Shared Flashcard Set

Details

Neuro Exam 4
N/A
32
Medical
Graduate
04/21/2013

Additional Medical Flashcards

 


 

Cards

Term

Name the following cortical regions.

 

[image]

Definition
[image]
Term

Name the following multimodal association cortices.

 

[image]

Definition
[image]
Term

Name the following ventral and dorsal processing streams.

 

[image]

Definition
[image]
Term

Name the major cognitive dysfunctions associated with the following functions:

 

- language

 

- memory

 

- visuaospatial skills

 

- attention

 

- executive processing

Definition

language - aphasia

 

memory - agnosia

 

visuospatial - apraxia

 

attention - negelect

 

exec. processing - dysexecutive syndromes

Term
Describe the difference between a transcortical motor and transcorticl sensory aphasia.
Definition

transcortical motor - NON-fluent speech, can comprehend, can repeat; caused by stroke within watershed region surrounding Broca's area.

 

transcortical sensory - fluent speech, CAN'T comprehend; can repeat; caused by stroke within temporal lobe near Wernicke's area; pt can't attach meaning to words

Term

Describe the affect that a lesion in the right hemishpere would have on attention.

 

[image]

 

 

Definition
The figure shows a right hemisphere-dominant directed attention model. Therefore, a lesion to the right (dominant) side results in hemi-inattention to the left side.
Term

The following drawing was by a patient who suffered an infarct within which lobe?

 

[image]

Definition
right parietal lobe
Term
During habituation (implicit memory), which short-term and long-term effects occur?
Definition
[image]
Term
Describe the process of long-term potentiation in the hippocampus.
Definition

Rapid, intense presynaptic firing elicits post synaptic AP's. Sustained presynaptic firing evokes a stronger postsynaptic response.

 

 

[image]

Term
How do NMDA blockers, like memantine, aid in memory dysfunction?
Definition
With age, NMDA receptors remain partially open, allowing toxic levels of glutamate to enter the cell (excitotoxicity). By blocking NMDA receptors drugs like memantine fix this leak.
Term

Name the hidden components of the polysynaptic pathway of memory and emotional processing (Papez circuit).

 

[image]

Definition

 

 

[image]

Term

What post-surgical effects can be expected from the following patient?

 

[image]

Definition

- complete anterograde amnesia (unabe to form new explicit memories!)

- partial retrograde amnesia

 

Term
Bilateral destruction of the amygdala and inferior temporal lobe are categorized as which syndrome? What is the core deficit of this syndrome?
Definition

Kluver-Bucy Syndrome

 

core deficit: inability to learn the emotional significance of external events

Term
What is the core deficit associated with an orbital or medial prefrontal cortex lesion?
Definition
insensitivity to the emotional consequence of one's own actions; lack of empathy.
Term
How is the simultaneous awareness of a sensory input and the reaction to it achieved?
Definition
Each second, a large number of neurons within the region of the cerebral cortex that receives the sensory input oscillate at once (upon being triggered to do so by the thalamus). Cortex cells coherently fire back at the thalamus, "binding" the sensation to a unified cognitive act.
Term

Complete the following segmental reflex chart.

 

[image]

Definition

 

[image]

Term
List the 4 types of LMN lesions.
Definition

Hypotonia

Hyporeflexia

Atrophy

Fasiculations

Term

Describe the somatotropic organization and course of the corticospinal tracts at the:

 

- cortex

- internal capsule

- brainstem

- spinal cord

Definition

- cortex: precentral gyrus and supplementary motor area

 

- internal capsule: posterior limb (genu for corticobulbar tracts)

 

- brainstem: face--->more medial; arms and legs--->more lateral; taper together further caudally

 

- spinal cord: medial to lateral---> CTLS (cervical, thoracic, lumbar, sacral); legs: most lateral; arms: more medial. So a compression injury would affect the sacral region, lower limbs.

Term
Differentiate between decorticate and decerebrate posturing.
Definition

Decorticate - disinhibition of brainstem---> hyperactivation of brainstem---> both medial and lateral indirect activation pathways active---> arms flexed (lat. pathway); everything else extended (medial pathway, brace against gravity).

 

Decerebrate - compression of upper brainstem---> effects red nucleus---> NO flexion---> everything primarily extended

Term

Name the concealed components of the medial and lateral pathways of the indirect activation pathway.

 

[image]

Definition

 

[image]

Term
What is the pattern of weakness seen with patients suffering from an upper motor neuron lesion?
Definition

upper extremities: extensor weakness

lower extremities: flexor weakness

Term

Which central motor feedback tract is described below?

 

[image]

Definition
Vestibular
Term

Which central motor feedback tract is described below?

 

[image]

Definition
posterior (dorsal) spinocerebellar tract
Term

Which central motor feedback tract is described below?

 

[image]

Definition
anterior (ventral) spinocerebellar tract
Term

List the concealed components of the cerebellar and basal ganglia control circuits.

 

[image]

Definition

 

 

[image]

Term
What causes the pigmentation of the substantia nigra?
Definition
neuromelanin
Term

Identify the following components

 

[image]

Definition
clockwise from top: cerebral aqueduct; cerebral peduncle; substantia nigra (dark section: pars compacta; light section: pars reticulata); red nucleus.
Term
What net effect does DA from the substantia nigra compacta have on motor programs?
Definition
easier selection of motor programs by facilitating stimulation of the direct pathway (D1 receptors) and inhibition of the indirect pathway (D2 receptors)
Term

Describe the concealed components of the cerebellum.

 

[image]

Definition
[image]
Term

List the concealed elements of the afferent and efferent cerebellar tracts of the three cerebellar peduncles.

 

[image]

Definition
[image]
Term

List the concealed components of the functional subdvisions of the cerebellum.

 

[image]

Definition
[image]
Supporting users have an ad free experience!