Basic definitions (all topics) Flashcards

1
Q

define axonal transport

A

transport of proteins from where they are made in the nucleus/cell body, to the terminal boutons of the axon where they are needed - for example neurotransmitters. this is done by the molecule kinesin ‘walking’ down the cytoskeleton of the neuron.

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2
Q

define resting membrane potential

A

the relative charge across the membrane of a neuron (sits at -70mv)

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3
Q

define graded potential

A

a localised change in the membrane potential of a neuron. these can be hyperpolarisations or depolarisations and depend on the strength of the incoming stimuli (hence they are graded)

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4
Q

define action potential

A

a wave of negative electrical excitation (depolarisation) that travels down the axon of a neuron. they are unidirectional and are all or nothing events, unlike graded potentials which can vary in strength.

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5
Q

define depolarisation

A

a change in membrane potential that gets less negative (closer to 0)

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6
Q

define hyperpolarisation

A

a change in membrane potential that gets more negative (further away from 0)

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7
Q

define saltatory conduction

A

this is the way that an action potential travels down a myelinated axon, whereby depolarisation only occurs in non-myelinated gaps called nodes of Ranvier. this speeds up the conduction of an action potential as less voltage gated channels have to open along the length of the axon.

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8
Q

define synaptic delay

A

communication at a chemical synapse is slower than the propegation of action potentials as chemicals must diffuse across the synaptic cleft which takes time. this slows nervous communication down as synaptic transmission takes 0.3-5ms to happen.

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9
Q

define neuroglia

A

neuroglia or glial cells are the support cells of the nervous system. they perform many different roles, including providing neurons with nutrients and maintaining the chemical environment. they also create myelin sheaths etc.

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10
Q

define neuropraxia

A

a category of nerve damage whereby nerves are compressed or stretched but remain in tact. this type of injury may result in temporary loss of sensation or function but will return once the source of the compression or stretch is removed.

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11
Q

define axonotmesis

A

a category of nerve damage where individual axons within a nerve are broken but the nerve itself (connective tissues etc) remains in tact. this will cause temporary loss of function or sensation but will usually heal and this will be restored after time

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12
Q

define neurotmesis

A

a category of nerve damage where an entire nerve is severed. this is a severe injury, leads to distal loss of sensation and function that is likely to be permanent. some healing may occur but this can be complex and also lead to pain.

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13
Q

define ischemic damage

A

damage caused to a nerve due to lack of oxygen supply. this leads to cellular respiration stopping. no cellular respiration leads to the cell depolarising and an influx of calcium ions. these ions cause excitotoxicity.

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14
Q

define excitotoxicity

A

prolonged exposure to excitatory neurotransmitters such as glutamate can lead to a cascade of neurotoxicity which leads to loss of function or cell death

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15
Q

define myofibril

A

an organelle within a muscle cell that is made up of end to end sarcomeres which are the contractile elements of muscle cells.

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16
Q

define sarcomere

A

a contractile unit of a muscle cell, it is the space between two adjacent z discs. it consists primarily of thin filaments (actin) and thick filaments (myosin)

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17
Q

define sarcoplasmic reticulum

A

an elaborate smooth endoplasmic reticulum found only in muscle cells. it stores and releases calcium ions

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18
Q

define terminal cisterns

A

large sarcoplasmic reticulum channels at the junction of the I and A bands of a myofibril

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19
Q

define T tubules

A

at each I-A band junction the sarcolemma of the cell protrudes deep into the cell interior, forming an elongated tube called the T tubule. it is flanked by two terminal cisterns

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20
Q

define T tubule Triad

A

a t tubule flanked by two terminal cisterns

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21
Q

define end plate potential

A

the binding of ACh to a receptor on the sarcolemma at a neuromuscular junction causes a local depolarisation (like a graded potential) which in a muscle is called an end plate potential

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22
Q

define excitation-contraction coupling

A

the process just before muscle contraction can start. it involves ca2+ being released at the terminal cisterns. Ca2+ then binds to troponin, which shifts tropomyosin out of the way of the myosin binding site on actin. once this shift has occurred a myosin head can bind to actin.

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23
Q

define cross bridge cycling

A

the process of muscle contraction itself. myosin head binds to actin, it releases ADP and P as it shift back, bringing the actin filament closer to the M line of the sarcomere. ATP is then added, myosin head detaches. as it returns to its ‘ready’ position it hydrolyses ATP to ADP and P and is energised so it can re bind to the next section of actin.

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24
Q

define motor unit

A

all the muscle fibres innervated by one motor neuron. they can be small (and therefore engaged when small contraction is needed), medium or large (engaged when maximum effort is required)

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25
Q

define frequency coding

A

as the frequency of action potentials increases, the muscle doesn’t have time to relax in between stimuli and therefore it remains contracted

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26
Q

define decussation

A

crossing the midline of the body (in relation to spinal tracts)

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27
Q

define memory

A

the acquisition, encoding, storage and retrieval of information in the nervous system

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28
Q

define declarative memory

A

consciously accessible information such as facts and figures

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29
Q

define non-declarative memory

A

unconscious information including procedural memory (motor learning)

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30
Q

define anterograde amnesia

A

memory disorder characterised by a lack of ability to form new long term memories, but older memories are easily accessible

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31
Q

define retrograde amnesia

A

memory disorder characterised by a lack of ability to recall older long term memories but the ability to form new short term memory is in tact.

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32
Q

define long term potentiation

A

the process by which one time maximal stimulation of a neuron (in the hippocampus if to do with memory but also occurs at spinal level in spinal hyperexcitability) causes the neuron to become more sensitive to a normal level of stimulus. this is done through the activation of/unblocking of NMDA receptors, which allow calcium ions into the cell which start a complex intracellular cascade.

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33
Q

define learning

A

a relatively permanent change in behaviour or knowledge occurring as a result of experience

34
Q

define classical conditioning

A

learning through association

35
Q

define operant conditioning

A

learning through consequences (positive or negative reinforcements and punishment)

36
Q

define observational learning

A

learning through others

37
Q

define avoidance learning

A

learning a behaviour in order to avoid a negative stimulus (involves principles of classical and operant conditioning)

38
Q

define pain

A

originally = a response to a painful stimuli
now = a subjective experience that is unique to the individual, exists where the person says it does, and is also an interaction between biological, psychological and social factors.

39
Q

define pain catastrophising

A

negative cognitive-affective response to actual or anticipated pain. irrationally negative forecast of events and negative cognitive schema of pain

40
Q

define nociception

A

the process of encoding noxious stimuli

41
Q

define peripheral sensitisation

A

when long term damage is experienced, free nerve endings release substance P. substance P causes vasodilation and neurogenic inflammation. however it also causes mast cells to release more histamine, which in turn activates the free nerve endings - it becomes a cycle of increased sensitisation to histamines and other early activators of free nerve endings.

42
Q

define spinal hyperexcitability

A

also known as central sensitisation and follows the process of long term potentiation whereby a large stimulus causes not just AMPA receptors but also NMDA receptors to open, which leads to Ca2+ entering the cell and an intracellular cascade which leads to heightening the sensitivity of AMPA receptors and the development of more AMPA receptors. making the neuron more responsive to lower level stimuli.

43
Q

define referred pain

A

pain experienced in an area of the body where the source of pain is not - this arises from pre-natal development/embryonic growth where the nervous system begins to form before the anatomical layout of the body is finalised/as it is when we are born. for example the diaphragm begins to form in the neck, so pain can be felt in the neck when the diaphragm is the biological source of nociceptive signals.

44
Q

define the pain gate

A

an inhibitory interneuron sits in the spine thats role is to inhibit the second order neuron. when nociceptive signals are sent through one adjacent fibre, this inhibits the inhibitory neuron. however when simultaneous mechanoreceptive signals are sent through an adjacent mechanoreceptor, the inhibitory neuron is switched back on so that nociceptive signals are blocked at the second order neuron. this explains ‘rub it better’

45
Q

define neuropathic pain

A

damage to the somatosensory system resulting in pain perception without current physical cause.

46
Q

define hyperalgesia

A

increased sensitivity following tissue injury. primary = local to site of damage. secondary = extending to the surrounding ‘undamaged’ areas.

47
Q

define allodynia

A

increased sensitivity to non-noxious stimuli following severe tissue injury. central mechanism whereby microglia switch inhibitory input to excitatory

48
Q

define proprioception

A

knowledge of the position of the body without visual information.

49
Q

define proprioceptive deafferentation

A

no afferent proprioceptive information reaches the brain. this leads to symptoms such as poor balance, uncoordinated movement and poor postural control

50
Q

define pharmacokinetics

A

what the body does to a drug i.e. metabolism, absorption processes

51
Q

define pharmacodynamics

A

what the drug does to the body i.e. drug-receptor interactions

52
Q

define a drug

A

a chemical substance of known structure which when administered to a living organism, has a biological effect

53
Q

define a medicine

A

usually, one or more drugs combined and administered to achieve therapeutic effect. not all drugs are medicines. they aim to prevent disease or restore/modify physiological function. they can also be used to make a medical diagnosis

54
Q

define therapeutics

A

the use of drugs to diagnose, prevent and treat illness (or pregnancy)

55
Q

define formulations

A

how an active drug is combined with other substances to produce a medicine

56
Q

define excipients

A

substances formulated alongside a drug i.e. bulking agents, preservatives, coatings etc.

57
Q

define ligand

A

a molecule that binds to a receptor (can be endogenous or exogenous, synthetic or natural) common examples include drugs and neurotransmitters

58
Q

define receptor

A

a molecular target for a drug

59
Q

define agonist

A

a molecule that activates a receptor

60
Q

define antagonist

A

a molecule that blocks or reverses/dampens the action of an agonist

61
Q

define target

A

a molecule, usually a protein, that is accessed by a drug to produce a therapeutic effect

62
Q

define affinity

A

how well a ligand binds to a receptor. very strong affinity may lead to irreversible binding.

63
Q

define steric properties

A

physical, 3D shape properties of a receptor and a ligand that determine how well they bind

64
Q

define pharmacogenetics

A

the effect of genetics on how the body responds to drugs. (genetics determines production of proteins, proteins determine drug action)

65
Q

define allosteric agonists

A

agonists that bind to somewhere on a receptor other than the original ligands binding site. this often changes the shape or charge of the binding site itself and leads to an inability for the intended ligand to bind to the receptor

66
Q

define orthosteric agonists

A

agonists that bind to the original binding site in place of the intended ligand on the receptor, blocking the intended ligand

67
Q

define a G protein linked trans-membrane receptor

A

these are receptors that sit within/across the length of the cell membrane. when the receptor is triggered (through ligand binding) the shape of the receptor is altered. this triggers the activation of G proteins which then start a complex intracellular cascade which have man intracellular effects including altering cellular excitability

68
Q

define pro-drug

A

a drug that is not active until it has been metabolised by enzymes (usually in the digestive system during first pass metabolism).

69
Q

define absorption

A

the process by which a drug reaches systemic circulation

70
Q

define enteral administration

A

administration of a drug via the gut i.e. ingesting a tablet

71
Q

define parenteral administration

A

administration of a drug not via the gut i.e. injection or topical administration

72
Q

define first pass metabolism

A

metabolism of a drug that occurs in the intestine or liver before it reaches systemic circulation. this leads to reduced bioavailability of the drug

73
Q

define bioavailability

A

the proportion of an active drug that is free to bind to its target. it is affected by the route of administration and formulation of the drug

74
Q

define protein binding (in relation to drug distribution)

A

drugs in the blood stream are either free/unbound or bound to plasma proteins (this is a dynamic and reversible process). only free/unbound drugs can enter cells or bind to receptors.

75
Q

define metabolism (of a drug)

A

the process of breaking down a drug so it is fit for excretion.
phase I = often produces toxic metabolites (usually done by cytochrome P450 enzymes in the liver, involves changing the chemical structure of a drug through processes such as oxidation)
Phase II = the addition of an endogenous substance (conjugation via covalent bonding) to produce a non-toxic conjugate that can be excreted.

76
Q

define biliary excretion

A

excretion via the gut… in the form of faeces

77
Q

define drug half life

A

the amount of time it takes for the bioavailability of a drug to half. there are usually about 4/5 half lives before there is a non-therapeutic dose of the drug left in the body

78
Q

define NSAIDs

A

non-steroidal anti-inflammatory drugs that are widely used to reduce pain, fever and swelling

79
Q

define analgesic

A

a drug that relieves or reduces the experience of pain.

80
Q

define the arachidonic acid cascade

A

the method of action for NSAIDs whereby arachidonic acid (produced by phospholipase A2) is converted by COX enzymes into prostanoids such as prostoglandin. NSAIDs block the action of COX enzymes.

81
Q

define paracetamol

A

an analgesic drug that is similar to, but not technically an NSAID. its action within the body is poorly understood but it may inhibit COX 2 centrally. its metabolite after phase I metabolism (NAPQI) is toxic, so a limited dose of 4g per day can be taken.

82
Q

define opioid

A

a compound resembling opium in its physiological effects.