General Sensory and Motor Systems Flashcards

1
Q
A
  1. A
  2. B
  3. A
  4. C
  5. B
  6. ___
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2
Q

What is the function of the “Primary Neuron” that is part of the Conscious Sensory Pathway.

A

PSEUDOUNIPOLAR neuron whose cell body (soma) is located in a spinal ganglion

Dendrites are with a Peripheral Nerve

As it comes into the Spinal Cord, it is going to SPLIT and either ASCEND or DESCEND

Axon is going to terminate on Secondary Neuron

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3
Q

What is the function of the “Secondary Neuron” that is part of the Conscious Sensory Pathway.

A

Located in the spinal cord (pain and temperature pathway) or in the medulla (proprioceptive pathway)

  • ALWAYS decussates and ascends as a lemniscus
  • Terminates upon a tertiary neuron in the dorsal thalamus
  • -* Sends collateral fibers to the reticular formation (RF) and tectum
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4
Q

What is the function of the “Tertiary Neuron” that is part of the Conscious Sensory Pathway.

A

SOMA of a tertiary neuron is located in a specific nucleus of the dorsal thalamus

  • Tertiary axon projects to the primary somesthetic cortex via the thalamic radiations (thalamocortical fibers) of the internal capsule and corona radiata.
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5
Q

What is the function of the “Primary Somesthetic Cortex” that is part of the Conscious Sensory Pathway.

A

Plays role in the perception and discrimination of sensory stimuli

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6
Q

What is the function of the “Association Cortex” that is part of the Conscious Sensory Pathway.

A

Involved in the integration, modification and interpretation of sensory information.

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7
Q

A lesion in a Lemniscus will result in what type of Deficit?

A

CONTRALATERAL Deficit Patterns!

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8
Q

List the FIVE common features that are part of the Conscious Sensory Pathway.

A
  1. Primary Neuron
  2. Secondary Neuron
  3. Tertiary Neuron
  4. Primary Somesthetic Cortex
  5. Association Cortex
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9
Q

Describe the Gamma Efferent Pathway.

A

Controls Muscles Tone and Proprioceptive Input to the CNS

Path: Ventral Root of Spinal Nerve –> Intrafusal Fibers encapsulated in the Neuromuscular Spindles

Role: Make sure that the muscles are NOT STRETCHED too far! (Activated when you stretch your muscles)

*** Anxiety has tighten your spindles!

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10
Q

Hypertonia and Hypotonia are going to be a result in the deficiency of which system?

Differentiate between Hypertonia and Hypotonia.

A

Gamma Motor Reflex System!

Hypertonia: INCREASE in stretch with the Gamma Efferent Fibers

Hypotonia: DECREASE in stretch with the Gamma Efferent Fibers

**** Not good to stretch before you perform a highly precise physical activity because these fibers are going to not be as ACTIVE and your Proprioception is going to be diminished!

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11
Q

Describe the different functions and locations for the Sensory Nuclei of the Spinal Cord.

A

Pain and Temperature Pathway: Substantia Gelatinosa (–> Lateral Spinothalamic Tract) and Nucleus Proprius (–> Fasciculus Proprius)

Unconscious proprioceptive Pathway​: Nucleus Dorsalis (–> Dorsal Spinocerebellar Tract)

Visceral Sensory Integration and Reflex Center: Visceral Afferent Nucleus (–> Intermediolateral gray, ventral horn, and hypothalamus via the fasciculus proprius (RF))

Sensorimotor integration center: Intermediate Gray (–> Ventral Horn)

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12
Q

List the Various Motor Nuclei associated with the Spinal Cord.

A
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13
Q

Differentiate between the Medial and Lateral Divisions of the Dorsal Root in the Spinal Cord.

A

Medial Division: Enter the POSTERIOR Column and convey Proprioception, 2-point Tactile Discrimination, and Vibratory information

Lateral Division: Enter the DORSOLATERAL FASCICULUS of LISSAUR and convey Pain and Temperature information

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14
Q

Describe what will happen if you have lesion of the Dorsal Root.

A
  • Lesions of a dorsal root result in anesthesia of the corresponding sensory dermatome.
  • The epicritic pain fibers are compromised in the meningovascular infection associated with tabes dorsalis
  • Atonic Bladder (S2-4)
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15
Q

Differentiate between the TWO types of fibers in the Posterior Column.

A
  1. Long Ascending Fibers: Fasciculus Gracilis and Fasciculus Cuneatus (Proprioceptive and 2-point tactile to the Lower and Upper Extremities Respectively)
  2. Short Ascending Fibers: Part of the Ventral Spinothalamic Pathway (Passive Touch and Pressure information)
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16
Q

Lesions of Fasciculus Gracilis or Fasciculus Cuneatus will result in which type of deficit?

A

Ipslateral Deficiets!

*** They are Primary Neurons in the Conscious Sensory Pathway!

17
Q

Lesion in the Lateral Corticospinal Tract will result in what?

A

DESCENDING TRACT - Came down from Cortex and Cross at the Pyramidal Decussation

**** Ipslateral Spastic Paralysis below the level of the Lesion

They are UPPER MOTOR NEURONS (Neurons that DO NOT go to the muscle cell)

18
Q

Lesion in the Lateral Spinothalamic Tract will result in what?

A

PAIN fibers!!!!

**** Functionally a Lemniscus

Results in CONTRALATERAL deficit patterns!

19
Q

Describe the purpose of the Lateral Reticulospinal Tract.

This tract is involved in which disease?

A

DESCENDING tract that is involved in AUTONOMIC responses

*** Bowel and Bladder Function

*** Horner’s Syndrome!

20
Q

What happens in the Anterior White Commissure?!

A

Pain and Temperature fibers (Spinothalamic Tract) are going to DECUSSATE here!

21
Q

Which type of neurons are the Ventral Motor Neurons?

A

LOWER MOTOR NEURONS (the neurons that GO TO the muscle cells)

22
Q

Differentiate between Upper and Lower Motor Neurons.

A
  • *Upper:** All other neurons that DO NOT go to the muscles
  • Lesions will still have a reflex arc (but the patient cannot control that reflex arc), when you cut off the descending input from the Reflex the reflexes will not know what to do (SPINAL SHOCK)
  • *Lower:** Neurons that are GOING TO THE muscles
  • Lesions will present with FLACCID paralysis of the muscle and NO reflexes