muscle are DMG’d = Lost Muscle Tone
Fast Oxidative-Glycolytic Fibers — Largest Fibers, Contain Myoglobin and can make ATP via
Aerobic Respiration and Anaerobic Glycolysis = Red Appearance
1. Contact = Fast
2. Resistance to Fatigue — Moderate
1. Autorhythymic — Cardiac Tissue is Stimulated by its own Fibers, while Skeletal is Stimulated
via NeuroTrans + ACh
1. Multiunit — Stimulating one Fiber = ~Unison, usually found in Large Arteries that supply
Lungs
Physiology of Smooth Muscle — S-Muscle can Stretch far Greater than Cardiac & Skeletal, but their
Contraction is More Slower & Lasts Longer [due to LOW Amounts of Sarcoplasmic Reticulum]
1. Calmodulin — Regulatory Protein, binds to Ca+ in Cytosol and uses ATP to add a Pi to Myosin
= Contraction Occurs and regulates the RATE of Contraction
1. Smooth Muscle Tone — Not only is Ca+ Release Slow, but Ca+ retrieval is also slow
= Continued State of Partial Contraction
Regeneration
1. Skeletal Muscle — Undergoes Hypertrophy, ~Hyperplasia [^nC in Fibers]
2. Cardiac Muscle — Can Regenerate [Little] & Undergo Hypertrophy
3. S-Muscle — Hypertrophy AND Hyperplasia = Regenerators