3 - Grover - Nerve Electrophysiology Flashcards

1
Q

What are the relative charge distributions in a resting membrane?

A

Net positive outside

Net negative inside

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2
Q

How can you measure extracellular action potentials?

A

Extracellular recording electrode at site of inward Na+ current flow

+

Distant reference electrode

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3
Q

How are extravellular action potentials meaured–as in what is the relative size?

A

Single cells = small

Electrode outside measures summed action potentials

Compound Action Potential (CAP)

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4
Q

Unit Action Potential vs Compound Action Potential

A

Unit = 1 small action potential

CAP = Compound, summed action potential

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5
Q

Why must the electrical stimulation of nerves be controlled?

A

To ensure synchronized firing of individual axons

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6
Q

Anode vs Cathode

A

Anode (+) attracts anions

Cathode (-) attracts cations

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7
Q

What does effective stimulation require?

A

Current to:

Enter Axon

Flow through axial resistance

Exit axon and return to cathode

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8
Q

What type of axons are depolarized most easily and why?

A

Large diameter axons

Axial resistance depends on axon diameter, and is lowest in large diameter acons

Another way is saying current threshold is lowest in large diameter axons

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9
Q

Current Threshold

A

Magnitude of extracellular current stimulus required to trigger action potential in an axon

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10
Q

CMAP

A

Compound Muscle Action Potential

May be recorded for motor nerve function

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11
Q

Orthodromic vs Antidromic CAP

A

Ortho = forward

Anti = backward

***These will be relative to the nerve***

Sensory nerves travel to the CNS in an ortho direction

Motor nerves travel to the periphery in an ortho direction

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12
Q

Where do you want to place the recording electrodes?

A

Record where no muscles for sensory

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13
Q

Monophasic vs Diphasic CAPs

A

Mono = reference electrode is distant from recording electrode or not over nerve

Diphasic = reference electrode is near recording electrode and over the nerve

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14
Q

How do CAP amplitudes vary?

A

Amplitude depends on numbr of axons firing–axon size is important for the speed of the measurment

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15
Q

What axons will fire action potentials early following stimulus?

What will come later?

A

Low Current Threshold: Large diameter, fast conduction velocities (short latency)

High Current Threshold: Small diameter, slow conduction velocity (high latency)

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16
Q

What is the difference between absolute refractory and relative refractory periods?

A

Absolute = No CAP

Relative = Stimulus evokes CAP, with reduced amplitude

CAP will GROW in amplitude as more axons leave the relative refractory state

17
Q

F Waves

M Waves

A

Evoked by strong stimulation of motor nrves

Triggered by orthodromic action

- - -

M Waves is the normal muscle CAP

18
Q

What does F Wave allow clinically?

A

Comparison of conduction in distal vs proximal nerve

19
Q

F Wave vs M Wave

A

M Waves have short latency and are large

F waves have long latency are are smaller, more variable

20
Q

How do you measure Conduction Velocity?

A

Stimulate nerve at two locations, measure distance

Measure time between conductions (latency)

Conduction Velocity = Distance (m)/time (sec)

21
Q
A