ST. LOUIS COMMUNITY COLLEGE AT FLORISSANT VALLEY

BIOLOGY DEPARTMENT, MSET DIVISION

ANATOMY AND PHYSIOLOGY 1 (BIO-207-504), SPRING 2008

                                                         LECTURE OUTLINE

Instructor

Dr. Chaya Gopalan

 

Lecture

SM-265 Section 504 11:00-11:50PM MWF

 

Office

SM-227

 

Phone

 

(314) 513-4892

e-mail

cgopalan@stlcc.edu

 

Web Page

http://users.stlcc.edu/cgopalan

 

Office Hours

To be announced

 

Text

 

Fundamentals of Anatomy and Physiology, 7th ed. by Martini

Lab Manual

Lab manuals and atlas packaged with the text

 

Credit

Three Lectures and one Lab = 4 credit hours

 

Prerequisite

BIO-111

 

Course Objective

This course covers an introduction to the structural and functional organization of the human body where Integumentary, musculoskeletal and nervous systems will be discussed in detail.

 

Purpose

 

Anatomy and Physiology course is a prerequisite for majority of the allied health professions.

 

Honors

This course can be taken as an Honors course for those with the GPA of at least 3.5. Students with 3.5 GPA and 12 credit hours of work are also encouraged to join Phi Theta Kappa organization to benefit from scholarship opportunities and more. We also have an active research lab in the department studying the effect of certain sugars on diabetes. Meet with the Instructor immediately if you are interested. Last day to sign up for honors is March 7.

 

Field trip

A field trip to the cadaver lab at the Forest Park campus will be scheduled.

 

Grading Scale: Ninety-100% is an A, 80-89% is a B, 70-79% is a C, 60-69% is a D, 59% and below is an F. Last day to withdraw from regular semester course with a grade of "W" is Friday, April 11. If a student is not successful in obtaining a passing grade, an F will be automatically given. Final grade is based upon the completion of the following assignments.  Each assignment carries the specific weight shown.


Number

Weight

Name

1

15

Lecture Test 1

2

15

Lecture Test 2

3

15

Lecture Test 3

4

15

Lecture Test 4

5

15

Final Exam (Lecture Test 5)

6

25

Lab Grade

7

15

Quizzes

     There will be 5 unit tests. The fifth test is also considered as the final exam, which is not a comprehensive exam. The total number of points earned towards quizzes, class participation, and other assignments will be added up at the end of the semester. If the weight of the extra credit is more than your lowest test grade, extra credit grade will replace the lowest test grade or a missed test.

 

Accessories: The Science and Math Learning Center (SM-246) has study guides, models, microscopes, slides, and textbooks available for use and experienced tutors provide additional help. 

 

ADA Statement: Any student in this class with a documented disability, who needs special testing arrangements, note taking, or other accommodations, should feel free to discuss this with the instructor. All discussions will remain confidential. No information will be shared without student’s permission.

 

Attendance: Lectures will include materials not found in the text, as well as elucidation of text materials. Thus, attendance is very critical. Accurate records of attendance will be maintained. Attendance for lecture tests is required during your scheduled date and time. If a student could not be present for a scheduled test due to sickness or an unavoidable circumstance, contact the instructor as soon as possible. In such case, the test will be given at a mutually agreeable time. If the student has not contacted the teacher prior to the test and does not attend a scheduled test and wants to take the test at a later time, a test will be given and graded at 80% scale (20% points are cut). In case class is cancelled, the test will be given at the next scheduled class period. Short quizzes, announced or unannounced, will be given periodically to check student progress and encourage regular study habits. If you are late to class and if other students have already taken the quiz, the quiz will not be given at a later time. No make ups will be given for quizzes or other in-class activities that would contribute towards extra credit except in an extremely difficult situation. Students are responsible to obtain handouts or important announcements shared when they were absent either by contacting the instructor directly or through their classmates.

 

     Cell phone usage such as receiving calls or making calls or for any other purpose is strictly prohibited. It is strongly advised that the cell phone must not be brought to the classroom. If one has to carry it, it must be muted. If the cell phone distracts the class, 5 points will be cut from the extra credit section each time.

 

     Students are required to successfully complete both lecture and laboratory portions of this course in the same semester. One must earn a lab grade of at least 50% in order to qualify for a passing grade in this course.


TENTATIVE SCHEDULE

 

WEEK

DATE

Lecture Assignment

1

1/14-18

Chapter 1 Introduction to Anatomy and Physiology

Chapter 2 The Chemical Level

 

2

1/23-25

Chapter 2 The Chemical Level continued

Chapter 3 The Cellular level

 

3

1/28-2/1

 

Chapter 3 The Cellular level continued

Chapter 4 The Tissue Level

 

4

2/4

2/6

2/8

Chapter 4 Tissue Level continued

LECTURE TEST 1

Chapter 5 The Integumentary System

 

5

2/11-2/15

Chapter 5 The Integumentary System continued

Chapter 6 The Osseous Tissue and Bone Structure

 

6

2/20-2/22

Chapter 7 The Axial Skeleton

Chapter 8 The Appendicular Skeleton

 

7

2/25-27

2/29

 

Chapter 9 Articulations

LECTURE TEST 2

 

8

3/3-3/7

Chapter 10 Muscle Tissue

 

9

3/17-3/21

Chapter 11 The Muscular System

Chapter 12 Neural Tissue

 

10

3/24-28

Chapter 12 Neural Tissue continued

 

11

3/31

4/2-4/4

LECTURE TEST 3

Chapter 13 The Spinal Cord, Spinal Nerves and Spinal Reflexes

 

12

4/7-4/11

Chapter 14 The Brain and Cranial Nerves

 

13

4/14-4/18

Chapter 14 The Brain and Cranial Nerves continued

Chapter 15 Neural Integration I: Sensory Pathways and the Somatic Nervous System

 

14

4/21

4/23-4/25

LECTURE TEST 4

Chapter 16 Neural Integration II: Autonomic Nervous System and Higher Order Functions

 

15

4/28-5/2

Chapter 16 Autonomic Nervous System continued

Chapter 17 The Special Senses

 

16

5/5

Chapter 17 The Special Senses continued

 

17

FINAL EXAM

 

Date and time will be announced

 



TABLE OF CONTENTS

 

 

 

Chapter 1          An introduction to Anatomy and Physiology, 7

 

Chapter 2          The chemical level of organization, 9

 

Chapter 3          The cellular level of organization, 11

 

Chapter 4          The tissue level of organization, 14

 

Chapter 5          The integumentary system, 17

 

Chapter 6          Osseous tissue and Bone structure, 20

 

Chapter 7          The axial skeleton, 23

 

Chapter 8          The appendicular skeleton, 27

 

Chapter 9          Articulations, 29

 

Chapter 10        Muscle tissue, 32

 

Chapter 11        The muscular system, 35

 

Chapter 12        Neural tissue, 36

 

Chapter 13        The spinal cord, spinal nerves and spinal reflexes, 39

 

Chapter 14        The brain and cranial nerves, 42

 

Chapter 15        Neural integration I: Sensory pathways and the somatic motor system,

47

 

Chapter 16        Neural integration II: The autonomic nervous system and higher-order

Functions, 49

 

Chapter 17        The special senses, 52



Chapter 1

AN INTRODUCTION TO THE HUMAN BODY

Anatomy: 

Subdivisions- Systemic Anatomy-

                     Gross Anatomy-

                                                                          Microscopic Anatomy-

Cytology:

                                                                        Histology:

Physiology: Systemic Physiology-

 

LEVELS OF STRUCTURAL ORGANIZATION: Chemical (molecular)® Cellular ® Tissue® Organ ® Organ system ® Organism (Fig. 1-1, page 7).

 

Organ Systems (pages 9-10): Eleven systems:

Integumentary-

Skeletal-

Muscular-

Nervous-

Endocrine-

Cardiovascular-

Lymphatic and immune-

Respiratory-

Digestive-

Urinary-

Reproductive-

 

HOMEOSTASIS (pages 11-14): a steady state.

Three Components (receptor, control center, and the effector) help maintain homeostasis (Fig. 1-3, page 12).

 

Feedback Systems (pages 12-13): help maintain homeostasis. Two types:

Negative feedback- when a change is reduced back to normal; most common (Fig.1-4, page 13)

Positive feedback- when a change is made bigger and bigger (Fig. 1-5, page 14).

 

***Work on the topics below in the lab***

SUPERFICIAL ANATOMY: ANATOMICAL LANDMARKS

Anatomical position: (Fig. 1.6 page 16)

 

Regions: Refer to Fig. 1-6, page16 and Table 1-2, page 17.

 

Anatomical Directions: superior-inferior; anterior (ventral)-posterior (dorsal); medial-lateral; superficial-deep and proximal-distal (Table 1-3, page 19; Fig. 1-8, page 18).

 

Planes through the human body: (Fig.1-9 and Table 1-4, page 20). Sagittal-

       Transverse (cross or horizontal)-

       Coronal or Frontal-

 

Ventral Body Cavity (Fig. 1-10, page 21): Thoracic and abdominopelvic (page 22) cavities.

Pericardial and pleural cavities:

REVIEW QUESTIONS

 

  1. List all the subtypes of anatomy and physiology.

  2. Name the different levels of structural organization that make up the human body in order of increasing complexity.

  3. List the major organs in each organ system and briefly explain major function(s) of each system.

  4. Define homeostasis. What three components help maintain homeostasis? How do they help maintain homeostasis?

  5. Define the terms receptor, control center and effector.

  6. Define a feedback system.

  7. Distinguish between a negative and a positive feedback system. Give examples of each.

  8. Describe the anatomical position.

  9. Name the major regions of your body as in figure 1-6 by their common and anatomical terms.

  10. Use correct anatomical terminology to describe body directions, planes, cavities and regions.

  11. What are the two major ventral body cavities? List the subcavities within the thoracic cavity. List the major organs in each cavity or subcavity.

12.   What is mediastinum? What do you find in the mediastinum.



Chapter 2

THE CHEMICAL LEVEL OF ORGANIZATION

 

Atoms- (Fig. 2-1, page 27)

Elements- (page 28)

Atoms through chemical bonding become molecules.

Chemical bonds-

Ionic bond: cation/anion (Fig. 2-3, page 31)- attraction between opposite charges.

Covalent bond: (Fig. 2-4, page 31)- electrons share the outer

Orbit.

Two main types of molecules are inorganic and organic.

 

INORGANIC MOLECULES

Water (page 37)-

Structure: Fig. 2-5, page 32

 

Acids and bases: the concept of pH: page 40-41

 

Buffers- page 41

 

Salts- page 41

 

ORGANIC MOLECULES 

Carbohydrates- (pages 42-44)

Monosaccharides:

            Disaccharides:                 

Polysaccharides:

 

Lipids- (pages 44-48)

Fatty acids- two types: saturated and unsaturated.

            Triglycerides (neutral fat)-

            Steroids- cholesterol-

            Phospholipids-

 

Proteins- (pages 49-52) are chains of amino acids linked by

    peptide bonds.

 

Four forms: Primary, secondary, tertiary, and quaternary structures: (Fig. 2-20, page 51)

 

Enzymes- as examples of proteins (pages 52-53)

Structure: active site.

 

Nucleic Acids- (pages 54-55)

Deoxyribonucleic acid (DNA) and Ribonucleic acid (RNA):

Nucleotide- both DNA and RNA are made up of subunits called nucleotides. Each nucleotide consists of a sugar (deoxyribose in DNA and ribose in RNA), a phosphate group and a nitrogenous base (Fig. 2-22, page 54).

 

There are four different types of nitrogenous bases: adenine (A), guanine (G), cytosine (C), and thymine (T) or uracil (U).

 

Nucleotides in DNA contain adenine, guanine, cytosine and thymine.  Nucleotides in RNA contain adenine, guanine, cytosine and uracil.

Complementary base pairing- adenine pairs with thymine (DNA) or uracil (RNA) and guanine pairs with cytosine.

 

Double Helix Structure of DNA- the two nucleotide chains of DNA are twisted into a double helix (Fig. 2.23, page 55).

 

Types of RNA (page 55)- messenger RNA (mRNA), transfer RNA (tRNA) and ribosomal RNA (rRNA).

 

High-Energy Compounds: ATP (Adenosine triphosphate)- an important high-energy compound (Fig. 2-24, page 56).

 

REVIEW QUESTIONS

  1. What is an atom? Describe its general structure.

 

  1.   What is an ion?

  2. What is a cation?

  3. What is an anion?

  4. Distinguish between an ionic, a single covalent and a double covalent bond.

  5. Define acid, base, salt, and buffer.

  6. Define pH in terms of hydrogen ion concentration and be able to identify any given pH as acidic, alkaline, or neutral.

  7. Describe how buffers minimize pH changes.

  8. What are some of the differences between the organic and inorganic molecules?

  9. Name the four major groups of organic molecules.

  10. What are the functions for each major group of organic molecules?

  11. Distinguish among saturated, monounsaturated, and polyunsaturated fats.

  12. What is a peptide bond?

  13. What are enzymes?
     
  14. What are the two nucleic acid types?

16.   Define a nucleotide.

17.   What are the four bases of DNA? How do they pair? And what are the four bases of RNA? How do they pair?

18.   Compare DNA and RNA.

19.   What is the most important high-energy compound? Describe its structure.


Chapter 3

THE CELLULAR LEVEL OF ORGANIZATION

 

CELL STRUCTURE (Fig. 3-1, page 64)-

 

1. CELL MEMBRANE-

 

Structure- made up of phospholipids and proteins and is selectively permeable (Fig. 3-2, page 66).

 

Functions- One of the functions of the cell membrane is its ability to transport certain things across. Many types of transportation could be found some of which are discussed below (page 63):

 

DIFFUSION- movement of solute from higher to lower concentration (Figs. 3-14, 15, page 88).

 

OSMOSIS- diffusion of water (solvent) across a membrane from lower to higher concentration of solute (Fig. 3-16, page 66).

 

Osmotic pressure- the force of water movement across the membrane.

 

Osmolarity (tonicity)- total solute concentration in a solution (Fig. 3-17, page 89).

 

Isotonic- solute concentration is the same on both sides of the

                membrane.

 

Hypotonic- when solute concentration is lower than that of cytoplasm.

 

Hypertonic- when solute concentration is higher than that of cytoplasm.

 

Carrier-mediated transport:

FACILITATED DIFFUSION- is diffusion by carrier proteins (Fig. 3-18, page 90).

 

ACTIVE TRANSPORT- movement of solute from lower to higher

                                    concentration. Requires energy (ATP). Eg. Sodium-Potassium exchange pump (Fig. 3-19, page 91).

 

VESICULAR TRANSPORT

Endocytosis- importation of extracellular material into the cell (Fig. 3-22a, page 93).

           

Phagocytosis- cell eating

           

Pinocytosis- cell drinking

           

Exocytosis- exportation of intracellular material (Fig. 3-22b, page 93).

 


2. CYTOPLASM (page 68) - includes two major subdivisions.

                       

Organelles- are subdivided into membranous and nonmembranous organelles (Table 3-1, page 65).

 

***Work on this section in the lab***

Nonmembranous Organelles-

Cytoskeleton (pages 68-70)- consists of microfilaments (5-6 nm), intermediate filaments (7-11 nm), thick filaments (15 nm), and microtubules (25 nm) (Fig. 3-3, page 69).

Centrioles- important in the movement of chromosomes to opposite poles during cell division (Fig. 3-4a, page 71).

 

Centrosome: dense cytoplasm; contains centrioles.

 

Cilia (Fig. 3-4b, page 71)- Cilia are small hair-like projections that protrude from the surfaces of many types of cells. Aid in locomotion.

 

Ribosomes (pages 71-72)- made up of RNA and protein; has large and small subunits. Plays an important role in protein synthesis. Two types: free and fixed.

 

Membranous Organelles-

 

Endoplasmic Reticulum- an intracellular system of membranes (Fig. 3-5, page 72).

           

            Two types:

Rough endoplasmic reticulum- covered with ribosomes and involved in protein synthesis.

 

            Smooth endoplasmic reticulum- contains no ribosomes; important in the synthesis of many types of lipids, stores calcium, and also detoxifies drugs and other chemicals in the body.

 

Golgi Complex- a specialized cellular organelle composed of a set of cytoplasmic membranes. Functions principally as a protein processing and packaging plant (Fig. 3-6, 7, pages 73-74).

 

Lysosomes- are vesicles filled with digestive enzymes. Function as the digestive system within the cell (Fig. 3.23, page 81).

 

Peroxisomes- absorb and neutralize toxins.

 

Mitochondria- powerhouses of the cell (Fig. 3-9, page 77).

 

 

3. NUCLEUS- contains chromatin (DNA and protein) and serves as the control center of the cell (Fig. 3-10, page 78).

 

Nucleolus- Fig.3-10, page 78.

 


PROTEIN SYNTHESIS- involves transcription and translation.

Gene-

Base triplet- a sequence of three nucleotide bases on the DNA

Codon- a sequence of three nucleotide bases on the messenger RNA

Anticodon-

 

Transcription (RNA Synthesis)- production of RNA (messenger RNA [mRNA]) which carries information from the nucleus to the cytoplasm (Fig. 3-12, page 81).

            1. separation of the two strands of DNA: sense and

                 antisense

            2. antisense strand serves as the template

            3. a complementary RNA strand is synthesized (mRNA)

            4. separation of RNA strand from the antisense strand

            5. two strands of DNA rejoin.

 

Translation: mRNA thus produced is now used in the synthesis of a peptide or a protein (Fig. 3-13, pages 82-83).

            1. mRNA strand attaches to ribosomal subunit

            2. exposed codons attract anticodons on tRNA

            3. codon-anticodon pairing leaves amino acid in place

            4. this process repeats (elongation)

5. amino acids are attached to one another by peptide

    bond forming a peptide.

6. stop codon terminates the process.

 

 

REVIEW QUESTIONS

 

1.       Define a cell. Name the principal parts of the cell.

2.       Describe the chemical composition of the plasma membrane.

3.       Describe the fluid mosaic model of the plasma membrane.

4.       Describe the functions of the cell membrane.

5.       Define diffusion and give an example.

6.       Define osmosis and osmotic pressure.

7.       Define the terms isotonic, hypertonic, hypotonic, crenation, hemolysis, and physiological saline.

8.       Define facilitated diffusion, active transport, phagocytosis, and pinocytosis.

9.       What are the structural and functional differences between smooth and rough endoplasmic reticulum?

10.   Describe the structure and functions of the ribosomes, mitochondria, endoplasmic reticulum, cytoskeleton, centrioles, cilia, Golgi complex, lysosomes, and peroxisomes.

11. Describe the structure and functions of the nucleus. Why is it called a control center?

12. Describe the structure of DNA.

13.   Define transcription.

14.   Define a base triplet, a codon, and an anticodon.

15.   What are the different types of RNA? Describe the role of each type of RNA in protein synthesis.

16.   Define translation.

17.   Summarize the events that occur in transcription and translation.


Chapter 4

THE TISSUE LEVEL OF ORGANIZATION

 

Tissue- is a group of cells specialized to perform specific function(s).

 

Four types: epithelial, connective, muscular, and nervous tissues.

 

EPITHELIAL TISSUE-

 

General Features- Epithelial tissue is avascular.

Cell junctions (Fig. 4-2, page 109):

            a. Gap junctions

            b. Tight junction and adhesion belt

            c. Hemidesmosome

            d. Desmosome

 

CLASSIFICATION OF EPITHELIAL TISSUE will be discussed in the lab and will be tested in your lecture test.

 

Types- (1) based on the shape of the cell (Table 4-1 page 111):

            Squamous- thin and flat

            Columnar- cylindrical

            Cuboidal- cube-shaped

 

2) Based on the number of layers (Table 4-1 page 111):

Simple epithelium- one layer in thickness.

Stratified epithelium- several layers of cells

Pseudostratified epithelium- single layer that appears to be several-layered.

 

Simple squamous epithelium (Table  4-3a, page 112)- portions of the urinary tract, respiratory surfaces of the lungs, lining of the body cavities and the inner surfaces of the circulatory system.

 

Simple cuboidal epithelium (Table 4-4a, page 113)- portions of the urinary tract, forms glandular epithelium that secretes enzymes and buffers in the pancreas and salivary glands, and line kidney tubules.

 

Simple columnar epithelium (Table 4-5a, page 115)- lines most of the digestive tract and many excretory ducts.

 

Stratified squamous epithelium (Table 4-3b, page 112)- surface of the skin, lining of the mouth.

 

Pseudostratified columnar epithelium (Table 4-5b, page 115)- trachea and portions of the male reproductive tract.

 

Glands- are derivatives of epithelial cells.

 

Two categories: Exocrine and endocrine glands (page 114):

 

Exocrine glands- secretion through a duct that leads to outside of a membrane.

Structural classification of exocrine glands:

 

Unicellular exocrine gland-

Multicellular exocrine glands (Fig. 4-7, page 117)-

 

Functional classification of multicellular exocrine glands (Fig. 4-6, page 116)-

 

1. Merocrine secretion- no loss of cell structures. Eg. Sweat glands.

 

2. Apocrine secretion- loss of cytoplasm and the secretory product. Eg. Milk secretion.

 

3. Holocrine secretion- the cell becomes part of the secretion.

 Eg. Sebaceous glands.

 

CONNECTIVE TISSUE- supports and protects the body.

 

General Features-Three basic components are specialized cells, extracellular proteins (fibers) and ground substance. The fibers and ground substance are collectively called the matrix (page 118).

Classification:

1. Connective tissue proper (Fig. 4-8, page 119):

Types of cells- fibroblasts, macrophages, mast cells, adipocytes and plasma cells.

 

Types of connective tissue fibers-

            Collagen fibers-

            Reticular fibers-

            Elastic fibers-

 

Ground substance-

 

Subtypes of Connective tissue proper:

Loose connective (areolar) tissue (Fig. 4-8, page 119)-

 

Adipose tissue (Fig. 4-10a, page 122)-

 

Reticular tissue (Fig. 4-10b, page 122):

 

Dense connective tissue-Two types:

 

a. Dense regular connective tissue eg. Tendons (Fig. 4-11a, page 124), elastic tissue (Fig. 4-11c, page 124, and ligaments.

 

b. Dense irregular connective tissue: eg. Dermis part of the skin (Fig. 4-11b, page 124). 

 

2. Supporting Connective Tissue

Cartilage- hard connective tissue consists of chondrocytes.

Provides support for soft tissues and is the precursor of bone in the fetus (pages 125-128).

 

Perichondrium: is the covering of the cartilage.

Chondroitin sulfate:

 

The three types of cartilage are

            Hyaline cartilage (gristle) (Fig. 4-14a, page 127)-

Elastic cartilage (Fig. 4-14b, page 127)- 

            Fibrocartilage (Fig. 4-14c, page 127)- 

 

Bone tissue: will be discussed in Unit 2

 

3. Fluid Connective Tissue

Blood and Lymph will be discussed in AP2.

 

Membranes (Fig. 4-16, Page 130)-

1.       Mucous membrane- lines cavities that communicate with exterior.

2.       Serous membrane- lines sealed internal cavities: Parietal and Visceral.

3.       Cutaneous membrane-

4.       Synovial membrane- lines joint cavities. 

 

REVIEW QUESTIONS:

1.       Define a tissue.

2.       Name the four tissue types. Give their general functions and locations.

3.       What are the different types of junctions? How are they important?

4.       List several characteristics that typify epithelial tissue. Describe the criteria used to classify epithelia structurally.

5.       Name and describe the various types of epithelia, indicate their main function(s) and location(s).

6.       What are the three types of epithelial tissue a. based on the shape; b. based on the number of layers.

 

7.       What is a gland? Distinguish between endocrine and exocrine glands.

 

8.       Describe the classification of exocrine glands based on their functions and give one example of each type.

 

9.       Describe common characteristics of connective tissue.

 

10.   Describe the types of connective tissue found in the body and their functions.

 

11.   Define matrix, ground substance, hyaluronic acid, chondroitin sulfate, collagen fiber, elastic fiber, reticular fiber, fibroblast, adipocyte, chondrocyte, and lacuna.

12.   What is a membrane? What are the different membranes and what is the unique purpose of each one?

 

 


Chapter 5

THE INTEGUMENTARY SYSTEM

 

Includes skin (integument) and its exocrine glands, hair, and nails.

 

THE SKIN

 

Functions- protection, prevention of dehydration, maintenance of body temperature, excretion of wastes, reception of stimuli, storage of nutrients, and vitamin D synthesis.

 

Structure: two main layers: outer epidermis and inner dermis (Fig. 5.1, page 154).

 

Epidermis- avascular. Consists of four or five layers (Fig. 5-2, page 155).

 

1. Stratum germinativum- innermost layer. Immediately adjacent to the dermis, consists of cells (stem cells or keratinocytes and melanocytes) that are constantly undergoing cell division.

 

2. Stratum spinosum- about ten rows of cells (keratinocytes and Langerhans cells).

 

3. Stratum granulosum- cells begin to die due to the accumulation of keratin precursor molecules (keratohyalin). Three to 5 layers.

 

4. Stratum lucidum- consists of keratinized cells; present in the palm and sole. Three to 5 layers. Cells with keratohyalin.

 

5. Stratum corneum- outer most layers, consists of flattened keratinized cells (15-30 layers).

 

SKIN COLOR (pages 158-159)-

 

Melanin- a brown pigment produced by the melanocytes in                      the basal layer of the epidermis gives brown color.

 

Dermis (pages 161-163)- consists of connective tissue, blood vessels and nerves.

 

Papillary layer- upper dermal region; consists of loose connective tissue; uneven with projections (epidermal ridges). Supports upper epidermis.

 

Reticular layer- contains dense irregular connective tissue along with the blood vessels, nerves, sweat and sebaceous glands. 

 

Subcutaneous layer or Hypodermis (pages 163-164)- consists of loose connective tissue, including adipose tissue. Stabilizes the skin’s position against underlying organs and tissues.

 


HAIR (Pili)-

Structure- consists of a root and a shaft. Hair cell production involves cell specialization to form a soft core, or medulla, surrounded by a cortex (Fig. 5-9, page 165).

Muscle- arrector pili: goosebumps.

Hair Growth-

 

SKIN GLANDS

1.       SEBACEOUS (OIL) GLANDS- secretes sebum (oil). Sebum functions to oil the hair, lubricates the surface of the skin, and form an oily film that retards water loss from the body surface (Fig. 5-10, page 167).

 

2.       SWEAT (SUDORIFEROUS) GLANDS- help regulate body temperature. In this process, they excrete excess water and small amounts of nitrogenous wastes (Fig. 5-11, page 168). Two types of sweat glands:

Merocrine (Eccrine) sweat glands- distributed all over the body; secretion is mainly water, some salts and a trace of urea and uric acid.

Apocrine sweat glands- found in the axillary and genital areas; secretion is thick, sticky and odorous.

 

3. CERUMINOUS GLANDS-

 

NAILS- are a modification of the horny epidermal cells and consist mainly of compressed, tough keratin (Fig. 5-12, page 169).

 

INJURY AND REPAIR:

Skin exhibits inflammation and regeneration responses to injury. The process includes formation of a scab and granulation tissue (Fig. 5-13, pages 170-171).

 

Burns- First-degree burns, Second-degree (partial thickness) burns and Third degree (full-thickness) burns.

Rule of nines (Fig. 5-14, page 172)- method of estimating the percentage of surface area affected by burns.

 

Skin Cancer (page 160)- basal cell carcinoma

         squamous cell carcinoma and

         malignant melanoma.

 

Some interesting facts:

  • The skin is the largest organ in the body.
  • There are 650 sweat glands in one square inch of skin.
  • 500 million dead skin cells fall off daily due to ordinary wear and tear.
  • There are over 5 million hair follicles on the body, but none on the lips, palms or soles of the feet.
  • The average head has 100,000 hairs, with each one living 2-4 years.
  • 50-100 scalp hairs fall out daily.
  • Fingerprints form 6-8 weeks before birth.
  • Fingernails grow four times faster than toenails.
  • Humans are the only primates that do not have pigment in the palms of their hands.

 

REVIEW QUESTIONS

 

1.       Name the organ and its accessory structures in the integumentary system.

 

2.       List the functions of the skin.

 

3.       What is the function of vitamin D?

 

4.       List all the characteristic features of the epidermis.

 

5.       Name the different cell layers in the epidermis starting with the innermost cell layer.

 

6.       What is the difference between thin and thick skin?

 

7.       Name the different types of cells in the epidermis. What are their functions?

 

8.       What is the significance of melanin in the body?

 

9.       Where do you find papillary layer of the dermis? What is the significance of this layer?

 

10.   List all the structures that are found in the dermis.

 

11.   What is the significance of subcutaneous layer?

 

12.   What is the permanent structure in the dermis that produces hair? Describe its structure.

 

13.   What is the purpose of hair papilla?

 

14.   How does the hair grow?

 

15.   What are sebaceous glands? What is the importance of these glands in the body?

 

16.   What are the two types of sweat glands? What are some of the differences between them?

 

17.   What are ceruminous glands? Where do you find them? How are they important?

 

18.   What are the three types of burns? Which is the most destructive type? How would you treat these patients?

 

19.   What are the three types of skin cancers? What type of cells do they affect?

 


Chapter 6

OSSEOUS TISSUE AND BONE STRUCTURE

 

Functions- support, protection, movement, blood cell formation, storage and release of minerals and lipids (page 180).

 

Types of bones based on the shape- long bones, short bones, flat bones, irregular bones, and sesamoid bones (Fig. 6-1, page 181).

 

Bone markings: projections, processes, depressions and openings (Table 6-1, page 182)

 

Bone Structure- (Fig. 6-2a, page 183).

 

Bone Parts- Diaphysis, epiphysis, and metaphysis.

 

Bone Coverings-

 

1. Periosteum- is the outer covering of the bone.

 

2. Endosteum- is the internal surface of the bone.

 

Marrow Cavity- is the space in the center of a long bone that is filled with bone marrow.

 

Yellow or red marrow-

 

Histology of Bone tissue-

 

Bone Cells- osteoprogenitor (stem) cells, osteoblasts, osteocytes, and osteoclasts (Fig. 6-3, page 184).

 

Bone Matrix- is made of hydroxyapatite crystals (calcium phosphate, calcium carbonate, and calcium hydroxide) and collagen fibers.

 

Depending on the arrangement of the bone matrix, bone can be divided into: 

 

Spongy bone- the matrix is in the form of struts or plates called trabeculae.

 

Compact bone- Haversian system or osteon- Haversian canal, lamellae, lacunae, canaliculi, osteocytes, and canals of Volkmann or perforating canals.

 

Ossification- Formation of bone.

 

1.       Intramembranous Ossification- occurs within the embryonic tissue (Fig. 6-11, page 192).  Mesenchymal cells cluster → differentiate into osteoblasts (ossification center) → spicules (spongy bone) → trap blood vessels → add more matrix → remodeling → compact bone. Eg. Skull bones, mandible, and clavicle.

 

2.       Endochondral ossification- cartilage → bone (Fig. 6-9, page 190).

Hypertrophy of chondrocytes near the center of the cartilage → chondrocytes die and disintegrate → matrix begins to calcify → blood vessels into the perichondrium → perichondrium becomes periosteum → osteoblasts → replace cartilagenous matrix with bony matrix → spongy bone → compact bone. Eg. Limb bones.

 

Bone Growth-

 

Growth in length-

Epiphyseal plate: (pages 189-190).

 

Chondrocytes → cartilage formation (↑ length). Onset of puberty: → osteoblast activity → bone formation extends towards the epiphyseal plate → cartilage becomes bone. Epiphyseal plate → epiphyseal line.

 

Growth in thickness- occurs by appositional growth (Fig. 6.9, page 173).

 

Bone formation → ridge formed → ridges fuse trapping the blood vessel  → bone deposition → osteon.

 

Bone Remodeling (page 194):

 

Bone and calcium homeostasis- two hormones help regulate blood calcium concentrations (Fig. 6-14, page 197):

            1. Parathyroid hormone:  

            2. Calcitonin:

 

Fracture- is a broken bone. Depending on the nature and extent, the fracture can be classified as transverse, spiral, greenstick, Colles', comminuted, Pott’s, compression fracture (Fig. 6.16, page 200).

 

Fracture repair- bleeding → clot. Osteocytes die around the cut area. Cells of endosteum and periosteum divide and cells migrate to fracture zone. Soft callus → hard callus. 

Inside the callus osteoblasts deposit spongy bone. Fusion of external and internal callus → continuous bone (Fig. 6-15, page 199)

 

Bone diseases (page 199)-

Osteopenia- inadequate ossification → thin and weak bones →

Osteoporosis (porous bone; page 201).

 

Rickets/Osteomalacia-

 

 

REVIEW QUESTIONS

 

1.       What are the functions of bone?

2.       How bones are grouped based on their shape? Give one example of each type of bone.

3.       What is a sesamoid bone?
 

4.       Name the parts of a long bone and discuss their functions.

5.       What are the two coverings of the bone? Describe their structures, locations, and their functions.

6.       Name the different types of bone cells and their functions.

7.       What is bone matrix made of? How is it arranged in the two types of bones?

8.       What are the differences between the spongy and compact bone?

9.       Describe Haversian system.

10.   What is ossification? What are the two types of ossification?

11.   Describe     a. Intramembranous ossification

b. Endochondral ossification.

12.   How does bone increase in length?

13.   What is the role of epiphyseal plate in children?

13. How does bone increase its thickness? Or describe appositional growth.

14. What is bone remodeling? How does stress affect bone remodeling?

15.   What is a fracture? Define transverse, spiral, greenstick, Pott’s, Colles' and comminuted fractures.
 

16.   Describe how a fracture is repaired.

17.   What are the two hormones that are important in regulating blood calcium ion concentration? How do they control normal concentrations of calcium in the blood (mechanism of control)?

18.   Write a short note on osteoporosis.
 

19.   What is rickets? What is it called in adults?

 


Chapter 7

THE AXIAL SKELETON

Include bones that are present around the body's center (axis). Three parts: the skull, the vertebral column and the bony thorax (Fig. 7-1a,b, pages 206-207).

 

SKULL- consists of 22 bones. Composed of two sets of bones: Cranium and facial skeleton (Fig. 7-2,3,4 pages 208-211).

 

Sutures- are immovable joints between the bones of the skull (page 208).

 

1.       Sagittal suture- midline articulation point of the two parietals.

2.       Squamous suture- point of articulation of temporal with parietal.

3.       Coronal suture- point of articulation of parietals with frontal.

4.       Lambdoid suture- site of articulation of occipital and parietals.

 

Fontanels- soft spots in the infant’s skull (anterior, occipital, sphenoidal and mastoid) (Fig. 7-15, page 2-23).

 

Individual bones will be discussed in the lab and will be in your lecture exam.

 

THE CRANIUM- is composed of eight bones.

 

Frontal- anterior part of the cranium. Forms forehead and superior part of the orbit Fig. 7-6a,b page 213).

 

Parietal- posterior to the frontal bone forming sides of cranium (Fig. 7-5b page 213).

 

Temporal (Fig. 7-7a,b page 214)- two major parts:

Squamous portion adjoins the parietals.  

Petrous portion forms the lateral inferior aspect of the skull.

 

Occipital- most posterior bone of cranium forms floor and back wall (Fig. 7-5a page 212).

 

Sphenoid- bat-shaped bone forms the anterior plateau of the middle cranial cavity across the width of the skull (Fig. 7-8a,b, page 215).

 

Ethmoid- irregularly shaped bone anterior to the sphenoid (Fig. 7.9a,b, page 216).

 

FACIAL BONES- fourteen bones. The mandible and vomer are single bones. All other facial bones are paired.

 

Nasal bones- small rectangular bones forming the upper part of the bridge of the nose (7-11, page 218).

 

Zygomatic- lateral to the maxilla; a prominent portion of the face (cheekbone) and forms part of the lateral orbit (Fig. 7-11, page 218).

 

Mandible- lower jawbone. Articulates with temporal bones. The only freely movable joints of the skull. Alveolar processes (Fig. 7-12a,b, page 219).

 

Temporomandibular Joint syndrome (TMJ syndrome)- painful condition resulting from misalignment of the mandible at the temporomandibular joint (page 220).

 

Lacrimal- small bones forming a part of the medial orbit walls between the maxilla and the ethmoid (Fig. 7-11, page 218).

 

Maxillae- form the upper jawbone and part of the orbits. All facial bones except mandible join maxillae. Alveolar processes maxillary sinuses (Fig. 7-10a,b, page 217).

 

Cleft palate-

 

Palatine- form posterior hard palate (Fig. 7-10b,c, page 217).

 

Inferior nasal conchae- thin curved bones protruding from the lateral walls of the nasal cavity (Fig. 7-11, page 218).

 

Vomer- irregularly shaped bone in median plane of nasal cavity; forms the posterior and inferior nasal septum (Fig. 7-11, page 218).

 

Paranasal Sinuses- frontal, sphenoidal, ethmoidal and maxillary (page 222).

  

Sinusitis-

 

Orbits (Fig. 7.13, page 220)-

 

Hyoid bone- is the only bone of the skeleton that does not articulate with another bone (Fig. 7.12c, page 219).

 

THE VERTEBRAL COLUMN- consists of 26 vertebrae. There are 7 cervical, 12 thoracic, 5 lumbar, 1 sacrum, and 1 coccyx. The last two are formed by the fusion of several individual vertebrae (Fig. 7-16, page 224).

 

Spinal curvature (Fig. 7-16, page 224)- Two primary curves (thoracic and sacral) and two secondary curves (cervical and lumbar).

 

Abnormal curves of the vertebral column:

Kyphosis- ‘humpback’- exaggerated thoracic curvature.

Lordosis- ‘swayback’- exaggerated lumbar curvature.

Scoliosis- abnormal lateral curvature.

 

Intervertebral discs- the vertebrae are separated by pads of fibrocartilage that cushions the vertebrae.

Anulus fibrosus and nucleus pulposus-

 

Herniated (slipped) disc (Fig. 9-8, page 270)-

 

Vertebral Anatomy- includes body, neural or vertebral arch, laminae, pedicles, vertebral foramen, spinous process, transverse processes, superior and inferior articular processes, intervertebral foramen (Fig. 7-17, page 225).

 

Spina bifida- vertebral laminae fail to fuse during development. Neural arch is incomplete and membranes or meninges bulge outward (page 235).

 

Cervical vertebrae- small, presence of transverse foramen, split (bifid) spinous process, and large vertebral canal (Fig. 7-18a-c, page 227).

 

Atlas- no body, makes you say ‘yes’ (Fig. 7-18d, page 227).

 

Axis- presence of dens. Makes you say ‘no’ (Fig. 7-18d, page 227).

 

Thoracic vertebrae- articulate with the ribs. Presence of superior and inferior facets or demifacets, and extended transverse processes (Fig. 7-19, page 229).

 

Lumbar vertebrae- large and massive (Fig. 7-20, page 230).

 

Compare cervical, thoracic and lumbar vertebrae (Table 7-2, page 228)-

 

Sacrum- formed by the fusion of 5 sacral vertebrae (Fig. 7-21, page 231).

 

Coccyx- formed by the fusion of 3-5 bones(Fig. 7-21, page 231).

 

THORACIC SKELETON- is composed of the sternum (breastbone), costal cartilages, ribs (12 pairs), and thoracic vertebrae (Fig. 7-22, page 232).

 

The Ribs (Fig. 7-23, page 233)-

 

True ribs or vertebrosternal ribs (1-7).

 

False ribs: vertebrochondral (8-10) and

      floating (vertebral) ribs (11-12).

 

Costal cartilages-

 

The Sternum (breastbone)- manubrium, jugular notch, body and xiphoid process (Fig. 7-22a, page 232).

 

Interesting facts

·         Humans and giraffes both have seven cervical vertebrae! They are much longer in the giraffe.

·         Smallest bone in the body is stapes, which measures approximately 2.5mm.

 


REVIEW QUESTIONS

 

1.       Define axial skeleton. What are the three main groups of bones that make up axial skeleton.

2.       How many bones make up the skull? What are the two main groups of skull bones?

3.       What are sutures? Where do you find a. Sagittal suture, b. Squamosal suture, c. Coronal suture, and d. Lambdoid suture.

4.       What are fontanels? How are they important? Name any two fontanels.

5.       What are the different bones that make up the cranium?

6.       Name where these processes, condyles, structures, or foramen are found.

Mastoid process, styloid process, mandibular fossa, external acoustic meatus and internal acoustic meatus, occipital condyles, foramen magnum, sella turcica, optic foramen, foramen ovale, cribriform plates, crista galli, jugular foramen, and greater and lesser wings.

7.       Name all the facial bones.

8.       Which bone is also called as the cheekbone?

9.       Which bone is the only movable bone in the skull?

10.   What are alveolar processes? Where do you find these?

11.   What is TMJ syndrome?

12.   What are the smallest skull bones?

13.   All the bones of the facial skeleton are attached to this bone except mandible. Which bone is this?

14.   What is cleft palate?

15.   Two facial bones form the roof of the mouth. Which ones are those?

16.   What are sinuses? Name them. How are they important in the skull? Which is the largest sinus?

17.   Define sinusitis.

18.   What are orbits? Name all the skull bones that contribute to the structure of the orbit.

19.   Name the bone that is not attached to any other bone in the body. Where do you find this bone?

20.   How many bones make up the vertebral column? What are those?

21.   What are the two primary and two secondary curves?

22.   Define kyphosis, lordosis, and scoliosis.

23.   What are intervertebral discs? Describe the structure and functions of the intervertebral disc.

24.   What is herniated or slipped disc?

25.   Describe the structure of a typical vertebra.

26.   What is spina bifida?

27.   What are the characteristic features of cervical, thoracic, and lumbar vertebrae?

28.   What is the first cervical vertebra called? What are the special features of this vertebra?

29.   What is the second cervical vertebra called? What are its special features?

30.   Where do you find these structures: transverse foramen, bifid spinous process, facets, or demifacets, and dens.

31.   How many vertebrae are fused together to form the sacrum?

32.   What is the other name for the tailbone?

33.   Name the components of the thoracic skeleton.
 

34.   How many pairs of ribs are there? Which vertebrae are they attached to in the vertebral column? How do you classify ribs?

35.   What is the other name for the breastbone? What are the three parts of this bone?

36.   Where do you find the (jugular) suprasternal notch?


Chapter 8

THE APPENDICULAR SKELETON

 

Consists of 126 bones that include the upper and lower limbs, and the pectoral and pelvic girdle.

 

Pectoral (shoulder) girdle- two bones (Fig. 8-2, page 241):

 

The Clavicle or collarbone- ‘S’ shaped with sternal and acromial ends (Fig. 8-2a, page 241).

 

The Scapula- "wings" of humans (Fig. 8-2b, page 241).

 

Upper limb-

 

Arm- consists of humerus (Fig. 8-4, page 242).

 

Forearm- consists of two bones: radius (lateral) and ulna (medial) (Fig. 8-5, page 243).

 

Carpal bones (wrist bones)- eight carpal bones make up the wrist (Fig. 8-6, page 244).

Carpal tunnel syndrome-

 

Hand (Fig. 8-6, page 244)-

            a. Palm- Metacarpal bones: 5

            b. Digits- Phalanges: 14

 

Pelvic (hip) girdle- composed of two hip bones (coxae). Each coxal bone is derived from the fusion of three separate bones designated as the ilium, ischium, and pubis (Fig. 8-7, page 246).

Acetabulum-

 

Pelvis- the two hip bones together with the sacrum and coccyx form the pelvis (Fig. 8-8, 247).

 

Comparison of male and female pelves (Fig. 8-10, page 248)-

 

The Lower Limb-

Femur or thighbone- largest bone in the body (Fig. 8-11, page 250).

 

Patella or kneecap (Fig. 8-12, page 250)-

 

Leg- consists of two bones, tibia (shin bone, medial) and fibula (lateral) (Fig. 8-13, page 251).

 

Ankle(Fig. 8-14, page 252)- seven tarsal bones make up the ankle.

Foot- metatarsal bones- 5 and phalanges- 14

 

Arches of the foot: longitudinal and transverse (Fig. 8.14b, page 252).

Flat foot- no arches (page 253).

Club foot- inherited developmental abnormality (page 253).

REVIEW QUESTIONS

  1. Name the groups of bones that make up the appendicular skeleton.

  2. Define pectoral girdle and name the bones that form the pectoral girdle. Where does the pectoral girdle attach to the main axis?

  3. Name the bone of the upper arm. Why is it given this name?

  4. What are the two bones of the forearm? Which is the medial and which is the lateral bone?

  5. Name the specific condyles of the humerus they articulate with. 

  6. What are the wrist bones called? How many are there in each wrist?

  7. Define carpal tunnel syndrome.

  8. How many metacarpals make up the palm? How are they numbered?

  9. How many phalanges in each hand? How are they arranged?

  10. Name the bones of the pelvic girdle.

  11. Name the bones that make up the hipbone and their specific locations within the hipbone.

  12. Name the sitting bone.

  13. What is Acetabulum? Where do you find it? What is the function of acetabulum?

  14. Describe the structure of hipbone.

  15. Where is obturator foramen located? What is its function?

  16. Name all the bones that make up the pelvis.

  17. Compare male and female pelves.

  18. Name the thighbone. Describe its structure.

  19. Name the two leg bones. Which leg bone articulates with the femur?

  20. Which bone does fibula articulate with?

  21. What are the anklebones called? How many are there in each ankle?

  22. Where is patella found? Which bone is it attached to?

  23. Where do you find lateral and medial malleolus?

  24. How many metatarsals make up the foot? How are they numbered?

  25. Name the arches of the foot.

26. Define flat foot.

 

Chapter 9

ARTICULATIONS

 

FUNCTIONAL CLASSIFICATION OF JOINTS (Table 9-1, page 259): Synarthrosis, Amphiarthrosis and Diathrosis.

 

Synarthrosis (Table 9.2, page 260):  

1. Suture- between skull bones.

 

2. Gomphosis- fibrous connection between the tooth and its socket (peg-in-socket).

 

3. Synchondrosis- cartilage between bones. Eg. ribs and sternum.

 

4. Synostosis- Eg. Epiphyseal plate.

 

Amphiarthrosis:

Syndesmosis- ligament connects bones. Eg. Tibia and fibula and radius and ulna.

 

Symphysis- bones separated by fibrocartilage. Eg. Pubic symphysis and intervertebral discs.

 

Diarthrosis or synovial joints:

Structure- consists of articular capsule, synovial membrane, synovial fluid, articular cartilage, fibrocartilage pads (menisci, fat pads), accessory ligaments (extracapsular or intracapsular), and bursae (Fig. 9.1, page 261).

Bursitis (page 262)- 

 

Types of movements possible at synovial joint (Fig. 9-2, page 263):

Linear: gliding (page 264)

Angular: flexion, extension, hyperextension, adduction and abduction (Fig. 9-3a-c, page 265)

Circumduction (Fig. 9-3d, page 265)

Rotation (Fig. 9-4, page 266)

 

Monoaxial, biaxial, and triaxial: page 264

 

Special Movements- Elevation/ depression,

protraction/ retraction, inversion/eversion, dorsiflexion/plantar flexion (Fig. 9-5, page 267).

 

A functional classification of Synovial Joints (Fig. 9-6, page 268)-

Planar (gliding) joints (Fig. 9.4a page 249)- Flat surfaces. Gliding movement. Biaxial. Eg. Between thoracic vertebrae and ribs, clavicle and scapula, between carpals and between tarsals.

 

Hinge joints (Fig. 9.4b, page 249)- Concave surface on one bone and convex on the other. Monoaxial (uniaxial), angular movement. Flexion, extension, and hyperextension. Eg. The elbow or knee.

 

Pivot joints (Fig. 9.4c, page 249)- rotation (medial or lateral), monoaxial; the proximal end of radius and ulna that turns palm inwards (pronation) or outwards (supination). Eg Between the atlas and axis.

 

Ellipsoidal or Condyloid joint (Fig. 9.4d, page 249)- oval end sits within a depression. Biaxial, angular movement: flexion, extension, adduction and abduction. Eg between phalanges and metacarpals, between radius and carpals.

 

Saddle joints (Fig. 9.4e, page 249)- Concave end on one axis and convex on the other. Gliding and angular motion. Biaxial. Opposition. Eg. Base of thumb (trapezius and metacarpal 1).

 

Ball-and-socket joints (Fig. 9.4f, page 249)- Round head rests within a cup-shaped depression. Multiaxial (triaxial). Movements include flexion, extension, abduction, adduction, and rotation. Eg. Joints of the shoulders and hips.

 

Joint Disorders-

 

Subluxation/Luxation- page 262

 

Arthritis- damage to articular cartilage (page 278).

 

·         Osteorthritis or degenerative arthritis-

 

·         Rheumatoid arthritis-

 

·         Gouty arthritis-

 

Interesting facts about bones:

·      bone fractured most often- clavicle

·      bone fractured the least- scapula

·      most mobile joint-  shoulder

·      most immobile joint-  sutures of skull

·      strongest joint-  hip joint

·      longest bone-  femur

·      smallest bone- stapes

·      most prominent vertebra- 7th cervical

·      there are usually 12 pairs of ribs (same in men and women)

·      one in 20 people has an extra rib

·      your arm span is usually equal to your height

·      you shrink approximately 12.7 mm during the day due to compression of the intervertebral discs

·      shiny white enamel on the teeth is the hardest material in the body.

·          Babies are born without bony kneecaps; they don’t ossify until the child reaches 2-6 years of age

·          There are more than 230 moveable and semi-moveable joints in the body.

 


REVIEW QUESTIONS

 

1.       What are articulations?

2.       Define synarthroses, amphiarthroses and diarthroses.

 

3.       What are the subtypes of synarthrosis? Give at least one example of each type.

4.       What are the subtypes of amphiarthrosis? Give at least one example of each type.

5.       Define synovial joint.

6.       Describe the structure of a simple synovial joint. List the functions of each structure in the synovial joint.

7.       What additional structures do you find in a complex synovial joint? What are the functions of those structures?

8.       Define bursitis.

9.       Define planar, hinge, pivot, condyloid, saddle, and ball-and-socket joints with at least one example of each type.

10.   Define opposition, pronation, supination, flexion, extension, adduction, abduction, rotation, plantarflexion, dorsiflexion, protraction, and retraction.

11.   Compare monoaxial, biaxial, and triaxial joints.

12.   Compare hip and shoulder joints.

13.   Which is the largest and the most complex joint in the body? Name the bones and the types of joints you find in the knee joint.

14.   Write short notes on osteorthritis, rheumatoid arthritis, and gouty arthritis.

 


Chapter 10

                                                        MUSCLE TISSUE

Functions(page 284):

 

Three types: Skeletal muscle- voluntary; striated.

                    Cardiac muscle- involuntary; striated.

                    Smooth muscle- involuntary; lack striations.

 

SKELETAL MUSCLE-

 

Organization of connective tissues- epimysium, perimysium, and endomysium (Fig. 10-1, page 285).

 

Fascicle, Tendon, Aponeurosis-

 

Microanatomy of skeletal muscle fibers- sarcolemma, sarcoplasm, sarcoplasmic reticulum, and transverse tubules or T tubules, and myofibrils (Fig. 10-2 page 286 and Fig. 10-3, page 287).

 

Myofibrils are made up of myofilaments: thin (contain actin) and thick (contain myosin).

 

Sarcomere and its organization- Myofilaments are organized in repeating functional units called sarcomeres. Locate Z lines, I band, A band, H zone and M line in a sarcomere (Fig. 10-4 and 10-5, pages 288-289).

 

Structure of thick and thin filaments (Fig. 10.7, page 291)-

 

Thick filament: Myosin- each head with two binding sites and a tail.

 

Thin filament- Actin or F-actin: components of thin filaments are

actin, tropomyosin, and troponin.

 

Cross-bridges- myosin head (with its active site) connects myosin with actin forming a cross-bridge.

 

Sliding Filament Mechanism- contraction ¯ the distance between adjacent Z lines because thin filaments slide over and between thick filaments (Fig. 10-8, page 292).

 

MUSCLE CONTRACTION

Neuromuscular junction (myoneuronal junction or motor end plate)- Synaptic cleft, synaptic knob, acetylcholine (neuro-transmitter) (Fig. 10-10, page 294).

·         Nerve stimulation

·         Release of neurotransmitter (acetylcholine [ACh]) from the neuron (synaptic knob) to the synaptic cleft

·         Binding of ACh to its receptor on the sarcolemma

·         action potential (Fig. 10-12, pages 296-297)

·         Spreads to T- tubules

·         Release of Ca++ from sarcoplasmic reticulum

·         Ca++ binds to troponin

·         Displacement of tropomyosin exposing the binding site on actin

·         Myosin head binds to actin

·         Power stroke (bending of cross-bridge) pulling actin towards the center of the sarcomere (shortening or contraction)

·         New ATP binds to myosin head

·         Cross-bridge detachment

·         ATP ® ADP

 

MUSCLE RELAXATION (Fig. 10-13, pages 298-299)-

·         Decreased neuronal activity

·         No action potential

·         Sarcoplasmic reticulum reabsorbs Ca++

·         Tropomyosin assumes a position that blocks the binding site on actin

·         No cross-bridge formation or no contraction

 

Acetylcholinesterase- is an enzyme that breaks down acetylcholine.

 

Myasthenia gravis- loss of ACh receptors.

 

Rigor Mortis (page 298)-

 

Motor unit (Fig. 10.17, page 305)-

 

CONTROL OF MUSCLE TENSION-

Length-tension relationship in the skeletal muscle

(Fig. 10-14, page 301): 

Twitch contraction (Fig. 10-15, page 302)-

 

Tetanus (Fig. 10-16, page 303)-

 

Isotonic and Isometric contractions (Fig. 10-18, page 307)-

 

Muscle tone- page 305

 

Energy for muscle contraction- ATP, creatine phosphate (CP), metabolism of glucose and fatty acids(page 309).

 

Muscle fatigue (page 310)-

 

Muscle hypertrophy and atrophy-

 

 

SMOOTH MUSCLE TISSUE-

Microscopic anatomy of smooth muscle- presence of intermediate filaments and dense bodies (Fig. 10-17, page 305).

 

Physiology of smooth muscle: Contraction: Ca++ + calmodulin stimulates enzyme (myosin light chain kinase) activity which converts ATP to ADP ® phosphorylation of myosin head ® binding to actin ® contraction (page 319).

 

Types of Smooth muscle fibers (page 320):

 

Visceral (single unit) muscle tissue-

 

Multiunit muscle tissue-

 

REVIEW QUESTIONS

  1. What are the functions of muscle tissue in general?
  2. What are the three types of muscle tissue? What are the special features of each type? Where do you find each type of muscle tissue?
  3. How is epimysium, perimysium, endomysium and tendon are all connected to one another?
  4. Differentiate between a muscle, its fascicles, and the individual muscle fibers.
  5. Name the two cells that are found in a neuromuscular junction. Describe a neuromuscular junction including synaptic cleft, receptors, synaptic bulb, synaptic vesicles, and neurotransmitter acetylcholine.
  6. Define sarcolemma, sarcoplasm, and sarcoplasmic reticulum.
  7. What are transverse or T- tubules? How are they important?
  8. What are myofibrils? How are they arranged in a muscle fiber? What are they made up of?
  9. What are myofilaments? What are the two types of myofilaments?
  10. What is a sarcomere? Describe its structure including I bands, A band, H zone, Z line, and M line.
  11. What are thick filaments made of? Describe the structure of myosin.
  12. What are thin filaments made of? Describe the structure of a thin filament.
  13. Describe sliding filament theory.
  14. Describe skeletal muscle contraction mechanism. Include:

a. What initiates muscle contraction process (discuss the importance of neuromuscular junction).

b. The role of Ca++ in muscle contraction

c. The role of ATP

d. The role of acetylcholinesterase (relaxation)

  1. Define myasthenia gravis.
  2. What is rigor mortis?
  3. What is a motor unit? How is a smaller motor unit different from the larger motor unit? Which one would produce fine movement and which one would produce gross movement?
  4. Describe the length-tension relationship in the skeletal muscle fiber. Compare the length-tension relationship of the skeletal muscle fiber with that of smooth muscle fiber.
  5. What are the different forms of energy that are available in the muscle tissue?
  6. Define muscle fatigue.
  7. Define muscular atrophy and hypertrophy.
  8. Define twitch and tetanus.

  9. Define muscle tone.

  10. Describe isotonic and isometric contractions.

  11. Describe the structure of a smooth muscle fiber.

  12. Describe the mechanism of smooth muscle contraction. Include the role of calmodulin and myosin light chain kinase.

  13. Compare skeletal muscle fiber structure and function with that of smooth muscle fiber.

  14. What are the two types of smooth muscle fibers? How are they different?

Chapter 11

THE MUSCULAR SYSTEM

 

Arrangement of fascicles (Fig. 11-1, page 327)-

Parallel, convergent, pennate (unipennate, bipennate or

multipennate), and circular arrangements.

 

Origin and Insertion (page 330)-

 

Actions (page 331)-

Agonists and antagonists-

Synergists-

Prime mover-

 

Naming of muscles (Table 11-1, page 332)-

 

****A list of muscles will be assigned in the lab to identify their locations and functions which will be tested in the lab exam.

Answer the review questions to cover the material for the lecture exam  ****

 

Interesting facts about muscles:

·      Muscle means “little mouse”

·      There are about 650 voluntary (skeletal) muscles in the body. About 40% of your body weight is muscles.

·      Muscles cannot push, they can only pull.

·      There are 20 muscles located in the hand.

·      There are more than 30 facial muscles that are responsible for facial expression.

·      Eye muscles are the busiest muscles in the body. They move approximately 100,000 times per day.

·      smallest muscle- stapedius

·      Largest muscle- gluteus maximus

·      Strongest muscle  =  masseter

·      smallest motor unit (3 muscle cells) is in external eye muscle

·      most active muscle  =  external eye muscle

·      greatest source of body heat  =  contraction of skeletal muscles

·      all body muscles pulling in one direction would develop 25 tons of force

·          banging your head against a wall uses 150 calories an hour

 

REVIEW QUESTIONS:

1.       Define origin and insertion.

2.       Define agonistic and antagonistic muscles.

3.       Define synergists.

4.       Define prime mover.

5.       What are some of the arrangement of muscles? Give an example of each type.

6.       How are skeletal muscles named?

7.       Give the origins and insertion of sternocleidomastoid muscle.

8.       Facial expression is possible because of what reason?

9.       Where do you find flexors and extensors, in general, in the arm?

10.   Most of the muscles in the back support one bone. Which bone is that and why?

11.   Name some of the muscles that are important in normal respiration.

12.   Why are abdominal muscles positioned in different directions?

13.   What is linea alba?

14.   Name quadriceps femoris muscles.

15.   What are hamstring muscles? Why are they called so?

 


Chapter 12

NERVOUS TISSUE

 

Two major divisions of the Nervous System:

 

1.       Central nervous system (CNS): includes brain and the

        spinal cord

2.       Peripheral nervous system (PNS): includes nerves.

 

Neurons or Nerve Cells-  

Structure (Fig. 12-1, page 381)-

1. Cell body- presence of Nissl substance (Nissl body).

2. Dendrites- generally conduct impulses toward the cell

body.

3. Axon- generally conducts impulses away from the cell body.

              Axon hillock, axolemma, and synaptic knob.

 

Define:  Nerve

Ganglion

Nucleus

Tract

 

Neuron Types (Fig. 12-3, page 383)- based on structure, neurons can be classified as

Anaxonic- no anatomical difference between dendrites and axons. Found in the brain and special sense organs.

 

Unipolar- one main process. Found in the sensory neurons of the PNS.

 

Bipolar- unmyelinated, two main processes involved in sight, smell and hearing functions.

 

Multipolar- many cell processes. Most common type. Eg. Motor neurons.

 

Based on the function, neurons are organized into three groups (page 384):

Sensory or afferent neuron:

Motor or efferent neuron:

Interneuron or association neuron:

 

Neuroglia- can be grouped into glial cell populations in the CNS and PNS.

Neuroglia of the CNS (Fig. 12-4, page 385)-

Astrocytes- form a structural framework; maintenance of

                     interstitial environment; chemical balance.

        Blood-brain barrier-

 

Oligodendrocytes- form myelin sheaths around the axons

       within the CNS.

      Neurofibril node or Nodes of Ranvier-

            White matter and gray matter-

Microglia- smallest glial cells

 

Ependymal cells- line the ventricles and the central canal.

Neuroglia of the PNS-

 

Schwann cells- form myelin sheaths around the axons of the PNS (Fig. 12-5, page 388).

Multiple sclerosis-

Regeneration of neurons in the PNS (Fig. 12-6, page 389)-

 

Neurophysiology

 

Resting Membrane Potential (Fig. 12-8 pages 392-393)-

 

Membrane channels      

a. Passive or Leak channels and

 

b. Active or Gated channels(Fig. 12-10, page 395)-

 

Two types of gated channels:      1. Chemically-regulated

                                                2. Voltage-regulated

                                                 

Graded potentials: Depolarization, hyperpolarization, and repolarization (Fig. 12-11, page 397 and Fig. 12-12, page 398).

 

Action potential or nerve impulse (Fig. 12.11, page 399, 12.12, page 401)-

Stimulus → depolarization to threshold → opening of voltage-regulated Na+ channels → rapid depolarization → Na+ channels close and K+ channels open → repolarization → Na+/K+ pump reinstates the original membrane potential.

 

All-or-none principle (page 398)- amplitude/frequency:

 

Refractory periods (page 400): absolute and relative.

 

Conduction (propagation) of nerve impulses-

a. Unmyelinated- continuous conduction (Fig. 12-14, page 401)- 

b. Myelinated: Saltatory conduction (Fig. 12-15, page 403)-

 

Speed of nerve impulse propagation-

            Type A fibers- myelinated: 5 -20µm; 300 mph.

            Type B fibers- myelinated: 2 - 4 µm; 32 mph.

            Type C fibers- unmyelinated: < 2 µm; 2 mph.

 

Synaptic communication- Electrical or chemical.

 

Electrical synapses- gap junctions.

 

Chemical synapses- presynaptic, postsynaptic, synaptic cleft, synaptic knob (Fig. 12.16, page 406).

 

Excitatory postsynaptic potential (EPSP)- is the depolarization that is produced in response to a neurotransmitter (page 412).

 

Inhibitory postsynaptic potential (IPSP)- is the hyperpolarization that is produced in response to a neurotransmitter (page 412).

Summation- Temporal summation and Spatial summation (Fig. 12.18, page 413).

 

Interesting fact:

·         A nerve cell can transmit 1,000 nerve impulses each second.

 

REVIEW QUESTIONS

  1. What are the two major divisions of the nervous system?
  2. What is central nervous system made of?
  3. What is peripheral nervous system made of?
  4. What are the two types of cells that you find in the nervous system?
  5. Describe the structure of a typical multipolar neuron.
  6. What is the function of dendrites in general?
  7. What is the function of axon in general?
  8. Define Nissl bodies, perikaryon, axon hillock, and axolemma.
  9. Define ganglion, nucleus, tract and nerve.
  10. What are the four different types of neurons based on their structures? Where do you find each type of these neurons?
  11. What are the three types of neurons based on their functions?

  12. What are the different types of glial cells?
  13. What are astrocytes? Where do you find them? How are they important?
  14. Describe blood brain barrier (BBB). Name the glial cell that contributes to the formation of BBB.
  15. Describe myelination.
  16. Define node of Ranvier.
  17. What is the difference between white matter and gray matter?
  18. What is the function of microglia?
  19. Where do you find ependymal cells? What is their function?
  20. Where do you find Schwann cells? How are they important?
  21. Where does regeneration of neurons commonly occur? Why?
  22. What is multiple sclerosis?
  23. Define resting membrane potential. What factors contribute to the maintenance of membrane potential?
  24. What are the two main types of ion channels? Describe how they function.
  25. What are the two types of gated channels? How are they different?
  26. Define depolarization, hyperpolarization, and repolarization.
  27. Describe action potential or nerve impulse in detail.
  28. Justify the all-or-none principle that applies to action potential.
  29. Can increased strength of the stimulus increase the amplitude or not?
  30. Define refractory period. What are the two types of refractory periods? How are they different?
  31. Describe the conduction of nerve impulses in an unmyelinated neuron.
  32. Define saltatory conduction.

  33. What are the three different type of axons (fibers) based upon the speed of conduction? Where do you find each one of these?

  34. Define synapse. What are the two types of synapses?

  35. Describe electrical synapse. Where do you find these?

  36. Describe chemical synapse. Define the terms presynaptic, postsynaptic, synaptic cleft, and synaptic knob.
     
  37. Describe EPSP AND IPSP. Compare the two.

  38. What are the two types of summation? Describe each type.

Chapter 13

THE SPINAL CORD AND SPINAL NERVES

 

PROTECTION AND COVERINGS

Spinal meninges or covering of the spinal cord- provide physical stability and shock absorption (Fig. 13-3, page 425).

 

Three meningeal layers: outer dura mater, middle arachnoid and inner pia mater.

 

Epidural space, Subdural space and Subarachnoid space.

 

Meningitis-

 

Gross anatomy of the spinal cord (Fig. 13-2, page 424)-

Two enlargements:

Cervical- supplies nerves to the shoulder girdle and arms.

Lumbar- supplies nerves to structures of the pelvis and legs.

 

Conus medullaris-

 

Filum terminale-

 

Cauda equina-

 

Dorsal (posterior) root ganglion- contains the cell bodies of sensory neurons.

 

Dorsal (posterior) roots- contains the axons of sensory neurons.

 

Ventral roots- contains the axons of motor neurons.

 

Anterior median fissure & posterior median sulcus-

 

Spinal tap-

 

Sectional Anatomy of the spinal cord (Fig. 13-5, page 428)-

This section will be discussed in the lab and will be tested in the lecture exam.

Central canal-

 

Gray matter- anterior, posterior and lateral gray horns; gray commissures.

White matter- anterior, posterior and lateral white horns.

 

SPINAL NERVES

This section will be discussed in the lab and will be tested in the lecture exam.

Thirty-one pairs of spinal nerves. Mixed. Cervical C1-C8, thoracic T1-T12, lumbar L1-L5, sacral S1-S5 and coccygeal Cx (Fig. 13-2, page 424).

 

Connective Tissue Covering of the Nerve- Epineurium, perineurium and endoneurium (Fig. 13-6, page 429).

 

Peripheral distribution of spinal nerves-

Each spinal nerve has two major rami (Fig. 13-7, page 430):

Dorsal Rami- skin and muscles of the back.

Ventral Rami- forms networks called plexuses.

Dermatome and Myotome (Fig. 13-8, page 431)-

 

Cervical Plexus- C1-C5; phrenic nerve (Fig.13-10, page 433).

 

Brachial Plexus- C5-T1; axillary, radial, ulnar, median, and musculocutaneous nerves (Fig. 13-11, page 434).

 

Lumbar Plexus- L1-L4: Femoral and obturator nerves (Fig.13-12a-b, page 436).

 

Sacral Plexus- L4-S4; major nerve: sciatic (Fig. 13.12c-d, page 436).

 

Coccygeal plexus- S4, S5 and Cx; coccygeal nerve.

 

Thoracic nerves- T2-T12; intercostal nerves.

 

Spinal Reflexes- A reflex is an automatic, involuntary motor response.

 

A reflex arc is a neural circuit of a single reflex (Fig. 13-14, page 440).

Types of Reflexes:

1. Monosynaptic reflex: Stretch reflex or Knee-jerk reflex (Fig. 13-15, page 4418).

Muscle spindles- the sensory receptors that monitor the length of the muscle fiber (Fig. 13-16, page 442).

Slight stretching ­ muscle spindles ® sensory neuron to spinal cord ® muscle contraction.

 

2. Polysynaptic reflexes-

a. The Tendon reflex- monitors the tension produced during a muscular contraction and prevents damage to the tendons by excessive stresses (page 443).

 

Tendon organs- are the sensory structures that monitor tension in collagen fibers of the tendon.

­ tension ­ activation of tendon organs ® muscle relaxation.

 

b. Withdrawal reflexes-

Flexor reflex (Fig. 13-17, page 444)-

 

Crossed extensor reflex (Fig. 13-18, page 445)-

 

Positive Babinski sign- fanning of the toes: infants.

 

Negative Babinski reflex or plantar reflex- normal adults.

 

REVIEW QUESTIONS

 

1.       Name the three meninges, their locations, and their functions.

2.       Where do you find epidural space, subdural space, and subarachnoid space? What does the subarachnoid space contain and how is it important? What does the epidural space contain and how is it important?

3.       What is meningitis?

4.       What are the two enlargements of the spinal cord? Why are they larger than the rest of the spinal cord?

5.       Define conus medullaris, filum terminale, and cauda equina.

 

6.       Define dorsal root ganglia, dorsal root, and ventral root.

 

7.       Where do you find anterior median fissure and posterior median sulcus?

 

8.       What is spinal tap?

 

9.       Define central canal. Where is it found? What does it contain?

 

10.   Where do you find gray matter in the spinal cord? Name the three horns of the gray matter. Where do you find gray commissures?

 

11.   Where do you find white matter in the spinal cord? Name the three horns of the white matter. Where do you find white commissures?

 

12.   Define reflex, and list the components of a simple reflex arc.

 

13.   Define monosynaptic and polysynaptic reflex.

 

14.   Describe stretch reflex.

 

15.   What are muscle spindles? What is their role in stretch reflex?

 

16.   Describe tendon reflex.

 

17.   What are tendon organs? What is their role in the tendon reflex?

 

18.   Describe flexor reflex. Give an example.

 

19.   Describe crossed extensor reflex. Give an example.

 

20.   Define positive Babinski sign. Where do you normally find positive Babinski sign?

 

21.   What is a nerve made of? What are the three connective tissue coverings of the nerve?

22.   Mention their exact locations.

23.    How do you describe spinal nerves and why?

24.   How many pairs of spinal nerves are there? How do you group them?

25.   Define dorsal and ventral rami.

26.   What are plexuses?

27.   Define cervical, brachial, and lumbar, and sacral plexuses. Mention the important nerves formed from each of these plexuses.

28.   Define dermatome and myotome.

Chapter 14

THE BRAIN AND CRANIAL NERVES

 

Development of the Brain and Spinal Cord- the nervous system is formed from the ectoderm of the embryonic tissue.

Neural plate → neural tube → superior and inferior parts.

Inferior part → spinal cord (Table 14-1, page 454).

 

Superior part at the end of 3rd week: 3 swellings: prosencephalon, mesencephalon and rhombencephalon.

 

Superior part at the end of 4th week: 5 regions: telencephalon (cerebrum), diencephalon (hypothalamus, thalamus and epithalamus), mesencephalon, metencephalon (pons and cerebellum) and myelencephalon (medulla oblongata) (Fig. 14.1, page 453)

 

Brainstem- page 452

 

PROTECTION AND COVERINGS

The Cranial Meninges- Outer dura mater, the middle arachnoid and the inner pia mater (Fig. 14-3, page 456).

 

VENTRICLES OF THE BRAIN- lateral ventricles → interventricular foramen (foramen of Munro) → third ventricle → mesencephalic aqueduct (cerebral aqueduct) → fourth ventricle → central canal (Fig. 14-2, page 454).

 

The Choroid Plexus and Cerebrospinal Fluid (CSF) Formation-

Choroid plexus- is formed by the capillaries and specialized ependymal cells. It is a site of CSF production. CSF cushions and protects the brain.

Arachnoid villi (arachnoid granulation)- reabsorbs CSF.

 

Circulation of CSF within the brain- Choroid plexus → ventricles → spinal cord. Fourth ventricle → subarachnoid space → arachnoid villi → drainage (Fig. 14-4, page 457).

Hydrocephalus-

 

TELENCEPHALON

CEREBRUM- largest part of the brain. Consists of cerebral cortex and cerebral medulla (Fig. 14.-12, page 471).

 

Hemispheres- right and left hemispheres are connected by corpus callosum.

 

Gyri- elevated ridges; Sulci- shallow depressions

 

Central sulcus- located between frontal and parietal lobes.

 

Fissures- deeper grooves; longitudinal fissure- separates two

hemispheres.

 

LOBES (Fig. 14-12, page 471)- Each hemisphere is divided into:

Frontal lobe- involved in the motor control, motivation,       aggression and mood.

Parietal lobe- reception and evaluation of sensory information.

Precentral gyrus- primary motor cortex.

Postcentral gyrus- primary somatosensory cortex.

 

Occipital lobe- vision and for the coordination of eye

movements.

Temporal lobe- receives and evaluates olfactory and auditory

 input.

The Prefrontal cortex (page 476):