| Term 
 
        | What are the major functions of connective tissue? |  | Definition 
 
        | Exists as - Ground substance - water + GAGs
 - Fibers - collagen
 - Cells
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        | Term 
 
        | What are some different types of connective tissue? |  | Definition 
 
        | - Loose - acts as a filler - Dense - gives tensile strength. Both come from fibroblasts
 - Cartilage - from chondrocytes, cushions and supports
 - bone and blood
 |  | 
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        | Term 
 
        | What are componeHnts of ground substance? |  | Definition 
 
        | water (mostly) + proteoglycans: Protein core + glucosamine/chondroitin/hyaluronic acid (GAGs). PGs form aggregates attached to a hyaluronic core - Adhesion molecules - fibronectin, laminin
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        | Term 
 | Definition 
 
        | A type of ground substance in cartilage with a high concentration of chondroitin bound to hyaluronic acid |  | 
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        | Term 
 | Definition 
 
        | Able to withstand trauma, primarily collagen and elastin Type 1  collagen in bone, Type 2 in joints
 |  | 
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        | Term 
 
        | What type of cells are in connective tissue? |  | Definition 
 
        | - Loose and dense CT - fibroblasts (immature) and fibrocyte (mature) - Cartilage - chondroblasts and chondrocytes
 - Bone - Osteoblasts and osteocytes
 |  | 
        |  | 
        
        | Term 
 
        | What are the kinds of cartilage? What are characteristics of cartilage?
 |  | Definition 
 
        | - Hyaline - covers ends of bones, allows free movement - Elastic - many elastic fibers - ear, trachea
 - Fibrocartilage - in between discs in vertebrae
 - all cartilage is avascular, without nerves and lymphatic drainage.
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        | Term 
 
        | How does synthesis of cartilage occur? |  | Definition 
 
        | - MMP inhibitor and PAI are actively produced, inhibiting metalloproteanases and plasmin. Collagen, PGs, and adhesion molecules can grow cartilage. |  | 
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        | Term 
 
        | How does degredation of cartilage occur? |  | Definition 
 
        | MMP inhibitor and PAI are NOT produced, so proteases are produced instead. Plasmin is produced, which then activates MMPs. Plasmin, MMPs, and Aggrecanases break down PGs. |  | 
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        | Term 
 
        | What are the functions of bones? |  | Definition 
 
        | - Support - anchor for tendons - Protect organs
 - Movement
 - Store Calcium and Phos
 - form blood cells.
 |  | 
        |  | 
        
        | Term 
 
        | What are the axial and appendicular skeleton? |  | Definition 
 
        | Axial - Skull, ribs, vertebrae Appendicular - everything else
 |  | 
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        | Term 
 
        | What is the structure of a long bone? |  | Definition 
 
        | 80% compact bone - type 1 collagen 20% trabecular bone - bone marrow
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        |  | 
        
        | Term 
 
        | Where is red marrow found? |  | Definition 
 
        | In flat bones - sternum, hips In the epiphysis of long bones
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        | Term 
 
        | What is the structure of compact bone? |  | Definition 
 
        | Organic - osteoblast/clasts/cytes. Type 1 collagen Inorganic - mineral salts made from calcium
 Lamellae - contain mature osteocytes
 Haversian/central canals - arteries/veins/nerves
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        | Term 
 
        | What are the functions of cells within the bone? |  | Definition 
 
        | - Osteoblasts - bone deposition, combine Ca2+ and Phos to form hydroxyapatite crystals within collagen - Osteoclasts - bone resorption usually due to D3 and PTH signalling
 - Osteocytes - most abundant, trappen within lacunae
 |  | 
        |  | 
        
        | Term 
 
        | What 3 molecules promote/are involved in bone resorption? |  | Definition 
 
        | - RANK - receptor activator for NFkB (inflammatory) - RANKL - ligand for RANK
 - OPG - binds to and inactivates RANKL - stops bone resorption
 RANK + RANKL = osteoclasts. RANKL upregulated by TNF and IL-1
 |  | 
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        | Term 
 
        | What effects do PTH and D3 have on bones? |  | Definition 
 
        | - PTH - turns osteoblasts into osteoclasts, increased expression of RANKL, decreased OPG --> increased bone resorption - D3 - Active D3 increases circulating calcium, absorption of calcium, and reabsorption of calcium. Bone reabsorption. No active D3 --> extra PTH
 |  | 
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        | Term 
 
        | What is necessary for osteoclast action on bone? |  | Definition 
 
        | Integrins act as adhesion molecules, are necessary and can be interfered with. 
 RANKL/RANK lead to activation.
 |  | 
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        | Term 
 
        | On the anterior view of the skull, what are the major bones? |  | Definition 
 
        | Biggest - Frontal To the left - Parietal. Beneath the parietal is the temporal. Nasal on top of the nose. Jaw = mandible. Zygomatic in between frontal and temporal bones.
 |  | 
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        | Term 
 
        | On the posterior view of the skull, what are the major bones? |  | Definition 
 
        | Top - parietal bones Bottom -occipital bone
 |  | 
        |  | 
        
        | Term 
 
        | What does a herniated disk look like? |  | Definition 
 
        | In a herniated disc, the annulus (outside) of the cartilage has broken or worn away, and the nucleus is now compressing the nerve. |  | 
        |  | 
        
        | Term 
 
        | what sign in the arm is seen in arthritis? |  | Definition 
 | 
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        | Term 
 
        | What is the meniscus of the knee made of? |  | Definition 
 | 
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        | Term 
 
        | Where is the calcaneus and what does it do? |  | Definition 
 
        | On the heel, connects the achilles tendon |  | 
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        | Term 
 
        | What are the different kinds of joints? |  | Definition 
 
        | - Fibrous - synarthrosis, no cartilage and lacks mobility. Skull - Cartilagenous joints - amphiarthrosis - joined by cartilage, lack cavity and mobility. Vertebrae
 - Synovial - diarthrosis - cartilage, separate space containing fluid, freely movable.
 |  | 
        |  | 
        
        | Term 
 
        | What cells make up the synovium? |  | Definition 
 
        | Type A macrophage-like cell (1/3) engulfs material. Produces prostaglandins, cytokines, and growth factors. Type B cells - fibroblast-like (2/3)
 Fluid in the synovium nourishes cartilage, contains hyaluronic acid
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A sack of fluid found between the bone and the tendon, lubricates the area. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Nerves ennervate all parts of the joint except cartilage. Pain is associated w/ inflammation - release of mediators makes nerves more sensitive to painful stimuli |  | 
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