BSF Staff Nurse - 2015
Applied Anatomy
Easy

Macrophage cells in the central nervous system are known as?

Appeared in: BSF Staff Nurse - 2015

Explanation

  • Microglia are the specialized phagocytic cells of the central nervous system (CNS), acting as its primary form of active immune defense.
  • They are derived from monocytes and migrate to the site of infection or injury, where they engulf pathogens and cellular debris.
  • Functionally, they are the macrophages of the CNS, playing a crucial role in brain inflammation and repair.

Why Other Options Were Wrong

  • Option B: Astrocytes are star-shaped glial cells that provide structural support to neurons, help form the blood-brain barrier, and regulate the extracellular environment, but they are not the primary phagocytic/macrophage cells.
  • Option C: Neuroglia is a general, collective term for all the non-neuronal supporting cells in the nervous system, including microglia, astrocytes, and oligodendrocytes. It is not the specific name for macrophage cells.
  • Option D: Oligodendroglia, or oligodendrocytes, are responsible for producing the myelin sheath that insulates nerve axons within the CNS. They do not have a primary macrophage function.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of macrophage cells in the central nervous system as background academic context rather than a clinical decision trigger.
  • Understanding the role of microglia is crucial in neurodegenerative diseases like Alzheimer's disease and Parkinson's disease, where chronic microglial activation and neuroinflammation contribute to neuronal damage.
  • In conditions like multiple sclerosis, microglia are involved in both the destruction of myelin and the subsequent inflammatory response.
  • What if? If a patient has a brain infection, the microglia would become activated, changing their shape and migrating to the site of infection to phagocytose the invading microorganisms, a process essential for containing the infection but which can also cause collateral damage to healthy tissue.
How to Approach the Question
  • First, identify the key terms in the question: "Macrophage cells" and "central nervous system (CNS)".
  • The question is a direct recall of a specific cell type's function within the CNS.
  • Review the options provided. Each option is a type of glial cell (or a general term for them).
  • Recall the specific functions of each glial cell type.
  • Match the function 'macrophage' (immune defense, phagocytosis) with the correct cell. Microglia are known as the macrophages of the CNS.
  • Differentiate this from the other options: Astrocytes (support/BBB), Oligodendroglia (myelin), and Neuroglia (general term).
Concept Tested & Keywords
  • Concept Tested: Identification of macrophage cells in the central nervous system.
  • Stem keywords: Macrophage cells, central nervous system, CNS
  • Lead-in keywords: known as

Question ID

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Reference Book

E6 Physiology Essentials Sembulingam 10e Part 3 p. 46-48

E6 Physiology Ganong 27e Vol 1 Part 1 p. 115-117

E6 Medicine Harrison 22e Part 2 p. 1298-1300

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