Thursday, December 6, 2007

Chapter 7 questions

Skeletal System

Part A

1. List four groups of bones based upon their shapes, and name an example from each group.

a. Long bones—femur and humerus

b. Short bones—tarsals and carpals

c. Flat bones—ribs, scapulae, and bones of the skull

d. Irregular bones—vertebrae and many facial bones

2. Sketch a typical long bone, and label its epiphyses, diaphysis, medullary cavity, periosteum, and articular cartilages.

See figure 7.2, page 183.

3. Distinguish between spongy and compact bone.

Compact bone is comprised of tightly packed tissue that is strong, solid, and resistant to bending. Spongy

bone consists of numerous branching bony plates. Irregular interconnected spaces occur between these plates, thus reducing the weight of the bone.

4. Explain how central canals and perforating canals are related.

Central canals (Haversian canals) contain one or two small blood vessels and a nerve, surrounded by loose connective tissue. These vessels provide nourishment for the bone cells associated with the osteonic canals.

The osteonic canals run longitudinally. Perforating canals (Volkmann’s canals) run transversely and contain larger blood vessels and nerves by which the vessels and nerves in osteonic canals communicate with the surface of the bone and the medullary cavity.

5. Explain how the development of intramembranous bone differs from that of endochondral bone.

Intramembranous bones develop from sheet-like masses of connective tissue. Some of the primitive

connective tissue cells enlarge and differentiate into osteoblasts. Spongy bone tissue is produced in all directions by these osteoblasts in the membrane. Eventually, the periosteum is developed by outside cells of the membrane of the developing bone. Endochondral bones develop of masses of hyaline cartilage with shapes similar to the future bone structures. These models grow rapidly for a while, and then begin to undergo extensive changes. The center of the diaphysis in long bones breaks down and disappears. At the same time, a periosteum forms from connective tissues that encircle the developing diaphysis. The primary ossification center is formed. Later on, the secondary ossification centers form and spongy bone forms from this.

6. Distinguish between osteoblasts and osteocytes.

Osteoblasts are bone-forming cells. Osteocytes are mature bone cells surrounded by matrix.

7. Explain the function of an epiphyseal plate.

The epiphyseal plate is a band of cartilage that is left between the primary and secondary ossification centers.

This plate includes rows of young cells that are undergoing mitosis and producing new cells. As the epiphyseal plate thickens due to the new cells, bone length is increased.

8. Explain how a bone grown in thickness.

A developing bone grows in thickness as compact bone tissue is deposited on the outside, just beneath the

periosteum. Bone tissue is being eroded away on the inside by osteoclasts.

9. Define osteoclast.

Osteoclasts are large multinucleated cells that break down the calcified matrix.

10. Explain how osteoclasts and osteoblasts regulate bone mass.

Osteoclasts secrete an acid that dissolves the inorganic component of the calcified matrix, and their lysosomal enzymes digest the organic components. After the osteoclasts remove the matrix, bone building osteoblasts invade the regions and deposit bone tissue.

11. Describe the effects of vitamin deficiencies on bone development.

Vitamin D is necessary for proper absorption of calcium in the small intestine. If this is lacking, rickets can

develop or osteomalacia in adults. Vitamin A is necessary for bone resorption during normal development.

Vitamin C is needed for collagen synthesis. Lacking either Vitamin A or C can hinder normal bone growth.

12. Explain the causes of pituitary dwarfism and gigantism.

Pituitary dwarfism results from the failure of the pituitary gland to secrete adequate amounts of growth hormone. Pituitary giantism results from the pituitary gland secreting an excessive amount of growth hormone prior to epiphyseal disk ossification.

13. Describe the effects of thyroid and sex hormones on bone development.

Thyroid hormone stimulates the replacement of cartilage in the epiphyseal disks of long bones with bone tissue. Thyroid hormone can halt bone growth by causing premature ossification of the epiphyseal disks. A

deficiency in thyroid hormone may stunt growth as the pituitary gland depends upon thyroid hormone to

stimulate the secretion of growth hormone. Sex hormones promote the formation of bone tissue. Female sex hormones have a slightly stronger effect than male sex hormones, allowing females to reach their maximum heights at an earlier age than males.

14. Explain the effects of exercise on bone structure.

Physical exercise causes the skeletal muscle to contract and the resulting stress stimulates the bone tissue to thicken and strengthen. On the other hand, lack of physical exercise causes bone to thin and weaken.

15. Provide several examples to illustrate how bones support and protect body parts.

Bones of the feet, legs, pelvis, and backbone support the weight of the body. The bones of the skull protect the brain. The rib cage and shoulder girdle protect the heart and lungs.

16. Describe the functions of red and yellow bone marrow.

Red marrow functions in the formation of red blood cells, white blood cells, and blood platelets. Its red color is derived from the oxygen-carrying pigment hemoglobin. Yellow marrow functions in fat storage and is inactive in blood cell production.

17. Explain the mechanism that regulates the concentration of blood calcium ions.

When the blood is low in calcium, parathyroid hormone stimulates the osteoclasts to break down bone tissue, releasing calcium salts from the intercellular matrix into the blood. Conversely very high blood calcium inhibits the osteoclast activity, and calcitonin from the thyroid gland stimulates the osteoblasts to form bone tissue, storing the excess calcium in the matrix.

18. List three substances that may be abnormally stored in bone.

Bone tissue may accumulate lead, radium, or strontium.

19. Distinguish between the axial and appendicular skeletons.

The axial skeleton consists of the bones that make up the skull, the hyoid bone, the vertebral column, and the thoracic cage. The appendicular skeleton consists of the pectoral girdle, the bones that comprise the upper and lower limbs, and the pelvic girdle.

20. Name the bones of the cranium and facial skeleton.

The bones of the cranium include one frontal bone, two parietal bones, one occipital bone, two temporal bones, one sphenoid bone, and one ethmoid bone. The bones of the facial skeleton include two maxilla bones, two palatine bones, two zygomatic bones, two lacrimal bones, two nasal bones, one vomer bone, two inferior nasal conchae bones, and one mandible bone.

21. Explain the importance of fontanels.

Fontanels permit some movement between the bones so that the developing skull is partially compressible and can change shape slightly. This allows the infant’s skull to pass more easily through the birth canal.

22. Describe a typical vertebra.

A typical vertebra contains the following that are generic to all types:

a. Body—The body is drum-shaped and forms the thick anterior portion of the bone.

b. Pedicles—These consist of two short stalks and project posteriorly.

c. Laminae—These are two plates that arise from the pedicles and fuse in the back.

d. Spinous process—These results from the laminae fusing.

e. Vertebral arch—A bony arch comprised of the pedicles, laminae, and spinous process.

f. Vertebral foramen—The opening through which the spinal cord passes.

g. Transverse process—Projections from each side between the pedicles and laminae.

h. Superior and inferior articulating processes—Cartilage covered facets that project either upward or downward where the vertebrae are joined to the one above and below it.

i. Intervertebral foramina—Notches on the lower surfaces of the vertebral pedicles that form openings, which provide passageways for the spinal nerves that, communicate with the spinal cord.

23. Explain the differences among cervical, thoracic, and lumbar vertebrae.

The cervical vertebrae are distinctive due to the bifid spinous processes and transverse foramina in the transverse process. The thoracic vertebrae are larger than the cervical vertebrae and have long, pointed spinous processes that slope downward, and facets on the side of their bodies that articulate with a rib. Starting with the third thoracic vertebrae, the bodies of these vertebrae increase in size. The lumbar vertebrae have the largest bodies and short, stubby spinous processes.

24. Describe the locations of the sacroiliac joint, the sacral promontory, and the sacral hiatus.

The sacroiliac joint occurs where the sacrum is wedged between the coxal bones of the pelvis and is united to them at its auricular surfaces by fibrocartilage. The sacral promontory is the upper anterior margin of the sacrum. Physicians use this to determine pelvis size for childbirth. The sacral hiatus is the opening at the tip of the sacrum dorsally.

25. Names the bones that comprise the thoracic cage.

The thoracic cage includes the ribs, thoracic vertebrae, sternum, and costal cartilages that attach the ribs to the sternum.

26. List the bones that form the pectoral and pelvic girdles.

The pectoral girdle consists of two clavicles and two scapulae. The pelvic girdle consists of two coxal bones that articulate with each other anteriorly and with the sacrum posteriorly.

27. Name the bones of the upper limb.

The bones of the upper limb include a humerus, a radius, an ulna, and several carpals, metacarpals, and phalanges.

28. Name the bones that comprise a coxa.

A coxal bone develops from three parts—an ilium, an ischium, and a pubis that fuse together.

29. List the major differences that may occur between the male and female pelves.

The female iliac bones are more flared than the males. The angle of the female pubic arch may be greater.

There may be more distance between the ischial spines and the ischial tuberosities. The sacral curvature may be shorter and flatter. The bones of the female pelvis are usually lighter, more delicate, and show less evidence of muscle attachments.

30. List the bones of the lower limb.

The bones of the lower limb include a femur, a tibia, a fibula, and several tarsals, metatarsals, and phalanges.

31. Describe changes in trabecular bone and compact bone with aging.

Trabecular bone, due to its spongy, less compact nature, shows the changes of aging first, as they thin,

increasing in porosity and weakening the overall structure. The vertebrae consist mostly of trabecular bone. It is also found in the upper part of the femur, whereas the shaft is more compact bone. The fact that trabecular bone weakens sooner than compact bone destabilizes the femur, which is why it is a commonly broken bone among the elderly.

Compact bone loss begins at around age forty and continues at about half the rate of loss of trabecular bone.

As remodeling continues throughout life, older osteons disappear as new ones are built next to them. With age, the osteons may coalesce, further weakening the overall structures as gaps form.

32. List factors that may preserve skeletal health.

Preserving skeletal health may involve avoiding falls, taking calcium supplements, getting enough vitamin D, avoiding carbonated beverages (phosphates deplete bone), and getting regular exercise.

Part B

Match the parts listed in column I with the bones listed in column II.

I II

1. Coronoid process C. Mandible

2. Cribriform plate A. Ethmoid bone

3. Foramen magnum E. Occipital bone

4. Mastoid process F. Temporal bone

5. Palatine process D. Maxillary bone

6. Sella turcica G. Sphenoid bone

7. Supraorbital notch B. Frontal bone

8. Temporal process H. Zygomatic bone

9. Acromion process M. Scapula

10. Deltoid tuberosity K. Humerus

11. Greater trochanter I. Femur

12. Lateral malleolus J. Fibula

13. Medial malleolus O. Tibia

14. Olecranon process P. Ulna

15. Radial tuberosity L. Radius

16. Xiphoid process N. Sternum

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