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Neurology T3
Topic 1 : Review
80
Writing
Not Applicable
09/01/2011

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Cards

Term
Please name a synonym for sensory receptor.
Definition
Sensory receptor aka sense organ
Term
What is the function of a sensory receptor?
Definition
Sensory receptor/ sense organ transduce/convert stimulus energy into an action potential/nerve signal/nerve impulse
Term
Sensory receptors attach to what type of neuron?
Definition
Unipolar neurons
Term
What makes a sensory unit?
Definition
Sensory unit = unipolar neuron + associated receptors
Term

True or False?

There is much overlap in receptors, making it hard to classify receptors as one classification system

Definition

True

One system classification cannot adequately organize all their diverse characteristics

Term
What is the defined area in which a receptor can receive input? (Stimuli outisde of that area will not able to affect the receptor)
Definition
Receptive field
Term
What is another term used to define nerve?
Definition
Nerve = bundle
Term
What is another term used to define nerve fibre?
Definition
Nerve fibre = axon
Term
What is another term used to define nerve cell?
Definition
Nerve cell = neuron
Term
What is another term used to define a stretch receptor?
Definition
Stretch receptor aka muscle spindle
Term

True or False?

GTOs are more sensitive to passive stretch than a muscle spindle.

Definition

False

GTOs are much less sensitive to passive stretch than a muscle spindle but are more sensitive to contraction

Term
What is the shape of a muscle spindle?
Definition
Muscle spindle are fusiform shaped
Term
What stretch receptors detect the rate of change in muscle length (stretch) as well as the static length of the muscles?
Definition
Muscle spindle
Term

True or False?

1B fibres attach to muscle spindles

Definition

False

>1B fibre attaches to GTO

>1A fibre attaches to muscle spindle

Term
What is another term used to describe extrafusal muscle cell?
Definition
Extrafusal muscle cell aka skeletal muscle
Term
What type of muscle cell can be found inside a muscle spindle?
Definition
Inside a muscle spindle lies intrafusal muscle cell
Term
What is a tract?
Definition
Tract: Bundle of nerve fibres/axon in the CNS
Term
Where does the paleospinothalamic pathway project?
Definition

Paleospinothalamic pathway projects in the:

> CORTEX

> RETICULAR FORMATION

> THALAMUS

> LIMBIC SYSTEM

Term
Which tract relays somatosensory information?
Definition

Dorsal colum-medial lemniscus tract (DC)

Somatosensory info:

> fine touch

> stereogenesis

> proprioception

> vibratory sensations

Term
What relays somatosensory from the face, mouth, and head?
Definition
Trigeminal nerve (CN5)
Term
Which tract relays pain, temperatures, tickle, itch, and crude touch?
Definition
Anterolateral spinothalamic tract relays pain, temperatures, tickle, itch and crude touch
Term
Name the two divisions of the anterolateral spinothalamic tract.
Definition

Spinothalamic tract

 

> Neospinothalamic tract

> Paleospinothalamic tract

Term

True or false?

Decussation occurs at the 2nd Order neuron.

Definition

True

2nd order neuron: neuraxis (SC + brainstem) to thalamus

Term
What forms the neuraxis?
Definition
Neuraxis = brainstem + spinal cord
Term
Describe the pathway of the 3rd order neuron
Definition
3rd order neuron: thalamus to somatosensory cortex (parietal lobe)
Term
Describe the pathway of 1st order neuron.
Definition

1st order neuron: receptor to SC or brainstem (together called the neuraxis)

 

*2 major somatosensory pathways are the DC and anterolateral pathway*

Term
What is a fasciculus?
Definition
Fasciculus: bundle of axon
Term

True or false?

Sensory is associated with the Dorsal Column pathway as motor is associated with the ventral column pathway.

 

Definition
True
Term
What is an aka for the medial lemniscus?
Definition

Medial lemniscus aka Dorsal Column-medial lemniscal tract

 

*Medial lemniscus is located in the dorsal column pathway*

Term

Sensory relays information to the sensory cortex aka the?

 

Definition
Sensory cortex (of parietal lobe) aka post-central gyrus
Term
What do lower motor neurons attach to?
Definition
LMN attach to skeletal muscle
Term

True or false?

 

Direct pathways are also commonly known as pyramidal pathways

Definition
True
Term
Describe where the pyramidal pathway starts
Definition

Pyramidal aka direct pathway

 

from motor cortex of the frontal lobe

Term

What is the starting point of the indirect pathway?

 

Definition

Indirect pathway aka extrapyramidal pathway

 

from basal ganglia and cerebellum

Term
What type of fibres make up the motor (descending) and sensory (ascending) pathways?
Definition

Projection fibres make up the motor and sensory pathways

 

*projection fibres: longitudinal nerve fibres*

*motor aka descending*

*sensory aka ascending*

Term
What tract controls our voluntary movements?
Definition
Pyramidal/lateral corticospinal tract/direct motor tract controls our voluntary movements
Term
What makes up the lateral corticospinal tract?
Definition
Lateral corticospinal tract/ direct motor tract/ pyramidal tract consists of UPPER MOTOR NEURONS (UMN)
Term
What is another word used to define lower motor neurons?
Definition

lower motor neurons aka alpha motor neurons

 

*alpha motor/LMN go to skeletal m*

Term

UMN synapse to what structure?

 

Definition
UMN synapse to LOWER MOTOR NEURONS (UMN) aka ALPHA MOTOR NEURONS
Term
Where are the cell bodies of LMN located?
Definition

cells bodies of LMN are located in the anterior horn of the spinal cord

 

*LMN innervate skeletal muscle*

*UMN and LMN have long axons*

 

Term

True or false?

 

Each hemispheres control the ipsilateral sides of the body.

 

Definition

False

 

The right and left hemispheres control each other's contralateral side of the body

Term
What do you call the outer layer of the cerebrum?
Definition

Outer layer of the cerebrum = cerebral cortex

 

*cerebral cortex is approximately 3mm thick*

Term
What divides the cerebrum into left and right hemispheres?
Definition

Shallow grooves called SULCI

 

*deep groove=fissure*

Term
What word defines impairment of the ability to communicate through speech, writing, or signs?
Definition

Aphasia

 

Term
Broca's area is part of which lobe?
Definition
Broca's area = frontal lobe
Term
The parietal lobe receives what type of information?
Definition

Parietal lobe

 

Receives info of the contralateral side of the body from:

> Receptors in skin

> Muscles

> Joints

 

Term
Damage in the temporal lobe results in...
Definition

Wernicke's aphasia

 

*temporal lobe: interprets auditory and olfactory stimuli*

Term

What is associated with Broca's area?

What is associated with Wernicke's area?

Definition

Broca's area = expression

Wernicke's area = comprehension

Term
What is interpreted by the occipital lobe?
Definition
Occipital lobe: interprets visual stimuli
Term
True or false?

A contrecoup is a blow/injury causing concussion in a part or region opposite to where the blow is received.
Definition

True

 

*contrecoup causes rupture/disorganisation of the parts affected*

 

Term
Where does a coup injury occur?
Definition
Coup injury occur at site of impact with an object
Term
What do you call the sudden onset of a self-limiting episode of physical/psychological dysfunction from an abnormal burst of neuronal firing in the CNS?
Definition

Seizure aka Ictus

 

*sudden onset and self-limiting*

Term

True or false?

 

Epilepsy is defined as a neurological condition of various causes affecting the brain and results in single spontaneous seizures.

Definition

False

 

Epilepsy are RECURRENT spontaneous seizures, not SINGLE spontaneous seizures

Term
What type of fibers connect and transmit impulses between gyri in the same hemispheres?
Definition
Association fibers
Term
What type of fibres transmit impulses from the gyri in one cerebral hemisphere to the corresponding gyri in the opposite cerebral hemisphere?
Definition
Commisural fibres
Term
What type of fibres form tract transmitting nerve impulses between the cerebrum to other parts of the CNS?
Definition
Projection fibres
Term

True or False?

 

The BG also includes the substantia nigra of the midbrain.

Definition
True
Term
Which system is the major center for processing emotional response and for learning and memory?
Definition

Limbic system

 

> wraps around the brain stem and lies beneath the cerebral cortex

Term
Which part of the limbic system is involved in learning, memory and complex cognitive processes?
Definition
Hippocampus
Term
Which part of the limbic system plays an important role in emotional behaviours, especially fear?
Definition
Amygdala
Term
Which part of the limbic system is involved in controlling the ANS and endocrine systems and organizes behaviours?
Definition
Hypothalamus
Term
Name the structures forming the limbic system
Definition

Hippocampus

Amygdala

Cortex

Hypothalamus

Thalamus

BG

Term
Where is the cerebellum located?
Definition

> Below the occipital lobe of the cerebrum

> Posterior to the PONS and the medulla oblongata

Term
What makes up the brain stem?  Where is the brain stem located?
Definition

> Brain stem = Medulla oblongata (caudal) + pons (intermediate) +  midbrain (superior)

 

> superior to the SC

Term
Where are most of the 12 cranial nerve nuclei located?
Definition
in the brainstem
Term
What are some functions of the brain stem?
Definition

Fct: vital (life sustaining) functions of the ANS

 

*contains motor and sensory tracts connecting the SC and brain*

* made of medulla oblongata, pons and midbrain*

Term
Which interdependent high motor centres of the brain regulate movement?
Definition
Motor cortex, cerebellum and BG
Term
Which HMC is engaged in voluntary motor control and fine motor control (ie: dexterity) as well as complex BL activities, and learning new skills?
Definition
Motor cortex
Term
What word describes the dysfunction of the cerebellum in which there is the inability to coordinate mm in execution of voluntary movement (ie: clumsiness of mvmt)?
Definition
Ataxia
Term
Which dysfunction of the cerebellum is defined as the inability to perform point-to-point mvmts due to errors in distance estimation?
Definition
Dysmetria
Term
Which dysfunction of the cerebellum is defined as the inability to perform rapid alternating repeated mvmts?
Definition
Dysdiadochokinesia
Term
What word defines disturbance of speech and language due to emotional stress?
Definition
Dysarthria
Term
What is characterized by syllables of words separated by noticeable pauses?
Definition
Scanning of speech
Term
What defines activities broken down into simpler component pieces that must be done slowly with great concentration, rather than a smooth coordinated movement? An attempt to achieve with great precision results in an intention tremor.
Definition
Decomposition of mvmts
Term

Complete the sentence

 

The BG essentially dampen erratic motions, maintain m tone and postural stability and the .... .... needed for all motor activities

Definition
The BG essentially dampen erratic motions, maintain m tone and postural stability and the background positioning needed for all motor activities
Term

True or false?

 

The BG overall effect is dysinhibition.

Definition

False

 

BG overall effect is inhibition

 

> dysfunctions involve dysinhibition

Term
What word defines rigidity persisting throughout the range of movement of a particular joint?
Definition
Lead-pipe
Term
What word defines rigidity in a rhythmic, interrupted resistance which can be encountered when the hypertonic m is stretched?
Definition
Cogwheel rigidity
Term

True or false?

 

Spasticity is an involuntary, velocity-independent, increased resistance to stretch.

Definition

False

 

Spasticity is an involuntary, velocity-dependent, increased resistance to stretch.

Term
True or false?

Rigidity is a heightened resistance to passive movement of a limb that is independent of the velocity of stretch and results from co-contraction of agonists and antagonists.
Definition

True

 

Rigidity is a heightened resistance to passive movement of a limb that is independent of the velocity of stretch and results from co-contraction of agonists and antagonists

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