alzheimers Flashcards

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1
Q

histological signs alzheimers

A

plaques and neurofibrillar tangles

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2
Q

which neurones are lost in alzheimers

A

cholinergic

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3
Q

what is in alzheimers plaques and where are they

A

insoluble extracellular deposits of ß-amyloid peptide (Aß) in brain and brain blood vessel walls

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4
Q

what are neurofibrillary tangles made of

A

tau protein

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5
Q

what pathology comes first and second in Alzheimers

A

β‑amyloid (Aβ) deposition precedes
neurofibrillary and neuritic changes

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6
Q

which mutations in early onset dementia, whcih chromosomes

A

Amyloid precursor protein (APP) 21
Presenilin 1 (PSEN1) 14
Presenilin 2 (PSEN2 chr 1

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7
Q

which gene codes for Tau, which chromosome

A

MAPT 17

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8
Q

does MAPT mutation cause early onset dementia

A

no

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9
Q

what can result of MAPT mutation be

A

frontotemporal dementia and other tauopathies

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10
Q

Amyloid precursor protein is cleaved in different ways, one fo which is pathogenic. Which enzymes are involved in this cleavage, and what is the toxic product

A

gamma-secretase and beta-secretase
Amyloid Beta (40 and 42, with 42 being the worst)

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11
Q

which Apolipoprotein is bad news re Alzheimers - why

A

ApoE4, reduced clearance of extracellular Amyloid Beta

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12
Q

what is the cause of neurofibrillary tangles

A

hyperphosphorylation of Tau

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13
Q

what is ACh made of and what enzyme makes it. what relevance to alzherimers dementia

A

Acetyl CoA, choline
Choline Acetyltransferase (CHAT)
CHAT transcription severely diminished in Alzheimers

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14
Q

Acetyl cholinesterase inhibitors drugs and what pathology

A

donepezil, rivastigmine, galantamine

Alzheimers

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15
Q

what tx mild to moderate alzheimers

A

Acetyl cholinesterase inhibitors
donepezil, rivastigmine, galantamine

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16
Q

side effects of ., donepezil, rivastigmine, galantamine

A

., loss of appetite, nausea, vomiting, dizziness, diarrhea

17
Q

tx for moderate to severe alzheimers. MOA

A

memantine - low affinity NMDA receptor antagonist

decreases glutamate neurotoxicity

18
Q
A

semantic
episodic
explicit
medial temporal
implicit
procedural
associative

19
Q

most common cause of early onset alzheimers

A

PSEN1 mutation

20
Q

what makes the link between the two hallmarks of alzeimers

A

GSK3 (glycogen synthase kinase 3), one of the main Tau kinases

21
Q

what is iconic and echoic memory

A

= sensory memory
echoic 10 s immeidate audio memory
iconic very short visual 3ms

22
Q

how is read information stored

A

as sounds - audial working memory

23
Q

visuospatial are relies on which hemispheres

A

both

24
Q

audial working memory relies on which hemisphere

A

left

25
Q

which brodmann areas involved in the visuospatial working memory

A
26
Q

where is central executive processor

A

dorsolateral prefrontal cortex

27
Q

brodman number broca’s area

A

44

28
Q

name of inability to form new memories

A

anterograde amnesia

29
Q

what is loss of old memories

A

retrograde amnesia

30
Q

what is Ribot’s law

A

in amnesia, the newest memories are lost first

31
Q

which area of the brain is key to the formation of new long-term memories

A

hippocampal gyrus

32
Q
A
33
Q

what do you find in meningioma histology

A

Spindle cells in concentric whorls, calcified psammoma bodies

34
Q

subacute combined degeneration of the spinal cord, which tracts

A

dorsal columns, lateral corticospinal tracts and spinocerebellar tracts..

35
Q

lateral vs anterior cst

A

The lateral corticospinal tract sends fibers predominantly to the extremity muscles, and the cortical innervation is contralateral, in other words, the left motor cortex controls the right extremities. The anterior corticospinal tract sends fibers mainly to the trunk or axial muscles.