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Histology - NBME Shelf Notes
Shelf Notes
142
Biology
Professional
03/17/2010

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Term
What is the function of KDEL?
Definition
Signal sequence to return proteins from Golgi to RER.
Term
What is the function of mannose 6-phosphate?
Definition
Signal sequence to direct to lysosomes.
Term
What happens to a lysosome-bound proteins missing mannose 6-phosphate?
Definition
"Default" pathway of exocytosis.
Term
Describe 'Tay-Sach's' disease.
Definition
Lysosomal storage disorder; specifc enzyme.
Term
Describe 'I-cell disease'.
Definition
Absence of M6P sequence.
Term
Describe the activity of Rab GTPase.
Definition
Involved in docking vesicles (w/ v-SNARE, t-SNARE).
Term
Describe receptor-mediated endocytosis.
Definition
Clathrin-coated pits --> vesicle --> early endosome --> multivesicular body --> late endosome + lysosomal vesicle --> lysosome
Term
What is the name for the group of intermediate filaments responsible keeping the nucleus intact.
Definition
Lamins (A/B/C)
Term
Describe histones.
Definition
Proteins involved in DNA compaction; H1 is the "linker histone".
Term
Describe a nucleosome.
Definition
Smallest unit of chromatin structure; DNA wrapped around a histone.
Term
Which protein's regulate the G1/S and G2/M boundaries?
Definition
G1/S are mediated by cyclin-dependent kinases (Cdk) and cyclin; they phosphorylate lamins and cause their breakdown. G2/S are mediated by Rb and p53; both are highly associated with tumor development when mutated. Rb works through E2F, when Rb-E2F are complexed the cell cycle doesn't continue. However, when Rb is phosphorylated it is released from E2F and transcription of cell cycle proteins begins.
Term
Describe zonula occludens.
Definition
Tight junction.
Term
Describe zonula adherens.
Definition
Actin filaments linking two cells together.
Term
Describe macula adherens.
Definition
Desmosomes; Intermediate filaments linking two cells together.
Term
What is the function of neutrophils?
Definition
Involved in phagocytosis; major constituent of pus.
Term
What is the function of basophils?
Definition
Similar to mast cells; histamine, heparin release.
Term
What is the function of eosinophils?
Definition
Parasite mediation.
Term
Which collagen is in the majority of connective tissue?
Definition
Type I
Term
Which collagen is found in hyaline cartilage?
Definition
Type II
Term
Which collagen is found in reticular networks, supporting organs?
Definition
Type III
Term
Which collagen is found in basal lamina?
Definition
Type IV
Term
What collagen connects connects collagen fibrils to EC matrix?
Definition
Fibril-associated collagens with interrupted triple helices (FACIT)
Term
What is the name of the lacuna that osteoclasts reside in?
Definition
Howship's lacuna
Term
What are the 5 major effects of increasing PTH concentrations?
Definition
Increase: bone resorption, osteoclast activity, ruffled borders development on osteoclasts, 1,25-(OH2)-Vitamin D synthesis in the liver, and Ca++ absorption.
Term
What is the chemical pathway for the activation of osteoclasts by PTH?
Definition
Increased PTH --> stimulate RANK-L and M-CSF --> produces osteoprotegrin (OPG) to bind RANK-L, which normally binds to RANK on osteoblast to inhibit. The result is activation by absence of RANK-L.
Term
Where is tropinin found?
Definition
Skeletal muscle and cardiac muscle. NOT smooth muscle.
Term
What produces myelin in the CNS?
Definition
Oligodendrocytes
Term
What produces myelin in the PNS?
Definition
Schwann cells
Term
What are the macrophages in the brain?
Definition
Microglia
Term
Which cells produce the blood brain barrier and which cells maintain them?
Definition
Astrocytes and endothelium respectively.
Term
What is the specific name for transport down an axon?
Definition
Axoplasmic transport.
Term
What is the respective location of gray and white matter in the brain, and in the spinal cord?
Definition
Brain: gray outside, white inside. Spinal cord: white outside, gray inside.
Term
What two major ways are there for regulating blood vessel flow?
Definition
(1) Sympathetic NS (2) Humoral factors.
Term
What is a major vasoconstrictor, and a two major vasodilators. Include any relevate details.
Definition
Vasoconstrictor 1: Endothelin-1; Vasodilator: NO; made from L-arg, induces a cGMP cascade. Vasoconstrictor 2: Prostacyclin; works through cAMP and also inhibits platelet adhesion and clot formation.
Term
What is the function of von Willebrand factor (vWF)?
Definition
Induces coagulation / thrombus formation.
Term
What is the function of fibrinolytic tissue-type plasminogen activator (tPA)?
Definition
Breakdown blood clots
Term
What is the function of E-selecting?
Definition
Expressed on endothelium, assists extravasation of monocytes and neutrophils. Expression induced in chemokines.
Term
What is one of the effects of hypertension on blood vessel smooth muscle?
Definition
Hyperplasia / hypertension
Term
How can the heart be considered an endocrine gland?
Definition
Releases ANP, which inhibits vasopression (ADH) release and reduces blood volume.
Term
What are the stages of maturation for an RBC from it's primitive lineage?
Definition
Proerythroblast --> basophilic erythroblast --> polychromatiophilic erythroblast --> orthochromatic erethroblast --> reticulocyte --> erythrocyte
Term
What cells mediate humoral immunity?
Definition
B cells and T helper cells.
Term
What cells mediate cell-mediated immunity?
Definition
T cells.
Term
What cells can function as APC's?
Definition
B cells, macrophages, dendritic cells
Term
What is the cellular distribution of MHCI, MHCII?
Definition
MHCI on virtually all cells, MHCII on T cells.
Term
What CD are immunologically relevant, what cells are they on?
Definition
CD4+ cells are T helper, CD8+ cells are on T cytoxic
Term
What proteins are used by Tc to kill target cells?
Definition
Perforin, granzyme.
Term
Which critical cytokine activates macrophages, and what cell releases it?
Definition
Interferon gamma, Th cells.
Term
What are the primary and secondary lymphoid organs?
Definition
Primary: BM and thymus; Secondary: lymph nodes, tonsils, spleen
Term
What are Hassall's corpuscles?
Definition
Function unknown, but they're a defining feature of the thymus.
Term
What are characteristic features of lymph nodes and diffuse lymph tissue?
Definition
Primary and secondary follicles (germinal center)
Term
What are characteristic features of the spleen?
Definition
Red and white pulp
Term
What is the last portion of the conducting pathway?
Definition
Terminal bronchiole
Term
What is the first portion of the respiratory portion?
Definition
Respiratory bronchiole
Term
What is a defining feature of respiratory tissue basal lamina?
Definition
Thin, joint lamina propria shared by type I pneumocytes and endothelium.
Term
What is a defining feature of type II pneumocytes and what is their function?
Definition
Lamellar bodies and surfactant.
Term
What are the contents of surfactant?
Definition
Sphingomyelin, DPPC, and lecithin
Term
What is the "rule of thumb" for cell type throughout the GI?
Definition
Simple columnar throughout, and stratified squamous in areas of maximum friction (e.g. esophagus and anus).
Term
What are the products of surface and neck cells?
Definition
Mucus
Term
What are the products of chief cells?
Definition
Pepsinogen
Term
What are the products of parietal cells?
Definition
IF and acid
Term
What is a defining feature of the parietal cells?
Definition
Intracellular canaliculi.
Term
What are the contents of pancreatic juice?
Definition
Trypsinogen, chymotrypsinogen, procarboxypeptidases, amylase, and lipase.
Term
How are the enzymes of pancreatic juice activated?
Definition
Enterokinase (of the microvilli) activates trypsinogen to trypsin, which in turn activates the rest.
Term
Describe the process of fat digestion and transport to target tissues.
Definition
Emuslified in bile --> lipases break down into FA's and glycerol --> transported into cell --> repackaged into chylomicron --> transport across basolateral membrane via exocytosis --> picked up by lacteals --> processed by liver into a new form, VLDL's --> transported to target tissues.
Term
What is the function of enterocytes?
Definition
Absorption
Term
What is the function of Paneth cells?
Definition
Lysozyme, defensin, cryptidin production.
Term
What is the function of goblet cells?
Definition
Mucus
Term
What is the function of enteroendocrine cells?
Definition
Secretion of peptide hormones.
Term
What is a major histological difference between the small and large intestines?
Definition
No villi, just crypts.
Term
What is the prominent cell in the colon?
Definition
Goblet cell
Term
What are the three major salivary glands?
Definition
Parotid, submandibular, sublingual.
Term
What hormones regulate the exocrine pancreas?
Definition
CCK, secretin
Term
What is the action of CCK on the pancreas?
Definition
Stimulates the acinar cells
Term
What is the action of secretin on the pancreas?
Definition
Stimulates ductal cells
Term
What endocrine proteins does the liver make?
Definition
Albumin, fibrinogen, and other coagulation proteins.
Term
What are the major enzymes involved in EtOH detoxification in hepatocytes, and where do they originate in the cell?
Definition
Alcohol dehydrogenase (mitochondria), microsomal ethanol oxidation system (MEOS; mitochondria), and catalase (peroxisome).
Term
Describe the structure of a hepatocyte with relation to the major liver vessels.
Definition
Bile canaliculus is apical, junctional complex is lateral, and hepatic sinusoids are basal.
Term
What is the space of Disse?
Definition
A space between the basal portion of a hepatocyte and the liver venous sinusoid.
Term
What cells line the liver sinusoids?
Definition
Hepatic stellate cells.
Term
What is the effect of cirrhosis on stellate cells?
Definition
They're converted into myofibroblasts.
Term
What are the APC's of the liver?
Definition
Kupffer cells
Term
What is the embryological origin of the adenohypophysis?
Definition
Oral ectoderm; Rathke's pouch.
Term
What is the function of prolactin and what is it's classification?
Definition
Promote lactation; acidophilic cell of adenohypophysis.
Term
What is the function of growth hormone and what is it's classification?
Definition
Promote generalized growth; acidophilic cell of adenohypophysis.
Term
What is the function of LH and what is it's classification?
Definition
Promote steroid production; basophilic cell of adenohypophysis.
Term
What is the function of FSH and what is it's classification?
Definition
Promote gamete production; basophilic cell of adenohypophysis.
Term
What is the function of TSH and what is it's classification?
Definition
Promotes stimulation of T3/T4; basophilic cell of adenohypophysis.
Term
What is the function of ACTH and what is it's classification?
Definition
Promotes stimulation of adrenal cortex; basophilic cell of adenohypophysis.
Term
What is the function of oxytocin and what is it's classification?
Definition
Promote lacation; neurohypophysis, but synthesized in supraoptic nuclei in hypothalamus.
Term
What is the function of vasopression (ADH) and what is it's classification?
Definition
Promote water reabsorption and increase blood pressure; neurohypophysis, but made in paraventricular nuclei of hypothalamus.
Term
What is the major product of the adult adrenal medulla?
Definition
Epinephrine (minor norepinephrine).
Term
What is the majorproduct of the adrenal cortex?
Definition
DHEA(S)
Term
What are the layers of the adrenal cortex and their products?
Definition
Zona glomerulosa: aldosterone, zona fasciculata: cortisol / DHEA(S), zona reticularis: DHEA(S) / cortisol
Term
What is the embryonic origin of the adrenal cortex?
Definition
Intermediate mesoderm.
Term
What is the embryonic origin of the adrenal medulla?
Definition
Neural crest cells
Term
What is the cell producing the major hormones of the adrenal medulla?
Definition
Chromaffin cells
Term
Describe Congenital Adrenal Hyperplasia.
Definition
Enzyme deficiency leads to hyperplasia of adrenal cortex and elevated ACTH production. Female genitalia will virilize.
Term
Describe Cushing's syndrome.
Definition
Hypercortisolism due to enzyme deficience. More common in women than men.
Term
Describe Addison's Disease.
Definition
Primary adrenal insufficiency, often autoimmune in origin.
Term
Which cells produce T3/T4?
Definition
Follicular cells of thyroid.
Term
Which cells produce calcitonin?
Definition
C-cells of thyroid aka Parafollicular cells.
Term
Describe Hashimoto's thyroiditis.
Definition
Autoimmune attack on thyroid --> hypothyroidism
Term
Describe graves disease.
Definition
Autoimmune attack on TSH receptors --> hyperthyroidism
Term
What gland produces melatonin and what is the stimulus?
Definition
Pineal gland; stimulated by darkness.
Term
What cells produce insulin?
Definition
Beta cells of pancreas
Term
What cells produce glucagon?
Definition
Alpha cells of pancreas
Term
Describe Type I Diabetes.
Definition
Autoimmune against insulin production.
Term
Describe Type II Diabetes.
Definition
Desensitized against insulin at target tissues.
Term
What cells are scattered throughout the body with generalized endocrine function, and at what "level" do they operate.
Definition
Enteroendocrine cells; paracrine / autocrine level.
Term
Detail the stages of sperm maturation.
Definition
Spermatogonia --> primary spermatocyte --> secondary spermatocyte --> spermatid --> mature sperm
Term
What is the function of the sertoli cell?
Definition
Blood-testis barrier, nourish speratocytes, produce AMH, ABP, and inhibin.
Term
What type of epithelium is in the epididymis?
Definition
Psuedostratified with sterocilia.
Term
What are the products of the epididymis?
Definition
Fructose and spermatazoa-activing proteins.
Term
What are the products of the prostate?
Definition
Enzymes for liquidification of ejaculate.
Term
Detail the stages of oocyte maturation.
Definition
Oogonia --> primary oocyte --> secondary oocyte --> ova
Term
Detail the various forms of follicular development.
Definition
Primordial follicle --> primary follicle --> secondary follicle -> mature (Graafian) follicle
Term
What are the cellular changes that occur after ovulation?
Definition
Granulosa --> granulosa lutein, lutein cells --> granulosa lutein.
Term
What maintains the corpus luteum upon pregnancy?
Definition
hCG, the LH-like hormone produced first by the syncitiotrophoblast and then by the placenta.
Term
What are the two phases of the menstrual cycle?
Definition
(1) follicular phase, (2) proliferative phase
Term
What hormone predominates in the follicular phase?
Definition
Estrogen; FSH stimulated
Term
What hormone predominates in the proliferative phase?
Definition
Progesterone, with still reasonable levels of estrogen; LH stimulated.
Term
What are the two major components of the placenta after implantation?
Definition
Chorion (placental), and decidua basalis(maternal)
Term
Where does the photosensitive layer of the retina originate from?
Definition
The optic cup
Term
Describe the contents and action of rhodopsin in visual signal transduction.
Definition
Rhodopsin (retinal + opsin) + UV --> conformational change which leads to dissocation of retinal-opsin complex --> decrease in cGMP levels --> closure of membrane sodium channels --> hyperpolarization of photoreceptor cell.
Term
What is the fovea?
Definition
Center of the retina; contains all cones.
Term
What is the embryologic origin of the lens?
Definition
Surface ectoderm.
Term
What may cause cataracts?
Definition
UV and/or high glucose levels.
Term
Which layer of the eye carries the supportive vasculature?
Definition
Choriod
Term
Which layer of the eye supports the shape?
Definition
Sclera
Term
What produces the aqueous humor?
Definition
Ciliary body
Term
Where do we find teh aqueous humor, in what compartment?
Definition
Anterior compartment, between the lens and the iris.
Term
What is the name of the angle of the eye?
Definition
Iridocorneal angle
Term
Where does the aqueous humor drain?
Definition
canal of Schlemm in the iridocorneal angle.
Term
What causes glaucoma?
Definition
Intraocular pressure generated by blockage of the canal of Schlemm.
Term
What are the two transduction systems / functions of the ear?
Definition
Audition and equilibrium
Term
What is the embryonic origin of the external ear?
Definition
First two branchial arches.
Term
What forms the three bones of teh middle ear?
Definition
First two arch cartilages.
Term
What are the inner contents of the inner ear?
Definition
Membranous labyrinth, bony labyrinth
Term
What is the function of the semicircular canal?
Definition
Provide rotational information to the cristae ampullaris
Term
What structures pick up rotational information in the ear?
Definition
Cristae ampullaris in the inner ear
Term
What structures pick up horizontal and vertical information in the inner ear?
Definition
Utricle for horizontal and saccule for vertical motion.
Term
What is the structure in the ear that registers different frequencies?
Definition
Organ of corti. Stiffer hairs are closer to the tympanic membrane and detect higher frequencies, and softer hairs are further in and detect lower frequencies.
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