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Anatomy & Physiology Exam 2 Study Guide - Bone, Joints, and Nervous System

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  • Functions of the skeletal system

    The skeletal system provides support, protection of organs, movement via muscle attachment, mineral storage (calcium and phosphate), blood cell production in marrow, and energy storage in yellow marrow.

  • Four major classes of bones by shape

    Long bones (e.g., femur), short bones (e.g., carpals), flat bones (e.g., sternum), and irregular bones (e.g., vertebrae).

  • Three primary types of bone cells and their functions

    Osteoblasts build bone, osteocytes maintain bone matrix, and osteoclasts resorb (break down) bone.

  • Structure of a long bone

    Consists of diaphysis (shaft), epiphyses (ends), medullary cavity (marrow), compact bone, spongy bone, periosteum, and endosteum.

  • Extracellular matrix of bone composition

    Two matrices: organic matrix (collagen fibers for flexibility) and inorganic matrix (hydroxyapatite crystals for hardness and strength).

  • Effect of collagen deficiency on bone structure

    Leads to brittle bones because collagen provides flexibility; without it, bones become fragile and prone to fractures (osteogenesis imperfecta).

  • Functional difference between osteoblasts and osteoclasts

    Osteoblasts synthesize and deposit new bone matrix, while osteoclasts break down bone tissue to release minerals.

  • Components and function of an osteon

    An osteon includes central canal (blood vessels), lamellae (concentric rings), lacunae (osteocyte spaces), and canaliculi (channels for nutrient exchange).

  • Steps of interstitial bone growth

    Growth in length occurs by chondrocyte proliferation, hypertrophy, calcification, and ossification at the epiphyseal plate.

  • Steps of intramembranous ossification

    Mesenchymal cells differentiate into osteoblasts, secrete bone matrix, form spicules, and develop into flat bones like the skull.

  • Role of osteoblasts in intramembranous ossification

    Osteoblasts produce and mineralize bone matrix directly from mesenchymal tissue without a cartilage precursor.

  • Steps of endochondral ossification

    Cartilage model forms, chondrocytes hypertrophy, matrix calcifies, blood vessels invade, osteoblasts replace cartilage with bone.

  • Difference between intramembranous and endochondral ossification

    Intramembranous ossification forms bone directly from mesenchyme; endochondral ossification uses a cartilage template.

  • Epiphyseal plate vs epiphyseal line

    The epiphyseal plate is a cartilage growth plate in children; the epiphyseal line is the ossified remnant in adults after growth ends.

  • Effect of puberty hormones on height

    Increased testosterone and estrogen accelerate epiphyseal plate closure, affecting final adult height differences between sexes.

  • Appositional growth

    Bone growth in thickness by osteoblasts adding new bone matrix on the surface and osteoclasts resorbing bone inside the medullary cavity.

  • Hormones involved in bone growth

    Include growth hormone, thyroid hormone, sex hormones (testosterone, estrogen), and calcitonin.

  • Bone remodeling and its purpose

    Continuous process of bone resorption and deposition to maintain strength, repair microdamage, and regulate calcium levels.

  • Bone remodeling response to exercise

    Exercise increases bone deposition by stimulating osteoblast activity, leading to stronger bones compared to sedentary individuals.

  • Role of parathyroid hormone and calcitriol in calcium regulation

    Parathyroid hormone increases blood calcium by stimulating osteoclasts; calcitriol enhances calcium absorption in the intestines.

  • Effect of vitamin C and D deficiency on bones

    Vitamin C deficiency impairs collagen synthesis weakening bone matrix; vitamin D deficiency reduces calcium absorption causing weak, soft bones.

  • Four steps of bone fracture repair

    Hematoma formation, fibrocartilaginous callus formation, bony callus formation, and bone remodeling.

  • Effect of damaged epiphyseal plate on growth

    Damage can halt longitudinal growth, potentially causing shorter limb length or deformity.

  • Difference between ossification and calcification

    Ossification is bone tissue formation; calcification is deposition of calcium salts in tissue, which can occur without ossification.

  • Effect of reduced osteoblast activity on bone

    Bone resorption continues but deposition decreases, leading to net bone loss and weaker bones.

  • Two structural divisions of the skeletal system

    Axial skeleton (skull, vertebrae, ribs) and appendicular skeleton (limbs and girdles).

  • Bones of the pelvic girdle

    Consists of the ilium, ischium, and pubis fused to form the hip bone.

  • Bones of the pectoral girdle

    Includes the clavicle and scapula.

  • Facial bones vs cranial bones

    Facial bones form the face (e.g., maxilla, mandible); cranial bones enclose the brain (e.g., frontal, parietal).

  • Three types of joints by function

    Synarthrosis (immovable), amphiarthrosis (slightly movable), and diarthrosis (freely movable).

  • Structure and mobility of fibrous joints

    Connected by dense connective tissue, mostly immovable or slightly movable, e.g., sutures in the skull.

  • Three types of fibrous joints

    Sutures (skull), syndesmoses (interosseous membrane), and gomphoses (tooth sockets).

  • Similarity of all cartilaginous joints

    Connected by cartilage and allow limited movement.

  • Two types of cartilaginous joints

    Synchondroses (hyaline cartilage, e.g., epiphyseal plate) and symphyses (fibrocartilage, e.g., pubic symphysis).

  • Key difference between synovial and other joints

    Synovial joints have a fluid-filled cavity allowing free movement; fibrous and cartilaginous joints lack this cavity.

  • Structure of synovial joints

    Includes articular cartilage, synovial membrane, joint cavity, ligaments, and fibrous capsule.

  • Functions of synovial fluid

    Lubricates joint, nourishes cartilage, and absorbs shock.

  • Types of synovial joint movements

    Include gliding, angular (flexion, extension), rotation, and special movements like supination.

  • Stability comparison: hinge vs ball-and-socket joints

    Hinge joints are more stable but less mobile (e.g., elbow); ball-and-socket joints are less stable but more mobile (e.g., shoulder).

  • Why elbow is more stable than knee

    Elbow has stronger ligament support and bony congruence; knee has more complex structure and is more prone to injury.

  • Four ligaments of the knee

    Anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), lateral collateral ligament (LCL), plus medial and lateral menisci.

  • Similarity and difference of shoulder and hip joints

    Both are ball-and-socket joints; shoulder has greater range of motion but less stability than hip.

  • Rotator cuff tendons

    Supraspinatus, infraspinatus, teres minor, and subscapularis tendons stabilize the shoulder joint.

  • Impact of articular cartilage damage on synovial joint

    Leads to pain, reduced mobility, and increased risk of arthritis due to loss of smooth joint surface.

  • Difference between bursa and tendon sheath

    Bursa cushions joints; tendon sheath surrounds tendons to reduce friction.

  • Why shoulder injuries are common

    High mobility with less stability and shallow glenoid cavity make it prone to dislocation and injury.

  • Three common types of arthritis

    Osteoarthritis (wear and tear), rheumatoid arthritis (autoimmune), and gouty arthritis (uric acid crystals).

  • Structural organization of the nervous system

    Divided into central nervous system (CNS) and peripheral nervous system (PNS).

  • Functional divisions of the nervous system

    Somatic (voluntary control) and autonomic (involuntary control) nervous systems.

  • Structural classifications of neurons

    Multipolar, bipolar, and unipolar neurons based on number of processes.

  • Functional classifications of neurons

    Sensory (afferent), motor (efferent), and interneurons.

  • Six neuroglia cells and location

    CNS: astrocytes, oligodendrocytes, microglia, ependymal cells; PNS: Schwann cells, satellite cells.

  • Myelin sheath and importance

    Insulating layer around axons that increases action potential speed; formed by oligodendrocytes in CNS and Schwann cells in PNS.

  • Ions inside and outside neuron at rest

    High K+ inside, high Na+ outside; this gradient maintains resting membrane potential.

  • Difference between leak and gated channels

    Leak channels are always open; gated channels open or close in response to stimuli.

  • Events in action potential generation

    Depolarization to threshold, opening of Na+ channels, repolarization by K+ efflux, and hyperpolarization before returning to rest.

  • Absolute refractory period

    Time during which a neuron cannot fire another action potential due to inactivated Na+ channels.

  • Role of calcium ions at synapse

    Ca2+ influx triggers neurotransmitter release into synaptic cleft.

  • Difference between electrical and chemical synapses

    Electrical synapses allow direct ion flow; chemical synapses use neurotransmitters for signal transmission.

  • Postsynaptic potentials: IPSP vs EPSP

    EPSP depolarizes membrane promoting action potential; IPSP hyperpolarizes membrane inhibiting action potential.

  • Saltatory vs continuous conduction

    Saltatory conduction jumps between nodes of Ranvier in myelinated axons; continuous conduction moves stepwise along unmyelinated axons.

  • Effect of multiple sclerosis on nerve conduction

    Myelin sheath destruction slows or blocks action potentials, causing neurological deficits.

  • Response of postsynaptic neuron to glutamate

    Glutamate binding typically causes excitatory postsynaptic potentials, increasing likelihood of action potential.