Consciousness Sleep and Learning Flashcards

go thu lec recording of that colourful ass slide like halfway thru xx

1
Q

what is fMRI

A

functional magnetic resonance imaging

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2
Q

what does fMRI measure

A

‘Blood Oxygen Level Dependent’ Signal

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3
Q

fMRI strengths - 4

A

functional

in real time

good spacial resolution

no radiation

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4
Q

fMRI limitations -3

A

poor temporal resolution

subject is very restricted

aversive environment

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5
Q

what is the resting state

A

State against which activation of brains
regions is compared in imaging research - aka a baseline

after some years of research we found out this isnt actually a thing (cant ever not thing of anything)

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6
Q

what is the most energy-hungry organ

A

bren duh

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7
Q

brain is what % of body weight

A

2

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8
Q

what % of energy use in adults is brain

A

20

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9
Q

what % if energy in children is brain

A

40

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10
Q

being extra active adds how much % energy cinsumption

A

10 max

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11
Q

what is default mode network

A

more active during resting states and internally focused thoughts (like daydreaming or introspection) and less active when engaged in externally focused tasks - stimulus independent thoughts

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12
Q

where is default mode network

A

medial cortical regions - frontal temporal, parietal

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13
Q

what is Paradoxical Functional
Facilitation

A

turning down A (mainly prefrontal cortex) or damage to A, enhances B

(A and B being functions)

seems to be related to creativity

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14
Q

Default Mode Network (Medial Cortical Regions) are inhibited
by prefrontal regions when engaged in a task, especially ___

A

language

(when talking, thinking about what ur saying or saying next, other functions shut down)

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15
Q

default mode network inhibiting is weakened when

A

with age

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16
Q

default mode network inhibiting is impaired in certain dementias - 2 examples

A

frontotemporal dementia (picks disease)

primary progressive aphasia

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17
Q

thus, what is a rare unrecognised early sign of onset of dementia

A

sudden, intense, repetitive creativity

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18
Q

what is Frontotemporal dementia

A

most common form of dementia in patients under 65 (but still rare)

often restricted to 1 hemisphere

lots of variance in presentation

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19
Q

Frontotemporal dementia - ___ have known familial cause

A

20%

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20
Q

Frontotemporal dementia - ___ have strong family history

A

40%

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21
Q

Frontotemporal dementia poor outlook - why (2)

A

limited treatment options

slow progression

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22
Q

Frontotemporal dementia presentation - 6

A

prog deterioration of behaviour or cog

behavioural disinhibition

apathy/inertia

loss of sympathy/ empathy

decline of executive function - verbal/language impairment, memory usually not affected

changes in diet

NOT PSYCHIATRICCCCCC

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23
Q

Frontotemporal dementia case study

A

anne adams

cell biologist

quit science in mid-40s, decided to become a painter - painted obsessively with repetitive motifs

diagnosed with a form of Frontotemporal dementia

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24
Q

____% of people with bvFTD (Behavioral variant frontotemporal dementia) have committed a crime

25
Q

what occurs in Ventromedial Prefrontal Cortex

A

inetgration of gut and logic:

decision making based on moral judgement, emotion, values, self- referential (decisions about ourselves), impulse

26
Q

what is propofol

A

common general anaesthetic

27
Q

how does propofol work

A

maayyyybe via GABA? we dont rly know

28
Q

what is diethyl ether

A

first general anaesthesia

29
Q

disorders of consciousness - 6

A

coma

vegetative state

delirium

hallucinations

dementia

temporal lobe epilepsy

30
Q

what is temporal lobe epilepsy - 3 types of seizures

A

simple partial seizures

complex partial seizures

secondarily generalised tonic-clonic seizures

31
Q

what is epilepsy

A

Synchronous (abnormal) firing of
large groups of neurons

32
Q

what is EEG

A

Electroencephalography

33
Q

what is Electroencephalography (EEG)

A

measures electrical activity in cerebral cortex
(measures groups of neurons firing tgt, not really action potentials)

measures characteristics waves - oscillations

temporal, not spatial

34
Q

temporal vs spacial

A

Temporal brain activity refers to the timing and sequencing of neural events, while spatial brain activity concerns the location and distribution of those events across brain regions

35
Q

what are simple partial seizures

A

no loss of consciousness

a sense

emotional, auditory, olfactory, gustatory

deja vu

36
Q

what are complex partial seizures

A

most common type of seizure in TLE

imapired consciousness

unusual behaviour

automatisms - lip smacking

37
Q

what are secondarily generalised tonic-clonic seizures

A

extends beyond temporal lobe

full blown seizure

38
Q

personality traits in TLE together name

A

geschwind syndrome - not restricted to seizure phase

39
Q

geschwind syndrome - 7 aspects

A

hypergraphia

hypo sexuality

emotional viscosity/ stickiness

turbulent emotions

mood swings

psychotic and quasi psychotic phenomena

hyper religiosity

40
Q

hypergraphia meaning

A

writes copiously (not necessarily in a creative way) and keep voluminous diaries

41
Q

hypo sexuality meaning

A

decreased interest in sexual matters often resulting in marital disharmony

42
Q

emotional viscosity or stickiness meaning

A

anxiety, obsessionality, dwelling on minor matters, difficulty in terminating conversations, inc interest in spiritual or ideational issues in absence of pragmatic interests

43
Q

turbulent emotions meaning

A

irritability, agitation, anxiety, restlessness, paranoia

44
Q

mood swings meaning

A

more commonly depression or dysphoria with occasional elation

45
Q

psychotic and quasi-psychotic phenomena meaning

A

intermittent hallucinations, delusional thinking, etc

46
Q

hyper religiosity meaning

A

very religious , often ritualistically so, out of sync with family or culture

47
Q

there is a hypothesis that TLE contributes to - (2)

A

artists and intense religious experiences

48
Q

in sleep, everything except what is turned off

A

thalamocortical section in cortex - third order neuron

49
Q

stages of sleep -2

A

rapid eye movement sleep REM

non-rem sleep

50
Q

stages of no rem sleep

A

stage 1
stage 2
stage 3

51
Q

compare NREM vs REM

A

NREM = early night, less deep

REM = late night, deeper sleep

(but go back n forth between two throughout night)

52
Q

what happens in non rem sleep - 3

A
  • Processing the days experience
  • Consolidating memories, especially declarative memories
  • Clear out the Hippocampus, long term memories eventually stored in the cortex
53
Q

what happens in rem sleep

A

integrating new memories with existing

emotional processing of new memories

dreaming

54
Q

what happens when we dream

A

cognitively acting out memories and experiences

brain very active but body is not - thalamus prevents outgoing motor commands, muscle atonia

55
Q

wtf is muscle atonia

A

refers to the temporary loss of muscle tone or paralysis of skeletal muscles, esp during rem sleep

56
Q

what does sleep deprivation lead to - 4

A

drastically impaired learning as failure to clear temporary store in hippocampus

atrophy - smaller hippocampus and prefrontal cortex

DEATH???

fatal familial insomnia

57
Q

what is fatal familial insomnia

A

rare genetic disorder

progressive neurodegeneration of thalamus

symptoms develop mid adulthood

die from lack of sleep

58
Q

how does alcohol impair sleep - 5

A

initally causes sedation (quicker to sleep and reach NREM3)

reduces REM

over relaxes certain muscles - snoring, resulting in waking up more often

rebound effects of alcohol metabolism cause wakefulness

impairs memory