Lab 4 Reflexes Flashcards

1
Q

why body has reflexes

A

protect tendons from rupturing and muscles from overstretching

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2
Q

why are reflexes tested

A

part of larger neurological examination, tests functional integrity of nerves

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3
Q

name of grooves

A

sulcus

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4
Q

name of elevated folds

A

gyrus

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5
Q

fMRI and PET scan

A

shows anatomy and metabolic activity of brain - used to study pre and post central gyrus

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6
Q

precentral gyrus

  • alternate name
  • main function
A

motor cortex, houses cell bodies of UMN, sends motor commands to effectors

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7
Q

postcentral gyrus

  • alternate name
  • main function
A

somatosensory cortex, processes sensory information

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8
Q

what determines amount of area in pre/postcentral gryus given for each body part

A

density of receptors is proportional to amount of area in the brain dedicated to the body part

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9
Q

relation of pre and postcentral gyrus in terms of location mapped to each body part

A

they are mirrors of each other

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10
Q

decussation

A

crossing over of sensory and motor neurons in the spinal tract / medulla oblongata to the opposite side

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11
Q

tract vs nerve

A
tract = axon bundle in CNS 
nerve = axon bundle in PNS
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12
Q

ascending vs descending tract

A
ascending = sensory neurons
descending = motor neurons
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13
Q

ascending tract naming scheme

- explain anterior spinothalamic and posterior spincerebellar

A
  • name based on start to end
  • anterior spinothalamic = spine –> thalamsu
  • posterior spincerebellar = spine to cerbellum
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14
Q

name of pain receptors

A

nociceptors

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15
Q

role of thalamus

A

relay center for all sensory information except smell - amplifies signals coming in

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16
Q

2 types of descending tracts and their alternate names

A
  • pyramidal = corticospinal
  • extra pyramidal = reticular, does not go through pyramids
  • pyramids are structure in medulla oblongata
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17
Q

why is coordinated movement so hard?

A
  • involves a lot of parts of the brain which send a mix of excitatory and inhibitory signals to different skeletal muscles
  • involves reciprocal loops that are underdeveloped in infants
18
Q

LMN vs UMN damage

A
  • LMN damage = flaccidity, muscular atrophy

- UMN damage = exaggerated reflex since UMN usually inhibits LMN

19
Q

dorsal root

A
  • house sensory neurons coming in
20
Q

ventral root

A
  • houses motor neurons going out
21
Q

reflex arch series of events

A

sensory stretch receptors –> stimulate sensory neurons –> spine/brain where it may connect to interneurons –> motor neuron –> effector tissue

22
Q

monosynaptic reflex

A

1 synapse only between sensory and motor neuron - no interneuron

23
Q

2 types of reflex based on type of muscle

A
  • autonomic = smooth muscle, glands

- somatic = skeletal muscle under voluntary control

24
Q

2 types of reflex based on synapse location

A
  • cerebral = in brain

- spinal = in spine

25
Q

Plantar reflex stimulation

A
  • stimulate nociceptors by pressing from lateral (outside) of foot to big toeo
26
Q

plantar reflex responses

A
  • positive babinski = dorisflexion and plantar extension, seen in babies.
  • dorsiextension and plantar flexion seen in healthy adults
27
Q

what does plantar reflex test

A

tests corticospinal tract that houses UMN

28
Q

plantar reflex response in health adult, adult with spinal damage, otherwise healthy baby

A
  • healthy adult = toes curl in
  • adult with spinal damage = toes curl out
  • healthy baby = toes curl out because UMN are not as myelinated yet
29
Q

series of events for plantar reflex

A
  • nociceptors in foot –> sensory neuron –> S1 and synapse with LMN –> foot
  • UMN usually prevents sensory information from traveling to L4/L5 which stimulates the toes to extend
30
Q

pupillary light reflex - cerebral or spinal?

A

cerebral

31
Q

what is the effect of the pupillary light reflex

A

both pupils contract

32
Q

delete

A

delete

33
Q

why does the pupillary light reflex cause constriction in both eyes

A

light –> information sent to pretectal area of the brain –> interneuron goes to BOTH Edinger westphal nuclei –> motor command sent to ciliary ganglion –> pupil constriction

34
Q

hypo vs hyper reflexive

A
hypo = very little reflex 
hyper = exaggerated reflex
35
Q

how to increase reflexivity

A

jendrassik maneuever - patient locks fingers together and bears down

36
Q

5 components of reflex arch

A

sensory receptors, sensory neuron, interneuron, motor neuron, and effector

37
Q

ankle reflex - stimulation, nerve, and expected effect

A
  • hit large tendon in the back of ankle, food should drop, medial popliteal nerve
38
Q

patellar reflex - stimulation, nerve, and expected effect

A
  • hit patellar tendon, leg should kick out, test femoral nerve
39
Q

tricep reflex - stimulation, nerve, and expected effect

A
  • hit tricep tendon in the back of elbow, arm should jerk, test radial nerve
40
Q

bicep reflex - stimulation, nerve, and expected effect

A
  • cover tendon with thumb and hit, arm should jerk and rotate in (or maybe just the fingers), test musculocutaneous nerve