Anatomy & Physiology 241 Final Objectives For the final exam the student should be able to: 1. Describe proper anatomical position. 2. Define the following sections: sagittal, midsagittal, median, parasagittal, frontal, coronal, transverse, horizontal, cross, oblique. 3. Describe/identify the region of the body each of the following terms refers to: abdominal, acromial, antebrachial, antecubital, axillary, brachial, buccal, calcaneal, carpal, cephalic, cervical, coxal, cranial, crural, digital, dorsal, facial, femoral, frontal, gluteal, hallux, inguinal, lumbar, mammary, manual, mental, metacarpal, metatarsal 4. Describe the levels of complexity involved in living organisms. Define tissue, organ, system. Explain the relationship between structure and function. 5. Define homeostasis. Explain how the body maintains homeostasis. Be sure to explain homeostatis in terms of thermoregulation. Define negative & positive feedback and how they work. Identify the specific components. Give examples of each. 6. Name the basic tissue types in the human body. 7. Describe the general features of epithelial tissues, give the criteria by which they are classified and tell where specific epithelial tissue types are found. Be able to explain how their structure complements their function. 8. Define exocrine gland and endocrine gland and give examples of each. 9. Describe the general features of connective tissue. Name, describe, and give the functions of the types of fibers found in connective tissue and tell where specific connective tissue types are found. 10. Give the general features of an epithelial membrane. Describe, give the function of, and tell where in the body mucous, serous & synovial membranes are found. 11. Describe the functions of the skin. Describe in detail the epidermis; identify the 5 strata that comprise it and give the function of each. Tell the types of cell found in each layer. Differentiate between thick and thin skin and tell where each is found in the body. 12. Describe the dermis. 13. Differentiate between merocrine, apocrine, and holocrine glands and give an example of each. Identify eccrine sweat glands, apocrine sweat glands, and sebaceous glands by gland type. Tell where sebaceous glands and sweat glands are found in the body and to which stimuli they respond. Define sebum and give its function. 14. Describe the responses of the body (with emphasis on the skin) to deviations from normal body temperature. Explain how these responses help return the body temperature to normal. 15. Give the functions of the skeletal system. Name the principle inorganic mineral found in bone and the principal ions making up this material. 16. Name the different classifications of bones by shape. 17. Identify all bones belonging to the axial and appendicular skeletons. 18. Describe the gross anatomy of a long bone. Identify and describe diaphysis, epiphysis, epiphyseal line and endosteum. Identify, describe and give the functions of: epiphyseal plate, medullary cavity, peirosterum, compact bone, spongy bone, trabeculae, red and yellow bone marrow and articular cartilage. 19. Compare and contrast the structures of compact and spongy bone. Give locations. 20. Describe the microscopic structure of bone. Identify, describe and give the functions of: osteoblasts, osteocytes, osteoclats, matrix, lacunae, lamellae, canaliculi, Haversian system (osteon), Haversian canal, Volkmann’s canal. 21. Describe the process of intramembranous ossification. Explain the roles of osteoblasts and osteoclasts. Describe the process of endochondral ossification. Describe how a long bone increases in length and in width. 22. Explain the role of each of the following on bone development and growth: dietary calcium, phosphates and proteins, vitamins D, A and C, parathyroid hormone, growth hormone, calcitonin, estrogen, testosterone and physical stress-Wolff’s Law. 23. Define synarthrosis, amphiarthrosis, diathosis-give examples, locations and movements of each. Give types of synarathrotic joints and types of amphiarthrotic joints. Know locations, functions and structure. 24. Explain, describe, and give structure and functions of synovial joints. Know locations in the body. Give the structural classification of: gliding, hinge, pivot, ellipsoidal, saddle and ball and socket. Know movements possible for all types of joints. 25. Describe the following types of movements: flexion, extension, rotation, pronation, supination, abduction, adduction, circumduction, dorsiflexion, plantar flexion, eversion, inversion, elevation, depression, protraction and retraction. 26. Define origin and insertion and give the origin. Give the action of muscles . 27. Know the functions of skeletal muscle. 28. Know sarcolemma, sarcoplasmic reticulum and sarcoplasm. Know what satellite cells do and how they developed embryologically. 29. Describe the connective tissues within and around a muscle. 30. Describe a myofibril. Describe the shape and the position within the muscle cell. How many myofibrils in a muscle cell? Describe myofilaments and give relation to myofibril. Understand how the striations of skeletal muscle result from the arrangements of myofilaments in myofibrils. Describe the structure of thick & thin filaments. Describe the arrangement of myosin heads on a thick filament. Know the terms A band and I band, anisotropic and isotropic. Know F-actin, G-actin. Describe how actin molecules are arranged in a thin filament. What and where is an actin active site? Where are the tropomyosin molecules, and what do they do? Where are the troponin molecules, and what do they do? 31. Describe a sarcomere; its relation to a myofibril and all of the regions it contains. 32. What are transverse tubules and triads? Where are they in relation to myofibrils? What is their function? What is a terminal cisterna? 33. What is the sliding filament mechanism in muscle contraction? 34. Know how tension develops in a muscle. Explain how length and tension are related. 35. Know all steps in skeletal muscle contraction, starting with an action potential and ending with sliding of contractile filaments. 36. Describe a neuromuscular junction and excitation-contraction coupling. Explain motor end plate, synaptic cleft, ACH, junctional folds, exocytosis, ACHE, depolarization, threshold & action potential 37. Understand the contraction cycle of a myosin head. Explain how repeated cycling of myosin heads results in shortening of sarcomeres. Understand the role of ATP in the contraction cycle. 38. Explain how muscle relaxes include function of Ca, Calcium pumps, troponin and tropomyosin. How do series elastic fibers contribute to muscle relaxation? 39. Describe a muscle twitch include: latent, contraction, and relaxation phases. Do twitches happen during normal movement? 40. Explain summation of twitches. Describe incomplete tetanus and tetanus. Know when these occur. Explain how frequency of contractions contributes to tetanus. Describe treppe and how it comes about. How does calcium play into treppe? 41. What is motor unit recruitment? How does the nervous system use this to grade muscle force? What is a motor unit? What do motor units have to do with tension development? Describe asynchronous recruitment. 42. Know isotonic and isometric contractions. Know concentric and eccentric contractions. Know what happens in each type of contraction and when. 43. Name major mechanisms for ATP synthesis in a skeletal muscle cell. Which occur in mitochondria and which occur in the cytoplasm? 44. Know how creatine phosphate is used in muscle contractions and when. Where does energy come from that is used to synthesize ATP? What is the advantage of being able to synthesize ATP by this mechanism? Why is it that this mechanism can continue only for a short time? 45. Know metabolic pathways involved in aerobic metabolism-gylcolysis, Kreb’s cycle and oxidative phosphorylation (electron transport chain). Know when it is used and where it is conducted. What does aerobic mean? Where does the energy come from that is used to synthesize ATP? What are the products of aerobic metabolism? 46. When and where does anaerobic glycolysis occur in skeletal muscle cells? Where does the energy come from that is used to synthesize ATP? What are the products of anaerobic glycolysis? What is the advantage of being able to synthesize ATP by this mechanism? What are the disadvantages. Explain how muscle soreness and fatigue are byproducts of anaerobic metabolism. 47. Compare and contrast slow-twitch, fast-twitch muscle fibers and intermediate fibers. Why are they named as they are? What components are found in each? What makes them contract more slowly or more rapidly? Why are slow-twitch fibers especially adapted for aerobic metabolism, and fast-twitch fibers for anaerobic mechanisms for ATP synthesis? 48. Make some generalizations about the types of motor units that you would expect to see in postural muscles (such as back and neck muscles) that are used for long periods of time, versus muscles that are used only some of the time for larger force movements. 49. Explain physical conditioning-anaerobic-for endurance and aerobic-for length of time. Explain hypertrophy and atrophy. Which conditioning promotes hypertrophy and why? 50. Where is smooth muscle located? Why is smooth muscle called that? Why is it involuntary? What are its functions? Give a general description of the arrangement of thick filaments, thin filaments, and dense bodies. How does contraction occur? What is the importance of calmodulin? Does length-tension relationship hold for smooth muscle? How does relaxation occur. 51. Compare and contrast multiunit and single unit smooth muscle contractions. Know where each is found and when it is used to contract muscle. 52. Know several different types of regulatory mechanisms that can influence the contraction, or contractile tone, in smooth muscle-motor neurons, hormones, O2 & CO2, physical stimulation-stretching & irritation. 53. Describe the functions of the nervous system. Explain the role of the nervous system in maintaining homeostasis. How is it different and similar to the endocrine system? 54. Describe the organization of the nervous system-CNS, PNS-afferent and efferent divisions, somatic nervous system, automatic nervous system. Name the 2 divisions of the autonomic nervous system. 55. Differentiate between neurons and neuroglia cells. Identify types of neuroglia cells, where they are found and give specific functions. 56. Describe the structure of a generalized neuron. Identify-cell body (soma), perikaryon, nucleus, nucleolus, centrioles, axoplasm, axolemma, Nissl bodies, neurofibrils, nerve fibers, dendrite, dendritic spikes, axon, axon hillock, axon collateral, telodendria, synaptic terminal, node of Ranvier. Give function of each of these. Tell which cells myelinate axons in both the PNS and the CNS. 57. Describe the synapse in detail. Give types of junctions possible and types of synapses. Explain the difference between electrical and chemical synapses and andrenergic and cholingergic. 60. Define sensory neuron, motor neuron, interneuron ;give function and location 61. Be able to classify neurons as anaxonic, bipolar, unipolar and multipolar. Explain what this means. Give functions and locations. 62. Describe the potassium ion and sodium ion concentrations on either side of a resting neuron cell membrane. Explain how these establish a membrane potential. Explain how sodium ions and potassium ions move across the cell membrane and why different concentrations of these ions are found on opposite sides of a membraneelectrical forces, chemical forces, channels. Tell what the net charge is-inside and outside a resting neuron cell membrane. Explain why this difference in charges exists. How is the permeability of the cell membrane important in this? Why is resting potential important in nerve conduction? Be sure you know how and why it is maintained. What does electrochemical gradient mean? 63. Describe the changes that happen to a neuron cell membrane when an appropriate stimulus is applied to it. Define local potential and action potential and differentiate between the two. Tell which is a graded response. What does graded response mean? Describe what happens when a local potential brings the membrane potential to threshold. What does threshold means? Define depolarization, repolarization and hyperpolarization. Explain how membrane channels are important in this. 64. Describe the conduction of a nerve impulse along an unmyelinated and a myelinated axon. How is speed affected? How does diameter effect neuron speed. 65. Give steps of action potential generation-explain in detail what happens at each step. What is threshold? Define the “all or none” principle with respect to nerve impulses. 67. Define refractory period of a neuron. Give the difference between absolute and relative refractory periods. How is this important in direction of conduction? 67. Give examples of different neurotransmitters. Describe what happens to neurotransmitters (concentrate on ACH) once they are released into the synaptic cleft. 68. Describe divergence, parallel processing, convergence, serial processing and reverberation. Give examples. 69. Explain the parts of the brain, what they do, what they consist of and where they are found. Define and give the functions of the cerebral cortex. What constitutes gray and white matter? Define association, commissural and projection fibers. Differentiate between a tract and a nerve. Describe and give the function of the cerebral nuclei (basal ganglia). Identify and give the function of the primary motor cortex, premotor cortex (somatic motor association area), Broca’s area (speech center), primary sensory cortex, auditory cortex, prefrontal cortex. Explain why one side of the body is controlled by the opposite side of the brain and why stimuli applied to one side of the body are perceived by the opposite side of the brain. 70. Explain a homuniculus-motor and sensory. 71. Identify and give the function of the parts of the eye. 72. Tell which muscle fibers contract to produce constriction of the pupil and which ones produce dilation. Explain the purpose of changing the diameter of the pupil. 73. Define accommodation, and explain how it is accomplished. Define convergence and tell which muscles are involved. 74. Describe the image formed on the retina and how the brain perceives this image. Describe how light impulses are converted into nerve impulses in the rods and in the cones. Describe the role of rhodopsin and retinal. Give the 3 colors of light that the different types of cones respond to. 75. Describe the neural pathways associated with vision, naming the nerves, tracts, and CNS centers involved. Describe what happens at the optic chiasma. 76. Give the function and location of the parts of the ear. Describe the events involved in hearing. Explain how differences in pitch and loudness are detected. Explain how location can be determined by sound. 77. Describe the mechanism for detecting static equilibrium. Identify and give the function of the utricle and saccule in the vestibule, maculae, otoliths. Describe the mechanism for detecting dynamic equilibrium. Identify and give the function of the 3 semi-circular canals, ampullae crista ampullaris, cupula, endolymph. Describe the neural pathways associated with equilibrium, naming the nerves and CNS centers involved. 78. Identify and give the function of olfactory cells, olfactory epithelium, olfactory nerves, olfactory bulbs, olfactory tracts. Describe the neural pathways associated with olfaction, naming the nerves, tracts, and CNS centers involved. 79. Explain how odorant molecules make the sensation of smell. Include the characteristics odorant molecules must have. 80. Identify and give the function of taste buds, gustatory cells, microvilli, taste pore. Explain the mechanism of stimulation. Describe the neural pathways associated with gustation, naming the nerves and CNS centers involved. Name all the taste sensations.