Foundation Module Viva Pool
Foundation Module Viva Pool
What is mesenchyme
Mesenchyme is a type of animal tissue comprised of loose cells embedded in a mesh of
proteins and fluid, called the extracellular matrix. The loose, fluid nature of mesenchyme
allows its cells to migrate easily and play a crucial role in the origin and development of
morphological structures during the embryonic and fetal stages of animal life. Mesenchyme
directly gives rise to most of the body’s connective tissues, from bones and cartilage to the
lymphatic and circulatory systems.
Neural tube
The neural tube forms very early in embryonic development. It starts as a flat, ribbon-like
structure that rolls together, lengthwise, to form the tube that will normally grow into the
brain and spinal cord.
Teratoma
A teratoma is a rare type of germ cell tumor that may contain immature or fully formed
tissue, including teeth, hair, bone and muscle. Teratomas may be cancerous or noncancerous,
and they can affect people of all ages.
Placental abnormalities
Placenta previa
-) Placenta previa:- It results from avery low lying placenta or placenta which cover the os.
Severe hemorrhage can result with cervical dilation and passage of the baby through the
birth canal.
-) Placenta accreta:- It results from a lack of formation of a normal decidual plate. Thus, the
chrionic villi extend into myometrium, and the placenta can’t separate normally following
delivery.
-) Abruptio placenta:- It results from premature separation of the placenta prior to delivery,
with formation of a retroplacental blood clot. The blood supply of oxygen and nutrients of
the fetus is compromised to a greater degree with increasing size of the abruption.
-) Velamentous placenta;- It is a placenta in which umbical vessels travel abnormally
through the amniochorionic membrane before reaching the placenta proper.
Endocrine glands derived from
The endocrine system arises from all three embryonic germ layers.
Blastocyst
The hollow cellular mass formed during the early development consisting of cells forming
the trophectoderm, the inner cell mass, and the fluid-filled cavity or the blastocoel is known
as the blastocyst.
Derivatives of first and second pharyngeal arch
The first, most anterior pharyngeal arch gives rise to the oral jaw. The second arch becomes
the hyoid and jaw support.
Hydatidiform mole
A slow-growing tumor that develops from trophoblastic cells after fertilization of an egg by
a sperm. A hydatidiform mole contains many cysts.
Somite and its derivatives
Somites are precursor populations of cells that give rise to important structure. The somites
segment into the sclerotome (forms axial cartilage and bone), myotome (forms axial muscle),
and the dermatome (forms the dermis of skin).
Notochord and its derivatives
Remnant of notochord (nucleus pulposus)
The notochord is an embryonic midline structure, providing both mechanical and signaling
cues to the developing embryo.This notochordal tissue will go on to develop into the mature
intervertebral disc. However, small amounts of notochord tissue are thought to persist in the
center of vertebral bodies and the nucleus pulposus.
What is implantation
The zygote travels down the fallopian tube, where it becomes a morula. Once it reaches the
uterus, the morula becomes a blastocyst. The blastocyst then burrows into the uterine lining
this process is called implantation.
Day of implantation
Implantation takes place anywhere between 6 and 12 days after you ovulate. It most
commonly occurs 8 to 9 days after conception.
Neurulation
Neurulation refers to the formation and closure of the neural tube.
-) The notochord induces the overlying ectoderm to differentiate into neuroectoderm and
form the neural plate.
-) The neural plate folds to give rise to the neural tube, which is open at both ends at the
anterior and posterior neuropores.
-) The anterior and posterior neuropore closes during week 4.
-) As the neural plate folds, some cells differentiate into neural crest cells and form a column
of cells along both sides of the neural tube.
Klinefelter syndrome
Klinefelter syndrome is a common genetic condition where a male is born with an extra X
chromosome. People with Klinefelter syndrome can experience breast growth, breast cancer,
osteoporosis, infertility and learning difficulties.
What is monozygotic and dizygotic twins
Monozygotic twin:-
-) The female and male pronuclei fuse and the centriole pair provides the cytoplasmic
machinery for cleavage cell divisions to occur. A zygote is formed.
-) Cleavage divisions produce a cluster of blastomeres called a morula surrounded by a zona
pellucida. The molecular mechanisms that establish twin embryogenesis are active in the
morula and are responsible for the latter “splitting” ofthe inner cell mass. In other words,
twinning causes the “splitting,” not viceversa. The twinning morula can travel two different
routes leading to either monochorionic (splitting after trophoblast differentiation) or
dichorionic twins (splitting before trophoblast differentiation).
Dizygotic twin:-
-) The female and male pronuclei fuse and the centriole pair provides the cytoplasmic
machinery for cleavage cell divisions to occur. Two zygotes are formed with two different
genotypes.
-) Cleavage divisions produce a cluster of blastomeres called a morula surrounded by a zona
pellucida. The morula is a chimera consisting of an assortment of cells with two different
genotypes. The molecular mechanisms that establish twin embryogenesis are active in the
chimeric morula and are responsible for the latter “splitting” of the inner cell mass.The
twinning chimeric morula can travel two different routes leading to either monochorionic or
dichorionic twins
Stages of fertilization
-) Sperm Capacitation – This step refers to the process of preparing sperm for fertilization.
The motility of the sperm increases as it becomes hyperactive. This phase ensures that the
sperm penetrates the egg.
-) Sperm-Zona Pellucida Binding – In this step, the sperm encounters an ovum and binds
into the zona pellucida layer of the ovum to form a receptor-ligand response. No more sperm
can get through this layer after this coupling reaction.
-) Zona Pellucida Penetration– The structure of the sperm’s head is in such a way that it
assists in breaking through the walls of the ovum. It also stimulates ovum maturation,
suspended during one stage of meiosis. Next stages happen just after the egg is fertilized.
-) Acrosome Reaction– The head of sperm, called the acrosome, carries several zona
pellucida digesting enzymes that support it in penetrating farther into the ovum layers. With
deeper entry, the head of the sperm shrinks.
-) Cortical Reaction– At this stage, the egg is activated after being frozen during the
metaphase stage of meiotic division II. Cortical granules unite with the Zona Pellucida,
resulting in exocytosis.
-) Zona Reaction – This step marks the end of fertilization as the Zona Pellucida layer
hardens.
Results/fate of fertilization
Benefits of fertilization
-) Restoring of the diploid number(46) of chromosomes.
-) Determination of the chromosomal sex of the embryo.
-) Variation of the human species.
-) Initiation of cleavage
Common site of fertilization
Ampulla of uterine tube
Apical ectodermal ridge
The apical ectodermal ridge is a structure that forms from the ectodermal cells at the distal
end of each limb bud and acts as a major signaling center to ensure proper development of a
limb.
From which mesoderm limbs are derived
The mesoderm of the early limb bud comes from the lateral plate mesoderm
Derivatives of neural crest cells
-) Cranial and sensory ganglia an nerves.
-) Sympathetic ganglia.
-) Medulla of adrenal gland.
-) Melanocytes.
-) Aorticopulmonary segment of heart.
-) Meninges.
-) Pharyngeal arch cartilage.
-) Odontoblast.
Sacrococcygeal teratoma
-) It is a tumor that arises from remnants of the primitive streak, which normally degenerates
and disappears.
-) It is derived from pluripotent cells of the primitive streak and often contains various types
of tissue (e.g., bone, nerve, hair).
-) Occurs more commonly in female infants and usually becomes malignant during infancy
(must be removed by age 6 months).
Difference between amniotic and chorionic cavity
-) The amnion is the inner membrane that surrounds the embryo, while the chorion surrounds
the embryo, the amnion, and other membranes.
-) The amnion is filled with amniotic fluid that holds the embryo in suspension, while the
chorion also acts as a protective barrier during the embryo’s development.
-) The amnion is made up of tresodeum and ectoderm, while the chorion includes the
trophoblast and the mesoderm.
-) The chorion has a special feature called chorion villi, which acts like a barrier between
maternal blood and fetal blood. It absorbs maternal blood for the embryo’s substance and
other necessities, while the amnion plays a part in the delivery stage. The rupture of the
membrane is a signal that the fully formed offspring is ready to come out of the womb.
Derivatives of ectoderm
-) Epidermis.
-) Hair and nail.
-) Cutaneous and mammary gland.
-) Enamel of teeth.
-) Inner ear.
-) Lens of eye.
-) Iris muscle .
-) Lacrimal and parotid glands.
-) Anal canal (lower part).
-) Epithelium of salivary glands, gums, lips, nasal cavity and hard palate.
Endoderm and its derivatives
Endoderm is one of the germ layers—aggregates of cells that organize early during
embryonic life and from which all organs and tissues develop.
Epithelial part of:- Epithelium of:-
-) Larynx and trachea. -) GIT and its gland.
-) Bronchi. -) Liver
-) Lungs. -) Pancreas.
-) Pharynx. -) Urinary bladder.
-) Thyroid gland. -) Urachus
-) Tympanic cavity. -) Vagina and vestibule.
-) Auditor (Eustachian) tube. -) Urethra and glands.
-) Parathyroid, sublingual and submandibular
glands.
-) Soft palate.
Derivatives of mesoderm
-) Muscle (smooth, cardiac, and skeletal)
-) Muscles of tongue (occipital somites)
-) Pharyngeal arch muscles ( muscles of mastication, muscles of facial expression)
-) Connective tissue
-) Dermis and subcutaneous layer of skin
-) Bone and cartilage
-) Dura mater
-) Endothelium of blood vessels
-) RBCs, WBCs, microglia, and Kupffer cells
-) Kidney
-) Adrenal cortex
Germ layers are derived from
The germ layers form during the process of gastrulation
Shape of somites
Somites are transient, spherical-shaped structures
Specific characteristics of 3rd week of development
-) Primitive streak
-) Trilaminar disc
-) Somites appears
-) Intraembryonic mesoderm
-) Neuralation
-) Primitive CVS appears
Connecting stalk
The connecting stalk, or body stalk is an embryonic structure that is formed by the third
week of development and connects the embryo to its shell of trophoblast.
Cranial and caudal defects of neurulation
-) Failure of the anterior neuropore to close results in upper neural tube defects Anencephaly;
Typical frog like bulging eyes, large tongue and short neck, it can be found early in
pregrancy by looking at the amniocentesis.
-) Failure of the posterior neuropore to close results in lower NTDs (e.g., spina bifida with
myeloschisis).
Different deciduas
-) Decidua basalis:- Which is derived from the endometrium of the uterus located between
the blastocyst and the myometrium.
-) Decidua parietalis:- Which includes all portions of the endometrium other than the site of
implantation
-) Decidua capsularis:- the portion of endometrium that covers the blastocyst and separates it
from the uterine cavity.
Fetal and maternal part of placenta
The fetal part of the placenta is known as the chorion. The maternal component of the
placenta is known as the decidua basalis
What is gastrulation
Gastrulation is defined as an early developmental process in which an embryo transforms
from a one-dimensional layer of epithelial cells (blastula) and reorganizes into a multilayered
and multidimensional structure called the gastrula.
Which neuropore closes first
The rostral/anterior neuropore appears and closes first.
Name of germ layers
Endoderm (inner layer), the ectoderm (outer layer), and the mesoderm (middle layer).
Fate of neurulation
-) Central nervous system
-) Retina of eye
-) Pineal gland
-) Posterior pituitary gland
Spermiogenesis
The series of changes resulting in th formation of spermatids into spermatozoa is known as
spermiogenesis. The time is 64 days. The changes include
Formation of acrosome, condestion of nucleus, formation of neck, middle piece and tail and
shedding of cytoplasm.
Spina bifida cystica
It is a growth defect of the central nervous system in which a cyst containing meninges
(meningocele), spinal cord (myelocele), or both (myelomeningocele) sticks out through a
gap in the vertebral column present in birth.
Nervous system derived from
The nervous system develops from the ectoderm.
What is amniotic fluid
The amniotic fluid is the protective liquid contained by the amniotic sac of a gravid amniote.
This fluid serves as a cushion for the growing fetus, but also serves to facilitate the exchange
of nutrients, water, and biochemical products between mother and fetus.
What is acrosome
Normal sperm cells have an oval-shaped head with a cap-like covering called the acrosome.
The acrosome contains enzymes that break down the outer membrane of an egg cell,
allowing the sperm to fertilize the egg.
Epiblast derived from
The epiblast is derived from the inner cell mass
Fibers of connective tissue
Three main types of fibers are secreted by fibroblasts: collagen fibers, elastic fibers, and
reticular fibers.
Functions of melanocytes
These cells synthesize a dark brown pigment (melanin) in oval-shaped organelles
(melanosomes). Melanosomes contain tyrosinase, a UV-sensitive enzyme directly involved
in melanin synthesis. Melanin protects against tissue damage caused by UV radiation.
Location of stratified squamous non keratinized epithelium
-) Oral cavity
-) Vagina
-) Esophagus
-) Anal canal
Location of stratified columnar epithelium
-) Male urethra
-) Conjunctiva of eye
Site of keratinized epithelium
Epidermis of skin
Site of transitional epithelium
-) Ureter
-) Urinary bladder
-) Renal pelvis
Site of simple columnar epithelium
Ciliated:- Non-ciliated:-
-) Uterine tube -) Gall bladder
-) Uterus -) Intestine
Site of simple simple squamous epithelium
-) Endothelium (heart, blood vessels and lymphatics vessels)
-) Mesothelium
-) Alveoli
Site of simple cuboidal epithelium
-) Distal convulated tubule
-) Small ducts of glands
-) Epithelium of ovary (follicular cells)
Features of transitional epithelium
Undistended state:-
-) Seen to consist 5 or 6 cell layers.
-) Basal cells are cuboidal and can divide.
-) Over basal layer there are several layers of large polygonal cells.
-) The cell surface are very large and dome shaped. These cells may be binucleated.
Distended state:-
-) In fully distended state it appears 2-3 layers thick; a basal layer of cuboidal cells over
which lie on one or two layers of flattened cells.
Epithelium of thyroid
Simple cuboidal epithelium
Epithelium of urinary bladder
Epithelium of ureter
The urinary bladder and ureter lining is a specialized stratified epithelium, the urothelium
What is connective tissue
Connective tissue is formed primarily of extracellular matrix, consisting of ground
substance, and fibers, in which various connective tissue cells are embedded. Tissue that
supports, protects, and gives structure to other tissues and organs in the body.
Examples of Dense regular connective tissue
Dense regular connective tissue comprises structures such as ligaments and tendons and
aponeurosis
Examples of Dense irregular connective tissue
-) Dermis of skin
-) Capsules of organs (liver, testes, lymph nodes)
-) Perichondrium
-) Periosteum
Features of Dense Regular and Irregular connective tissue
Dense regular connective tissue:- Dense irregular connective tissue:-
-) Fibers are densely packed and arranged in -) This form usually occurs in form of sheets.
parallel to each other. -) Consist mainly of collagen fibers also
-) Fibroblast are the only cell present in very contain some other fibers, which interlace to
small number as elongated and flattened form dense network.
between bundles of fibers. -) Some fibroblast and macrophages are
found between fibers.
Desmosome
A desmosome (macula adherens) is a small, discrete, disk-shaped adhesive site. It is also
commonly found at sites other than the junctional complex, where it joins epithelial cells.
Contents of ECF and ICF
The fluid inside of cells, also called the cytoplasm or cytosol, makes up about 60% of the
water in the human body,. Organelles like the nucleus, endoplasmic reticulum, mitochondria,
lysosomes, and Golgi apparatus are suspended in and supported by the ICF. Also found in
the ICF are cellular building blocks like sugars, proteins, carbohydrates, and lipids.
ECFs are any body fluids that are not inside cells. The two main components of ECF are
plasma and interstitial fluid (IF). The balance consists of cerebrospinal fluid, lymph, the
synovial fluid in the joints, pleural fluid in the pleural cavities (lungs), pericardial fluid
around the heart, peritoneal fluid in the peritoneal cavity (abdomen), and the aqueous humor
of the eye. In mammals, milk is also considered an extracellular fluid.
-) The ICF has higher amounts of potassium, phosphate, magnesium, and protein compared
to the ECF. The plasma has high concentrations of sodium, chloride, and bicarbonate, but
lower levels of protein as compared to the ICF.
Types of adipocytes
There are two general classes of adipocytes; white adipocytes - which store energy as a
single large lipid droplet and have important endocrine functions, and brown adipocytes -
which store energy in multiple small lipid droplets but specifically for use as fuel to generate
body heat (i.e. thermogenesis).
Types of cell junction
-) Occluding junctions (zonula occludens or tight junctions)
-) Adhering junctions (zonula adherens).
-) Desmosomes (macula adherens). There are also 'hemidesmosomes' that lie on the basal
membrane, to help stick the cells to the underlying basal lamina.
-) Gap junctions.
Examples of apocrine, merocrine and holocrine glands
Apocrine:- Merocrine:- Holocrine:-
-) Sweat gland -) Salivary glands -) Sebaceous gland
-) Ceruminous gland
Histological layers of skin
Histologically, skin has two main layers-the epidermis and the dermis-with a subcutaneous
fascia called the hypodermis, which lies deep in the dermis.
Components of Connective tissue
-) Ground substance
-) Cells
-) Fibers
Classification of connective tissue
There are four classes of connective tissues: blood, bones, cartilage and connective tissue
proper
Example of tubuloacinar gland
Submandibular salivary gland
Sebaceous glands
Sebaceous glands are microscopic simple branched acinar glands found in your hair follicles
that secrete sebum. Sebum is an oily substance that protects your skin from drying out.
Cells of connective tissue
Resident cells of connective tissue
Migrant cells of connective tissue
Connective tissue cells include many types with different functions. Some originate locally
and remain in the connective tissue (resident cells), whereas others originate elsewhere and
remain only temporarily in connective tissue (migrant cells)
Fixed Cells of Connective Tissue:-
-) Fibroblasts:- It arise from mesenchymal cells and are the predominant cells in
connectivetissue proper. They often possess an oval nucleus with two or more nucleoli.
Fibroblasts seldom undergo mitosis except in wound healing.
-) Adipose cells (adipocytes):- It arise from mesenchymal cells and perhaps from fibroblasts.
They do not normally undergo cell division because they are fully differentiated cells.
However, they do increase in number in early neonatal life. They are surrounded by a basal
lamina and are responsible for the synthesis, storage, and release of fat.
Migrant Cells of Connective Tissue:-
-) Macrophages:- They are the principal phagocytosing cells of connective tissue. They are
responsible for removing large particulate matter and assisting in the immune response. They
also secrete substances that function in wound healing.
-) Lymphoid cells:- They arise from lymphoid stem cells during hemopoiesis. They are
located throughout the body in the subepithelial connective
tissue and accumulate in the respiratory system, gastrointestinal tract, and elsewhere in areas
of chronic inflammation.
-) Plasma cells:- They are antibody-manufacturing cells that arise from activated B
lymphocytes and are responsible for humoral immunity.
-) Granulocytes:- They are white blood cells that possess cytoplasmic granules and arise
from myeloid stem cells during hemopoiesis. At sites of inflammation, they leave the
bloodstream and enter the loose connective tissue, where they perform their specific
functions.
-) Mast cells:- They arise from myeloid stem cells in bone marrow and usually reside near
small blood vessels. Although they share many structural and functional characteristics with
basophils, they develop from different precursors and are not related.
Difference between fibroblast and fibrocytes
The main difference between fibroblast and fibrocyte is that fibroblast is a large, flat cell
with an oval-shaped nucleus involved in the secretion of the extracellular matrix, collagen,
and other extracellular macromolecules whereas fibrocyte is a small cell and is the inactive
form of the fibroblast.
Nucleolus
The nucleolus is the largest structure in the nucleus of eukaryotic cells. It is best known as
the site of ribosome biogenesis, which is the synthesis of ribosomes. The nucleolus also
participates in the formation of signal recognition particles and plays a role in the cell's
response to stress.
How spinal nerve is formed
Each spinal nerve contains a mixture of motor and sensory fibres. They begin as nerve roots
that emerge from a segment of the spinal cord at a specific level. Each spinal cord segment
has four roots: an anterior (ventral) and posterior (dorsal) root on both right and left sides.
Each of these roots individually is composed of approximately eight nerve rootlets.
The rootlets unite to form an anterior (ventral) or posterior (dorsal) root of a spinal nerve.
The anterior/ventral root contains efferent nerve fibres, the posterior/dorsal root contains
afferent nerve fibres. The anterior and posterior roots join to form the spinal nerve proper,
containing a mixture of sensory, motor, and autonomic fibers.
Hinge joint with example
A hinge joint is a type of synovial joint that exists in the body and serves to allow motion
primarily in one plane. The hinge joint is made up of two or more bones with articular
surfaces that are covered by hyaline cartilage and lubricated by synovial fluid. Example;
Elbow joint.
Agonist and antagonist muscles
We describe the main muscle that does an action as the agonist. It is sometimes also called
the “prime mover”. Many actions in the body do have one muscle that is responsible for
more of the work in that action than any other muscle. For example, the agonist, or prime
mover, for hip flexion would be the iliopsoas.
In order to maintain a balance of tension at a joint we also have a muscle or muscles that
resist a movement. The main muscle that resists a movement is called the antagonist. We
could also say that the antagonist is the main muscle that does the opposite of the action that
it is resisting. For example, we could say that gluteus maximus is an antagonist of the
primary hip flexor, iliopsoas because gluteus maximus is a hip extensor.
Which factors stabilize joint
-) The shape, size, and arrangement of the articulating surfaces,
-) The structure of the joint capsule and ligaments associated with the joint, and.
-) The musculature surrounding the joint.
Features of long bone
Long bones are hard, dense bones that provide strength, structure, and mobility. The thigh
bone (femur) is a long bone. A long bone has a shaft and two ends.
Some bones in the fingers are classified as long bones, even though they are short in length.
This is due to the shape of the bones, not their size. Long bones contain yellow bone marrow
and red bone marrow, which produce blood cells.
Parts of long bone
A long bone has two parts: the diaphysis and the epiphysis. The diaphysis is the tubular shaft
that runs between the proximal and distal ends of the bone. The hollow region in the
diaphysis is called the medullary cavity, which is filled with yellow marrow. The walls of
the diaphysis are composed of dense and hard compact bone. The wider section at each end
of the bone is called the epiphysis which is filled with spongy bone. Red marrow fills the
spaces in the spongy bone. Each epiphysis meets the diaphysis at the metaphysis, the narrow
area that contains the epiphyseal plate (growth plate), and a layer of hyaline (transparent)
cartilage in a growing bone.
Sesamoid bones and its functions
Sesamoid bones are bones embedded in tendons. These small, round bones are commonly
found in the tendons of the hands, knees, and feet. Sesamoid bones function to protect
tendons from stress and wear. The patella, commonly referred to as the kneecap, is an
example of a sesamoid bone.
Vessels of long bone
A typical long bone receives blood supply from various sources. They are the Nutrient
arteries, Epiphyseal arteries, metaphyseal arteries and periosteal arteries.
-) The nutrient artery supplies directly from major systemic arteries. It enters the long bone
through the nutrient foramen. Its branches supply the bone marrow and inner third of the
compact bone of the diaphysis.
-) Metaphyseal arteries arising from the anastomosis around the joint enters the metaphysis at
the margin of the capsule attachment. These anastomose with the spiral arteries making the
metaphysic the most vascular area of the long bone.
-) The epiphysis has openings that allows arteries to go in and out. In children the epiphyseal
arteries are separated from the metaphyseal arteries due to the presence of an epiphyseal
plate. In adults the epiphysis and metaphysis is fused together following the arrest of growth
plate.
-) Periosteal arteries act as a low pressure system and penetrate bone at the sides of
attachment of the facial sheath or aponeurosis. They enter the Volksmann canal and supply
roughly the outer one third of the compact bone of the diaphysis.
Hip joint is which type of joint
The hip joint is a ball-and-socket joint