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Neuro quiz 2
Set for Blake's Neuro quiz 2
83
Speech-Language Pathology
Undergraduate 4
02/15/2015

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Term
Nerve cell types - size
Definition
Golgi type I
Golgi type II
Term
Golgi type I
Definition
long axons (inches-feet); larger diameter
Sensory/motor tracts
Term
Golgi type II
Definition
short, smaller diameter axons
Interneurons-connect adjacent cells
Term
Nerve cell types - function
Definition
Sensory (afferent)
Motor (efferent)
Interneurons - connect adjacent cells
Cerebral neurons
Term
Synapse
Definition
point of connection/communication
NO physical contact between neurons
Term
Synapse components
Definition
Presynaptic neuron
Synaptic cleft
Post-synaptic neuron
Term
Types of Synapse - CNS
Definition
Axodendritic (connect axon to dendrite)
Axosomatic (axon to soma)
Axoaxonic (axon to axon)
Term
Types of Synapse - PN
Definition
Neuromuscular junction
Term
Synaptic Transmission - Big Picture
Pre-synaptic neuron
Definition
Message sent down axon to terminal
Neurotransmitter released from vesicles in axon terminal
Neurotransmitters spill into synaptic gap
Term
Synaptic Transmission - Big Picture
Post-synaptic neuron
Definition
Neurotransmitter binds to receptors on dendrite
Responds to presence of neurotransmitter
Sends message to next neuron
Term
Nerve Impulse
Electrical signals
Definition
Action potentials, nerve impulses
Within a neuron
Ion Channels and pumps
Sodium, Potassium and Calcium
Ions
Term
Nerve Impulse
Chemical signals
Definition
At synapses
Neurotransmitters
Term
Nerve Impulse - Presynaptic Neuron
Resting State
Definition
Not excited, not conducting signal/impulse
Membrane potential = polarized
Negative inside, positive outside cell membrane
-70 mV difference

Ions:
Na+
K+
Cl-
Ca++
Term
Nerve Impulse Presynaptic Neuron
Membrane Potential
Definition
Concentration gradient
Ion concentration gradient
Imbalance of types of ions (more Na+ outside than inside)
Electrical gradient
Imbalance of electrical charge (more negative than outside)
Term
Ion channels
Definition
Openings for free ion movement
Usually selective for specific ions
Term
Ion pumps
Definition
Energy-powered pumps to move ions in/out
Term
Membrane Potential (chemical make-up)
Definition
Sodium, Chloride - higher outside cell
Potassium - higher inside cell
Term
Sodium-Potassium pump
Definition
pumps sodium out, potassium in
Term
Leak channels
Definition
Allow Potassium to leave cell
allow chloride in (across concentration gradient)
Maintain negative concentration inside cell
Term
Excitability
Definition
Cell response to stimuli
Stimuli = chemical mechanical electrical, thermal
Stimulus -> change in membrane potential
Response = nerve impulse/action potential
Term
Action potential sequence
Definition
All or nothing
Depolarization
Repolarization
Return to resting state
Term
Depolarization - sequence
Definition
Opens sodium channels
Sodium quickly flows in -> large depolarization
Term
Repolarization - sequence
Definition
Closure of sodium channels
Opening of potassium channels
Hyperpolarization (K+ flows out)
undershoot: polarization greater than resting state
Term
Return to resting state - sequence
Definition
closure of potassium channels
Resting membrane potential returns
Term
Absolute refractory period
Definition
the interval during which a second action potential absolutely cannot be initiated, no matter how large a stimulus is applied.

sodium channels inactivated with strong depolarization -> prevent new AP until repolarization occurs
Term
Relative refractory period
Definition
the interval immediately following during which initiation of a second action potential is inhibited but not impossible

Hyperpolarized state
AP possible but requires greater depolarization
Term
Hyperpolarization
Definition
Increased internal negativity
Less able to conduct action potential
Inhibitory Post-Synaptic Potential (IPSP)
Term
Depolarization
Definition
decreased negativity
Initiation of action potential
Requires 5-10 mV change from resting potential
Excitatory Post-Synaptic Potential (EPSP)
Term
Polarization
Definition
Graded
Must reach threshold to initiate AP
Term
How does AP travel
Definition
action potential propagated down axon
Continuous depolarization
Term
Myelination
Definition
speeds up transmission
Action potential "jumps" down axon
Saltatory conduction
Term
what happens when AP reaches axon terminal?
Definition
Opens Calcium channels
Exocytosis - synaptic vesicles fuse with presynaptic membrane, release neurotransmitter into synaptic cleft
Term
Synaptic transmission
Definition
Action potential reaches axon terminal
Neurontransmitters bind to post-synaptic receptors
Lock and key mechanism
Binding -> open channels in post-synaptic receptor
ACh, Glutamate -> EPSP due to depolarization
open Na+ channels
GABA -> IPSP due to hyperpolarization
opens Cl- or K+ channels
Ntx recovery and degradation
Ntx bind to receptor, then are released
Reuptake by transporter proteins in presynaptic membrane
destroyed or recycled/repackaged into vesicles
Enzymatic destruction in synaptic cleft
Acetylcholine esterase
Term
Action potential
Definition
initiated when depolarization reaches threshold
All or nothing
same magnitude each time
Term
Summation
Definition
Small EPSP - not strong enough to reach depolarization threshold
Multiple small EPSPs
Spatial summation - from different location/neurons
Temporal summation - from rapid succession of signals
Term
Timing of action pulses
Definition
Reflect stimulus intensity
light touch -> slow repeated APs
high pressure touch -> fast repeated APs
Term
Excitatory + Inhibitory inputs
Definition
Net change -> determine response
More EPSPs -> depolarization and action potential
More IPSPs -> hyperpolarization, prevent action potential
Inhibitory - modulate; prevent excitation
Many Inhibitory synapses - axoaxonic, axosomatic
Term
Neuronal Stimulation
Definition
Excitatory: increase activity
Inhibitory: decrease activity
Term
Action potential reaches axon terminal (list)
Definition
1. Synthesis of neurotransmitter and formation of vesicles
2. transport of neurontransmitter down axon
3. action potential travels down the axon
4. action potential causes calcium to enter, evoking release of ntx
5. ntx attaches to receptor, exciting or inhibit post-synaptic neuron
6. separation of ntx molecules from receptors
7. reuptake of neurotransmitter to be recycle
8. vesicles without ntx transported back to cell body
Term
Neurotransmitters
Definition
Chemical released at synapse to transmit signal to post-synaptic neuron
Small molecule transmitters and large molecule transmitters (peptides)
Term
Small molecule ntx
Definition
Acetylcholine (ACh)
Monoamines - produced in brainstem
Dopamine (DA)
Norepinephrine (NE)
Serotonin (5-HT)
Glutamate (Glu)
Gaba-aminobututyric acid (GABA)
Term
Large molecule neurotransmitters
Definition
Peptides
Enkephalin, endorphins, substance P
Term
Acetylcholine
Definition
ACh
Primary PNS ntx - Neuromuscular junction
Muscle contration
controls voluntary movements
also many involuntary muscles
Term
Acetylcholinesterase
Definition
enzyme to break down ACh at synapse
Allows repetitive nerve impulses
Allows muscle repolarization
Term
Myasthenia Gravis
Definition
ACh
Antibodies interfere with ACh receptors at neuromuscular junction
Term
Alzheimer's Disease
Definition
ACh
Affects cholinergic projections to frontal cortex and hippocampus
Term
Dopamine
Definition
DA
Basal Ganglia - interruption/depletion causes movement disorders
Cortex - motivation, cognition (associated with Schizophrenia)
Term
Norepinephrine
Definition
NE
Noradrenergic cells (contain NE)
Brainstem, thalamus, cortex, limbic system - attention/vigilance
Primary PNS ntx - fight/flight response
Term
Serotonin
Definition
5-HT
95% serotonin = in blood platelets and GI tracts
CNS: various areas
Sleep cycles, depression, modulate pain input
Term
GABA
Definition
Primary inhibitory ntx
GABA receptors
Fast inhibitory transmission
Slow modulatory effects
spread through CNS - cortex, hippocampus, cerebellar cortex
Drug treatments - epilepsy, anxiety, insomnia
Huntington's Chorea
Caused by loss of GABA-ergic neurons in basal ganglia
Term
Glutamate
Definition
Primary excitatory ntx in CNX
Fast synaptic transmission
produced by all excitatory neurons
most neurons have glutamate receptors

Excitotoxicity
Toxic to neurons externally
Allows increased Ca influx
Requires re-uptake pumps near synapse
May cause secondary neuronal damage after injury/stroke
Term
Neuronal circuits - types
Definition
Divergent circuit
Convergent circuit
Term
Divergent circuit
Definition
Signal from 1 neuron to many neurons
Amplifies impulse
Term
Convergent circuit
Definition
Many inputs (from 1 or many neurons) into 1 post-synaptic neuron
Term
Lateral inhibition
Definition
Inhibition of neighboring cells
Amplifies 1 by shutting down others
localization of touch; visual stimuli
Term
Reverberating circuit
Definition
Self-propagating system
Signal repeated continuously until inhibited from external point
Term
Neuropharmacology
Definition
Modified action of neurotransmitters at synapse
blocking effects
simulating effects (mimics)
Prolonging effects
Term
Receptor Antagonists
Definition
Inhibitors
Drug blocks post-synaptic receptors
Prevents ntx from binding
Curare - binds to ACh receptors at neuromuscular junction
ACh unable to bind -> muscle weakness/paralysis
Atropine - blocks ACh at synapse in pupil -> prevent constriction of pupil -> dilation
Botox - prevents vesicles from binding -> prevents ACh release at synapse
Term
Receptor Agonist
Definition
Drug mimics ntx -> brain response as if ntx is present

Nicotine - mimics ACh, binds to ACh receptors and activates post-synaptic neuron
Term
Prolong effects
Definition
Blocking breakdown/re-uptake
more ntx in synaptic cleft
blocks enzymes for ntx breakdown
block acetylcholinesterase - ACh survives longer in synaptic cleft
used for treating myasthenia gravis
Block re-uptake back into pre-synaptic cleft.
Term
CNS response to injury
Neuronal damage
Definition
Axonal (retrograde) reaction
axotomy - degeneration up axon to soma

Wallerian (anterograde) degeneration
Degeneration of axon distally to axon terminal
Begins 12-20 hours post injury
Denervation of muscles within 2-3 days
Myelin degeneration - 7 days to 6 months
Term
CNS response to injury
Soma
Definition
24-48 hrs post
Swelling of organelles
Nissl substance degenerates
Chromatolysis (continues 8-10 days post)
Degeneration of cell body between axon hillock and nucleus
Pyknosis
Nucleus moves away from center of soma
Term
CNS response to injury
General neuronal changes
Definition
Increase in RNA and protein synthesis
Regenerate severed axon and prevent cell body death
Term
CNS response to injury
Generalized changes
Definition
Edema - maximal 90-100 hrs post
Causes by changes to blood-brain barrier
Masks gray/white matter boundaries
Increases intracranial pressure
Term
CNS response to injury
Glial cell processes
Definition
Hyperplasia - increase in number
Hypertrophy - increase in size
Neutrophils - scavenger white blood cells fight infection
Breakdown of BBB
Term
CNS response to injury
Glial cell processes order
Definition
Necrotic tissue liquefies
Microglia, astrocytes, other macrophages migrate to site (24 hrs)
Phagocytosis
Microglia eat dead tissue (3+ month process)
Displace pre/post-synaptic terminals
Impair transmission between terminals
Cystic cavity
Gliosis
Term
Cystic cavity
Definition
resulted from large lesion
fluid filled cavity
Term
Gliosis
Definition
Result of small lesion
Astrocytes from glial scar
Term
Axonal regeneration - PNS
Definition
begins 3-4 days post
can be surgically cleaned/re-attached
Schwann cells assist
Fill space between proximal/distal ends
Create tube to guide grown of proximal end
Can re-connect to wrong distal end
"re-wire" signals (pain receptor communicates with touch neuron)
Term
Axonal regeneration - CNS
Definition
Minimal re-growth; re-connection
No Schwann cells for structure/guidance
CNS myelin inhibits axonal outgrowth
Inflammation limits regrowth
Term
Neuropathologies
MS
Definition
Multiple Sclerosis
Autoimmune disease
Degeneration of myelin
Glial proliferation (clean up)
Glia -> plaques
Can trigger axon degeneration
Slowing of nerve conduction
Term
Neuropathologies
MS signs/symptoms
Definition
Muscle weakness, spasticity, numbness in limbs
Loss of vision; double vision
Vertigo, loss of balance

Later signs
Tremor, ataxia
Dysarthria
Dizziness
Term
Neuropathologies: MS
Pattern/damage
Definition
Relapsing/remitting pattern
Relapse - increase in number/severity of symptoms
Remit - oligodendrocyte repair

Permanent damage
axonal degeneration
Term
Neuropathologies: MS
Patient characteristics
Definition
2:1 Female:Male ration
30-60/100,000 cases
more common in northern/colder climates
Term
Neuropathologies: Myasthenia Gravis
Definition
Chronic autoimmune disease
progressive weakness with continued muscle use
Loss of ACh receptors - neuromuscular junction
antibodies bind to ACh receptors (prevent ACh function); later destroys receptors
Term
Neuropathologies: Myasthenia Gravis
Onset, progression
Definition
Onset: graduate
Females more affected before 30 years
Males more affected after 30 years
Progression
Can be slowly progressive
Remission periods can be long
Term
Neuropathologies: Myasthenia Gravis
Symptoms
Definition
Increasing weakness with muscle use
Diplopia
Ptosis
Weak respiration
Term
Neuropathologies: Myasthenia Gravis
Cranial Nerve involvement
Definition
Facial expression
Dysphagia
Hypernasality
Dropped jaw
Term
Neuropathologies: Myasthenia Gravis
Diagnosis/treatment
Definition
Anticholinesterase druges
Neostigmine; Mestinon
Inhibit acetylcholinesterase -> ACh remains in synaptic cleft longer
Term
Neuropathologies: Amyotrophic Lateral Sclerosis
Definition
Definition
Lou Gherig's disease
ALS
A- no/not
Myo - muscle
Trophic - Growth
Lateral - to the side
Sclerosis - hardening
Term
Neuropathologies: Amyotrophic Lateral Sclerosis
Definition
Degeneration of motor neurons
Term
Neuropathologies: Amyotrophic Lateral Sclerosis
Patient characteristics
Definition
Males more than females
40-60 years onset
90+% idiopathic (don't know the cause)
Term
Neuropathologies: Amyotrophic Lateral Sclerosis
Symptoms
Definition
Muscle twitching, craping, stiffness
Slurred speech and difficulty swallowing
muscle weakness in arms/legs
gradually spreads to both head/neck and body
Cognition affected, but later in disease
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