Nervous System Flashcards

1
Q

Most of the synapses used for signal transmission in the central nervous system of the human being are chemical synapses. In these synapses, the first neuron secretes at its nerve ending synapse a chemical substance called a neurotransmitter (often called a transmitter substance ), and this transmitter in turn acts on receptor proteins in the membrane of the next neuron to excite the neuron, inhibit it, or modify its sensitivity in some other way

A

More than 50 important neurotransmitters have been discovered thus far. Some of the best known are acetylcholine, norepinephrine, epinephrine, histamine, gamma-aminobutyric acid (GABA), glycine, serotonin, and glutamate.

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2
Q

In electrical synapses , the cytoplasms of adjacent cells are directly connected by clusters of ion channels called gap junctions that allow free movement of ions from the interior of one cell to the interior of the next cell

A

is by way of gap junctions and other similar junctions that action potentials are transmitted from one smooth muscle fiber to the next in visceral smooth muscle

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3
Q

Although most synapses in the brain are _______________, electrical and chemical synapses may coexist and interact in the central nervous system. T

A

Chemical

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4
Q

The ion channels are not suitable for causing prolonged postsynaptic neuronal changes because these channels close within milliseconds after the transmitter substance is no longer present. However, in many cases, prolonged postsynaptic neuronal excitation or inhibition is achieved by activating a ______________ chemical system inside the postsynaptic neuronal cell, and then it is the ______________ that causes the prolonged effect.

A

Second messanger

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5
Q

Inactivation of the G protein occurs when the GTP bound to the α subunit is hydrolyzed to _______ This action causes the α subunit to release from its target protein, thereby inactivating the second messenger systems, and then to combine again with the β and γ subunits, returning the G protein complex to its inactive state.

A

GDP

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6
Q

___________ are synthesized as integral parts of large-protein molecules by ribosomes in the neuronal cell body.

A

Neuropeptides

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7
Q

An example of co-release of two small molecule transmitters is found in the raphe nucleus, located in the brain stem. These neurons provide innervation to several brain regions, they can co-release serotonin and glutamate, and they play an important role in the cycle of sleeping and wakefulness

A
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8
Q

Nernst potential

A

EMF(mV)=±61×log(ConcentrationinsideConcentrationoutside)

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9
Q
A

Three states of a neuron. A, Resting neuron , with a normal intraneuronal potential of −65 mV. B, Neuron in an excited state, with a less negative intraneuronal potential (−45 mV) caused by sodium influx. C, Neuron in an inhibited state , with a more negative intraneuronal membrane potential (−70 mV) caused by potassium ion efflux, chloride ion influx, or both.

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10
Q

Presynaptic inhibition is caused by release of an inhibitory substance onto the outsides of the presynaptic nerve fibrils before their own endings terminate on the postsynaptic neuron. In most cases, the inhibitory transmitter substance is __________, which opens anion channels, allowing large numbers of chloride ions to diffuse into the terminal fibril. The negative charges of these ions inhibit synaptic transmission because they cancel much of the excitatory effect of the positively charged sodium ions that also enter the terminal fibrils when an action potential arrives.

A

GABA

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11
Q

The autonomic nervous system is activated mainly by centers located in the ________, ____________ and _______

A

Spinal cord, brain stem and hypothalmus

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12
Q

The efferent autonomic signals are transmitted to the various organs of the body through two major subdivisions called the ____________ and the ______________, the characteristics and functions of which are described in the following sections.

A

sympathetic nervous system and the parasympathetic nervous system,

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13
Q

Sympathetic nervous system. The black lines represent postganglionic fibers, and the red lines show preganglionic fibers.

A
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14
Q

Central nervous system (CNS)

A

Central nervous system (CNS)
● begins to form in the third week of embryonic development as the neural plate. The neural plate becomes the neural tube, which gives rise to the brain and spinal cord.

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15
Q

Peripheral nervous system (PNS)

A

Peripheral nervous system (PNS)
● consists of spinal, cranial, and visceral nerves and spinal, cranial, and autonomic ganglia.
● derived from three sources:
1. Neuralcrestcells
● give rise to peripheral ganglia, Schwann cells, and afferent nerve fibers. 2. Neuraltube
● gives rise to all preganglionic autonomic fibers and all fibers that innervate skeletal muscles. 3. Mesoderm
● gives rise to the dura mater and to connective tissue investments of peripheral nerve fibers (endoneurium, perineurium, and epineurium).

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16
Q
A

FIGURE 4.1. Diagrams illustrating the dorsal aspect of the human embryo. (A) Late presomite and early neural plate stage. (B) Early somite stage and neural groove stage. (C) Eight-somite stage and early neural tube stage. The anterior and posterior neuropores provide transitory communication between the neural canal and the amniotic cavity. (Modified from Carpenter MB, Sutin J. Human Neuroanatomy. 8th ed. Baltimore, MD: Williams & Wilkins; 1983:63.)

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17
Q
A

FIGURE 4.2. Schematic diagrams of trans- verse sections of embryos at various stages. (A) Neural plate stage. (B) Early neural groove stage. (C) Late neural groove stage. (D) Early neural tube and neural crest stage. (E) Neural tube and spinal ganglion stage. (Modified from Truex RC, Carpenter MB. Human Neuro- anatomy.

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18
Q
A
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19
Q

In which of the following would we find the unmyelinated postganglionic axons of the sympathetic nervous system?

A

Gray ramus. This is the correct answer. The gray ramus communicans exits the sympathetic chain ganglion carrying unmyelinated axons of the postganglionic cells to the spinal nerve, and on to the effector.
TAKEAWAY: All preganglionic nerves of the ANS that exit the spinal cord, both sympathetic and parasympathetic, originate in the intermediolateral cell column in the lateral horn and send their axons out through the ventral horn and ventral root. Sympathetic preganglionic nerves quickly veer off into the white (lightly myelinated) ramus communicans into the sympathetic chain ganglia, where they synapse on postganglionic sympathetic nerves, which then project axons out via the gray (unmyelinated) ramus communicans back to the spinal nerves, and then off to the effectors.

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20
Q

The ventral root carries the axons of both somatic motor neurons and preganglionic ANS neurons.

A

Ventral root

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21
Q

Intermediolateral cell column. The IML contains the cell bodies of the preganglionic ANS neurons.

A

Intermediolateral cell column

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22
Q

The sympathetic chain ganglia house the cell bodies of the postganglionic sympathetic neurons onto which the preganglionic sympathetic neurons synapse.

A

The sympathetic chain ganglia

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23
Q

The white ramus communicans is a byway from the spinal nerve into which preganglionic sympathetic nerves turn and enter to synapse on the postganglionic sympathetic nerves in the sympathetic chain. The white refers to the myelination of these axons.

A

The white ramus communicans

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24
Q

The cell bodies for preganglionic autonomic nervous system (ANS) neurons in the spinal cord are found in which of the following?

A

Lateral horn. This is the correct answer. The cell bodies of spinal cord preganglionic nerves of the autonomic nervous system are found in the intermediolateral cell column of the lateral horn.
TAKEAWAY: In the spinal cord, the autonomic preganglionic nerves for both the sympathetic and parasympathetic nervous systems have the cell bodies located in the intermediolateral cell column in the region called the lateral horn, roughly midway between the dorsal (posterior) and ventral (anterior) horns.

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25
Q

The dorsal (posterior) root carries the axons of __________

A

sensory afferents.

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26
Q

The dorsal (posterior) horn is the arrival station for sensory afferents. They either synapse there onto secondary neurons, or move to a fasciculus and begin their ascent in the spinal cord

A

The dorsal (posterior) horn

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27
Q

The ventral (anterior) horn houses the cell bodies of motor neurons, and also axons of both motor neurons and autonomic preganglionic neurons.

A

The ventral (anterior) horn

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28
Q

The ventral (anterior) root carries the axons of both motor neurons and autonomic preganglionic neurons.

A

The ventral (anterior) root

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29
Q

A graduate student is studying the postganglionic autonomic neurons and its spinal root pathways. As he dissects a cadaver the student discovers the sympathetic chain ganglion. Which spinal nerve rami contain unmyelinated postganglionic sympathetic fibers?

A

Gray ramus communicans -This is the correct answer - The gray ramus communicans contain postganglionic nerve fibers of the sympathetic nervous system and are composed of largely unmyelinated neurons. This is in contrast to the white rami communicans, in which heavily myelinated neurons give the rami their white appearance.
TAKEAWAY: Each spinal nerve receives a branch called a gray ramus communicans from the adjacent paravertebral ganglion of the sympathetic trunk. Gray rami communicantes carry postsynaptic sympathetic fibers from the sympathetic trunk to all spinal nerves.

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30
Q

The meningeal ramus innervates the meninges and vertebral column.

A

The meningeal ramus

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31
Q

The meningeal ramus innervates the meninges and vertebral column.

A

The meningeal ramus

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32
Q

The posterior primary ramus innervates the skin and muscles of the back. Dorsal primary rami: Posterior part of the spinal nerve. Branch from spinal nerve after leaving the intervertebral foramen. Innervate: The skin of the back and dorsal neck, deep muscles of the back (e.g., erector spinae), the posterior vertebrae and facet joints, and the superficial ligamenta flava. Mixed nerves (relay both sensory and motor information).

A

The posterior primary ramus

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33
Q

The anterior primary ramus innervates the anterolateral muscles and skin of the trunk, extremities, and visceral.

A

The anterior primary ramus

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34
Q

The white rami communicans contain both myelinated and unmyelinated preganglionic sympathetic fibers, (GVE and GVA). The white ramus appears white because there are more myelinated than unmyelinated fibers unlike the gray rami.

A

The white rami

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35
Q

A first-year medical student is studying the peripheral nervous system and its spinal root pathways. As he dissects a cadaver the student discovers the sympathetic chain ganglion.
Which spinal nerve rami contain both myelinated and unmyelinated preganglionic sympathetic fibers?

A

White rami communicans -This is the correct answer – The white rami communicans contain both myelinated and unmyelinated preganglionic sympathetic fibers, (GVE and GVA). The white ramus appears white because there are more myelinated than unmyelinated fibers unlike the gray rami.
TAKEAWAY: The white rami communicans are the preganglionic sympathetic outflow from the spinal cord. The cell bodies for the preganglionic sympathetic myelinated fibers in the white rami communicans lie in the ipsilateral (same sided) intermediolateral cell column in the spinal cord which extends from T1-L2.

36
Q

Gray ramus communicans-The gray ramus communicans contain postganglionic nerve fibers of the sympathetic nervous system and are composed of largely unmyelinated neurons. This is in contrast to the white rami communicans, in which heavily myelinated neurons give the rami their white appearance.

A

Gray ramus communicans-

37
Q

The posterior primary ramus innervates the skin and muscles of the back. Mixed nerves (relay both sensory and motor information)

A

The posterior primary ramus

38
Q

The neurons comprising the DRG are of the pseudo-unipolar type, meaning they have a cell body (soma) with two branches that act as a single axon. The DRG carry sensory (afferent) fibers.

A

The neurons comprising the DRG

39
Q

Ventral primary ramus is the anterior part of the spinal nerve after leaving the intervertebral foramen. Ventral primary ramus is composed of mixed nerves (relay both sensory and motor information).

A

Ventral primary ramus

40
Q

Which of the following mechanisms is thought to underlie conduction block from demyelination of a peripheral motor neuron?

A

Sodium channels become more scattered. This is the correct answer. When myelin is removed, the sodium channels that had clustered in the nodes of Ranvier do ten to scatter along the unmyelinated sections of the axon. Unless more sodium channels are recruited from increased expression, then the scattered channels will not be as effective at carrying the action potential signal.

TAKEAWAY: Demyelination can cause conduction block in an axon by allowing for scattering/drift of the sodium channels from their former positions in the nodes of Ranvier, rendering them less efficient at action potential propagation. Short of conduction block, a nerve conduction study will show reduced velocity of axonal propagation with myelin damage, versus reduced signal amplitude with axonal or neuronal damage.

41
Q

Which of the following statements best describes how PNS myelin differs from CNS myelin in composition?

A

Proteolipid protein (PLP) is abundant in CNS myelin. This is the correct answer. PLP constitutes approximately half of CNS myelin.

TAKEAWAY: CNS and PNS myelination differs not only in the cell types that produce them, the mechanisms by which those cells myelinate the axons, but also in the composition of the myelin itself.

42
Q

Which of the following best describes why larger diameter neurons have higher conduction velocities?

A

Lower resistance in the axoplasm. This is the correct answer. Larger volume of the axoplasm comes with additional charges to carry current. Therefore, the internal resistance (Ri) is lower.

TAKEAWAY: Although the axons other than C-fibers tend to be myelinated, which does increase velocity of action potential propagation, larger axons are still faster even without myelin. The reason is the increased number of charged particles in the larger volume of the axoplasm, which reduces internal resistance (Ri) to allow for easier, faster conduction of current.

43
Q

An investigator is studying various types of nerve fibers in patients with chronic type 2 diabetes. He is able to distinguish myelinated nerves from unmyelinated nerves based on their conduction velocity.
Which of the following sensory nerve fibers has the slowest conduction velocity?

A

C fibers – This is the correct answer. C fibers have a conduction velocity of 0.25–1.5 m/s.
TAKEAWAY: C fibers are not myelinated; therefore, lack of myelin creates the slow conduction as the saltatory conduction is not present.

44
Q

A-beta fibers are myelinated and have a conduction velocity of 30–60 m/s.

A

True

45
Q

(Tor F)alpha fibers are myelinated and have a conduction velocity of 60–120 m/s.

A

True

46
Q

T or F delta fibers are myelinated and have a conduction velocity of 2–30

A

True

47
Q

(T or F) B fibers are moderately myelinated and have a conduction velocity of 3–15 m/s.

A

True

48
Q

What surface ectoderm gives rise to = NILE and AHE MAP

A

Nails, Inner and outer ear, Lens of eye, Epidermis
Anterior pituitary (Rathke pouch), Hair, Enamel of teeth
Mammary glands, Anal canal (below pectinate line), Parotid gland

49
Q

What neuroectoderm gives rise to = CAN PRO

A

CNS: somatic motor neurons and preganglionic neurons (ANS)
Astrocytes
Neurohypophysis (posterior pituitary)
Pineal gland, Retina and optic nerve, Oligodendrocytes

50
Q

(T or F) The neural crest forms most of the PNS (spinal and cranial nerves and ganglia).

A

True

51
Q

In what direction does neural tube closure progress?

A

Neural tube closure begins in the middle of the craniocaudal axis and progresses both caudally and cranially.

52
Q

What PNS structures are formed from neural crest?

A

The neural crest gives rise to the sensory portions of nerves and sensory ganglia and to autonomic ganglia and postganglionic fibers.

53
Q

Which neural tube layer becomes gray matter and which becomes white matter?

A

The mantle (middle) layer becomes gray matter (composed of neuron cell bodies), and the marginal (outer) layer becomes white matter (composed of myelinated axons).

54
Q

What are the fates of the alar and basal plates?

A

The alar plate becomes the dorsal horn composed of sensory neurons, and the basal plate becomes the ventral horn composed of motor neurons.

55
Q
A
56
Q
A
57
Q

What two secondary vesicles does the forebrain (prosencephalon) form?

A

The forebrain (prosencephalon) subdivides into the telencephalon and diencephalon.

58
Q

What are the fates of the alar and basal plates in the brainstem?

A

The alar plate is lateral to the basal plate. The alar plates become sensory cranial nerve nuclei; the basal plates become motor cranial nerve nuclei.

59
Q

Why doesn’t the surface of the cerebral cortex stay smooth through development?

A

The sulci that form invaginations between brain folds (gyri) allow for increased surface area as a way to accommodate the large numbers of cortical cells without requiring the cerebral hemispheres to become too large.

60
Q

A newborn infant is diagnosed with a narrowed cerebral aqueduct (part of the brain’s ventricular system). It is formed in which of the following structures?

A

The correct answer is mesencephalon (B). The cerebral aqueduct of Sylvius connects the third and fourth ventricles and is surrounded by the midbrain, or mesencephalon.

61
Q

Which combination of position, plate, and type of neuron in the spinal cord is correct?

A

ALAR -> DORSAL ->SENSORY

BASAL -> VENTRAL -> MOTOR

62
Q

From which region of the developing brain do the cerebral hemispheres arise?

A

The correct answer is telencephalon (D). The cerebral hemispheres arise from the telencephalon, which arises from the forebrain.

63
Q

Nervous tissue is involved in gathering and processing information and generating appropriate response signals.

A

What is the basic function of nervous tissue?

64
Q

What are the two types of cells that make up the human nervous system?

A

The human nervous system is composed of neurons and their supporting glial cells.

65
Q

What are the three parts of a neuron?

A

The cell body (aka soma or perikaryon), dendrites, and axon are the three parts of a neuron.

66
Q

Parkinson disease is a progressive disease related to the gradual loss of dopamine-producing neurons whose cell bodies are within specific nuclei in the gray matter, called the substantia nigra. This disorder is characterized by a resting tremor, loss of balance, muscular rigidity, difficulty with initiating voluntary movements, a shuffling gait, and “masklike” facial expression. These neurons normally produce the neurotransmitter dopamine, which is important for muscle movement; they also play a major role in reward-motivated behavior.

A

Clinical correlation

67
Q

What is Nissl substance composed of?

A

Nissl substance is composed of rough endoplasmic reticulum.

68
Q

__________are star-shaped cells with many cytoplasmic processes that communicate with each other via gap junctions. Their structure is maintained by the intermediate filament called glial fibrillary acid protein (GFAP). They provide structural support for neurons, modulate blood flow, help move metabolites between capillaries and neurons with their perivascular feet, and take up potassium and neurotransmitters. Another important function is to help form the blood-brain barrier as well as form a barrier between the pia mater and neurons of the CNS.

A

Astrocytes

69
Q

How many axons can an oligodendrocyte myelinate?

A

One oligodendrocyte can extend its processes and wrap myelin around multiple axons.

70
Q

Microglia are scavengers of the CNS and can migrate to remove damaged nerve tissue.

A
71
Q

Schwann cell makes its myelin sheath around a single axon in the PNS.

A
72
Q

Satellite cells surround cell bodies of sensory neurons and ganglia in the PNS.

A
73
Q

Ependymal cells are epithelial cells that line the brain’s ventricles and central canal of the spinal cord.

A
74
Q

Glial cells in the CNS include astrocytes, ependymal cells, microglia, and oligodendrocytes; Schwann cells and satellite cells are found in the PNS.

A
75
Q

The neuron cell body contains dark-staining Nissl substance, which consists of rough endoplasmic reticulum.

A
76
Q

Cell bodies of neurons are found in the gray matter, and their myelinated axons are in the white matter of the CNS.

A
77
Q

Two main cell types of the nervous system are neurons and glial cells.

A
78
Q

By forming interconnections between other neurons, muscles, and glands, neurons receive stimuli and conduct action potentials and nerve impulses.

A
79
Q

The nervous system is divided into the CNS (brain and spinal cord) and PNS (cranial nerves, ganglia, and spinal nerves).

A
80
Q

Nervous tissue is one of the four tissue types that make up all of the organs in our body, along with epithelial, muscle, and connective tissue.

A
81
Q

A 32-year-old woman presents with difficulty walking, frequent tripping, and numbness and tingling of her lower extremities. She was found to have Guillain-Barre syndrome, an autoimmune disease that demyelinates nerves in the peripheral nervous system. What type of cell myelinates axons in the peripheral nervous system and is likely to be affected in this condition?

A

The correct answer is Schwann cells (E). Schwann cells myelinate nerves in the peripheral nervous system; Schwann cells each myelinate only part of one axon. Schwan cells are destroyed in Guillain-Barre syndrome by an autoimmune attack. This leads to demyelination of peripheral axons, thus impairing signal transduction.

82
Q

Neurons communicate with each other via what kind of electrical signal?

A

The correct answer is action potentials and nerve impulses (A).

83
Q

What is the terminology given to the synapse between a terminal axon and a dendrite?

A

The correct answer is the synapse between an axon and a dendrite is called an axodendritic synapse

84
Q
A
85
Q
A
86
Q
A
87
Q

Parkinson disease is a degenerative disease of the __________. There is a depletion of dopamine and loss of dopaminergic neurons in the substantia nigra pars compacta. The histologic hallmark of this degenerative disease is the presence of Lewy bodies in the substantia nigra. Lewy bodies are inclusions in neurons of the protein a-synuclein, found in the basal ganglia.

A

Substantial nigra