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Chapter 1 - Key Terms

abdominopelvic cavity

division of the anterior (ventral) cavity that houses the abdominal and pelvic viscera

anabolism

assembly of more complex molecules from simpler molecules

anatomical position

standard reference position used for describing locations and directions on the human body

anatomy

science that studies the form and composition of the body’s structures

anterior

describes the front or direction toward the front of the body; also referred to as ventral

anterior cavity

larger body cavity located anterior to the posterior (dorsal) body cavity; includes the serous membrane-lined pleural cavities for the lungs, pericardial cavity for the heart, and peritoneal cavity for the abdominal and pelvic organs; also referred to as ventral cavity

catabolism

breaking down of more complex molecules into simpler molecules

caudal

describes a position below or lower than another part of the body proper; near or toward the tail (in humans, the coccyx, or lowest part of the spinal column); also referred to as inferior

cell

smallest independently functioning unit of all organisms; in animals, a cell contains cytoplasm, composed of fluid and organelles

computed tomography (CT)

medical imaging technique in which a computer-enhanced cross-sectional X-ray image is obtained

control center

compares values to their normal range; deviations cause the activation of an effector

cranial

describes a position above or higher than another part of the body proper; also referred to as superior

cranial cavity

division of the posterior (dorsal) cavity that houses the brain

deep

describes a position farther from the surface of the body

development

changes an organism goes through during its life

differentiation

process by which unspecialized cells become specialized in structure and function

distal

describes a position farther from the point of attachment or the trunk of the body

dorsal

describes the back or direction toward the back of the body; also referred to as posterior

dorsal cavity

posterior body cavity that houses the brain and spinal cord; also referred to the posterior body cavity

effector

organ that can cause a change in a value

frontal plane

two-dimensional, vertical plane that divides the body or organ into anterior and posterior portions

gross anatomy

study of the larger structures of the body, typically with the unaided eye; also referred to macroscopic anatomy

growth

process of increasing in size

homeostasis

steady state of body systems that living organisms maintain

inferior

describes a position below or lower than another part of the body proper; near or toward the tail (in humans, the coccyx, or lowest part of the spinal column); also referred to as caudal

lateral

describes the side or direction toward the side of the body

magnetic resonance imaging (MRI)

medical imaging technique in which a device generates a magnetic field to obtain detailed sectional images of the internal structures of the body

medial

describes the middle or direction toward the middle of the body

metabolism

sum of all of the body’s chemical reactions

microscopic anatomy

study of very small structures of the body using magnification

negative feedback

homeostatic mechanism that tends to stabilize an upset in the body’s physiological condition by preventing an excessive response to a stimulus, typically as the stimulus is removed

normal range

range of values around the set point that do not cause a reaction by the control center

nutrient

chemical obtained from foods and beverages that is critical to human survival

organ

functionally distinct structure composed of two or more types of tissues

organ system

group of organs that work together to carry out a particular function

organism

living being that has a cellular structure and that can independently perform all physiologic functions necessary for life

pericardium

sac that encloses the heart

peritoneum

serous membrane that lines the abdominopelvic cavity and covers the organs found there

physiology

science that studies the chemistry, biochemistry, and physics of the body’s functions

plane

imaginary two-dimensional surface that passes through the body

pleura

serous membrane that lines the pleural cavity and covers the lungs

positive feedback

mechanism that intensifies a change in the body’s physiological condition in response to a stimulus

positron emission tomography (PET)

medical imaging technique in which radiopharmaceuticals are traced to reveal metabolic and physiological functions in tissues

posterior

describes the back or direction toward the back of the body; also referred to as dorsal

posterior cavity

posterior body cavity that houses the brain and spinal cord; also referred to as dorsal cavity

pressure

force exerted by a substance in contact with another substance

prone

face down

proximal

describes a position nearer to the point of attachment or the trunk of the body

regional anatomy

study of the structures that contribute to specific body regions

renewal

process by which worn-out cells are replaced

reproduction

process by which new organisms are generated

responsiveness

ability of an organisms or a system to adjust to changes in conditions

sagittal plane

two-dimensional, vertical plane that divides the body or organ into right and left sides

section

in anatomy, a single flat surface of a three-dimensional structure that has been cut through

sensor

(also, receptor) reports a monitored physiological value to the control center

serosa

membrane that covers organs and reduces friction; also referred to as serous membrane

serous membrane

membrane that covers organs and reduces friction; also referred to as serosa

set point

ideal value for a physiological parameter; the level or small range within which a physiological parameter such as blood pressure is stable and optimally healthful, that is, within its parameters of homeostasis

spinal cavity

division of the dorsal cavity that houses the spinal cord; also referred to as vertebral cavity

superficial

describes a position nearer to the surface of the body

superior

describes a position above or higher than another part of the body proper; also referred to as cranial

supine

face up

systemic anatomy

study of the structures that contribute to specific body systems

thoracic cavity

division of the anterior (ventral) cavity that houses the heart, lungs, esophagus, and trachea

tissue

group of similar or closely related cells that act together to perform a specific function

transverse plane

two-dimensional, horizontal plane that divides the body or organ into superior and inferior portions

ultrasonography

application of ultrasonic waves to visualize subcutaneous body structures such as tendons and organs

ventral

describes the front or direction toward the front of the body; also referred to as anterior

ventral cavity

larger body cavity located anterior to the posterior (dorsal) body cavity; includes the serous membrane-lined pleural cavities for the lungs, pericardial cavity for the heart, and peritoneal cavity for the abdominal and pelvic organs; also referred to as anterior body cavity

X-ray

form of high energy electromagnetic radiation with a short wavelength capable of penetrating solids and ionizing gases; used in medicine as a diagnostic aid to visualize body structures such as bones

Chapter 2 - Key Terms

acid

compound that releases hydrogen ions (H+) in solution

activation energy

amount of energy greater than the energy contained in the reactants, which must be overcome for a reaction to proceed

adenosine triphosphate (ATP)

nucleotide containing ribose and an adenine base that is essential in energy transfer

amino acid

building block of proteins; characterized by an amino and carboxyl functional groups and a variable side-chain

anion

atom with a negative charge

atom

smallest unit of an element that retains the unique properties of that element

atomic number

number of protons in the nucleus of an atom

base

compound that accepts hydrogen ions (H+) in solution

bond

electrical force linking atoms

buffer

solution containing a weak acid or a weak base that opposes wide fluctuations in the pH of body fluids

carbohydrate

class of organic compounds built from sugars, molecules containing carbon, hydrogen, and oxygen in a 1-2-1 ratio

catalyst

substance that increases the rate of a chemical reaction without itself being changed in the process

cation

atom with a positive charge

chemical energy

form of energy that is absorbed as chemical bonds form, stored as they are maintained, and released as they are broken

colloid

liquid mixture in which the solute particles consist of clumps of molecules large enough to scatter light

compound

substance composed of two or more different elements joined by chemical bonds

concentration

number of particles within a given space

covalent bond

chemical bond in which two atoms share electrons, thereby completing their valence shells

decomposition reaction

type of catabolic reaction in which one or more bonds within a larger molecule are broken, resulting in the release of smaller molecules or atoms

denaturation

change in the structure of a molecule through physical or chemical means

deoxyribonucleic acid (DNA)

deoxyribose-containing nucleotide that stores genetic information

disaccharide

pair of carbohydrate monomers bonded by dehydration synthesis via a glycosidic bond

disulfide bond

covalent bond formed within a polypeptide between sulfide groups of sulfur-containing amino acids, for example, cysteine

electron

subatomic particle having a negative charge and nearly no mass; found orbiting the atom’s nucleus

electron shell

area of space a given distance from an atom’s nucleus in which electrons are grouped

element

substance that cannot be created or broken down by ordinary chemical means

enzyme

protein or RNA that catalyzes chemical reactions

exchange reaction

type of chemical reaction in which bonds are both formed and broken, resulting in the transfer of components

functional group

group of atoms linked by strong covalent bonds that tends to behave as a distinct unit in chemical reactions with other atoms

hydrogen bond

dipole-dipole bond in which a hydrogen atom covalently bonded to an electronegative atom is weakly attracted to a second electronegative atom

inorganic compound

substance that does not contain both carbon and hydrogen

ion

atom with an overall positive or negative charge

ionic bond

attraction between an anion and a cation

isotope

one of the variations of an element in which the number of neutrons differ from each other

kinetic energy

energy that matter possesses because of its motion

lipid

class of nonpolar organic compounds built from hydrocarbons and distinguished by the fact that they are not soluble in water

macromolecule

large molecule formed by covalent bonding

mass number

sum of the number of protons and neutrons in the nucleus of an atom

matter

physical substance; that which occupies space and has mass

molecule

two or more atoms covalently bonded together

monosaccharide

monomer of carbohydrate; also known as a simple sugar

neutron

heavy subatomic particle having no electrical charge and found in the atom’s nucleus

nucleotide

class of organic compounds composed of one or more phosphate groups, a pentose sugar, and a base

organic compound

substance that contains both carbon and hydrogen

peptide bond

covalent bond formed by dehydration synthesis between two amino acids

periodic table of the elements

arrangement of the elements in a table according to their atomic number; elements having similar properties because of their electron arrangements compose columns in the table, while elements having the same number of valence shells compose rows in the table

pH

negative logarithm of the hydrogen ion (H+) concentration of a solution

phospholipid

a lipid compound in which a phosphate group is combined with a diglyceride

phosphorylation

addition of one or more phosphate groups to an organic compound

polar molecule

molecule with regions that have opposite charges resulting from uneven numbers of electrons in the nuclei of the atoms participating in the covalent bond

polysaccharide

compound consisting of more than two carbohydrate monomers bonded by dehydration synthesis via glycosidic bonds

potential energy

stored energy matter possesses because of the positioning or structure of its components

product

one or more substances produced by a chemical reaction

prostaglandin

lipid compound derived from fatty acid chains and important in regulating several body processes

protein

class of organic compounds that are composed of many amino acids linked together by peptide bonds

proton

heavy subatomic particle having a positive charge and found in the atom’s nucleus

purine

nitrogen-containing base with a double ring structure; adenine and guanine

pyrimidine

nitrogen-containing base with a single ring structure; cytosine, thiamine, and uracil

radioactive isotope

unstable, heavy isotope that gives off subatomic particles, or electromagnetic energy, as it decays; also called radioisotopes

reactant

one or more substances that enter into the reaction

ribonucleic acid (RNA)

ribose-containing nucleotide that helps manifest the genetic code as protein

solution

homogeneous liquid mixture in which a solute is dissolved into molecules within a solvent

steroid

(also, sterol) lipid compound composed of four hydrocarbon rings bonded to a variety of other atoms and molecules

substrate

reactant in an enzymatic reaction

suspension

liquid mixture in which particles distributed in the liquid settle out over time

synthesis reaction

type of anabolic reaction in which two or more atoms or molecules bond, resulting in the formation of a larger molecule

triglyceride

lipid compound composed of a glycerol molecule bonded with three fatty acid chains

valence shell

outermost electron shell of an atom

Chapter 3 - Key Terms

active transport

form of transport across the cell membrane that requires input of cellular energy

amphipathic

describes a molecule that exhibits a difference in polarity between its two ends, resulting in a difference in water solubility

anaphase

third stage of mitosis (and meiosis), during which sister chromatids separate into two new nuclear regions of a dividing cell

anticodon

consecutive sequence of three nucleotides on a tRNA molecule that is complementary to a specific codon on an mRNA molecule

autolysis

breakdown of cells by their own enzymatic action

autophagy

lysosomal breakdown of a cell’s own components

cell cycle

life cycle of a single cell, from its birth until its division into two new daughter cells

cell membrane

membrane surrounding all animal cells, composed of a lipid bilayer interspersed with various molecules; also known as plasma membrane

centriole

small, self-replicating organelle that provides the origin for microtubule growth and moves DNA during cell division

centromere

region of attachment for two sister chromatids

centrosome

cellular structure that organizes microtubules during cell division

channel protein

membrane-spanning protein that has an inner pore which allows the passage of one or more substances

checkpoint

progress point in the cell cycle during which certain conditions must be met in order for the cell to proceed to a subsequence phase

chromatin

substance consisting of DNA and associated proteins

chromosome

condensed version of chromatin

cilia

small appendage on certain cells formed by microtubules and modified for movement of materials across the cellular surface

cleavage furrow

contractile ring that forms around a cell during cytokinesis that pinches the cell into two halves

codon

consecutive sequence of three nucleotides on an mRNA molecule that corresponds to a specific amino acid

concentration gradient

difference in the concentration of a substance between two regions

cyclin

one of a group of proteins that function in the progression of the cell cycle

cyclin-dependent kinase (CDK)

one of a group of enzymes associated with cyclins that help them perform their functions

cytokinesis

final stage in cell division, where the cytoplasm divides to form two separate daughter cells

cytoplasm

internal material between the cell membrane and nucleus of a cell, mainly consisting of a water-based fluid called cytosol, within which are all the other organelles and cellular solute and suspended materials

cytoskeleton

“skeleton” of a cell; formed by rod-like proteins that support the cell’s shape and provide, among other functions, locomotive abilities

cytosol

clear, semi-fluid medium of the cytoplasm, made up mostly of water

diffusion

movement of a substance from an area of higher concentration to one of lower concentration

diploid

condition marked by the presence of a double complement of genetic material (two sets of chromosomes, one set inherited from each of two parents)

DNA polymerase

enzyme that functions in adding new nucleotides to a growing strand of DNA during DNA replication

DNA replication

process of duplicating a molecule of DNA

electrical gradient

difference in the electrical charge (potential) between two regions

endocytosis

import of material into the cell by formation of a membrane-bound vesicle

endoplasmic reticulum (ER)

cellular organelle that consists of interconnected membrane-bound tubules, which may or may not be associated with ribosomes (rough type or smooth type, respectively)

exocytosis

export of a substance out of a cell by formation of a membrane-bound vesicle

exon

one of the coding regions of an mRNA molecule that remain after splicing

extracellular fluid (ECF)

fluid exterior to cells; includes the interstitial fluid, blood plasma, and fluid found in other reservoirs in the body

facilitated diffusion

diffusion of a substance with the aid of a membrane protein

flagellum

appendage on certain cells formed by microtubules and modified for movement

G0 phase

phase of the cell cycle, usually entered from the G1 phase; characterized by long or permanent periods where the cell does not move forward into the DNA synthesis phase

G1 phase

first phase of the cell cycle, after a new cell is born

G2 phase

third phase of the cell cycle, after the DNA synthesis phase

gene

functional length of DNA that provides the genetic information necessary to build a protein

gene expression

active interpretation of the information coded in a gene to produce a functional gene product

genome

entire complement of an organism’s DNA; found within virtually every cell

glycocalyx

coating of sugar molecules that surrounds the cell membrane

glycoprotein

protein that has one or more carbohydrates attached

Golgi apparatus

cellular organelle formed by a series of flattened, membrane-bound sacs that functions in protein modification, tagging, packaging, and transport

helicase

enzyme that functions to separate the two DNA strands of a double helix during DNA replication

histone

family of proteins that associate with DNA in the nucleus to form chromatin

homologous

describes two copies of the same chromosome (not identical), one inherited from each parent

hydrophilic

describes a substance or structure attracted to water

hydrophobic

describes a substance or structure repelled by water

hypertonic

describes a solution concentration that is higher than a reference concentration

hypotonic

describes a solution concentration that is lower than a reference concentration

integral protein

membrane-associated protein that spans the entire width of the lipid bilayer

intermediate filament

type of cytoskeletal filament made of keratin, characterized by an intermediate thickness, and playing a role in resisting cellular tension

interphase

entire life cycle of a cell, excluding mitosis

interstitial fluid (IF)

fluid in the small spaces between cells not contained within blood vessels

intracellular fluid (ICF)

fluid in the cytosol of cells

intron

non-coding regions of a pre-mRNA transcript that may be removed during splicing

isotonic

describes a solution concentration that is the same as a reference concentration

kinetochore

region of a centromere where microtubules attach to a pair of sister chromatids

ligand

molecule that binds with specificity to a specific receptor molecule

lysosome

membrane-bound cellular organelle originating from the Golgi apparatus and containing digestive enzymes

messenger RNA (mRNA)

nucleotide molecule that serves as an intermediate in the genetic code between DNA and protein

metaphase

second stage of mitosis (and meiosis), characterized by the linear alignment of sister chromatids in the center of the cell

metaphase plate

linear alignment of sister chromatids in the center of the cell, which takes place during metaphase

microfilament

the thinnest of the cytoskeletal filaments; composed of actin subunits that function in muscle contraction and cellular structural support

microtubule

the thickest of the cytoskeletal filaments, composed of tubulin subunits that function in cellular movement and structural support

mitochondrion

one of the cellular organelles bound by a double lipid bilayer that function primarily in the production of cellular energy (ATP)

mitosis

division of genetic material, during which the cell nucleus breaks down and two new, fully functional, nuclei are formed

mitotic phase

phase of the cell cycle in which a cell undergoes mitosis

mitotic spindle

network of microtubules, originating from centrioles, that arranges and pulls apart chromosomes during mitosis

multipotent

describes the condition of being able to differentiate into different types of cells within a given cell lineage or small number of lineages, such as a red blood cell or white blood cell

mutation

change in the nucleotide sequence in a gene within a cell’s DNA

nuclear envelope

membrane that surrounds the nucleus; consisting of a double lipid-bilayer

nuclear pore

one of the small, protein-lined openings found scattered throughout the nuclear envelope

nucleolus

small region of the nucleus that functions in ribosome synthesis

nucleosome

unit of chromatin consisting of a DNA strand wrapped around histone proteins

nucleus

cell’s central organelle; contains the cell’s DNA

oligopotent

describes the condition of being more specialized than multipotency; the condition of being able to differentiate into one of a few possible cell types

organelle

any of several different types of membrane-enclosed specialized structures in the cell that perform specific functions for the cell

osmosis

diffusion of water molecules down their concentration gradient across a selectively permeable membrane

passive transport

form of transport across the cell membrane that does not require input of cellular energy

peripheral protein

membrane-associated protein that does not span the width of the lipid bilayer, but is attached peripherally to integral proteins, membrane lipids, or other components of the membrane

peroxisome

membrane-bound organelle that contains enzymes primarily responsible for detoxifying harmful substances

phagocytosis

endocytosis of large particles

pinocytosis

endocytosis of fluid

pluripotent

describes the condition of being able to differentiate into a large variety of cell types

polypeptide

chain of amino acids linked by peptide bonds

polyribosome

simultaneous translation of a single mRNA transcript by multiple ribosomes

promoter

region of DNA that signals transcription to begin at that site within the gene

prophase

first stage of mitosis (and meiosis), characterized by breakdown of the nuclear envelope and condensing of the chromatin to form chromosomes

proteome

full complement of proteins produced by a cell (determined by the cell’s specific gene expression)

reactive oxygen species (ROS)

a group of extremely reactive peroxides and oxygen-containing radicals that may contribute to cellular damage

receptor

protein molecule that contains a binding site for another specific molecule (called a ligand)

receptor-mediated endocytosis

endocytosis of ligands attached to membrane-bound receptors

ribosomal RNA (rRNA)

RNA that makes up the subunits of a ribosome

ribosome

cellular organelle that functions in protein synthesis

RNA polymerase

enzyme that unwinds DNA and then adds new nucleotides to a growing strand of RNA for the transcription phase of protein synthesis

S phase

stage of the cell cycle during which DNA replication occurs

selective permeability

feature of any barrier that allows certain substances to cross but excludes others

sister chromatid

one of a pair of identical chromosomes, formed during DNA replication

sodium-potassium pump

(also, Na+/K+ ATP-ase) membrane-embedded protein pump that uses ATP to move Na+ out of a cell and K+ into the cell

somatic cell

all cells of the body excluding gamete cells

spliceosome

complex of enzymes that serves to splice out the introns of a pre-mRNA transcript

splicing

the process of modifying a pre-mRNA transcript by removing certain, typically non-coding, regions

stem cell

cell that is oligo-, multi-, or pleuripotent that has the ability to produce additional stem cells rather than becoming further specialized

telophase

final stage of mitosis (and meiosis), preceding cytokinesis, characterized by the formation of two new daughter nuclei

totipotent

embryonic cells that have the ability to differentiate into any type of cell and organ in the body

transcription

process of producing an mRNA molecule that is complementary to a particular gene of DNA

transcription factor

one of the proteins that regulate the transcription of genes

transfer RNA (tRNA)

molecules of RNA that serve to bring amino acids to a growing polypeptide strand and properly place them into the sequence

translation

process of producing a protein from the nucleotide sequence code of an mRNA transcript

triplet

consecutive sequence of three nucleotides on a DNA molecule that, when transcribed into an mRNA codon, corresponds to a particular amino acid

unipotent

describes the condition of being committed to a single specialized cell type

vesicle

membrane-bound structure that contains materials within or outside of the cell

Chapter 4 - Key Terms

adipocytes

lipid storage cells

adipose tissue

specialized areolar tissue rich in stored fat

anchoring junction

mechanically attaches adjacent cells to each other or to the basement membrane

apical

that part of a cell or tissue which, in general, faces an open space

apocrine secretion

release of a substance along with the apical portion of the cell

apoptosis

programmed cell death

areolar tissue

(also, loose connective tissue) a type of connective tissue proper that shows little specialization with cells dispersed in the matrix

astrocyte

star-shaped cell in the central nervous system that regulates ions and uptake and/or breakdown of some neurotransmitters and contributes to the formation of the blood-brain barrier

atrophy

loss of mass and function

basal lamina

thin extracellular layer that lies underneath epithelial cells and separates them from other tissues

basement membrane

in epithelial tissue, a thin layer of fibrous material that anchors the epithelial tissue to the underlying connective tissue; made up of the basal lamina and reticular lamina

cardiac muscle

heart muscle, under involuntary control, composed of striated cells that attach to form fibers, each cell contains a single nucleus, contracts autonomously

cell junction

point of cell-to-cell contact that connects one cell to another in a tissue

chondrocytes

cells of the cartilage

clotting

also called coagulation; complex process by which blood components form a plug to stop bleeding

collagen fiber

flexible fibrous proteins that give connective tissue tensile strength

connective tissue

type of tissue that serves to hold in place, connect, and integrate the body’s organs and systems

connective tissue membrane

connective tissue that encapsulates organs and lines movable joints

connective tissue proper

connective tissue containing a viscous matrix, fibers, and cells.

cutaneous membrane

skin; epithelial tissue made up of a stratified squamous epithelial cells that cover the outside of the body

dense connective tissue

connective tissue proper that contains many fibers that provide both elasticity and protection

ectoderm

outermost embryonic germ layer from which the epidermis and the nervous tissue derive

elastic cartilage

type of cartilage, with elastin as the major protein, characterized by rigid support as well as elasticity

elastic fiber

fibrous protein within connective tissue that contains a high percentage of the protein elastin that allows the fibers to stretch and return to original size

endocrine gland

groups of cells that release chemical signals into the intercellular fluid to be picked up and transported to their target organs by blood

endoderm

innermost embryonic germ layer from which most of the digestive system and lower respiratory system derive

endothelium

tissue that lines vessels of the lymphatic and cardiovascular system, made up of a simple squamous epithelium

epithelial membrane

epithelium attached to a layer of connective tissue

epithelial tissue

type of tissue that serves primarily as a covering or lining of body parts, protecting the body; it also functions in absorption, transport, and secretion

exocrine gland

group of epithelial cells that secrete substances through ducts that open to the skin or to internal body surfaces that lead to the exterior of the body

fibroblast

most abundant cell type in connective tissue, secretes protein fibers and matrix into the extracellular space

fibrocartilage

tough form of cartilage, made of thick bundles of collagen fibers embedded in chondroitin sulfate ground substance

fibrocyte

less active form of fibroblast

fluid connective tissue

specialized cells that circulate in a watery fluid containing salts, nutrients, and dissolved proteins

gap junction

allows cytoplasmic communications to occur between cells

goblet cell

unicellular gland found in columnar epithelium that secretes mucous

ground substance

fluid or semi-fluid portion of the matrix

histamine

chemical compound released by mast cells in response to injury that causes vasodilation and endothelium permeability

histology

microscopic study of tissue architecture, organization, and function

holocrine secretion

release of a substance caused by the rupture of a gland cell, which becomes part of the secretion

hyaline cartilage

most common type of cartilage, smooth and made of short collagen fibers embedded in a chondroitin sulfate ground substance

inflammation

response of tissue to injury

lacunae

(singular = lacuna) small spaces in bone or cartilage tissue that cells occupy

lamina propria

areolar connective tissue underlying a mucous membrane

loose connective tissue

(also, areolar tissue) type of connective tissue proper that shows little specialization with cells dispersed in the matrix

matrix

extracellular material which is produced by the cells embedded in it, containing ground substance and fibers

merocrine secretion

release of a substance from a gland via exocytosis

mesenchymal cell

adult stem cell from which most connective tissue cells are derived

mesenchyme

embryonic tissue from which connective tissue cells derive

mesoderm

middle embryonic germ layer from which connective tissue, muscle tissue, and some epithelial tissue derive

mesothelium

simple squamous epithelial tissue which covers the major body cavities and is the epithelial portion of serous membranes

mucous connective tissue

specialized loose connective tissue present in the umbilical cord

mucous gland

group of cells that secrete mucous, a thick, slippery substance that keeps tissues moist and acts as a lubricant

mucous membrane

tissue membrane that is covered by protective mucous and lines tissue exposed to the outside environment

muscle tissue

type of tissue that is capable of contracting and generating tension in response to stimulation; produces movement.

myelin

layer of lipid inside some neuroglial cells that wraps around the axons of some neurons

myocyte

muscle cells

necrosis

accidental death of cells and tissues

nervous tissue

type of tissue that is capable of sending and receiving impulses through electrochemical signals.

neuroglia

supportive neural cells

neuron

excitable neural cell that transfer nerve impulses

oligodendrocyte

neuroglial cell that produces myelin in the brain

parenchyma

functional cells of a gland or organ, in contrast with the supportive or connective tissue of a gland or organ

primary union

condition of a wound where the wound edges are close enough to be brought together and fastened if necessary, allowing quicker and more thorough healing

pseudostratified columnar epithelium

tissue that consists of a single layer of irregularly shaped and sized cells that give the appearance of multiple layers; found in ducts of certain glands and the upper respiratory tract

reticular fiber

fine fibrous protein, made of collagen subunits, which cross-link to form supporting “nets” within connective tissue

reticular lamina

matrix containing collagen and elastin secreted by connective tissue; a component of the basement membrane

reticular tissue

type of loose connective tissue that provides a supportive framework to soft organs, such as lymphatic tissue, spleen, and the liver

Schwann cell

neuroglial cell that produces myelin in the peripheral nervous system

secondary union

wound healing facilitated by wound contraction

serous gland

group of cells within the serous membrane that secrete a lubricating substance onto the surface

serous membrane

type of tissue membrane that lines body cavities and lubricates them with serous fluid

simple columnar epithelium

tissue that consists of a single layer of column-like cells; promotes secretion and absorption in tissues and organs

simple cuboidal epithelium

tissue that consists of a single layer of cube-shaped cells; promotes secretion and absorption in ducts and tubules

simple squamous epithelium

tissue that consists of a single layer of flat scale-like cells; promotes diffusion and filtration across surface

skeletal muscle

usually attached to bone, under voluntary control, each cell is a fiber that is multinucleated and striated

smooth muscle

under involuntary control, moves internal organs, cells contain a single nucleus, are spindle-shaped, and do not appear striated; each cell is a fiber

stratified columnar epithelium

tissue that consists of two or more layers of column-like cells, contains glands and is found in some ducts

stratified cuboidal epithelium

tissue that consists of two or more layers of cube-shaped cells, found in some ducts

stratified squamous epithelium

tissue that consists of multiple layers of cells with the most apical being flat scale-like cells; protects surfaces from abrasion

striation

alignment of parallel actin and myosin filaments which form a banded pattern

supportive connective tissue

type of connective tissue that provides strength to the body and protects soft tissue

synovial membrane

connective tissue membrane that lines the cavities of freely movable joints, producing synovial fluid for lubrication

tight junction

forms an impermeable barrier between cells

tissue

group of cells that are similar in form and perform related functions

tissue membrane

thin layer or sheet of cells that covers the outside of the body, organs, and internal cavities

totipotent

embryonic cells that have the ability to differentiate into any type of cell and organ in the body

transitional epithelium

form of stratified epithelium found in the urinary tract, characterized by an apical layer of cells that change shape in response to the presence of urine

vasodilation

widening of blood vessels

wound contraction

process whereby the borders of a wound are physically drawn together

Chapter 5 - Key Terms

acne

skin condition due to infected sebaceous glands

albinism

genetic disorder that affects the skin, in which there is no melanin production

anagen

active phase of the hair growth cycle

apocrine sweat gland

type of sweat gland that is associated with hair follicles in the armpits and genital regions

arrector pili

smooth muscle that is activated in response to external stimuli that pull on hair follicles and make the hair “stand up”

basal cell

type of stem cell found in the stratum basale and in the hair matrix that continually undergoes cell division, producing the keratinocytes of the epidermis

basal cell carcinoma

cancer that originates from basal cells in the epidermis of the skin

bedsore

sore on the skin that develops when regions of the body start necrotizing due to constant pressure and lack of blood supply; also called decubitis ulcers

callus

thickened area of skin that arises due to constant abrasion

catagen

transitional phase marking the end of the anagen phase of the hair growth cycle

corn

type of callus that is named for its shape and the elliptical motion of the abrasive force

cortex

in hair, the second or middle layer of keratinocytes originating from the hair matrix, as seen in a cross-section of the hair bulb

cuticle

in hair, the outermost layer of keratinocytes originating from the hair matrix, as seen in a cross-section of the hair bulb

dermal papilla

(plural = dermal papillae) extension of the papillary layer of the dermis that increases surface contact between the epidermis and dermis

dermis

layer of skin between the epidermis and hypodermis, composed mainly of connective tissue and containing blood vessels, hair follicles, sweat glands, and other structures

desmosome

structure that forms an impermeable junction between cells

eccrine sweat gland

type of sweat gland that is common throughout the skin surface; it produces a hypotonic sweat for thermoregulation

eczema

skin condition due to an allergic reaction, which resembles a rash

elastin fibers

fibers made of the protein elastin that increase the elasticity of the dermis

eleiden

clear protein-bound lipid found in the stratum lucidum that is derived from keratohyalin and helps to prevent water loss

epidermis

outermost tissue layer of the skin

eponychium

nail fold that meets the proximal end of the nail body, also called the cuticle

external root sheath

outer layer of the hair follicle that is an extension of the epidermis, which encloses the hair root

first-degree burn

superficial burn that injures only the epidermis

fourth-degree burn

burn in which full thickness of the skin and underlying muscle and bone is damaged

glassy membrane

layer of connective tissue that surrounds the base of the hair follicle, connecting it to the dermis

hair

keratinous filament growing out of the epidermis

hair bulb

structure at the base of the hair root that surrounds the dermal papilla

hair follicle

cavity or sac from which hair originates

hair matrix

layer of basal cells from which a strand of hair grows

hair papilla

mass of connective tissue, blood capillaries, and nerve endings at the base of the hair follicle

hair root

part of hair that is below the epidermis anchored to the follicle

hair shaft

part of hair that is above the epidermis but is not anchored to the follicle

hypodermis

connective tissue connecting the integument to the underlying bone and muscle

hyponychium

thickened layer of stratum corneum that lies below the free edge of the nail

integumentary system

skin and its accessory structures

internal root sheath

innermost layer of keratinocytes in the hair follicle that surround the hair root up to the hair shaft

keloid

type of scar that has layers raised above the skin surface

keratin

type of structural protein that gives skin, hair, and nails its hard, water-resistant properties

keratinocyte

cell that produces keratin and is the most predominant type of cell found in the epidermis

keratohyalin

granulated protein found in the stratum granulosum

Langerhans cell

specialized dendritic cell found in the stratum spinosum that functions as a macrophage

lunula

basal part of the nail body that consists of a crescent-shaped layer of thick epithelium

medulla

in hair, the innermost layer of keratinocytes originating from the hair matrix

Meissner corpuscle

(also, tactile corpuscle) receptor in the skin that responds to light touch

melanin

pigment that determines the color of hair and skin

melanocyte

cell found in the stratum basale of the epidermis that produces the pigment melanin

melanoma

type of skin cancer that originates from the melanocytes of the skin

melanosome

intercellular vesicle that transfers melanin from melanocytes into keratinocytes of the epidermis

Merkel cell

receptor cell in the stratum basale of the epidermis that responds to the sense of touch

metastasis

spread of cancer cells from a source to other parts of the body

nail bed

layer of epidermis upon which the nail body forms

nail body

main keratinous plate that forms the nail

nail cuticle

fold of epithelium that extends over the nail bed, also called the eponychium

nail fold

fold of epithelium at that extend over the sides of the nail body, holding it in place

nail root

part of the nail that is lodged deep in the epidermis from which the nail grows

Pacinian corpuscle

(also, lamellated corpuscle) receptor in the skin that responds to vibration

papillary layer

superficial layer of the dermis, made of loose, areolar connective tissue

reticular layer

deeper layer of the dermis; it has a reticulated appearance due to the presence of abundant collagen and elastin fibers

rickets

disease in children caused by vitamin D deficiency, which leads to the weakening of bones

scar

collagen-rich skin formed after the process of wound healing that is different from normal skin

sebaceous gland

type of oil gland found in the dermis all over the body and helps to lubricate and waterproof the skin and hair by secreting sebum

sebum

oily substance that is composed of a mixture of lipids that lubricates the skin and hair

second-degree burn

partial-thickness burn that injures the epidermis and a portion of the dermis

squamous cell carcinoma

type of skin cancer that originates from the stratum spinosum of the epidermis

stratum basale

deepest layer of the epidermis, made of epidermal stem cells

stratum corneum

most superficial layer of the epidermis

stratum granulosum

layer of the epidermis superficial to the stratum spinosum

stratum lucidum

layer of the epidermis between the stratum granulosum and stratum corneum, found only in thick skin covering the palms, soles of the feet, and digits

stratum spinosum

layer of the epidermis superficial to the stratum basale, characterized by the presence of desmosomes

stretch mark

mark formed on the skin due to a sudden growth spurt and expansion of the dermis beyond its elastic limits

sudoriferous gland

sweat gland

telogen

resting phase of the hair growth cycle initiated with catagen and terminated by the beginning of a new anagen phase of hair growth

third-degree burn

burn that penetrates and destroys the full thickness of the skin (epidermis and dermis)

vitamin D

compound that aids absorption of calcium and phosphates in the intestine to improve bone health

vitiligo

skin condition in which melanocytes in certain areas lose the ability to produce melanin, possibly due an autoimmune reaction that leads to loss of color in patches

Chapter 6 - Key Terms

articular cartilage

thin layer of cartilage covering an epiphysis; reduces friction and acts as a shock absorber

articulation

where two bone surfaces meet

bone

hard, dense connective tissue that forms the structural elements of the skeleton

canaliculi

(singular = canaliculus) channels within the bone matrix that house one of an osteocyte’s many cytoplasmic extensions that it uses to communicate and receive nutrients

cartilage

semi-rigid connective tissue found on the skeleton in areas where flexibility and smooth surfaces support movement

central canal

longitudinal channel in the center of each osteon; contains blood vessels, nerves, and lymphatic vessels; also known as the Haversian canal

closed reduction

manual manipulation of a broken bone to set it into its natural position without surgery

compact bone

dense osseous tissue that can withstand compressive forces

diaphysis

tubular shaft that runs between the proximal and distal ends of a long bone

diploë

layer of spongy bone, that is sandwiched between two the layers of compact bone found in flat bones

endochondral ossification

process in which bone forms by replacing hyaline cartilage

endosteum

delicate membranous lining of a bone’s medullary cavity

epiphyseal line

completely ossified remnant of the epiphyseal plate

epiphyseal plate

(also, growth plate) sheet of hyaline cartilage in the metaphysis of an immature bone; replaced by bone tissue as the organ grows in length

epiphysis

wide section at each end of a long bone; filled with spongy bone and red marrow

external callus

collar of hyaline cartilage and bone that forms around the outside of a fracture

flat bone

thin and curved bone; serves as a point of attachment for muscles and protects internal organs

fracture

broken bone

fracture hematoma

blood clot that forms at the site of a broken bone

hematopoiesis

production of blood cells, which occurs in the red marrow of the bones

hole

opening or depression in a bone

hypercalcemia

condition characterized by abnormally high levels of calcium

hypocalcemia

condition characterized by abnormally low levels of calcium

internal callus

fibrocartilaginous matrix, in the endosteal region, between the two ends of a broken bone

intramembranous ossification

process by which bone forms directly from mesenchymal tissue

irregular bone

bone of complex shape; protects internal organs from compressive forces

lacunae

(singular = lacuna) spaces in a bone that house an osteocyte

long bone

cylinder-shaped bone that is longer than it is wide; functions as a lever

medullary cavity

hollow region of the diaphysis; filled with yellow marrow

modeling

process, during bone growth, by which bone is resorbed on one surface of a bone and deposited on another

nutrient foramen

small opening in the middle of the external surface of the diaphysis, through which an artery enters the bone to provide nourishment

open reduction

surgical exposure of a bone to reset a fracture

orthopedist

doctor who specializes in diagnosing and treating musculoskeletal disorders and injuries

osseous tissue

bone tissue; a hard, dense connective tissue that forms the structural elements of the skeleton

ossification

(also, osteogenesis) bone formation

ossification center

cluster of osteoblasts found in the early stages of intramembranous ossification

osteoblast

cell responsible for forming new bone

osteoclast

cell responsible for resorbing bone

osteocyte

primary cell in mature bone; responsible for maintaining the matrix

osteogenic cell

undifferentiated cell with high mitotic activity; the only bone cells that divide; they differentiate and develop into osteoblasts

osteoid

uncalcified bone matrix secreted by osteoblasts

osteon

(also, Haversian system) basic structural unit of compact bone; made of concentric layers of calcified matrix

osteoporosis

disease characterized by a decrease in bone mass; occurs when the rate of bone resorption exceeds the rate of bone formation, a common occurrence as the body ages

perforating canal

(also, Volkmann’s canal) channel that branches off from the central canal and houses vessels and nerves that extend to the periosteum and endosteum

perichondrium

membrane that covers cartilage

periosteum

fibrous membrane covering the outer surface of bone and continuous with ligaments

primary ossification center

region, deep in the periosteal collar, where bone development starts during endochondral ossification

projection

bone markings where part of the surface sticks out above the rest of the surface, where tendons and ligaments attach

proliferative zone

region of the epiphyseal plate that makes new chondrocytes to replace those that die at the diaphyseal end of the plate and contributes to longitudinal growth of the epiphyseal plate

red marrow

connective tissue in the interior cavity of a bone where hematopoiesis takes place

remodeling

process by which osteoclasts resorb old or damaged bone at the same time as and on the same surface where osteoblasts form new bone to replace that which is resorbed

reserve zone

region of the epiphyseal plate that anchors the plate to the osseous tissue of the epiphysis

secondary ossification center

region of bone development in the epiphyses

sesamoid bone

small, round bone embedded in a tendon; protects the tendon from compressive forces

short bone

cube-shaped bone that is approximately equal in length, width, and thickness; provides limited motion

skeletal system

organ system composed of bones and cartilage that provides for movement, support, and protection

spongy bone

(also, cancellous bone) trabeculated osseous tissue that supports shifts in weight distribution

trabeculae

(singular = trabecula) spikes or sections of the lattice-like matrix in spongy bone

yellow marrow

connective tissue in the interior cavity of a bone where fat is stored

zone of calcified matrix

region of the epiphyseal plate closest to the diaphyseal end; functions to connect the epiphyseal plate to the diaphysis

zone of maturation and hypertrophy

region of the epiphyseal plate where chondrocytes from the proliferative zone grow and mature and contribute to the longitudinal growth of the epiphyseal plate

Chapter 7 - Key Terms

alveolar process of the mandible

upper border of mandibular body that contains the lower teeth

alveolar process of the maxilla

curved, inferior margin of the maxilla that supports and anchors the upper teeth

angle of the mandible

rounded corner located at outside margin of the body and ramus junction

angle of the rib

portion of rib with greatest curvature; together, the rib angles form the most posterior extent of the thoracic cage

anterior (ventral) sacral foramen

one of the series of paired openings located on the anterior (ventral) side of the sacrum

anterior arch

anterior portion of the ring-like C1 (atlas) vertebra

anterior cranial fossa

shallowest and most anterior cranial fossa of the cranial base that extends from the frontal bone to the lesser wing of the sphenoid bone

anterior longitudinal ligament

ligament that runs the length of the vertebral column, uniting the anterior aspects of the vertebral bodies

anulus fibrosus

tough, fibrous outer portion of an intervertebral disc, which is strongly anchored to the bodies of the adjacent vertebrae

appendicular skeleton

all bones of the upper and lower limbs, plus the girdle bones that attach each limb to the axial skeleton

articular tubercle

smooth ridge located on the inferior skull, immediately anterior to the mandibular fossa

atlas

first cervical (C1) vertebra

axial skeleton

central, vertical axis of the body, including the skull, vertebral column, and thoracic cage

axis

second cervical (C2) vertebra

body of the rib

shaft portion of a rib

brain case

portion of the skull that contains and protects the brain, consisting of the eight bones that form the cranial base and rounded upper skull

calvaria

(also, skullcap) rounded top of the skull

carotid canal

zig-zag tunnel providing passage through the base of the skull for the internal carotid artery to the brain; begins anteromedial to the styloid process and terminates in the middle cranial cavity, near the posterior-lateral base of the sella turcica

cervical curve

posteriorly concave curvature of the cervical vertebral column region; a secondary curve of the vertebral column

cervical vertebrae

seven vertebrae numbered as C1–C7 that are located in the neck region of the vertebral column

clavicular notch

paired notches located on the superior-lateral sides of the sternal manubrium, for articulation with the clavicle

coccyx

small bone located at inferior end of the adult vertebral column that is formed by the fusion of four coccygeal vertebrae; also referred to as the “tailbone”

condylar process of the mandible

thickened upward projection from posterior margin of mandibular ramus

condyle

oval-shaped process located at the top of the condylar process of the mandible

coronal suture

joint that unites the frontal bone to the right and left parietal bones across the top of the skull

coronoid process of the mandible

flattened upward projection from the anterior margin of the mandibular ramus

costal cartilage

hyaline cartilage structure attached to the anterior end of each rib that provides for either direct or indirect attachment of most ribs to the sternum

costal facet

site on the lateral sides of a thoracic vertebra for articulation with the head of a rib

costal groove

shallow groove along the inferior margin of a rib that provides passage for blood vessels and a nerve

cranial cavity

interior space of the skull that houses the brain

cranium

skull

cribriform plate

small, flattened areas with numerous small openings, located to either side of the midline in the floor of the anterior cranial fossa; formed by the ethmoid bone

crista galli

small upward projection located at the midline in the floor of the anterior cranial fossa; formed by the ethmoid bone

dens

bony projection (odontoid process) that extends upward from the body of the C2 (axis) vertebra

ear ossicles

three small bones located in the middle ear cavity that serve to transmit sound vibrations to the inner ear

ethmoid air cell

one of several small, air-filled spaces located within the lateral sides of the ethmoid bone, between the orbit and upper nasal cavity

ethmoid bone

unpaired bone that forms the roof and upper, lateral walls of the nasal cavity, portions of the floor of the anterior cranial fossa and medial wall of orbit, and the upper portion of the nasal septum

external acoustic meatus

ear canal opening located on the lateral side of the skull

external occipital protuberance

small bump located at the midline on the posterior skull

facet

small, flattened area on a bone for an articulation (joint) with another bone, or for muscle attachment

facial bones

fourteen bones that support the facial structures and form the upper and lower jaws and the hard palate

false ribs

vertebrochondral ribs 8–12 whose costal cartilage either attaches indirectly to the sternum via the costal cartilage of the next higher rib or does not attach to the sternum at all

floating ribs

vertebral ribs 11–12 that do not attach to the sternum or to the costal cartilage of another rib

fontanelle

expanded area of fibrous connective tissue that separates the brain case bones of the skull prior to birth and during the first year after birth

foramen lacerum

irregular opening in the base of the skull, located inferior to the exit of carotid canal

foramen magnum

large opening in the occipital bone of the skull through which the spinal cord emerges and the vertebral arteries enter the cranium

foramen ovale of the middle cranial fossa

oval-shaped opening in the floor of the middle cranial fossa

foramen rotundum

round opening in the floor of the middle cranial fossa, located between the superior orbital fissure and foramen ovale

foramen spinosum

small opening in the floor of the middle cranial fossa, located lateral to the foramen ovale

frontal bone

unpaired bone that forms forehead, roof of orbit, and floor of anterior cranial fossa

frontal sinus

air-filled space within the frontal bone; most anterior of the paranasal sinuses

glabella

slight depression of frontal bone, located at the midline between the eyebrows

greater wings of sphenoid bone

lateral projections of the sphenoid bone that form the anterior wall of the middle cranial fossa and an area of the lateral skull

hard palate

bony structure that forms the roof of the mouth and floor of the nasal cavity, formed by the palatine process of the maxillary bones and the horizontal plate of the palatine bones

head of the rib

posterior end of a rib that articulates with the bodies of thoracic vertebrae

horizontal plate

medial extension from the palatine bone that forms the posterior quarter of the hard palate

hyoid bone

small, U-shaped bone located in upper neck that does not contact any other bone

hypoglossal canal

paired openings that pass anteriorly from the anterior-lateral margins of the foramen magnum deep to the occipital condyles

hypophyseal (pituitary) fossa

shallow depression on top of the sella turcica that houses the pituitary (hypophyseal) gland

inferior articular process

bony process that extends downward from the vertebral arch of a vertebra that articulates with the superior articular process of the next lower vertebra

inferior nasal concha

one of the paired bones that project from the lateral walls of the nasal cavity to form the largest and most inferior of the nasal conchae

infraorbital foramen

opening located on anterior skull, below the orbit

infratemporal fossa

space on lateral side of skull, below the level of the zygomatic arch and deep (medial) to the ramus of the mandible

internal acoustic meatus

opening into petrous ridge, located on the lateral wall of the posterior cranial fossa

intervertebral disc

structure located between the bodies of adjacent vertebrae that strongly joins the vertebrae; provides padding, weight bearing ability, and enables vertebral column movements

intervertebral foramen

opening located between adjacent vertebrae for exit of a spinal nerve

jugular (suprasternal) notch

shallow notch located on superior surface of sternal manubrium

jugular foramen

irregularly shaped opening located in the lateral floor of the posterior cranial cavity

kyphosis

(also, humpback or hunchback) excessive posterior curvature of the thoracic vertebral column region

lacrimal bone

paired bones that contribute to the anterior-medial wall of each orbit

lacrimal fossa

shallow depression in the anterior-medial wall of the orbit, formed by the lacrimal bone that gives rise to the nasolacrimal canal

lambdoid suture

inverted V-shaped joint that unites the occipital bone to the right and left parietal bones on the posterior skull

lamina

portion of the vertebral arch on each vertebra that extends between the transverse and spinous process

lateral pterygoid plate

paired, flattened bony projections of the sphenoid bone located on the inferior skull, lateral to the medial pterygoid plate

lateral sacral crest

paired irregular ridges running down the lateral sides of the posterior sacrum that was formed by the fusion of the transverse processes from the five sacral vertebrae

lesser wings of the sphenoid bone

lateral extensions of the sphenoid bone that form the bony lip separating the anterior and middle cranial fossae

ligamentum flavum

series of short ligaments that unite the lamina of adjacent vertebrae

lingula

small flap of bone located on the inner (medial) surface of mandibular ramus, next to the mandibular foramen

lordosis

(also, swayback) excessive anterior curvature of the lumbar vertebral column region

lumbar curve

posteriorly concave curvature of the lumbar vertebral column region; a secondary curve of the vertebral column

lumbar vertebrae

five vertebrae numbered as L1–L5 that are located in lumbar region (lower back) of the vertebral column

mandible

unpaired bone that forms the lower jaw bone; the only moveable bone of the skull

mandibular foramen

opening located on the inner (medial) surface of the mandibular ramus

mandibular fossa

oval depression located on the inferior surface of the skull

mandibular notch

large U-shaped notch located between the condylar process and coronoid process of the mandible

manubrium

expanded, superior portion of the sternum

mastoid process

large bony prominence on the inferior, lateral skull, just behind the earlobe

maxillary bone

(also, maxilla) paired bones that form the upper jaw and anterior portion of the hard palate

maxillary sinus

air-filled space located with each maxillary bone; largest of the paranasal sinuses

medial pterygoid plate

paired, flattened bony projections of the sphenoid bone located on the inferior skull medial to the lateral pterygoid plate; form the posterior portion of the nasal cavity lateral wall

median sacral crest

irregular ridge running down the midline of the posterior sacrum that was formed from the fusion of the spinous processes of the five sacral vertebrae

mental foramen

opening located on the anterior-lateral side of the mandibular body

mental protuberance

inferior margin of anterior mandible that forms the chin

middle cranial fossa

centrally located cranial fossa that extends from the lesser wings of the sphenoid bone to the petrous ridge

middle nasal concha

nasal concha formed by the ethmoid bone that is located between the superior and inferior conchae

mylohyoid line

bony ridge located along the inner (medial) surface of the mandibular body

nasal bone

paired bones that form the base of the nose

nasal cavity

opening through skull for passage of air

nasal conchae

curved bony plates that project from the lateral walls of the nasal cavity; include the superior and middle nasal conchae, which are parts of the ethmoid bone, and the independent inferior nasal conchae bone

nasal septum

flat, midline structure that divides the nasal cavity into halves, formed by the perpendicular plate of the ethmoid bone, vomer bone, and septal cartilage

nasolacrimal canal

passage for drainage of tears that extends downward from the medial-anterior orbit to the nasal cavity, terminating behind the inferior nasal conchae

neck of the rib

narrowed region of a rib, next to the rib head

notochord

rod-like structure along dorsal side of the early embryo; largely disappears during later development but does contribute to formation of the intervertebral discs

nuchal ligament

expanded portion of the supraspinous ligament within the posterior neck; interconnects the spinous processes of the cervical vertebrae and attaches to the base of the skull

nucleus pulposus

gel-like central region of an intervertebral disc; provides for padding, weight-bearing, and movement between adjacent vertebrae

occipital bone

unpaired bone that forms the posterior portions of the brain case and base of the skull

occipital condyle

paired, oval-shaped bony knobs located on the inferior skull, to either side of the foramen magnum

optic canal

opening spanning between middle cranial fossa and posterior orbit

orbit

bony socket that contains the eyeball and associated muscles

palatine bone

paired bones that form the posterior quarter of the hard palate and a small area in floor of the orbit

palatine process

medial projection from the maxilla bone that forms the anterior three quarters of the hard palate

paranasal sinuses

cavities within the skull that are connected to the conchae that serve to warm and humidify incoming air, produce mucus, and lighten the weight of the skull; consist of frontal, maxillary, sphenoidal, and ethmoidal sinuses

parietal bone

paired bones that form the upper, lateral sides of the skull

pedicle

portion of the vertebral arch that extends from the vertebral body to the transverse process

perpendicular plate of the ethmoid bone

downward, midline extension of the ethmoid bone that forms the superior portion of the nasal septum

petrous ridge

petrous portion of the temporal bone that forms a large, triangular ridge in the floor of the cranial cavity, separating the middle and posterior cranial fossae; houses the middle and inner ear structures

posterior (dorsal) sacral foramen

one of the series of paired openings located on the posterior (dorsal) side of the sacrum

posterior arch

posterior portion of the ring-like C1 (atlas) vertebra

posterior cranial fossa

deepest and most posterior cranial fossa; extends from the petrous ridge to the occipital bone

posterior longitudinal ligament

ligament that runs the length of the vertebral column, uniting the posterior sides of the vertebral bodies

primary curve

anteriorly concave curvatures of the thoracic and sacrococcygeal regions that are retained from the original fetal curvature of the vertebral column

pterion

H-shaped suture junction region that unites the frontal, parietal, temporal, and sphenoid bones on the lateral side of the skull

ramus of the mandible

vertical portion of the mandible

ribs

thin, curved bones of the chest wall

sacral canal

bony tunnel that runs through the sacrum

sacral foramina

series of paired openings for nerve exit located on both the anterior (ventral) and posterior (dorsal) aspects of the sacrum

sacral hiatus

inferior opening and termination of the sacral canal

sacral promontory

anterior lip of the base (superior end) of the sacrum

sacrococcygeal curve

anteriorly concave curvature formed by the sacrum and coccyx; a primary curve of the vertebral column

sacrum

single bone located near the inferior end of the adult vertebral column that is formed by the fusion of five sacral vertebrae; forms the posterior portion of the pelvis

sagittal suture

joint that unites the right and left parietal bones at the midline along the top of the skull

sclerotome

medial portion of a somite consisting of mesenchyme tissue that will give rise to bone, cartilage, and fibrous connective tissues

scoliosis

abnormal lateral curvature of the vertebral column

secondary curve

posteriorly concave curvatures of the cervical and lumbar regions of the vertebral column that develop after the time of birth

sella turcica

elevated area of sphenoid bone located at midline of the middle cranial fossa

septal cartilage

flat cartilage structure that forms the anterior portion of the nasal septum

skeleton

bones of the body

skull

bony structure that forms the head, face, and jaws, and protects the brain; consists of 22 bones

somite

one of the paired, repeating blocks of tissue located on either side of the notochord in the early embryo

sphenoid bone

unpaired bone that forms the central base of skull

sphenoid sinus

air-filled space located within the sphenoid bone; most posterior of the paranasal sinuses

spinous process

unpaired bony process that extends posteriorly from the vertebral arch of a vertebra

squamous suture

joint that unites the parietal bone to the squamous portion of the temporal bone on the lateral side of the skull

sternal angle

junction line between manubrium and body of the sternum and the site for attachment of the second rib to the sternum

sternum

flattened bone located at the center of the anterior chest

styloid process

downward projecting, elongated bony process located on the inferior aspect of the skull

stylomastoid foramen

opening located on inferior skull, between the styloid process and mastoid process

superior articular process

bony process that extends upward from the vertebral arch of a vertebra that articulates with the inferior articular process of the next higher vertebra

superior articular process of the sacrum

paired processes that extend upward from the sacrum to articulate (join) with the inferior articular processes from the L5 vertebra

superior nasal concha

smallest and most superiorly located of the nasal conchae; formed by the ethmoid bone

superior nuchal line

paired bony lines on the posterior skull that extend laterally from the external occipital protuberance

superior orbital fissure

irregularly shaped opening between the middle cranial fossa and the posterior orbit

supraorbital foramen

opening located on anterior skull, at the superior margin of the orbit

supraorbital margin

superior margin of the orbit

supraspinous ligament

ligament that interconnects the spinous processes of the thoracic and lumbar vertebrae

suture

junction line at which adjacent bones of the skull are united by fibrous connective tissue

temporal bone

paired bones that form the lateral, inferior portions of the skull, with squamous, mastoid, and petrous portions

temporal fossa

shallow space on the lateral side of the skull, above the level of the zygomatic arch

temporal process of the zygomatic bone

short extension from the zygomatic bone that forms the anterior portion of the zygomatic arch

thoracic cage

consists of 12 pairs of ribs and sternum

thoracic curve

anteriorly concave curvature of the thoracic vertebral column region; a primary curve of the vertebral column

thoracic vertebrae

twelve vertebrae numbered as T1–T12 that are located in the thoracic region (upper back) of the vertebral column

transverse foramen

opening found only in the transverse processes of cervical vertebrae

transverse process

paired bony processes that extends laterally from the vertebral arch of a vertebra

true ribs

vertebrosternal ribs 1–7 that attach via their costal cartilage directly to the sternum

tubercle of the rib

small bump on the posterior side of a rib for articulation with the transverse process of a thoracic vertebra

vertebra

individual bone in the neck and back regions of the vertebral column

vertebral (spinal) canal

bony passageway within the vertebral column for the spinal cord that is formed by the series of individual vertebral foramina

vertebral arch

bony arch formed by the posterior portion of each vertebra that surrounds and protects the spinal cord

vertebral column

entire sequence of bones that extend from the skull to the tailbone

vertebral foramen

opening associated with each vertebra defined by the vertebral arch that provides passage for the spinal cord

vomer bone

unpaired bone that forms the inferior and posterior portions of the nasal septum

xiphoid process

small process that forms the inferior tip of the sternum

zygomatic arch

elongated, free-standing arch on the lateral skull, formed anteriorly by the temporal process of the zygomatic bone and posteriorly by the zygomatic process of the temporal bone

zygomatic bone

cheekbone; paired bones that contribute to the lateral orbit and anterior zygomatic arch

zygomatic process of the temporal bone

extension from the temporal bone that forms the posterior portion of the zygomatic arch

Chapter 8 - Key Terms

acetabulum

large, cup-shaped cavity located on the lateral side of the hip bone; formed by the junction of the ilium, pubis, and ischium portions of the hip bone

acromial end of the clavicle

lateral end of the clavicle that articulates with the acromion of the scapula

acromial process

acromion of the scapula

acromioclavicular joint

articulation between the acromion of the scapula and the acromial end of the clavicle

acromion

flattened bony process that extends laterally from the scapular spine to form the bony tip of the shoulder

adductor tubercle

small, bony bump located on the superior aspect of the medial epicondyle of the femur

anatomical neck

line on the humerus located around the outside margin of the humeral head

ankle joint

joint that separates the leg and foot portions of the lower limb; formed by the articulations between the talus bone of the foot inferiorly, and the distal end of the tibia, medial malleolus of the tibia, and lateral malleolus of the fibula superiorly

anterior border of the tibia

narrow, anterior margin of the tibia that extends inferiorly from the tibial tuberosity

anterior inferior iliac spine

small, bony projection located on the anterior margin of the ilium, below the anterior superior iliac spine

anterior sacroiliac ligament

strong ligament between the sacrum and the ilium portions of the hip bone that supports the anterior side of the sacroiliac joint

anterior superior iliac spine

rounded, anterior end of the iliac crest

apical ectodermal ridge

enlarged ridge of ectoderm at the distal end of a limb bud that stimulates growth and elongation of the limb

arcuate line of the ilium

smooth ridge located at the inferior margin of the iliac fossa; forms the lateral portion of the pelvic brim

arm

region of the upper limb located between the shoulder and elbow joints; contains the humerus bone

auricular surface of the ilium

roughened area located on the posterior, medial side of the ilium of the hip bone; articulates with the auricular surface of the sacrum to form the sacroiliac joint

base of the metatarsal bone

expanded, proximal end of each metatarsal bone

bicipital groove

intertubercular groove; narrow groove located between the greater and lesser tubercles of the humerus

calcaneus

heel bone; posterior, inferior tarsal bone that forms the heel of the foot

capitate

from the lateral side, the third of the four distal carpal bones; articulates with the scaphoid and lunate proximally, the trapezoid laterally, the hamate medially, and primarily with the third metacarpal distally

capitulum

knob-like bony structure located anteriorly on the lateral, distal end of the humerus

carpal bone

one of the eight small bones that form the wrist and base of the hand; these are grouped as a proximal row consisting of (from lateral to medial) the scaphoid, lunate, triquetrum, and pisiform bones, and a distal row containing (from lateral to medial) the trapezium, trapezoid, capitate, and hamate bones

carpal tunnel

passageway between the anterior forearm and hand formed by the carpal bones and flexor retinaculum

carpometacarpal joint

articulation between one of the carpal bones in the distal row and a metacarpal bone of the hand

clavicle

collarbone; elongated bone that articulates with the manubrium of the sternum medially and the acromion of the scapula laterally

coracoclavicular ligament

strong band of connective tissue that anchors the coracoid process of the scapula to the lateral clavicle; provides important indirect support for the acromioclavicular joint

coracoid process

short, hook-like process that projects anteriorly and laterally from the superior margin of the scapula

coronoid fossa

depression on the anterior surface of the humerus above the trochlea; this space receives the coronoid process of the ulna when the elbow is maximally flexed

coronoid process of the ulna

projecting bony lip located on the anterior, proximal ulna; forms the inferior margin of the trochlear notch

costoclavicular ligament

band of connective tissue that unites the medial clavicle with the first rib

coxal bone

hip bone

cuboid

tarsal bone that articulates posteriorly with the calcaneus bone, medially with the lateral cuneiform bone, and anteriorly with the fourth and fifth metatarsal bones

deltoid tuberosity

roughened, V-shaped region located laterally on the mid-shaft of the humerus

distal radioulnar joint

articulation between the head of the ulna and the ulnar notch of the radius

distal tibiofibular joint

articulation between the distal fibula and the fibular notch of the tibia

elbow joint

joint located between the upper arm and forearm regions of the upper limb; formed by the articulations between the trochlea of the humerus and the trochlear notch of the ulna, and the capitulum of the humerus and the head of the radius

femur

thigh bone; the single bone of the thigh

fibula

thin, non-weight-bearing bone found on the lateral side of the leg

fibular notch

wide groove on the lateral side of the distal tibia for articulation with the fibula at the distal tibiofibular joint

flexor retinaculum

strong band of connective tissue at the anterior wrist that spans the top of the U-shaped grouping of the carpal bones to form the roof of the carpal tunnel

foot

portion of the lower limb located distal to the ankle joint

forearm

region of the upper limb located between the elbow and wrist joints; contains the radius and ulna bones

fossa

(plural = fossae) shallow depression on the surface of a bone

fovea capitis

minor indentation on the head of the femur that serves as the site of attachment for the ligament to the head of the femur

glenohumeral joint

shoulder joint; formed by the articulation between the glenoid cavity of the scapula and the head of the humerus

glenoid cavity

(also, glenoid fossa) shallow depression located on the lateral scapula, between the superior and lateral borders

gluteal tuberosity

roughened area on the posterior side of the proximal femur, extending inferiorly from the base of the greater trochanter

greater pelvis

(also, greater pelvic cavity or false pelvis) broad space above the pelvic brim defined laterally by the fan-like portion of the upper ilium

greater sciatic foramen

pelvic opening formed by the greater sciatic notch of the hip bone, the sacrum, and the sacrospinous ligament

greater sciatic notch

large, U-shaped indentation located on the posterior margin of the ilium, superior to the ischial spine

greater trochanter

large, bony expansion of the femur that projects superiorly from the base of the femoral neck

greater tubercle

enlarged prominence located on the lateral side of the proximal humerus

hallux

big toe; digit 1 of the foot

hamate

from the lateral side, the fourth of the four distal carpal bones; articulates with the lunate and triquetrum proximally, the fourth and fifth metacarpals distally, and the capitate laterally

hand

region of the upper limb distal to the wrist joint

head of the femur

rounded, proximal end of the femur that articulates with the acetabulum of the hip bone to form the hip joint

head of the fibula

small, knob-like, proximal end of the fibula; articulates with the inferior aspect of the lateral condyle of the tibia

head of the humerus

smooth, rounded region on the medial side of the proximal humerus; articulates with the glenoid fossa of the scapula to form the glenohumeral (shoulder) joint

head of the metatarsal bone

expanded, distal end of each metatarsal bone

head of the radius

disc-shaped structure that forms the proximal end of the radius; articulates with the capitulum of the humerus as part of the elbow joint, and with the radial notch of the ulna as part of the proximal radioulnar joint

head of the ulna

small, rounded distal end of the ulna; articulates with the ulnar notch of the distal radius, forming the distal radioulnar joint

hip bone

coxal bone; single bone that forms the pelvic girdle; consists of three areas, the ilium, ischium, and pubis

hip joint

joint located at the proximal end of the lower limb; formed by the articulation between the acetabulum of the hip bone and the head of the femur

hook of the hamate bone

bony extension located on the anterior side of the hamate carpal bone

humerus

single bone of the upper arm

iliac crest

curved, superior margin of the ilium

iliac fossa

shallow depression found on the anterior and medial surfaces of the upper ilium

ilium

superior portion of the hip bone

inferior angle of the scapula

inferior corner of the scapula located where the medial and lateral borders meet

inferior pubic ramus

narrow segment of bone that passes inferiorly and laterally from the pubic body; joins with the ischial ramus to form the ischiopubic ramus

infraglenoid tubercle

small bump or roughened area located on the lateral border of the scapula, near the inferior margin of the glenoid cavity

infraspinous fossa

broad depression located on the posterior scapula, inferior to the spine

intercondylar eminence

irregular elevation on the superior end of the tibia, between the articulating surfaces of the medial and lateral condyles

intercondylar fossa

deep depression on the posterior side of the distal femur that separates the medial and lateral condyles

intermediate cuneiform

middle of the three cuneiform tarsal bones; articulates posteriorly with the navicular bone, medially with the medial cuneiform bone, laterally with the lateral cuneiform bone, and anteriorly with the second metatarsal bone

interosseous border of the fibula

small ridge running down the medial side of the fibular shaft; for attachment of the interosseous membrane between the fibula and tibia

interosseous border of the radius

narrow ridge located on the medial side of the radial shaft; for attachment of the interosseous membrane between the ulna and radius bones

interosseous border of the tibia

small ridge running down the lateral side of the tibial shaft; for attachment of the interosseous membrane between the tibia and fibula

interosseous border of the ulna

narrow ridge located on the lateral side of the ulnar shaft; for attachment of the interosseous membrane between the ulna and radius

interosseous membrane of the forearm

sheet of dense connective tissue that unites the radius and ulna bones

interosseous membrane of the leg

sheet of dense connective tissue that unites the shafts of the tibia and fibula bones

interphalangeal joint

articulation between adjacent phalanx bones of the hand or foot digits

intertrochanteric crest

short, prominent ridge running between the greater and lesser trochanters on the posterior side of the proximal femur

intertrochanteric line

small ridge running between the greater and lesser trochanters on the anterior side of the proximal femur

intertubercular groove (sulcus)

bicipital groove; narrow groove located between the greater and lesser tubercles of the humerus

ischial ramus

bony extension projecting anteriorly and superiorly from the ischial tuberosity; joins with the inferior pubic ramus to form the ischiopubic ramus

ischial spine

pointed, bony projection from the posterior margin of the ischium that separates the greater sciatic notch and lesser sciatic notch

ischial tuberosity

large, roughened protuberance that forms the posteroinferior portion of the hip bone; weight-bearing region of the pelvis when sitting

ischiopubic ramus

narrow extension of bone that connects the ischial tuberosity to the pubic body; formed by the junction of the ischial ramus and inferior pubic ramus

ischium

posteroinferior portion of the hip bone

knee joint

joint that separates the thigh and leg portions of the lower limb; formed by the articulations between the medial and lateral condyles of the femur, and the medial and lateral condyles of the tibia

lateral border of the scapula

diagonally oriented lateral margin of the scapula

lateral condyle of the femur

smooth, articulating surface that forms the distal and posterior sides of the lateral expansion of the distal femur

lateral condyle of the tibia

lateral, expanded region of the proximal tibia that includes the smooth surface that articulates with the lateral condyle of the femur as part of the knee joint

lateral cuneiform

most lateral of the three cuneiform tarsal bones; articulates posteriorly with the navicular bone, medially with the intermediate cuneiform bone, laterally with the cuboid bone, and anteriorly with the third metatarsal bone

lateral epicondyle of the femur

roughened area of the femur located on the lateral side of the lateral condyle

lateral epicondyle of the humerus

small projection located on the lateral side of the distal humerus

lateral malleolus

expanded distal end of the fibula

lateral supracondylar ridge

narrow, bony ridge located along the lateral side of the distal humerus, superior to the lateral epicondyle

leg

portion of the lower limb located between the knee and ankle joints

lesser pelvis

(also, lesser pelvic cavity or true pelvis) narrow space located within the pelvis, defined superiorly by the pelvic brim (pelvic inlet) and inferiorly by the pelvic outlet

lesser sciatic foramen

pelvic opening formed by the lesser sciatic notch of the hip bone, the sacrospinous ligament, and the sacrotuberous ligament

lesser sciatic notch

shallow indentation along the posterior margin of the ischium, inferior to the ischial spine

lesser trochanter

small, bony projection on the medial side of the proximal femur, at the base of the femoral neck

lesser tubercle

small, bony prominence located on anterior side of the proximal humerus

ligament of the head of the femur

ligament that spans the acetabulum of the hip bone and the fovea capitis of the femoral head

limb bud

small elevation that appears on the lateral side of the embryo during the fourth or fifth week of development, which gives rise to an upper or lower limb

linea aspera

longitudinally running bony ridge located in the middle third of the posterior femur

lunate

from the lateral side, the second of the four proximal carpal bones; articulates with the radius proximally, the capitate and hamate distally, the scaphoid laterally, and the triquetrum medially

medial border of the scapula

elongated, medial margin of the scapula

medial condyle of the femur

smooth, articulating surface that forms the distal and posterior sides of the medial expansion of the distal femur

medial condyle of the tibia

medial, expanded region of the proximal tibia that includes the smooth surface that articulates with the medial condyle of the femur as part of the knee joint

medial cuneiform

most medial of the three cuneiform tarsal bones; articulates posteriorly with the navicular bone, laterally with the intermediate cuneiform bone, and anteriorly with the first and second metatarsal bones

medial epicondyle of the femur

roughened area of the distal femur located on the medial side of the medial condyle

medial epicondyle of the humerus

enlarged projection located on the medial side of the distal humerus

medial malleolus

bony expansion located on the medial side of the distal tibia

metacarpal bone

one of the five long bones that form the palm of the hand; numbered 1–5, starting on the lateral (thumb) side of the hand

metacarpophalangeal joint

articulation between the distal end of a metacarpal bone of the hand and a proximal phalanx bone of the thumb or a finger

metatarsal bone

one of the five elongated bones that forms the anterior half of the foot; numbered 1–5, starting on the medial side of the foot

metatarsophalangeal joint

articulation between a metatarsal bone of the foot and the proximal phalanx bone of a toe

midcarpal joint

articulation between the proximal and distal rows of the carpal bones; contributes to movements of the hand at the wrist

navicular

tarsal bone that articulates posteriorly with the talus bone, laterally with the cuboid bone, and anteriorly with the medial, intermediate, and lateral cuneiform bones

neck of the femur

narrowed region located inferior to the head of the femur

neck of the radius

narrowed region immediately distal to the head of the radius

obturator foramen

large opening located in the anterior hip bone, between the pubis and ischium regions

olecranon fossa

large depression located on the posterior side of the distal humerus; this space receives the olecranon process of the ulna when the elbow is fully extended

olecranon process

expanded posterior and superior portions of the proximal ulna; forms the bony tip of the elbow

patella

kneecap; the largest sesamoid bone of the body; articulates with the distal femur

patellar surface

smooth groove located on the anterior side of the distal femur, between the medial and lateral condyles; site of articulation for the patella

pectineal line

narrow ridge located on the superior surface of the superior pubic ramus

pectoral girdle

shoulder girdle; the set of bones, consisting of the scapula and clavicle, which attaches each upper limb to the axial skeleton

pelvic brim

pelvic inlet; the dividing line between the greater and lesser pelvic regions; formed by the superior margin of the pubic symphysis, the pectineal lines of each pubis, the arcuate lines of each ilium, and the sacral promontory

pelvic girdle

hip girdle; consists of a single hip bone, which attaches a lower limb to the sacrum of the axial skeleton

pelvic inlet

pelvic brim

pelvic outlet

inferior opening of the lesser pelvis; formed by the inferior margin of the pubic symphysis, right and left ischiopubic rami and sacrotuberous ligaments, and the tip of the coccyx

pelvis

ring of bone consisting of the right and left hip bones, the sacrum, and the coccyx

phalanx bone of the foot

(plural = phalanges) one of the 14 bones that form the toes; these include the proximal and distal phalanges of the big toe, and the proximal, middle, and distal phalanx bones of toes two through five

phalanx bone of the hand

(plural = phalanges) one of the 14 bones that form the thumb and fingers; these include the proximal and distal phalanges of the thumb, and the proximal, middle, and distal phalanx bones of the fingers two through five

pisiform

from the lateral side, the fourth of the four proximal carpal bones; articulates with the anterior surface of the triquetrum

pollex

(also, thumb) digit 1 of the hand

posterior inferior iliac spine

small, bony projection located at the inferior margin of the auricular surface on the posterior ilium

posterior sacroiliac ligament

strong ligament spanning the sacrum and ilium of the hip bone that supports the posterior side of the sacroiliac joint

posterior superior iliac spine

rounded, posterior end of the iliac crest

proximal radioulnar joint

articulation formed by the radial notch of the ulna and the head of the radius

proximal tibiofibular joint

articulation between the head of the fibula and the inferior aspect of the lateral condyle of the tibia

pubic arch

bony structure formed by the pubic symphysis, and the bodies and inferior pubic rami of the right and left pubic bones

pubic body

enlarged, medial portion of the pubis region of the hip bone

pubic symphysis

joint formed by the articulation between the pubic bodies of the right and left hip bones

pubic tubercle

small bump located on the superior aspect of the pubic body

pubis

anterior portion of the hip bone

radial fossa

small depression located on the anterior humerus above the capitulum; this space receives the head of the radius when the elbow is maximally flexed

radial notch of the ulna

small, smooth area on the lateral side of the proximal ulna; articulates with the head of the radius as part of the proximal radioulnar joint

radial tuberosity

oval-shaped, roughened protuberance located on the medial side of the proximal radius

radiocarpal joint

wrist joint, located between the forearm and hand regions of the upper limb; articulation formed proximally by the distal end of the radius and the fibrocartilaginous pad that unites the distal radius and ulna bone, and distally by the scaphoid, lunate, and triquetrum carpal bones

radius

bone located on the lateral side of the forearm

sacroiliac joint

joint formed by the articulation between the auricular surfaces of the sacrum and ilium

sacrospinous ligament

ligament that spans the sacrum to the ischial spine of the hip bone

sacrotuberous ligament

ligament that spans the sacrum to the ischial tuberosity of the hip bone

scaphoid

from the lateral side, the first of the four proximal carpal bones; articulates with the radius proximally, the trapezoid, trapezium, and capitate distally, and the lunate medially

scapula

shoulder blade bone located on the posterior side of the shoulder

shaft of the femur

cylindrically shaped region that forms the central portion of the femur

shaft of the fibula

elongated, slender portion located between the expanded ends of the fibula

shaft of the humerus

narrow, elongated, central region of the humerus

shaft of the radius

narrow, elongated, central region of the radius

shaft of the tibia

triangular-shaped, central portion of the tibia

shaft of the ulna

narrow, elongated, central region of the ulna

soleal line

small, diagonally running ridge located on the posterior side of the proximal tibia

spine of the scapula

prominent ridge passing mediolaterally across the upper portion of the posterior scapular surface

sternal end of the clavicle

medial end of the clavicle that articulates with the manubrium of the sternum

sternoclavicular joint

articulation between the manubrium of the sternum and the sternal end of the clavicle; forms the only bony attachment between the pectoral girdle of the upper limb and the axial skeleton

styloid process of the radius

pointed projection located on the lateral end of the distal radius

styloid process of the ulna

short, bony projection located on the medial end of the distal ulna

subpubic angle

inverted V-shape formed by the convergence of the right and left ischiopubic rami; this angle is greater than 80 degrees in females and less than 70 degrees in males

subscapular fossa

broad depression located on the anterior (deep) surface of the scapula

superior angle of the scapula

corner of the scapula between the superior and medial borders of the scapula

superior border of the scapula

superior margin of the scapula

superior pubic ramus

narrow segment of bone that passes laterally from the pubic body to join the ilium

supraglenoid tubercle

small bump located at the superior margin of the glenoid cavity

suprascapular notch

small notch located along the superior border of the scapula, medial to the coracoid process

supraspinous fossa

narrow depression located on the posterior scapula, superior to the spine

surgical neck

region of the humerus where the expanded, proximal end joins with the narrower shaft

sustentaculum tali

bony ledge extending from the medial side of the calcaneus bone

talus

tarsal bone that articulates superiorly with the tibia and fibula at the ankle joint; also articulates inferiorly with the calcaneus bone and anteriorly with the navicular bone

tarsal bone

one of the seven bones that make up the posterior foot; includes the calcaneus, talus, navicular, cuboid, medial cuneiform, intermediate cuneiform, and lateral cuneiform bones

thigh

portion of the lower limb located between the hip and knee joints

tibia

shin bone; the large, weight-bearing bone located on the medial side of the leg

tibial tuberosity

elevated area on the anterior surface of the proximal tibia

trapezium

from the lateral side, the first of the four distal carpal bones; articulates with the scaphoid proximally, the first and second metacarpals distally, and the trapezoid medially

trapezoid

from the lateral side, the second of the four distal carpal bones; articulates with the scaphoid proximally, the second metacarpal distally, the trapezium laterally, and the capitate medially

triquetrum

from the lateral side, the third of the four proximal carpal bones; articulates with the lunate laterally, the hamate distally, and has a facet for the pisiform

trochlea

pulley-shaped region located medially at the distal end of the humerus; articulates at the elbow with the trochlear notch of the ulna

trochlear notch

large, C-shaped depression located on the anterior side of the proximal ulna; articulates at the elbow with the trochlea of the humerus

ulna

bone located on the medial side of the forearm

ulnar notch of the radius

shallow, smooth area located on the medial side of the distal radius; articulates with the head of the ulna at the distal radioulnar joint

ulnar tuberosity

roughened area located on the anterior, proximal ulna inferior to the coronoid process

Chapter 9 - Key Terms

abduction

movement in the coronal plane that moves a limb laterally away from the body; spreading of the fingers

acetabular labrum

lip of fibrocartilage that surrounds outer margin of the acetabulum on the hip bone

adduction

movement in the coronal plane that moves a limb medially toward or across the midline of the body; bringing fingers together

amphiarthrosis

slightly mobile joint

annular ligament

intrinsic ligament of the elbow articular capsule that surrounds and supports the head of the radius at the proximal radioulnar joint

anterior cruciate ligament

intracapsular ligament of the knee; extends from anterior, superior surface of the tibia to the inner aspect of the lateral condyle of the femur; resists hyperextension of knee

anterior talofibular ligament

intrinsic ligament located on the lateral side of the ankle joint, between talus bone and lateral malleolus of fibula; supports talus at the talocrural joint and resists excess inversion of the foot

articular capsule

connective tissue structure that encloses the joint cavity of a synovial joint

articular cartilage

thin layer of hyaline cartilage that covers the articulating surfaces of bones at a synovial joint

articular disc

meniscus; a fibrocartilage structure found between the bones of some synovial joints; provides padding or smooths movements between the bones; strongly unites the bones together

articulation

joint of the body

atlanto-occipital joint

articulation between the occipital condyles of the skull and the superior articular processes of the atlas (C1 vertebra)

atlantoaxial joint

series of three articulations between the atlas (C1) vertebra and the axis (C2) vertebra, consisting of the joints between the inferior articular processes of C1 and the superior articular processes of C2, and the articulation between the dens of C2 and the anterior arch of C1

ball-and-socket joint

synovial joint formed between the spherical end of one bone (the ball) that fits into the depression of a second bone (the socket); found at the hip and shoulder joints; functionally classified as a multiaxial joint

biaxial joint

type of diarthrosis; a joint that allows for movements within two planes (two axes)

bursa

connective tissue sac containing lubricating fluid that prevents friction between adjacent structures, such as skin and bone, tendons and bone, or between muscles

calcaneofibular ligament

intrinsic ligament located on the lateral side of the ankle joint, between the calcaneus bone and lateral malleolus of the fibula; supports the talus bone at the ankle joint and resists excess inversion of the foot

cartilaginous joint

joint at which the bones are united by hyaline cartilage (synchondrosis) or fibrocartilage (symphysis)

circumduction

circular motion of the arm, thigh, hand, thumb, or finger that is produced by the sequential combination of flexion, abduction, extension, and adduction

condyloid joint

synovial joint in which the shallow depression at the end of one bone receives a rounded end from a second bone or a rounded structure formed by two bones; found at the metacarpophalangeal joints of the fingers or the radiocarpal joint of the wrist; functionally classified as a biaxial joint

coracohumeral ligament

intrinsic ligament of the shoulder joint; runs from the coracoid process of the scapula to the anterior humerus

deltoid ligament

broad intrinsic ligament located on the medial side of the ankle joint; supports the talus at the talocrural joint and resists excess eversion of the foot

depression

downward (inferior) motion of the scapula or mandible

diarthrosis

freely mobile joint

dorsiflexion

movement at the ankle that brings the top of the foot toward the anterior leg

elbow joint

humeroulnar joint

elevation

upward (superior) motion of the scapula or mandible

eversion

foot movement involving the intertarsal joints of the foot in which the bottom of the foot is turned laterally, away from the midline

extension

movement in the sagittal plane that increases the angle of a joint (straightens the joint); motion involving posterior bending of the vertebral column or returning to the upright position from a flexed position

extrinsic ligament

ligament located outside of the articular capsule of a synovial joint

femoropatellar joint

portion of the knee joint consisting of the articulation between the distal femur and the patella

fibrous joint

joint where the articulating areas of the adjacent bones are connected by fibrous connective tissue

fibular collateral ligament

extrinsic ligament of the knee joint that spans from the lateral epicondyle of the femur to the head of the fibula; resists hyperextension and rotation of the extended knee

flexion

movement in the sagittal plane that decreases the angle of a joint (bends the joint); motion involving anterior bending of the vertebral column

fontanelles

expanded areas of fibrous connective tissue that separate the braincase bones of the skull prior to birth and during the first year after birth

glenohumeral joint

shoulder joint; articulation between the glenoid cavity of the scapula and head of the humerus; multiaxial ball-and-socket joint that allows for flexion/extension, abduction/adduction, circumduction, and medial/lateral rotation of the humerus

glenohumeral ligament

one of the three intrinsic ligaments of the shoulder joint that strengthen the anterior articular capsule

glenoid labrum

lip of fibrocartilage located around the outside margin of the glenoid cavity of the scapula

gomphosis

type of fibrous joint in which the root of a tooth is anchored into its bony jaw socket by strong periodontal ligaments

hinge joint

synovial joint at which the convex surface of one bone articulates with the concave surface of a second bone; includes the elbow, knee, ankle, and interphalangeal joints; functionally classified as a uniaxial joint

humeroradial joint

articulation between the capitulum of the humerus and head of the radius

humeroulnar joint

articulation between the trochlea of humerus and the trochlear notch of the ulna; uniaxial hinge joint that allows for flexion/extension of the forearm

hyperextension

excessive extension of joint, beyond the normal range of movement

hyperflexion

excessive flexion of joint, beyond the normal range of movement

iliofemoral ligament

intrinsic ligament spanning from the ilium of the hip bone to the femur, on the superior-anterior aspect of the hip joint

inferior rotation

movement of the scapula during upper limb adduction in which the glenoid cavity of the scapula moves in a downward direction as the medial end of the scapular spine moves in an upward direction

interosseous membrane

wide sheet of fibrous connective tissue that fills the gap between two parallel bones, forming a syndesmosis; found between the radius and ulna of the forearm and between the tibia and fibula of the leg

intracapsular ligament

ligament that is located within the articular capsule of a synovial joint

intrinsic ligament

ligament that is fused to or incorporated into the wall of the articular capsule of a synovial joint

inversion

foot movement involving the intertarsal joints of the foot in which the bottom of the foot is turned toward the midline

ischiofemoral ligament

intrinsic ligament spanning from the ischium of the hip bone to the femur, on the posterior aspect of the hip joint

joint

site at which two or more bones or bone and cartilage come together (articulate)

joint cavity

space enclosed by the articular capsule of a synovial joint that is filled with synovial fluid and contains the articulating surfaces of the adjacent bones

joint interzone

site within a growing embryonic limb bud that will become a synovial joint

lateral (external) rotation

movement of the arm at the shoulder joint or the thigh at the hip joint that moves the anterior surface of the limb away from the midline of the body

lateral excursion

side-to-side movement of the mandible away from the midline, toward either the right or left side

lateral flexion

bending of the neck or body toward the right or left side

lateral meniscus

C-shaped fibrocartilage articular disc located at the knee, between the lateral condyle of the femur and the lateral condyle of the tibia

lateral tibiofemoral joint

portion of the knee consisting of the articulation between the lateral condyle of the tibia and the lateral condyle of the femur; allows for flexion/extension at the knee

ligament

strong band of dense connective tissue spanning between bones

ligament of the head of the femur

intracapsular ligament that runs from the acetabulum of the hip bone to the head of the femur

medial (internal) rotation

movement of the arm at the shoulder joint or the thigh at the hip joint that brings the anterior surface of the limb toward the midline of the body

medial excursion

side-to-side movement that returns the mandible to the midline

medial meniscus

C-shaped fibrocartilage articular disc located at the knee, between the medial condyle of the femur and medial condyle of the tibia

medial tibiofemoral joint

portion of the knee consisting of the articulation between the medial condyle of the tibia and the medial condyle of the femur; allows for flexion/extension at the knee

meniscus

articular disc

multiaxial joint

type of diarthrosis; a joint that allows for movements within three planes (three axes)

opposition

thumb movement that brings the tip of the thumb in contact with the tip of a finger

patellar ligament

ligament spanning from the patella to the anterior tibia; serves as the final attachment for the quadriceps femoris muscle

periodontal ligament

band of dense connective tissue that anchors the root of a tooth into the bony jaw socket

pivot joint

synovial joint at which the rounded portion of a bone rotates within a ring formed by a ligament and an articulating bone; functionally classified as uniaxial joint

plane joint

synovial joint formed between the flattened articulating surfaces of adjacent bones; functionally classified as a multiaxial joint

plantar flexion

foot movement at the ankle in which the heel is lifted off of the ground

posterior cruciate ligament

intracapsular ligament of the knee; extends from the posterior, superior surface of the tibia to the inner aspect of the medial condyle of the femur; prevents anterior displacement of the femur when the knee is flexed and weight bearing

posterior talofibular ligament

intrinsic ligament located on the lateral side of the ankle joint, between the talus bone and lateral malleolus of the fibula; supports the talus at the talocrural joint and resists excess inversion of the foot

pronated position

forearm position in which the palm faces backward

pronation

forearm motion that moves the palm of the hand from the palm forward to the palm backward position

protraction

anterior motion of the scapula or mandible

proximal radioulnar joint

articulation between head of radius and radial notch of ulna; uniaxial pivot joint that allows for rotation of radius during pronation/supination of forearm

pubofemoral ligament

intrinsic ligament spanning from the pubis of the hip bone to the femur, on the anterior-inferior aspect of the hip joint

radial collateral ligament

intrinsic ligament on the lateral side of the elbow joint; runs from the lateral epicondyle of humerus to merge with the annular ligament

reposition

movement of the thumb from opposition back to the anatomical position (next to index finger)

retraction

posterior motion of the scapula or mandible

rotation

movement of a bone around a central axis (atlantoaxial joint) or around its long axis (proximal radioulnar joint; shoulder or hip joint); twisting of the vertebral column resulting from the summation of small motions between adjacent vertebrae

rotator cuff

strong connective tissue structure formed by the fusion of four rotator cuff muscle tendons to the articular capsule of the shoulder joint; surrounds and supports superior, anterior, lateral, and posterior sides of the humeral head

saddle joint

synovial joint in which the articulating ends of both bones are convex and concave in shape, such as at the first carpometacarpal joint at the base of the thumb; functionally classified as a biaxial joint

subacromial bursa

bursa that protects the supraspinatus muscle tendon and superior end of the humerus from rubbing against the acromion of the scapula

subcutaneous bursa

bursa that prevents friction between skin and an underlying bone

submuscular bursa

bursa that prevents friction between bone and a muscle or between adjacent muscles

subscapular bursa

bursa that prevents rubbing of the subscapularis muscle tendon against the scapula

subtalar joint

articulation between the talus and calcaneus bones of the foot; allows motions that contribute to inversion/eversion of the foot

subtendinous bursa

bursa that prevents friction between bone and a muscle tendon

superior rotation

movement of the scapula during upper limb abduction in which the glenoid cavity of the scapula moves in an upward direction as the medial end of the scapular spine moves in a downward direction

supinated position

forearm position in which the palm faces anteriorly (anatomical position)

supination

forearm motion that moves the palm of the hand from the palm backward to the palm forward position

suture

fibrous joint that connects the bones of the skull (except the mandible); an immobile joint (synarthrosis)

symphysis

type of cartilaginous joint where the bones are joined by fibrocartilage

synarthrosis

immobile or nearly immobile joint

synchondrosis

type of cartilaginous joint where the bones are joined by hyaline cartilage

syndesmosis

type of fibrous joint in which two separated, parallel bones are connected by an interosseous membrane

synostosis

site at which adjacent bones or bony components have fused together

synovial fluid

thick, lubricating fluid that fills the interior of a synovial joint

synovial joint

joint at which the articulating surfaces of the bones are located within a joint cavity formed by an articular capsule

synovial membrane

thin layer that lines the inner surface of the joint cavity at a synovial joint; produces the synovial fluid

talocrural joint

ankle joint; articulation between the talus bone of the foot and medial malleolus of the tibia, distal tibia, and lateral malleolus of the fibula; a uniaxial hinge joint that allows only for dorsiflexion and plantar flexion of the foot

temporomandibular joint (TMJ)

articulation between the condyle of the mandible and the mandibular fossa and articular tubercle of the temporal bone of the skull; allows for depression/elevation (opening/closing of mouth), protraction/retraction, and side-to-side motions of the mandible

tendon

dense connective tissue structure that anchors a muscle to bone

tendon sheath

connective tissue that surrounds a tendon at places where the tendon crosses a joint; contains a lubricating fluid to prevent friction and allow smooth movements of the tendon

tibial collateral ligament

extrinsic ligament of knee joint that spans from the medial epicondyle of the femur to the medial tibia; resists hyperextension and rotation of extended knee

ulnar collateral ligament

intrinsic ligament on the medial side of the elbow joint; spans from the medial epicondyle of the humerus to the medial ulna

uniaxial joint

type of diarthrosis; joint that allows for motion within only one plane (one axis)

zygapophysial joints

facet joints; plane joints between the superior and inferior articular processes of adjacent vertebrae that provide for only limited motions between the vertebrae

Chapter 10 - Key Terms

acetylcholine (ACh)

neurotransmitter that binds at a motor end-plate to trigger depolarization

actin

protein that makes up most of the thin myofilaments in a sarcomere muscle fiber

action potential

change in voltage of a cell membrane in response to a stimulus that results in transmission of an electrical signal; unique to neurons and muscle fibers

aerobic respiration

production of ATP in the presence of oxygen

angiogenesis

formation of blood capillary networks

aponeurosis

broad, tendon-like sheet of connective tissue that attaches a skeletal muscle to another skeletal muscle or to a bone

ATPase

enzyme that hydrolyzes ATP to ADP

atrophy

loss of structural proteins from muscle fibers

autorhythmicity

heart’s ability to control its own contractions

calmodulin

regulatory protein that facilitates contraction in smooth muscles

cardiac muscle

striated muscle found in the heart; joined to one another at intercalated discs and under the regulation of pacemaker cells, which contract as one unit to pump blood through the circulatory system. Cardiac muscle is under involuntary control.

concentric contraction

muscle contraction that shortens the muscle to move a load

contractility

ability to shorten (contract) forcibly

contraction phase

twitch contraction phase when tension increases

creatine phosphate

phosphagen used to store energy from ATP and transfer it to muscle

dense body

sarcoplasmic structure that attaches to the sarcolemma and shortens the muscle as thin filaments slide past thick filaments

depolarize

to reduce the voltage difference between the inside and outside of a cell’s plasma membrane (the sarcolemma for a muscle fiber), making the inside less negative than at rest

desmosome

cell structure that anchors the ends of cardiac muscle fibers to allow contraction to occur

eccentric contraction

muscle contraction that lengthens the muscle as the tension is diminished

elasticity

ability to stretch and rebound

endomysium

loose, and well-hydrated connective tissue covering each muscle fiber in a skeletal muscle

epimysium

outer layer of connective tissue around a skeletal muscle

excitability

ability to undergo neural stimulation

excitation-contraction coupling

sequence of events from motor neuron signaling to a skeletal muscle fiber to contraction of the fiber’s sarcomeres

extensibility

ability to lengthen (extend)

fascicle

bundle of muscle fibers within a skeletal muscle

fast glycolytic (FG)

muscle fiber that primarily uses anaerobic glycolysis

fast oxidative (FO)

intermediate muscle fiber that is between slow oxidative and fast glycolytic fibers

fibrosis

replacement of muscle fibers by scar tissue

glycolysis

anaerobic breakdown of glucose to ATP

graded muscle response

modification of contraction strength

hyperplasia

process in which one cell splits to produce new cells

hypertonia

abnormally high muscle tone

hypertrophy

addition of structural proteins to muscle fibers

hypotonia

abnormally low muscle tone caused by the absence of low-level contractions

intercalated disc

part of the sarcolemma that connects cardiac tissue, and contains gap junctions and desmosomes

isometric contraction

muscle contraction that occurs with no change in muscle length

isotonic contraction

muscle contraction that involves changes in muscle length

lactic acid

product of anaerobic glycolysis

latch-bridges

subset of a cross-bridge in which actin and myosin remain locked together

latent period

the time when a twitch does not produce contraction

motor end-plate

sarcolemma of muscle fiber at the neuromuscular junction, with receptors for the neurotransmitter acetylcholine

motor unit

motor neuron and the group of muscle fibers it innervates

muscle tension

force generated by the contraction of the muscle; tension generated during isotonic contractions and isometric contractions

muscle tone

low levels of muscle contraction that occur when a muscle is not producing movement

myoblast

muscle-forming stem cell

myofibril

long, cylindrical organelle that runs parallel within the muscle fiber and contains the sarcomeres

myogram

instrument used to measure twitch tension

myosin

protein that makes up most of the thick cylindrical myofilament within a sarcomere muscle fiber

myotube

fusion of many myoblast cells

neuromuscular junction (NMJ)

synapse between the axon terminal of a motor neuron and the section of the membrane of a muscle fiber with receptors for the acetylcholine released by the terminal

neurotransmitter

signaling chemical released by nerve terminals that bind to and activate receptors on target cells

oxygen debt

amount of oxygen needed to compensate for ATP produced without oxygen during muscle contraction

pacesetter cell

cell that triggers action potentials in smooth muscle

pericyte

stem cell that regenerates smooth muscle cells

perimysium

connective tissue that bundles skeletal muscle fibers into fascicles within a skeletal muscle

power stroke

action of myosin pulling actin inward (toward the M line)

pyruvic acid

product of glycolysis that can be used in aerobic respiration or converted to lactic acid

recruitment

increase in the number of motor units involved in contraction

relaxation phase

period after twitch contraction when tension decreases

sarcolemma

plasma membrane of a skeletal muscle fiber

sarcomere

longitudinally, repeating functional unit of skeletal muscle, with all of the contractile and associated proteins involved in contraction

sarcopenia

age-related muscle atrophy

sarcoplasm

cytoplasm of a muscle cell

sarcoplasmic reticulum (SR)

specialized smooth endoplasmic reticulum, which stores, releases, and retrieves Ca++

satellite cell

stem cell that helps to repair muscle cells

skeletal muscle

striated, multinucleated muscle that requires signaling from the nervous system to trigger contraction; most skeletal muscles are referred to as voluntary muscles that move bones and produce movement

slow oxidative (SO)

muscle fiber that primarily uses aerobic respiration

smooth muscle

nonstriated, mononucleated muscle in the skin that is associated with hair follicles; assists in moving materials in the walls of internal organs, blood vessels, and internal passageways

somites

blocks of paraxial mesoderm cells

stress-relaxation response

relaxation of smooth muscle tissue after being stretched

synaptic cleft

space between a nerve (axon) terminal and a motor end-plate

T-tubule

projection of the sarcolemma into the interior of the cell

tetanus

a continuous fused contraction

thick filament

the thick myosin strands and their multiple heads projecting from the center of the sarcomere toward, but not all to way to, the Z-discs

thin filament

thin strands of actin and its troponin-tropomyosin complex projecting from the Z-discs toward the center of the sarcomere

treppe

stepwise increase in contraction tension

triad

the grouping of one T-tubule and two terminal cisternae

tropomyosin

regulatory protein that covers myosin-binding sites to prevent actin from binding to myosin

troponin

regulatory protein that binds to actin, tropomyosin, and calcium

twitch

single contraction produced by one action potential

varicosity

enlargement of neurons that release neurotransmitters into synaptic clefts

visceral muscle

smooth muscle found in the walls of visceral organs

voltage-gated sodium channels

membrane proteins that open sodium channels in response to a sufficient voltage change, and initiate and transmit the action potential as Na+ enters through the channel

wave summation

addition of successive neural stimuli to produce greater contraction

Chapter 11 - Key Terms

abduct

move away from midline in the sagittal plane

abductor

moves the bone away from the midline

abductor digiti minimi

muscle that abducts the little finger

abductor pollicis brevis

muscle that abducts the thumb

abductor pollicis longus

muscle that inserts into the first metacarpal

adductor

moves the bone toward the midline

adductor brevis

muscle that adducts and medially rotates the thigh

adductor longus

muscle that adducts, medially rotates, and flexes the thigh

adductor magnus

muscle with an anterior fascicle that adducts, medially rotates and flexes the thigh, and a posterior fascicle that assists in thigh extension

adductor pollicis

muscle that adducts the thumb

agonist

(also, prime mover) muscle whose contraction is responsible for producing a particular motion

anal triangle

posterior triangle of the perineum that includes the anus

anconeus

small muscle on the lateral posterior elbow that extends the forearm

antagonist

muscle that opposes the action of an agonist

anterior compartment of the arm

(anterior flexor compartment of the arm) the biceps brachii, brachialis, brachioradialis, and their associated blood vessels and nerves

anterior compartment of the forearm

(anterior flexor compartment of the forearm) deep and superficial muscles that originate on the humerus and insert into the hand

anterior compartment of the leg

region that includes muscles that dorsiflex the foot

anterior compartment of the thigh

region that includes muscles that flex the thigh and extend the leg

anterior scalene

a muscle anterior to the middle scalene

appendicular

of the arms and legs

axial

of the trunk and head

belly

bulky central body of a muscle

bi

two

biceps brachii

two-headed muscle that crosses the shoulder and elbow joints to flex the forearm while assisting in supinating it and flexing the arm at the shoulder

biceps femoris

hamstring muscle

bipennate

pennate muscle that has fascicles that are located on both sides of the tendon

brachialis

muscle deep to the biceps brachii that provides power in flexing the forearm.

brachioradialis

muscle that can flex the forearm quickly or help lift a load slowly

brevis

short

buccinator

muscle that compresses the cheek

calcaneal tendon

(also, Achilles tendon) strong tendon that inserts into the calcaneal bone of the ankle

caval opening

opening in the diaphragm that allows the inferior vena cava to pass through; foramen for the vena cava

circular

(also, sphincter) fascicles that are concentrically arranged around an opening

compressor urethrae

deep perineal muscle in females

convergent

fascicles that extend over a broad area and converge on a common attachment site

coracobrachialis

muscle that flexes and adducts the arm

corrugator supercilii

prime mover of the eyebrows

deep anterior compartment

flexor pollicis longus, flexor digitorum profundus, and their associated blood vessels and nerves

deep posterior compartment of the forearm

(deep posterior extensor compartment of the forearm) the abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus, extensor indicis, and their associated blood vessels and nerves

deep transverse perineal

deep perineal muscle in males

deglutition

swallowing

deltoid

shoulder muscle that abducts the arm as well as flexes and medially rotates it, and extends and laterally rotates it

diaphragm

skeletal muscle that separates the thoracic and abdominal cavities and is dome-shaped at rest

digastric

muscle that has anterior and posterior bellies and elevates the hyoid bone and larynx when one swallows; it also depresses the mandible

dorsal group

region that includes the extensor digitorum brevis

dorsal interossei

muscles that abduct and flex the three middle fingers at the metacarpophalangeal joints and extend them at the interphalangeal joints

epicranial aponeurosis

(also, galea aponeurosis) flat broad tendon that connects the frontalis and occipitalis

erector spinae group

large muscle mass of the back; primary extensor of the vertebral column

extensor

muscle that increases the angle at the joint

extensor carpi radialis brevis

muscle that extends and abducts the hand at the wrist

extensor carpi ulnaris

muscle that extends and adducts the hand

extensor digiti minimi

muscle that extends the little finger

extensor digitorum

muscle that extends the hand at the wrist and the phalanges

extensor digitorum brevis

muscle that extends the toes

extensor digitorum longus

muscle that is lateral to the tibialis anterior

extensor hallucis longus

muscle that is partly deep to the tibialis anterior and extensor digitorum longus

extensor indicis

muscle that inserts onto the tendon of the extensor digitorum of the index finger

extensor pollicis brevis

muscle that inserts onto the base of the proximal phalanx of the thumb

extensor pollicis longus

muscle that inserts onto the base of the distal phalanx of the thumb

extensor radialis longus

muscle that extends and abducts the hand at the wrist

extensor retinaculum

band of connective tissue that extends over the dorsal surface of the hand

external intercostal

superficial intercostal muscles that raise the rib cage

external oblique

superficial abdominal muscle with fascicles that extend inferiorly and medially

extrinsic eye muscles

originate outside the eye and insert onto the outer surface of the white of the eye, and create eyeball movement

extrinsic muscles of the hand

muscles that move the wrists, hands, and fingers and originate on the arm

fascicle

muscle fibers bundled by perimysium into a unit

femoral triangle

region formed at the junction between the hip and the leg and includes the pectineus, femoral nerve, femoral artery, femoral vein, and deep inguinal lymph nodes

fibularis brevis

(also, peroneus brevis) muscle that plantar flexes the foot at the ankle and everts it at the intertarsal joints

fibularis longus

(also, peroneus longus) muscle that plantar flexes the foot at the ankle and everts it at the intertarsal joints

fibularis tertius

small muscle that is associated with the extensor digitorum longus

fixator

synergist that assists an agonist by preventing or reducing movement at another joint, thereby stabilizing the origin of the agonist

flexion

movement that decreases the angle of a joint

flexor

muscle that decreases the angle at the joint

flexor carpi radialis

muscle that flexes and abducts the hand at the wrist

flexor carpi ulnaris

muscle that flexes and adducts the hand at the wrist

flexor digiti minimi brevis

muscle that flexes the little finger

flexor digitorum longus

muscle that flexes the four small toes

flexor digitorum profundus

muscle that flexes the phalanges of the fingers and the hand at the wrist

flexor digitorum superficialis

muscle that flexes the hand and the digits

flexor hallucis longus

muscle that flexes the big toe

flexor pollicis brevis

muscle that flexes the thumb

flexor pollicis longus

muscle that flexes the distal phalanx of the thumb

flexor retinaculum

band of connective tissue that extends over the palmar surface of the hand

frontalis

front part of the occipitofrontalis muscle

fusiform

muscle that has fascicles that are spindle-shaped to create large bellies

gastrocnemius

most superficial muscle of the calf

genioglossus

muscle that originates on the mandible and allows the tongue to move downward and forward

geniohyoid

muscle that depresses the mandible, and raises and pulls the hyoid bone anteriorly

gluteal group

muscle group that extends, flexes, rotates, adducts, and abducts the femur

gluteus maximus

largest of the gluteus muscles that extends the femur

gluteus medius

muscle deep to the gluteus maximus that abducts the femur at the hip

gluteus minimus

smallest of the gluteal muscles and deep to the gluteus medius

gracilis

muscle that adducts the thigh and flexes the leg at the knee

hamstring group

three long muscles on the back of the leg

hyoglossus

muscle that originates on the hyoid bone to move the tongue downward and flatten it

hypothenar

group of muscles on the medial aspect of the palm

hypothenar eminence

rounded contour of muscle at the base of the little finger

iliacus

muscle that, along with the psoas major, makes up the iliopsoas

iliococcygeus

muscle that makes up the levator ani along with the pubococcygeus

iliocostalis cervicis

muscle of the iliocostalis group associated with the cervical region

iliocostalis group

laterally placed muscles of the erector spinae

iliocostalis lumborum

muscle of the iliocostalis group associated with the lumbar region

iliocostalis thoracis

muscle of the iliocostalis group associated with the thoracic region

iliopsoas group

muscle group consisting of iliacus and psoas major muscles, that flexes the thigh at the hip, rotates it laterally, and flexes the trunk of the body onto the hip

iliotibial tract

muscle that inserts onto the tibia; made up of the gluteus maximus and connective tissues of the tensor fasciae latae

inferior extensor retinaculum

cruciate ligament of the ankle

inferior gemellus

muscle deep to the gluteus maximus on the lateral surface of the thigh that laterally rotates the femur at the hip

infrahyoid muscles

anterior neck muscles that are attached to, and inferior to the hyoid bone

infraspinatus

muscle that laterally rotates the arm

innermost intercostal

the deepest intercostal muscles that draw the ribs together

insertion

end of a skeletal muscle that is attached to the structure (usually a bone) that is moved when the muscle contracts

intercostal muscles

muscles that span the spaces between the ribs

intermediate

group of midpalmar muscles

internal intercostal

muscles the intermediate intercostal muscles that draw the ribs together

internal oblique

flat, intermediate abdominal muscle with fascicles that run perpendicular to those of the external oblique

intrinsic muscles of the hand

muscles that move the wrists, hands, and fingers and originate in the palm

ischiococcygeus

muscle that assists the levator ani and pulls the coccyx anteriorly

lateral compartment of the leg

region that includes the fibularis (peroneus) longus and the fibularis (peroneus) brevis and their associated blood vessels and nerves

lateral pterygoid

muscle that moves the mandible from side to side

lateralis

to the outside

latissimus dorsi

broad, triangular axial muscle located on the inferior part of the back

levator ani

pelvic muscle that resists intra-abdominal pressure and supports the pelvic viscera

linea alba

white, fibrous band that runs along the midline of the trunk

longissimus capitis

muscle of the longissimus group associated with the head region

longissimus cervicis

muscle of the longissimus group associated with the cervical region

longissimus group

intermediately placed muscles of the erector spinae

longissimus thoracis

muscle of the longissimus group associated with the thoracic region

longus

long

lumbrical

muscle that flexes each finger at the metacarpophalangeal joints and extend each finger at the interphalangeal joints

masseter

main muscle for chewing that elevates the mandible to close the mouth

mastication

chewing

maximus

largest

medial compartment of the thigh

a region that includes the adductor longus, adductor brevis, adductor magnus, pectineus, gracilis, and their associated blood vessels and nerves

medial pterygoid

muscle that moves the mandible from side to side

medialis

to the inside

medius

medium

middle scalene

longest scalene muscle, located between the anterior and posterior scalenes

minimus

smallest

multifidus

muscle of the lumbar region that helps extend and laterally flex the vertebral column

multipennate

pennate muscle that has a tendon branching within it

mylohyoid

muscle that lifts the hyoid bone and helps press the tongue to the top of the mouth

oblique

at an angle

obturator externus

muscle deep to the gluteus maximus on the lateral surface of the thigh that laterally rotates the femur at the hip

obturator internus

muscle deep to the gluteus maximus on the lateral surface of the thigh that laterally rotates the femur at the hip

occipitalis

posterior part of the occipitofrontalis muscle

occipitofrontalis

muscle that makes up the scalp with a frontal belly and an occipital belly

omohyoid

muscle that has superior and inferior bellies and depresses the hyoid bone

opponens digiti minimi

muscle that brings the little finger across the palm to meet the thumb

opponens pollicis

muscle that moves the thumb across the palm to meet another finger

orbicularis oculi

circular muscle that closes the eye

orbicularis oris

circular muscle that moves the lips

origin

end of a skeletal muscle that is attached to another structure (usually a bone) in a fixed position

palatoglossus

muscle that originates on the soft palate to elevate the back of the tongue

palmar interossei

muscles that abduct and flex each finger at the metacarpophalangeal joints and extend each finger at the interphalangeal joints

palmaris longus

muscle that provides weak flexion of the hand at the wrist

parallel

fascicles that extend in the same direction as the long axis of the muscle

patellar ligament

extension of the quadriceps tendon below the patella

pectineus

muscle that abducts and flexes the femur at the hip

pectoral girdle

shoulder girdle, made up of the clavicle and scapula

pectoralis major

thick, fan-shaped axial muscle that covers much of the superior thorax

pectoralis minor

muscle that moves the scapula and assists in inhalation

pelvic diaphragm

muscular sheet that comprises the levator ani and the ischiococcygeus

pelvic girdle

hips, a foundation for the lower limb

pennate

fascicles that are arranged differently based on their angles to the tendon

perineum

diamond-shaped region between the pubic symphysis, coccyx, and ischial tuberosities

piriformis

muscle deep to the gluteus maximus on the lateral surface of the thigh that laterally rotates the femur at the hip

plantar aponeurosis

muscle that supports the longitudinal arch of the foot

plantar group

four-layered group of intrinsic foot muscles

plantaris

muscle that runs obliquely between the gastrocnemius and the soleus

popliteal fossa

diamond-shaped space at the back of the knee

popliteus

muscle that flexes the leg at the knee and creates the floor of the popliteal fossa

posterior compartment of the leg

region that includes the superficial gastrocnemius, soleus, and plantaris, and the deep popliteus, flexor digitorum longus, flexor hallucis longus, and tibialis posterior

posterior compartment of the thigh

region that includes muscles that flex the leg and extend the thigh

posterior scalene

smallest scalene muscle, located posterior to the middle scalene

prime mover

(also, agonist) principle muscle involved in an action

pronator quadratus

pronator that originates on the ulna and inserts on the radius

pronator teres

pronator that originates on the humerus and inserts on the radius

psoas major

muscle that, along with the iliacus, makes up the iliopsoas

pubococcygeus

muscle that makes up the levator ani along with the iliococcygeus

quadratus femoris

muscle deep to the gluteus maximus on the lateral surface of the thigh that laterally rotates the femur at the hip

quadratus lumborum

posterior part of the abdominal wall that helps with posture and stabilization of the body

quadriceps femoris group

four muscles, that extend and stabilize the knee

quadriceps tendon

(also, patellar tendon) tendon common to all four quadriceps muscles, inserts into the patella

rectus

straight

rectus abdominis

long, linear muscle that extends along the middle of the trunk

rectus femoris

quadricep muscle on the anterior aspect of the thigh

rectus sheaths

tissue that makes up the linea alba

retinacula

fibrous bands that sheath the tendons at the wrist

rhomboid major

muscle that attaches the vertebral border of the scapula to the spinous process of the thoracic vertebrae

rhomboid minor

muscle that attaches the vertebral border of the scapula to the spinous process of the thoracic vertebrae

rotator cuff

(also, musculotendinous cuff) the circle of tendons around the shoulder joint

sartorius

band-like muscle that flexes, abducts, and laterally rotates the leg at the hip

scalene muscles

flex, laterally flex, and rotate the head; contribute to deep inhalation

segmental muscle group

interspinales and intertransversarii muscles that bring together the spinous and transverse processes of each consecutive vertebra

semimembranosus

hamstring muscle

semispinalis capitis

transversospinalis muscle associated with the head region

semispinalis cervicis

transversospinales muscle associated with the cervical region

semispinalis thoracis

transversospinales muscle associated with the thoracic region

semitendinosus

hamstring muscle

serratus anterior

large and flat muscle that originates on the ribs and inserts onto the scapula

soleus

wide, flat muscle deep to the gastrocnemius

sphincter urethrovaginalis

deep perineal muscle in females

spinalis capitis

muscle of the spinalis group associated with the head region

spinalis cervicis

muscle of the spinalis group associated with the cervical region

spinalis group

medially placed muscles of the erector spinae

spinalis thoracis

muscle of the spinalis group associated with the thoracic region

splenius

posterior neck muscles; includes the splenius capitis and splenius cervicis

splenius capitis

neck muscle that inserts into the head region

splenius cervicis

neck muscle that inserts into the cervical region

sternocleidomastoid

major muscle that laterally flexes and rotates the head

sternohyoid

muscle that depresses the hyoid bone

sternothyroid

muscle that depresses the larynx’s thyroid cartilage

styloglossus

muscle that originates on the styloid bone, and allows upward and backward motion of the tongue

stylohyoid

muscle that elevates the hyoid bone posteriorly

subclavius

muscle that stabilizes the clavicle during movement

subscapularis

muscle that originates on the anterior scapula and medially rotates the arm

superficial anterior compartment of the forearm

flexor carpi radialis, palmaris longus, flexor carpi ulnaris, flexor digitorum superficialis, and their associated blood vessels and nerves

superficial posterior compartment of the forearm

extensor radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, extensor carpi ulnaris, and their associated blood vessels and nerves

superior extensor retinaculum

transverse ligament of the ankle

superior gemellus

muscle deep to the gluteus maximus on the lateral surface of the thigh that laterally rotates the femur at the hip

supinator

muscle that moves the palm and forearm anteriorly

suprahyoid muscles

neck muscles that are superior to the hyoid bone

supraspinatus

muscle that abducts the arm

synergist

muscle whose contraction helps a prime mover in an action

temporalis

muscle that retracts the mandible

tendinous intersections

three transverse bands of collagen fibers that divide the rectus abdominis into segments

tensor fascia lata

muscle that flexes and abducts the thigh

teres major

muscle that extends the arm and assists in adduction and medial rotation of it

teres minor

muscle that laterally rotates and extends the arm

thenar

group of muscles on the lateral aspect of the palm

thenar eminence

rounded contour of muscle at the base of the thumb

thyrohyoid

muscle that depresses the hyoid bone and elevates the larynx’s thyroid cartilage

tibialis anterior

muscle located on the lateral surface of the tibia

tibialis posterior

muscle that plantar flexes and inverts the foot

transversospinales

muscles that originate at the transverse processes and insert at the spinous processes of the vertebrae

transversus abdominis

deep layer of the abdomen that has fascicles arranged transversely around the abdomen

trapezius

muscle that stabilizes the upper part of the back

tri

three

triceps brachii

three-headed muscle that extends the forearm

unipennate

pennate muscle that has fascicles located on one side of the tendon

urogenital triangle

anterior triangle of the perineum that includes the external genitals

vastus intermedius

quadricep muscle that is between the vastus lateralis and vastus medialis and is deep to the rectus femoris

vastus lateralis

quadricep muscle on the lateral aspect of the thigh

vastus medialis

quadricep muscle on the medial aspect of the thigh

Chapter 12 - Key Terms

absolute refractory period

time during an action period when another action potential cannot be generated because the voltage-gated Na+ channel is inactivated

action potential

change in voltage of a cell membrane in response to a stimulus that results in transmission of an electrical signal; unique to neurons and muscle fibers

activation gate

part of the voltage-gated Na+ channel that opens when the membrane voltage reaches threshold

astrocyte

glial cell type of the CNS that provides support for neurons and maintains the blood-brain barrier

autonomic nervous system (ANS)

functional division of the nervous system that is responsible for homeostatic reflexes that coordinate control of cardiac and smooth muscle, as well as glandular tissue

axon

single process of the neuron that carries an electrical signal (action potential) away from the cell body toward a target cell

axon hillock

tapering of the neuron cell body that gives rise to the axon

axon segment

single stretch of the axon insulated by myelin and bounded by nodes of Ranvier at either end (except for the first, which is after the initial segment, and the last, which is followed by the axon terminal)

axon terminal

end of the axon, where there are usually several branches extending toward the target cell

axoplasm

cytoplasm of an axon, which is different in composition than the cytoplasm of the neuronal cell body

biogenic amine

class of neurotransmitters that are enzymatically derived from amino acids but no longer contain a carboxyl group

bipolar

shape of a neuron with two processes extending from the neuron cell body—the axon and one dendrite

blood-brain barrier (BBB)

physiological barrier between the circulatory system and the central nervous system that establishes a privileged blood supply, restricting the flow of substances into the CNS

brain

the large organ of the central nervous system composed of white and gray matter, contained within the cranium and continuous with the spinal cord

central nervous system (CNS)

anatomical division of the nervous system located within the cranial and vertebral cavities, namely the brain and spinal cord

cerebral cortex

outermost layer of gray matter in the brain, where conscious perception takes place

cerebrospinal fluid (CSF)

circulatory medium within the CNS that is produced by ependymal cells in the choroid plexus filtering the blood

chemical synapse

connection between two neurons, or between a neuron and its target, where a neurotransmitter diffuses across a very short distance

cholinergic system

neurotransmitter system of acetylcholine, which includes its receptors and the enzyme acetylcholinesterase

choroid plexus

specialized structure containing ependymal cells that line blood capillaries and filter blood to produce CSF in the four ventricles of the brain

continuous conduction

slow propagation of an action potential along an unmyelinated axon owing to voltage-gated Na+ channels located along the entire length of the cell membrane

dendrite

one of many branchlike processes that extends from the neuron cell body and functions as a contact for incoming signals (synapses) from other neurons or sensory cells

depolarization

change in a cell membrane potential from rest toward zero

effector protein

enzyme that catalyzes the generation of a new molecule, which acts as the intracellular mediator of the signal that binds to the receptor

electrical synapse

connection between two neurons, or any two electrically active cells, where ions flow directly through channels spanning their adjacent cell membranes

electrochemical exclusion

principle of selectively allowing ions through a channel on the basis of their charge

enteric nervous system (ENS)

neural tissue associated with the digestive system that is responsible for nervous control through autonomic connections

ependymal cell

glial cell type in the CNS responsible for producing cerebrospinal fluid

excitable membrane

cell membrane that regulates the movement of ions so that an electrical signal can be generated

excitatory postsynaptic potential (EPSP)

graded potential in the postsynaptic membrane that is the result of depolarization and makes an action potential more likely to occur

G protein

guanosine triphosphate (GTP) hydrolase that physically moves from the receptor protein to the effector protein to activate the latter

ganglion

localized collection of neuron cell bodies in the peripheral nervous system

gated

property of a channel that determines how it opens under specific conditions, such as voltage change or physical deformation

generator potential

graded potential from dendrites of a unipolar cell which generates the action potential in the initial segment of that cell’s axon

glial cell

one of the various types of neural tissue cells responsible for maintenance of the tissue, and largely responsible for supporting neurons

graded potential

change in the membrane potential that varies in size, depending on the size of the stimulus that elicits it

gray matter

regions of the nervous system containing cell bodies of neurons with few or no myelinated axons; actually may be more pink or tan in color, but called gray in contrast to white matter

inactivation gate

part of a voltage-gated Na+ channel that closes when the membrane potential reaches +30 mV

inhibitory postsynaptic potential (IPSP)

graded potential in the postsynaptic membrane that is the result of hyperpolarization and makes an action potential less likely to occur

initial segment

first part of the axon as it emerges from the axon hillock, where the electrical signals known as action potentials are generated

integration

nervous system function that combines sensory perceptions and higher cognitive functions (memories, learning, emotion, etc.) to produce a response

ionotropic receptor

neurotransmitter receptor that acts as an ion channel gate, and opens by the binding of the neurotransmitter

leakage channel

ion channel that opens randomly and is not gated to a specific event, also known as a non-gated channel

ligand-gated channels

another name for an ionotropic receptor for which a neurotransmitter is the ligand

lower motor neuron

second neuron in the motor command pathway that is directly connected to the skeletal muscle

mechanically gated channel

ion channel that opens when a physical event directly affects the structure of the protein

membrane potential

distribution of charge across the cell membrane, based on the charges of ions

metabotropic receptor

neurotransmitter receptor that involves a complex of proteins that cause metabolic changes in a cell

microglia

glial cell type in the CNS that serves as the resident component of the immune system

multipolar

shape of a neuron that has multiple processes—the axon and two or more dendrites

muscarinic receptor

type of acetylcholine receptor protein that is characterized by also binding to muscarine and is a metabotropic receptor

myelin

lipid-rich insulating substance surrounding the axons of many neurons, allowing for faster transmission of electrical signals

myelin sheath

lipid-rich layer of insulation that surrounds an axon, formed by oligodendrocytes in the CNS and Schwann cells in the PNS; facilitates the transmission of electrical signals

nerve

cord-like bundle of axons located in the peripheral nervous system that transmits sensory input and response output to and from the central nervous system

neuron

neural tissue cell that is primarily responsible for generating and propagating electrical signals into, within, and out of the nervous system

neuropeptide

neurotransmitter type that includes protein molecules and shorter chains of amino acids

neurotransmitter

chemical signal that is released from the synaptic end bulb of a neuron to cause a change in the target cell

nicotinic receptor

type of acetylcholine receptor protein that is characterized by also binding to nicotine and is an ionotropic receptor

node of Ranvier

gap between two myelinated regions of an axon, allowing for strengthening of the electrical signal as it propagates down the axon

nonspecific channel

channel that is not specific to one ion over another, such as a nonspecific cation channel that allows any positively charged ion across the membrane

nucleus

in the nervous system, a localized collection of neuron cell bodies that are functionally related; a “center” of neural function

oligodendrocyte

glial cell type in the CNS that provides the myelin insulation for axons in tracts

peripheral nervous system (PNS)

anatomical division of the nervous system that is largely outside the cranial and vertebral cavities, namely all parts except the brain and spinal cord

postsynaptic potential (PSP)

graded potential in the postsynaptic membrane caused by the binding of neurotransmitter to protein receptors

precentral gyrus of the frontal cortex

region of the cerebral cortex responsible for generating motor commands, where the upper motor neuron cell body is located

process

in cells, an extension of a cell body; in the case of neurons, this includes the axon and dendrites

propagation

movement of an action potential along the length of an axon

receptor potential

graded potential in a specialized sensory cell that directly causes the release of neurotransmitter without an intervening action potential

refractory period

time after the initiation of an action potential when another action potential cannot be generated

relative refractory period

time during the refractory period when a new action potential can only be initiated by a stronger stimulus than the current action potential because voltage-gated K+ channels are not closed

repolarization

return of the membrane potential to its normally negative voltage at the end of the action potential

resistance

property of an axon that relates to the ability of particles to diffuse through the cytoplasm; this is inversely proportional to the fiber diameter

response

nervous system function that causes a target tissue (muscle or gland) to produce an event as a consequence to stimuli

resting membrane potential

the difference in voltage measured across a cell membrane under steady-state conditions, typically -70 mV

saltatory conduction

quick propagation of the action potential along a myelinated axon owing to voltage-gated Na+ channels being present only at the nodes of Ranvier

satellite cell

glial cell type in the PNS that provides support for neurons in the ganglia

Schwann cell

glial cell type in the PNS that provides the myelin insulation for axons in nerves

sensation

nervous system function that receives information from the environment and translates it into the electrical signals of nervous tissue

size exclusion

principle of selectively allowing ions through a channel on the basis of their relative size

soma

in neurons, that portion of the cell that contains the nucleus; the cell body, as opposed to the cell processes (axons and dendrites)

somatic nervous system (SNS)

functional division of the nervous system that is concerned with conscious perception, voluntary movement, and skeletal muscle reflexes

spatial summation

combination of graded potentials across the neuronal cell membrane caused by signals from separate presynaptic elements that add up to initiate an action potential

spinal cord

organ of the central nervous system found within the vertebral cavity and connected with the periphery through spinal nerves; mediates reflex behaviors

stimulus

an event in the external or internal environment that registers as activity in a sensory neuron

summate

to add together, as in the cumulative change in postsynaptic potentials toward reaching threshold in the membrane, either across a span of the membrane or over a certain amount of time

synapse

narrow junction across which a chemical signal passes from neuron to the next, initiating a new electrical signal in the target cell

synaptic cleft

small gap between cells in a chemical synapse where neurotransmitter diffuses from the presynaptic element to the postsynaptic element

synaptic end bulb

swelling at the end of an axon where neurotransmitter molecules are released onto a target cell across a synapse

temporal summation

combination of graded potentials at the same location on a neuron resulting in a strong signal from one input

thalamus

region of the central nervous system that acts as a relay for sensory pathways

thermoreceptor

type of sensory receptor capable of transducing temperature stimuli into neural action potentials

threshold

membrane voltage at which an action potential is initiated

tract

bundle of axons in the central nervous system having the same function and point of origin

unipolar

shape of a neuron which has only one process that includes both the axon and dendrite

upper motor neuron

first neuron in the motor command pathway with its cell body in the cerebral cortex that synapses on the lower motor neuron in the spinal cord

ventricle

central cavity within the brain where CSF is produced and circulates

voltage-gated channel

ion channel that opens because of a change in the charge distributed across the membrane where it is located

white matter

regions of the nervous system containing mostly myelinated axons, making the tissue appear white because of the high lipid content of myelin

Chapter 13 - Key Terms

abducens nerve

sixth cranial nerve; responsible for contraction of one of the extraocular muscles

alar plate

developmental region of the spinal cord that gives rise to the posterior horn of the gray matter

amygdala

nucleus deep in the temporal lobe of the cerebrum that is related to memory and emotional behavior

anterior column

white matter between the anterior horns of the spinal cord composed of many different groups of axons of both ascending and descending tracts

anterior horn

gray matter of the spinal cord containing multipolar motor neurons, sometimes referred to as the ventral horn

anterior median fissure

deep midline feature of the anterior spinal cord, marking the separation between the right and left sides of the cord

anterior spinal artery

blood vessel from the merged branches of the vertebral arteries that runs along the anterior surface of the spinal cord

arachnoid granulation

outpocket of the arachnoid membrane into the dural sinuses that allows for reabsorption of CSF into the blood

arachnoid mater

middle layer of the meninges named for the spider-web–like trabeculae that extend between it and the pia mater

arachnoid trabeculae

filaments between the arachnoid and pia mater within the subarachnoid space

ascending tract

central nervous system fibers carrying sensory information from the spinal cord or periphery to the brain

axillary nerve

systemic nerve of the arm that arises from the brachial plexus

basal forebrain

nuclei of the cerebrum related to modulation of sensory stimuli and attention through broad projections to the cerebral cortex, loss of which is related to Alzheimer’s disease

basal nuclei

nuclei of the cerebrum (with a few components in the upper brain stem and diencephalon) that are responsible for assessing cortical movement commands and comparing them with the general state of the individual through broad modulatory activity of dopamine neurons; largely related to motor functions, as evidenced through the symptoms of Parkinson’s and Huntington’s diseases

basal plate

developmental region of the spinal cord that gives rise to the lateral and anterior horns of gray matter

basilar artery

blood vessel from the merged vertebral arteries that runs along the dorsal surface of the brain stem

brachial plexus

nerve plexus associated with the lower cervical spinal nerves and first thoracic spinal nerve

brain stem

region of the adult brain that includes the midbrain, pons, and medulla oblongata and develops from the mesencephalon, metencephalon, and myelencephalon of the embryonic brain

Broca’s area

region of the frontal lobe associated with the motor commands necessary for speech production and located only in the cerebral hemisphere responsible for language production, which is the left side in approximately 95 percent of the population

Brodmann’s areas

mapping of regions of the cerebral cortex based on microscopic anatomy that relates specific areas to functional differences, as described by Brodmann in the early 1900s

carotid canal

opening in the temporal bone through which the internal carotid artery enters the cranium

cauda equina

bundle of spinal nerve roots that descend from the lower spinal cord below the first lumbar vertebra and lie within the vertebral cavity; has the appearance of a horse's tail

caudate

nucleus deep in the cerebrum that is part of the basal nuclei; along with the putamen, it is part of the striatum

central canal

hollow space within the spinal cord that is the remnant of the center of the neural tube

central sulcus

surface landmark of the cerebral cortex that marks the boundary between the frontal and parietal lobes

cephalic flexure

curve in midbrain of the embryo that positions the forebrain ventrally

cerebellum

region of the adult brain connected primarily to the pons that developed from the metencephalon (along with the pons) and is largely responsible for comparing information from the cerebrum with sensory feedback from the periphery through the spinal cord

cerebral aqueduct

connection of the ventricular system between the third and fourth ventricles located in the midbrain

cerebral cortex

outer gray matter covering the forebrain, marked by wrinkles and folds known as gyri and sulci

cerebral hemisphere

one half of the bilaterally symmetrical cerebrum

cerebrum

region of the adult brain that develops from the telencephalon and is responsible for higher neurological functions such as memory, emotion, and consciousness

cervical plexus

nerve plexus associated with the upper cervical spinal nerves

choroid plexus

specialized structures containing ependymal cells lining blood capillaries that filter blood to produce CSF in the four ventricles of the brain

circle of Willis

unique anatomical arrangement of blood vessels around the base of the brain that maintains perfusion of blood into the brain even if one component of the structure is blocked or narrowed

common carotid artery

blood vessel that branches off the aorta (or the brachiocephalic artery on the right) and supplies blood to the head and neck

corpus callosum

large white matter structure that connects the right and left cerebral hemispheres

cranial nerve

one of twelve nerves connected to the brain that are responsible for sensory or motor functions of the head and neck

cranial nerve ganglion

sensory ganglion of cranial nerves

descending tract

central nervous system fibers carrying motor commands from the brain to the spinal cord or periphery

diencephalon

region of the adult brain that retains its name from embryonic development and includes the thalamus and hypothalamus

direct pathway

connections within the basal nuclei from the striatum to the globus pallidus internal segment and substantia nigra pars reticulata that disinhibit the thalamus to increase cortical control of movement

disinhibition

disynaptic connection in which the first synapse inhibits the second cell, which then stops inhibiting the final target

dorsal (posterior) nerve root

axons entering the posterior horn of the spinal cord

dorsal (posterior) root ganglion

sensory ganglion attached to the posterior nerve root of a spinal nerve

dura mater

tough, fibrous, outer layer of the meninges that is attached to the inner surface of the cranium and vertebral column and surrounds the entire CNS

dural sinus

any of the venous structures surrounding the brain, enclosed within the dura mater, which drain blood from the CNS to the common venous return of the jugular veins

endoneurium

innermost layer of connective tissue that surrounds individual axons within a nerve

enteric nervous system

peripheral structures, namely ganglia and nerves, that are incorporated into the digestive system organs

enteric plexus

neuronal plexus in the wall of the intestines, which is part of the enteric nervous system

epineurium

outermost layer of connective tissue that surrounds an entire nerve

epithalamus

region of the diecephalon containing the pineal gland

esophageal plexus

neuronal plexus in the wall of the esophagus that is part of the enteric nervous system

extraocular muscles

six skeletal muscles that control eye movement within the orbit

facial nerve

seventh cranial nerve; responsible for contraction of the facial muscles and for part of the sense of taste, as well as causing saliva production

fascicle

small bundles of nerve or muscle fibers enclosed by connective tissue

femoral nerve

systemic nerve of the anterior leg that arises from the lumbar plexus

fibular nerve

systemic nerve of the posterior leg that begins as part of the sciatic nerve

foramen magnum

large opening in the occipital bone of the skull through which the spinal cord emerges and the vertebral arteries enter the cranium

forebrain

anterior region of the adult brain that develops from the prosencephalon and includes the cerebrum and diencephalon

fourth ventricle

the portion of the ventricular system that is in the region of the brain stem and opens into the subarachnoid space through the median and lateral apertures

frontal eye field

region of the frontal lobe associated with motor commands to orient the eyes toward an object of visual attention

frontal lobe

region of the cerebral cortex directly beneath the frontal bone of the cranium

gastric plexuses

neuronal networks in the wall of the stomach that are part of the enteric nervous system

globus pallidus

nuclei deep in the cerebrum that are part of the basal nuclei and can be divided into the internal and external segments

glossopharyngeal nerve

ninth cranial nerve; responsible for contraction of muscles in the tongue and throat and for part of the sense of taste, as well as causing saliva production

gyrus

ridge formed by convolutions on the surface of the cerebrum or cerebellum

hindbrain

posterior region of the adult brain that develops from the rhombencephalon and includes the pons, medulla oblongata, and cerebellum

hippocampus

gray matter deep in the temporal lobe that is very important for long-term memory formation

hypoglossal nerve

twelfth cranial nerve; responsible for contraction of muscles of the tongue

hypothalamus

major region of the diencephalon that is responsible for coordinating autonomic and endocrine control of homeostasis

indirect pathway

connections within the basal nuclei from the striatum through the globus pallidus external segment and subthalamic nucleus to the globus pallidus internal segment/substantia nigra pars compacta that result in inhibition of the thalamus to decrease cortical control of movement

inferior colliculus

half of the midbrain tectum that is part of the brain stem auditory pathway

inferior olive

nucleus in the medulla that is involved in processing information related to motor control

intercostal nerve

systemic nerve in the thoracic cavity that is found between two ribs

internal carotid artery

branch from the common carotid artery that enters the cranium and supplies blood to the brain

interventricular foramina

openings between the lateral ventricles and third ventricle allowing for the passage of CSF

jugular veins

blood vessels that return “used” blood from the head and neck

kinesthesia

general sensory perception of movement of the body

lateral apertures

pair of openings from the fourth ventricle to the subarachnoid space on either side and between the medulla and cerebellum

lateral column

white matter of the spinal cord between the posterior horn on one side and the axons from the anterior horn on the same side; composed of many different groups of axons, of both ascending and descending tracts, carrying motor commands to and from the brain

lateral horn

region of the spinal cord gray matter in the thoracic, upper lumbar, and sacral regions that is the central component of the sympathetic division of the autonomic nervous system

lateral sulcus

surface landmark of the cerebral cortex that marks the boundary between the temporal lobe and the frontal and parietal lobes

lateral ventricles

portions of the ventricular system that are in the region of the cerebrum

limbic cortex

collection of structures of the cerebral cortex that are involved in emotion, memory, and behavior and are part of the larger limbic system

limbic system

structures at the edge (limit) of the boundary between the forebrain and hindbrain that are most associated with emotional behavior and memory formation

longitudinal fissure

large separation along the midline between the two cerebral hemispheres

lumbar plexus

nerve plexus associated with the lumbar spinal nerves

lumbar puncture

procedure used to withdraw CSF from the lower lumbar region of the vertebral column that avoids the risk of damaging CNS tissue because the spinal cord ends at the upper lumbar vertebrae

median aperture

singular opening from the fourth ventricle into the subarachnoid space at the midline between the medulla and cerebellum

median nerve

systemic nerve of the arm, located between the ulnar and radial nerves

meninges

protective outer coverings of the CNS composed of connective tissue

mesencephalon

primary vesicle of the embryonic brain that does not significantly change through the rest of embryonic development and becomes the midbrain

metencephalon

secondary vesicle of the embryonic brain that develops into the pons and the cerebellum

midbrain

middle region of the adult brain that develops from the mesencephalon

myelencephalon

secondary vesicle of the embryonic brain that develops into the medulla

nerve plexus

network of nerves without neuronal cell bodies included

neural crest

tissue that detaches from the edges of the neural groove and migrates through the embryo to develop into peripheral structures of both nervous and non-nervous tissues

neural fold

elevated edge of the neural groove

neural groove

region of the neural plate that folds into the dorsal surface of the embryo and closes off to become the neural tube

neural plate

thickened layer of neuroepithelium that runs longitudinally along the dorsal surface of an embryo and gives rise to nervous system tissue

neural tube

precursor to structures of the central nervous system, formed by the invagination and separation of neuroepithelium

neuraxis

central axis to the nervous system, from the posterior to anterior ends of the neural tube; the inferior tip of the spinal cord to the anterior surface of the cerebrum

occipital lobe

region of the cerebral cortex directly beneath the occipital bone of the cranium

occipital sinuses

dural sinuses along the edge of the occipital lobes of the cerebrum

oculomotor nerve

third cranial nerve; responsible for contraction of four of the extraocular muscles, the muscle in the upper eyelid, and pupillary constriction

olfaction

special sense responsible for smell, which has a unique, direct connection to the cerebrum

olfactory nerve

first cranial nerve; responsible for the sense of smell

optic nerve

second cranial nerve; responsible for visual sensation

orthostatic reflex

sympathetic function that maintains blood pressure when standing to offset the increased effect of gravity

paravertebral ganglia

autonomic ganglia superior to the sympathetic chain ganglia

parietal lobe

region of the cerebral cortex directly beneath the parietal bone of the cranium

parieto-occipital sulcus

groove in the cerebral cortex representing the border between the parietal and occipital cortices

perineurium

layer of connective tissue surrounding fascicles within a nerve

phrenic nerve

systemic nerve from the cervical plexus that innervates the diaphragm

pia mater

thin, innermost membrane of the meninges that directly covers the surface of the CNS

plexus

network of nerves or nervous tissue

postcentral gyrus

primary motor cortex located in the frontal lobe of the cerebral cortex

posterior columns

white matter of the spinal cord that lies between the posterior horns of the gray matter, sometimes referred to as the dorsal column; composed of axons of ascending tracts that carry sensory information up to the brain

posterior horn

gray matter region of the spinal cord in which sensory input arrives, sometimes referred to as the dorsal horn

posterior median sulcus

midline feature of the posterior spinal cord, marking the separation between right and left sides of the cord

posterolateral sulcus

feature of the posterior spinal cord marking the entry of posterior nerve roots and the separation between the posterior and lateral columns of the white matter

precentral gyrus

ridge just posterior to the central sulcus, in the parietal lobe, where somatosensory processing initially takes place in the cerebrum

prefrontal lobe

specific region of the frontal lobe anterior to the more specific motor function areas, which can be related to the early planning of movements and intentions to the point of being personality-type functions

premotor area

region of the frontal lobe responsible for planning movements that will be executed through the primary motor cortex

prevertebral ganglia

autonomic ganglia that are anterior to the vertebral column and functionally related to the sympathetic chain ganglia

primary vesicle

initial enlargements of the anterior neural tube during embryonic development that develop into the forebrain, midbrain, and hindbrain

proprioception

general sensory perceptions providing information about location and movement of body parts; the “sense of the self”

prosencephalon

primary vesicle of the embryonic brain that develops into the forebrain, which includes the cerebrum and diencephalon

putamen

nucleus deep in the cerebrum that is part of the basal nuclei; along with the caudate, it is part of the striatum

radial nerve

systemic nerve of the arm, the distal component of which is located near the radial bone

reticular formation

diffuse region of gray matter throughout the brain stem that regulates sleep, wakefulness, and states of consciousness

rhombencephalon

primary vesicle of the embryonic brain that develops into the hindbrain, which includes the pons, cerebellum, and medulla

sacral plexus

nerve plexus associated with the lower lumbar and sacral spinal nerves

saphenous nerve

systemic nerve of the lower anterior leg that is a branch from the femoral nerve

sciatic nerve

systemic nerve from the sacral plexus that is a combination of the tibial and fibular nerves and extends across the hip joint and gluteal region into the upper posterior leg

sciatica

painful condition resulting from inflammation or compression of the sciatic nerve or any of the spinal nerves that contribute to it

secondary vesicle

five vesicles that develop from primary vesicles, continuing the process of differentiation of the embryonic brain

sigmoid sinuses

dural sinuses that drain directly into the jugular veins

somatosensation

general senses related to the body, usually thought of as the senses of touch, which would include pain, temperature, and proprioception

spinal accessory nerve

eleventh cranial nerve; responsible for contraction of neck muscles

spinal nerve

one of 31 nerves connected to the spinal cord

straight sinus

dural sinus that drains blood from the deep center of the brain to collect with the other sinuses

striatum

the caudate and putamen collectively, as part of the basal nuclei, which receive input from the cerebral cortex

subarachnoid space

space between the arachnoid mater and pia mater that contains CSF and the fibrous connections of the arachnoid trabeculae

subcortical nucleus

all the nuclei beneath the cerebral cortex, including the basal nuclei and the basal forebrain

substantia nigra pars compacta

nuclei within the basal nuclei that release dopamine to modulate the function of the striatum; part of the motor pathway

substantia nigra pars reticulata

nuclei within the basal nuclei that serve as an output center of the nuclei; part of the motor pathway

subthalamus

nucleus within the basal nuclei that is part of the indirect pathway

sulcus

groove formed by convolutions in the surface of the cerebral cortex

superior colliculus

half of the midbrain tectum that is responsible for aligning visual, auditory, and somatosensory spatial perceptions

superior sagittal sinus

dural sinus that runs along the top of the longitudinal fissure and drains blood from the majority of the outer cerebrum

sympathetic chain ganglia

autonomic ganglia in a chain along the anterolateral aspect of the vertebral column that are responsible for contributing to homeostatic mechanisms of the autonomic nervous system

systemic nerve

nerve in the periphery distal to a nerve plexus or spinal nerve

tectum

region of the midbrain, thought of as the roof of the cerebral aqueduct, which is subdivided into the inferior and superior colliculi

tegmentum

region of the midbrain, thought of as the floor of the cerebral aqueduct, which continues into the pons and medulla as the floor of the fourth ventricle

telencephalon

secondary vesicle of the embryonic brain that develops into the cerebrum

temporal lobe

region of the cerebral cortex directly beneath the temporal bone of the cranium

terminal ganglion

autonomic ganglia that are near or within the walls of organs that are responsible for contributing to homeostatic mechanisms of the autonomic nervous system

thalamus

major region of the diencephalon that is responsible for relaying information between the cerebrum and the hindbrain, spinal cord, and periphery

third ventricle

portion of the ventricular system that is in the region of the diencephalon

tibial nerve

systemic nerve of the posterior leg that begins as part of the sciatic nerve

transverse sinuses

dural sinuses that drain along either side of the occipital–cerebellar space

trigeminal ganglion

sensory ganglion that contributes sensory fibers to the trigeminal nerve

trigeminal nerve

fifth cranial nerve; responsible for cutaneous sensation of the face and contraction of the muscles of mastication

trochlear nerve

fourth cranial nerve; responsible for contraction of one of the extraocular muscles

ulnar nerve

systemic nerve of the arm located close to the ulna, a bone of the forearm

vagus nerve

tenth cranial nerve; responsible for the autonomic control of organs in the thoracic and upper abdominal cavities

ventral (anterior) nerve root

axons emerging from the anterior or lateral horns of the spinal cord

ventricles

remnants of the hollow center of the neural tube that are spaces for cerebrospinal fluid to circulate through the brain

vertebral arteries

arteries that ascend along either side of the vertebral column through the transverse foramina of the cervical vertebrae and enter the cranium through the foramen magnum

vestibulocochlear nerve

eighth cranial nerve; responsible for the sensations of hearing and balance

Chapter 14 - Key Terms

alkaloid

substance, usually from a plant source, that is chemically basic with respect to pH and will stimulate bitter receptors

amacrine cell

type of cell in the retina that connects to the bipolar cells near the outer synaptic layer and provides the basis for early image processing within the retina

ampulla

in the ear, the structure at the base of a semicircular canal that contains the hair cells and cupula for transduction of rotational movement of the head

anosmia

loss of the sense of smell; usually the result of physical disruption of the first cranial nerve

anterior corticospinal tract

division of the corticospinal pathway that travels through the ventral (anterior) column of the spinal cord and controls axial musculature through the medial motor neurons in the ventral (anterior) horn

aqueous humor

watery fluid that fills the anterior chamber containing the cornea, iris, ciliary body, and lens of the eye

ascending pathway

fiber structure that relays sensory information from the periphery through the spinal cord and brain stem to other structures of the brain

association area

region of cortex connected to a primary sensory cortical area that further processes the information to generate more complex sensory perceptions

audition

sense of hearing

auricle

fleshy external structure of the ear

basilar membrane

in the ear, the floor of the cochlear duct on which the organ of Corti sits

Betz cells

output cells of the primary motor cortex that cause musculature to move through synapses on cranial and spinal motor neurons

binocular depth cues

indications of the distance of visual stimuli on the basis of slight differences in the images projected onto either retina

bipolar cell

cell type in the retina that connects the photoreceptors to the RGCs

Broca’s area

region of the frontal lobe associated with the motor commands necessary for speech production

capsaicin

molecule that activates nociceptors by interacting with a temperature-sensitive ion channel and is the basis for “hot” sensations in spicy food

cerebral peduncles

segments of the descending motor pathway that make up the white matter of the ventral midbrain

cervical enlargement

region of the ventral (anterior) horn of the spinal cord that has a larger population of motor neurons for the greater number of and finer control of muscles of the upper limb

chemoreceptor

sensory receptor cell that is sensitive to chemical stimuli, such as in taste, smell, or pain

chief sensory nucleus

component of the trigeminal nuclei that is found in the pons

choroid

highly vascular tissue in the wall of the eye that supplies the outer retina with blood

ciliary body

smooth muscle structure on the interior surface of the iris that controls the shape of the lens through the zonule fibers

circadian rhythm

internal perception of the daily cycle of light and dark based on retinal activity related to sunlight

cochlea

auditory portion of the inner ear containing structures to transduce sound stimuli

cochlear duct

space within the auditory portion of the inner ear that contains the organ of Corti and is adjacent to the scala tympani and scala vestibuli on either side

cone photoreceptor

one of the two types of retinal receptor cell that is specialized for color vision through the use of three photopigments distributed through three separate populations of cells

contralateral

word meaning “on the opposite side,” as in axons that cross the midline in a fiber tract

cornea

fibrous covering of the anterior region of the eye that is transparent so that light can pass through it

corneal reflex

protective response to stimulation of the cornea causing contraction of the orbicularis oculi muscle resulting in blinking of the eye

corticobulbar tract

connection between the cortex and the brain stem responsible for generating movement

corticospinal tract

connection between the cortex and the spinal cord responsible for generating movement

cupula

specialized structure within the base of a semicircular canal that bends the stereocilia of hair cells when the head rotates by way of the relative movement of the enclosed fluid

decussate

to cross the midline, as in fibers that project from one side of the body to the other

dorsal column system

ascending tract of the spinal cord associated with fine touch and proprioceptive sensations

dorsal stream

connections between cortical areas from the occipital to parietal lobes that are responsible for the perception of visual motion and guiding movement of the body in relation to that motion

encapsulated ending

configuration of a sensory receptor neuron with dendrites surrounded by specialized structures to aid in transduction of a particular type of sensation, such as the lamellated corpuscles in the deep dermis and subcutaneous tissue

equilibrium

sense of balance that includes sensations of position and movement of the head

executive functions

cognitive processes of the prefrontal cortex that lead to directing goal-directed behavior, which is a precursor to executing motor commands

external ear

structures on the lateral surface of the head, including the auricle and the ear canal back to the tympanic membrane

exteroceptor

sensory receptor that is positioned to interpret stimuli from the external environment, such as photoreceptors in the eye or somatosensory receptors in the skin

extraocular muscle

one of six muscles originating out of the bones of the orbit and inserting into the surface of the eye which are responsible for moving the eye

extrapyramidal system

pathways between the brain and spinal cord that are separate from the corticospinal tract and are responsible for modulating the movements generated through that primary pathway

fasciculus cuneatus

lateral division of the dorsal column system composed of fibers from sensory neurons in the upper body

fasciculus gracilis

medial division of the dorsal column system composed of fibers from sensory neurons in the lower body

fibrous tunic

outer layer of the eye primarily composed of connective tissue known as the sclera and cornea

fovea

exact center of the retina at which visual stimuli are focused for maximal acuity, where the retina is thinnest, at which there is nothing but photoreceptors

free nerve ending

configuration of a sensory receptor neuron with dendrites in the connective tissue of the organ, such as in the dermis of the skin, that are most often sensitive to chemical, thermal, and mechanical stimuli

frontal eye fields

area of the prefrontal cortex responsible for moving the eyes to attend to visual stimuli

general sense

any sensory system that is distributed throughout the body and incorporated into organs of multiple other systems, such as the walls of the digestive organs or the skin

gustation

sense of taste

gustatory receptor cells

sensory cells in the taste bud that transduce the chemical stimuli of gustation

hair cells

mechanoreceptor cells found in the inner ear that transduce stimuli for the senses of hearing and balance

incus

(also, anvil) ossicle of the middle ear that connects the malleus to the stapes

inferior colliculus

last structure in the auditory brainstem pathway that projects to the thalamus and superior colliculus

inferior oblique

extraocular muscle responsible for lateral rotation of the eye

inferior rectus

extraocular muscle responsible for looking down

inner ear

structure within the temporal bone that contains the sensory apparati of hearing and balance

inner segment

in the eye, the section of a photoreceptor that contains the nucleus and other major organelles for normal cellular functions

inner synaptic layer

layer in the retina where bipolar cells connect to RGCs

interaural intensity difference

cue used to aid sound localization in the horizontal plane that compares the relative loudness of sounds at the two ears, because the ear closer to the sound source will hear a slightly more intense sound

interaural time difference

cue used to help with sound localization in the horizontal plane that compares the relative time of arrival of sounds at the two ears, because the ear closer to the sound source will receive the stimulus microseconds before the other ear

internal capsule

segment of the descending motor pathway that passes between the caudate nucleus and the putamen

interoceptor

sensory receptor that is positioned to interpret stimuli from internal organs, such as stretch receptors in the wall of blood vessels

ipsilateral

word meaning on the same side, as in axons that do not cross the midline in a fiber tract

iris

colored portion of the anterior eye that surrounds the pupil

kinesthesia

sense of body movement based on sensations in skeletal muscles, tendons, joints, and the skin

lacrimal duct

duct in the medial corner of the orbit that drains tears into the nasal cavity

lacrimal gland

gland lateral to the orbit that produces tears to wash across the surface of the eye

lateral corticospinal tract

division of the corticospinal pathway that travels through the lateral column of the spinal cord and controls appendicular musculature through the lateral motor neurons in the ventral (anterior) horn

lateral geniculate nucleus

thalamic target of the RGCs that projects to the visual cortex

lateral rectus

extraocular muscle responsible for abduction of the eye

lens

component of the eye that focuses light on the retina

levator palpebrae superioris

muscle that causes elevation of the upper eyelid, controlled by fibers in the oculomotor nerve

lumbar enlargement

region of the ventral (anterior) horn of the spinal cord that has a larger population of motor neurons for the greater number of muscles of the lower limb

macula

enlargement at the base of a semicircular canal at which transduction of equilibrium stimuli takes place within the ampulla

malleus

(also, hammer) ossicle that is directly attached to the tympanic membrane

mechanoreceptor

receptor cell that transduces mechanical stimuli into an electrochemical signal

medial geniculate nucleus

thalamic target of the auditory brain stem that projects to the auditory cortex

medial lemniscus

fiber tract of the dorsal column system that extends from the nuclei gracilis and cuneatus to the thalamus, and decussates

medial rectus

extraocular muscle responsible for adduction of the eye

mesencephalic nucleus

component of the trigeminal nuclei that is found in the midbrain

middle ear

space within the temporal bone between the ear canal and bony labyrinth where the ossicles amplify sound waves from the tympanic membrane to the oval window

multimodal integration area

region of the cerebral cortex in which information from more than one sensory modality is processed to arrive at higher level cortical functions such as memory, learning, or cognition

neural tunic

layer of the eye that contains nervous tissue, namely the retina

nociceptor

receptor cell that senses pain stimuli

nucleus cuneatus

medullary nucleus at which first-order neurons of the dorsal column system synapse specifically from the upper body and arms

nucleus gracilis

medullary nucleus at which first-order neurons of the dorsal column system synapse specifically from the lower body and legs

odorant molecules

volatile chemicals that bind to receptor proteins in olfactory neurons to stimulate the sense of smell

olfaction

sense of smell

olfactory bulb

central target of the first cranial nerve; located on the ventral surface of the frontal lobe in the cerebrum

olfactory epithelium

region of the nasal epithelium where olfactory neurons are located

olfactory sensory neuron

receptor cell of the olfactory system, sensitive to the chemical stimuli of smell, the axons of which compose the first cranial nerve

opsin

protein that contains the photosensitive cofactor retinal for phototransduction

optic chiasm

decussation point in the visual system at which medial retina fibers cross to the other side of the brain

optic disc

spot on the retina at which RGC axons leave the eye and blood vessels of the inner retina pass

optic nerve

second cranial nerve, which is responsible visual sensation

optic tract

name for the fiber structure containing axons from the retina posterior to the optic chiasm representing their CNS location

organ of Corti

structure in the cochlea in which hair cells transduce movements from sound waves into electrochemical signals

osmoreceptor

receptor cell that senses differences in the concentrations of bodily fluids on the basis of osmotic pressure

ossicles

three small bones in the middle ear

otolith

layer of calcium carbonate crystals located on top of the otolithic membrane

otolithic membrane

gelatinous substance in the utricle and saccule of the inner ear that contains calcium carbonate crystals and into which the stereocilia of hair cells are embedded

outer segment

in the eye, the section of a photoreceptor that contains opsin molecules that transduce light stimuli

outer synaptic layer

layer in the retina at which photoreceptors connect to bipolar cells

oval window

membrane at the base of the cochlea where the stapes attaches, marking the beginning of the scala vestibuli

palpebral conjunctiva

membrane attached to the inner surface of the eyelids that covers the anterior surface of the cornea

papilla

for gustation, a bump-like projection on the surface of the tongue that contains taste buds

photoisomerization

chemical change in the retinal molecule that alters the bonding so that it switches from the 11-cis-retinal isomer to the all-trans-retinal isomer

photon

individual “packet” of light

photoreceptor

receptor cell specialized to respond to light stimuli

premotor cortex

cortical area anterior to the primary motor cortex that is responsible for planning movements

primary sensory cortex

region of the cerebral cortex that initially receives sensory input from an ascending pathway from the thalamus and begins the processing that will result in conscious perception of that modality

proprioception

sense of position and movement of the body

proprioceptor

receptor cell that senses changes in the position and kinesthetic aspects of the body

pupil

open hole at the center of the iris that light passes through into the eye

pyramidal decussation

location at which corticospinal tract fibers cross the midline and segregate into the anterior and lateral divisions of the pathway

pyramids

segment of the descending motor pathway that travels in the anterior position of the medulla

receptor cell

cell that transduces environmental stimuli into neural signals

red nucleus

midbrain nucleus that sends corrective commands to the spinal cord along the rubrospinal tract, based on disparity between an original command and the sensory feedback from movement

reticulospinal tract

extrapyramidal connections between the brain stem and spinal cord that modulate movement, contribute to posture, and regulate muscle tone

retina

nervous tissue of the eye at which phototransduction takes place

retinal

cofactor in an opsin molecule that undergoes a biochemical change when struck by a photon (pronounced with a stress on the last syllable)

retinal ganglion cell (RGC)

neuron of the retina that projects along the second cranial nerve

rhodopsin

photopigment molecule found in the rod photoreceptors

rod photoreceptor

one of the two types of retinal receptor cell that is specialized for low-light vision

round window

membrane that marks the end of the scala tympani

rubrospinal tract

descending motor control pathway, originating in the red nucleus, that mediates control of the limbs on the basis of cerebellar processing

saccule

structure of the inner ear responsible for transducing linear acceleration in the vertical plane

scala tympani

portion of the cochlea that extends from the apex to the round window

scala vestibuli

portion of the cochlea that extends from the oval window to the apex

sclera

white of the eye

semicircular canals

structures within the inner ear responsible for transducing rotational movement information

sensory homunculus

topographic representation of the body within the somatosensory cortex demonstrating the correspondence between neurons processing stimuli and sensitivity

sensory modality

a particular system for interpreting and perceiving environmental stimuli by the nervous system

solitary nucleus

medullar nucleus that receives taste information from the facial and glossopharyngeal nerves

somatosensation

general sense associated with modalities lumped together as touch

special sense

any sensory system associated with a specific organ structure, namely smell, taste, sight, hearing, and balance

spinal trigeminal nucleus

component of the trigeminal nuclei that is found in the medulla

spinothalamic tract

ascending tract of the spinal cord associated with pain and temperature sensations

spiral ganglion

location of neuronal cell bodies that transmit auditory information along the eighth cranial nerve

stapes

(also, stirrup) ossicle of the middle ear that is attached to the inner ear

stereocilia

array of apical membrane extensions in a hair cell that transduce movements when they are bent

stretch reflex

response to activation of the muscle spindle stretch receptor that causes contraction of the muscle to maintain a constant length

submodality

specific sense within a broader major sense such as sweet as a part of the sense of taste, or color as a part of vision

superior colliculus

structure in the midbrain that combines visual, auditory, and somatosensory input to coordinate spatial and topographic representations of the three sensory systems

superior oblique

extraocular muscle responsible for medial rotation of the eye

superior rectus

extraocular muscle responsible for looking up

supplemental motor area

cortical area anterior to the primary motor cortex that is responsible for planning movements

suprachiasmatic nucleus

hypothalamic target of the retina that helps to establish the circadian rhythm of the body on the basis of the presence or absence of daylight

taste buds

structures within a papilla on the tongue that contain gustatory receptor cells

tectorial membrane

component of the organ of Corti that lays over the hair cells, into which the stereocilia are embedded

tectospinal tract

extrapyramidal connections between the superior colliculus and spinal cord

thermoreceptor

sensory receptor specialized for temperature stimuli

topographical

relating to positional information

transduction

process of changing an environmental stimulus into the electrochemical signals of the nervous system

trochlea

cartilaginous structure that acts like a pulley for the superior oblique muscle

tympanic membrane

ear drum

umami

taste submodality for sensitivity to the concentration of amino acids; also called the savory sense

utricle

structure of the inner ear responsible for transducing linear acceleration in the horizontal plane

vascular tunic

middle layer of the eye primarily composed of connective tissue with a rich blood supply

ventral posterior nucleus

nucleus in the thalamus that is the target of gustatory sensations and projects to the cerebral cortex

ventral stream

connections between cortical areas from the occipital lobe to the temporal lobe that are responsible for identification of visual stimuli

vestibular ganglion

location of neuronal cell bodies that transmit equilibrium information along the eighth cranial nerve

vestibular nuclei

targets of the vestibular component of the eighth cranial nerve

vestibule

in the ear, the portion of the inner ear responsible for the sense of equilibrium

vestibulo-ocular reflex (VOR)

reflex based on connections between the vestibular system and the cranial nerves of eye movements that ensures images are stabilized on the retina as the head and body move

vestibulospinal tract

extrapyramidal connections between the vestibular nuclei in the brain stem and spinal cord that modulate movement and contribute to balance on the basis of the sense of equilibrium

visceral sense

sense associated with the internal organs

vision

special sense of sight based on transduction of light stimuli

visual acuity

property of vision related to the sharpness of focus, which varies in relation to retinal position

vitreous humor

viscous fluid that fills the posterior chamber of the eye

working memory

function of the prefrontal cortex to maintain a representation of information that is not in the immediate environment

zonule fibers

fibrous connections between the ciliary body and the lens

Chapter 15 - Key Terms

acetylcholine (ACh)

neurotransmitter that binds at a motor end-plate to trigger depolarization

adrenal medulla

interior portion of the adrenal (or suprarenal) gland that releases epinephrine and norepinephrine into the bloodstream as hormones

adrenergic

synapse where norepinephrine is released, which binds to α- or β-adrenergic receptors

afferent branch

component of a reflex arc that represents the input from a sensory neuron, for either a special or general sense

agonist

any exogenous substance that binds to a receptor and produces a similar effect to the endogenous ligand

alpha (α)-adrenergic receptor

one of the receptors to which epinephrine and norepinephrine bind, which comes in two subtypes: α1 and α2

antagonist

any exogenous substance that binds to a receptor and produces an opposing effect to the endogenous ligand

anticholinergic drugs

drugs that interrupt or reduce the function of the parasympathetic system

autonomic tone

tendency of an organ system to be governed by one division of the autonomic nervous system over the other, such as heart rate being lowered by parasympathetic input at rest

baroreceptor

mechanoreceptor that senses the stretch of blood vessels to indicate changes in blood pressure

beta (β)-adrenergic receptor

one of the receptors to which epinephrine and norepinephrine bind, which comes in three subtypes: β1, β2, and β3

cardiac accelerator nerves

preganglionic sympathetic fibers that cause the heart rate to increase when the cardiovascular center in the medulla initiates a signal

cardiovascular center

region in the medulla that controls the cardiovascular system through cardiac accelerator nerves and vasomotor nerves, which are components of the sympathetic division of the autonomic nervous system

celiac ganglion

one of the collateral ganglia of the sympathetic system that projects to the digestive system

central neuron

specifically referring to the cell body of a neuron in the autonomic system that is located in the central nervous system, specifically the lateral horn of the spinal cord or a brain stem nucleus

cholinergic

synapse at which acetylcholine is released and binds to the nicotinic or muscarinic receptor

chromaffin cells

neuroendocrine cells of the adrenal medulla that release epinephrine and norepinephrine into the bloodstream as part of sympathetic system activity

ciliary ganglion

one of the terminal ganglia of the parasympathetic system, located in the posterior orbit, axons from which project to the iris

collateral ganglia

ganglia outside of the sympathetic chain that are targets of sympathetic preganglionic fibers, which are the celiac, inferior mesenteric, and superior mesenteric ganglia

craniosacral system

alternate name for the parasympathetic division of the autonomic nervous system that is based on the anatomical location of central neurons in brain-stem nuclei and the lateral horn of the sacral spinal cord; also referred to as craniosacral outflow

dorsal longitudinal fasciculus

major output pathway of the hypothalamus that descends through the gray matter of the brain stem and into the spinal cord

dorsal nucleus of the vagus nerve

location of parasympathetic neurons that project through the vagus nerve to terminal ganglia in the thoracic and abdominal cavities

Edinger–Westphal nucleus

location of parasympathetic neurons that project to the ciliary ganglion

efferent branch

component of a reflex arc that represents the output, with the target being an effector, such as muscle or glandular tissue

endogenous

describes substance made in the human body

endogenous chemical

substance produced and released within the body to interact with a receptor protein

epinephrine

signaling molecule released from the adrenal medulla into the bloodstream as part of the sympathetic response

exogenous

describes substance made outside of the human body

exogenous chemical

substance from a source outside the body, whether it be another organism such as a plant or from the synthetic processes of a laboratory, that binds to a transmembrane receptor protein

fight-or-flight response

set of responses induced by sympathetic activity that lead to either fleeing a threat or standing up to it, which in the modern world is often associated with anxious feelings

G protein–coupled receptor

membrane protein complex that consists of a receptor protein that binds to a signaling molecule—a G protein—that is activated by that binding and in turn activates an effector protein (enzyme) that creates a second-messenger molecule in the cytoplasm of the target cell

ganglionic neuron

specifically refers to the cell body of a neuron in the autonomic system that is located in a ganglion

gray rami communicantes

(singular = ramus communicans) unmyelinated structures that provide a short connection from a sympathetic chain ganglion to the spinal nerve that contains the postganglionic sympathetic fiber

greater splanchnic nerve

nerve that contains fibers of the central sympathetic neurons that do not synapse in the chain ganglia but project onto the celiac ganglion

inferior mesenteric ganglion

one of the collateral ganglia of the sympathetic system that projects to the digestive system

intramural ganglia

terminal ganglia of the parasympathetic system that are found within the walls of the target effector

lesser splanchnic nerve

nerve that contains fibers of the central sympathetic neurons that do not synapse in the chain ganglia but project onto the inferior mesenteric ganglion

ligand-gated cation channel

ion channel, such as the nicotinic receptor, that is specific to positively charged ions and opens when a molecule such as a neurotransmitter binds to it

limbic lobe

structures arranged around the edges of the cerebrum that are involved in memory and emotion

long reflex

reflex arc that includes the central nervous system

medial forebrain bundle

fiber pathway that extends anteriorly into the basal forebrain, passes through the hypothalamus, and extends into the brain stem and spinal cord

mesenteric plexus

nervous tissue within the wall of the digestive tract that contains neurons that are the targets of autonomic preganglionic fibers and that project to the smooth muscle and glandular tissues in the digestive organ

muscarinic receptor

type of acetylcholine receptor protein that is characterized by also binding to muscarine and is a metabotropic receptor

mydriasis

dilation of the pupil; typically the result of disease, trauma, or drugs

nicotinic receptor

type of acetylcholine receptor protein that is characterized by also binding to nicotine and is an ionotropic receptor

norepinephrine

signaling molecule released as a neurotransmitter by most postganglionic sympathetic fibers as part of the sympathetic response, or as a hormone into the bloodstream from the adrenal medulla

nucleus ambiguus

brain-stem nucleus that contains neurons that project through the vagus nerve to terminal ganglia in the thoracic cavity; specifically associated with the heart

parasympathetic division

division of the autonomic nervous system responsible for restful and digestive functions

parasympathomimetic drugs

drugs that enhance or mimic the function of the parasympathetic system

paravertebral ganglia

autonomic ganglia superior to the sympathetic chain ganglia

postganglionic fiber

axon from a ganglionic neuron in the autonomic nervous system that projects to and synapses with the target effector; sometimes referred to as a postganglionic neuron

preganglionic fiber

axon from a central neuron in the autonomic nervous system that projects to and synapses with a ganglionic neuron; sometimes referred to as a preganglionic neuron

prevertebral ganglia

autonomic ganglia that are anterior to the vertebral column and functionally related to the sympathetic chain ganglia

referred pain

the conscious perception of visceral sensation projected to a different region of the body, such as the left shoulder and arm pain as a sign for a heart attack

reflex arc

circuit of a reflex that involves a sensory input and motor output, or an afferent branch and an efferent branch, and an integrating center to connect the two branches

rest and digest

set of functions associated with the parasympathetic system that lead to restful actions and digestion

short reflex

reflex arc that does not include any components of the central nervous system

somatic reflex

reflex involving skeletal muscle as the effector, under the control of the somatic nervous system

superior cervical ganglion

one of the paravertebral ganglia of the sympathetic system that projects to the head

superior mesenteric ganglion

one of the collateral ganglia of the sympathetic system that projects to the digestive system

sympathetic chain ganglia

series of ganglia adjacent to the vertebral column that receive input from central sympathetic neurons

sympathetic division

division of the autonomic nervous system associated with the fight-or-flight response

sympatholytic drug

drug that interrupts, or “lyses,” the function of the sympathetic system

sympathomimetic drug

drug that enhances or mimics the function of the sympathetic system

target effector

organ, tissue, or gland that will respond to the control of an autonomic or somatic or endocrine signal

terminal ganglia

ganglia of the parasympathetic division of the autonomic system, which are located near or within the target effector, the latter also known as intramural ganglia

thoracolumbar system

alternate name for the sympathetic division of the autonomic nervous system that is based on the anatomical location of central neurons in the lateral horn of the thoracic and upper lumbar spinal cord

varicosity

structure of some autonomic connections that is not a typical synaptic end bulb, but a string of swellings along the length of a fiber that makes a network of connections with the target effector

vasomotor nerves

preganglionic sympathetic fibers that cause the constriction of blood vessels in response to signals from the cardiovascular center

visceral reflex

reflex involving an internal organ as the effector, under the control of the autonomic nervous system

white rami communicantes

(singular = ramus communicans) myelinated structures that provide a short connection from a sympathetic chain ganglion to the spinal nerve that contains the preganglionic sympathetic fiber

Chapter 16 - Key Terms

accommodation

in vision, a change in the ability of the eye to focus on objects at different distances

accommodation–convergence reflex

coordination of somatic control of the medial rectus muscles of either eye with the parasympathetic control of the ciliary bodies to maintain focus while the eyes converge on visual stimuli near to the face

anterograde amnesia

inability to form new memories from a particular time forward

aphasia

loss of language function

ataxia

movement disorder related to damage of the cerebellum characterized by loss of coordination in voluntary movements

Babinski sign

dorsiflexion of the foot with extension and splaying of the toes in response to the plantar reflex, normally suppressed by corticospinal input

cerebrocerebellum

lateral regions of the cerebellum; named for the significant input from the cerebral cortex

check reflex

response to a release in resistance so that the contractions stop, or check, movement

clasp-knife response

sign of UMN disease when a patient initially resists passive movement of a muscle but will quickly release to a lower state of resistance

conduction aphasia

loss of language function related to connecting the understanding of speech with the production of speech, without either specific function being lost

conductive hearing

hearing dependent on the conduction of vibrations of the tympanic membrane through the ossicles of the middle ear

conjugate gaze

coordinated movement of the two eyes simultaneously in the same direction

convergence

in vision, the movement of the eyes so that they are both pointed at the same point in space, which increases for stimuli that are closer to the subject

coordination exam

major section of the neurological exam that assesses complex, coordinated motor functions of the cerebellum and associated motor pathways

cortico-ponto-cerebellar pathway

projection from the cerebral cortex to the cerebellum by way of the gray matter of the pons

cranial nerve exam

major section of the neurological exam that assesses sensory and motor functions of the cranial nerves and their associated central and peripheral structures

cytoarchitecture

study of a tissue based on the structure and organization of its cellular components; related to the broader term, histology

deep tendon reflex

another term for stretch reflex, based on the elicitation through deep stimulation of the tendon at the insertion

diplopia

double vision resulting from a failure in conjugate gaze

edema

fluid accumulation in tissue; often associated with circulatory deficits

embolus

obstruction in a blood vessel such as a blood clot, fatty mass, air bubble, or other foreign matter that interrupts the flow of blood to an organ or some part of the body

episodic memory

memory of specific events in an autobiographical sense

expressive aphasia

loss of the ability to produce language; usually associated with damage to Broca’s area in the frontal lobe

extrinsic muscles of the tongue

muscles that are connected to other structures, such as the hyoid bone or the mandible, and control the position of the tongue

fasciculation

small muscle twitch as a result of spontaneous activity from an LMN

fauces

opening from the oral cavity into the pharynx

fibrillation

in motor responses, a spontaneous muscle action potential that occurs in the absence of neuromuscular input, resulting from LMN lesions

flaccid paralysis

loss of voluntary muscle control and muscle tone, as the result of LMN disease

flaccidity

presentation of a loss of muscle tone, observed as floppy limbs or a lack of resistance to passive movement

flocculonodular lobe

lobe of the cerebellum that receives input from the vestibular system to help with balance and posture

gait

rhythmic pattern of alternating movements of the lower limbs during locomotion

gait exam

major section of the neurological exam that assesses the cerebellum and descending pathways in the spinal cord through the coordinated motor functions of walking; a portion of the coordination exam

gnosis

in a neurological exam, intuitive experiential knowledge tested by interacting with common objects or symbols

graphesthesia

perception of symbols, such as letters or numbers, traced in the palm of the hand

hemisection

cut through half of a structure, such as the spinal cord

hemorrhagic stroke

disruption of blood flow to the brain caused by bleeding within the cranial vault

hyperflexia

overly flexed joints

hypotonicity

low muscle tone, a sign of LMN disease

hypovolemia

decrease in blood volume

inferior cerebellar peduncle (ICP)

input to the cerebellum, largely from the inferior olive, that represents sensory feedback from the periphery

inferior olive

large nucleus in the medulla that receives input from sensory systems and projects into the cerebellar cortex

internuclear ophthalmoplegia

deficit of conjugate lateral gaze because the lateral rectus muscle of one eye does not contract resulting from damage to the abducens nerve or the MLF

intorsion

medial rotation of the eye around its axis

intrinsic muscles of the tongue

muscles that originate out of, and insert into, other tissues within the tongue and control the shape of the tongue

ischemic stroke

disruption of blood flow to the brain because blood cannot flow through blood vessels as a result of a blockage or narrowing of the vessel

jaw-jerk reflex

stretch reflex of the masseter muscle

localization of function

principle that circumscribed anatomical locations are responsible for specific functions in an organ system

medial longitudinal fasciculus (MLF)

fiber pathway that connects structures involved in the control of eye and head position, from the superior colliculus to the vestibular nuclei and cerebellum

mental status exam

major section of the neurological exam that assesses cognitive functions of the cerebrum

middle cerebellar peduncle (MCP)

large, white-matter bridge from the pons that constitutes the major input to the cerebellar cortex

motor exam

major section of the neurological exam that assesses motor functions of the spinal cord and spinal nerves

neurological exam

clinical assessment tool that can be used to quickly evaluate neurological function and determine if specific parts of the nervous system have been affected by damage or disease

paramedian pontine reticular formation (PPRF)

region of the brain stem adjacent to the motor nuclei for gaze control that coordinates rapid, conjugate eye movements

paresis

partial loss of, or impaired, voluntary muscle control

plantar reflex

superficial reflex initiated by gentle stimulation of the sole of the foot

praxis

in a neurological exam, the act of doing something using ready knowledge or skills in response to verbal instruction

procedural memory

memory of how to perform a specific task

pronator drift

sign of contralateral corticospinal lesion when the one arm will drift into a pronated position when held straight out with the palms facing upward

receptive aphasia

loss of the ability to understand received language, such as what is spoken to the subject or given in written form

red nucleus

nucleus in the midbrain that receives output from the cerebellum and projects onto the spinal cord in the rubrospinal tract

retrograde amnesia

loss of memories before a particular event

Rinne test

use of a tuning fork to test conductive hearing loss versus sensorineural hearing loss

Romberg test

test of equilibrium that requires the patient to maintain a straight, upright posture without visual feedback of position

rubrospinal tract

descending tract from the red nucleus of the midbrain that results in modification of ongoing motor programs

saccade

small, rapid movement of the eyes used to locate and direct the fovea onto visual stimuli

sensorineural hearing

hearing dependent on the transduction and propagation of auditory information through the neural components of the peripheral auditory structures

sensory exam

major section of the neurological exam that assesses sensory functions of the spinal cord and spinal nerves

short-term memory

capacity to retain information actively in the brain for a brief period of time

Snellen chart

standardized arrangement of letters in decreasing size presented to a subject at a distance of 20 feet to test visual acuity

spasticity

increased contraction of a muscle in response to resistance, often resulting in hyperflexia

spinocerebellar tract

ascending fibers that carry proprioceptive input to the cerebellum used in maintaining balance and coordinated movement

spinocerebellum

midline region of the cerebellum known as the vermis that receives proprioceptive input from the spinal cord

stereognosis

perception of common objects placed in the hand solely on the basis of manipulation of that object in the hand

stroke

(also, cerebrovascular accident (CVA)) loss of neurological function caused by an interruption of blood flow to a region of the central nervous system

superficial reflex

reflexive contraction initiated by gentle stimulation of the skin

superior cerebellar peduncle (SCP)

white-matter tract representing output of the cerebellum to the red nucleus of the midbrain

transient ischemic attack (TIA)

temporary disruption of blood flow to the brain in which symptoms occur rapidly but last only a short time

vermis

prominent ridge along the midline of the cerebellum that is referred to as the spinocerebellum

vestibulo-ocular reflex (VOR)

reflex based on connections between the vestibular system and the cranial nerves of eye movements that ensures that images are stabilized on the retina as the head and body move

vestibulocerebellum

flocculonodular lobe of the cerebellum named for the vestibular input from the eighth cranial nerve

Weber test

use of a tuning fork to test the laterality of hearing loss by placing it at several locations on the midline of the skull

Wernicke’s area

region at the posterior end of the lateral sulcus in which speech comprehension is localized

Chapter 17 - Key Terms

acromegaly

disorder in adults caused when abnormally high levels of GH trigger growth of bones in the face, hands, and feet

adenylyl cyclase

membrane-bound enzyme that converts ATP to cyclic AMP, creating cAMP, as a result of G-protein activation

adrenal cortex

outer region of the adrenal glands consisting of multiple layers of epithelial cells and capillary networks that produces mineralocorticoids and glucocorticoids

adrenal glands

endocrine glands located at the top of each kidney that are important for the regulation of the stress response, blood pressure and blood volume, water homeostasis, and electrolyte levels

adrenal medulla

inner layer of the adrenal glands that plays an important role in the stress response by producing epinephrine and norepinephrine

adrenocorticotropic hormone (ACTH)

anterior pituitary hormone that stimulates the adrenal cortex to secrete corticosteroid hormones (also called corticotropin)

alarm reaction

the short-term stress, or the fight-or-flight response, of stage one of the general adaptation syndrome mediated by the hormones epinephrine and norepinephrine

aldosterone

hormone produced and secreted by the adrenal cortex that stimulates sodium and fluid retention and increases blood volume and blood pressure

alpha cell

pancreatic islet cell type that produces the hormone glucagon

angiotensin-converting enzyme

the enzyme that converts angiotensin I to angiotensin II

antidiuretic hormone (ADH)

hypothalamic hormone that is stored by the posterior pituitary and that signals the kidneys to reabsorb water

atrial natriuretic peptide (ANP)

peptide hormone produced by the walls of the atria in response to high blood pressure, blood volume, or blood sodium that reduces the reabsorption of sodium and water in the kidneys and promotes vasodilation

autocrine

chemical signal that elicits a response in the same cell that secreted it

beta cell

pancreatic islet cell type that produces the hormone insulin

calcitonin

peptide hormone produced and secreted by the parafollicular cells (C cells) of the thyroid gland that functions to decrease blood calcium levels

chromaffin

neuroendocrine cells of the adrenal medulla

colloid

viscous fluid in the central cavity of thyroid follicles, containing the glycoprotein thyroglobulin

cortisol

glucocorticoid important in gluconeogenesis, the catabolism of glycogen, and downregulation of the immune system

cyclic adenosine monophosphate (cAMP)

second messenger that, in response to adenylyl cyclase activation, triggers a phosphorylation cascade

delta cell

minor cell type in the pancreas that secretes the hormone somatostatin

diabetes mellitus

condition caused by destruction or dysfunction of the beta cells of the pancreas or cellular resistance to insulin that results in abnormally high blood glucose levels

diacylglycerol (DAG)

molecule that, like cAMP, activates protein kinases, thereby initiating a phosphorylation cascade

downregulation

decrease in the number of hormone receptors, typically in response to chronically excessive levels of a hormone

endocrine gland

tissue or organ that secretes hormones into the blood and lymph without ducts such that they may be transported to organs distant from the site of secretion

endocrine system

cells, tissues, and organs that secrete hormones as a primary or secondary function and play an integral role in normal bodily processes

epinephrine

primary and most potent catecholamine hormone secreted by the adrenal medulla in response to short-term stress; also called adrenaline

erythropoietin (EPO)

protein hormone secreted in response to low oxygen levels that triggers the bone marrow to produce red blood cells

estrogens

class of predominantly female sex hormones important for the development and growth of the female reproductive tract, secondary sex characteristics, the female reproductive cycle, and the maintenance of pregnancy

exocrine system

cells, tissues, and organs that secrete substances directly to target tissues via glandular ducts

first messenger

hormone that binds to a cell membrane hormone receptor and triggers activation of a second messenger system

follicle-stimulating hormone (FSH)

anterior pituitary hormone that stimulates the production and maturation of sex cells

G protein

protein associated with a cell membrane hormone receptor that initiates the next step in a second messenger system upon activation by hormone–receptor binding

general adaptation syndrome (GAS)

the human body’s three-stage response pattern to short- and long-term stress

gigantism

disorder in children caused when abnormally high levels of GH prompt excessive growth

glucagon

pancreatic hormone that stimulates the catabolism of glycogen to glucose, thereby increasing blood glucose levels

glucocorticoids

hormones produced by the zona fasciculata of the adrenal cortex that influence glucose metabolism

goiter

enlargement of the thyroid gland either as a result of iodine deficiency or hyperthyroidism

gonadotropins

hormones that regulate the function of the gonads

growth hormone (GH)

anterior pituitary hormone that promotes tissue building and influences nutrient metabolism (also called somatotropin)

hormone

secretion of an endocrine organ that travels via the bloodstream or lymphatics to induce a response in target cells or tissues in another part of the body

hormone receptor

protein within a cell or on the cell membrane that binds a hormone, initiating the target cell response

hyperglycemia

abnormally high blood glucose levels

hyperparathyroidism

disorder caused by overproduction of PTH that results in abnormally elevated blood calcium

hyperthyroidism

clinically abnormal, elevated level of thyroid hormone in the blood; characterized by an increased metabolic rate, excess body heat, sweating, diarrhea, weight loss, and increased heart rate

hypoparathyroidism

disorder caused by underproduction of PTH that results in abnormally low blood calcium

hypophyseal portal system

network of blood vessels that enables hypothalamic hormones to travel into the anterior lobe of the pituitary without entering the systemic circulation

hypothalamus

region of the diencephalon inferior to the thalamus that functions in neural and endocrine signaling

hypothyroidism

clinically abnormal, low level of thyroid hormone in the blood; characterized by low metabolic rate, weight gain, cold extremities, constipation, and reduced mental activity

infundibulum

stalk containing vasculature and neural tissue that connects the pituitary gland to the hypothalamus (also called the pituitary stalk)

inhibin

hormone secreted by the male and female gonads that inhibits FSH production by the anterior pituitary

inositol triphosphate (IP3)

molecule that initiates the release of calcium ions from intracellular stores

insulin

pancreatic hormone that enhances the cellular uptake and utilization of glucose, thereby decreasing blood glucose levels

insulin-like growth factors (IGF)

protein that enhances cellular proliferation, inhibits apoptosis, and stimulates the cellular uptake of amino acids for protein synthesis

leptin

protein hormone secreted by adipose tissues in response to food consumption that promotes satiety

luteinizing hormone (LH)

anterior pituitary hormone that triggers ovulation and the production of ovarian hormones, and the production of testosterone

melatonin

amino acid–derived hormone that is secreted in response to low light and causes drowsiness

mineralocorticoids

hormones produced by the zona glomerulosa cells of the adrenal cortex that influence fluid and electrolyte balance

neonatal hypothyroidism

condition characterized by cognitive deficits, short stature, and other signs and symptoms in people born to people who were iodine-deficient during pregnancy

norepinephrine

secondary catecholamine hormone secreted by the adrenal medulla in response to short-term stress; also called noradrenaline

osmoreceptor

hypothalamic sensory receptor that is stimulated by changes in solute concentration (osmotic pressure) in the blood

oxytocin

hypothalamic hormone stored in the posterior pituitary gland and important in stimulating uterine contractions in labor, milk ejection during breastfeeding, and feelings of attachment (produced by males and females)

pancreas

organ with both exocrine and endocrine functions located posterior to the stomach that is important for digestion and the regulation of blood glucose

pancreatic islets

specialized clusters of pancreatic cells that have endocrine functions; also called islets of Langerhans

paracrine

chemical signal that elicits a response in neighboring cells; also called paracrine factor

parathyroid glands

small, round glands embedded in the posterior thyroid gland that produce parathyroid hormone (PTH)

parathyroid hormone (PTH)

peptide hormone produced and secreted by the parathyroid glands in response to low blood calcium levels

phosphodiesterase (PDE)

cytosolic enzyme that deactivates and degrades cAMP

phosphorylation cascade

signaling event in which multiple protein kinases phosphorylate the next protein substrate by transferring a phosphate group from ATP to the protein

pineal gland

endocrine gland that secretes melatonin, which is important in regulating the sleep-wake cycle

pinealocyte

cell of the pineal gland that produces and secretes the hormone melatonin

pituitary dwarfism

disorder in children caused when abnormally low levels of GH result in growth retardation

pituitary gland

bean-sized organ suspended from the hypothalamus that produces, stores, and secretes hormones in response to hypothalamic stimulation (also called hypophysis)

PP cell

minor cell type in the pancreas that secretes the hormone pancreatic polypeptide

progesterone

predominantly female sex hormone important in regulating the female reproductive cycle and the maintenance of pregnancy

prolactin (PRL)

anterior pituitary hormone that promotes development of the mammary glands and the production of breast milk

protein kinase

enzyme that initiates a phosphorylation cascade upon activation

second messenger

molecule that initiates a signaling cascade in response to hormone binding on a cell membrane receptor and activation of a G protein

stage of exhaustion

stage three of the general adaptation syndrome; the body’s long-term response to stress mediated by the hormones of the adrenal cortex

stage of resistance

stage two of the general adaptation syndrome; the body’s continued response to stress after stage one diminishes

testosterone

steroid hormone secreted by the testes and important in the maturation of sperm cells, growth and development of the reproductive system, and the development of secondary sex characteristics

thymosins

hormones produced and secreted by the thymus that play an important role in the development and differentiation of T cells

thymus

organ that is involved in the development and maturation of T-cells and is particularly active during infancy and childhood

thyroid gland

large endocrine gland responsible for the synthesis of thyroid hormones

thyroid-stimulating hormone (TSH)

anterior pituitary hormone that triggers secretion of thyroid hormones by the thyroid gland (also called thyrotropin)

thyroxine

(also, tetraiodothyronine, T4) amino acid–derived thyroid hormone that is more abundant but less potent than T3 and often converted to T3 by target cells

triiodothyronine

(also, T3) amino acid–derived thyroid hormone that is less abundant but more potent than T4

upregulation

increase in the number of hormone receptors, typically in response to chronically reduced levels of a hormone

zona fasciculata

intermediate region of the adrenal cortex that produce hormones called glucocorticoids

zona glomerulosa

most superficial region of the adrenal cortex, which produces the hormones collectively referred to as mineralocorticoids

zona reticularis

deepest region of the adrenal cortex, which produces the steroid sex hormones called androgens

Chapter 18 - Key Terms

ABO blood group

blood-type classification based on the presence or absence of A and B glycoproteins on the erythrocyte membrane surface

agglutination

clustering of cells into masses linked by antibodies

agranular leukocytes

leukocytes with few granules in their cytoplasm; specifically, monocytes, lymphocytes, and NK cells

albumin

most abundant plasma protein, accounting for most of the osmotic pressure of plasma

anemia

deficiency of red blood cells or hemoglobin

antibodies

(also, immunoglobulins or gamma globulins) antigen-specific proteins produced by specialized B lymphocytes that protect the body by binding to foreign objects such as bacteria and viruses

anticoagulant

substance such as heparin that opposes coagulation

antithrombin

anticoagulant that inactivates factor X and opposes the conversion of prothrombin (factor II) into thrombin in the common pathway

B lymphocytes

(also, B cells) lymphocytes that defend the body against specific pathogens and thereby provide specific immunity

basophils

granulocytes that stain with a basic (alkaline) stain and store histamine and heparin

bilirubin

yellowish bile pigment produced when iron is removed from heme and is further broken down into waste products

biliverdin

green bile pigment produced when the non-iron portion of heme is degraded into a waste product; converted to bilirubin in the liver

blood

liquid connective tissue composed of formed elements—erythrocytes, leukocytes, and platelets—and a fluid extracellular matrix called plasma; component of the cardiovascular system

bone marrow biopsy

diagnostic test of a sample of red bone marrow

bone marrow transplant

treatment in which a donor’s healthy bone marrow with its stem cells replaces diseased or damaged bone marrow of a patient

bruise

localized bleeding under the skin due to damaged blood vessels

buffy coat

thin, pale layer of leukocytes and platelets that separates the erythrocytes from the plasma in a sample of centrifuged blood

carbaminohemoglobin

compound of carbon dioxide and hemoglobin, and one of the ways in which carbon dioxide is carried in the blood

clotting factors

group of 12 identified substances active in coagulation

coagulation

formation of a blood clot; part of the process of hemostasis

colony-stimulating factors (CSFs)

glycoproteins that trigger the proliferation and differentiation of myeloblasts into granular leukocytes (basophils, neutrophils, and eosinophils)

common pathway

final coagulation pathway activated either by the intrinsic or the extrinsic pathway, and ending in the formation of a blood clot

cross matching

blood test for identification of blood type using antibodies and small samples of blood

cytokines

class of proteins that act as autocrine or paracrine signaling molecules; in the cardiovascular system, they stimulate the proliferation of progenitor cells and help to stimulate both nonspecific and specific resistance to disease

defensins

antimicrobial proteins released from neutrophils and macrophages that create openings in the plasma membranes to kill cells

deoxyhemoglobin

molecule of hemoglobin without an oxygen molecule bound to it

diapedesis

(also, emigration) process by which leukocytes squeeze through adjacent cells in a blood vessel wall to enter tissues

embolus

thrombus that has broken free from the blood vessel wall and entered the circulation

emigration

(also, diapedesis) process by which leukocytes squeeze through adjacent cells in a blood vessel wall to enter tissues

eosinophils

granulocytes that stain with eosin; they release antihistamines and are especially active against parasitic worms

erythrocyte

(also, red blood cell) mature myeloid blood cell that is composed mostly of hemoglobin and functions primarily in the transportation of oxygen and carbon dioxide

erythropoietin (EPO)

glycoprotein that triggers the bone marrow to produce RBCs; secreted by the kidney in response to low oxygen levels

extrinsic pathway

initial coagulation pathway that begins with tissue damage and results in the activation of the common pathway

ferritin

protein-containing storage form of iron found in the bone marrow, liver, and spleen

fibrin

insoluble, filamentous protein that forms the structure of a blood clot

fibrinogen

plasma protein produced in the liver and involved in blood clotting

fibrinolysis

gradual degradation of a blood clot

formed elements

cellular components of blood; that is, erythrocytes, leukocytes, and platelets

globin

heme-containing globular protein that is a constituent of hemoglobin

globulins

heterogeneous group of plasma proteins that includes transport proteins, clotting factors, immune proteins, and others

granular leukocytes

leukocytes with abundant granules in their cytoplasm; specifically, neutrophils, eosinophils, and basophils

hematocrit

(also, packed cell volume) volume percentage of erythrocytes in a sample of centrifuged blood

hematopoietic stem cell

type of pluripotent stem cell that gives rise to the formed elements of blood (hemocytoblast)

heme

red, iron-containing pigment to which oxygen binds in hemoglobin

hemocytoblast

hematopoietic stem cell that gives rise to the formed elements of blood

hemoglobin

oxygen-carrying compound in erythrocytes

hemolysis

destruction (lysis) of erythrocytes and the release of their hemoglobin into circulation

hemolytic disease of the newborn (HDN)

(also, erythroblastosis fetalis) disorder causing agglutination and hemolysis in an Rh+ fetus or newborn of an Rh person

hemophilia

genetic disorder characterized by inadequate synthesis of clotting factors

hemopoiesis

production of the formed elements of blood

hemopoietic growth factors

chemical signals including erythropoietin, thrombopoietin, colony-stimulating factors, and interleukins that regulate the differentiation and proliferation of particular blood progenitor cells

hemorrhage

excessive bleeding

hemosiderin

protein-containing storage form of iron found in the bone marrow, liver, and spleen

hemostasis

physiological process by which bleeding ceases

heparin

short-acting anticoagulant stored in mast cells and released when tissues are injured, opposes prothrombin

hypoxemia

below-normal level of oxygen saturation of blood (typically <95 percent)

immunoglobulins

(also, antibodies or gamma globulins) antigen-specific proteins produced by specialized B lymphocytes that protect the body by binding to foreign objects such as bacteria and viruses

interleukins

signaling molecules that may function in hemopoiesis, inflammation, and specific immune responses

intrinsic pathway

initial coagulation pathway that begins with vascular damage or contact with foreign substances, and results in the activation of the common pathway

jaundice

yellowing of the skin or whites of the eyes due to excess bilirubin in the blood

leukemia

cancer involving leukocytes

leukocyte

(also, white blood cell) colorless, nucleated blood cell, the chief function of which is to protect the body from disease

leukocytosis

excessive leukocyte proliferation

leukopenia

below-normal production of leukocytes

lymphocytes

agranular leukocytes of the lymphoid stem cell line, many of which function in specific immunity

lymphoid stem cells

type of hematopoietic stem cells that gives rise to lymphocytes, including various T cells, B cells, and NK cells, all of which function in immunity

lymphoma

form of cancer in which masses of malignant T and/or B lymphocytes collect in lymph nodes, the spleen, the liver, and other tissues

lysozyme

digestive enzyme with bactericidal properties

macrophage

phagocytic cell of the myeloid lineage; a matured monocyte

megakaryocyte

bone marrow cell that produces platelets

memory cell

type of B or T lymphocyte that forms after exposure to a pathogen

monocytes

agranular leukocytes of the myeloid stem cell line that circulate in the bloodstream; tissue monocytes are macrophages

myeloid stem cells

type of hematopoietic stem cell that gives rise to some formed elements, including erythrocytes, megakaryocytes that produce platelets, and a myeloblast lineage that gives rise to monocytes and three forms of granular leukocytes (neutrophils, eosinophils, and basophils)

natural killer (NK) cells

cytotoxic lymphocytes capable of recognizing cells that do not express “self” proteins on their plasma membrane or that contain foreign or abnormal markers; provide generalized, nonspecific immunity

neutrophils

granulocytes that stain with a neutral dye and are the most numerous of the leukocytes; especially active against bacteria

oxyhemoglobin

molecule of hemoglobin to which oxygen is bound

packed cell volume (PCV)

(also, hematocrit) volume percentage of erythrocytes present in a sample of centrifuged blood

plasma

in blood, the liquid extracellular matrix composed mostly of water that circulates the formed elements and dissolved materials throughout the cardiovascular system

plasmin

blood protein active in fibrinolysis

platelet plug

accumulation and adhesion of platelets at the site of blood vessel injury

platelets

(also, thrombocytes) one of the formed elements of blood that consists of cell fragments broken off from megakaryocytes

pluripotent stem cell

stem cell that derives from totipotent stem cells and is capable of differentiating into many, but not all, cell types

polycythemia

elevated level of hemoglobin, whether adaptive or pathological

polymorphonuclear

having a lobed nucleus, as seen in some leukocytes

positive chemotaxis

process in which a cell is attracted to move in the direction of chemical stimuli

red blood cells (RBCs)

(also, erythrocytes) one of the formed elements of blood that transports oxygen

reticulocyte

immature erythrocyte that may still contain fragments of organelles

Rh blood group

blood-type classification based on the presence or absence of the antigen Rh on the erythrocyte membrane surface

serum

blood plasma that does not contain clotting factors

sickle cell disease

(also, sickle cell anemia) inherited blood disorder in which hemoglobin molecules are malformed, leading to the breakdown of RBCs that take on a characteristic sickle shape

T lymphocytes

(also, T cells) lymphocytes that provide cellular-level immunity by physically attacking foreign or diseased cells

thalassemia

inherited blood disorder in which maturation of RBCs does not proceed normally, leading to abnormal formation of hemoglobin and the destruction of RBCs

thrombin

enzyme essential for the final steps in formation of a fibrin clot

thrombocytes

platelets, one of the formed elements of blood that consists of cell fragments broken off from megakaryocytes

thrombocytopenia

condition in which there are too few platelets, resulting in abnormal bleeding (hemophilia)

thrombocytosis

condition in which there are too many platelets, resulting in abnormal clotting (thrombosis)

thrombopoietin

hormone secreted by the liver and kidneys that prompts the development of megakaryocytes into thrombocytes (platelets)

thrombosis

excessive clot formation

thrombus

aggregation of fibrin, platelets, and erythrocytes in an intact artery or vein

tissue factor

protein thromboplastin, which initiates the extrinsic pathway when released in response to tissue damage

totipotent stem cell

embryonic stem cell that is capable of differentiating into any and all cells of the body; enabling the full development of an organism

transferrin

plasma protein that binds reversibly to iron and distributes it throughout the body

universal donor

individual with type O blood

universal recipient

individual with type AB+ blood

vascular spasm

initial step in hemostasis, in which the smooth muscle in the walls of the ruptured or damaged blood vessel contracts

white blood cells (WBCs)

(also, leukocytes) one of the formed elements of blood that provides defense against disease agents and foreign materials

Chapter 19 - Key Terms

afterload

force the ventricles must develop to effectively pump blood against the resistance in the vessels

anastomosis

(plural = anastomoses) area where vessels unite to allow blood to circulate even if there may be partial blockage in another branch

anterior cardiac veins

vessels that parallel the small cardiac arteries and drain the anterior surface of the right ventricle; bypass the coronary sinus and drain directly into the right atrium

anterior interventricular artery

(also, left anterior descending artery or LAD) major branch of the left coronary artery that follows the anterior interventricular sulcus

anterior interventricular sulcus

sulcus located between the left and right ventricles on the anterior surface of the heart

aortic valve

(also, aortic semilunar valve) valve located at the base of the aorta

artificial pacemaker

medical device that transmits electrical signals to the heart to ensure that it contracts and pumps blood to the body

atrial reflex

(also, called Bainbridge reflex) autonomic reflex that responds to stretch receptors in the atria that send impulses to the cardioaccelerator area to increase HR when venous flow into the atria increases

atrioventricular (AV) node

clump of myocardial cells located in the inferior portion of the right atrium within the atrioventricular septum; receives the impulse from the SA node, pauses, and then transmits it into specialized conducting cells within the interventricular septum

atrioventricular bundle

(also, bundle of His) group of specialized myocardial conductile cells that transmit the impulse from the AV node through the interventricular septum; form the left and right atrioventricular bundle branches

atrioventricular bundle branches

(also, left or right bundle branches) specialized myocardial conductile cells that arise from the bifurcation of the atrioventricular bundle and pass through the interventricular septum; lead to the Purkinje fibers and also to the right papillary muscle via the moderator band

atrioventricular septum

cardiac septum located between the atria and ventricles; atrioventricular valves are located here

atrioventricular valves

one-way valves located between the atria and ventricles; the valve on the right is called the tricuspid valve, and the one on the left is the mitral or bicuspid valve

atrium

(plural = atria) upper or receiving chamber of the heart that pumps blood into the lower chambers just prior to their contraction; the right atrium receives blood from the systemic circuit that flows into the right ventricle; the left atrium receives blood from the pulmonary circuit that flows into the left ventricle

auricle

extension of an atrium visible on the superior surface of the heart

autonomic tone

contractile state during resting cardiac activity produced by mild sympathetic and parasympathetic stimulation

autorhythmicity

ability of cardiac muscle to initiate its own electrical impulse that triggers the mechanical contraction that pumps blood at a fixed pace without nervous or endocrine control

Bachmann’s bundle

(also, interatrial band) group of specialized conducting cells that transmit the impulse directly from the SA node in the right atrium to the left atrium

Bainbridge reflex

(also, called atrial reflex) autonomic reflex that responds to stretch receptors in the atria that send impulses to the cardioaccelerator area to increase HR when venous flow into the atria increases

baroreceptor reflex

autonomic reflex in which the cardiac centers monitor signals from the baroreceptor stretch receptors and regulate heart function based on blood flow

bicuspid valve

(also, mitral valve or left atrioventricular valve) valve located between the left atrium and ventricle; consists of two flaps of tissue

bulbus cordis

portion of the primitive heart tube that will eventually develop into the right ventricle

bundle of His

(also, atrioventricular bundle) group of specialized myocardial conductile cells that transmit the impulse from the AV node through the interventricular septum; form the left and right atrioventricular bundle branches

cardiac cycle

period of time between the onset of atrial contraction (atrial systole) and ventricular relaxation (ventricular diastole)

cardiac notch

depression in the medial surface of the inferior lobe of the left lung where the apex of the heart is located

cardiac output (CO)

amount of blood pumped by each ventricle during one minute; equals HR multiplied by SV

cardiac plexus

paired complex network of nerve fibers near the base of the heart that receive sympathetic and parasympathetic stimulations to regulate HR

cardiac reflexes

series of autonomic reflexes that enable the cardiovascular centers to regulate heart function based upon sensory information from a variety of visceral sensors

cardiac reserve

difference between maximum and resting CO

cardiac skeleton

(also, skeleton of the heart) reinforced connective tissue located within the atrioventricular septum; includes four rings that surround the openings between the atria and ventricles, and the openings to the pulmonary trunk and aorta; the point of attachment for the heart valves

cardiogenic area

area near the head of the embryo where the heart begins to develop 18–19 days after fertilization

cardiogenic cords

two strands of tissue that form within the cardiogenic area

cardiomyocyte

muscle cell of the heart

chordae tendineae

string-like extensions of tough connective tissue that extend from the flaps of the atrioventricular valves to the papillary muscles

circumflex artery

branch of the left coronary artery that follows coronary sulcus

coronary arteries

branches of the ascending aorta that supply blood to the heart; the left coronary artery feeds the left side of the heart, the left atrium and ventricle, and the interventricular septum; the right coronary artery feeds the right atrium, portions of both ventricles, and the heart conduction system

coronary sinus

large, thin-walled vein on the posterior surface of the heart that lies within the atrioventricular sulcus and drains the heart myocardium directly into the right atrium

coronary sulcus

sulcus that marks the boundary between the atria and ventricles

coronary veins

vessels that drain the heart and generally parallel the large surface arteries

diastole

period of time when the heart muscle is relaxed and the chambers fill with blood

ejection fraction

portion of the blood that is pumped or ejected from the heart with each contraction; mathematically represented by SV divided by EDV

electrocardiogram (ECG)

surface recording of the electrical activity of the heart that can be used for diagnosis of irregular heart function; also abbreviated as EKG

end diastolic volume (EDV)

(also, preload) the amount of blood in the ventricles at the end of atrial systole just prior to ventricular contraction

end systolic volume (ESV)

amount of blood remaining in each ventricle following systole

endocardial tubes

stage in which lumens form within the expanding cardiogenic cords, forming hollow structures

endocardium

innermost layer of the heart lining the heart chambers and heart valves; composed of endothelium reinforced with a thin layer of connective tissue that binds to the myocardium

endothelium

layer of smooth, simple squamous epithelium that lines the endocardium and blood vessels

epicardial coronary arteries

surface arteries of the heart that generally follow the sulci

epicardium

innermost layer of the serous pericardium and the outermost layer of the heart wall

filling time

duration of ventricular diastole during which filling occurs

foramen ovale

opening in the fetal heart that allows blood to flow directly from the right atrium to the left atrium, bypassing the fetal pulmonary circuit

fossa ovalis

oval-shaped depression in the interatrial septum that marks the former location of the foramen ovale

Frank-Starling mechanism

relationship between ventricular stretch and contraction in which the force of heart contraction is directly proportional to the initial length of the muscle fiber

great cardiac vein

vessel that follows the interventricular sulcus on the anterior surface of the heart and flows along the coronary sulcus into the coronary sinus on the posterior surface; parallels the anterior interventricular artery and drains the areas supplied by this vessel

heart block

interruption in the normal conduction pathway

heart bulge

prominent feature on the anterior surface of the heart, reflecting early cardiac development

heart rate (HR)

number of times the heart contracts (beats) per minute

heart sounds

sounds heard via auscultation with a stethoscope of the closing of the atrioventricular valves (“lub”) and semilunar valves (“dub”)

hypertrophic cardiomyopathy

pathological enlargement of the heart, generally for no known reason

inferior vena cava

large systemic vein that returns blood to the heart from the inferior portion of the body

interatrial band

(also, Bachmann’s bundle) group of specialized conducting cells that transmit the impulse directly from the SA node in the right atrium to the left atrium

interatrial septum

cardiac septum located between the two atria; contains the fossa ovalis after birth

intercalated disc

physical junction between adjacent cardiac muscle cells; consisting of desmosomes, specialized linking proteoglycans, and gap junctions that allow passage of ions between the two cells

internodal pathways

specialized conductile cells within the atria that transmit the impulse from the SA node throughout the myocardial cells of the atrium and to the AV node

interventricular septum

cardiac septum located between the two ventricles

isovolumic contraction

(also, isovolumetric contraction) initial phase of ventricular contraction in which tension and pressure in the ventricle increase, but no blood is pumped or ejected from the heart

isovolumic ventricular relaxation phase

initial phase of the ventricular diastole when pressure in the ventricles drops below pressure in the two major arteries, the pulmonary trunk, and the aorta, and blood attempts to flow back into the ventricles, producing the dicrotic notch of the ECG and closing the two semilunar valves

left atrioventricular valve

(also, mitral valve or bicuspid valve) valve located between the left atrium and ventricle; consists of two flaps of tissue

marginal arteries

branches of the right coronary artery that supply blood to the superficial portions of the right ventricle

mesoderm

one of the three primary germ layers that differentiate early in embryonic development

mesothelium

simple squamous epithelial portion of serous membranes, such as the superficial portion of the epicardium (the visceral pericardium) and the deepest portion of the pericardium (the parietal pericardium)

middle cardiac vein

vessel that parallels and drains the areas supplied by the posterior interventricular artery; drains into the great cardiac vein

mitral valve

(also, left atrioventricular valve or bicuspid valve) valve located between the left atrium and ventricle; consists of two flaps of tissue

moderator band

band of myocardium covered by endocardium that arises from the inferior portion of the interventricular septum in the right ventricle and crosses to the anterior papillary muscle; contains conductile fibers that carry electrical signals followed by contraction of the heart

murmur

unusual heart sound detected by auscultation; typically related to septal or valve defects

myocardial conducting cells

specialized cells that transmit electrical impulses throughout the heart and trigger contraction by the myocardial contractile cells

myocardial contractile cells

bulk of the cardiac muscle cells in the atria and ventricles that conduct impulses and contract to propel blood

myocardium

thickest layer of the heart composed of cardiac muscle cells built upon a framework of primarily collagenous fibers and blood vessels that supply it and the nervous fibers that help to regulate it

negative inotropic factors

factors that negatively impact or lower heart contractility

P wave

component of the electrocardiogram that represents the depolarization of the atria

pacemaker

cluster of specialized myocardial cells known as the SA node that initiates the sinus rhythm

papillary muscle

extension of the myocardium in the ventricles to which the chordae tendineae attach

pectinate muscles

muscular ridges seen on the anterior surface of the right atrium

pericardial cavity

cavity surrounding the heart filled with a lubricating serous fluid that reduces friction as the heart contracts

pericardial sac

(also, pericardium) membrane that separates the heart from other mediastinal structures; consists of two distinct, fused sublayers: the fibrous pericardium and the parietal pericardium

pericardium

(also, pericardial sac) membrane that separates the heart from other mediastinal structures; consists of two distinct, fused sublayers: the fibrous pericardium and the parietal pericardium

positive inotropic factors

factors that positively impact or increase heart contractility

posterior cardiac vein

vessel that parallels and drains the areas supplied by the marginal artery branch of the circumflex artery; drains into the great cardiac vein

posterior interventricular artery

(also, posterior descending artery) branch of the right coronary artery that runs along the posterior portion of the interventricular sulcus toward the apex of the heart and gives rise to branches that supply the interventricular septum and portions of both ventricles

posterior interventricular sulcus

sulcus located between the left and right ventricles on the posterior surface of the heart

preload

(also, end diastolic volume) amount of blood in the ventricles at the end of atrial systole just prior to ventricular contraction

prepotential depolarization

(also, spontaneous depolarization) mechanism that accounts for the autorhythmic property of cardiac muscle; the membrane potential increases as sodium ions diffuse through the always-open sodium ion channels and causes the electrical potential to rise

primitive atrium

portion of the primitive heart tube that eventually becomes the anterior portions of both the right and left atria, and the two auricles

primitive heart tube

singular tubular structure that forms from the fusion of the two endocardial tubes

primitive ventricle

portion of the primitive heart tube that eventually forms the left ventricle

pulmonary arteries

left and right branches of the pulmonary trunk that carry deoxygenated blood from the heart to each of the lungs

pulmonary capillaries

capillaries surrounding the alveoli of the lungs where gas exchange occurs: carbon dioxide exits the blood and oxygen enters

pulmonary circuit

blood flow to and from the lungs

pulmonary trunk

large arterial vessel that carries blood ejected from the right ventricle; divides into the left and right pulmonary arteries

pulmonary valve

(also, pulmonary semilunar valve, the pulmonic valve, or the right semilunar valve) valve at the base of the pulmonary trunk that prevents backflow of blood into the right ventricle; consists of three flaps

pulmonary veins

veins that carry highly oxygenated blood into the left atrium, which pumps the blood into the left ventricle, which in turn pumps oxygenated blood into the aorta and to the many branches of the systemic circuit

Purkinje fibers

specialized myocardial conduction fibers that arise from the bundle branches and spread the impulse to the myocardial contraction fibers of the ventricles

QRS complex

component of the electrocardiogram that represents the depolarization of the ventricles and includes, as a component, the repolarization of the atria

right atrioventricular valve

(also, tricuspid valve) valve located between the right atrium and ventricle; consists of three flaps of tissue

semilunar valves

valves located at the base of the pulmonary trunk and at the base of the aorta

septum

(plural = septa) walls or partitions that divide the heart into chambers

septum primum

flap of tissue in the fetus that covers the foramen ovale within a few seconds after birth

sinoatrial (SA) node

known as the pacemaker, a specialized clump of myocardial conducting cells located in the superior portion of the right atrium that has the highest inherent rate of depolarization that then spreads throughout the heart

sinus rhythm

normal contractile pattern of the heart

sinus venosus

develops into the posterior portion of the right atrium, the SA node, and the coronary sinus

small cardiac vein

parallels the right coronary artery and drains blood from the posterior surfaces of the right atrium and ventricle; drains into the coronary sinus, middle cardiac vein, or right atrium

spontaneous depolarization

(also, prepotential depolarization) the mechanism that accounts for the autorhythmic property of cardiac muscle; the membrane potential increases as sodium ions diffuse through the always-open sodium ion channels and causes the electrical potential to rise

stroke volume (SV)

amount of blood pumped by each ventricle per contraction; also, the difference between EDV and ESV

sulcus

(plural = sulci) fat-filled groove visible on the surface of the heart; coronary vessels are also located in these areas

superior vena cava

large systemic vein that returns blood to the heart from the superior portion of the body

systemic circuit

blood flow to and from virtually all of the tissues of the body

systole

period of time when the heart muscle is contracting

T wave

component of the electrocardiogram that represents the repolarization of the ventricles

target heart rate

range in which both the heart and lungs receive the maximum benefit from an aerobic workout

trabeculae carneae

ridges of muscle covered by endocardium located in the ventricles

tricuspid valve

term used most often in clinical settings for the right atrioventricular valve

truncus arteriosus

portion of the primitive heart that will eventually divide and give rise to the ascending aorta and pulmonary trunk

valve

in the cardiovascular system, a specialized structure located within the heart or vessels that ensures one-way flow of blood

ventricle

one of the primary pumping chambers of the heart located in the lower portion of the heart; the left ventricle is the major pumping chamber on the lower left side of the heart that ejects blood into the systemic circuit via the aorta and receives blood from the left atrium; the right ventricle is the major pumping chamber on the lower right side of the heart that ejects blood into the pulmonary circuit via the pulmonary trunk and receives blood from the right atrium

ventricular ejection phase

second phase of ventricular systole during which blood is pumped from the ventricle

Chapter 20 - Key Terms

abdominal aorta

portion of the aorta inferior to the aortic hiatus and superior to the common iliac arteries

adrenal artery

branch of the abdominal aorta; supplies blood to the adrenal (suprarenal) glands

adrenal vein

drains the adrenal or suprarenal glands that are immediately superior to the kidneys; the right adrenal vein enters the inferior vena cava directly and the left adrenal vein enters the left renal vein

anaphylactic shock

type of shock that follows a severe allergic reaction and results from massive vasodilation

angioblasts

stem cells that give rise to blood vessels

angiogenesis

development of new blood vessels from existing vessels

anterior cerebral artery

arises from the internal carotid artery; supplies the frontal lobe of the cerebrum

anterior communicating artery

anastomosis of the right and left internal carotid arteries; supplies blood to the brain

anterior tibial artery

branches from the popliteal artery; supplies blood to the anterior tibial region; becomes the dorsalis pedis artery

anterior tibial vein

forms from the dorsal venous arch; drains the area near the tibialis anterior muscle and leads to the popliteal vein

aorta

largest artery in the body, originating from the left ventricle and descending to the abdominal region where it bifurcates into the common iliac arteries at the level of the fourth lumbar vertebra; arteries originating from the aorta distribute blood to virtually all tissues of the body

aortic arch

arc that connects the ascending aorta to the descending aorta; ends at the intervertebral disk between the fourth and fifth thoracic vertebrae

aortic hiatus

opening in the diaphragm that allows passage of the thoracic aorta into the abdominal region where it becomes the abdominal aorta

aortic sinuses

small pockets in the ascending aorta near the aortic valve that are the locations of the baroreceptors (stretch receptors) and chemoreceptors that trigger a reflex that aids in the regulation of vascular homeostasis

arterial circle

(also, circle of Willis) anastomosis located at the base of the brain that ensures continual blood supply; formed from branches of the internal carotid and vertebral arteries; supplies blood to the brain

arteriole

(also, resistance vessel) very small artery that leads to a capillary

arteriovenous anastomosis

short vessel connecting an arteriole directly to a venule and bypassing the capillary beds

artery

blood vessel that conducts blood away from the heart; may be a conducting or distributing vessel

ascending aorta

initial portion of the aorta, rising from the left ventricle for a distance of approximately 5 cm

atrial reflex

mechanism for maintaining vascular homeostasis involving atrial baroreceptors: if blood is returning to the right atrium more rapidly than it is being ejected from the left ventricle, the atrial receptors will stimulate the cardiovascular centers to increase sympathetic firing and increase cardiac output until the situation is reversed; the opposite is also true

axillary artery

continuation of the subclavian artery as it penetrates the body wall and enters the axillary region; supplies blood to the region near the head of the humerus (humeral circumflex arteries); the majority of the vessel continues into the brachium and becomes the brachial artery

axillary vein

major vein in the axillary region; drains the upper limb and becomes the subclavian vein

azygos vein

originates in the lumbar region and passes through the diaphragm into the thoracic cavity on the right side of the vertebral column; drains blood from the intercostal veins, esophageal veins, bronchial veins, and other veins draining the mediastinal region; leads to the superior vena cava

basilar artery

formed from the fusion of the two vertebral arteries; sends branches to the cerebellum, brain stem, and the posterior cerebral arteries; the main blood supply to the brain stem

basilic vein

superficial vein of the arm that arises from the palmar venous arches, intersects with the median cubital vein, parallels the ulnar vein, and continues into the upper arm; along with the brachial vein, it leads to the axillary vein

blood colloidal osmotic pressure (BCOP)

pressure exerted by colloids suspended in blood within a vessel; a primary determinant is the presence of plasma proteins

blood flow

movement of blood through a vessel, tissue, or organ that is usually expressed in terms of volume per unit of time

blood hydrostatic pressure

force blood exerts against the walls of a blood vessel or heart chamber

blood islands

masses of developing blood vessels and formed elements from mesodermal cells scattered throughout the embryonic disc

blood pressure

force exerted by the blood against the wall of a vessel or heart chamber; can be described with the more generic term hydrostatic pressure

brachial artery

continuation of the axillary artery in the brachium; supplies blood to much of the brachial region; gives off several smaller branches that provide blood to the posterior surface of the arm in the region of the elbow; bifurcates into the radial and ulnar arteries at the coronoid fossa

brachial vein

deeper vein of the arm that forms from the radial and ulnar veins in the lower arm; leads to the axillary vein

brachiocephalic artery

single vessel located on the right side of the body; the first vessel branching from the aortic arch; gives rise to the right subclavian artery and the right common carotid artery; supplies blood to the head, neck, upper limb, and wall of the thoracic region

brachiocephalic vein

one of a pair of veins that form from a fusion of the external and internal jugular veins and the subclavian vein; subclavian, external and internal jugulars, vertebral, and internal thoracic veins lead to it; drains the upper thoracic region and flows into the superior vena cava

bronchial artery

systemic branch from the aorta that provides oxygenated blood to the lungs in addition to the pulmonary circuit

bronchial vein

drains the systemic circulation from the lungs and leads to the azygos vein

capacitance

ability of a vein to distend and store blood

capacitance vessels

veins

capillary

smallest of blood vessels where physical exchange occurs between the blood and tissue cells surrounded by interstitial fluid

capillary bed

network of 10–100 capillaries connecting arterioles to venules

capillary hydrostatic pressure (CHP)

force blood exerts against a capillary

cardiogenic shock

type of shock that results from the inability of the heart to maintain cardiac output

carotid sinuses

small pockets near the base of the internal carotid arteries that are the locations of the baroreceptors and chemoreceptors that trigger a reflex that aids in the regulation of vascular homeostasis

cavernous sinus

enlarged vein that receives blood from most of the other cerebral veins and the eye socket, and leads to the petrosal sinus

celiac trunk

(also, celiac artery) major branch of the abdominal aorta; gives rise to the left gastric artery, the splenic artery, and the common hepatic artery that forms the hepatic artery to the liver, the right gastric artery to the stomach, and the cystic artery to the gall bladder

cephalic vein

superficial vessel in the upper arm; leads to the axillary vein

cerebrovascular accident (CVA)

blockage of blood flow to the brain; also called a stroke

circle of Willis

(also, arterial circle) anastomosis located at the base of the brain that ensures continual blood supply; formed from branches of the internal carotid and vertebral arteries; supplies blood to the brain

circulatory shock

also simply called shock; a life-threatening medical condition in which the circulatory system is unable to supply enough blood flow to provide adequate oxygen and other nutrients to the tissues to maintain cellular metabolism

common carotid artery

right common carotid artery arises from the brachiocephalic artery, and the left common carotid arises from the aortic arch; gives rise to the external and internal carotid arteries; supplies the respective sides of the head and neck

common hepatic artery

branch of the celiac trunk that forms the hepatic artery, the right gastric artery, and the cystic artery

common iliac artery

branch of the aorta that leads to the internal and external iliac arteries

common iliac vein

one of a pair of veins that flows into the inferior vena cava at the level of L5; the left common iliac vein drains the sacral region; divides into external and internal iliac veins near the inferior portion of the sacroiliac joint

compliance

degree to which a blood vessel can stretch as opposed to being rigid

continuous capillary

most common type of capillary, found in virtually all tissues except epithelia and cartilage; contains very small gaps in the endothelial lining that permit exchange

cystic artery

branch of the common hepatic artery; supplies blood to the gall bladder

deep femoral artery

branch of the femoral artery; gives rise to the lateral circumflex arteries

deep femoral vein

drains blood from the deeper portions of the thigh and leads to the femoral vein

descending aorta

portion of the aorta that continues downward past the end of the aortic arch; subdivided into the thoracic aorta and the abdominal aorta

diastolic pressure

lower number recorded when measuring arterial blood pressure; represents the minimal value corresponding to the pressure that remains during ventricular relaxation

digital arteries

formed from the superficial and deep palmar arches; supply blood to the digits

digital veins

drain the digits and feed into the palmar arches of the hand and dorsal venous arch of the foot

dorsal arch

(also, arcuate arch) formed from the anastomosis of the dorsalis pedis artery and medial and plantar arteries; branches supply the distal portions of the foot and digits

dorsal venous arch

drains blood from digital veins and vessels on the superior surface of the foot

dorsalis pedis artery

forms from the anterior tibial artery; branches repeatedly to supply blood to the tarsal and dorsal regions of the foot

ductus arteriosus

shunt in the fetal pulmonary trunk that diverts oxygenated blood back to the aorta

ductus venosus

shunt that causes oxygenated blood to bypass the fetal liver on its way to the inferior vena cava

elastic artery

(also, conducting artery) artery with abundant elastic fibers located closer to the heart, which maintains the pressure gradient and conducts blood to smaller branches

esophageal artery

branch of the thoracic aorta; supplies blood to the esophagus

esophageal vein

drains the inferior portions of the esophagus and leads to the azygos vein

external carotid artery

arises from the common carotid artery; supplies blood to numerous structures within the face, lower jaw, neck, esophagus, and larynx

external elastic membrane

membrane composed of elastic fibers that separates the tunica media from the tunica externa; seen in larger arteries

external iliac artery

branch of the common iliac artery that leaves the body cavity and becomes a femoral artery; supplies blood to the lower limbs

external iliac vein

formed when the femoral vein passes into the body cavity; drains the legs and leads to the common iliac vein

external jugular vein

one of a pair of major veins located in the superficial neck region that drains blood from the more superficial portions of the head, scalp, and cranial regions, and leads to the subclavian vein

femoral artery

continuation of the external iliac artery after it passes through the body cavity; divides into several smaller branches, the lateral deep femoral artery, and the genicular artery; becomes the popliteal artery as it passes posterior to the knee

femoral circumflex vein

forms a loop around the femur just inferior to the trochanters; drains blood from the areas around the head and neck of the femur; leads to the femoral vein

femoral vein

drains the upper leg; receives blood from the great saphenous vein, the deep femoral vein, and the femoral circumflex vein; becomes the external iliac vein when it crosses the body wall

fenestrated capillary

type of capillary with pores or fenestrations in the endothelium that allow for rapid passage of certain small materials

fibular vein

drains the muscles and integument near the fibula and leads to the popliteal vein

filtration

in the cardiovascular system, the movement of material from a capillary into the interstitial fluid, moving from an area of higher pressure to lower pressure

foramen ovale

shunt that directly connects the right and left atria and helps to divert oxygenated blood from the fetal pulmonary circuit

genicular artery

branch of the femoral artery; supplies blood to the region of the knee

gonadal artery

branch of the abdominal aorta; supplies blood to the gonads or reproductive organs; also described as ovarian arteries or testicular arteries, depending upon the sex of the individual

gonadal vein

generic term for a vein draining a reproductive organ; may be either an ovarian vein or a testicular vein, depending on the sex of the individual

great cerebral vein

receives most of the smaller vessels from the inferior cerebral veins and leads to the straight sinus

great saphenous vein

prominent surface vessel located on the medial surface of the leg and thigh; drains the superficial portions of these areas and leads to the femoral vein

hemangioblasts

embryonic stem cells that appear in the mesoderm and give rise to both angioblasts and pluripotent stem cells

hemiazygos vein

smaller vein complementary to the azygos vein; drains the esophageal veins from the esophagus and the left intercostal veins, and leads to the brachiocephalic vein via the superior intercostal vein

hepatic artery proper

branch of the common hepatic artery; supplies systemic blood to the liver

hepatic portal system

specialized circulatory pathway that carries blood from digestive organs to the liver for processing before being sent to the systemic circulation

hepatic vein

drains systemic blood from the liver and flows into the inferior vena cava

hypertension

chronic and persistent blood pressure measurements of 140/90 mm Hg or above

hypervolemia

abnormally high levels of fluid and blood within the body

hypovolemia

abnormally low levels of fluid and blood within the body

hypovolemic shock

type of circulatory shock caused by excessive loss of blood volume due to hemorrhage or possibly dehydration

hypoxia

lack of oxygen supply to the tissues

inferior mesenteric artery

branch of the abdominal aorta; supplies blood to the distal segment of the large intestine and rectum

inferior phrenic artery

branch of the abdominal aorta; supplies blood to the inferior surface of the diaphragm

inferior vena cava

large systemic vein that drains blood from areas largely inferior to the diaphragm; empties into the right atrium

intercostal artery

branch of the thoracic aorta; supplies blood to the muscles of the thoracic cavity and vertebral column

intercostal vein

drains the muscles of the thoracic wall and leads to the azygos vein

internal carotid artery

arises from the common carotid artery and begins with the carotid sinus; goes through the carotid canal of the temporal bone to the base of the brain; combines with branches of the vertebral artery forming the arterial circle; supplies blood to the brain

internal elastic membrane

membrane composed of elastic fibers that separates the tunica intima from the tunica media; seen in larger arteries

internal iliac artery

branch from the common iliac arteries; supplies blood to the urinary bladder, walls of the pelvis, external genitalia, and the medial portion of the femoral region; in females, also provide blood to the uterus and vagina

internal iliac vein

drains the pelvic organs and integument; formed from several smaller veins in the region; leads to the common iliac vein

internal jugular vein

one of a pair of major veins located in the neck region that passes through the jugular foramen and canal, flows parallel to the common carotid artery that is more or less its counterpart; primarily drains blood from the brain, receives the superficial facial vein, and empties into the subclavian vein

internal thoracic artery

(also, mammary artery) arises from the subclavian artery; supplies blood to the thymus, pericardium of the heart, and the anterior chest wall

internal thoracic vein

(also, internal mammary vein) drains the anterior surface of the chest wall and leads to the brachiocephalic vein

interstitial fluid colloidal osmotic pressure (IFCOP)

pressure exerted by the colloids within the interstitial fluid

interstitial fluid hydrostatic pressure (IFHP)

force exerted by the fluid in the tissue spaces

ischemia

insufficient blood flow to the tissues

Korotkoff sounds

noises created by turbulent blood flow through the vessels

lateral circumflex artery

branch of the deep femoral artery; supplies blood to the deep muscles of the thigh and the ventral and lateral regions of the integument

lateral plantar artery

arises from the bifurcation of the posterior tibial arteries; supplies blood to the lateral plantar surfaces of the foot

left gastric artery

branch of the celiac trunk; supplies blood to the stomach

lumbar arteries

branches of the abdominal aorta; supply blood to the lumbar region, the abdominal wall, and spinal cord

lumbar veins

drain the lumbar portion of the abdominal wall and spinal cord; the superior lumbar veins drain into the azygos vein on the right or the hemiazygos vein on the left; blood from these vessels is returned to the superior vena cava rather than the inferior vena cava

lumen

interior of a tubular structure such as a blood vessel or a portion of the alimentary canal through which blood, chyme, or other substances travel

maxillary vein

drains blood from the maxillary region and leads to the external jugular vein

mean arterial pressure (MAP)

average driving force of blood to the tissues; approximated by taking diastolic pressure and adding 1/3 of pulse pressure

medial plantar artery

arises from the bifurcation of the posterior tibial arteries; supplies blood to the medial plantar surfaces of the foot

median antebrachial vein

vein that parallels the ulnar vein but is more medial in location; intertwines with the palmar venous arches

median cubital vein

superficial vessel located in the antecubital region that links the cephalic vein to the basilic vein in the form of a v; a frequent site for a blood draw

median sacral artery

continuation of the aorta into the sacrum

mediastinal artery

branch of the thoracic aorta; supplies blood to the mediastinum

metarteriole

short vessel arising from a terminal arteriole that branches to supply a capillary bed

microcirculation

blood flow through the capillaries

middle cerebral artery

another branch of the internal carotid artery; supplies blood to the temporal and parietal lobes of the cerebrum

middle sacral vein

drains the sacral region and leads to the left common iliac vein

muscular artery

(also, distributing artery) artery with abundant smooth muscle in the tunica media that branches to distribute blood to the arteriole network

myogenic response

constriction or dilation in the walls of arterioles in response to pressures related to blood flow; reduces high blood flow or increases low blood flow to help maintain consistent flow to the capillary network

nervi vasorum

small nerve fibers found in arteries and veins that trigger contraction of the smooth muscle in their walls

net filtration pressure (NFP)

force driving fluid out of the capillary and into the tissue spaces; equal to the difference of the capillary hydrostatic pressure and the blood colloidal osmotic pressure

neurogenic shock

type of shock that occurs with cranial or high spinal injuries that damage the cardiovascular centers in the medulla oblongata or the nervous fibers originating from this region

obstructive shock

type of shock that occurs when a significant portion of the vascular system is blocked

occipital sinus

enlarged vein that drains the occipital region near the falx cerebelli and flows into the left and right transverse sinuses, and also into the vertebral veins

ophthalmic artery

branch of the internal carotid artery; supplies blood to the eyes

ovarian artery

branch of the abdominal aorta; supplies blood to the ovary, uterine (Fallopian) tube, and uterus

ovarian vein

drains the ovary; the right ovarian vein leads to the inferior vena cava and the left ovarian vein leads to the left renal vein

palmar arches

superficial and deep arches formed from anastomoses of the radial and ulnar arteries; supply blood to the hand and digital arteries

palmar venous arches

drain the hand and digits, and feed into the radial and ulnar veins

parietal branches

(also, somatic branches) group of arterial branches of the thoracic aorta; includes those that supply blood to the thoracic cavity, vertebral column, and the superior surface of the diaphragm

perfusion

distribution of blood into the capillaries so the tissues can be supplied

pericardial artery

branch of the thoracic aorta; supplies blood to the pericardium

petrosal sinus

enlarged vein that receives blood from the cavernous sinus and flows into the internal jugular vein

phrenic vein

drains the diaphragm; the right phrenic vein flows into the inferior vena cava and the left phrenic vein leads to the left renal vein

plantar arch

formed from the anastomosis of the dorsalis pedis artery and medial and plantar arteries; branches supply the distal portions of the foot and digits

plantar veins

drain the foot and lead to the plantar venous arch

plantar venous arch

formed from the plantar veins; leads to the anterior and posterior tibial veins through anastomoses

popliteal artery

continuation of the femoral artery posterior to the knee; branches into the anterior and posterior tibial arteries

popliteal vein

continuation of the femoral vein behind the knee; drains the region behind the knee and forms from the fusion of the fibular and anterior and posterior tibial veins

posterior cerebral artery

branch of the basilar artery that forms a portion of the posterior segment of the arterial circle; supplies blood to the posterior portion of the cerebrum and brain stem

posterior communicating artery

branch of the posterior cerebral artery that forms part of the posterior portion of the arterial circle; supplies blood to the brain

posterior tibial artery

branch from the popliteal artery that gives rise to the fibular or peroneal artery; supplies blood to the posterior tibial region

posterior tibial vein

forms from the dorsal venous arch; drains the area near the posterior surface of the tibia and leads to the popliteal vein

precapillary sphincters

circular rings of smooth muscle that surround the entrance to a capillary and regulate blood flow into that capillary

pulmonary artery

one of two branches, left and right, that divides off from the pulmonary trunk and leads to smaller arterioles and eventually to the pulmonary capillaries

pulmonary circuit

system of blood vessels that provide gas exchange via a network of arteries, veins, and capillaries that run from the heart, through the body, and back to the lungs

pulmonary trunk

single large vessel exiting the right ventricle that divides to form the right and left pulmonary arteries

pulmonary veins

two sets of paired vessels, one pair on each side, that are formed from the small venules leading away from the pulmonary capillaries that flow into the left atrium

pulse

alternating expansion and recoil of an artery as blood moves through the vessel; an indicator of heart rate

pulse pressure

difference between the systolic and diastolic pressures

radial artery

formed at the bifurcation of the brachial artery; parallels the radius; gives off smaller branches until it reaches the carpal region where it fuses with the ulnar artery to form the superficial and deep palmar arches; supplies blood to the lower arm and carpal region

radial vein

parallels the radius and radial artery; arises from the palmar venous arches and leads to the brachial vein

reabsorption

in the cardiovascular system, the movement of material from the interstitial fluid into the capillaries

renal artery

branch of the abdominal aorta; supplies each kidney

renal vein

largest vein entering the inferior vena cava; drains the kidneys and leads to the inferior vena cava

resistance

any condition or parameter that slows or counteracts the flow of blood

respiratory pump

increase in the volume of the thorax during inhalation that decreases air pressure, enabling venous blood to flow into the thoracic region, then exhalation increases pressure, moving blood into the atria

right gastric artery

branch of the common hepatic artery; supplies blood to the stomach

sepsis

(also, septicemia) organismal-level inflammatory response to a massive infection

septic shock

(also, blood poisoning) type of shock that follows a massive infection resulting in organism-wide inflammation

sigmoid sinuses

enlarged veins that receive blood from the transverse sinuses; flow through the jugular foramen and into the internal jugular vein

sinusoid capillary

rarest type of capillary, which has extremely large intercellular gaps in the basement membrane in addition to clefts and fenestrations; found in areas such as the bone marrow and liver where passage of large molecules occurs

skeletal muscle pump

effect on increasing blood pressure within veins by compression of the vessel caused by the contraction of nearby skeletal muscle

small saphenous vein

located on the lateral surface of the leg; drains blood from the superficial regions of the lower leg and foot, and leads to the popliteal vein

sphygmomanometer

blood pressure cuff attached to a device that measures blood pressure

splenic artery

branch of the celiac trunk; supplies blood to the spleen

straight sinus

enlarged vein that drains blood from the brain; receives most of the blood from the great cerebral vein and flows into the left or right transverse sinus

subclavian artery

right subclavian arises from the brachiocephalic artery, whereas the left subclavian artery arises from the aortic arch; gives rise to the internal thoracic, vertebral, and thyrocervical arteries; supplies blood to the arms, chest, shoulders, back, and central nervous system

subclavian vein

located deep in the thoracic cavity; becomes the axillary vein as it enters the axillary region; drains the axillary and smaller local veins near the scapular region; leads to the brachiocephalic vein

subscapular vein

drains blood from the subscapular region and leads to the axillary vein

superior mesenteric artery

branch of the abdominal aorta; supplies blood to the small intestine (duodenum, jejunum, and ileum), the pancreas, and a majority of the large intestine

superior phrenic artery

branch of the thoracic aorta; supplies blood to the superior surface of the diaphragm

superior sagittal sinus

enlarged vein located midsagittally between the meningeal and periosteal layers of the dura mater within the falx cerebri; receives most of the blood drained from the superior surface of the cerebrum and leads to the inferior jugular vein and the vertebral vein

superior vena cava

large systemic vein; drains blood from most areas superior to the diaphragm; empties into the right atrium

systolic pressure

larger number recorded when measuring arterial blood pressure; represents the maximum value following ventricular contraction

temporal vein

drains blood from the temporal region and leads to the external jugular vein

testicular artery

branch of the abdominal aorta; will ultimately travel outside the body cavity to the testes and form one component of the spermatic cord

testicular vein

drains the testes and forms part of the spermatic cord; the right testicular vein empties directly into the inferior vena cava and the left testicular vein empties into the left renal vein

thoracic aorta

portion of the descending aorta superior to the aortic hiatus

thoroughfare channel

continuation of the metarteriole that enables blood to bypass a capillary bed and flow directly into a venule, creating a vascular shunt

thyrocervical artery

arises from the subclavian artery; supplies blood to the thyroid, the cervical region, the upper back, and shoulder

transient ischemic attack (TIA)

temporary loss of neurological function caused by a brief interruption in blood flow; also known as a mini-stroke

transverse sinuses

pair of enlarged veins near the lambdoid suture that drain the occipital, sagittal, and straight sinuses, and leads to the sigmoid sinuses

trunk

large vessel that gives rise to smaller vessels

tunica externa

(also, tunica adventitia) outermost layer or tunic of a vessel (except capillaries)

tunica intima

(also, tunica interna) innermost lining or tunic of a vessel

tunica media

middle layer or tunic of a vessel (except capillaries)

ulnar artery

formed at the bifurcation of the brachial artery; parallels the ulna; gives off smaller branches until it reaches the carpal region where it fuses with the radial artery to form the superficial and deep palmar arches; supplies blood to the lower arm and carpal region

ulnar vein

parallels the ulna and ulnar artery; arises from the palmar venous arches and leads to the brachial vein

umbilical arteries

pair of vessels that runs within the umbilical cord and carries fetal blood low in oxygen and high in waste to the placenta for exchange with maternal blood

umbilical vein

single vessel that originates in the placenta and runs within the umbilical cord, carrying oxygen- and nutrient-rich blood to the fetal heart

vasa vasorum

small blood vessels located within the walls or tunics of larger vessels that supply nourishment to and remove wastes from the cells of the vessels

vascular shock

type of shock that occurs when arterioles lose their normal muscular tone and dilate dramatically

vascular shunt

continuation of the metarteriole and thoroughfare channel that allows blood to bypass the capillary beds to flow directly from the arterial to the venous circulation

vascular tone

contractile state of smooth muscle in a blood vessel

vascular tubes

rudimentary blood vessels in a developing fetus

vasoconstriction

constriction of the smooth muscle of a blood vessel, resulting in a decreased vascular diameter

vasodilation

relaxation of the smooth muscle in the wall of a blood vessel, resulting in an increased vascular diameter

vasomotion

irregular, pulsating flow of blood through capillaries and related structures

vein

blood vessel that conducts blood toward the heart

venous reserve

volume of blood contained within systemic veins in the integument, bone marrow, and liver that can be returned to the heart for circulation, if needed

venule

small vessel leading from the capillaries to veins

vertebral artery

arises from the subclavian artery and passes through the vertebral foramen through the foramen magnum to the brain; joins with the internal carotid artery to form the arterial circle; supplies blood to the brain and spinal cord

vertebral vein

arises from the base of the brain and the cervical region of the spinal cord; passes through the intervertebral foramina in the cervical vertebrae; drains smaller veins from the cranium, spinal cord, and vertebrae, and leads to the brachiocephalic vein; counterpart of the vertebral artery

visceral branches

branches of the descending aorta that supply blood to the viscera

Chapter 21 - Key Terms

active immunity

immunity developed from an individual’s own immune system

acute inflammation

inflammation occurring for a limited time period; rapidly developing

adaptive immune response

relatively slow but very specific and effective immune response controlled by lymphocytes

afferent lymphatic vessels

lead into a lymph node

antibody

antigen-specific protein secreted by plasma cells; immunoglobulin

antigen

molecule recognized by the receptors of B and T lymphocytes

antigen presentation

binding of processed antigen to the protein-binding cleft of a major histocompatibility complex molecule

antigen processing

internalization and digestion of antigen in an antigen-presenting cell

antigen receptor

two-chain receptor by which lymphocytes recognize antigen

antigenic determinant

(also, epitope) one of the chemical groups recognized by a single type of lymphocyte antigen receptor

B cells

lymphocytes that act by differentiating into an antibody-secreting plasma cell

barrier defenses

antipathogen defenses deriving from a barrier that physically prevents pathogens from entering the body to establish an infection

bone marrow

tissue found inside bones; the site of all blood cell differentiation and maturation of B lymphocytes

bronchus-associated lymphoid tissue (BALT)

lymphoid nodule associated with the respiratory tract

central tolerance

B cell tolerance induced in immature B cells of the bone marrow

chemokine

soluble, long-range, cell-to-cell communication molecule

chronic inflammation

inflammation occurring for long periods of time

chyle

lipid-rich lymph inside the lymphatic capillaries of the small intestine

cisterna chyli

bag-like vessel that forms the beginning of the thoracic duct

class switching

ability of B cells to change the class of antibody they produce without altering the specificity for antigen

clonal anergy

process whereby B cells that react to soluble antigens in bone marrow are made nonfunctional

clonal deletion

removal of self-reactive B cells by inducing apoptosis

clonal expansion

growth of a clone of selected lymphocytes

clonal selection

stimulating growth of lymphocytes that have specific receptors

clone

group of lymphocytes sharing the same antigen receptor

complement

enzymatic cascade of constitutive blood proteins that have antipathogen effects, including the direct killing of bacteria

constant region domain

part of a lymphocyte antigen receptor that does not vary much between different receptor types

cytokine

soluble, short-range, cell-to-cell communication molecule

cytotoxic T cells (Tc)

T lymphocytes with the ability to induce apoptosis in target cells

delayed hypersensitivity

(type IV) T cell-mediated immune response against pathogens infiltrating interstitial tissues, causing cellular infiltrate

early induced immune response

includes antimicrobial proteins stimulated during the first several days of an infection

effector T cells

immune cells with a direct, adverse effect on a pathogen

efferent lymphatic vessels

lead out of a lymph node

erythroblastosis fetalis

disease of Rh factor-positive newborns in Rh-negative mothers with multiple Rh-positive children; resulting from the action of maternal antibodies against fetal blood

fas ligand

molecule expressed on cytotoxic T cells and NK cells that binds to the fas molecule on a target cell and induces it do undergo apoptosis

Fc region

in an antibody molecule, the site where the two termini of the heavy chains come together; many cells have receptors for this portion of the antibody, adding functionality to these molecules

germinal centers

clusters of rapidly proliferating B cells found in secondary lymphoid tissues

graft-versus-host disease

in bone marrow transplants; occurs when the transplanted cells mount an immune response against the recipient

granzyme

apoptosis-inducing substance contained in granules of NK cells and cytotoxic T cells

heavy chain

larger protein chain of an antibody

helper T cells (Th)

T cells that secrete cytokines to enhance other immune responses, involved in activation of both B and T cell lymphocytes

high endothelial venules

vessels containing unique endothelial cells specialized to allow migration of lymphocytes from the blood to the lymph node

histamine

vasoactive mediator in granules of mast cells and is the primary cause of allergies and anaphylactic shock

IgA

antibody whose dimer is secreted by exocrine glands, is especially effective against digestive and respiratory pathogens, and can pass immunity to an infant through breastfeeding

IgD

class of antibody whose only known function is as a receptor on naive B cells; important in B cell activation

IgE

antibody that binds to mast cells and causes antigen-specific degranulation during an allergic response

IgG

main blood antibody of late primary and early secondary responses; passed from carrier to unborn child via placenta

IgM

antibody whose monomer is a surface receptor of naive B cells; the pentamer is the first antibody made blood plasma during primary responses

immediate hypersensitivity

(type I) IgE-mediated mast cell degranulation caused by crosslinking of surface IgE by antigen

immune system

series of barriers, cells, and soluble mediators that combine to response to infections of the body with pathogenic organisms

immunoglobulin

protein antibody; occurs as one of five main classes

immunological memory

ability of the adaptive immune response to mount a stronger and faster immune response upon re-exposure to a pathogen

inflammation

basic innate immune response characterized by heat, redness, pain, and swelling

innate immune response

rapid but relatively nonspecific immune response

interferons

early induced proteins made in virally infected cells that cause nearby cells to make antiviral proteins

light chain

small protein chain of an antibody

lymph

fluid contained within the lymphatic system

lymph node

one of the bean-shaped organs found associated with the lymphatic vessels

lymphatic capillaries

smallest of the lymphatic vessels and the origin of lymph flow

lymphatic system

network of lymphatic vessels, lymph nodes, and ducts that carries lymph from the tissues and back to the bloodstream.

lymphatic trunks

large lymphatics that collect lymph from smaller lymphatic vessels and empties into the blood via lymphatic ducts

lymphocytes

white blood cells characterized by a large nucleus and small rim of cytoplasm

lymphoid nodules

unencapsulated patches of lymphoid tissue found throughout the body

macrophage

ameboid phagocyte found in several tissues throughout the body

macrophage oxidative metabolism

metabolism turned on in macrophages by T cell signals that help destroy intracellular bacteria

major histocompatibility complex (MHC)

gene cluster whose proteins present antigens to T cells

mast cell

cell found in the skin and the lining of body cells that contains cytoplasmic granules with vasoactive mediators such as histamine

memory T cells

long-lived immune cell reserved for future exposure to a pathogen

MHC class I

found on most cells of the body, it binds to the CD8 molecule on T cells

MHC class II

found on macrophages, dendritic cells, and B cells, it binds to CD4 molecules on T cells

MHC polygeny

multiple MHC genes and their proteins found in body cells

MHC polymorphism

multiple alleles for each individual MHC locus

monocyte

precursor to macrophages and dendritic cells seen in the blood

mucosa-associated lymphoid tissue (MALT)

lymphoid nodule associated with the mucosa

naïve lymphocyte

mature B or T cell that has not yet encountered antigen for the first time

natural killer cell (NK)

cytotoxic lymphocyte of innate immune response

negative selection

selection against thymocytes in the thymus that react with self-antigen

neutralization

inactivation of a virus by the binding of specific antibody

neutrophil

phagocytic white blood cell recruited from the bloodstream to the site of infection via the bloodstream

opsonization

enhancement of phagocytosis by the binding of antibody or antimicrobial protein

passive immunity

transfer of immunity to a pathogen to an individual that lacks immunity to this pathogen usually by the injection of antibodies

pattern recognition receptor (PRR)

leukocyte receptor that binds to specific cell wall components of different bacterial species

perforin

molecule in NK cell and cytotoxic T cell granules that form pores in the membrane of a target cell

peripheral tolerance

mature B cell made tolerant by lack of T cell help

phagocytosis

movement of material from the outside to the inside of the cells via vesicles made from invaginations of the plasma membrane

plasma cell

differentiated B cell that is actively secreting antibody

polyclonal response

response by multiple clones to a complex antigen with many determinants

positive selection

selection of thymocytes within the thymus that interact with self, but not non-self, MHC molecules

primary adaptive response

immune system’s response to the first exposure to a pathogen

primary lymphoid organ

site where lymphocytes mature and proliferate; red bone marrow and thymus gland

psychoneuroimmunology

study of the connections between the immune, nervous, and endocrine systems

regulatory T cells (Treg)

(also, suppressor T cells) class of CD4 T cells that regulates other T cell responses

right lymphatic duct

drains lymph fluid from the upper right side of body into the right subclavian vein

secondary adaptive response

immune response observed upon re-exposure to a pathogen, which is stronger and faster than a primary response

secondary lymphoid organs

sites where lymphocytes mount adaptive immune responses; examples include lymph nodes and spleen

sensitization

first exposure to an antigen

seroconversion

clearance of pathogen in the serum and the simultaneous rise of serum antibody

severe combined immunodeficiency disease (SCID)

genetic mutation that affects both T cell and B cell arms of the immune response

spleen

secondary lymphoid organ that filters pathogens from the blood (white pulp) and removes degenerating or damaged blood cells (red pulp)

T cell

lymphocyte that acts by secreting molecules that regulate the immune system or by causing the destruction of foreign cells, viruses, and cancer cells

T cell tolerance

process during T cell differentiation where most T cells that recognize antigens from one’s own body are destroyed

T cell-dependent antigen

antigen that binds to B cells, which requires signals from T cells to make antibody

T cell-independent antigen

binds to B cells, which do not require signals from T cells to make antibody

Th1 cells

cells that secrete cytokines that enhance the activity of macrophages and other cells

Th2 cells

cells that secrete cytokines that induce B cells to differentiate into antibody-secreting plasma cells

thoracic duct

large duct that drains lymph from the lower limbs, left thorax, left upper limb, and the left side of the head

thymocyte

immature T cell found in the thymus

thymus

primary lymphoid organ; where T lymphocytes proliferate and mature

tissue typing

typing of MHC molecules between a recipient and donor for use in a potential transplantation procedure

tonsils

lymphoid nodules associated with the nasopharynx

type I hypersensitivity

immediate response mediated by mast cell degranulation caused by the crosslinking of the antigen-specific IgE molecules on the mast cell surface

type II hypersensitivity

cell damage caused by the binding of antibody and the activation of complement, usually against red blood cells

type III hypersensitivity

damage to tissues caused by the deposition of antibody-antigen (immune) complexes followed by the activation of complement

variable region domain

part of a lymphocyte antigen receptor that varies considerably between different receptor types

Chapter 22 - Key Terms

acclimatization

process of adjustment that the respiratory system makes due to chronic exposure to high altitudes

acute mountain sickness (AMS)

condition that occurs a result of acute exposure to high altitude due to a low partial pressure of oxygen

ala

(plural = alae) small, flaring structure of a nostril that forms the lateral side of the nares

alar cartilage

cartilage that supports the apex of the nose and helps shape the nares; it is connected to the septal cartilage and connective tissue of the alae

alveolar dead space

air space within alveoli that are unable to participate in gas exchange

alveolar duct

small tube that leads from the terminal bronchiole to the respiratory bronchiole and is the point of attachment for alveoli

alveolar macrophage

immune system cell of the alveolus that removes debris and pathogens

alveolar pore

opening that allows airflow between neighboring alveoli

alveolar sac

cluster of alveoli

alveolus

small, grape-like sac that performs gas exchange in the lungs

anatomical dead space

air space present in the airway that never reaches the alveoli and therefore never participates in gas exchange

apex

tip of the external nose

apneustic center

network of neurons within the pons that stimulate the neurons in the dorsal respiratory group; controls the depth of inspiration

atmospheric pressure

amount of force that is exerted by gases in the air surrounding any given surface

Bohr effect

relationship between blood pH and oxygen dissociation from hemoglobin

Boyle’s law

relationship between volume and pressure as described by the formula: P1V1 = P2V2

bridge

portion of the external nose that lies in the area of the nasal bones

bronchial bud

structure in the developing embryo that forms when the laryngotracheal bud extends and branches to form two bulbous structures

bronchial tree

collective name for the multiple branches of the bronchi and bronchioles of the respiratory system

bronchiole

branch of bronchi that are 1 mm or less in diameter and terminate at alveolar sacs

bronchoconstriction

decrease in the size of the bronchiole due to relaxation of the muscular wall

bronchodilation

increase in the size of the bronchiole due to contraction of the muscular wall

bronchus

tube connected to the trachea that branches into many subsidiaries and provides a passageway for air to enter and leave the lungs

carbaminohemoglobin

bound form of hemoglobin and carbon dioxide

carbonic anhydrase (CA)

enzyme that catalyzes the reaction that causes carbon dioxide and water to form carbonic acid

cardiac notch

indentation on the surface of the left lung that allows space for the heart

central chemoreceptor

one of the specialized receptors that are located in the brain that sense changes in hydrogen ion, oxygen, or carbon dioxide concentrations in the brain

chloride shift

facilitated diffusion that exchanges bicarbonate (HCO3) with chloride (Cl) ions

conducting zone

region of the respiratory system that includes the organs and structures that provide passageways for air and are not directly involved in gas exchange

cricoid cartilage

portion of the larynx composed of a ring of cartilage with a wide posterior region and a thinner anterior region; attached to the esophagus

Dalton’s law

statement of the principle that a specific gas type in a mixture exerts its own pressure, as if that specific gas type was not part of a mixture of gases

dorsal respiratory group (DRG)

region of the medulla oblongata that stimulates the contraction of the diaphragm and intercostal muscles to induce inspiration

dorsum nasi

intermediate portion of the external nose that connects the bridge to the apex and is supported by the nasal bone

epiglottis

leaf-shaped piece of elastic cartilage that is a portion of the larynx that swings to close the trachea during swallowing

expiration

(also, exhalation) process that causes the air to leave the lungs

expiratory reserve volume (ERV)

amount of air that can be forcefully exhaled after a normal tidal exhalation

external nose

region of the nose that is easily visible to others

external respiration

gas exchange that occurs in the alveoli

fauces

portion of the posterior oral cavity that connects the oral cavity to the oropharynx

fibroelastic membrane

specialized membrane that connects the ends of the C-shape cartilage in the trachea; contains smooth muscle fibers

forced breathing

(also, hyperpnea) mode of breathing that occurs during exercise or by active thought that requires muscle contraction for both inspiration and expiration

foregut

endoderm of the embryo towards the head region

functional residual capacity (FRC)

sum of ERV and RV, which is the amount of air that remains in the lungs after a tidal expiration

glottis

opening between the vocal folds through which air passes when producing speech

Haldane effect

relationship between the partial pressure of oxygen and the affinity of hemoglobin for carbon dioxide

Henry’s law

statement of the principle that the concentration of gas in a liquid is directly proportional to the solubility and partial pressure of that gas

hilum

concave structure on the mediastinal surface of the lungs where blood vessels, lymphatic vessels, nerves, and a bronchus enter the lung

hyperpnea

increased rate and depth of ventilation due to an increase in oxygen demand that does not significantly alter blood oxygen or carbon dioxide levels

hyperventilation

increased ventilation rate that leads to abnormally low blood carbon dioxide levels and high (alkaline) blood pH

inspiration

(also, inhalation) process that causes air to enter the lungs

inspiratory capacity (IC)

sum of the TV and IRV, which is the amount of air that can maximally be inhaled past a tidal expiration

inspiratory reserve volume (IRV)

amount of air that enters the lungs due to deep inhalation past the tidal volume

internal respiration

gas exchange that occurs at the level of body tissues

intra-alveolar pressure

(intrapulmonary pressure) pressure of the air within the alveoli

intrapleural pressure

pressure of the air within the pleural cavity

laryngeal prominence

region where the two lamine of the thyroid cartilage join, forming a protrusion known as “Adam’s apple”

laryngopharynx

portion of the pharynx bordered by the oropharynx superiorly and esophagus and trachea inferiorly; serves as a route for both air and food

laryngotracheal

bud forms from the lung bud, has a tracheal end and bulbous bronchial buds at the distal end

larynx

cartilaginous structure that produces the voice, prevents food and beverages from entering the trachea, and regulates the volume of air that enters and leaves the lungs

lingual tonsil

lymphoid tissue located at the base of the tongue

lung

organ of the respiratory system that performs gas exchange

lung bud

median dome that forms from the endoderm of the foregut

meatus

one of three recesses (superior, middle, and inferior) in the nasal cavity attached to the conchae that increase the surface area of the nasal cavity

naris

(plural = nares) opening of the nostrils

nasal bone

bone of the skull that lies under the root and bridge of the nose and is connected to the frontal and maxillary bones

nasal septum

wall composed of bone and cartilage that separates the left and right nasal cavities

nasopharynx

portion of the pharynx flanked by the conchae and oropharynx that serves as an airway

olfactory pit

invaginated ectodermal tissue in the anterior portion of the head region of an embryo that will form the nasal cavity

oropharynx

portion of the pharynx flanked by the nasopharynx, oral cavity, and laryngopharynx that is a passageway for both air and food

oxygen–hemoglobin dissociation curve

graph that describes the relationship of partial pressure to the binding and disassociation of oxygen to and from heme

oxyhemoglobin

(Hb–O2) bound form of hemoglobin and oxygen

palatine tonsil

one of the paired structures composed of lymphoid tissue located anterior to the uvula at the roof of isthmus of the fauces

paranasal sinus

one of the cavities within the skull that is connected to the conchae that serve to warm and humidify incoming air, produce mucus, and lighten the weight of the skull; consists of frontal, maxillary, sphenoidal, and ethmoidal sinuses

parietal pleura

outermost layer of the pleura that connects to the thoracic wall, mediastinum, and diaphragm

partial pressure

force exerted by each gas in a mixture of gases

peripheral chemoreceptor

one of the specialized receptors located in the aortic arch and carotid arteries that sense changes in pH, carbon dioxide, or oxygen blood levels

pharyngeal tonsil

structure composed of lymphoid tissue located in the nasopharynx

pharynx

region of the conducting zone that forms a tube of skeletal muscle lined with respiratory epithelium; located between the nasal conchae and the esophagus and trachea

philtrum

concave surface of the face that connects the apex of the nose to the top lip

pleural cavity

space between the visceral and parietal pleurae

pleural fluid

substance that acts as a lubricant for the visceral and parietal layers of the pleura during the movement of breathing

pneumotaxic center

network of neurons within the pons that inhibit the activity of the neurons in the dorsal respiratory group; controls rate of breathing

pulmonary artery

artery that arises from the pulmonary trunk and carries deoxygenated, arterial blood to the alveoli

pulmonary plexus

network of autonomic nervous system fibers found near the hilum of the lung

pulmonary surfactant

substance composed of phospholipids and proteins that reduces the surface tension of the alveoli; made by type II alveolar cells

pulmonary ventilation

exchange of gases between the lungs and the atmosphere; breathing

quiet breathing

(also, eupnea) mode of breathing that occurs at rest and does not require the cognitive thought of the individual

residual volume (RV)

amount of air that remains in the lungs after maximum exhalation

respiratory bronchiole

specific type of bronchiole that leads to alveolar sacs

respiratory cycle

one sequence of inspiration and expiration

respiratory epithelium

ciliated lining of much of the conducting zone that is specialized to remove debris and pathogens, and produce mucus

respiratory membrane

alveolar and capillary wall together, which form an air-blood barrier that facilitates the simple diffusion of gases

respiratory rate

total number of breaths taken each minute

respiratory volume

varying amounts of air within the lung at a given time

respiratory zone

includes structures of the respiratory system that are directly involved in gas exchange

root

region of the external nose between the eyebrows

thoracic wall compliance

ability of the thoracic wall to stretch while under pressure

thyroid cartilage

largest piece of cartilage that makes up the larynx and consists of two lamine

tidal volume (TV)

amount of air that normally enters the lungs during quiet breathing

total dead space

sum of the anatomical dead space and alveolar dead space

total lung capacity (TLC)

total amount of air that can be held in the lungs; sum of TV, ERV, IRV, and RV

total pressure

sum of all the partial pressures of a gaseous mixture

trachea

tube composed of cartilaginous rings and supporting tissue that connects the lung bronchi and the larynx; provides a route for air to enter and exit the lung

trachealis muscle

smooth muscle located in the fibroelastic membrane of the trachea

transpulmonary pressure

pressure difference between the intrapleural and intra-alveolar pressures

true vocal cord

one of the pair of folded, white membranes that have a free inner edge that oscillates as air passes through to produce sound

type I alveolar cell

squamous epithelial cells that are the major cell type in the alveolar wall; highly permeable to gases

type II alveolar cell

cuboidal epithelial cells that are the minor cell type in the alveolar wall; secrete pulmonary surfactant

ventilation

movement of air into and out of the lungs; consists of inspiration and expiration

ventral respiratory group (VRG)

region of the medulla oblongata that stimulates the contraction of the accessory muscles involved in respiration to induce forced inspiration and expiration

vestibular fold

part of the folded region of the glottis composed of mucous membrane; supports the epiglottis during swallowing

visceral pleura

innermost layer of the pleura that is superficial to the lungs and extends into the lung fissures

vital capacity (VC)

sum of TV, ERV, and IRV, which is all the volumes that participate in gas exchange

Chapter 23 - Key Terms

absorption

passage of digested products from the intestinal lumen through mucosal cells and into the bloodstream or lacteals

accessory digestive organ

includes teeth, tongue, salivary glands, gallbladder, liver, and pancreas

accessory duct

(also, duct of Santorini) duct that runs from the pancreas into the duodenum

acinus

cluster of glandular epithelial cells in the pancreas that secretes pancreatic juice in the pancreas

alimentary canal

continuous muscular digestive tube that extends from the mouth to the anus

aminopeptidase

brush border enzyme that acts on proteins

anal canal

final segment of the large intestine

anal column

long fold of mucosa in the anal canal

anal sinus

recess between anal columns

appendix

(vermiform appendix) coiled tube attached to the cecum

ascending colon

first region of the colon

bacterial flora

bacteria in the large intestine

bile

alkaline solution produced by the liver and important for the emulsification of lipids

bile canaliculus

small duct between hepatocytes that collects bile

bilirubin

main bile pigment, which is responsible for the brown color of feces

body

mid-portion of the stomach

bolus

mass of chewed food

brush border

fuzzy appearance of the small intestinal mucosa created by microvilli

cardia

(also, cardiac region) part of the stomach surrounding the cardiac orifice (esophageal hiatus)

cecum

pouch forming the beginning of the large intestine

cementum

bone-like tissue covering the root of a tooth

central vein

vein that receives blood from hepatic sinusoids

cephalic phase

(also, reflex phase) initial phase of gastric secretion that occurs before food enters the stomach

chemical digestion

enzymatic breakdown of food

chief cell

gastric gland cell that secretes pepsinogen

chylomicron

large lipid-transport compound made up of triglycerides, phospholipids, cholesterol, and proteins

chyme

soupy liquid created when food is mixed with digestive juices

circular fold

(also, plica circulare) deep fold in the mucosa and submucosa of the small intestine

colon

part of the large intestine between the cecum and the rectum

common bile duct

structure formed by the union of the common hepatic duct and the gallbladder’s cystic duct

common hepatic duct

duct formed by the merger of the two hepatic ducts

crown

portion of tooth visible superior to the gum line

cuspid

(also, canine) pointed tooth used for tearing and shredding food

cystic duct

duct through which bile drains and enters the gallbladder

deciduous tooth

one of 20 “baby teeth”

defecation

elimination of undigested substances from the body in the form of feces

deglutition

three-stage process of swallowing

dens

tooth

dentin

bone-like tissue immediately deep to the enamel of the crown or cementum of the root of a tooth

dentition

set of teeth

deoxyribonuclease

pancreatic enzyme that digests DNA

descending colon

part of the colon between the transverse colon and the sigmoid colon

dipeptidase

brush border enzyme that acts on proteins

duodenal gland

(also, Brunner’s gland) mucous-secreting gland in the duodenal submucosa

duodenum

first part of the small intestine, which starts at the pyloric sphincter and ends at the jejunum

enamel

covering of the dentin of the crown of a tooth

enteroendocrine cell

gastric gland cell that releases hormones

enterohepatic circulation

recycling mechanism that conserves bile salts

enteropeptidase

intestinal brush-border enzyme that activates trypsinogen to trypsin

epiploic appendage

small sac of fat-filled visceral peritoneum attached to teniae coli

esophagus

muscular tube that runs from the pharynx to the stomach

external anal sphincter

voluntary skeletal muscle sphincter in the anal canal

fauces

opening between the oral cavity and the oropharynx

feces

semisolid waste product of digestion

flatus

gas in the intestine

fundus

dome-shaped region of the stomach above and to the left of the cardia

G cell

gastrin-secreting enteroendocrine cell

gallbladder

accessory digestive organ that stores and concentrates bile

gastric emptying

process by which mixing waves gradually cause the release of chyme into the duodenum

gastric gland

gland in the stomach mucosal epithelium that produces gastric juice

gastric phase

phase of gastric secretion that begins when food enters the stomach

gastric pit

narrow channel formed by the epithelial lining of the stomach mucosa

gastrin

peptide hormone that stimulates secretion of hydrochloric acid and gut motility

gastrocolic reflex

propulsive movement in the colon activated by the presence of food in the stomach

gastroileal reflex

long reflex that increases the strength of segmentation in the ileum

gingiva

gum

haustral contraction

slow segmentation in the large intestine

haustrum

small pouch in the colon created by tonic contractions of teniae coli

hepatic artery

artery that supplies oxygenated blood to the liver

hepatic lobule

hexagonal-shaped structure composed of hepatocytes that radiate outward from a central vein

hepatic portal vein

vein that supplies deoxygenated nutrient-rich blood to the liver

hepatic sinusoid

blood capillaries between rows of hepatocytes that receive blood from the hepatic portal vein and the branches of the hepatic artery

hepatic vein

vein that drains into the inferior vena cava

hepatocytes

major functional cells of the liver

hepatopancreatic ampulla

(also, ampulla of Vater) bulb-like point in the wall of the duodenum where the bile duct and main pancreatic duct unite

hepatopancreatic sphincter

(also, sphincter of Oddi) sphincter regulating the flow of bile and pancreatic juice into the duodenum

hydrochloric acid (HCl)

digestive acid secreted by parietal cells in the stomach

ileocecal sphincter

sphincter located where the small intestine joins with the large intestine

ileum

end of the small intestine between the jejunum and the large intestine

incisor

midline, chisel-shaped tooth used for cutting into food

ingestion

taking food into the GI tract through the mouth

internal anal sphincter

involuntary smooth muscle sphincter in the anal canal

intestinal gland

(also, crypt of Lieberkühn) gland in the small intestinal mucosa that secretes intestinal juice

intestinal juice

mixture of water and mucus that helps absorb nutrients from chyme

intestinal phase

phase of gastric secretion that begins when chyme enters the intestine

intrinsic factor

glycoprotein required for vitamin B12 absorption in the small intestine

jejunum

middle part of the small intestine between the duodenum and the ileum

labial frenulum

midline mucous membrane fold that attaches the inner surface of the lips to the gums

labium

lip

lactase

brush border enzyme that breaks down lactose into glucose and galactose

lacteal

lymphatic capillary in the villi

large intestine

terminal portion of the alimentary canal

laryngopharynx

part of the pharynx that functions in respiration and digestion

left colic flexure

(also, splenic flexure) point where the transverse colon curves below the inferior end of the spleen

lingual frenulum

mucous membrane fold that attaches the bottom of the tongue to the floor of the mouth

lingual lipase

digestive enzyme from glands in the tongue that acts on triglycerides

lipoprotein lipase

enzyme that breaks down triglycerides in chylomicrons into fatty acids and monoglycerides

liver

largest gland in the body whose main digestive function is the production of bile

lower esophageal sphincter

smooth muscle sphincter that regulates food movement from the esophagus to the stomach

main pancreatic duct

(also, duct of Wirsung) duct through which pancreatic juice drains from the pancreas

major duodenal papilla

point at which the hepatopancreatic ampulla opens into the duodenum

maltase

brush border enzyme that breaks down maltose and maltotriose into two and three molecules of glucose, respectively

mass movement

long, slow, peristaltic wave in the large intestine

mastication

chewing

mechanical digestion

chewing, mixing, and segmentation that prepares food for chemical digestion

mesoappendix

mesentery of the appendix

micelle

tiny lipid-transport compound composed of bile salts and phospholipids with a fatty acid and monoacylglyceride core

microvillus

small projection of the plasma membrane of the absorptive cells of the small intestinal mucosa

migrating motility complex

form of peristalsis in the small intestine

mixing wave

unique type of peristalsis that occurs in the stomach

molar

tooth used for crushing and grinding food

motilin

hormone that initiates migrating motility complexes

motility

movement of food through the GI tract

mucosa

innermost lining of the alimentary canal

mucosal barrier

protective barrier that prevents gastric juice from destroying the stomach itself

mucous neck cell

gastric gland cell that secretes a uniquely acidic mucus

muscularis

muscle (skeletal or smooth) layer of the alimentary canal wall

myenteric plexus

(plexus of Auerbach) major nerve supply to alimentary canal wall; controls motility

nucleosidase

brush border enzyme that digests nucleotides

oral cavity

(also, buccal cavity) mouth

oral vestibule

part of the mouth bounded externally by the cheeks and lips, and internally by the gums and teeth

oropharynx

part of the pharynx continuous with the oral cavity that functions in respiration and digestion

palatoglossal arch

muscular fold that extends from the lateral side of the soft palate to the base of the tongue

palatopharyngeal arch

muscular fold that extends from the lateral side of the soft palate to the side of the pharynx

pancreas

accessory digestive organ that secretes pancreatic juice

pancreatic amylase

enzyme secreted by the pancreas that completes the chemical digestion of carbohydrates in the small intestine

pancreatic juice

secretion of the pancreas containing digestive enzymes and bicarbonate

pancreatic lipase

enzyme secreted by the pancreas that participates in lipid digestion

pancreatic nuclease

enzyme secreted by the pancreas that participates in nucleic acid digestion

parietal cell

gastric gland cell that secretes hydrochloric acid and intrinsic factor

parotid gland

one of a pair of major salivary glands located inferior and anterior to the ears

pectinate line

horizontal line that runs like a ring, perpendicular to the inferior margins of the anal sinuses

pepsinogen

inactive form of pepsin

peristalsis

muscular contractions and relaxations that propel food through the GI tract

permanent tooth

one of 32 adult teeth

pharynx

throat

phosphatase

brush border enzyme that digests nucleotides

porta hepatis

“gateway to the liver” where the hepatic artery and hepatic portal vein enter the liver

portal triad

bile duct, hepatic artery branch, and hepatic portal vein branch

premolar

(also, bicuspid) transitional tooth used for mastication, crushing, and grinding food

propulsion

voluntary process of swallowing and the involuntary process of peristalsis that moves food through the digestive tract

pulp cavity

deepest portion of a tooth, containing nerve endings and blood vessels

pyloric antrum

wider, more superior part of the pylorus

pyloric canal

narrow, more inferior part of the pylorus

pyloric sphincter

sphincter that controls stomach emptying

pylorus

lower, funnel-shaped part of the stomach that is continuous with the duodenum

rectal valve

one of three transverse folds in the rectum where feces is separated from flatus

rectum

part of the large intestine between the sigmoid colon and anal canal

reticuloendothelial cell

(also, Kupffer cell) phagocyte in hepatic sinusoids that filters out material from venous blood from the alimentary canal

retroperitoneal

located posterior to the peritoneum

ribonuclease

pancreatic enzyme that digests RNA

right colic flexure

(also, hepatic flexure) point, at the inferior surface of the liver, where the ascending colon turns abruptly to the left

root

portion of a tooth embedded in the alveolar processes beneath the gum line

ruga

fold of alimentary canal mucosa and submucosa in the empty stomach and other organs

saccharolytic fermentation

anaerobic decomposition of carbohydrates

saliva

aqueous solution of proteins and ions secreted into the mouth by the salivary glands

salivary amylase

digestive enzyme in saliva that acts on starch

salivary gland

an exocrine gland that secretes a digestive fluid called saliva

salivation

secretion of saliva

segmentation

alternating contractions and relaxations of non-adjacent segments of the intestine that move food forward and backward, breaking it apart and mixing it with digestive juices

serosa

outermost layer of the alimentary canal wall present in regions within the abdominal cavity

sigmoid colon

end portion of the colon, which terminates at the rectum

small intestine

section of the alimentary canal where most digestion and absorption occurs

soft palate

posterior region of the bottom portion of the nasal cavity that consists of skeletal muscle

stomach

alimentary canal organ that contributes to chemical and mechanical digestion of food from the esophagus before releasing it, as chyme, to the small intestine

sublingual gland

one of a pair of major salivary glands located beneath the tongue

submandibular gland

one of a pair of major salivary glands located in the floor of the mouth

submucosa

layer of dense connective tissue in the alimentary canal wall that binds the overlying mucosa to the underlying muscularis

submucosal plexus

(plexus of Meissner) nerve supply that regulates activity of glands and smooth muscle

sucrase

brush border enzyme that breaks down sucrose into glucose and fructose

tenia coli

one of three smooth muscle bands that make up the longitudinal muscle layer of the muscularis in all of the large intestine except the terminal end

tongue

accessory digestive organ of the mouth, the bulk of which is composed of skeletal muscle

transverse colon

part of the colon between the ascending colon and the descending colon

upper esophageal sphincter

skeletal muscle sphincter that regulates food movement from the pharynx to the esophagus

Valsalva’s maneuver

voluntary contraction of the diaphragm and abdominal wall muscles and closing of the glottis, which increases intra-abdominal pressure and facilitates defecation

villus

projection of the mucosa of the small intestine

voluntary phase

initial phase of deglutition, in which the bolus moves from the mouth to the oropharynx

α-dextrin

breakdown product of starch

α-dextrinase

brush border enzyme that acts on α-dextrins

Chapter 24 - Key Terms

absorptive state

also called the fed state; the metabolic state occurring during the first few hours after ingesting food in which the body is digesting food and absorbing the nutrients

acetyl coenzyme A (acetyl CoA)

starting molecule of the Krebs cycle

anabolic hormones

hormones that stimulate the synthesis of new, larger molecules

anabolic reactions

reactions that build smaller molecules into larger molecules

ATP synthase

protein pore complex that creates ATP

basal metabolic rate (BMR)

amount of energy expended by the body at rest

beta (β)-hydroxybutyrate

primary ketone body produced in the body

beta (β)-oxidation

fatty acid oxidation

bile salts

salts that are released from the liver in response to lipid ingestion and surround the insoluble triglycerides to aid in their conversion to monoglycerides and free fatty acids

biosynthesis reactions

reactions that create new molecules, also called anabolic reactions

body mass index (BMI)

relative amount of body weight compared to the overall height; a BMI ranging from 18–24.9 is considered normal weight, 25–29.9 is considered overweight, and greater than 30 is considered obese

calorie

amount of heat it takes to raise 1 kg (1000 g) of water by 1 °C

catabolic hormones

hormones that stimulate the breakdown of larger molecules

catabolic reactions

reactions that break down larger molecules into their constituent parts

cellular respiration

production of ATP from glucose oxidation via glycolysis, the Krebs cycle, and oxidative phosphorylation

cholecystokinin (CCK)

hormone that stimulates the release of pancreatic lipase and the contraction of the gallbladder to release bile salts

chylomicrons

vesicles containing cholesterol and triglycerides that transport lipids out of the intestinal cells and into the lymphatic and circulatory systems

chymotrypsin

pancreatic enzyme that digests protein

chymotrypsinogen

proenzyme that is activated by trypsin into chymotrypsin

citric acid cycle

also called the Krebs cycle or the tricarboxylic acid cycle; converts pyruvate into CO2 and high-energy FADH2, NADH, and ATP molecules

conduction

transfer of heat through physical contact

convection

transfer of heat between the skin and air or water

elastase

pancreatic enzyme that digests protein

electron transport chain (ETC)

ATP production pathway in which electrons are passed through a series of oxidation-reduction reactions that forms water and produces a proton gradient

energy-consuming phase

first phase of glycolysis, in which two molecules of ATP are necessary to start the reaction

energy-yielding phase

second phase of glycolysis, during which energy is produced

enterokinase

enzyme located in the wall of the small intestine that activates trypsin

evaporation

transfer of heat that occurs when water changes from a liquid to a gas

FADH2

high-energy molecule needed for glycolysis

fatty acid oxidation

breakdown of fatty acids into smaller chain fatty acids and acetyl CoA

flavin adenine dinucleotide (FAD)

coenzyme used to produce FADH2

glucokinase

cellular enzyme, found in the liver, which converts glucose into glucose-6-phosphate upon uptake into the cell

gluconeogenesis

process of glucose synthesis from pyruvate or other molecules

glucose-6-phosphate

phosphorylated glucose produced in the first step of glycolysis

glycogen

form that glucose assumes when it is stored

glycolysis

series of metabolic reactions that breaks down glucose into pyruvate and produces ATP

hexokinase

cellular enzyme, found in most tissues, that converts glucose into glucose-6-phosphate upon uptake into the cell

hydroxymethylglutaryl CoA (HMG CoA)

molecule created in the first step of the creation of ketone bodies from acetyl CoA

inactive proenzymes

forms in which proteases are stored and released to prevent the inappropriate digestion of the native proteins of the stomach, pancreas, and small intestine

insulin

hormone secreted by the pancreas that stimulates the uptake of glucose into the cells

ketone bodies

alternative source of energy when glucose is limited, created when too much acetyl CoA is created during fatty acid oxidation

Krebs cycle

also called the citric acid cycle or the tricarboxylic acid cycle, converts pyruvate into CO2 and high-energy FADH2, NADH, and ATP molecules

lipogenesis

synthesis of lipids that occurs in the liver or adipose tissues

lipolysis

breakdown of triglycerides into glycerol and fatty acids

metabolic rate

amount of energy consumed minus the amount of energy expended by the body

metabolism

sum of all catabolic and anabolic reactions that take place in the body

minerals

inorganic compounds required by the body to ensure proper function of the body

monoglyceride molecules

lipid consisting of a single fatty acid chain attached to a glycerol backbone

monosaccharide

smallest, monomeric sugar molecule

NADH

high-energy molecule needed for glycolysis

nicotinamide adenine dinucleotide (NAD)

coenzyme used to produce NADH

oxidation

loss of an electron

oxidation-reduction reaction

(also, redox reaction) pair of reactions in which an electron is passed from one molecule to another, oxidizing one and reducing the other

oxidative phosphorylation

process that converts high-energy NADH and FADH2 into ATP

pancreatic lipases

enzymes released from the pancreas that digest lipids in the diet

pepsin

enzyme that begins to break down proteins in the stomach

polysaccharides

complex carbohydrates made up of many monosaccharides

postabsorptive state

also called the fasting state; the metabolic state occurring after digestion when food is no longer the body’s source of energy and it must rely on stored glycogen

proteolysis

process of breaking proteins into smaller peptides

pyruvate

three-carbon end product of glycolysis and starting material that is converted into acetyl CoA that enters the Krebs cycle

radiation

transfer of heat via infrared waves

reduction

gaining of an electron

salivary amylase

digestive enzyme that is found in the saliva and begins the digestion of carbohydrates in the mouth

secretin

hormone released in the small intestine to aid in digestion

sodium bicarbonate

anion released into the small intestine to neutralize the pH of the food from the stomach

terminal electron acceptor

oxygen, the recipient of the free hydrogen at the end of the electron transport chain

thermoneutral

external temperature at which the body does not expend any energy for thermoregulation, about 84 °F

thermoregulation

process of regulating the temperature of the body

transamination

transfer of an amine group from one molecule to another as a way to turn nitrogen waste into ammonia so that it can enter the urea cycle

tricarboxylic acid cycle (TCA)

also called the Krebs cycle or the citric acid cycle; converts pyruvate into CO2 and high-energy FADH2, NADH, and ATP molecules

triglycerides

lipids, or fats, consisting of three fatty acid chains attached to a glycerol backbone

trypsin

pancreatic enzyme that activates chymotrypsin and digests protein

trypsinogen

proenzyme form of trypsin

urea cycle

process that converts potentially toxic nitrogen waste into urea that can be eliminated through the kidneys

vitamins

organic compounds required by the body to perform biochemical reactions like metabolism and bone, cell, and tissue growth

Chapter 25 - Key Terms

anatomical sphincter

smooth or skeletal muscle surrounding the lumen of a vessel or hollow organ that can restrict flow when contracted

angiotensin I

protein produced by the enzymatic action of renin on angiotensinogen; inactive precursor of angiotensin II

angiotensin II

protein produced by the enzymatic action of ACE on inactive angiotensin I; actively causes vasoconstriction and stimulates aldosterone release by the adrenal cortex

angiotensin-converting enzyme (ACE)

enzyme produced by the lungs that catalyzes the reaction of inactive angiotensin I into active angiotensin II

angiotensinogen

inactive protein in the circulation produced by the liver; precursor of angiotensin I; must be modified by the enzymes renin and ACE to be activated

anuria

absence of urine produced; production of 50 mL or less per day

aquaporin

protein-forming water channels through the lipid bilayer of the cell; allows water to cross; activation in the collecting ducts is under the control of ADH

Bowman’s capsule

cup-shaped sack lined by a simple squamous epithelium (parietal surface) and specialized cells called podocytes (visceral surface) that participate in the filtration process; receives the filtrate which then passes on to the PCTs

brush border

formed by microvilli on the surface of certain cuboidal cells; in the kidney it is found in the PCT; increases surface area for absorption in the kidney

calyces

cup-like structures receiving urine from the collecting ducts where it passes on to the renal pelvis and ureter

cortical nephrons

nephrons with loops of Henle that do not extend into the renal medulla

countercurrent multiplier system

involves the descending and ascending loops of Henle directing forming urine in opposing directions to create a concentration gradient when combined with variable permeability and sodium pumping

detrusor muscle

smooth muscle in the bladder wall; fibers run in all directions to reduce the size of the organ when emptying it of urine

distal convoluted tubules

portions of the nephron distal to the loop of Henle that receive hyposmotic filtrate from the loop of Henle and empty into collecting ducts

diuretic

compound that increases urine output, leading to decreased water conservation

efferent arteriole

arteriole carrying blood from the glomerulus to the capillary beds around the convoluted tubules and loop of Henle; portion of the portal system

endothelins

group of vasoconstrictive, 21-amino acid peptides; produced by endothelial cells of the renal blood vessels, mesangial cells, and cells of the DCT

external urinary sphincter

skeletal muscle; must be relaxed consciously to void urine

fenestrations

small windows through a cell, allowing rapid filtration based on size; formed in such a way as to allow substances to cross through a cell without mixing with cell contents

filtration slits

formed by pedicels of podocytes; substances filter between the pedicels based on size

forming urine

filtrate undergoing modifications through secretion and reabsorption before true urine is produced

glomerular filtration rate (GFR)

rate of renal filtration

glomerulus

tuft of capillaries surrounded by Bowman’s capsule; filters the blood based on size

glycosuria

presence of glucose in the urine; caused by high blood glucose levels that exceed the ability of the kidneys to reabsorb the glucose; usually the result of untreated or poorly controlled diabetes mellitus

incontinence

loss of ability to control micturition

intercalated cell

specialized cell of the collecting ducts that secrete or absorb acid or bicarbonate; important in acid–base balance

internal urinary sphincter

smooth muscle at the juncture of the bladder and urethra; relaxes as the bladder fills to allow urine into the urethra

inulin

plant polysaccharide injected to determine GFR; is neither secreted nor absorbed by the kidney, so its appearance in the urine is directly proportional to its filtration rate

juxtaglomerular apparatus (JGA)

located at the juncture of the DCT and the afferent and efferent arterioles of the glomerulus; plays a role in the regulation of renal blood flow and GFR

juxtaglomerular cell

modified smooth muscle cells of the afferent arteriole; secretes renin in response to a drop in blood pressure

juxtamedullary nephrons

nephrons adjacent to the border of the cortex and medulla with loops of Henle that extend into the renal medulla

leaky tight junctions

tight junctions in which the sealing strands of proteins between the membranes of adjacent cells are fewer in number and incomplete; allows limited intercellular movement of solvent and solutes

leukocyte esterase

enzyme produced by leukocytes that can be detected in the urine and that serves as an indirect indicator of urinary tract infection

loop of Henle

descending and ascending portions between the proximal and distal convoluted tubules; those of cortical nephrons do not extend into the medulla, whereas those of juxtamedullary nephrons do extend into the medulla

macula densa

cells found in the part of the DCT forming the JGA; sense Na+ concentration in the forming urine

medulla

inner region of kidney containing the renal pyramids

mesangial

contractile cells found in the glomerulus; can contract or relax to regulate filtration rate

micturition

also called urination or voiding

myogenic mechanism

mechanism by which smooth muscle responds to stretch by contracting; an increase in blood pressure causes vasoconstriction and a decrease in blood pressure causes vasodilation so that blood flow downstream remains steady

nephrons

functional units of the kidney that carry out all filtration and modification to produce urine; consist of renal corpuscles, proximal and distal convoluted tubules, and descending and ascending loops of Henle; drain into collecting ducts

net filtration pressure (NFP)

pressure of fluid across the glomerulus; calculated by taking the hydrostatic pressure of the capillary and subtracting the colloid osmotic pressure of the blood and the hydrostatic pressure of Bowman’s capsule

oliguria

below normal urine production of 400–500 mL/day

osteomalacia

softening of bones due to a lack of mineralization with calcium and phosphate; most often due to lack of vitamin D; in children, osteomalacia is termed rickets; not to be confused with osteoporosis

pedicels

finger-like projections of podocytes surrounding glomerular capillaries; interdigitate to form a filtration membrane

peritubular capillaries

second capillary bed of the renal portal system; surround the proximal and distal convoluted tubules; associated with the vasa recta

physiological sphincter

sphincter consisting of circular smooth muscle indistinguishable from adjacent muscle but possessing differential innervations, permitting its function as a sphincter; structurally weak

podocytes

cells forming finger-like processes; form the visceral layer of Bowman’s capsule; pedicels of the podocytes interdigitate to form a filtration membrane

polyuria

urine production in excess of 2.5 L/day; may be caused by diabetes insipidus, diabetes mellitus, or excessive use of diuretics

principal cell

found in collecting ducts and possess channels for the recovery or loss of sodium and potassium; under the control of aldosterone; also have aquaporin channels under ADH control to regulate recovery of water

proximal convoluted tubules (PCTs)

tortuous tubules receiving filtrate from Bowman’s capsule; most active part of the nephron in reabsorption and secretion

renal columns

extensions of the renal cortex into the renal medulla; separates the renal pyramids; contains blood vessels and connective tissues

renal corpuscle

consists of the glomerulus and Bowman’s capsule

renal cortex

outer part of kidney containing all of the nephrons; some nephrons have loops of Henle extending into the medulla

renal fat pad

adipose tissue between the renal fascia and the renal capsule that provides protective cushioning to the kidney

renal hilum

recessed medial area of the kidney through which the renal artery, renal vein, ureters, lymphatics, and nerves pass

renal papillae

medullary area of the renal pyramids where collecting ducts empty urine into the minor calyces

renal pyramids

six to eight cone-shaped tissues in the medulla of the kidney containing collecting ducts and the loops of Henle of juxtamedullary nephrons

renin

enzyme produced by juxtaglomerular cells in response to decreased blood pressure or sympathetic nervous activity; catalyzes the conversion of angiotensinogen into angiotensin I

retroperitoneal

behind the peritoneum; in the case of the kidney and ureters, between the parietal peritoneum and the abdominal wall

sacral micturition center

group of neurons in the sacral region of the spinal cord that controls urination; acts reflexively unless its action is modified by higher brain centers to allow voluntary urination

specific gravity

weight of a liquid compared to pure water, which has a specific gravity of 1.0; any solute added to water will increase its specific gravity

systemic edema

increased fluid retention in the interstitial spaces and cells of the body; can be seen as swelling over large areas of the body, particularly the lower extremities

trigone

area at the base of the bladder marked by the two ureters in the posterior–lateral aspect and the urethral orifice in the anterior aspect oriented like points on a triangle

tubuloglomerular feedback

feedback mechanism involving the JGA; macula densa cells monitor Na+ concentration in the terminal portion of the ascending loop of Henle and act to cause vasoconstriction or vasodilation of afferent and efferent arterioles to alter GFR

urethra

transports urine from the bladder to the outside environment

urinalysis

analysis of urine to diagnose disease

urochrome

heme-derived pigment that imparts the typical yellow color of urine

vasa recta

branches of the efferent arterioles that parallel the course of the loops of Henle and are continuous with the peritubular capillaries; with the glomerulus, form a portal system

Chapter 26 - Key Terms

antidiuretic hormone (ADH)

also known as vasopressin, a hormone that increases the volume of water reabsorbed from the collecting tubules of the kidney

dehydration

state of containing insufficient water in blood and other tissues

dihydroxyvitamin D

active form of vitamin D required by the intestinal epithelial cells for the absorption of calcium

diuresis

excess production of urine

extracellular fluid (ECF)

fluid exterior to cells; includes the interstitial fluid, blood plasma, and fluids found in other reservoirs in the body

fluid compartment

fluid inside all cells of the body constitutes a compartment system that is largely segregated from other systems

hydrostatic pressure

pressure exerted by a fluid against a wall, caused by its own weight or pumping force

hypercalcemia

abnormally increased blood levels of calcium

hypercapnia

abnormally elevated blood levels of CO2

hyperchloremia

higher-than-normal blood chloride levels

hyperkalemia

higher-than-normal blood potassium levels

hypernatremia

abnormal increase in blood sodium levels

hyperphosphatemia

abnormally increased blood phosphate levels

hypocalcemia

abnormally low blood levels of calcium

hypocapnia

abnormally low blood levels of CO2

hypochloremia

lower-than-normal blood chloride levels

hypokalemia

abnormally decreased blood levels of potassium

hyponatremia

lower-than-normal levels of sodium in the blood

hypophosphatemia

abnormally low blood phosphate levels

interstitial fluid (IF)

fluid in the small spaces between cells not contained within blood vessels

intracellular fluid (ICF)

fluid in the cytosol of cells

metabolic acidosis

condition wherein a deficiency of bicarbonate causes the blood to be overly acidic

metabolic alkalosis

condition wherein an excess of bicarbonate causes the blood to be overly alkaline

plasma osmolality

ratio of solutes to a volume of solvent in the plasma; plasma osmolality reflects a person’s state of hydration

respiratory acidosis

condition wherein an excess of carbonic acid or CO2 causes the blood to be overly acidic

respiratory alkalosis

condition wherein a deficiency of carbonic acid/CO2 levels causes the blood to be overly alkaline

Chapter 27 - Key Terms

alveoli

(of the breast) milk-secreting cells in the mammary gland

ampulla

(of the uterine tube) middle portion of the uterine tube in which fertilization often occurs

antrum

fluid-filled chamber that characterizes a mature tertiary (antral) follicle

areola

highly pigmented, circular area surrounding the raised nipple and containing areolar glands that secrete fluid important for lubrication during suckling

Bartholin’s glands

(also, greater vestibular glands) glands that produce a thick mucus that maintains moisture in the vulva area; also referred to as the greater vestibular glands

blood–testis barrier

tight junctions between Sertoli cells that prevent bloodborne pathogens from gaining access to later stages of spermatogenesis and prevent the potential for an autoimmune reaction to haploid sperm

body of uterus

middle section of the uterus

broad ligament

wide ligament that supports the uterus by attaching laterally to both sides of the uterus and pelvic wall

bulbourethral glands

(also, Cowper’s glands) glands that secrete a lubricating mucus that cleans and lubricates the urethra prior to and during ejaculation

cervix

elongate inferior end of the uterus where it connects to the vagina

clitoris

(also, glans clitoris) nerve-rich area of the vulva that contributes to sexual sensation during intercourse

corpus albicans

nonfunctional structure remaining in the ovarian stroma following structural and functional regression of the corpus luteum

corpus cavernosum

either of two columns of erectile tissue in the penis that fill with blood during an erection

corpus luteum

transformed follicle after ovulation that secretes progesterone

corpus spongiosum

(plural = corpora cavernosa) column of erectile tissue in the penis that fills with blood during an erection and surrounds the penile urethra on the ventral portion of the penis

ductus deferens

(also, vas deferens) duct that transports sperm from the epididymis through the spermatic cord and into the ejaculatory duct; also referred as the vas deferens

ejaculatory duct

duct that connects the ampulla of the ductus deferens with the duct of the seminal vesicle at the prostatic urethra

endometrium

inner lining of the uterus, part of which builds up during the secretory phase of the menstrual cycle and then sheds with menses

epididymis

(plural = epididymides) coiled tubular structure in which sperm start to mature and are stored until ejaculation

fimbriae

fingerlike projections on the distal uterine tubes

follicle

ovarian structure of one oocyte and surrounding granulosa (and later theca) cells

folliculogenesis

development of ovarian follicles from primordial to tertiary under the stimulation of gonadotropins

fundus

(of the uterus) domed portion of the uterus that is superior to the uterine tubes

gamete

haploid reproductive cell that contributes genetic material to form an offspring

glans penis

bulbous end of the penis that contains a large number of nerve endings

gonadotropin-releasing hormone (GnRH)

hormone released by the hypothalamus that regulates the production of follicle-stimulating hormone and luteinizing hormone from the pituitary gland

gonads

reproductive organs (testes and ovaries) that produce gametes and reproductive hormones

granulosa cells

supportive cells in the ovarian follicle that produce estrogen

hymen

membrane that covers part of the opening of the vagina

infundibulum

(of the uterine tube) wide, distal portion of the uterine tube terminating in fimbriae

inguinal canal

opening in abdominal wall that connects the testes to the abdominal cavity

isthmus

narrow, medial portion of the uterine tube that joins the uterus

labia majora

hair-covered folds of skin located behind the mons pubis

labia minora

thin, pigmented, hairless flaps of skin located medial and deep to the labia majora

lactiferous ducts

ducts that connect the mammary glands to the nipple and allow for the transport of milk

lactiferous sinus

area of milk collection between alveoli and lactiferous duct

Leydig cells

cells between the seminiferous tubules of the testes that produce testosterone; a type of interstitial cell

mammary glands

glands inside the breast that secrete milk

menarche

first menstruation in a pubertal female

menses

shedding of the inner portion of the endometrium out though the vagina; also referred to as menstruation

menses phase

phase of the menstrual cycle in which the endometrial lining is shed

menstrual cycle

approximately 28-day cycle of changes in the uterus consisting of a menses phase, a proliferative phase, and a secretory phase

mons pubis

mound of fatty tissue located at the front of the vulva

Müllerian duct

duct system present in the embryo that will eventually form the internal female reproductive structures

myometrium

smooth muscle layer of uterus that allows for uterine contractions during labor and expulsion of menstrual blood

oocyte

cell that results from the division of the oogonium and undergoes meiosis I at the LH surge and meiosis II at fertilization to become a haploid ovum

oogenesis

process by which oogonia divide by mitosis to primary oocytes, which undergo meiosis to produce the secondary oocyte and, upon fertilization, the ovum

oogonia

ovarian stem cells that undergo mitosis during female fetal development to form primary oocytes

ovarian cycle

approximately 28-day cycle of changes in the ovary consisting of a follicular phase and a luteal phase

ovaries

female gonads that produce oocytes and sex steroid hormones (notably estrogen and progesterone)

ovulation

release of a secondary oocyte and associated granulosa cells from an ovary

ovum

haploid female gamete resulting from completion of meiosis II at fertilization

penis

male organ of copulation

perimetrium

outer epithelial layer of uterine wall

polar body

smaller cell produced during the process of meiosis in oogenesis

prepuce

(also, foreskin) flap of skin that forms a collar around, and thus protects and lubricates, the glans penis; also referred as the foreskin

primary follicles

ovarian follicles with a primary oocyte and one layer of cuboidal granulosa cells

primordial follicles

least developed ovarian follicles that consist of a single oocyte and a single layer of flat (squamous) granulosa cells

proliferative phase

phase of the menstrual cycle in which the endometrium proliferates

prostate gland

doughnut-shaped gland at the base of the bladder surrounding the urethra and contributing fluid to semen during ejaculation

puberty

life stage during which a male or female adolescent becomes anatomically and physiologically capable of reproduction

rugae

(of the vagina) folds of skin in the vagina that allow it to stretch during intercourse and childbirth

scrotum

external pouch of skin and muscle that houses the testes

secondary follicles

ovarian follicles with a primary oocyte and multiple layers of granulosa cells

secondary sex characteristics

physical characteristics that are influenced by sex steroid hormones and have supporting roles in reproductive function

secretory phase

phase of the menstrual cycle in which the endometrium secretes a nutrient-rich fluid in preparation for implantation of an embryo

semen

ejaculatory fluid composed of sperm and secretions from the seminal vesicles, prostate, and bulbourethral glands

seminal vesicle

gland that produces seminal fluid, which contributes to semen

seminiferous tubules

tube structures within the testes where spermatogenesis occurs

Sertoli cells

cells that support germ cells through the process of spermatogenesis; a type of sustentacular cell

sperm

(also, spermatozoon) male gamete

spermatic cord

bundle of nerves and blood vessels that supplies the testes; contains ductus deferens

spermatid

immature sperm cells produced by meiosis II of secondary spermatocytes

spermatocyte

cell that results from the division of spermatogonium and undergoes meiosis I and meiosis II to form spermatids

spermatogenesis

formation of new sperm, occurs in the seminiferous tubules of the testes

spermatogonia

(singular = spermatogonium) diploid precursor cells that become sperm

spermiogenesis

transformation of spermatids to spermatozoa during spermatogenesis

suspensory ligaments

bands of connective tissue that suspend the breast onto the chest wall by attachment to the overlying dermis

tertiary follicles

(also, antral follicles) ovarian follicles with a primary or secondary oocyte, multiple layers of granulosa cells, and a fully formed antrum

testes

(singular = testis) male gonads

theca cells

estrogen-producing cells in a maturing ovarian follicle

uterine tubes

(also, fallopian tubes or oviducts) ducts that facilitate transport of an ovulated oocyte to the uterus

uterus

muscular hollow organ in which a fertilized egg develops into a fetus

vagina

tunnel-like organ that provides access to the uterus for the insertion of semen and from the uterus for the birth of a baby

vulva

external female genitalia

Wolffian duct

duct system present in the embryo that will eventually form the internal male reproductive structures

Chapter 28 - Key Terms

acrosomal reaction

release of digestive enzymes by sperm that enables them to burrow through the corona radiata and penetrate the zona pellucida of an oocyte prior to fertilization

acrosome

cap-like vesicle located at the anterior-most region of a sperm that is rich with lysosomal enzymes capable of digesting the protective layers surrounding the oocyte

afterbirth

third stage of childbirth in which the placenta and associated fetal membranes are expelled

allantois

finger-like outpocketing of yolk sac forms the primitive excretory duct of the embryo; precursor to the urinary bladder

allele

alternative forms of a gene that occupy a specific locus on a specific gene

amnion

transparent membranous sac that encloses the developing fetus and fills with amniotic fluid

amniotic cavity

cavity that opens up between the inner cell mass and the trophoblast; develops into amnion

autosomal chromosome

in humans, the 22 pairs of chromosomes that are not the sex chromosomes (XX or XY)

autosomal dominant

pattern of dominant inheritance that corresponds to a gene on one of the 22 autosomal chromosomes

autosomal recessive

pattern of recessive inheritance that corresponds to a gene on one of the 22 autosomal chromosomes

blastocoel

fluid-filled cavity of the blastocyst

blastocyst

term for the conceptus at the developmental stage that consists of about 100 cells shaped into an inner cell mass that is fated to become the embryo and an outer trophoblast that is fated to become the associated fetal membranes and placenta

blastomere

daughter cell of a cleavage

Braxton Hicks contractions

weak and irregular peristaltic contractions that can occur in the second and third trimesters; they do not indicate that childbirth is imminent

brown adipose tissue

highly vascularized fat tissue that is packed with mitochondria; these properties confer the ability to oxidize fatty acids to generate heat

capacitation

process that occurs in the female reproductive tract in which sperm are prepared for fertilization; leads to increased motility and changes in their outer membrane that improve their ability to release enzymes capable of digesting an oocyte’s outer layers

carrier

heterozygous individual who does not display symptoms of a recessive genetic disorder but can transmit the disorder to their offspring

chorion

membrane that develops from the syncytiotrophoblast, cytotrophoblast, and mesoderm; surrounds the embryo and forms the fetal portion of the placenta through the chorionic villi

chorionic membrane

precursor to the chorion; forms from extra-embryonic mesoderm cells

chorionic villi

projections of the chorionic membrane that burrow into the endometrium and develop into the placenta

cleavage

form of mitotic cell division in which the cell divides but the total volume remains unchanged; this process serves to produce smaller and smaller cells

codominance

pattern of inheritance that corresponds to the equal, distinct, and simultaneous expression of two different alleles

colostrum

thick, yellowish substance secreted from a mother’s breasts in the first postpartum days; rich in immunoglobulins

conceptus

pre-implantation stage of a fertilized egg and its associated membranes

corona radiata

in an oocyte, a layer of granulosa cells that surrounds the oocyte and that must be penetrated by sperm before fertilization can occur

cortical reaction

following fertilization, the release of cortical granules from the oocyte’s plasma membrane into the zona pellucida creating a fertilization membrane that prevents any further attachment or penetration of sperm; part of the slow block to polyspermy

dilation

first stage of childbirth, involving an increase in cervical diameter

dominant

describes a trait that is expressed both in homozygous and heterozygous form

dominant lethal

inheritance pattern in which individuals with one or two copies of a lethal allele do not survive in utero or have a shortened life span

ductus arteriosus

shunt in the pulmonary trunk that diverts oxygenated blood back to the aorta

ductus venosus

shunt that causes oxygenated blood to bypass the fetal liver on its way to the inferior vena cava

ectoderm

primary germ layer that develops into the central and peripheral nervous systems, sensory organs, epidermis, hair, and nails

ectopic pregnancy

implantation of an embryo outside of the uterus

embryo

developing human during weeks 3–8

embryonic folding

process by which an embryo develops from a flat disc of cells to a three-dimensional shape resembling a cylinder

endoderm

primary germ layer that goes on to form the gastrointestinal tract, liver, pancreas, and lungs

epiblast

upper layer of cells of the embryonic disc that forms from the inner cell mass; gives rise to all three germ layers

episiotomy

incision made in the posterior vaginal wall and perineum that facilitates vaginal birth

expulsion

second stage of childbirth, during which the mother bears down with contractions; this stage ends in birth

fertilization

unification of genetic material from male and female haploid gametes

fertilization membrane

impenetrable barrier that coats a nascent zygote; part of the slow block to polyspermy

fetus

developing human during the time from the end of the embryonic period (week 9) to birth

foramen ovale

shunt that directly connects the right and left atria and helps divert oxygenated blood from the fetal pulmonary circuit

foremilk

watery, translucent breast milk that is secreted first during a feeding and is rich in lactose and protein; quenches the infant’s thirst

gastrulation

process of cell migration and differentiation into three primary germ layers following cleavage and implantation

genotype

complete genetic makeup of an individual

gestation

in human development, the period required for embryonic and fetal development in utero; pregnancy

heterozygous

having two different alleles for a given gene

hindmilk

opaque, creamy breast milk delivered toward the end of a feeding; rich in fat; satisfies the infant’s appetite

homozygous

having two identical alleles for a given gene

human chorionic gonadotropin (hCG)

hormone that directs the corpus luteum to survive, enlarge, and continue producing progesterone and estrogen to suppress menses and secure an environment suitable for the developing embryo

hypoblast

lower layer of cells of the embryonic disc that extend into the blastocoel to form the yolk sac

implantation

process by which a blastocyst embeds itself in the uterine endometrium

incomplete dominance

pattern of inheritance in which a heterozygous genotype expresses a phenotype intermediate between dominant and recessive phenotypes

inner cell mass

cluster of cells within the blastocyst that is fated to become the embryo

involution

postpartum shrinkage of the uterus back to its pre-pregnancy volume

karyotype

systematic arrangement of images of chromosomes into homologous pairs

lactation

process by which milk is synthesized and secreted from the mammary glands of the postpartum female breast in response to sucking at the nipple

lanugo

silk-like hairs that coat the fetus; shed later in fetal development

let-down reflex

release of milk from the alveoli triggered by infant suckling

lightening

descent of the fetus lower into the pelvis in late pregnancy; also called “dropping”

lochia

postpartum vaginal discharge that begins as blood and ends as a whitish discharge; the end of lochia signals that the site of placental attachment has healed

meconium

fetal wastes consisting of ingested amniotic fluid, cellular debris, mucus, and bile

mesoderm

primary germ layer that becomes the skeleton, muscles, connective tissue, heart, blood vessels, and kidneys

morula

tightly packed sphere of blastomeres that has reached the uterus but has not yet implanted itself

mutation

change in the nucleotide sequence of DNA

neural fold

elevated edge of the neural groove

neural plate

thickened layer of neuroepithelium that runs longitudinally along the dorsal surface of an embryo and gives rise to nervous system tissue

neural tube

precursor to structures of the central nervous system, formed by the invagination and separation of neuroepithelium

neurulation

embryonic process that establishes the central nervous system

nonshivering thermogenesis

process of breaking down brown adipose tissue to produce heat in the absence of a shivering response

notochord

rod-shaped, mesoderm-derived structure that provides support for growing fetus

organogenesis

development of the rudimentary structures of all of an embryo’s organs from the germ layers

parturition

childbirth

phenotype

physical or biochemical manifestation of the genotype; expression of the alleles

placenta

organ that forms during pregnancy to nourish the developing fetus; also regulates waste and gas exchange between mother and fetus

placenta previa

low placement of fetus within uterus causes placenta to partially or completely cover the opening of the cervix as it grows

placentation

formation of the placenta; complete by weeks 14–16 of pregnancy

polyspermy

penetration of an oocyte by more than one sperm

primitive streak

indentation along the dorsal surface of the epiblast through which cells migrate to form the endoderm and mesoderm during gastrulation

prolactin

pituitary hormone that establishes and maintains the supply of breast milk; also important for the mobilization of maternal micronutrients for breast milk

Punnett square

grid used to display all possible combinations of alleles transmitted by parents to offspring and predict the mathematical probability of offspring inheriting a given genotype

quickening

fetal movements that are strong enough to be felt by the mother

recessive

describes a trait that is only expressed in homozygous form and is masked in heterozygous form

recessive lethal

inheritance pattern in which individuals with two copies of a lethal allele do not survive in utero or have a shortened life span

sex chromosomes

pair of chromosomes involved in sex determination; in males, the XY chromosomes; in females, the XX chromosomes

shunt

circulatory shortcut that diverts the flow of blood from one region to another

somite

one of the paired, repeating blocks of tissue located on either side of the notochord in the early embryo

syncytiotrophoblast

superficial cells of the trophoblast that fuse to form a multinucleated body that digests endometrial cells to firmly secure the blastocyst to the uterine wall

trait

variation of an expressed characteristic

trimester

division of the duration of a pregnancy into three 3-month terms

trophoblast

fluid-filled shell of squamous cells destined to become the chorionic villi, placenta, and associated fetal membranes

true labor

regular contractions that immediately precede childbirth; they do not abate with hydration or rest, and they become more frequent and powerful with time

umbilical cord

connection between the developing conceptus and the placenta; carries deoxygenated blood and wastes from the fetus and returns nutrients and oxygen from the mother

vernix caseosa

waxy, cheese-like substance that protects the delicate fetal skin until birth

X-linked

pattern of inheritance in which an allele is carried on the X chromosome of the 23rd pair

X-linked dominant

pattern of dominant inheritance that corresponds to a gene on the X chromosome of the 23rd pair

X-linked recessive

pattern of recessive inheritance that corresponds to a gene on the X chromosome of the 23rd pair

yolk sac

membrane associated with primitive circulation to the developing embryo; source of the first blood cells and germ cells and contributes to the umbilical cord structure

zona pellucida

thick, gel-like glycoprotein membrane that coats the oocyte and must be penetrated by sperm before fertilization can occur

zygote

fertilized egg; a diploid cell resulting from the fertilization of haploid gametes from the male and female lines

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