Lecture 4-Sensory System Flashcards

1
Q

What are modalities?

A

Unit of sensation, due to different types of receptors

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2
Q

What are the modalities associated with the dorsal column pathway?

A
  • fine touch
  • 2 point discrimination
  • vibration
  • proprioception
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3
Q

What are the modalities associated with the spinothalamic tract?

A
  • temp
  • pain
  • pressure/crude touch
  • stretch
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4
Q

Where is the dorsal column pathway found?

A

In the dorsal funiculus

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5
Q

Where is the spinothalamic system found?

A

On the cap on the surface of the ventral horn

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6
Q

True or false: a strong receptor activation leads to an increased frequency AP

A

TRUE

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7
Q

What are rapidly adapting units?

A

Good at detecting changes in AP eg rapidly adapting mechanoreceptors in skin

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8
Q

What are slowly adapting units?

A

Frequency of AP stays the same eg nociceptors/pain

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9
Q

What is a receptive field?

A

Region of sensory space in which a stimulus will modify the firing of that neuron (multiple receptors feed into sensory neurone)

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10
Q

What is acuity inversely proportional to?

A

Size of receptive field

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11
Q

Where is the cell body of the primary sensory neurone?

A

Dorsal root ganglion (DRG)

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12
Q

Where is the cell body of secondary sensory neurone?

A

Dorsal horn/medulla

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13
Q

Where is the cell body of tertiary sensory neurone?

A

Thalamus

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14
Q

Where does the tertiary sensory neurone project to?

A

Primary sensory cortex in post-central gyrus

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15
Q

True or false: primary sensory neurone decussates

A

FALSE - secondary decussates

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16
Q

In the dorsal column pathway, where does the lower body map to?

A

Medial portion of tract

17
Q

In the spinothalamic tract, where does the lower body map to?

A

Lateral parts of tract

18
Q

What is the cuneate nucleus in the dorsal column pathway responsible for?

A

Upper 1/2 of body

19
Q

What is the gracile nucleus in the dorsal column pathway responsible for?

A

Lower 1/2 of body

20
Q

What is the name of the pathway in the dorsal column pathway in which the secondary neurones travel?

A

Medial lemniscus pathway

21
Q

Where does the secondary neurone decussate in the spinothalamic tract?

A

White ventral commissure

22
Q

In a complete cord hemisection in which a single cord segment is destroyed, which structures are destroyed unilaterally?

A
  • dorsal horn
  • ventral horn
  • all other cord grey matter
  • all white matter pathways
  • dorsal and ventral roots
23
Q

What are the signs of Brown-Sequard syndrome?

A
  • ipsilateral complete segmental anaesthesia affecting single dermatome
  • ipsilateral loss of dorsal column modalities below the lesion
  • contralateral loss of spinothalamic modalities below the lesion
24
Q

Which fibres carry impulses from mechanoreceptors in damaged skin?

25
Which fibres carry pain which runs through the spinothalamic system?
C fibres
26
What alleviates pain?
Activation of mechanoreceptors and heat by exciting inhibitory enkephalinergic interneurones in the cord which inhibits secondary spinothalamic neurones
27
How can pain be psychologically inhibited?
Descending inputs from the brain activate inhibitory interneurones