A and P chapter 14 Brain and cranial nerves Flashcards

1
Q

how much of the brain does the cerebrum constitute

A

83%

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2
Q

where are 50% of the brains neurons located

A

cerebellum

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3
Q

which parts of the brain are gray matter

A

cerebral cortex
basal nuclei

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4
Q

what makes up the white matter

A

bundles of axons and myelin

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5
Q

what are the 3 layers of embryonic tissue

A

endoderm
mesoderm
ectoderm

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6
Q

what does the ectoderm germ layer give rise to

A

nervous tissue

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7
Q

what are the brains protection

A

bone
meninges
cerebrospinal fluid
blood-brain barrier

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8
Q

what are the 3 meninges of the brain

A

dura mater
arachnoid mater
pia mater

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9
Q

describe the dura mater

A

double layer fused together except in spaces where it makes the dural sinuses

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10
Q

what are the dural sinuses for

A

collect venous blood from brain and direct it to the internal jugular veins

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11
Q

what is the dural septa

A

part of the dura mater that creates cranial cavity partitions

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12
Q

name the types of dural septa and describe them

A

dural septa part of dura mater
falx cerebri–> in longitudinal fissure; seperates 2 cerebrum
falx cerebelli–> on vermis of cerebellum; seperates halves of cerebelli
tentorium cerebelli–> in transverse fissure; separates cerebellum and cerebrum

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13
Q

describe the arachnoid mater

A

loose brain covering that does not dip into sulci/fissures

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14
Q

what is the subdural space

A

serous cavity that separates arachnoid and dura mater

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15
Q

what is the subarachnoid space

A

separates arachnoid and pia mater

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16
Q

what are arachnoid villi

A

a valve-like structure that protrudes through the dura mater into the sagittal sinus where CSF is absorbed into venous blood of the sinus

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17
Q

describe the pia mater

A

delicate layer with lots of tiny blood vessels
clings tightly to brain and does dip into all the grooves
where concussions happen

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18
Q

what are ventricles

A

spaces that make CSF in the brain

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19
Q

name the ventricles

A

R and L ventricles
3rd
4th

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20
Q

what ventricle connects to the cerebral aqueduct superiorly

A

3rd ventricle

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21
Q

what ventricle connects to the central canal that CSF flows down to the spinal cord

A

4th

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22
Q

what is the purpose of CSF

A

liquid cushion
floats brain in skull
nourishes brian and takes away waste

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23
Q

whats in CSF

A

sodium and chloride
potassium
calcium
glucose
protein

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24
Q

what is the purpose of the blood brain barrier

A

brain needs a constant environment to function (less variation in hormones and ions etc)

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25
Q

what easily passes through the blood brain barrier

A

water, glucose, amino acids, and some electrolytes
use facillitated diffusion to pass barrier
cant prevent anything lipid soluble from passing (fats, fatty acids, oxygen and carbon dioxide)

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26
Q

what can pass through blood brain barrier but takes work

A

sodium, potassium, chloride, urea, and creatinine, metabolic waste, proteins, and some drugs/toxins

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27
Q

blood brain barrier does not include

A

the hypothalamus

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28
Q

what is the downside to the blood brain barrier

A

some antibiotics and cancer meds cant pass through

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29
Q

where is the midbrain located

A

in between diencephalon and pons

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30
Q

where is the cerebral aqueduct located

A

runs through the center of midbrain and is surrounded by gray matter called the periaqueductal gray matter

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31
Q

what is the periaqueductal gray matter for

A

pain suppression
is an autonomic nervous system pathway
cranial nerves III and IV (oculomotor and trochlear) run through

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32
Q

what are cerebral peduncles

A

2 bulges on anterior that contain corticospinal motor tracts

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33
Q

what are the superior cerebellar peduncles for

A

connect midbrain fiber tracts to cerebellum

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34
Q

name the basal nuclei

A

corpora quadrigemina, substantia nigra, red nucleus

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35
Q

describe the corpora quadrigemina (basal nuclei)

A

largest of basal nuclei
superior colliculi–> visual reflex centers
inferior colliculi–> auditory relay, startle reflex

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36
Q

describe the substantia nigra (basal nuclei)

A

2 nuclei
high melanin content which is precursor to dopamine
makes dopamine
degeneration leads to parkinsons

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37
Q

describe the red nuclei (basal nuceli)

A

rich blood supply and iron pignment inside neurons (making it red)
involved in motor coordination

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38
Q

what are the functions of the pons

A

helps regulate normal breathing rhythm
sleep
posture

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39
Q

what is the purpose of the medulla oblongata

A

autonomic reflex center for body homeostasis
cardiac control
vasomotor control
respiratory rate and control

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40
Q

what are the pyramids in the medulla oblongata and what is decussation of them

A

two longitudinal ridges made by corticospinal fiber tracts
decussation of pyramids= crossing of the fibers from R to L or L to R

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41
Q

describe the reticular formation

A

loose web of gray matter that runs vertically through all levels of the brainstem
occupies space between white fiber tracts and brainstem nuclei

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42
Q

what is the purpose of the reticular formation

A

helps govern all somatic motor control
cardiovascular control
pain modulation
sleep/wake
habituation (ignore repetitive, inconsequential stimuli)

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43
Q

what are the two hemis seperated by in the cerebellum

A

vermis

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44
Q

what is the white matter in the cerebellum called

A

arbor vitae

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45
Q

what do cerebellar peduncles do

A

connect brainstem and cerebellum

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46
Q

what does the superior cerebellar peduncle do (midbrain)

A

connects to cerebral motor cortex via thalamic relays

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47
Q

what does the middle cerebellar peduncle do (pons)

A

one way communication from pons to cerebellum

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48
Q

what does the cerebellar peduncle do (medulla)

A

sensory info
muscle proprioception
balance

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49
Q

what are the functions of the cerebellum

A

sensory, linguistic, emotional function
non motor functionalities
planning, scheduling, emotional control

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50
Q

what brain structure encloses the 3rd ventricle

A

diencephalon

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51
Q

describe the thalamus structure

A

2 lobes connected by interthalamic adhesion

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52
Q

function of the thalamus

A

sorts out info and edits it and then sends it to other parts of brain to be executed
gateway to brain
role in motot control by signal replay betweeen cerebrum adn cerebellum
is a part of the limbic system= memory and emotional function

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53
Q

what is the function of the hypothalamus

A

main visceral control and body homeostasis
autonomic control center
emotional response “heart” of the limbic system
body temp reg., hunger reg., water balance, sleep/wake cycles
makes ADH and oxytocin

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54
Q

what is the infundibulum

A

stalk that connects with the pituitary

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55
Q

what are mamillary bodies

A

relay for olfactory tracts

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56
Q

what controls the pituitary glands secretions

A

hypothalamus

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57
Q

what structures in the epithalamus

A

pineal gland, posterior commissures, choroid plexus

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58
Q

what does the pineal gland do

A

makes melatonin and controls sleep and wake cycles (processes light info)

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59
Q

what do the posterior commissures do

A

link basal nuclei and limbic system

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60
Q

what does the choroid plexus do

A

secretes CSF

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61
Q

what are the lobes of the cerebrum

A

frontal
parietal
occipital
temporal
insula

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62
Q

describe location and function of the frontal lobe

A

rostral to central sulcus
voluntary motor functions, motivation, planning, memory, moodm emotion, social judgement, aggression

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63
Q

describe location and function of the parietal lobes

A

between central sulcus and parieto-occipital sulcus
integrates general senses, taste, and some visual info

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64
Q

describe location and function of the occipital lobe

A

caudal to parieto-occipital sulcus
primary visual center of brain

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65
Q

describe location and function of the temporal lobes

A

lateral and horizontal; below lateral sulcus
functions in hearing, smell, learning, memory, some aspects of vision and emotion

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66
Q

describe location and function of the insula lobe

A

deep to lateral sulcus
helps understand spoken language, taste and integrating info from visceral receptors

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67
Q

what is the tissue composition of the cerebral cortex

A

interneurons only, neuron cell bodies, dendrites, glial cells, blood vessels– no fiber tracts

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68
Q

what percent of brain is the “conscious mind”

A

40% and only gray matter

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69
Q

what are the 3 functional areas of the cerebral cortex

A

motor–>voluntary functions
sensory–>allows conscious awareness of sensation
associational–>integrates info (makes info whole so we can give it meaning)

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70
Q

what do commisural fibers in the cerebral cortex do

A

horizontal fiber tracts that communicate between 2 hemispheres (connect gray areas and allows them to work as a unit)

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71
Q

what is the corpus callosum

A

a commisural fiber tract (largest of them actually)

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72
Q

what are association fibers

A

horizontal fiber tracts that connect different parts of the same hemisphere

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73
Q

what are projection fibers

A

vertical fiber tracts that connect cortex to nerves in body
nerves from left side of body cross in the brain stem and shoot towards the right brain and vice versa

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74
Q

what is the internal capsule

A

in regard to projection fibers
compact band in the brain stem

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75
Q

what is the corona radiata

A

in regard to projection fibers
superior to internal capsule, fibers radiate through white matter in fan like pattern

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76
Q

no motor function happens unless what brain structure is involved

A

basal nuclei (though not directly connected to the motor cortex)

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77
Q

what structures are in the corpus striatum (basal nuclei)

A

caudate nucleus
putamen

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78
Q

what is the amygdala

A

basal nuclei

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79
Q

what is the globus pallidus

A

basal nuclei

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80
Q

what is the role of basal nuclei

A

complex and repetitive behaviors
practiced behaviors
modify voluntary motor activity
issue in nuceli causes too much or too little movement

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81
Q

what is the function of the amygdala

A

primal fear and aggression
not impacted by alzheimers

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82
Q

what neurotransmitters are inhibitory in the basal nuclei and associated areas

A

GABA and dopamine

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83
Q

what neurotransmitters are excitatory and inhibitory in the basal nuclei and associated areas

A

ACh, norepinephrine, serotonin, and enkephalin

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84
Q

what neurotransmitters are excitatory in the basal nuclei and associated areas

A

Glutamate
pathways provide most fo the excitatory signals within the basal nuclei

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85
Q

what is huntingtons disease

A

disorder of the basal nuclei, loss of GABA secreting neurons in the nuclei, loss of ACh neurons in many parts of brain
spastic paralysis (uncontrolled motor output)
dementia and paranoia in later stages

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86
Q

what do the limbic system and the reticular activating system have in common

A

networks of neurons that span across many different parts of the brain

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87
Q

what is the limbic system do and where is it

A

emotional brain (bridge between conscious and subconscious brain, center for gratification, psychosomatic illness here)
forebrain

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88
Q

what is the reticular activating system and where is it

A

an alert system
brain stem

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89
Q

what location are within the limbic system

A

amygdala, hippocampus, hypothalamus, thalamus

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90
Q

describe where reticular activating system is and what it does

A

in brainstem, loosely clustered gray matter neurons in white matter
keeps cortex alert and concious, whole brain arousal
allows us to move stimuli to the background (ignore it)
if severely injured here like twisting of brain stem=comatose

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91
Q

what does EEG mean and what does it do

A

electroencephalogram
records patterns of brain waves

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92
Q

what is induced paralysis where BP is lowered, ATP is restored, and damage is repaired

A

sleep

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93
Q

what is REM sleep

A

rapid eye movement sleep
semi awake state searching for daylight
restful sleep

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94
Q

what are the cognitive functions in the association areas of the cortex (parietal lobe, temporal lobe, frontal lobe)

A

parietal lobe–> helps perceive and attend to stimuli
temporal lobe–> helps identify stimuli
frontal lobe–> helps us think about the world, plan, and execute appropriate behaviors

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95
Q

what would damage to the parietal lobe cause in regard to cognitive function

A

contralateral neglect (unaware of objects on opposite side of body)

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96
Q

what would damage to the temporal lobe cause in regard to cognitive function

A

agnosia (inability to recognize, identify familiar objects; like cannot recognize faces)

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97
Q

what would damage to the frontal lobe cause in regard to cognitive function

A

personality disorders and socially inappropriate behaviors

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98
Q

what is amnesia

A

defects in declaritive memory; inability to describe past events

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99
Q

what is procedural memory

A

example would be ability to tie ones shoes

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100
Q

what is anterograde amnesia

A

unable to store new info

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101
Q

what is retrograde amnesia

A

person cannot recall things known before injury

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102
Q

what is skill memory

A

muscle memory

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103
Q

what are some brain structures involved in memory

A

hippocampus
cerebellum
amygdala

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104
Q

what do the primary functional areas in the cerebral cortex do

A

specifically responsible for perception and control
sensory and motor

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105
Q

what do the secondary functional areas in the cerebral cortex do

A

interpret and modify what happens in the primary areas
motor and sensory

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106
Q

where is the primary somatosensory cortex and what does it do

A

postcentral gyrus of parietal lobe
receives info from somatic sensory receptors in skin and proprioceptors in skeletal muscle, joint, tendons

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107
Q

where is the secondary somatosensory association cortex and what does it do

A

posterior to primary somatosensory cortex
integrates somatic sensory input so you can recognize/understand what you are sensing

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108
Q

where are the visual areas and what do they do

A

extreme posterior of occipital lobe
primary recieves info from retinas, surrounding association areas interpret the info

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109
Q

where are the auditory areas and what do they do

A

temporal lobe by lateral sulcus
info about pitch, rhythm, and volume (sound memories)

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110
Q

where is the olfactory cortex and what does it do

A

frontal lobe
smell, emotions and memory of limbic system

111
Q

where is the gustatory cortex and what does it do

A

insula lobe
taste

112
Q

where is the vestibular cortex and what does it do

A

insula
conscious awareness of balance

113
Q

where is the visceral sensory areas and what does it do

A

insula
conscious perception of visceral sensation

114
Q

where is any and all motor output created as a thought and plan i

A

frontal lobe

115
Q

what does the premotor cortex do

A

figures out the plan of movement

116
Q

what does the primary motor cortex do

A

conscious control of precise/skilled voluntary movements

117
Q

where is the broca’s area and what does it do

A

mostly on left side of brain
controls muscles for moving mouth/tongue during speech
formulating/ thinking about what to say

118
Q

what is plasticity

A

ability of neurons to be used to do other things

119
Q

what are pyramidal cells of the precentral gyrus

A

upper motor neurons and their fibers point caudally

120
Q

what is dyskinesis

A

movement disorders caused by lesions in the basal nuclei involving abnormal movement initation

121
Q

how does the cerebellum relate to motor control

A

smooths muscle coordination
learning motor skills
lesions cause ataxia: clumsy and awkward gate

122
Q

what are multimodal association areas

A

every part of gray matter that isnt labeled “primary”
where info is being processed and integrated

123
Q

what part of the brain makes us uniquely human

A

prefrontal cortex
interconnected with limbic system
lesion would cause major behavior changes in morality
phineas gage

124
Q

in regards to multimodal association areas, what do the temporal, parietal, and occipital lobes do

A

recognize patterns and faces

125
Q

what does the fornix do

A

connects limbic and 2 hemispheres

126
Q

where are the language association areas and what do they do

A

around lateral sulcus in left dominant hemi
language comprehension and creation of articulation of sounds

127
Q

what does the lateral prefrontal cortex do

A

comprehension and word analysis

128
Q

what does the antero-lateral temporal lobes do

A

coordinate auditory and visual aspects

129
Q

where is the brocas area and what does it do

A

antero-inferior to pre motor cortex on left side
special motor speech areas
moving mouth

130
Q

what does the wernickes area do and where is it located

A

on left side
sounding out unfamiliar words

131
Q

what is brocas aphasia

A

can understand language but cant speak or even write

132
Q

what is wernickes aphasia

A

can speak but word salad

133
Q

how many pairs of cranial nerves

A

12

134
Q

where do cranial nerves I and II originate from. where do the rest originate from

A

forebrain
rest in brainstem

135
Q

which cranial nerves are strictly sensory

A

I olfactory
II optic
VIII vestibulocochlear

136
Q

which cranial nerves are strictly motor

A

III oculomotor
IV trochlear
VI abducens
XI accessory
XII hypoglossal

137
Q

which cranial nerves do both motor and sensory

A

V trigeminal
VII facial
IX glossopharyngeal
X vagus

138
Q

what is alzheimers

A

shortage of ACh and structural changes to brain
gyri shrink and neurons lost
beta amyloid plaques
tau protein tangles (not tangled in normal brain)

139
Q

what is a concussion

A

bruising of brain
short lived injury no longterm damage

140
Q

what is a contusion

A

brain tissue destruction

141
Q

what is a subdural or subarachnoid hemorrhage

A

bleeding in these spaces causes swelling and puts pressure on other brain tissues

142
Q

what is cerebral edema

A

swelling of brain from inflammation and water retention

143
Q

what is a stroke/CVA

A

blood circulation blocked and brain tissue dies

144
Q

what causes strokes

A

blood clots
compression of brain tissue
atherosclerosis of brain vessels

145
Q

what are the results of a stroke

A

paralysis on one side of body
sensory and language deficits

146
Q

what is a TIA

A

transient ischemis attack
lasts 5-50 minutes
temporary numbness paralysis and impaired speech

147
Q

A

A
148
Q

B

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C

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D

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G

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H

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C

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E

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G

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G

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I

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I

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J

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K

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Q

L

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Q

M

A
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Q

N

A
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Q

O

A
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Q

P

A
195
Q

whats the cell

A
196
Q

A

A
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Q

B

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C

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A

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B

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D

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A

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G

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A

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B

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A

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B

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C

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B

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G

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B

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K

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L

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A
272
Q
A
273
Q

What do elevated delta waves in an EEG mean?

A

Brain death