#10 Flashcards

1
Q

There are four major modalities of somatic sensation

A
  1. Discriminative touch – for recognition of size, shape, and texture of objects, and
    their movement across the skin
  2. Proprioception – for sensation of static position and movement of the limbs and body
  3. Temperature sense – for sensation of “cool” and “warm” changes in temperature
  4. Nociception – for signaling of tissue damage or chemical irritation (pain or itch)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Each major modality of somatic sensation is mediated by a distinct system of receptors and pathways to the brain,
but all share a common class of sensory neuron:

A

: the dorsal root ganglion cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

X are the “ first order neuron” in the somatosensory pathway

A

Dorsal root ganglion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Peripheral terminals of DRG neurons
two types:

A
  1. Terminal is encapsulated by a nonneural structure (such as a Pacinian corpuscle or Golgi tendon organ) – for sensations of touch and proprioception
  2. Terminal is a bare nerve ending – for thermal and painful sensations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

sensory receptors encode four elements attributes of stimuli:

A

modality, location, intensity, duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Somatosensory systems process information in a series of relay nuclei. These pathways
have a serial organization with a distinct functional hierarchy, as follows:

A

I. First-order neuron (the sensory receptor) is the DRG cell; primary afferent fibers from multiple DRG
neurons converge and synapse on…
II. Second-order neurons located in a segment of spinal cord gray matter or in the brain stem; these neurons cross and project to…
III. Third-order neurons located in the thalamus, which axons project to higher-order neurons in the cortex where perception is experienced on a conscious level.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The receptive field of a DRG neuron

A

it’s the patch of skin that will
trigger an action potential if presented with an adequate stimulus
Every DRG neuron projects to and excites a second-order neuron (which receives a
cluster of DRG inputs from a patch of skin).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Meissner’s corpuscles and Pacinian corpuscles both contribute to
Merkel’s disks respond to a
(pressure sense), and Ruffini endings are thought to respond to b

A

vibration sense
meissner: 20-50 Hz
Pacinian: 250-350 Hz
a: indentation of the skin
b: skin stretch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • Among mechanoreceptors, a are slow-adapting.
    These receptors generate action potentials throughout the period of skin
    indentation, signaling the magnitude/intensity of stimulation. Objects indenting
    the skin are detected by receptors that adapt slowly.
  • b are fast-adapting. They only
    respond at the beginning and end of a skin indentation, signaling the rate or
    velocity of stimulation. Vibration is detected by receptors that adapt quickly.
A

a: Merkel’s disks and Ruffini endings
b: Pacinian corpuscles and Meissner’s corpuscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Proprioception, literally “sense of self” (from Latin ‘proprius’ = ‘own’) is governed by
proprioceptors. Proprioceptors sense the modalities of a, b,
and c. The information encoded by these receptors is conveyed in both conscious and nonconscious pathways. Conscious proprioception impinges on consciousness and
therefore relays in the d. Nonconscious proprioception mainly drives reflexes in
the e and signals the f about body position (does not use the
d!)

A

a: muscle stretch
b: muscle tension
c: joint angle
d: thalamus
e: spinal cord
f: cerebellum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

muscle spindles

A

signal muscle length and speed at which muscle is stretched

type Ia fibers: dynamic fast adapting, respond to change in length of muscle
Type IIa fibers: static, active during the steady state after a change in length

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Only “cool” (5-40°C) and “warm” (30-45°C) sensations are detected by a.
Above or below these limits, humans perceive “cold” and “hot” as pain detected by b

A

a: thermoreceptor
b: thermal nociceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Visceral afferents are structurally indistinguishable from somatic afferent neurons

A

— Cell bodies located in the DRG or CN ganglia
— Most visceral nerve terminals are bare
— Majority of fibers are thin Ad and C fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Fine touch, consciousness lives in

A

medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

most myelineted sensory receptor type?

A

proprioceptors of skeletal muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

cool, sharp pain receptors’ axons come from a and the myelination is b
warm and cool aching pain, itch’s axons come from d and the myelination is

A

a: A delta
b: higher
c: C
d:none

17
Q

3 main types of receptors of Prpprioceptors

A

Muscle spindles
Golgi tendon organs (GTOs) tendon tension
Joint receptors located in joints

they are either Group I or II- super fast

18
Q

3 classes of nociceptors

A

1- Thermal nociceptors are activated by extreme temperatures, using Adelta fibers fast adapting
2- Mechanical nociceptors are activated by intensive pressure. Adelta, fast
3- Polymodal niciceptors: high intensity chemical or thermal stimuli, using C fibers, slow adapting

Special variant: Silent nociceptors do not respond at all unless injury has occured, then they respond to everything

19
Q

Joint and muscle nocicptors

A

-Joint nociceptors:
So mant silent. A delta and C. nociceptors, that is why they are so painful
- Muscle nociceptors. A delta and C

20
Q

where do we feel the pain in the brain?

A

posterior central gyrus- where the pain
insula- pain feels bad

21
Q

function of visceral afferents is often related to mediation of

A

visceral reflexes

22
Q

visceral sensations are entirely nonconscious except for

A

discomfort/pain

23
Q

2 major sensory pathways (ascending)

A

1- Pain, temperature, and crude touch:
Spinothalamic system aka ‘anterolateral system’ (from body)
Trigeminothalamic system (from head)
2- Discriminative touch, conscious proprioception:
Dorsal-column-medial lemniscus system (DCML- from body)
Trigeminothalamic system (from head)
2- Discriminative touch, conscious proprioception

24
Q

Motor pathway (descending)

A

Voluntary motor
Corticospinal system (to body)
Corticobulbar system (to head)

25
Q

sensory pathway for pain temperature itch tickle sensation

A

Nociceptors or thermoreceptors -> Dorsal horn ->Spinothalamic tract -> second order neuron ->Thalamus -> Primary somasensory cortex

26
Q

Sensory pathway for discriminative touch and conscious proprioception from body

A

proprioceptors or mechanoreceptors -> First order (DRG) -> Second order (Medulla) ->Third (Thalamus)

27
Q

Sensory info goes into this part of thalamus:

A

VPL nucleus on lateral thalamus

28
Q

corticobulbospinal system: pathway for voluntary movement

A

precenteral gyrus -> internal capsule ->corticospinal tract -> either anterior or lateral corticospinal tract in spinal cord
OR
precenteral gyrus -> internal capsule -> corticobulbar tract -> Pons, medulla, spinal cord (V, VII (pins), IX, X, XII (medulla), XI (spinal cord))

29
Q

Blood supply to the more lateral part of PMC (tongue, face, hand)?
Blood supply mor more medial part (trunk, hip, lower body)?

A

MCA
ACA

30
Q

lesion to upper motor neurons

A

too much movement
more tone (hypertonia), more contracting, paresis (weak), hyperreflexia, appearance of neonatal reflexes

31
Q

lesion to lower moror neurons

A

severe weakness or paralysis, decreased or abolished reflexes, muscle atrophy (korelme) and fasciculation, and hypertonia

NOTE: LMN lesions TRUPM UMN lesions

32
Q

with very few exceptions, all LMN exit CNS

A

ipsilaterally