BackBSC 2085 Exam Review: Chapters 5–8 (Integumentary, Skeletal, and Articular Systems)
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Ch. 5: The Integumentary System
Structure of the Skin
The skin is the largest organ of the body and consists of two main layers: the epidermis (superficial) and the dermis (deep). Beneath the dermis lies the hypodermis (subcutaneous tissue), which is not technically part of the skin but anchors it to underlying structures.
Epidermis: Composed of stratified squamous epithelium; avascular; contains several cell types.
Dermis: Made of connective tissue; contains blood vessels, nerves, hair follicles, and glands.
Hypodermis: Consists mainly of adipose tissue; provides insulation and cushioning.
Burn Degrees
First-degree burns: Affect only the epidermis; cause redness and pain (e.g., mild sunburn).
Second-degree burns: Involve the epidermis and part of the dermis; cause redness, pain, and blistering.
Third-degree burns: Destroy the entire thickness of the skin; skin may appear white, gray, or blackened; usually painless due to nerve destruction.
ABCDE Rule for Melanoma
The ABCDE rule helps identify potential melanomas (a type of skin cancer):
Asymmetry: One half of the mole does not match the other.
Border irregularity: Edges are ragged or blurred.
Color: Pigmentation is not uniform; may include shades of brown, black, or tan.
Diameter: Greater than 6 mm (about the size of a pencil eraser).
Evolving: Changes in size, shape, or color over time.
Types of Carcinomas
Basal cell carcinoma: Most common, least malignant; arises from stratum basale.
Squamous cell carcinoma: Arises from keratinocytes of the stratum spinosum; can metastasize.
Melanoma: Cancer of melanocytes; highly metastatic and dangerous.
Cells of the Epidermis
Keratinoctyes: Produce keratin; most abundant cell type.
Melanocytes: Produce melanin pigment; protect against UV radiation.
Langerhans (dendritic) cells: Immune cells that help protect against pathogens.
Merkel (tactile) cells: Sensory receptors for touch.
Skin Color Components
Melanin: Brown to black pigment produced by melanocytes.
Carotene: Yellow to orange pigment from diet; accumulates in stratum corneum and hypodermis.
Hemoglobin: Red pigment in blood; gives skin a pinkish hue, especially in light-skinned individuals.
Ch. 6: Bones and Skeletal Tissues
Types of Cartilage: Locations and Functions
Hyaline cartilage: Most abundant; found in articular surfaces, costal cartilages, nose, trachea, and larynx; provides support and flexibility.
Elastic cartilage: Contains more elastic fibers; found in external ear and epiglottis; maintains shape and flexibility.
Fibrocartilage: Highly compressible; found in intervertebral discs, pubic symphysis, and menisci; resists tension and pressure.
Functions of Bones
Support for the body and soft organs
Protection of vital organs (e.g., skull, rib cage)
Movement (leverage for muscles)
Mineral storage (especially calcium and phosphate)
Blood cell formation (hematopoiesis in red marrow)
Triglyceride (fat) storage in yellow marrow
Hormone production (osteocalcin)
Microscopic Bone Anatomy
Osteon (Haversian system): Structural unit of compact bone; consists of concentric lamellae around a central canal.
Lacunae: Small spaces housing osteocytes.
Canaliculi: Tiny channels connecting lacunae for nutrient and waste exchange.
Trabeculae: Lattice-like structures in spongy bone; align along lines of stress.
Cross-section of a Long Bone
Diaphysis: Shaft; contains medullary cavity with yellow marrow.
Epiphyses: Ends of the bone; contain spongy bone and red marrow.
Metaphysis: Region between diaphysis and epiphysis; includes epiphyseal plate (growth plate).
Periosteum: Outer fibrous covering; contains osteogenic cells.
Endosteum: Lines internal bone surfaces.
Compact vs. Spongy Bone Microstructure
Compact bone: Dense; contains osteons; provides strength.
Spongy bone: Porous; contains trabeculae; found in epiphyses and flat bones.
Types of Bones (Shapes) and Examples
Long bones: Longer than wide (e.g., femur, humerus).
Short bones: Cube-shaped (e.g., carpals, tarsals).
Flat bones: Thin, flat, slightly curved (e.g., sternum, skull bones).
Irregular bones: Complex shapes (e.g., vertebrae, hip bones).
Sesamoid bones: Form within tendons (e.g., patella).
Bone Marrow Types, Locations, and Functions
Red marrow: Site of hematopoiesis; found in spongy bone of flat bones and epiphyses of long bones.
Yellow marrow: Stores fat; found in medullary cavity of long bones in adults.
Ossification Processes
Intramembranous ossification: Bone develops from fibrous membrane; forms flat bones (e.g., skull, clavicle).
Endochondral ossification: Bone replaces hyaline cartilage; forms most bones of the body.
Bone Cell Types
Osteogenic cells: Stem cells that differentiate into osteoblasts.
Osteoblasts: Bone-forming cells; secrete bone matrix.
Osteocytes: Mature bone cells; maintain bone tissue.
Osteoclasts: Bone-resorbing cells; break down bone matrix.
Bone Fracture Types
Simple (closed): Bone breaks cleanly but does not penetrate skin.
Compound (open): Bone ends penetrate the skin.
Comminuted: Bone fragments into three or more pieces.
Greenstick: Bone breaks incompletely (common in children).
Spiral: Ragged break due to twisting forces.
Compression: Bone is crushed (common in vertebrae).
Ch. 7: The Skeleton
Axial vs. Appendicular Skeleton
Axial skeleton: Forms the long axis of the body; includes skull, vertebral column, and thoracic cage.
Appendicular skeleton: Includes limbs and girdles (pectoral and pelvic) that attach limbs to the axial skeleton.
Bone Identification and Articulations
Each bone has a specific name and location; bones articulate (form joints) with specific neighboring bones.
Examples: The humerus articulates with the scapula at the shoulder and with the radius and ulna at the elbow.
Vertebrae Differentiation
Cervical vertebrae (C1–C7): Smallest; have transverse foramina.
Thoracic vertebrae (T1–T12): Articulate with ribs; have long, downward-pointing spinous processes.
Lumbar vertebrae (L1–L5): Largest; have thick, short spinous processes.
Bone Identification on Skeleton
Ability to identify bones visually and on diagrams is essential for anatomy study.
Ch. 8: Joints
Classifications of Joints
Structural classification: Based on material binding bones and presence of joint cavity.
Fibrous: Bones joined by dense connective tissue; no joint cavity (e.g., sutures).
Cartilaginous: Bones joined by cartilage; no joint cavity (e.g., symphysis).
Synovial: Bones separated by a fluid-filled joint cavity; most movable type.
Functional classification: Based on degree of movement.
Synarthroses: Immovable joints.
Amphiarthroses: Slightly movable joints.
Diarthroses: Freely movable joints.
Synovial Joint Types
Plane (gliding): Flat surfaces; allow short gliding movements (e.g., intercarpal joints).
Hinge: Cylindrical projection fits into a trough; movement in one plane (e.g., elbow).
Pivot: Rounded end fits into a ring; rotation (e.g., proximal radioulnar joint).
Oval articular surface fits into a depression; movement in two planes (e.g., wrist).
Saddle: Both surfaces have concave and convex areas; greater movement (e.g., thumb carpometacarpal joint).
Ball-and-socket: Spherical head fits into a socket; multiaxial movement (e.g., shoulder, hip).
Knee Joint Anatomy
The knee is a complex synovial joint involving the femur, tibia, and patella.
Contains menisci (fibrocartilage pads), ligaments (ACL, PCL, MCL, LCL), and bursae.
Bursae and Tendon Sheaths
Bursae: Flattened sacs filled with synovial fluid; reduce friction between tissues.
Tendon sheaths: Elongated bursae that wrap around tendons; reduce friction.
Synovial Joint Movements
Gliding: Flat bone surfaces slide over one another.
Angular movements: Increase or decrease the angle between bones (e.g., flexion, extension, abduction, adduction).
Rotation: Bone turns around its own long axis.
Special movements: Include supination, pronation, inversion, eversion, protraction, retraction, elevation, and depression.
Axes of Movement
Nonaxial: Slipping movements only (e.g., plane joints).
Uniaxial: Movement in one plane (e.g., hinge, pivot joints).
Biaxial: Movement in two planes (e.g., condyloid, saddle joints).
Multiaxial: Movement in or around all three planes (e.g., ball-and-socket joints).