17 JUNE 2019 Flashcards

1
Q

horner’s syndrome means what?

A

that the sympathethic nervous system isn’t working

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2
Q

what are four symptoms of horners syndrome:

A

eyelid drop
constriction of the pupil
flushing (due to vasodilation)
no sweating

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3
Q

why do the symptoms of horners occur:

A

sympathetic system causes

  1. controls the eyelid to widen
  2. causes pupils to dilate
  3. causes vessels to constrict
  4. allows sweat glands to open to cool down body
    * **all responses for flight or fight
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4
Q

the sympathetic nervous systems covers what?

A

the exteremitites

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5
Q

the parasymapthetic nervous systems covers what?

A

the core / vesseral

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6
Q

orthostatic hypotension occurs when

A

there is a decrease in BP during 1st 3min of standing

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7
Q

what are the levels of orthostatic hypotension?

A

20 mm Hg SBP

10 mm Hg DBP

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8
Q

what are tropic changes that happen in the feet with sympathetic nerve damage?

A

shiny thin fragile hairless skin
redness
lack of sweating
poor nail growth

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9
Q

why do these changes in the feet happen w/ sympathetic damage:

A

there is no vasoconstriction cutting off blood supply

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10
Q

what does syncope mean?

A

fainting

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11
Q

a neural reflexive syncope also is called:

A

vasovagal

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12
Q

when does neural reflexive syncope happen?

A

in response to stress on the body all your blood vessels open up and then you faint.

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13
Q

orthostatic syncope happens when

A

blood vessels constrict and close blood flow

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14
Q

cardiac syncope happens when

A

the heart is unable to pump enough blood

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15
Q

what are the three types of syncope?

A

neural reflexive
orthostatic
cardiac

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16
Q

how many neuron pathways are there?

A

3

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17
Q

what are the 3 neuron pathways called?

A

first order
second order
third order

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18
Q

mechanoreceptors have what subset of receptors:

A

nocioreceptors

high threshold

19
Q

chemoreceptors have what type of subset of receptors:

A

nocioreceptors

high threshold

20
Q

light cutaneous receptors can feel what?

A

touch pain and temperature

21
Q

deep cutaneous receptors can feel what?

A
propriocpetion 
nociception (passive)
22
Q

tonic receptors are

A

slow adapting

23
Q

phasic receptors are

A

fast adapting

24
Q

what does a high threshold mean?

A

it takes a BIG stimulus to trigger the neuron

25
what are the three receptors in the first order neuron pathway?
mechano chemo thermo
26
phasic receptors do what?
respond to change
27
tonic receptors do what?
remain the signal
28
two differences between phasic and tonic receptors?
phasic are fast adapating / respond to change | tonic are slow adapting / remain a signal
29
what are the sizes of the receptive field?
smaller distally | larger proximally
30
first order neurons are classified how?
by the size of the diameter | so the top = the largest aka the Ia
31
what is the scheme for classifying first order neurons?
``` 1a 1b 11 111 1V ``` scheme ii: a -beta a -delta c
32
what is the "rule" for diameter size for first order neurons:
the "firster" the number/letter the BIGGER the diameter
33
how does density change in first order neurons throughout the body?
greater density distally | lesser proximally
34
what is the receptive field?
the peripheral sensory axon and all its terminal branches
35
what do a - beta neurons supply:
light (disciminative) touch
36
what is another word for light touch
discriminative
37
what can light touch dooo?
describe the touch | locate it on the body
38
what can superficial receptors feel?
``` touch vibration pressure hair movement stretch ```
39
what neurons supply course touch?
A-delta and C
40
what are the two subsets of course touch?
nociception | temperature
41
nociception and temperature are supply by what scheme of first order neurons and then have what type of nerves?
1. A-delta and C | 2. free nerve ends
42
a plexus can do what two things?
mix or unmix
43
which way does the plexus work?
unmixes going proximal to distal | mixes going distal to proximal
44
difference between a dermatome injury and a peripheral nerve injury?
a dermatome injury you can loss all sensation in your hand | a peripheral nerve injury you can loss only part sensation