EEG. sleep and circadian rhythms Flashcards

1
Q

Can a patient in coma be roused by normal stimuli?

A

No

Main difference between coma and just “asleep”

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2
Q

Where is the reticular formation found?

A

Brainstem

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3
Q

What are the actions of the reticular formation?

A

Contains arousal centres which are theorised to send activating signals to the thalamus and higher cortical areas

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4
Q

How is the pineal gland involved in the sleep cycle?

A

Inhibitory neurons in the scn are activated by light and inhibit the pineal gland. A lack of light therefore corresponds to increased melatonin and as a result, a sleepy feeling

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5
Q

What is the function of the suprachiasmatic nuclei (SCN)?

A

Controls the release of melatonin from the pineal gland

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6
Q

What is Orexin?

A

A stimulatory neurotransmitter released from the hypothalamus involved in the awake feeling
Inhibited by melatonin

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7
Q

What is Serotonin?

A

Precursor to melatonin

Drugs that block melatonin formation inhibit sleep

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8
Q

What does a lack of serotonin signalling indicate?

A

Depression

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9
Q

What is an EEG?

A

Recording of wave patterns which show the electrical activity of the brain

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10
Q

How many stages of the sleep cycle are there?

A

5

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11
Q

Describe stage 1 of the sleep cycle.

A

Non REM
Slow wave
Slow eye movement

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12
Q

Describe stage 2 of the sleep cycle.

A

Eye movements stops

Bursts of rapid waves called “sleep spindles”, otherwise slow

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13
Q

Describe stage 3 of the sleep cycle.

A

High amplitude

Low frequency

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14
Q

Describe stage 4 of the sleep cycle.

A

Exclusively delta waves

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15
Q

Describe the REM stage of the sleep cycle.

A

Dream time

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16
Q

What is insomnia?

A

Chronic inability to obtain the necessary amount or quality of sleep to maintain adequate daytime behaviour

17
Q

Why are barbiturates not really used anymore?

A

Depress REM and delta sleep

18
Q

What are some problems with treating insomnia using benzodiazepenes?

A

Highly addictive

Problematic on withdrawal

19
Q

What is a benefit of benzodiazepenes?

A

Less effect on REM

20
Q

What is a problem with using hypnotic sleep drugs?

A

They increase the chance of RTA’s

21
Q

Describe some characters of night terrors

A

Dr Hogg
Occurs in deep delta sleep
Common in younger children
The child will not remember the episode on waking

22
Q

What is somnabulism?

A

Eyes open, can see and preform reasonably complex tasks like preparing food
Occurs exclusively in non-REM sleep
No memory of episode when woken

23
Q

What is narcolepsy?

A

Enter directly into REM sleep

Very dangerous