Formative neuro Qs Flashcards

1
Q

Where are the sinuses located?

A

Between the meningeal and periosteal dural layers

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2
Q

Where is cerebrospinal fluid re-absorbed into?

A

Superior sagittal sinus

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3
Q

How does venous blood leave the brain and return to the heart?

A

Internal jugular vein

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4
Q

Does the cavernous sinus receive blood from the orbit?

A

No

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5
Q

Where does the straight sinus receive venous blood from?

A

The inferior sagittal sinus and the great cerebral vein

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6
Q

What artery carries blood to the motor cortex of the right leg?

A

Left anterior cerebral artery

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7
Q

What are berry aneurysms?

A

a small saccular aneurysm of a cerebral artery, usually at the junction of vessels in the circle of Willis

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8
Q

The middle cerebral artery is a direct continuation of what artery?

A

Interbal carotid artery

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9
Q

What is Broca’s area also known as?

A

Brodmann’s area 44

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10
Q

What does the corticospinal tract pass between in the internal capsule?

A

Basal ganglia and thalamus to enter the cerebral peduncle

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11
Q

Does the location of a stroke in the motor cortex or internal capsule affect its impact?

A

A stroke affecting the motor cortex will result in a lesser neurological deficit than the same sized stroke affecting the internal capsule

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12
Q

Which direction do lower motor neurone leave the spinal cord?

A

Anteriorly (ventrally)

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13
Q

What do alpha and gamma motor neurones innervate?

A

ALpha - extrafusal muscle fibres

Gamma - intrafusal muscle fibres

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14
Q

Where are the cell bodies of the lower motor neurones located?

A

In the ventral horn of the spinal cord

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15
Q

Where are the axons of upper motor neurones located in the spinal cord?

A

Lateral white matter

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16
Q

Where does the lateral corticospinal tract decussate?

A

medullary pyramids

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17
Q

How are the fibres of the corticospinal tract organised?

A

Somatotopically

(Lower extremity fibres located Laterally.
Upper extremity and head fibres located more medially.)

18
Q

Where are muscle spindles found?

A

In skeletal muscles - composed of extrafusal muscle

19
Q

What are muscle fibres of the spindle innervated by?

A

gamma motor neurons

20
Q

what does a muscle spindle detect and do?

A

Contributes to the change in muscle resistance to stretch following a stroke.

Detects muscle contraction and relaxation

21
Q

What does the Golgi tendon organ do?

A

Detects changes in muscle tension. They measure the force developed by muscle and any resultant change in length.

22
Q

Where are Golgi tendons located?

A

Junction of skeletal muscle and tendon

23
Q

What are the properties of the plasma membrane of neurons?

A
  • Excitable
  • contains many active transport pumps
  • negative resting potential inside compared to outside
23
Q

How does a neurone maintain a resting membrane potential?

A

Through Na+/k+ pumps

  • membrane is more permeable to K
  • Na+ channels open causing influx of Na+ into the neurone (depolarisation)
  • K+ channels open so moves out of cell (depolarisation)
24
What is the refractory period?
A time during which a second stimulus, needs to be stronger to produce a second action potential
25
Which neurones have synaptic clefts?
Only chemical neurones | electrical have gap junctions
26
Which cranial nerves carry parasympathetic fibres?
``` Cn III (oculomotor), Cn 7 (facial), Cn X (vagus), Cn IX (glossopharyngeal) ```
27
How will damage to Cn V affect the eye?
Damage will result in loss of corneal (blink) reflex on the affected side
28
How does Cn VII exit the skull?
Internal acoustic meatus | - runs a course which is closely related to the middle ear
29
What is nystagmus? And damage to what nerve causes it?
Rapid eye movements | Cn VIII
30
What nerve innervated the muscle of the tongue and pharynx?
Hypoglossal
31
Where are the cell bodies of the hypoglossal nerve located?
Medulla
32
What does the hypoglossal supply?
Intrinsic and extrinsic muscles of the tongue
33
What is the route of the spinothalamic tract?
Conveys nociceptive (pain) info contra laterally up the spinal cord to the contralateral thalamus
34
What is Brown-Sequard Syndrome?
- Lower motor neuron paralysis on the ipsilateral side | - loss of pain and temp from 2 vertebral segments below on opposite side
35
How does the middle ear protect the ear from sound damage? And what is sensory part innervated by?
- the stiffness of the ossicullar chain can be modified by two muscles (tensor tympani & stapedius) of the middle ear - innervated by glossopharyngeal nerve
36
How is sound transmitted through the middle ear?
- Sound is received from the tympani membrane via malleus, incus and stapes - enters oval window exits through round window (which vibrates with opposite phase to oval window allowing fluid in cochlear to move)
37
Where is the organ of corti located?
It is a specialised structure which rest on there basilar membrane and contains auditory sensory cells
38
Which ends of the basilar membrane are sensitive to different frequencies?
Base (narrower) -> high frequency | Apex (wider) -> low frequency
39
What is the function of the semi-circular canal?
To detect rotational acceleration and deceleration; gravity and linear detected by otolithic organs (utricle and saccule)
40
What is the function of the otolithic organs?
Utricle & saccule - to signal the position of the head at rest - filled with endolymph