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HOS Exam 3
Flash cards for exam 3 covering hematopoiesis, eye, and ear.
503
Physiology
Professional
03/13/2013

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Term
First site of hematopoiesis
Definition
Yolk sac (< 6 weeks)
Term
Second site of hematopoiesis
Definition
Liver & spleen (6 weeks to 7 months)
Term
Third site of hematopoiesis
Definition
Bone marrow (>7 months)
Term
Sites of hematopoiesis in infants
Definition
All bones
Term
What replaces hematopoiesis in bones with age
Definition
Fat
Term
Which bones lose hematopoiesis with age
Definition
Long bones
Term
Extramedullary hematopoiesis
Definition
Outside of bone
Term
Sites of extramedullary hematopoiesis (3)
Definition
1) Yolk sac [I think this counts], 2) liver, 3) spleen
Term
Compartments of bone [for hematopoiesis] (2)
Definition
1) Vascular, 2) Extravascular
Term
Name of the smallest blood vessels in bone marrow
Definition
Sinusoids
Term
General direction of drainage of sinusoids
Definition
Pierpheral to central vein
Term
Components/elements in extravascular compartment (5)
Definition
1) Hematopietic cells, 2) stroma, 3) lymphoid tissue, 4) nerves, 5) trabecular bone
Term
Cells of the stroma of bone marrow (4)
Definition
1) Adipocytes, 2) macrophages, 3) reticular cells, 4) fibroblasts
Term
Pluripotent stem cells express CD__
Definition
CD34
Term
Pluripotent stem cells produce what cells [yes, blood cells, but what's the step after pluripotent SC]
Definition
Committed progenitor cells
Term
Types of committed progenitor cells (2)
Definition
1) Lymphoid, 2) myeloid
Term
Hematopoietic cell "classes" found in bone marrow (4)
Definition
1) Pluripotent stem, 2) committed progenitor, 3) differentiating cell lines, 4) mater blood cells
Term
Stem cell factor aka
Definition
c-kit ligand
Term
What growth factors act on pluripotent stem cells (2)
Definition
1) c-kit ligand, 2) FLT-3
Term
What growth factors act on progenitor cells (3)
Definition
1) IL-3, 2) GM-CSF, 3) IL-6
Term
What signaling pathways in hematopoietic cells (3)
Definition
1) JAK/STAT, 2) MAP, 3) PI3
Term
Committed myeloid cells → ___ → ___
Definition
Common myeloid → BFU-e → CFU-e
Term
EPO is produced by the ___ in response to ___
Definition
Kidneys in response to hypoxia
Term
What balances an increase in EPO production
Definition
RBC production that increases O2 delivery
Term
Anucleated, pre-erythrocytes that can be found in circulating blood
Definition
Reticulocytes [aka polychromatophilic red cell]
Term
Throughout the maturation of erythrocytes, what causes the change in color of the cytoplasm
Definition
Increase [Hb]
Term
Reticulocytes make up about __% of circulating RBC's
Definition
1%
Term
RBC's live for ___ days
Definition
120 days
Term
What puts BFU's into the RBC differentiation pathway
Definition
EPO
Term
What puts BFU's into the platelet differentiation pathway
Definition
TPO
Term
What puts BFU's into the monocyte differentiation pathway
Definition
M-CSF
Term
What puts BFU's into the neutrophil differentiation pathway
Definition
G-CSF
Term
What puts BFU's into the eosinophil differentiation pathway
Definition
IL-5
Term
Name of the process of making granulocytes
Definition
Granulopoiesis
Term
M-CSF creates what cells
Definition
Monocytes
Term
G-CSF creates what cells
Definition
Neutrophils
Term
IL-5 creates what cells
Definition
Eosinophils
Term
TPO creates what cells
Definition
Platelets
Term
EPO creates what cells
Definition
RBC's
Term
Derived cells from monocytes (3)
Definition
1) Dendritic cells, 2) osteoclasts, 3) macrophages
Term
Name of the process of making platelets
Definition
Megakarypoiesis or thrombopoiesis
Term
TPO is produced by the
Definition
Liver
Term
Cell progression to platelets (6)
Definition
BFU-MK → CFU-MK → promegakaryoblast → megakaryoblast → megakaryocyte → platelets
Term
Growth factors for megakaryopoiesis (6)
Definition
1) IL-3, 2) SCF, 3) IL-6, 4) IL-11, 5) TPO, 6) GM-CSF
Term
Growth factors for granulopoiesis (3)
Definition
1) IL-3, 2) GM-CSF, 3) G-CSF or M-CSF
Term
What mitotic process to megakaryocytes undergo
Definition
Endomitosis
Term
Endomitosis
Definition
Mitosis without cytokinesis
Term
Ploidy of megakaryocytes
Definition
8-32N
Term
Poietic treatment options for post-chemotherapy (2)
Definition
1) Autologous/allogenic transplant of pre-chemotherapy cells, 2) recombinant growth factors
Term
Normal hematocrit
Definition
40% [just getting general idea]
Term
Normal hemoglobin
Definition
14 [just getting general idea]
Term
Normal RBC count 10^6/μL
Definition
4.0 [just getting general idea]
Term
Cytoskeleton proteins (4)
Definition
1) Spectrin, 2) ankyrin, 3) band 3, 4) protein 4.1
Term
Spectrin
Definition
Attach to actin through protein 4.1
Term
Ankyrin
Definition
Binds cytoskeleton to membrane through band 3
Term
Band 3
Definition
Anion transport and binds to ankyrin
Term
Protein 4.1
Definition
Binds to tail of spectrin to actin
Term
Nutritional factors important for erythropoiesis (3)
Definition
1) Iron, 2) cobalamin (B12), 3) folate (B9)
Term
__ [Fe2+ or Fe3+] is transported from GI lumen into epithelium by ___
Definition
Fe2+ by DMT-1 [Divalent Metal Transporter so 2+]
Term
Iron transporter in apical surface
Definition
DMT-1
Term
Iron transporter in basal surface
Definition
Ferroportin
Term
__ [Fe2+ or Fe3+] is transported through the blood by ___
Definition
Fe3+ by transferrin
Term
What changes the redox state of iron so transferrin can transport it
Definition
Ferrioxidase [sorry to be obtuse with the qustion but the enzyme name gives itself away]
Term
What protein stores iron
Definition
Ferritin
Term
Where is excess iron stored
Definition
Liver
Term
__% of body's iron is found in RBC's
Definition
80%
Term
What is analyzed in the lab to determine iron level (3)
Definition
1) Serum iron level, 2) transferrn, 3) ferritin
Term
Vitamins B9 & B12 are needed for
Definition
DNA synthesis
Term
Vitamin B12 is needed to regenerate
Definition
Vitamin B9 [demethylation of N5-methyl FH4 to FH4]
Term
Lack of either vitamin B9 or B12 leads to
Definition
Megaloblastic anemia
Term
Hemoglobin consists of what subunits in adults
Definition
2α and 2β
Term
Iron + porphyrin ring =
Definition
Heme
Term
Porphyrias are diseases of what pathway
Definition
Heme synthesis
Term
HbA =
Definition
HbA = 2α + 2β
Term
HbA2 =
Definition
HbA2 = 2α + 2δ
Term
HbF =
Definition
HbF = 2α + 2γ
Term
Which is adult hemoglobin: HbA, HbA2, HbF
Definition
HbA
Term
Hemoglobin that dominates at birth
Definition
HbF
Term
Hemoglobin that is first created in the yolk sac
Definition
2ζ + 2ε
Term
Do adults have HbF
Definition
Yes, but very little
Term
Why is the oxygen dissociation curve sigmoidal
Definition
Cooperativity
Term
Causes of right shift of the oxygen dissociation curve (3)
Definition
1) Acidosis, 2) increased DPG, 3) increased temperature
Term
Causes of left shift of the oxygen dissociation curve (3)
Definition
2) Alkalosis, 2) decreased DPG, 3) decreased temperature
Term
Major energy pathway of RBC's
Definition
Embden-Meyerhof pathway [the version of glycolysis that we know]
Term
Products of glycolysis
Definition
1 Glc → 2 ATP + 2 NADH + 2 Pyr
Term
Hemolytic anemia
Definition
Defects in glycolysis & pentose phosphate pathway
Term
Generation of DPG
Definition
Leubering-Rappaport pathway
Term
RBC blood group antigens have what chemical basis (3)
Definition
1) Glycospingolipids, 2) glycophorins, 3) lipoproteins
Term
ABO blood group: anti-A and anti-B are what immunoglobins
Definition
IgM
Term
ABO blood group: put A, B, AB, O into order of most common to least
Definition
O (50%) > A (40%) > B (10%) > AB (3%)
Term
ABO blood group: someone who is AB can receive RBC's from whom
Definition
Everyone
Term
ABO blood group: someone who is AB can receive plasma from whom
Definition
AB only
Term
ABO blood group: someone who is AB can donate RBC's to whom
Definition
AB only
Term
ABO blood group: someone who is AB can donate plasma to whom
Definition
Everyone
Term
Rh blood group: anti-Rh is what immunoglobin
Definition
IgG
Term
Which has antigens that are IgG: ABO or Rh
Definition
Rh
Term
Which has antigens that are IgM: ABO or Rh
Definition
ABO
Term
Rh blood group: which is more common: Rh+ or Rh-
Definition
Rh+
Term
Rh blood group: would an Rh- individual naturally generate anti-Rh antibodies
Definition
No
Term
ABO blood group: would an O individual naturally generate anti-A and anti-B antibodies
Definition
Yes
Term
Rh blood group: when is Rh+ an issue in pregnancy
Definition
An Rh- mother who is on baby #2 (or more) whom is Rh+
Term
Arrange these WBC's in order of concentration (highest to lowest): basophil, eosinophil, lymphocyte, monocyte, neutrophil
Definition
Neutrophil > lymphocyte > monocyte > eosinophil > basophil
Term
Stress __ [increases or decreases] production time of a neutrophil
Definition
Decreases
Term
Pools of granulocytes (2)
Definition
1) Mitotic, 2) post-mitotic
Term
Mitotic or post-mitotic: blasts
Definition
Mitotic
Term
Mitotic or post-mitotic: promyelocytes
Definition
Mitotic
Term
Mitotic or post-mitotic: myelocytes
Definition
Mitotic
Term
Mitotic or post-mitotic: Metamyelocytes
Definition
Post-mitotic
Term
Mitotic or post-mitotic: bands
Definition
Post-mitotic
Term
Are there more neutrophils in bone marrow or in circulation
Definition
Bone marrow (7x more than circulation)
Term
Pools of neutrophils (2)
Definition
1) Marginal, 2) circulating
Term
Where are marginal pool neutrophils found
Definition
Adherent to endothelium
Term
Are there more neutrophils in marginal or circulation pool
Definition
About even between them
Term
How long do neutrophils normally circulate before extravasating and die
Definition
7 hours
Term
Myeloblast description
Definition
High nuclear/cytoplasmic ratio, immature nucleus, nucleoli, few granules
Term
Which myeloid cell: high nuclear/cytoplasmic ratio, immature nucleus, nucleoli, few granules
Definition
Myeloblast
Term
Promyelocyte description
Definition
Immature nucleus, slightly more cytoplasm than previous cell step, prominent primary granules
Term
Which myeloid cell: immature nucleus, slightly more cytoplasm than previous cell step, prominent primary granules
Definition
Promyelocyte
Term
Myelocyte description
Definition
Eccentric nucleus, perinuclear clear zone, 1° and 2° granules
Term
Which myeloid cell: eccentric nucleus, perinuclear clear zone, 1° and 2° granules
Definition
Myelocyte
Term
Metamyelocyte description
Definition
Nucleus begins to indent, more condensation of the chromatin, cell division stops
Term
Which myeloid cell: nucleus begins to indent, more condensation of the chromatin, cell division stops
Definition
Metamyelocyte
Term
Band description
Definition
Horseshoe shaped nucleus, prominent granules
Term
Which myeloid cell: horseshoe shaped nucleus, prominent granules
Definition
Band
Term
Neutrophil description
Definition
Segmented nucleus, less prominent granules
Term
Which myeloid cell: segmented nucleus, less prominent granules
Definition
Neutrophil
Term
Which myeloid cell stage is last to have mitosis
Definition
Metamyelocyte
Term
Which myeloid cell stage has a high nuclear/cytoplasmic ratio
Definition
Myeloblast
Term
Which myeloid cell stage has few granules
Definition
Myeloblast
Term
Which myeloid cell stage have an immature nucleus (2)
Definition
1) Myeloblast, 2) promyelocyte
Term
Which myeloid cell stage has 1° and 2° granules
Definition
Myelocyte
Term
Which myeloid cell stage has an eccentric nucleus
Definition
Myelocyte
Term
Which myeloid cell stage has a horseshoe nucleus
Definition
Band
Term
Which myeloid cell stage has a segmented nucleus
Definition
Neutrophil
Term
Which myeloid cell: segmented nucleus, less prominent granules
Definition
Neutrophil
Term
Eosinophil description
Definition
First recognizable at the myelocyte stage, have intensely pink granules, bi-lobed nucleus
Term
Which myeloid cell: first recognizable at the myelocyte stage, have intensely pink granules, bi-lobed nucleus
Definition
Eosinophil
Term
Basophil description
Definition
First recognized at the myelocyte stage, prominent blue granules that may obscure nucleus, bi-lobed nucleus
Term
Which myeloid cell: first recognized at the myelocyte stage, prominent blue granules that may obscure nucleus, bi-lobed nucleus
Definition
Basophil
Term
Monocyte description
Definition
Folded nuclei, grayblue cytoplasm with vacuoles, granules are rare
Term
Which myeloid cell: folded nuclei, grayblue cytoplasm with vacuoles, granules are rare
Definition
Monocyte
Term
Which myeloid cell stage have a bi-lobed nucleus (2)
Definition
1) Eosinophil, 2) basophil
Term
Which myeloid cell stage has intensily pink granules
Definition
Eosinophil
Term
Which myeloid cell stage has prominent blue granules
Definition
Basophil
Term
Which myeloid cell stage has folded nuclei
Definition
Monocyte
Term
Which myeloid cell stage has a gray-blue cytoplasm with vacuoles
Definition
Monocyte
Term
Which myeloid cell
Definition
Myeloblast
Term
Which myeloid cell
Definition
Promyelocyte
Term
Which myeloid cell
Definition
Myelocyte
Term
Which myeloid cell
Definition
Metamyelocyte
Term
Which myeloid cell
Definition
Band
Term
Which myeloid cell
Definition
Neutrophil
Term
Contents of neutrophil granules (3)
Definition
1) Enzymes (elastase, definsins, cathelicidins), 2) lysozymes, 3) bactericidal proteins
Term
What mediates extravasation
Definition
CD31/PECAM-1
Term
Chemotaxic chemicals mentioned in lecture (3)
Definition
1) C5a, 2) IL-8, 3) N-formyl-methyl-leucyl-phenylalanine (bacterial)
Term
How do phagocytes recognize foreign
Definition
Opsonization by complement (C3b) and IgG
Term
Respiratory burst
Definition
ROS production into phagolysosome making superoxide, peroxide, hydroxyl radical, & hypochlorous acid
Term
Deficiency of neutrophils leads to susceptibility of
Definition
Bacterial infections
Term
Deficiency of eosinophils leads to susceptibility of
Definition
Parasitic infections
Term
Hemostasis
Definition
Control of bleeding after an injury
Term
Primary hemostasis
Definition
Formation of platelet plug
Term
Secondary hemostasis
Definition
Stabilization by a fibrin clot
Term
How long do platelets circulate
Definition
7-10 days
Term
Purpose of open canuliculi system
Definition
Secrete granular contents without disrupting membrane
Term
Contents of dense bodies (4)
Definition
1) ADP, 2) ATP, 3) serotonin, 4) calcium
Term
Contents of α-granules (3; broad categories)
Definition
1) Adhesive proteins, 2) growth modulators, 3) coagulation factors
Term
Which contains serotonin: dense bodies or α-granules
Definition
Dense bodies
Term
Which contains vWF: dense bodies or α-granules
Definition
α-granules
Term
Which contains ATP: dense bodies or α-granules
Definition
Dense bodies
Term
Which contains fibrinogen: dense bodies or α-granules
Definition
α-granules
Term
Which contains PDGF: dense bodies or α-granules
Definition
α-granules
Term
Platelet reaction steps (5)
Definition
Adhesion → aggregation → release → cloth formation & retraction → support of plasma coagulation
Term
What binds platelets to endothelium
Definition
vWF & GP Ib
Term
What binds platelets to each other
Definition
GP IIb/IIIa through fibrinogen
Term
vWF receptor is the
Definition
GP Ib
Term
GP Ib binds to
Definition
vWF
Term
Functions of vWF (3)
Definition
1) Bind to GP Ib, 2) bind to collagen, 3) bind/stabilize factor VIII
Term
Factor VIII bound & stabilized by
Definition
vWF
Term
Shape change of platelets is mediate by a factor in: dense bodies or α-granules
Definition
ADP is in dense bodies
Term
When activated, platelets secrete (2)
Definition
1) Granular contents, 2) prostaglandin metabolites (e.g., thromboxane A2)
Term
Why would platelets secrete serotonin [seems odd to me that they would secrete a neurotransmitter]
Definition
For vasoconstriction
Term
What do activated platelets secrete that causes vasoconstriction
Definition
Serotonin
Term
What do activated platelets secrete that causes growth of vessel walls
Definition
PDGF
Term
What do activated platelets secrete that causes fluid phase coagulation
Definition
Clotting factors
Term
Aspirin inhibits production of what platelet agonist
Definition
Thromboxane A2
Term
If cAMP decreases in platelets, what happens
Definition
Granular release through increased [Ca2+]
Term
Thromboxane A2 increases or decreases cAMP
Definition
Decreases
Term
Prostacyclin increases or decreases cAMP
Definition
Increases
Term
Platelets have a negatively charged outer surface when: inactivate/resting or active
Definition
Active
Term
What does the contraction on fibrin
Definition
Platelets
Term
NO: inhibitor or activator of platelet aggregation
Definition
Inhibitor
Term
PFA-100
Definition
Measures clotting time at the end of a small tube
Term
Which factor was never assigned and so doesn't exist
Definition
Factor VI
Term
Factor I aka
Definition
Fibrinogen
Term
Factor Ia aka
Definition
Fibrin
Term
Factor II aka
Definition
Prothrombin
Term
Factor IIa aka
Definition
Thrombin
Term
Factor IV aka
Definition
Calcium ions
Term
Where are most coagulation factors made
Definition
Liver
Term
Most coagulation factors are what kind of enzymes
Definition
Serine proteases
Term
Final product of the coagulation cascade
Definition
Fibrin
Term
Factor III aka
Definition
Tissue factor
Term
Initiation phase of coagulation
Definition
TF + VIIa → makes IXa and Xa → small amounts of thrombin made
Term
Amplification phase of coagulation
Definition
Small amounts of thrombin made in initiation phase makes Va, VIIIa, and XIa → more thrombin
Term
Amplification phase of coagulation has a thrombin production rate of ___ vs. initiation phase
Definition
300,000 times
Term
Coagulation cascade takes place where
Definition
On platelet membrane
Term
Factor I to ia by
Definition
Thrombin
Term
Fibrin to cross-linked fibrin by
Definition
Factor XIIIa
Term
Division of coagulation cascade in vitro (2)
Definition
1) Intrinsic pathway, 2) extrinsic pathway
Term
Where do the initrinsic & extrinsic pathways converge
Definition
Factor X → Xa
Term
Which factor is involved in the in vitro, but not in vivo
Definition
Factor XII
Term
Which factor, if absent, produces no known increased risk of bleeding
Definition
Factor XII
Term
Specifically, where is Factor VIII thought to be produced
Definition
Endothelial cells of the liver
Term
What makes vWF (2)
Definition
1) Endothelial cells, 2) megakaryocytes
Term
Which factors rely on vitamin K (6)
Definition
1-4) Factors II, VII, IX, X, 5) protein C, 6) protein S
Term
What synthesizes vitamin K (2)
Definition
1) Green leafy vegetables, 2) GI tract bacteria
Term
What is vitamin K used for (biochemically)
Definition
Cofactor for γ-carboxylation of glutamic residues
Term
Reactions thrombin is involved in (8; 5 are factor activation)
Definition
1-5) I → Ia, V → Va, VIII → VIIIa, XI → XIa, XIII → XIIIa, 6) activation of platelets, 7) activation of endothelial cells, 8) binds thrombomodulin & activates protein C
Term
Activated partial thromboplastin time (APTT)
Definition
Clotting time of citratedplasma, phospholipid, & calcium
Term
Prolonged APTT due to any factor deficiency except (2)
Definition
1) Factor VII, 2) factor XIII
Term
Prothrombin time (PT)
Definition
Clotting time of citratedplasma, tissue thromboplastim, & calcium
Term
Prolonged PT due to factor deficiencies of (5)
Definition
1) VII, 2) X, 3) V, 4) II, 5) I
Term
What process removes a clot
Definition
Fibrinolysis
Term
Control mechanisms of clotting in normal blood (3)
Definition
1) Blood flow, 2) hepatic clearance of activated factors, 3) plasma inhibitors
Term
Plasma inhibitors of clotting (3)
Definition
1) Antithrombin, 2) protein C, 3) protein S
Term
Antithrombin reaction is greatly enhanced by
Definition
Heparin
Term
Antithrombin inhibits (4)
Definition
IIa, IXa, Xa, XIa
Term
Which is enzymatically active (the other is a cofactor): protein C or protein S
Definition
Protein C
Term
Activated protein C + protein S degrade which factors (2)
Definition
Va & VIIIa
Term
Activated protein C + protein S degrade which inhibitor
Definition
Plasminogen activator inhibitor
Term
Tissue factor pathway inhibitor (TFPI) inhibits
Definition
Extrinsic pathway
Term
Key enzyme in fibrinolysis
Definition
Plasmin
Term
Cleavage of fibrin by plasmin creates what diagnostic molecule
Definition
D-dimer
Term
Plasminogen activator inhibitor inhibits [was that too confusing?] what
Definition
Tissue plasminogen activator (t-PA)
Term
Inhibitor of plasmin [plasmin itself, not its formation]
Definition
α2-antiplasmin
Term
Where is tissue factor found
Definition
Basal layer of the endothelium [normally, not in contact with blood]
Term
Normal unperturbed endothelium supports (2)
Definition
1) Antithrombin inactivation thrombin, 2) APC formation
Term
How does normal unperturbed endothelium inhibit platelet adherence & aggregation
Definition
Secretion of prostacyclin
Term
Hemophilia
Definition
Factor VIII or IX deficiency
Term
Lymphocytes (3)
Definition
B, T, NK
Term
Large granular lymphocytes (2)
Definition
NK, CD8 T
Term
Mononuclear phogocytic cells (3)
Definition
1) Macrophages, 2) Langerhans, 3) dendritic cells
Term
Primary lymphoid tissues (2)
Definition
1) Bone marrow, 2) thymus
Term
Secondary lymphoid tissues (3)
Definition
1) Lymph nodes, 2) spleen, 3) GALT/MALT/BALT/NALT
Term
What is immediately deep to the lymph node capsule
Definition
Subcapsular sinus
Term
Lymph node hilum contains (4)
Definition
1) Artery, 2) vein, 3) nerve, 4) efferent lymphatics
Term
Which are in the paracortex of the lymph node: T or B cells
Definition
T cells
Term
Components of the medulla (2)
Definition
1) Cords, 2) sinuses
Term
Locations of B cells in a lymph node (2)
Definition
1) Cortex, 2) medullary cords
Term
Types of sinuses (3)
Definition
1) Subcapsular, 2) intermediate, 3) medullary
Term
Proliferating centroblasts: dark or light region
Definition
Dark region
Term
Pulps of the spleen (2)
Definition
Red & white
Term
Circulations of the red pulp in spleen (2)
Definition
Open & closed
Term
Which circulation of the splenic red pulp is rapid flow
Definition
Closed circulation
Term
Which circulation of the splenic red pulp is most of the flow
Definition
Closed circulation
Term
Which circulation of the splenic red pulp is to the cords
Definition
Open circulation
Term
Which circulation of the splenic red pulp is sinusoids
Definition
Open circulation
Term
Which circulation of the splenic red pulp is sinuses
Definition
Closed circulation
Term
How can you tell that someone is asplenic by looking at blood smears
Definition
Howell Jolly bodies in RBC's
Term
Embryonic origin of the tymus
Definition
3rd & 4th pharnygeal pouches
Term
Histological tell-tale sign of the thymus
Definition
Hassall's corpuscles
Term
Why so many macrophages in the thymus
Definition
Lots of apoptotic thymocytes
Term
T cells make up __% to __% of circulating lymphocytes
Definition
60-70%
Term
B cells make up __% to __% of circulating lymphocytes
Definition
10-20%
Term
FYI: I left out a bit of the detail because of the significant overlap with immnology, refer to those flash cards
Definition
FYI: I left out a bit of the detail because of the significant overlap with immnology, refer to those flash cards
Term
Epithelia type of conjuctiva
Definition
Stratified columnar with goblet cells
Term
Eyelid conjunctiva: palpebral or bulbar
Definition
Palpebral
Term
Eye conjunctiva: palpebral or bulbar
Definition
Bulbar
Term
Meibomian gland
Definition
Oily secretion to seal lid margins
Term
Levator palpebrae
Definition
Elevates upper eye lid
Term
Orbicularis oculi
Definition
Closes eye lids
Term
What antibacterial is found in tears
Definition
Lysozyme
Term
Tear drainage
Definition
Superior and inferior canaliculi → common canaliculus → lacrimal sac → nasolacrimal duct → inferior nasal meatus
Term
Refractive layers of the eye (4)
Definition
Cornea → aqueous humor → lens → vitreous humor
Term
Which refractive layer does the majority of refraction
Definition
Cornea
Term
Layers of the eye (3; deep to superficial)
Definition
Retina → uvea → fibrous coat
Term
Parts of the fibrous coat (2)
Definition
Sclera & cornea
Term
Parts of the uvea (3)
Definition
Choroid, ciliary body, iris
Term
Parts of the retina (2)
Definition
Visual, nonvisual (ciliary & iridial)
Term
What layers of the eye are found in the iris
Definition
Uvea & non-visual retina
Term
Virtreous humor contains (4)
Definition
1) Fine collagen fibrils, 2) hydrophilic GAG's, 3) fibroblasts, 4) macrophages
Term
Farsightedness: hyperopia or myopia
Definition
Hyperopia
Term
Nearsightedness: hyperopia or myopia
Definition
Myopia
Term
Focuses behind retina: hyperopia or myopia
Definition
Hyperopia
Term
Focuses in front of retina: hyperopia or myopia
Definition
Myopia
Term
Convex lens for correction: hyperopia or myopia
Definition
Hyperopia
Term
Concave lens for correction: hyperopia or myopia
Definition
Myopia
Term
Non-spherical refraction
Definition
Astigmatism
Term
Rectus muscles attach to
Definition
Sclera
Term
Sclera has what connective tissue type
Definition
Dense irregular with GAG's
Term
Lamina cribosa (significance & what layer of the eye)
Definition
Where optic nerve fibers penetrate sclera
Term
Tenon's capsule
Definition
Connective tissue capsule in which eye rotates
Term
Cornea layer structure
Definition
Stroma sandwich by epi- & endothelium (each with a basement membrane)
Term
Basement membrane of epithelium of the eye
Definition
Bowman's membrane
Term
Basement membrane of endothelium of the eye
Definition
Descement's membrane
Term
Cells in the stroma of the cornea (2)
Definition
Keratocytes [NOT KERATINOCYTES] & phagocytic cells
Term
Keratocytes have what embryonic origin
Definition
Neural crest cells
Term
Which has GAG's: Bowman's or Descement's membrane
Definition
Bowman's membrane
Term
Which has elastic properties: Bowman's or Descement's membrane
Definition
Descement's membrane
Term
Trabecular meshwork + Schlemm's canal =
Definition
Limbus
Term
Function of the limbus
Definition
Drains aqueous humor
Term
Anterior chamber bounded by
Definition
Between cornea & pupil
Term
Posterior chamber bounded by
Definition
Pupil & lens
Term
Glaucoma
Definition
Optic nerve damage resulting from ocular hypertension
Term
Types of glaucoma (3)
Definition
1) Closed angle, 2) open angle, 3) developmental
Term
Which type of glaucoma from a block of flow into the angle
Definition
Closed angle glaucoma
Term
Which type of glaucoma has a quick onset
Definition
Closed angle glaucoma
Term
Which type of glaucoma is due to a microobstruction or increased venous pressure
Definition
Open angle glaucoma
Term
Which type of glaucoma has a slow onset
Definition
Open angle glaucoma
Term
Layers of the retina in the cell body: what is special about each (2)
Definition
Only 2 cell layers: 1) Superficial is pigmented, 2) deep layer secretes aqueous humor
Term
Activation of PSNS leads to __ [increased or decreased] tension in zonule fibers
Definition
Decreased
Term
Activation of PSNS leads to __ [increased or decreased] roundness of the lens
Definition
Increased
Term
Accommodation
Definition
Thickening of the lens to facilitate near vision
Term
Activation of SNS leads to __ [increased or decreased] roundness of the lens
Definition
Decreased
Term
Layers of the choroid (3; deep to superficial)
Definition
Bruch's membrane → choriocapillary layer → vessel layer (melanocytes)
Term
Which sublayer of what layer perfuses the RPE and photoreceptors
Definition
Vessel layer of the choroid
Term
Components of the lens (4)
Definition
1) Capsule, 2) subscapular epithelium, 3) lens fibers, 4) germinal zone
Term
Which component of the lens is the source of lens fibers
Definition
Germinal zone
Term
Cataract
Definition
Loss of transparency of the lens
Term
Presbyopia
Definition
Loss of accomodation
Term
Junction between visual and non-visual retina
Definition
Ora serrata
Term
How many layers are in the retina
Definition
10
Term
Layers of the retina (10; deep to superficial = path of light travel)
Definition
Internal limiting mem → nerve fiber → ganglion cell → inner plexiform → inner nuclear → outer plexiform → outer nuclear → external limiting mem. → photoreceptors → RPE
Term
Which retinal layer: rods & cones
Definition
Photoreceptors
Term
Which retinal layer: photoreceptor cell bodies
Definition
Outer nuclear layer
Term
Which retinal layer: photoreceptor-biopolar junction
Definition
Outer plexiform
Term
Which retinal layer: bipolar cell bodies
Definition
Inner nuclear layer
Term
Which retinal layer: horizontal cell bodies
Definition
Inner nuclear layer
Term
Which retinal layer: bipolar-ganglion junction
Definition
Inner plexiform layer
Term
Which retinal layer: ganglion cell body
Definition
Ganglion cell
Term
In the retinal layers, what are found in the "plexiform" layers
Definition
Synapses
Term
In the retinal layers, what are found in the "nuclear" layers
Definition
Cell bodies
Term
Which retinal layers: Müller cells span from __ to __
Definition
External limiting membrane to nerve fiber layer
Term
Vitamin A deficiency
Definition
Night blindness
Term
Rhodopsin: rods or cones
Definition
Rods
Term
Iodopsin: rods or cones
Definition
Cones
Term
Retinaldehyde not exposed to a photon: 11-cis or all-trans conformation
Definition
11-cis
Term
Which is more photoabsorptive: rhodopsin or iodopsin
Definition
Rhodopsin
Term
Greater in number: rods or cones
Definition
Rods ["far outnumbered"]
Term
Morphology of rods & cones
Definition
Lamellar plates: shed distally and regenerated proximally
Term
Retinitis pigmentosa
Definition
Progressive loss of photoreceptor cells leading to blindness
Term
Common cause of retinitis pigmentosa
Definition
Rhodopsin mutations
Term
Glial cells of the retina
Definition
Müller cells
Term
Which retinal layer: amacrine cell bodies
Definition
Inner nuclear layer
Term
Integrator cells (2)
Definition
1) Horizontal, 2) amacrine
Term
Which integrates closer to the ganglion cells: horizontal or amacrine
Definition
Amacrine cells
Term
Which retina cells have axons that that form the optic nerve
Definition
Ganglion cells
Term
Direct pathway for impulse transmission (3)
Definition
Photoreceptor → bipolar → ganglion
Term
Macula aka
Definition
Fovea centralis
Term
Location in the retina with the greatest acuity
Definition
Macula
Term
Macular degeneration
Definition
Loss of vision in the macula
Term
Types/Forms of macular degeneration
Definition
1) Dry/nonexudative, 2) wet/exudative
Term
Dry or wet macular degeneration: atrophied RPE cells
Definition
Dry
Term
Dry or wet macular degeneration: blood vessels grow up into retina
Definition
Wet
Term
Dry or wet macular degeneration: which is more severe
Definition
Wet
Term
Retinal blood supply enters eye where
Definition
Enter with optic nerve
Term
Retinal blood supply perfuses up to and including which layer
Definition
Outer plexiform layer
Term
Place in order of decreasing prevalence: age-related macular degeneration, cataract, diabetic retinopathy, glaucoma, presbyopia, refractive errors
Definition
Presbyopia > refractive > DM retinopathy > cataract > glaucoma > mac. degen.
Term
The eye is a window to what systems (4)
Definition
1) CNS, 2) vascular, 3) endocrine, 4) immune system
Term
Components of vision (5)
Definition
1) Pointing the eye, 2) focusing the image, 3) adjusting exposure, 4) transduction to neural impulses, 5) transmit image to brain
Term
__% of refraction of light is done by the cornea
Definition
75%
Term
Presbyopia
Definition
Loss of accomodation
Term
Glaucoma
Definition
CN II damage resulting from ocular hypertension
Term
Cataract
Definition
Opacification of the lens
Term
PSNS to which eye muscle
Definition
Sphincter pupillae
Term
SNS to which eye muscle
Definition
Dilator pupillae
Term
Dilation of pupil by __ m. which is ___ [SNS or PSNS] controlled
Definition
Dilator pupillae by SNS
Term
Constriction of pupil by __ m. which is ___ [SNS or PSNS] controlled
Definition
Sphincter pupillae by PSNS
Term
Pupil constriction: radial or circular muscle fiber arrangement
Definition
Circular
Term
Pupil dilation: radial or circular muscle fiber arrangement
Definition
Radial
Term
For the eye clinically and physiologically, which is more important: SNS or PSNS
Definition
PSNS [according to Stone, the guy writing our exam questions]
Term
PSNS to eye originate in what nucleus
Definition
Edinger-Westphal nucleus
Term
Pathway used for pupillary light reflex (8; CN II to effector muscle)
Definition
CN II → optic tract → pretectal nucleus → EW nucleus → CN III → ciliary ganglion → short ciliary nn. → sphincter pupillae
Term
What nuclei/ganglia does the pupillary light reflex go through (3)
Definition
1) Pretectal nucleus, 2) EW nucleus, 3) ciliary ganglion
Term
What is the relative afferent pupillary defect
Definition
Ligh reflex does not elicit constriction when shined in the affect eye
Term
Relative afferent pupillary defect is a defect in which structures
Definition
Retina or CN II
Term
If an eye defect is purely unilateral afferent, are pupils: equal or unequal
Definition
Equal
Term
If an eye defect is purely unilateral efferent, are pupils: equal or unequal
Definition
Unequal
Term
Anisocoria
Definition
Unequal pupil size
Term
Are pupil light responses affected by cataracts: yes or no
Definition
No
Term
Uncal herniation may affect eyes how
Definition
Compression of CN III
Term
Someone with blown pupils but is otherwise healthy: are you concerned
Definition
No, probably jimson weed or some other atropine-like compound and not increased ICP like in TV shows
Term
SNS to eyes originates in what ganglion
Definition
Superior cervical ganglion
Term
What synapses in the ciliary ganglion
Definition
PSNS [weak question, but he did make a point about SNS not synapsing there]
Term
Injury to SNS anywhere between hypothalamus & eyes results in
Definition
Horner syndrome
Term
Horner syndrome effects (3; as discussed in class)
Definition
1) Anisocoria, 2) ptosis, 3) anhidrosis
Term
Severing SNS at a superior cervical ganglion would affect the ___ [ipsilateral or contralateral] pupil
Definition
Ipsilateral [smaller pupil on affected side]
Term
Severing SNS at a superior cervical ganglion would affect the ___ [ipsilateral or contralateral] eye lid
Definition
Ipsilateral [ptosis on affected side]
Term
Severing SNS at a superior cervical ganglion would affect the ___ [ipsilateral or contralateral] sweating
Definition
Ipsilateral [anhidrosis on affected side]
Term
Phototransduction results in ___ [hyper- or depolarization] by ___ mV
Definition
Hyperpolarization by 1 mV [so more negative]
Term
Phototransduction results in ___ [closure or opening] of what channel
Definition
Closure of Na channels
Term
Phototransduction involves converting retinal from ___ to ____
Definition
11-cis to all-trans
Term
After phototransduction, where is the retinal isomerized to be re-used
Definition
RPE
Term
The visual cycle does what
Definition
Recycles retinal for phototransduction
Term
Rhodopsin is what class/kind of receptor
Definition
G-protein-coupled receptor
Term
What G protein is used with rhodopsin
Definition
Transducin
Term
What does tranducin target
Definition
cGMP phosophodiesterase
Term
During phototransduction, does cGMP: increase or decrease
Definition
Decrease
Term
Why does [cGMP] change during phototransduction
Definition
Activation of cGMP phosphodiesterase by transducin
Term
Steps of phototransduction (7; starting with light)
Definition
Light → activated rhodopsin → activated transducin → activated cGMP PDE → cGMP hydrolysis → closure of Na channels → hyperpolarization
Term
Photoreceptor neurotransmitter
Definition
Glutamate
Term
Where does CN II synapse
Definition
Lateral geniculate nucleus
Term
Possible result of buildup of lipofuscin in RPE
Definition
RPE death → photoreceptor death
Term
Age-related magular degeneration cause
Definition
Possible result of lipofuscin buildup in RPE that leads to RPE death and then photoreceptor death
Term
Most common cause of severe visual loss in the developed world
Definition
Age-related macular degeneration
Term
Internal carotid supplies which arteries to the retinas
Definition
All/both of them: I.C. → ophthalmic → posterior long ciliary aa. & central retinal a. [yeah, "internal caroid" is a red herring]
Term
Retinal vasculature is clinically useful for what diseases (2)
Definition
1) Diabetic retinopathy, 2) atherosclerosis
Term
The central retinal a. gives branches that respect a ___ [vertical or horizontal] meridian
Definition
Horizontal
Term
Altitudinal effects on vision are usually localized where
Definition
WIthin the eye
Term
Unilateral effects on vision are usually localized where
Definition
Anterior to optic chiasm
Term
Bitemporal effects on vision are usually localized where
Definition
Optic chiasm
Term
Homonymous effects on vision are usually localized where
Definition
Behind optic chiasm
Term
Divisions of the ear (3)
Definition
External → middle → inner
Term
Homonymous fields of vision
Definition
Loss of left or right sides (both eyes) of vision (i.e., loss of temporal in one eye and nasal in the other)
Term
External acoustic meatus is ___ cartilagenous and ___ bony [fractions and they better add up to one]
Definition
1/3 cartilage; 2/3 bone
Term
Ceruminous glands: apocrine, holocrine, or merocrine
Definition
Apocrine
Term
Type of epithelium in middle ear
Definition
Simple cuboidal
Term
Infection of the middle ear
Definition
Otitis media
Term
Normal tympanic membrane: concave or convex [w.r.t. middle ear]
Definition
Concave into middle ear
Term
Labyrinths of the inner ear (2)
Definition
1) Bony, 2) membranous
Term
Inner ear is in which bone
Definition
Temporal bone
Term
What lines bony labyrinth (superficial to membranous labyrinth)
Definition
Periosteum
Term
Fluid in inner ear
Definition
Perilymph
Term
Inner ear is connected to which space of the brain via the ___
Definition
Subarachnoid space via the perilymphatic duct
Term
Perilymph is similar in composition to what
Definition
CSF
Term
Which has electrolyte composition similar to cytoplasm: endolymph or perilymph
Definition
Endolymph
Term
Which has electrolyte composition more like extracellular fluid: endolymph or perilymph
Definition
Perilymph
Term
What makes endolymph
Definition
Stria vascularis
Term
Cochlea contains the organ of
Definition
Corti
Term
Longest "hairs" of a hair cell
Definition
Kinocilium
Term
Displacement of stereocilla toward kinocilium: hyper- or depolarizes membrane
Definition
Depolarizes
Term
Displacement of stereocilla away from kinocilium: hyper- or depolarizes membrane
Definition
Hyperpolarizes
Term
Ganglion of the cochlear system
Definition
Spiral ganglion
Term
Ganglion of the vestibular system
Definition
Scarpa's ganglion
Term
Which is horizontal acceleration: utricle or saccule
Definition
Utricle
Term
Which is vertical acceleration: utricle or saccule
Definition
Saccule [my mnemonic: you have to squat vertically to pick up a sack]
Term
Which is joined with the semicircular ducts: utricle or saccule
Definition
Utricle
Term
Neuroepithelial areas of utricle & saccule
Definition
Maculae
Term
Which is linear acceleration: maculae or cristae ampullares
Definition
Maculae
Term
Which is angular acceleration: maculae or cristae ampullares
Definition
Cristae ampullares
Term
Calcium carbonate crystals of the maculae
Definition
Otoliths/otoconia
Term
Anatomy to get straight: dilation at end of semicircular canals
Definition
Ampulla
Term
Anatomy to get straight: mound of hair cells within the ampulla
Definition
Crista ampullares
Term
Anatomy to get straight: gelatenous structure on top of the hair cells within the ampulla
Definition
Cupola
Term
Anatomy to get straight: neuroepithelial areas in semicircular canals
Definition
Cristae
Term
Cupola lacks otoliths, what then causes movement of the cupola in response to acceleration
Definition
Endolymph
Term
What fluid fills the semicircular canals: endolymph or perilymph
Definition
Endolymph
Term
What fluid fills the saccule & utricle: endolymph or perilymph
Definition
Endolymph
Term
What fluid fills the scala media: endolymph or perilymph
Definition
Endolymph
Term
Where is the ganglion for hearing
Definition
Spiral ganglion is in the cochlea
Term
Modiolus is made up of
Definition
Spongy bone
Term
Spaces of the cochlea (4)
Definition
1) Scala media, 2) scala vestibuli, 3) scala tympani, 4) inner tunnel
Term
Cells that make up the walls of the inner tunnel
Definition
Pillar cells
Term
Membrane between scala vestibuli & media
Definition
Vestibular membrane
Term
Membrane between scala tympani & media
Definition
Basilar membrane
Term
Membrane between scala media & hair cells
Definition
Tectorial membrane
Term
Auditory conduction pathway through sound transduction (8; stop at organ of Corti)
Definition
Pinna → ext. ac. meatus → tymp. mem. → ossicles → oval window → perilymph → scala vestibuli → organ of Corti
Term
Cochlea detects high frequecies at: base or helicotrema
Definition
Base
Term
Otic placode from which embryological structure
Definition
Ectoderm
Term
External acoustic meatus from which embryological structure
Definition
First pharyngeal cleft (ectoderm)
Term
Auditory tube is from which embryological structure
Definition
First pharyngeal pouch (endoderm)
Term
Ossicles are from which embryological structure
Definition
Neural crest cells (ectoderm)
Term
The ear is derived from the ___ [endo, ecto, mesoderm] layer, except the ___ which is from ___
Definition
Ectoderm, except the auditory tube which is from endoderm
Term
Otosclerosis
Definition
Hearing loss due to bone growth in middle ear
Term
Hearing loss is possible from which antibiotics
Definition
Aminoglycosides
Term
Ménière's disease
Definition
Endolymph production/absorption → severe vertigo
Term
Why is impedence matching in the ear matter
Definition
Because of the transduction from air to liquid
Term
How do the ossicles contribute to impedence matching
Definition
Lever arms of the malleus & incus give a 3:1 mechanical advantage (incus is shorter arm)
Term
How does the tympanic membrane contribute to impedence matching
Definition
Tympanic mem. (55 μm²) is 18x larger than oval window (3 μm²)
Term
Which is more important in impedence matching: ossicles or membranes
Definition
Membranes [tympanic mem. & oval window]
Term
Potential difference between endolymph & perilymph (the endocochlear potential)
Definition
80 mV [sufficient to possibly be an energy source for implants]
Term
Where does the tonotopy of hearing start and end
Definition
Starts with the structure of the organ of Corti and continues throughout and into the brain [no idea where tonotopy ends]
Term
Structural anatomy of the ear does not explain our high sensitivity, what boosts it
Definition
The cochlear amplifier
Term
Cochlear amplifer is what
Definition
Electromotility of the outer hair cells to amplify movement of the inner hair cells
Term
Major protein localized to the outer hair cells that accounts for electromotility
Definition
Prestin
Term
Mutations in prestin leads to
Definition
Hereditary hearing loss
Term
How many outer hair cells per inner hair cell
Definition
3 OHC per 1 IHC
Term
Are hair cells orderly or randomly arranged
Definition
Orderly arranged
Term
Which type: outer or inner hair cells
Definition
Outer hair cells
Term
Which type: outer or inner hair cells
Definition
Inner hair cells
Term
Potassium enters the inner hair cell when the stereocilia bend ___ [toward or away from] kinocilium
Definition
Toward kinocilium [KNOW THIS!]
Term
What causes neurotransmitter to be released from the inner hair cell
Definition
Ca2+ influx due to potassium influx
Term
What neurotransmitter do inner hair cells release
Definition
Glutamate
Term
How & where does the potassium influx go from stereocillia bending leave the cell
Definition
Ca-gated potassium channels
Term
What proteins bind stereocilia tips together (2)
Definition
1) Cadherin 23, 2) protocadherin 15 [I think it's sufficient to know that there is binding between them]
Term
Usher syndrome cause
Definition
Mutations in cadherins that bind stereocilia tips together
Term
Hypotheses as to where the potassium influx channels in stereocilia are located (2)
Definition
1) On the tips of stereocilia, 2) membrane sidewall at the membrane cup
Term
How is adaptation achieved with tip links
Definition
Tip link is attached to myosin that motors up and down actin filaments [KNOW THIS!]
Term
What is special about the inner hair cell synapse
Definition
Ribbon synapse: geared for precise and rapid conduction
Term
Are inner hair cells spontaneously releasing glutamate or are they silent when inactive
Definition
Spontaneously releasing glutamate
Term
Type I spiral ganglion neurons to __ [inner or outer] hair cells
Definition
Inner hair cells
Term
Type II spiral ganglion neurons to __ [inner or outer] hair cells
Definition
Outer hair cells
Term
Do hair cells have efferents to them: if so, which ones
Definition
Both, type I is axoaxonic [KNOW THIS!]
Term
Ratio of ganglia cells to inner hair cells
Definition
1:1 to 20:1 so a lot of innervation to a single hair cell
Term
Ratio of ganglia cells to outer hair cells
Definition
1:6 to 1:100 and in same row, so very few Type II ganglia neurons for all outer hair cells
Term
Ways frequency is encoded in the auditory system (2)
Definition
1) Tonotopically ("place coding"), 2) rate of firing of neurons ("frequency coding") [KNOW THIS!]
Term
How is sound localized (2)
Definition
1) Interaural timing differences, 2) interaural intensity differences
Term
Vestibular-ocular reflex
Definition
Maintain eye gaze stability during head movements
Term
Frequency limits of human hearing
Definition
50 Hz to 20 kHz
Term
Auditory neuropathy
Definition
Mutation in ribbon synapse molecules that leads to hearing loss
Term
What kind of neurons are the spiral ganglion neurons
Definition
Bipolar
Term
Vestibular-ocular reflex: turning your head left activates the __ [L or R] vestibular and leads to contraction of what muscles
Definition
Activates left and activates L medial rectus m. and R lateral rectus m.
Term
Vestibular-ocular reflex: turning your head left inhibits the __ [L or R] vestibular and leads to relaxation of what muscles
Definition
Inhibits right and relaxes L lateral rectus m. and R medial rectus m.
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