Term
Within a neuron, the neurotransmitters are stored where?
a. soma
b. axon
c. presynaptic terminal |
|
Definition
|
|
Term
This ion works to active neurotransmitters in presynaptic terminals.
a. ca++
b. na+
c. k+
|
|
Definition
|
|
Term
Ions within the presynaptic terminal are activated when the cell membrane:
a. hypopolarizes
b. depolarizes
c. hyperpolarizes |
|
Definition
|
|
Term
Excitatory postsynaptic potentials cause
a. depolarization
b. hyperpolarization
c. repolarization |
|
Definition
|
|
Term
inhibitory postsynaptic potetial cause
a. depolarization
b. hyperpolarization
c. repolarization |
|
Definition
|
|
Term
depolarization of postsynaptic membranes results in:
a. inhibition of action potentials
b. release of neurotransmitters
c. generation of action potentials |
|
Definition
c. generation of action potentials |
|
|
Term
hyperpolarization of the postsynaptic membrane results in
a. generation of an action potential
b. inhibition of neurotransmitter release
c. inhibition of action potentials |
|
Definition
c. inhibition of action potentials |
|
|
Term
presynaptic inhibition causes
a. decreased duration of action potentials
b. decreased release of neurotransmitters
c. increased na+ activation |
|
Definition
a. decreased duration of action potentials |
|
|
Term
Decreased Ca++ in the presynaptic terminal results in
a. increased nurotransmitter release
b. decreased neurotransmitter release
c. lack of action potential |
|
Definition
b. decreased neurotransmitter release |
|
|
Term
Endorphin relase inhibits the release of
a. ca++
b. AcH
c. Substance P |
|
Definition
|
|
Term
a single chemical messenger can act in which of these ways
a. as a neuromodulator
b. as a neurotransmitter
c. both a & b |
|
Definition
|
|
Term
Neuromodulators act on axons at the synaptic cleft
a. true
b. false |
|
Definition
|
|
Term
Activation of G proteins results in
a. activation of membrane channels
b. closing of membrane ion channels
c. gene suppression |
|
Definition
a. activation of membrane channels |
|
|
Term
which of these substances causes the longest duration of effect on postsynaptic cells
a. neuromodulators
b. substance p
c. EPSP |
|
Definition
|
|
Term
release of endorphin causes _____in the presynaptic membrane
a. hyperpolarization
b. hypopolarization
c. depolarization |
|
Definition
|
|
Term
How do neuromodulators relate to addiction to substances like cocaine, nicotine, and alcohol?
a. They inhibit the reabsorption of neurotransmitters
b. they inhibit the breakdown of neurotransmitters after reabsorption
c. both a & b
d. Neither a nor b |
|
Definition
|
|
Term
Antagonist drugs inhibit the release of a neurotransmitter/modulator.
a. true
b. false |
|
Definition
|
|
Term
Agonist drugs inhibit the release of a neurotransmitter/modulator.
a. true
b. false |
|
Definition
|
|
Term
What class of neurotransmitter is substance P?
a. peptide
b. amino acid
c. biogenic amine
|
|
Definition
|
|
Term
AcH is what type of neurotransmitter:
a. nicotinic
b. muscarinic
c. cholinergic
|
|
Definition
|
|
Term
AcH is most commonly found in the_____
a. CNS
b. PNS
c. postsynaptic terminal |
|
Definition
|
|
Term
AcH in the CNS performs what action
a. IPSP signals
b. passing signals within the CNS
c. neuromodulation |
|
Definition
b. passing signals within the CNS |
|
|
Term
Muscarinic AcH receptors are mostly found where
a. cns
b. pns
c. autonomic nervous system |
|
Definition
c. autonomic nervous system |
|
|
Term
Muscarinic receptors are also known as
a. substance p receptors
b. inhibitory Ach recpetors
c. G protein receptors |
|
Definition
|
|
Term
Myasthenia Gravis (MG) is a disease that affects:
a. autoimmune responses
b. muscular strength
c. nicontinic AcH receptors
d. all of the above
e. a and c only |
|
Definition
|
|
Term
Botulism toxin serves what purpose as a medication?
a. it inhibits AcH
b. it reduces spasticity for a limited amount of time
c. both a & B
|
|
Definition
|
|
Term
MG is more common in women under 50
a. true
b. false
|
|
Definition
|
|
Term
A common symptom of MG is drooping eyelids because ________
a. the effects of the disease increase with repeated contractions
b. it specifically affects the eye muscles
c. the eye muscles have more motor units than other skeletal muscles |
|
Definition
a. the effects of the disease increase with repeated contractions |
|
|
Term
Anticholnesterase drugs treat MG by perfoorming what function
a. they inhibit the enzyme cholinesterase
b. they make AcH more available in the synaptic cleft
c. they cause the body to produce more AcH
d. both a and b
e. both b and c |
|
Definition
|
|
Term
Which of these is a common Tx for MG?
a. removal of the thymus gland
b. immunosuppression therapy
c. prednisone, cyclosporin, and/or azathioprine
d. all of these |
|
Definition
|
|
Term
Plasmapharesis is a therapy that removes antibodies from the plasma in order to treat MG
a. true
b. false |
|
Definition
|
|
Term
A pt. with MG has pronounced musclle weakness in the limbs, and complains of numbness and tiingling in the fingers and toes. This is a normal presentation for this disease.
a. true
b. false |
|
Definition
|
|
Term
a patient complains of weakness in the arms and thighs as well as pain, and dry mouth. What disorder do these symptoms suggest?
a. Myasthenia Gravis
b. Eaton Lambert Syndrome
c. polyneuropathy |
|
Definition
b. Eaton Lambert Syndrome |
|
|
Term
Which of the following is TRUE about gammaglobulin therapy?
a. it inhibits the body's antibody function
b. it is a common treatment for Eaton Lambert Syn.
c. It is a common treament for MG
d. both a and b
e. both a and c |
|
Definition
|
|
Term
Eaton Lambert Syndrome is related to the function of what ion?
a. na+
b. Ca++
c. K+
d. all of these
e. a and c only |
|
Definition
|
|
Term
What type of therapy should you avoid immediately after a CVA?
a. AROM
b. Intensive learning exercises
c. self-care practice |
|
Definition
b. Intensive learning exercises |
|
|
Term
function of _______ is toxic to neurons at high concentrations
a. amino acid neurotransmitters
b. glutamate
c. GABA |
|
Definition
|
|
Term
Which neurootransmitter is partiicularly important during early learning?
a. aspartate
b. GABA
c. glutamate |
|
Definition
|
|
Term
GABA concentrations in the peripheral nervous system serve to regulate other neurotransmitter functions.
a. true
b. false |
|
Definition
|
|
Term
Baclofen reduces spasticity by affecting function which of these NTs?
a. Dopamine
b. AcH
c. GABA |
|
Definition
|
|
Term
Which of these is true about the effects of high GABA levels in the CNS?
a. it may cause seizures
b. it mimics drunken symptoms
c. impulse control may be deacreased |
|
Definition
b. it mimics drunken symptoms |
|
|
Term
When is Baclofen contraindicated as a treatment for spasticity?
a. in people with seizure disorders
b. in people who are <2 days s/p CVA
c. in people with TBI
d. all of these |
|
Definition
|
|
Term
Dopamine function is affected in which of the following
a. seizure disorders
b. chronic depression
c. Parkinson's Disease
d. all of these
|
|
Definition
|
|
Term
Drugs like cocaine affect the reuptake of which neurotransmitter
a. AcH
b. GABA
c. Dopamine |
|
Definition
|
|
Term
Norepinephrine is associated with which nervous system function
a. arrousal
b. movement coordination
c. learning new things |
|
Definition
|
|
Term
seratonin function affects which of these
a. mood
b. arrousal levels
c. sleep/wake cycles
c. a and c
d. all of these
|
|
Definition
|
|
Term
Parkinson's disease results in visible changes within the structure of the brain.
a. true
b. false |
|
Definition
a. true
substantia nigra changes |
|
|
Term
the dorsal horn ganglia is related to the function of which neuropeptide?
a. GABA
b. glutamate
c. substance p
d. histamine |
|
Definition
|
|
Term
the autonomic nervous system uses two primary neurotransmitters, which are:
a. AcH and norepinephrine
b. AcH and dopamin
c. AcH and seratonin
|
|
Definition
a. AcH and norepinephrine |
|
|
Term
which of these substances binds to Substance P receptors and thereby affects substance p function?
a. endorphin
b. morphine
c. heroin
d. opiates
e. all of these
|
|
Definition
|
|
Term
this tx for PD increases the function of dopamine
a. dopamine precursor therapy
b. dopamine agonist therapy
c. anticholinergic |
|
Definition
b. dopamine agonist therapy |
|
|
Term
this tx for PD causes other substances in the body to perform like dopamine when dopamine levels are low
a. dopamine precursor therapy
b. dopamine agonist therapy
c. anticholinergic therapy |
|
Definition
a. dopamine precursor therapy |
|
|
Term
this treatment for PD primarily works to decrease tremor
a. dopamin precursor therapy
b. dopamine agonist therapy
c. anticholinergic therapy |
|
Definition
c. anticholinergic therapy |
|
|
Term
Problems with maintaining homeostatic functions in the body may be linked to dysfunction in what part of the CNS?
a. brainstem
b. frontal lobe
c. hypothalamus/limbic system |
|
Definition
c. hypothalamus/limbic system |
|
|
Term
dysfunction or damage to the anterior region of the hypothalamus may result in
a. decreased blood pressure
b. decreased adrenal function
c. decreased thermal regulation
d. all of these
e. non of these |
|
Definition
|
|
Term
damage to the tubal region of the Hypothalamus results in
a. appetite changes
b. changes to thyroid function
c. GRH disregulation
d. all of these
e. none of these |
|
Definition
|
|
Term
the posterior mammillary region of the hypothalamus helps to regulate the somatic nervous system.
a. true
b. false |
|
Definition
|
|
Term
the lateral nuclei of the hypothalamus includes the
a. thirst center
b. gonadotropin releasing regulators
c. feeding center
d. highest concentration of neurons |
|
Definition
|
|
Term
humoral input to the hypothalamus is delievered via the
a. fluid electrolyte regulation systems
b. blood vascular system
c. optic chasm input |
|
Definition
|
|
Term
which of these systems is NOT connected to the hypothalamus
a. pituitary gland
b. spinal cord
c. reticular formation
d. deep auditory nuclei
|
|
Definition
|
|
Term
The dorsal longitudinal fasciculus is the major route of HT influence on the
a. somatic nervous system
b. peripheral nervous system
c. autonomic nervous system |
|
Definition
c. autonomic nervous system |
|
|
Term
olfactory information travels to the HT via the
a. stria terminalis
b. fornix
c. medial forebrain bundle |
|
Definition
c. medial forebrain bundle |
|
|
Term
the sick feeling in your stomach when you think about taking this exam is a function of which HT pathway?
a. corticohypothalamic
b. stria terminalis
c. mammillothalamic tract |
|
Definition
c. mammillothalamic tract |
|
|
Term
the Papez Circuit is what type of system
a. symapthetic feedback loop
b. emotional feedback loop
c. endocrine regulation system |
|
Definition
b. emotional feedback loop |
|
|
Term
The HT monitors what substances in circulating blood?
a. glucose
b. hormones
c. ion concentration
d. a and b
e. all of these |
|
Definition
|
|
Term
Efferent pathways from the HT are often reciprocal with afferent pathways.
a. true
b. false |
|
Definition
|
|
Term
te hypophyseal portal system allows the HT to do what
a. have direct communication with the pituitary gland
b. regulate secretion of pituitary hormones
c. regulate hormonal function throughout the endocrine system
d. all of these
|
|
Definition
|
|
Term
lesions to the HT result in
a. endocrin imbalance
b. diabetes insipidus
c. temperature regulation disfunction
d. all of these
e. a and c only |
|
Definition
|
|
Term
the amygdala is part of what system in the brain
a. midbrain
b. frontal lobe
c. limbic system |
|
Definition
|
|
Term
the primary function of the amygdala is to
a. link emotion and motivation responses
b. regulate emotion responses
c. decrease fear responses |
|
Definition
a. link emotion and motivation responses |
|
|
Term
the amygdala may be connected to whic disorder
a. schizophrenia
b. autism
c. obssesive compulsive disorder |
|
Definition
|
|
Term
whiich part of the limbic system may be involved in reward and reinforcement behaviors
a. amygdala
b. hippocampus
c. septal area |
|
Definition
|
|
Term
place the following in order from most superficial to most visceral
a. olfactory bulb
b. olfactory tract
c. olfactory epithelium and nerves
d. olfactory (piriform) cortex
|
|
Definition
|
|
Term
Which of these is NOT a function of the olfactory system
a. sexual behavior
b. odor detection
c. memory and smell connections
d. male agnositc behavior |
|
Definition
c. memory and smell connections |
|
|
Term
memory responses to olfactory stimuli are regulated by the olfactory system and the
a. limbic system
b. olfactory tracts
c. hypothalamus |
|
Definition
|
|
Term
a client is diagnosed with Kluver-Bucy Syndrome. What symptoms would be unusual for this syndrome?
a. lack of arrousal or emotional response
b. increased sexual behavior and appetite
c. increased emotional lability and sleep/wake disturbance |
|
Definition
c. increased emotional lability and sleep/wake disturbance |
|
|
Term
A patient presents with short term memory loss and inability to learn new tasks. Which of these disorders would you suspect as the cause? a. hippocampus lesion b. unilateral limib lesions c. kluver-bucy syndrome |
|
Definition
|
|
Term
Cranial nerves conveying afferent autonimc info to the CNS include all of these EXCEPT a. facial b. glossopharyngeal c. vagus d. phrenic |
|
Definition
|
|
Term
in the autonomic system, preganglionis neurons are found where a. spinal cord b. brainstem c. withine the sympathetic ganglion |
|
Definition
|
|
Term
postganglionic neurons are found outside the CNS. a. true b. false |
|
Definition
|
|
Term
effector organs in the autonomis nervous system include a. smooth muscle b. visceral muscles c. cardiac muscle d. glands |
|
Definition
|
|
Term
parasympathetic and sympatheic divisions of the ANS innervate the same organs a. true b. false |
|
Definition
|
|
Term
parasympathetic postganglionic fibers primarily release a. AcH b. Norepinephrine c. adrenaline |
|
Definition
|
|
Term
sympathetic postganglionic fibers primarily release a. AcH b. adrenaline c. norepinephrine |
|
Definition
|
|
Term
effector organ responses to neurotransmitters depend on a. myelination of the axon b. whether the fiber is sympathetic or parasympathetic c. the type of receptor |
|
Definition
|
|
Term
The myenteric plexus and the submucosal plexus make up what division of the ANS? a. enteric b. gastroenteric c. diuenteric |
|
Definition
|
|
Term
the parasympathetic craniosacral system includes which cranial nerves a. 3, 7, 9, 10 b. all of them c. 3, 5, 7, 11 |
|
Definition
|
|
Term
Sympathetic preganglionic fibers synapse directly with the adrenal glands for what purpose? a. to bypass the sympathetic chain b. to increase adrenal response c. to speed adrenal response |
|
Definition
c. to speed adrenal response |
|
|
Term
parasympathetic preganglionic fibers are much shorter than postganglionic fibers. a. true b. false |
|
Definition
|
|
Term
adrenergic fibers release a. NE b. AcH c. adrenaline |
|
Definition
|
|
Term
Sympathetic system performs which functions a. increases heart rate, bronchiole dilation, blood pressure b. increases gastrointestinal function, bladder function c. increases salivation, body temperature, muscle function |
|
Definition
a. increases heart rate, bronchiole dilation, blood pressure |
|
|
Term
all preganglionic axons of the ANS release this neurotransmitter a. AcH b. NE c. neither of these |
|
Definition
|
|
Term
all parasympathetic postganglionic axons rellease which neurotransmitter? a. AcH b. NE c. neither |
|
Definition
|
|
Term
In general, alpha receptors for NE cause constriction a. true b. false |
|
Definition
|
|
Term
in general, beta receptors for NE cause dilation a. true b. false |
|
Definition
|
|
Term
alpha blocker medications are designed to do what a. inhibit vasoconstriction b. increase vasodilation c. regulate blood pressure d. all of these |
|
Definition
|
|
Term
A patient has just sustained a low level SCI (complete lesion). He is concerned about what this will mean for his everyday life. What might these effects include? |
|
Definition
Low level SCI effects include loss of bowel, bladder, genital control in addition to mobility effects. now make this into an OT explanation instead of a biomedical one. |
|
|
Term
What addtional medical concerns would a client have to cope with if he sustains a high level SCI? |
|
Definition
homeostatic disfunction, thermoregulation problems, blood pressure, in addition to concerns related to low level SCI. |
|
|
Term
wrist drop and atrophy in the dorsal forearm are classic signs of what type of injury? a. median nerve b. ulnar nerve c. radial nerve |
|
Definition
|
|
Term
thenar atrophy is a sign of what nerve injury a. median nerve b. ulnar nerve c. radial nerve |
|
Definition
|
|
Term
froments sign indicates what type of injury. a. median nerve b. ulnar nerve c. radial nerve |
|
Definition
|
|
Term
tinel's sign, phalen's sign and ape hand all indicate what type of injury. a. median nerve b. ulnar nerve c. radial nerve |
|
Definition
|
|
Term
this nerve innervates the intrinsic hand muscles a. median nerve b. ulnar nerve c. radial nerve |
|
Definition
|
|
Term
weakness in the forearm flexors might indacte damage to what nerve a. median nerve b. ulnar nerve c. radial nerve |
|
Definition
|
|
Term
supination and extension are controlled by what nerve a. median nerve b. ulnar nerve c. radial nerve |
|
Definition
|
|
Term
cutaneous branches of pperipheral nerves are controlled by which branch of the nervous system a. parasympathetic b. somatic c. autonomic |
|
Definition
|
|
Term
the epineurium protects nerve fibers from a. compression b. stretch c. both of these |
|
Definition
|
|
Term
the perineurium provides protection against a. compression b. stretch c. both of these |
|
Definition
|
|
Term
the endoneurium provides protectin against a. compression b. stretch c. both of these |
|
Definition
|
|
Term
place these parts of te nerve plexus in order from distal to proximal a. trunks b. divisions c. roots d. cords |
|
Definition
|
|
Term
the more proximal the peripheral nerve injury, the better the prognosis a. true b.false |
|
Definition
|
|
Term
decreased sweating/ lack of goosebump response, and edema are common autonoomic results of peripheral nerve damage.. a. true b. false |
|
Definition
|
|
Term
peripheral nerve function is often affected in patients with diabetes.. Which of the following would you expect as a complication of the disease.
a. poor healing and increased chance of infection b. decreased sensation in the hands and feet c. decreased blood suppply to affected areas. d. all of these e. a and c only |
|
Definition
|
|
Term
Order these stages of recovery from earliest to latest recovery stage a. able to perform full range of motion b. able to palpate muscle c. able to hold a position wthout resistance d. able to move against resistance |
|
Definition
|
|
Term
muscle fibrillation is visible to the naked eye
a. true
b. false |
|
Definition
|
|
Term
fasciculation is visible to the naked eye a. true b. false |
|
Definition
|
|
Term
what class of PNII is carpal tunnel syndrome a. long-standing, low-level b. short-standing, high-level c. long-standing, high-level |
|
Definition
a. long-standing, low-level |
|
|
Term
when a patient sustains a PNI whic type of nerve fiber is most often damaged a. motor b. sensory c. somatic d. all of these e. a and b only |
|
Definition
|
|
Term
injury to the cutaneous branch of a nerve would mostly impact a. motor function b. autonomic function c. sensation d. both b and c e. both a and c |
|
Definition
|
|
Term
neuropraxia generally resolves within a few weeks after the cause of compression is removed, even without therapy. a. true b. false |
|
Definition
|
|
Term
In a class 1 nerve lesion, there is no damage to the axon. a. true b. false |
|
Definition
|
|
Term
axonotmesis results in wallerian degeneration below the area of injury. a. true b. false |
|
Definition
|
|
Term
a severed nerve injury is called a. neuropraxia b. neurotmesis c. axonotmesis |
|
Definition
|
|
Term
a class three nerve lesion may heal poorly due to which of the following a. scarring b. atrophy of surrounding tissues c. destruction of the endoneurium d. neuroma e. all of these f. all except d g. all except c |
|
Definition
|
|
Term
diabetes and Guillan Barre share the common effect of a. mononeuropathy b. class 3 nerve lesions c. polyneuropathy |
|
Definition
|
|
Term
polyneuropathy is generally found to be a. symmetrical and proximal b. asymetrical and distal c. distal and symetrical |
|
Definition
|
|
Term
a brachial plexus injury above the clavicle results in a. motor and sensory deficits along the peripheral nerve b. pain and tingling in the upper extremity c. effects to the group of muscles sharing innervation |
|
Definition
c. effects to the group of muscles sharing innervation |
|
|
Term
You have a new patient diagnosed with erb's palsy. What do you expect to see when you meet him for the 1st time. a. pt. will have difficulty with feeding b. pt. will have decreased strength in the u.e. c. pt. will show atrophy in the u.e. and inability to use it d. all of these e. a and c only |
|
Definition
|
|
Term
you have a new patient with klumpke's paralysis. what do you expect to see? a. gross flexion/extension at elbow, but not at the wrist b. gross flexion and extension at the wrist but not the digits c. inability to perform opposition d. both a and c e. none of these |
|
Definition
c. inability to perform opposition intrinsic muscles of hand paralyzed |
|
|
Term
name 3 points you can use to perform a quick test for peripheral nerve sensory deficits. |
|
Definition
tip of the thumb, tip of 3rd digit, tiip of 5th digit |
|
|
Term
median nerve injury tests |
|
Definition
phalen's test and tinel's sign |
|
|
Term
signs of ulnar nerve injury |
|
Definition
claw hand froment's sign (paper test=IP flexion) |
|
|
Term
signs of radial nerve injury |
|
Definition
wrist drop inability to release objects (extensors not functioning) |
|
|
Term
the raidial nerve innervates a. flexors and intrinsic hand muscles b. extensors and supinator c. flexors and pronators |
|
Definition
b. extensors and supinator |
|
|
Term
injury to the median nerve will affect which muscles a. FDP, FDS b. muscles of the thenar and hypothenar eminance c. FPB, FPL d. a and c only e. all of these |
|
Definition
|
|
Term
your patient is able to flex and extend the wrist and fingers but is unable to grasp a ball or perform a precision grip. which nerve do you suspect is involved? a. ulnar b. radial c. median |
|
Definition
|
|