Mini Exam #2 Flashcards

1
Q

Do all individuals have the same functional connectivity at resting state?

A

No, there is inter-subject variability in resting-state functional activity. At resting state, different regions have greater variability whereas others have low levels of variability.

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2
Q

Which areas of the brain have high inter-subject variability?

A

The frontoparietal control (FPN) has the greatest amount of variability. It was also found that the highest variability is found in regions that are phylogenetically late-developing, and essential to complex, human-specific cognitive functions such as reasoning and language.

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3
Q

Which area of the brain has the lowest inter-subject variability?

A

The visual system.

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4
Q

What is the default network?

A

The default network, also known as the “mind-wandering network” are areas of the brain activated and engaged when we are not doing a task.

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5
Q

True or False: The dorsal attention system has higher variability than the ventral attention system.

A

False. The ventral attention system has higher inter-subject variability.

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6
Q

What does top-down and bottom-up refer to in regards to both the attention networks?

A

The dorsal attention network is top-down. This means that region is activated when we actively engage in a taste and we shift our attention consciously.

The ventral attention network is bottom-up. Bottom-up processing is automatic and works very fast.

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7
Q

Why is it bad to homogenize all Autistic people into one group?

A

Individuals with autism fall on a spectrum. The severity of their symptoms vary, and hence cannot be thought of as homogenous.

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8
Q

How is heterogeneity seen in those with Autism?

A

Autism is a multi-level phenomenon. It is diverse in many ways including differences in top-down/bottom-up processing, mRNA, biochemical mechanisms, cognition, neural circuits, etc.

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9
Q

What are mirror neurons?

A

The MNS is a set of cortical regions with common selectivity for both action execution and action observation. These neurons serve in understanding other’s actions and intentions from observation.

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10
Q

When is the mirror neuron network engaged?

A

It is engaged when we are trying to mimic or understand someone. The most basic function of this system occurs when you look at someone doing an action. As you observe, your brain mimics their brain as if YOU are doing the action.

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11
Q

When researchers looked at differences in the IFG (inferior frontal gyrus) between neurotypicals and those with ASD, what did they find?

A

In the typical brain, this area is very active during imitation of facial expressions, however, the ASD group did not exhibit IFG activity while observing/imitating facial expressions.

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12
Q

In order to see the activity levels, researchers looked at individual scores to compare activity, what did they find?

A

Individuals with a higher score had a great severity of symptoms. In addition, the higher score equated to less activity in the IFG.

On the opposing side, individuals with more IFG activity had better functioning in a social domain.

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13
Q

What did this research tell us?

A

Instead of seeing Autism as a dichotomy (autism vs. control), we now see it as a spectrum (control vs. different subgroups).

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14
Q

What is the definition of a disease?

A

Something is defined as a disease if the biomedical mechanistic cause of a disorder becomes known.

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15
Q

What is the definition of a disorder?

A

A disorder is a deviation from normal functioning (physical level) with nothing positive about the condition consistent across contexts.

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16
Q

What is the definition of a disability?

A

Below-average performance in a specific psychological/function (domain).

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17
Q

What is the definition of a difference?

A

Simply atypical (relative to the norm) with no negative impact on functioning or well being.

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18
Q

Which of these four categories include neurodiversity?

A

All four categories MAY include neurodiversity.

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19
Q

Disease and disorder refer to the _____ level, whereas disability takes into account the physical, personal, and societal level of the condition?

A

Medical.

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20
Q

From the four categories, which ones have potential cures, prevention, intervention, and support?

A

Disease, disorder, and disability.

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21
Q

How are “differences” treated?

A

They require acceptable, flexibility and inclusion.

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22
Q

How come society sometimes does more damage by homogenizing all four categories?

A

Each type of issue requires different attention, but as a society, we sometimes treat them all the same.

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23
Q

Is neurodiversity just Autism?

A

No, autism is one of the many sides to diversity.

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24
Q

How can individuals with neurodiversity have a competitive average?

A

In the past, we have often excluded neurodiverse individuals on the basis of their differences and called it “weird.” However, it is important to note that many people from neurodiverse groups have higher-than-average abilities in specific domains (pattern recognition, memory, mathematics, etc.). In order to allow neurodiverse people to leverage their skills, we have to be more accommodating and offer greater sensitivity to individual needs.

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25
Q

How have high-tech companies benefited from programs inclusive of neurodiverse workers?

A

Companies have reported benefits in productivity, innovation, quality, and engagement.

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26
Q

What makes up the perfect team?

A

Conversational turn-taking and social sensitivity were good for psychological safety.

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27
Q

What does psychological safety refer to?

A

Psychological safety is a team culture of trust and respect in which people feel safe to express ideas and take risks.

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28
Q

What is a key piece of information to remember about neurodiversity and inclusion?

A

Disabilities have less to do with individual deficits, and more to do with environmental barriers.

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29
Q

What does the term universal design refer to?

A

Designing the system, not the people. The concept of universal design is to design products and environments to be usable by all people to the greatest extent.

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30
Q

How can we use universal design to improve and making learning more accessible?

A
  1. Provide multiple means of engagement (affective networks: limbic, emotional value, and saliency of the learning content).
  2. Multiple means of presentation (recognition networks:occipito-parietal lobes, and recognizing patterns of information).
  3. Provide multiple means of action and expression (strategic networks: frontal lobe, planning, and generating patterns).
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31
Q

Instead of thinking about learning in one way, we should think of learning as ______?

A

a multidimensional space (both personal and social).

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32
Q

How are orchid/dandelion children advantageous to biodiversity and population fitness in an evolutionary view?

A

Dandelion - stability

Orchid - flexibility/sensitivity

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33
Q

How would sensitivity be advantageous?

A

Sensitivity to context would have served the survival and reproductive fitness of both groups and individuals within environments of evolutionary adaptedness: by fostering vigilance to threat in conditions of adversity and by more effectively garnering nurturance and support within conditions of abundance and peace.

Orchid children would be very sensitive to the environment, which would help serve as cues to others in the population.

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34
Q

How do traumatic brain injuries occur?

A

Blow to the head, or from violent movement.

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35
Q

Traumatic brain injuries can occur as a result of_____?

A

Car accidents, sports injuries, falls, and physical violence.

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36
Q

Do you need to have a loss of consciousness, skull fracture, or open-head wound to have a TBI?

A

No.

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37
Q

TBI’s are often compared to fingerprints, why is this the case?

A

No two TBI cases are alike. You can have individuals come in with similar scans, but still have very different outcomes, and require different treatment plans.

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38
Q

How is the severity of TBI’s ranked?

A

Mild, moderate, to severe depending on the initial loss of consciousness and post traumatic memory loss.

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39
Q

What is a mild traumatic brain injury identified as?

A

Loss of consciousness for less than 15 minutes. If the individual has memory loss or is dazed/disoriented, it is often called a concussion.

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40
Q

What is a moderate TBI identified as?

A

Loss of consciousness for 15 minutes to a few hours with a few days/weeks of confusion.

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41
Q

What is a severe TBI identified as?

A

Loss of consciousness for six hours or more. People who remain unconscious for a very long time may be in a coma, vegetative, or minimally conscious state.

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42
Q

What are some symptoms of a TBI?

A

Physical symptoms can include difficulty coordinating balance and walking, blurred vision, headaches, trouble speaking and swallowing, and a lack of bladder and bowel control. Trouble moving the body normally (motor impairment), seizures, vision problems, changes in sensory perception, sleep pattern problems, and changes in sexual function.

Personality changes, memory impairments, trouble communicating, depression, and disorientedness.
Mood swings, forgetfulness, problems with reasoning, problems choosing vocabulary, and may act inappropriately. Focus problems are probable too.

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43
Q

What does the Glasgow Coma Scale measure?

A

It measures the injured person’s level of alertness through verbal, eye, and motor response.

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44
Q

What is the range of the scale, and what do the numbers represent?

A

The scale ranges from 3-15. A value of 15 equates to full alertness, while a value of 3 equates to the patient being in a deep coma.

Score of 13-15 = Mild TBI.
Score of 9-12 = Moderate TBI.
Score of 1-8 = Severe TBI.

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45
Q

What does the Rancho Los Amigos Scale measure?

A

An ongoing behavioural evaluation tool used to assess the patient’s recovery after a TBI. It tracks cognitive, behavioural, and emotional changes of the patient.

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46
Q

Why is this test useful?

A

It does not require patient cooperation.

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47
Q

How many levels are on this scale?

A

10 levels based on a patient’s response to external information.

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48
Q

What to the levels represent?

A

Lower levels represent lower levels of functionality at the time of assessment.

Level 1 patients have no response to voice, sounds, light, or touch. They appear to be in a deep sleep.

Level 10 patients can handle multiple tasks simultaneously.

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49
Q

What is the JFK Coma Recovery scale used for?

A

This scale is used for patients in a coma or minimally conscious state.

50
Q

What does the scale measure?

A

It measures anything from hearing, movement, vision, communication, and arousal. This scale can also be used through rehab to gauge recovery.

51
Q

What other tests are performed or measured during a TBI?

A

CT scan (information about spinal cord and brain damage) and MRI. The MRI can identify swelling, blood clots, or skull fractures. MRI has a greater level of detail, compared to a CT scan.

52
Q

Why are neuropsychological assessments conducted?

A

The test evaluates multiple aspects of the mind and understanding. These assessments help the doctors make an effective plan of care for rehab.

53
Q

What does the term axonal shearing refer to?

A

Axonal shearing occurs when the brain’s axons are stretched to the point of breaking. This as a result can damage the cells and cause cell death.

54
Q

What does the term brain herniation refer to?

A

Rising pressure inside the brain or a hematoma (bleed) causes parts of the brain to shift out of place.

55
Q

What does the term cerebral atrophy refer to?

A

Cerebral atrophy is the loss of nerve cells in the brain and the connections between them. This can lead to loss of brain mass and loss of neurological function.

56
Q

What does the term edema refer to?

A

Swelling inside the skull occurs due to build up of fluid. Edema can squeeze brain cells, which in turn interrupt blood flow and oxygen to the brain.

Severe swelling can put pressure on the brain stem and may result in death.

57
Q

What does the term hematoma refer to?

A

A collection of blood or bruise inside the skull caused by damaged blood vessels. This can increase pressure inside the brain. Surgery may be needed to drain the blood out of the brain.

58
Q

What does the term hemorrhage refer to?

A

Internal or external bleeding caused by damage to a blood vessel.

59
Q

What does the term intracranial pressure monitoring refer to?

A

Monitoring of the pressure inside the skull, using a threaded catheter or sensor in the skull/brain cavity.

60
Q

What does the term shock refer to?

A

Shock is the body’s response triggered by a loss of blood to the brain. The shock itself can indirectly cause more damage.

61
Q

What are the three states of consciousness from least severe to most severe?

A
  1. Minimally conscious state.
  2. Vegetative State (semi-coma).
  3. Coma.
62
Q

What is a minimally conscious state?

A

A severe but not completely impaired state. You may notice small, consistently identifiable, and deliberate behaviour or action by the patient.

63
Q

What is a vegetative state?

A

When the patient’s eyes are open but not always aware of themselves or their surroundings.

64
Q

What is a coma?

A

A deep state of unconsciousness. The patient cannot be aroused, does not respond to stimuli, and cannot make voluntary actions.

65
Q

Why are comas sometimes medically induced?

A

To give the brain some time to heal.

66
Q

What does the term sympathetic storming refer to?

A

An elevated stress response that occurs in a third of brain injury patients.
It can occur 24 hours to a week after injury and is seen as a possibility of returning activity of the sympathetic nervous system.

67
Q

During the early weeks of treatment, what do the nurses focus on?

A

Stabilizing the patient, and preventing complications such as pneumonia and blood clots.

68
Q

The first few months after injury are_____?

A

Crucial and important since many new pathways are being formed at this time.

69
Q

When do the most changes occur after a TBI?

A

The first 6 months.

70
Q

What is the purpose of rehab?

A

Rehab encourages the body’s natural healing process by stimulating and enhancing physical and cognitive abilities and teaching new techniques to compensate for lost skills.

Rehab helps to re-learn basic skills so that the patient can be as independent as possible. In addition, re-gaining of motor function is also worked on.

71
Q

What is a neurodevelopmental disorder?

A

Neurodevelopment disorders are brain illnesses caused by aberrant (abnormal) brain growth and development.

72
Q

How does a neurodevelopmental disorder affect an individual?

A

An NDD can result in cognitive, social, motor, language, and affective (mood) disabilities.

73
Q

When are NDD’s diagnosed?

A

NDD’s are usually diagnosed early in life (infancy, childhood, and adolescence).

74
Q

What does NDD development do to the brain?

A

The abnormal brain development affects neurogenesis, glia/neuronal proliferation, migration, synapse formation, and myelination.

75
Q

What factors play a role in NDD pathogenesis?

A

Genetic, epigenetic, and enviornmental factors. Environmental factors can either positively or negatively impact the symptoms and behavioural outcomes.

76
Q

Are different NDDs like ASD and ADHD related?

A

Yes, there are high rates of comorbidity between various NDDs since these disorders frequently co-occur and overlap with order disorders.

77
Q

What are some examples of NDDs and associated disorders?

A
  1. ASD
  2. Intellectual Disorder (ID)
  3. Communication/Speech Disorders
  4. Motor/Tic Disorders
  5. ADHD
  6. Some mental disorders (associated).
78
Q

Are there genes associated with these disorders?

A

Yes, all five of these NDD’s have associated genes that are involved with the appearance and transmission of these conditions.

79
Q

Are these disorders heritable?

A

Yes, ASD especially has a high heritability estimate, whereas communication and intellectual disorders have a medium heritability estimate.

80
Q

When do NDD’s emerge in the brain?

A

While the symptoms typically emerge during childhood, the abnormal development usually starts during early embryogenesis and continues over a substantial period of time.

81
Q

How come some NDD’s are diagnosed and acknowledged faster than others (ADHD)?

A

When diagnosing an NDD, it is important to see how a neurotypical performs in that domain. For some NDD’s maturation of these domains occur earlier than others. However, ADHD is associated with prefrontal cortex activity. Since the prefrontal cortex matures later in childhood, we cannot compare children in these domains until later on in their development. In addition, there also needs to be enough diversity in the population to see the average level of performance.

82
Q

What are neurodegenerative diseases?

A

Neurodegenerative diseases cause gradual and consistent brain deterioration due to genetic and environmental conditions.

83
Q

What is the primary risk factor for neurodegenerative disease?

A

Age. One in ten individuals 65+ has Alzheimer’s, and its prevalence continues to increase with age.

84
Q

Do genetics play a role?

A

Genetic factors are central to the etiology (cause) of neurodegeneration.

85
Q

Is there a cure for neurodegenerative diseases?

A

No, these diseases cause permanent damage and the symptoms tend to get worse as it progresses.

86
Q

What is the goal of treatment for neurodegenerative diseases?

A

The treatment goal is to reduce the symptoms in order to maintain a good quality of life.

87
Q

What is Alzheimer’s disease?

A

Alzheimer’s is the most common cause of dementia, a general term for memory loss and other cognitive abilities.

88
Q

What are the key biological markers seen in those with Alzheimer’s?

A

It is characterized by abnormal deposits of protein forms called amyloid-beta plaques and phosphorylated tau tangles throughout the brain.

89
Q

What happens as a result of these abnormal deposits?

A

Neurons stop functioning, connections are lost and neurons die.

90
Q

How is the diagnosis of Alzheimer’s confirmed?

A

You can only confirm the diagnosis post-partum by seeing the physical deterioration.

91
Q

When is Alzheimer’s usually diagnosed?

A

After the age of 60.

92
Q

What is Parkinson’s disease?

A

A brain disorder that leads to shaking, stiffness, and difficulty with walking, balance, and coordination. Essentially, motor deficits.

93
Q

How does Parkinson’s occur?

A

It is due to the gradual degeneration and loss of dopaminergic neurons in subcortical regions such as substantia nigra, basal ganglia, pars, compacta, and striatum.

94
Q

When is Parkinson’s usually diagnosed?

A

Usually first appears/diagnosed around the age of 60, but 5-10% of people are diagnosed
younger than 40.

95
Q

What other disorders are associated with Parkinson’s?

A

Parkinson’s also can have a 50% rate of depression. This is not just due to the low
dopamine levels.

96
Q

What is ALS?

A

Amyotrophic lateral sclerosis is a disorder of the motor neurons.

97
Q

What is the life expectancy of someone diagnosed with ALS?

A

3-5 years after the symptoms occur.

98
Q

What is the prevalence of ALS?

A

1 in 3000 people.

99
Q

Are these genes correlated with ALS?

A

Yes, there are over 20 genes.

100
Q

When are people usually diagnosed with ALS?

A

Usually diagnosed between the ages of 40-70, with the average age being 55.

101
Q

What does ALS do?

A

Kills motor neurons causing muscles to weaken.

102
Q

What is the difference between a neurodevelopmental disorder and neurodegenerative disease?

A

NDD’s are diagnosed during brain development, while neurodegenerative diseases are usually diagnosed during brain aging.

For a neurodegenerative disease, changes in the brain may begin a decade or more
before symptoms appear. This is slow and gradual.

103
Q

How does neuroplasticity play a role in neurodevelopmental and neurodegenerative conditions?

A

In both NDD’s and neurodegenerative disease, neuroplasticity can be harnessed to
improve long-term clinical outcomes.

104
Q

What is an ABI?

A

Acquired brain injury.

105
Q

How does an ABI occur?

A

ABI’s occur from poisoning or exposure to toxic substances, infection, stroke, heart
attacks, tumors, aneurysms, neurological illnesses, drug abuse, or strangulation/choking
and drowning.

106
Q

ABI’s occur at the ____ level?

A

cellular.

107
Q

Are ABI’s internal or external?

A

ABI’s occur internally but can be derived from something external such as drug abuse.

ABI’s are not necessarily directly due to brain mechanisms.

108
Q

ABI’s and TBI’s are not______?

A

Developmental, degenerative, or evident from birth. Both disrupt the brain’s normal functioning.

109
Q

If you have congenital brain damage present at birth is it considered an ABI?

A

No, it is not an ABI or TBI.

110
Q

What are the risk factors for brain injuries?

A

Environmental and genetic.

111
Q

Brain injury is common in______?

A

Traumatic brain injury is most common in children under 4 years old, young adults between 15 and 25 years old, and adults 65 and older.

112
Q

Brain injury is the leading cause of______?

A

death and disability for Canadians under the age of

40.

113
Q

What is the most common way for a TBI to occur?

A

Falls are most common for TBI’s seen in very young, and very old people.

In between age groups, adolescents and older adults are due to motor accidents struck by or assault.

Teenagers are at the highest risk of a sports and recreation-related brain injury.

114
Q

Are concussions as dangerous as other types of TBIs?

A

Concussions can actually be as dangerous as clearly severe injuries.

The key factors in minimizing the damage and improving prognosis include: the extent
and location of the damage, the short response time (first few minutes and hours are
critical), stabilizing the patient to prevent further injury, and diagnostic accuracy, and effective treatment.

115
Q

Can concussions be diagnosed with objective tools like CT scans?

A

A mild TBI such as a concussion cannot be assessed by objective tools.

116
Q

For both TBI’s and ABI’s, what categories are the symptoms placed in?

A
  1. Cognitive (thinking, attention span, memory, and decision-making).
  2. Perceptual (anything related to senses and spatial/temporal orientation).
  3. Physical (from headache and fatigue to consciousness issues).
  4. Behavioural/emotional (irritability, changes in affect/mood).
117
Q

Who treats a brain injury?

A

Neurologists - focus on the nervous system. They do neurological exams and imaging
(MRI or CT), and treatment of physical symptoms.

Psychiatrists - focus on the mind. Focus on medication treatment for the physical symptoms and causes of brain disorders.
Neuropsychologists - focus on the relationship between the brain and behaviours. Assessment and interventions to treat the cognitive, mental, and behavioural effects of
brain disorders.

118
Q

If you have a TBI, it is possible that you are at increased risk of____?

A

Neurodegenerative disease.

119
Q

What happens if you get repeated mild TBIs?

A

Increased the risk of chronic traumatic encephalopathy (CTE), a form of dementia.

120
Q

What are the symptoms associated with CTE?

A

Early symptoms dominated by mood and behavior changes (particularly depression, and
impulse control) and later on cognitive impairment symptoms (progressive changes in
memory, executive functioning), as well as Parkinsonism.