Lymphatic System and Lymphoid Organs Quiz

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Questions and Answers

What type of connective tissue surrounds a lymph node and sends trabeculae into it?

  • Reticular connective tissue
  • Loose connective tissue
  • Dense connective tissue (correct)
  • Adipose tissue

Which type of lymphocyte is predominantly found in the outer zone of the lymph node?

  • B lymphocytes (correct)
  • T lymphocytes
  • Natural killer cells
  • Monocytes

Where do lymph nodes typically decrease in size with age?

  • Only in the thorax
  • Only in the abdomen
  • Only in the groin
  • Systemically throughout the body (correct)

What is the primary function of the sinuses located in the cortex of the lymph node?

<p>Filtration of lymph (B)</p> Signup and view all the answers

Which lymph nodes are known to drain the upper limb and breast?

<p>Axillary lymph nodes (C)</p> Signup and view all the answers

Which statement best describes the primary function of the spleen?

<p>It plays a key role in blood filtration and defense against blood-borne antigens. (A)</p> Signup and view all the answers

What distinguishes the red pulp of the spleen from the white pulp?

<p>Red pulp is rich in blood and involved in the destruction of aged red blood cells. (A)</p> Signup and view all the answers

Which structure is responsible for collecting lymph from the left upper limb and the left side of the head and neck?

<p>Thoracic Duct (D)</p> Signup and view all the answers

Which of the following is NOT a feature of the spleen's histology?

<p>Contains sequential bands of cartilage for strength. (B)</p> Signup and view all the answers

What is the primary role of the splenic capsule?

<p>Provide structural support and house trabeculae. (A)</p> Signup and view all the answers

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Study Notes

Morphology of Lymph Nodes

  • Lymph nodes are encapsulated structures, often spherical or kidney-shaped, made of lymphoid tissue.
  • Main sources of lymphocytes are lymph nodes and bone marrow, vital for immune response.
  • Each lymph node has an outer cortex filled with lymph nodules and an inner medulla.
  • Found in axillary and inguinal regions, lymph nodes are most numerous in the thorax and abdomen.
  • Lymph nodules in the cortex contain B lymphocytes, essential for antibody production.
  • Size of lymph nodes decreases with age unless affected by inflammation or tumors.
  • They typically exist in groups connected by lymph vessels, enhancing immune function.

Structure of Lymph Nodes

  • Capsule, made of dense connective tissue, envelops the node and projects trabeculae internally.
  • Outer Zone includes lymphoid nodules rich in B lymphocytes, important for immune responses.
  • Inner Zone (Paracortex) consists of diffuse lymphoid tissue, populated mainly by T lymphocytes.
  • Sinuses in the Cortex consist of macrophages and reticular fibers, facilitating lymph filtration.
  • Subcapsular Sinus receives lymph from afferent lymphatic vessels and lies beneath the capsule.
  • Intermediate Sinuses are adjacent to trabeculae and channel lymph into medullary sinuses.

Medulla of Lymph Nodes

  • Composed of medullary cords containing extending B lymphocytes from the inner cortex.
  • Medullary Sinuses continue from intermediate sinuses to facilitate lymph flow into efferent vessels.
  • Small arteries enter at the hilum to supply the outer cortex, where high endothelial venules (HEVs) are formed.

Main Groups of Lymph Nodes

  • Axillary Lymph Nodes drain lymph from the upper limb and breast, leading to the subclavian lymph trunk.
  • Inguinal Lymph Nodes receive lymph from lower limbs, draining into external and common iliac nodes.
  • Cervical Lymph Nodes collect lymph from the head and neck, crucial for localized immunity.

Main Lymph Channels

  • Cisterna Chyli serves as a major drainage point for the abdomen.
  • Thoracic Duct collects lymph from the cisterna chyli, left upper limb, and left head/neck area.
  • Right Lymphatic Duct drains the right upper quadrant of the body.
  • Mesenteric Lymph Nodes form a central system for lymph from mesenteric area's nodes.
  • Bronchomediastinal Lymph Nodes receive lymph from tracheobronchial and mediastinal regions.

Spleen Structure

  • Located in the upper left abdominal quadrant, the spleen is encased in a capsule of dense connective tissue.
  • Trabeculae penetrate the spleen, housing larger blood vessels supplying its internal structure.

Subdivisions of the Spleen

  • White Pulp, identified by its whiteness in fresh specimens, is comprised of periarterial lymphoid sheath (PALS) and surrounding T lymphocytes.
  • Lymphoid Nodules containing B lymphocytes are distributed within the PALS.

Functions of the Spleen

  • Largest collection of lymphoid tissue, the spleen uniquely filters blood and defends against blood-borne antigens.
  • Primary site for the destruction of old erythrocytes, facilitating recycling of iron and hemoglobin.
  • Produces antibodies and activated lymphocytes, which are released into circulation.

Histology of the Spleen

  • Surrounded by a dense connective tissue capsule, which sends trabeculae into the splenic pulp.
  • Filled with reticular tissue containing reticular cells, fibers, different blood cells, macrophages, and antigen-presenting cells.
  • Splenic pulp consists of white pulp (20%) primarily for immune functions and red pulp for blood filtration and storage.

Functions of Splenic Red and White Pulp

  • The spleen monitors blood immunologically, with specialized microvasculature.
  • Unique regions within the microvasculature enhance early detection and response to pathogens.
  • Trabecular arteries branch from the hilum, leading into the parenchyma populated by T cells, macrophages, and plasma cells.

Morphology of the Spleen

  • The spleen represents the largest accumulation of lymphoid tissues found within the abdominal cavity.
  • It serves as a critical site for the destruction of aged red blood cells, maintaining healthy blood circulation.

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