Functional Organisation of CNS Flashcards

1
Q

Where does a somatosensory neuron make its first synapse?

A

all the way up through the dorsal column and synapse at the medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are gracile and cuneate nuclei responsible for?

A

for somatosensation, gracile nucleus is the location for first synapse from the lower body, whereas cuneate is for the upper body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T/F the primary somatosensory neuron decussate at the medulla

A

False, primary neuron runs ipsilaterally. It’s the secondary neuron that crosses over

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The dorsal column is topographically organised. Neurons from the lower body tend to run more ________ while the upper body neurons, like cervical neurons, run more _________. Therefore, gracile nucleus is _______ to cuneate nucleus

A

medially (medial for lower body)
laterally (lateral for upper body)

Medial, because it receives lower limb neurons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

At the point of decussation, the name given to the neurons crossing over is?

A

internal arcuate fibres

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

At the point of decussation at the middle region of spinal cord, where are the fibres of cuneate nucleus in relation to fibres of gracile nucleus?

A

Gracile is ventral to cuneate

Gracile secondary neurons run laterally to cuneate secondary neurons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where is the second synapse for somatosensation?

A

At ventral posterolateral nucelus (VPLN) of the thalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where are the neurons from lower reigion in relation to neurons from upper region at the thalamic region?

A

neurons from lower limb (gracile) are lateral to neurons from upper region (cuneate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the name of the tract where the secondary neurons run within?

A

medial lemniscus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

after synapsing at the thalamus, the tertiary neurons project to which region of the cortex?

A

Somatosensory cortex (primary, and some secondary), which is posterior to the central sulcus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the topographical organisation of the primary somatosensory cortex? What is the significance of that?

A

Neurons from gracile (lower limb) are located more medially, and neurons from cuneate are located more laterally.

There is a cross over of topographic organisation in the course of tertiary neuron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the sub-divisions of primary somatosensory cortex? How are they organised in relation to the central sulcus?

A

Area 1, 2, 3a, 3b

from central sulcus - 3a -> 3b -> 1 -> 2
makes no sense whatsoever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is an evidence suggesting that there is a secondary somatosensory cortex?

A

the representation of body structures are repeated in S2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How many body maps are there in total for sensory cortex?

A

4 in primary, 2 in posterior parietal cortex. 6 in total

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Are slow adapting and fast adpating neurons segregated ?

A

Yes, there are islands of slow adapting eurons within each topographical map

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which sub-division of S1 receive most input?

A

3b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What gives rise to “cognitive touch”?

A

the integration of information from the four-subdivisions of S1 at S2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Area 1 is more for ________, while area 2 is more for _______

A

area 1 for texture

area 2 for size/shape

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the function of posterior parietal cortex

A

it receives and integrates inputs from visual, auditory and somatosensory, and it’s involved in planning movement and working out where you are spatially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Can you reorganise topographic map?

A

Yes, in an amputated individual, the unused area will get taken up by the nearby areas of neuron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is an example of normal physiological cortical reorganisation

A

during lactation, there is increased somatosensory input from breasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Do PNS nerve injuries recover?

A

Yes, but it’s never a complete recovery, because there is a lack of specificity with regrowth. The original function can never be restored

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What the CNS plasticity respond to? What is the significance?

A

CNS plasticity responds to the frequency of use, not the pattern of use

If there is peripheral nerve injury, the CNS cannot reorganise to restore the PNS function
“erroneous peripheral nerve regeneration does not produce compensatory central plasticity”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Where are the reflex patterns generated?

A

in the spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

During development, the growth of spinal cord is ______ than vertebral column, and it stops at the level of _______ , but beyond that, there are bundles of spinal nerves called _______ which give rise to pairs of spinal nerves for the _______

A

slower
L1/L2
caudal equina
lower limbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What colour is white matter on histological sections?

A

black

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What colour is fluid on MRI 1) T1 2) T2

A

On T1, it is dark

On T2, it is bright

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Why is there more white matter towards to the upper spinal region?

A

there are more fibres closer to the head, because spinal roots fan out at each level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Where in the spinal cord does the nociceptive neurons run?

A

in the anterolateral column

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are proprio-spinal neurons?

A

neurons that make connection within the spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What are the two types for pain fibres and what information do they provide?

A

C fibres - slow, burning pain

A delta fibres - fast, shape pain

32
Q

Why are lower motor neurons often called the final common pathway

A

Because they receive inputs and modulations from both local interneurons and upper motor neurons

33
Q

What is a motor unit

A

the motor neuron and the muscles fibres that it innervates

34
Q

What is a motor neuron pool

A

clusters of motor neurons innervating a group of muscles collectively

35
Q

Muscles are formed in pairs of _________ , and all muscles except for __________ have proprioceptive _________ that transduce _________ into nerve impulse

A

functional units
extra-ocular muscles
muscle spindles
muscle stretch

36
Q

What is the function of gamma motor neurons?

A

They adjust the length of muscle spindles so spindles are always in the optimal position to detect muscle length

37
Q

Why are the sensory apparatus for muscle spindles also called interfusal fibres?

A

because the apparatus has its own fibrous sheath

38
Q

T/F muscle spindles start off as normal muscles

A

True, but sensory neurons come in to differentiate muscles into spindles

39
Q

What is the function of golgi tendon

A

respond to amount of force placed on the muscles

40
Q

Golgi tendons are described to be in ______ with muscle fibres, while muscle spindles are in ______ with muscle fibres

A

series

parallel

41
Q

Why is “knee jerk” a monosynaptic reflex?

A

there is only one central synapse - sensory neuron picks up the stretch signal and directly feeds it back to the motor neuron for the same muscle

42
Q

What is the function of reflex system?

A

reflex maintains joint position and posture

43
Q

The sensory neuron excites the motor neuron from the same muscle, but what else does it need to do?

A

synapse on an inhibitory interneuron to inhibit/relax the antagonist muscle

44
Q

Describe the golgi tendon feedback circuit

A

golgi tendon regulates force

too much force -> need to drop the load
sensory neuron synapse to two separate interneurons - inhibitory to primary muscle (relax primary)
excitatory to antagonist muscle (contraction)

45
Q

Is golgi feedback circuit monosynaptic?

A

No, it synapses onto an interneuron first

46
Q

When we step on something sharp, what happens to

1) ipsilateral flexor?
2) ipsilateral extensor?
3) contralateral flexor?
4) contralateral extensor?

A

1) contracts
2) relaxes
3) relaxes
4) contracts

Ipsilateral muscle groups do the opposite of contralateral ones

47
Q

Why are priospinal neurons short in the lateral region?

A

Lateral region is more for distal structures like digits. They are more fine movements rather than posture control, so the local interneuron circuits don’t need to be long

48
Q

T/F the pattern for reflex tends to change with different starting positions

A

False, the pattern is the same as long as the stimulus is applied at the same spot. This is because the purpose of reflex is the same even with different starting positions

49
Q

Most interneurons in the spinal cord are _______ , same as the _______ motor neuron

A

inhibitory

upper

50
Q

What is the clinical presentation of upper motor neuron damage

A

UMN damage = lifted inhibition on LMN

Increase reflex, tone, and muscle excitability

51
Q

Is Myasthenia Gravis a motor neuron disease

A

Yes, although there is nothing wrong with the motor neuron

52
Q

What are the two sets of SNS ganglion?

A

prevertebral and paravertebral ganglion

53
Q

Which part of the ANS nerve is myelinated?

A

the preganglionic neuron is lightly myelinated

postganglionic neuron is not myelinated

54
Q

What are some non-classical transmitters?

A

ATP, nitric oxide, neuropeptides

55
Q

What is co-transmission?

A

multiple transmitters being released with one AP

56
Q

T/F There is one neurotransmitter release site per axon

A

False, there are multiple release sites

57
Q

Why are some receptors expressed remotely from the synapse? What is the name of this kind of receptor?

A

Don’t know why, but they can be used as exogenous drug targets

They are called extra-junctional receptors

58
Q

Where are the SNS neurons located in the spinal cord?

A

in the intermediaolateral nucleus

59
Q

What is it important to have ganglions?

A

the ganglions are essential for integrating and coordinating information before reaching organs

60
Q

What does 1) paravertebral ganglia 2) prevertebral ganglia control?

A

1) para - constriction of vasculature

2) pre - control smooth muscle

61
Q

T/F SNS ganglia communicates to a single neuron

A

false, the ganglia works in a divergence and convergence fashion, receiving many signals and sending out many signals

62
Q

What is the function of adrenaline?

A

it is activated along with the SNS system to double the effect by having circulating adrenaline, activating receptors all throughout the body

63
Q

What are the four PNS ganglion in the cranial region?

A

Edinger-Westphal nucleus
Salivatory nuclei
Dorsal motor nucleus of vagus
nucleus ambiguus

64
Q

What is the name of the sacral collection of PNS ganglions? In what way are they different to the cranial ganglions?

A

inferior hypogastric plexus

They have long post-ganglionic neurons
they are mixed with the sympathetic neurons
There is little integration, more like a relay station

65
Q

Do PNS provide circulating factors?

A

no, the action is more local

66
Q

Do SNS and PNS always work antagonistically?

A

No, they are not antagonists of each other in functions like

1) salivary secretion
2) tear secretion

67
Q

What are some examples of antagonism of SNS and PNS at cellular level?

A

control of heart rate and force of contraction

control of airway

68
Q

what are some examples of functional antagonism via different cells?

A

control of pupil

control of bladder (SNS controls the base, PNS controls the body of the bladder)

69
Q

What are some examples of different but not opposite actions

A

SNS serous salivary secretion, PNS mucous salivary secretion

SNS for constriction of abdominal vasculature and lipolysis

PNS for tear secretion at the lacrimal gland

70
Q

What is the only correct way of identifying SNS and PNS neurons?

A

based on the anatomy/location of the preganglionic neurons

71
Q

What is the term describing ANS reflexes involving the brain?

A

supraspinal reflex

72
Q

What are some sensory inputs to trigger ANS reflex?

A

chemical signal

distensible organ stretch

73
Q

What are some possible consequences of ANS dysfunction when the spinal cord is severed

A

bladder, bowel, sexual dysfunction
CV dysregulation
thermal dysregulation

74
Q

What is the main function of nucleus of solitary tract of the medulla?

A

it’s a major integrative centre for ANS function

75
Q

What are the two possible pathways when signal reaches the nucleus of solitary tract?

A

1) trigger immediate feedback to control local reflexes

2) provide information to higher centres to drive complex response involving other components like emotion/endocrin

76
Q

What is the most important higher centre for autonomic output?

A

paraventricular nucleus of the hypothalamus

77
Q

ANS provides complex changes around the body. Therefore, what do drugs need to do in order to modulate these complex functions?

A

Drugs need to target the autonomic centres in the CNS in order to relief the complex connections involving pain, emotion and their relevant physiological changes