Term
First site of hematopoiesis |
|
Definition
|
|
Term
Second site of hematopoiesis |
|
Definition
Liver & spleen (6 weeks to 7 months) |
|
|
Term
Third site of hematopoiesis |
|
Definition
|
|
Term
Sites of hematopoiesis in infants |
|
Definition
|
|
Term
What replaces hematopoiesis in bones with age |
|
Definition
|
|
Term
Which bones lose hematopoiesis with age |
|
Definition
|
|
Term
Extramedullary hematopoiesis |
|
Definition
|
|
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
|
|
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
|
|
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
|
|
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
|
Definition
|
|
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
|
|
Term
Reticulocytes make up about __% of circulating RBC's |
|
Definition
|
|
Term
|
Definition
|
|
Term
What puts BFU's into the RBC differentiation pathway |
|
Definition
|
|
Term
What puts BFU's into the platelet differentiation pathway |
|
Definition
|
|
Term
What puts BFU's into the monocyte differentiation pathway |
|
Definition
|
|
Term
What puts BFU's into the neutrophil differentiation pathway |
|
Definition
|
|
Term
What puts BFU's into the eosinophil differentiation pathway |
|
Definition
|
|
Term
Name of the process of making granulocytes |
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
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
|
Definition
|
|
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
|
|
Term
|
Definition
Mitosis without cytokinesis |
|
|
Term
|
Definition
|
|
Term
Poietic treatment options for post-chemotherapy (2) |
|
Definition
1) Autologous/allogenic transplant of pre-chemotherapy cells, 2) recombinant growth factors |
|
|
Term
|
Definition
40% [just getting general idea] |
|
|
Term
|
Definition
14 [just getting general idea] |
|
|
Term
|
Definition
4.0 [just getting general idea] |
|
|
Term
Cytoskeleton proteins (4) |
|
Definition
1) Spectrin, 2) ankyrin, 3) band 3, 4) protein 4.1 |
|
|
Term
|
Definition
Attach to actin through protein 4.1 |
|
|
Term
|
Definition
Binds cytoskeleton to membrane through band 3 |
|
|
Term
|
Definition
Anion transport and binds to ankyrin |
|
|
Term
|
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
|
|
Term
Iron transporter in basal surface |
|
Definition
|
|
Term
__ [Fe2+ or Fe3+] is transported through the blood by ___ |
|
Definition
|
|
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
|
Definition
|
|
Term
Where is excess iron stored |
|
Definition
|
|
Term
__% of body's iron is found in RBC's |
|
Definition
|
|
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
|
|
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
|
|
Term
Hemoglobin consists of what subunits in adults |
|
Definition
|
|
Term
|
Definition
|
|
Term
Porphyrias are diseases of what pathway |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Which is adult hemoglobin: HbA, HbA2, HbF |
|
Definition
|
|
Term
Hemoglobin that dominates at birth |
|
Definition
|
|
Term
Hemoglobin that is first created in the yolk sac |
|
Definition
|
|
Term
|
Definition
|
|
Term
Why is the oxygen dissociation curve sigmoidal |
|
Definition
|
|
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
|
Definition
1 Glc → 2 ATP + 2 NADH + 2 Pyr |
|
|
Term
|
Definition
Defects in glycolysis & pentose phosphate pathway |
|
|
Term
|
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
|
|
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
|
|
Term
ABO blood group: someone who is AB can receive plasma from whom |
|
Definition
|
|
Term
ABO blood group: someone who is AB can donate RBC's to whom |
|
Definition
|
|
Term
ABO blood group: someone who is AB can donate plasma to whom |
|
Definition
|
|
Term
Rh blood group: anti-Rh is what immunoglobin |
|
Definition
|
|
Term
Which has antigens that are IgG: ABO or Rh |
|
Definition
|
|
Term
Which has antigens that are IgM: ABO or Rh |
|
Definition
|
|
Term
Rh blood group: which is more common: Rh+ or Rh- |
|
Definition
|
|
Term
Rh blood group: would an Rh- individual naturally generate anti-Rh antibodies |
|
Definition
|
|
Term
ABO blood group: would an O individual naturally generate anti-A and anti-B antibodies |
|
Definition
|
|
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
|
|
Term
Pools of granulocytes (2) |
|
Definition
1) Mitotic, 2) post-mitotic |
|
|
Term
Mitotic or post-mitotic: blasts |
|
Definition
|
|
Term
Mitotic or post-mitotic: promyelocytes |
|
Definition
|
|
Term
Mitotic or post-mitotic: myelocytes |
|
Definition
|
|
Term
Mitotic or post-mitotic: Metamyelocytes |
|
Definition
|
|
Term
Mitotic or post-mitotic: bands |
|
Definition
|
|
Term
Are there more neutrophils in bone marrow or in circulation |
|
Definition
Bone marrow (7x more than circulation) |
|
|
Term
|
Definition
1) Marginal, 2) circulating |
|
|
Term
Where are marginal pool neutrophils found |
|
Definition
|
|
Term
Are there more neutrophils in marginal or circulation pool |
|
Definition
|
|
Term
How long do neutrophils normally circulate before extravasating and die |
|
Definition
|
|
Term
|
Definition
High nuclear/cytoplasmic ratio, immature nucleus, nucleoli, few granules |
|
|
Term
Which myeloid cell: high nuclear/cytoplasmic ratio, immature nucleus, nucleoli, few granules |
|
Definition
|
|
Term
|
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
|
|
Term
|
Definition
Eccentric nucleus, perinuclear clear zone, 1° and 2° granules |
|
|
Term
Which myeloid cell: eccentric nucleus, perinuclear clear zone, 1° and 2° granules |
|
Definition
|
|
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
|
|
Term
|
Definition
Horseshoe shaped nucleus, prominent granules |
|
|
Term
Which myeloid cell: horseshoe shaped nucleus, prominent granules |
|
Definition
|
|
Term
|
Definition
Segmented nucleus, less prominent granules |
|
|
Term
Which myeloid cell: segmented nucleus, less prominent granules |
|
Definition
|
|
Term
Which myeloid cell stage is last to have mitosis |
|
Definition
|
|
Term
Which myeloid cell stage has a high nuclear/cytoplasmic ratio |
|
Definition
|
|
Term
Which myeloid cell stage has few granules |
|
Definition
|
|
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
|
|
Term
Which myeloid cell stage has an eccentric nucleus |
|
Definition
|
|
Term
Which myeloid cell stage has a horseshoe nucleus |
|
Definition
|
|
Term
Which myeloid cell stage has a segmented nucleus |
|
Definition
|
|
Term
Which myeloid cell: segmented nucleus, less prominent granules |
|
Definition
|
|
Term
|
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
|
|
Term
|
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
|
|
Term
|
Definition
Folded nuclei, grayblue cytoplasm with vacuoles, granules are rare |
|
|
Term
Which myeloid cell: folded nuclei, grayblue cytoplasm with vacuoles, granules are rare |
|
Definition
|
|
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
|
|
Term
Which myeloid cell stage has prominent blue granules |
|
Definition
|
|
Term
Which myeloid cell stage has folded nuclei |
|
Definition
|
|
Term
Which myeloid cell stage has a gray-blue cytoplasm with vacuoles |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Contents of neutrophil granules (3) |
|
Definition
1) Enzymes (elastase, definsins, cathelicidins), 2) lysozymes, 3) bactericidal proteins |
|
|
Term
What mediates extravasation |
|
Definition
|
|
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
|
Definition
ROS production into phagolysosome making superoxide, peroxide, hydroxyl radical, & hypochlorous acid |
|
|
Term
Deficiency of neutrophils leads to susceptibility of |
|
Definition
|
|
Term
Deficiency of eosinophils leads to susceptibility of |
|
Definition
|
|
Term
|
Definition
Control of bleeding after an injury |
|
|
Term
|
Definition
Formation of platelet plug |
|
|
Term
|
Definition
Stabilization by a fibrin clot |
|
|
Term
How long do platelets circulate |
|
Definition
|
|
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
|
|
Term
Which contains vWF: dense bodies or α-granules |
|
Definition
|
|
Term
Which contains ATP: dense bodies or α-granules |
|
Definition
|
|
Term
Which contains fibrinogen: dense bodies or α-granules |
|
Definition
|
|
Term
Which contains PDGF: dense bodies or α-granules |
|
Definition
|
|
Term
Platelet reaction steps (5) |
|
Definition
Adhesion → aggregation → release → cloth formation & retraction → support of plasma coagulation |
|
|
Term
What binds platelets to endothelium |
|
Definition
|
|
Term
What binds platelets to each other |
|
Definition
GP IIb/IIIa through fibrinogen |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
1) Bind to GP Ib, 2) bind to collagen, 3) bind/stabilize factor VIII |
|
|
Term
Factor VIII bound & stabilized by |
|
Definition
|
|
Term
Shape change of platelets is mediate by a factor in: dense bodies or α-granules |
|
Definition
|
|
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
|
|
Term
What do activated platelets secrete that causes vasoconstriction |
|
Definition
|
|
Term
What do activated platelets secrete that causes growth of vessel walls |
|
Definition
|
|
Term
What do activated platelets secrete that causes fluid phase coagulation |
|
Definition
|
|
Term
Aspirin inhibits production of what platelet agonist |
|
Definition
|
|
Term
If cAMP decreases in platelets, what happens |
|
Definition
Granular release through increased [Ca2+] |
|
|
Term
Thromboxane A2 increases or decreases cAMP |
|
Definition
|
|
Term
Prostacyclin increases or decreases cAMP |
|
Definition
|
|
Term
Platelets have a negatively charged outer surface when: inactivate/resting or active |
|
Definition
|
|
Term
What does the contraction on fibrin |
|
Definition
|
|
Term
NO: inhibitor or activator of platelet aggregation |
|
Definition
|
|
Term
|
Definition
Measures clotting time at the end of a small tube |
|
|
Term
Which factor was never assigned and so doesn't exist |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Where are most coagulation factors made |
|
Definition
|
|
Term
Most coagulation factors are what kind of enzymes |
|
Definition
|
|
Term
Final product of the coagulation cascade |
|
Definition
|
|
Term
|
Definition
|
|
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
|
|
Term
Coagulation cascade takes place where |
|
Definition
|
|
Term
|
Definition
|
|
Term
Fibrin to cross-linked fibrin by |
|
Definition
|
|
Term
Division of coagulation cascade in vitro (2) |
|
Definition
1) Intrinsic pathway, 2) extrinsic pathway |
|
|
Term
Where do the initrinsic & extrinsic pathways converge |
|
Definition
|
|
Term
Which factor is involved in the in vitro, but not in vivo |
|
Definition
|
|
Term
Which factor, if absent, produces no known increased risk of bleeding |
|
Definition
|
|
Term
Specifically, where is Factor VIII thought to be produced |
|
Definition
Endothelial cells of the liver |
|
|
Term
|
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
|
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
|
|
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
|
|
Term
Antithrombin inhibits (4) |
|
Definition
|
|
Term
Which is enzymatically active (the other is a cofactor): protein C or protein S |
|
Definition
|
|
Term
Activated protein C + protein S degrade which factors (2) |
|
Definition
|
|
Term
Activated protein C + protein S degrade which inhibitor |
|
Definition
Plasminogen activator inhibitor |
|
|
Term
Tissue factor pathway inhibitor (TFPI) inhibits |
|
Definition
|
|
Term
Key enzyme in fibrinolysis |
|
Definition
|
|
Term
Cleavage of fibrin by plasmin creates what diagnostic molecule |
|
Definition
|
|
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
|
|
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
|
Definition
Factor VIII or IX deficiency |
|
|
Term
|
Definition
|
|
Term
Large granular lymphocytes (2) |
|
Definition
|
|
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
|
|
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
|
|
Term
Components of the medulla (2) |
|
Definition
|
|
Term
Locations of B cells in a lymph node (2) |
|
Definition
1) Cortex, 2) medullary cords |
|
|
Term
|
Definition
1) Subcapsular, 2) intermediate, 3) medullary |
|
|
Term
Proliferating centroblasts: dark or light region |
|
Definition
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|
Term
|
Definition
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|
Term
Circulations of the red pulp in spleen (2) |
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Definition
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|
Term
Which circulation of the splenic red pulp is rapid flow |
|
Definition
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|
Term
Which circulation of the splenic red pulp is most of the flow |
|
Definition
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|
Term
Which circulation of the splenic red pulp is to the cords |
|
Definition
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|
Term
Which circulation of the splenic red pulp is sinusoids |
|
Definition
|
|
Term
Which circulation of the splenic red pulp is sinuses |
|
Definition
|
|
Term
How can you tell that someone is asplenic by looking at blood smears |
|
Definition
Howell Jolly bodies in RBC's |
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|
Term
Embryonic origin of the tymus |
|
Definition
3rd & 4th pharnygeal pouches |
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|
Term
Histological tell-tale sign of the thymus |
|
Definition
|
|
Term
Why so many macrophages in the thymus |
|
Definition
Lots of apoptotic thymocytes |
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|
Term
T cells make up __% to __% of circulating lymphocytes |
|
Definition
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|
Term
B cells make up __% to __% of circulating lymphocytes |
|
Definition
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|
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 |
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|
Term
Eyelid conjunctiva: palpebral or bulbar |
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Definition
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|
Term
Eye conjunctiva: palpebral or bulbar |
|
Definition
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|
Term
|
Definition
Oily secretion to seal lid margins |
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|
Term
|
Definition
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|
Term
|
Definition
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|
Term
What antibacterial is found in tears |
|
Definition
|
|
Term
|
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 |
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|
Term
Which refractive layer does the majority of refraction |
|
Definition
|
|
Term
Layers of the eye (3; deep to superficial) |
|
Definition
Retina → uvea → fibrous coat |
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|
Term
Parts of the fibrous coat (2) |
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Definition
|
|
Term
|
Definition
Choroid, ciliary body, iris |
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Term
|
Definition
Visual, nonvisual (ciliary & iridial) |
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|
Term
What layers of the eye are found in the iris |
|
Definition
|
|
Term
Virtreous humor contains (4) |
|
Definition
1) Fine collagen fibrils, 2) hydrophilic GAG's, 3) fibroblasts, 4) macrophages |
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|
Term
Farsightedness: hyperopia or myopia |
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Definition
|
|
Term
Nearsightedness: hyperopia or myopia |
|
Definition
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|
Term
Focuses behind retina: hyperopia or myopia |
|
Definition
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|
Term
Focuses in front of retina: hyperopia or myopia |
|
Definition
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|
Term
Convex lens for correction: hyperopia or myopia |
|
Definition
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|
Term
Concave lens for correction: hyperopia or myopia |
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Sclera has what connective tissue type |
|
Definition
Dense irregular with GAG's |
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|
Term
Lamina cribosa (significance & what layer of the eye) |
|
Definition
Where optic nerve fibers penetrate sclera |
|
|
Term
|
Definition
Connective tissue capsule in which eye rotates |
|
|
Term
|
Definition
Stroma sandwich by epi- & endothelium (each with a basement membrane) |
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|
Term
Basement membrane of epithelium of the eye |
|
Definition
|
|
Term
Basement membrane of endothelium of the eye |
|
Definition
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|
Term
Cells in the stroma of the cornea (2) |
|
Definition
Keratocytes [NOT KERATINOCYTES] & phagocytic cells |
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|
Term
Keratocytes have what embryonic origin |
|
Definition
|
|
Term
Which has GAG's: Bowman's or Descement's membrane |
|
Definition
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|
Term
Which has elastic properties: Bowman's or Descement's membrane |
|
Definition
|
|
Term
Trabecular meshwork + Schlemm's canal = |
|
Definition
|
|
Term
|
Definition
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|
Term
Anterior chamber bounded by |
|
Definition
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|
Term
Posterior chamber bounded by |
|
Definition
|
|
Term
|
Definition
Optic nerve damage resulting from ocular hypertension |
|
|
Term
|
Definition
1) Closed angle, 2) open angle, 3) developmental |
|
|
Term
Which type of glaucoma from a block of flow into the angle |
|
Definition
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|
Term
Which type of glaucoma has a quick onset |
|
Definition
|
|
Term
Which type of glaucoma is due to a microobstruction or increased venous pressure |
|
Definition
|
|
Term
Which type of glaucoma has a slow onset |
|
Definition
|
|
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 |
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|
Term
Activation of PSNS leads to __ [increased or decreased] tension in zonule fibers |
|
Definition
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|
Term
Activation of PSNS leads to __ [increased or decreased] roundness of the lens |
|
Definition
|
|
Term
|
Definition
Thickening of the lens to facilitate near vision |
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|
Term
Activation of SNS leads to __ [increased or decreased] roundness of the lens |
|
Definition
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|
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
|
|
Term
|
Definition
Loss of transparency of the lens |
|
|
Term
|
Definition
|
|
Term
Junction between visual and non-visual retina |
|
Definition
|
|
Term
How many layers are in the retina |
|
Definition
|
|
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
|
|
Term
Which retinal layer: photoreceptor cell bodies |
|
Definition
|
|
Term
Which retinal layer: photoreceptor-biopolar junction |
|
Definition
|
|
Term
Which retinal layer: bipolar cell bodies |
|
Definition
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|
Term
Which retinal layer: horizontal cell bodies |
|
Definition
|
|
Term
Which retinal layer: bipolar-ganglion junction |
|
Definition
|
|
Term
Which retinal layer: ganglion cell body |
|
Definition
|
|
Term
In the retinal layers, what are found in the "plexiform" layers |
|
Definition
|
|
Term
In the retinal layers, what are found in the "nuclear" layers |
|
Definition
|
|
Term
Which retinal layers: Müller cells span from __ to __ |
|
Definition
External limiting membrane to nerve fiber layer |
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Retinaldehyde not exposed to a photon: 11-cis or all-trans conformation |
|
Definition
|
|
Term
Which is more photoabsorptive: rhodopsin or iodopsin |
|
Definition
|
|
Term
Greater in number: rods or cones |
|
Definition
|
|
Term
Morphology of rods & cones |
|
Definition
Lamellar plates: shed distally and regenerated proximally |
|
|
Term
|
Definition
Progressive loss of photoreceptor cells leading to blindness |
|
|
Term
Common cause of retinitis pigmentosa |
|
Definition
|
|
Term
Glial cells of the retina |
|
Definition
|
|
Term
Which retinal layer: amacrine cell bodies |
|
Definition
|
|
Term
|
Definition
1) Horizontal, 2) amacrine |
|
|
Term
Which integrates closer to the ganglion cells: horizontal or amacrine |
|
Definition
|
|
Term
Which retina cells have axons that that form the optic nerve |
|
Definition
|
|
Term
Direct pathway for impulse transmission (3) |
|
Definition
Photoreceptor → bipolar → ganglion |
|
|
Term
|
Definition
|
|
Term
Location in the retina with the greatest acuity |
|
Definition
|
|
Term
|
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
|
|
Term
Dry or wet macular degeneration: blood vessels grow up into retina |
|
Definition
|
|
Term
Dry or wet macular degeneration: which is more severe |
|
Definition
|
|
Term
Retinal blood supply enters eye where |
|
Definition
|
|
Term
Retinal blood supply perfuses up to and including which layer |
|
Definition
|
|
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
|
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
|
|
Term
|
Definition
|
|
Term
|
Definition
CN II damage resulting from ocular hypertension |
|
|
Term
|
Definition
Opacification of the lens |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Dilation of pupil by __ m. which is ___ [SNS or PSNS] controlled |
|
Definition
|
|
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
|
|
Term
Pupil dilation: radial or circular muscle fiber arrangement |
|
Definition
|
|
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] |
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|
Term
PSNS to eye originate in what nucleus |
|
Definition
|
|
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
|
|
Term
If an eye defect is purely unilateral afferent, are pupils: equal or unequal |
|
Definition
|
|
Term
If an eye defect is purely unilateral efferent, are pupils: equal or unequal |
|
Definition
|
|
Term
|
Definition
|
|
Term
Are pupil light responses affected by cataracts: yes or no |
|
Definition
|
|
Term
Uncal herniation may affect eyes how |
|
Definition
|
|
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
|
|
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
|
|
Term
Phototransduction involves converting retinal from ___ to ____ |
|
Definition
|
|
Term
After phototransduction, where is the retinal isomerized to be re-used |
|
Definition
|
|
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
|
|
Term
What does tranducin target |
|
Definition
|
|
Term
During phototransduction, does cGMP: increase or decrease |
|
Definition
|
|
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
|
|
Term
|
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
|
|
Term
Altitudinal effects on vision are usually localized where |
|
Definition
|
|
Term
Unilateral effects on vision are usually localized where |
|
Definition
|
|
Term
Bitemporal effects on vision are usually localized where |
|
Definition
|
|
Term
Homonymous effects on vision are usually localized where |
|
Definition
|
|
Term
|
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
|
|
Term
Ceruminous glands: apocrine, holocrine, or merocrine |
|
Definition
|
|
Term
Type of epithelium in middle ear |
|
Definition
|
|
Term
Infection of the middle ear |
|
Definition
|
|
Term
Normal tympanic membrane: concave or convex [w.r.t. middle ear] |
|
Definition
|
|
Term
Labyrinths of the inner ear (2) |
|
Definition
|
|
Term
Inner ear is in which bone |
|
Definition
|
|
Term
What lines bony labyrinth (superficial to membranous labyrinth) |
|
Definition
|
|
Term
|
Definition
|
|
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
|
|
Term
Which has electrolyte composition similar to cytoplasm: endolymph or perilymph |
|
Definition
|
|
Term
Which has electrolyte composition more like extracellular fluid: endolymph or perilymph |
|
Definition
|
|
Term
|
Definition
|
|
Term
Cochlea contains the organ of |
|
Definition
|
|
Term
Longest "hairs" of a hair cell |
|
Definition
|
|
Term
Displacement of stereocilla toward kinocilium: hyper- or depolarizes membrane |
|
Definition
|
|
Term
Displacement of stereocilla away from kinocilium: hyper- or depolarizes membrane |
|
Definition
|
|
Term
Ganglion of the cochlear system |
|
Definition
|
|
Term
Ganglion of the vestibular system |
|
Definition
|
|
Term
Which is horizontal acceleration: utricle or saccule |
|
Definition
|
|
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
|
|
Term
Neuroepithelial areas of utricle & saccule |
|
Definition
|
|
Term
Which is linear acceleration: maculae or cristae ampullares |
|
Definition
|
|
Term
Which is angular acceleration: maculae or cristae ampullares |
|
Definition
|
|
Term
Calcium carbonate crystals of the maculae |
|
Definition
|
|
Term
Anatomy to get straight: dilation at end of semicircular canals |
|
Definition
|
|
Term
Anatomy to get straight: mound of hair cells within the ampulla |
|
Definition
|
|
Term
Anatomy to get straight: gelatenous structure on top of the hair cells within the ampulla |
|
Definition
|
|
Term
Anatomy to get straight: neuroepithelial areas in semicircular canals |
|
Definition
|
|
Term
Cupola lacks otoliths, what then causes movement of the cupola in response to acceleration |
|
Definition
|
|
Term
What fluid fills the semicircular canals: endolymph or perilymph |
|
Definition
|
|
Term
What fluid fills the saccule & utricle: endolymph or perilymph |
|
Definition
|
|
Term
What fluid fills the scala media: endolymph or perilymph |
|
Definition
|
|
Term
Where is the ganglion for hearing |
|
Definition
Spiral ganglion is in the cochlea |
|
|
Term
|
Definition
|
|
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
|
|
Term
Membrane between scala vestibuli & media |
|
Definition
|
|
Term
Membrane between scala tympani & media |
|
Definition
|
|
Term
Membrane between scala media & hair cells |
|
Definition
|
|
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
|
|
Term
Otic placode from which embryological structure |
|
Definition
|
|
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
|
Definition
Hearing loss due to bone growth in middle ear |
|
|
Term
Hearing loss is possible from which antibiotics |
|
Definition
|
|
Term
|
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
|
|
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
|
|
Term
Mutations in prestin leads to |
|
Definition
|
|
Term
How many outer hair cells per inner hair cell |
|
Definition
|
|
Term
Are hair cells orderly or randomly arranged |
|
Definition
|
|
Term
Which type: outer or inner hair cells |
|
Definition
|
|
Term
Which type: outer or inner hair cells |
|
Definition
|
|
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
|
|
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
|
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 |
|
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Term
Are inner hair cells spontaneously releasing glutamate or are they silent when inactive |
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Definition
Spontaneously releasing glutamate |
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Term
Type I spiral ganglion neurons to __ [inner or outer] hair cells |
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Definition
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Term
Type II spiral ganglion neurons to __ [inner or outer] hair cells |
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Definition
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Term
Do hair cells have efferents to them: if so, which ones |
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Definition
Both, type I is axoaxonic [KNOW THIS!] |
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Term
Ratio of ganglia cells to inner hair cells |
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Definition
1:1 to 20:1 so a lot of innervation to a single hair cell |
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Term
Ratio of ganglia cells to outer hair cells |
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Definition
1:6 to 1:100 and in same row, so very few Type II ganglia neurons for all outer hair cells |
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Term
Ways frequency is encoded in the auditory system (2) |
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Definition
1) Tonotopically ("place coding"), 2) rate of firing of neurons ("frequency coding") [KNOW THIS!] |
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Term
How is sound localized (2) |
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Definition
1) Interaural timing differences, 2) interaural intensity differences |
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Term
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Definition
Maintain eye gaze stability during head movements |
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Term
Frequency limits of human hearing |
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Definition
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Term
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Definition
Mutation in ribbon synapse molecules that leads to hearing loss |
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Term
What kind of neurons are the spiral ganglion neurons |
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Definition
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Term
Vestibular-ocular reflex: turning your head left activates the __ [L or R] vestibular and leads to contraction of what muscles |
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Definition
Activates left and activates L medial rectus m. and R lateral rectus m. |
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Term
Vestibular-ocular reflex: turning your head left inhibits the __ [L or R] vestibular and leads to relaxation of what muscles |
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Definition
Inhibits right and relaxes L lateral rectus m. and R medial rectus m. |
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