Neuro Physio Flashcards

1
Q

What is Facilitation?

A

the enhancement of the response of a neuron to a stimulus following prior stimulation.
“the response is dependent on the frequency of stimulation and on neuromuscular facilitation”

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2
Q

Uni and bidirectional synapses?

A

The chemical synapse (most of the synapses in humans and all in cns ) is unidirectional (pulses are transmitted from the sending neuron to the receiving neuron) and only the electrical synapses are bidirectional through gap junctions. ( very few in cns mostly in smooth and cardiac muscles.

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3
Q

what are ionotropic and metabotropic receptors?

A

ionotropic receptors are typically ligand-gated ion channels, through which ions pass in response to a neurotransmitter (directly gate ion channels ), metabotropic receptors require G proteins and second messengers to indirectly modulate ionic activity in neurons.

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4
Q

inhibitory effect of acetylcholine?

A

some peripheral parasympathetic nerve endings i.e by vagus nerve in heart

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5
Q

Causes of synapse fatigue

A
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6
Q

spatial and temporal summation

A

Spatial summation occurs when stimuli are applied at the same time, but in different areas, with a cumulative effect upon membrane potential.
he effects of impulses received at the same place can add up if the impulses are received in close temporal succession. Thus, the neuron may fire when multiple impulses are received, even if each impulse on its own would not be sufficient to cause firing.

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7
Q

labeled line principle

A

Specificity of nerve fibres to transmit only one modality.

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8
Q

Max receptor potential amplitude?

A

100 mv

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9
Q

Rapidly aadapting/phasic/movement receptos?

A

PC adapts rapidly by either fluid redistribution or accomodation of tip of nerve fibre. some hair cells adapt within seconds and Meissner’s corpuscles. all the mechanoreceptors except a few adapt almost completely ( longest can take upto 2 days to adapt. )

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10
Q

Slowly adapting receptors/ tonic receptors?

A

Merkel’s discs and Ruffini endings, receptors of macula in vestibular apparatus, pain receptors, baroreceptors of arterial tree, chemoreceptors of carotid and aortic bodies and joint capsules and muscle spindle receptors

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11
Q

nerve fibres type of golgi tendon organs

A

group 1b also k/a alpha type A fibres

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12
Q

nerve fibres type of temp, pain and pricking pain

A

group 3 or delta type A

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13
Q

nerve fibres type of most discrete cutaneous tactile receptors and from flower spray nding of muscle spindles

A

group 2 also k/a beta and gamma type A

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14
Q

nerve fibres type of unmyelinated fibres carrying pain, temp, itch and crude touch sensations

A

group 4 also k/a type C fibers

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15
Q

nerve fibres type of annnulospiral endings of muscles spindles

A

group 1a also k/a alpha type A fibres

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16
Q

Amplifying divergence is characteristic of?

A

Corticospinal pathway supplying skeletal muscles

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17
Q

Reverberatory/Oscillatory circuit?

A

caused by positive feedback within the neuronal circuit that feeds back to re-excite the input of the same circuit hence prolong the signal also results in rhythmical signals that last for life

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18
Q

continual discharge caused by intrinsic neuronal excitabilty specially occur in neurons of?

A

Cerebellum and most of the interneurons of spinal cord

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19
Q

continuous touch receptors are?

A

EXPANDED TIP TACTILE RECEPTORS (MERKEL’S DISC GROUPED TOGETHER INTO DOME RECEPTOR innervated by a single large mylinated A-beta fibre ) also present on hairy parts of skin which DO NOT HAVE meissner corpuscles

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20
Q

Ruffinis ending receptors are present?

A

(DEEPER LAYERS OF SKIN) (HEAVY
PROLONGED TOUCH & PRESSURE) JOINT ROTATION. adapt slowly

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21
Q

Synaptic Delay?

A

SYNAPTIC DELAY
1. Transmission of impulse from pre to post synaptic Neuron time is required in process of Discharge of Neurotransmitter by pre synaptic membrane
2. Diffusion of Neurotransmitter in post synaptic membrane

  1. Action of Neurotransmitter on membrane receptor
  2. Action of receptor to increase membrane permeability
  3. Inward diffusion of Na to achieve threshold for AP
  4. Synaptic delay is about 0.5 milli seconds
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22
Q

Causes of synaptic Fatigue?

A

Exhaustion of neurotransmitter
- Progressive inactivation of post syn memb receptors
- Slow development of abnormal ionic concentration inside post synaptic neuron

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23
Q

Muscle sensory receptors?

A

Muscle Spindle: Detects length of the muscle & rate of change of length.

• Golgi Tendon Organ: Transmit information about tendon tension & rate of change of tension.

• These proprioceptors provide functional status

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24
Q

What are Ant Motor Neuron?

A

Larger neurons located in the anterior horns of the spinal cord.
■ They give rise to the nerve fibers that leave the cord by way of the anterior roots & directly innervate the skeletal muscle fibers.
■ They are of two types:
■ Alpha Motor Neurons
■ Gamma Motor neurons

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25
Q

Alpha Motor Unit innervate?

A

Stimulation of single alpha motor neurons excites group of muscle fibers known as MOTOR UNIT.

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26
Q

Renshaw cells and their role?

A

Each alpha neuron gives off collateral before it leaves the spinal gray matter which makes synaptic contact with a small cell present in ventral horn called Renshaw cell
■ These Renshaw cells are inhibitory cells that cause inhibition of surrounding motor neurons to sharpen or focus its signals. This phenomenon is known as Recurrent Inhibition or Lateral inhibition by Renshaw Cells

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27
Q

Primary ending of sensory innervation of muscle spindle?

A

They are present in central receptor area of the spindle

Type 1a fiber

These fibers make direct connection with α motor neurons innervating the same as well as synergistic muscle.

These endings are stimulated by sustained stretch of the muscle as well as brief stretch as by tapping over the muscle’s tendon called Tonic and Phasic stretch reflex respectively.

velocity of transmission: 70 to 120 m/sec

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28
Q

Secondary ending of sensory innervation of muscle spindle?

A

■ These give rise to group II fibers; 8 micrometers in diameter
■ These are relatively slow conducting
■ These nerve fibers make connections with the α motor neurons of the muscle from which they arise
■ These are best stimulated by sustained stretch called Tonic stretch reflex
■ Discharge frequency is related to length of the fibers

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29
Q

Static response of muscle
spindle:

A

■ Response of both the primary & secondary endings.
■ When the muscle is stretched slowly, sensory endings continue to transmit signals for several minutes. This is called static response of the muscle spindle.

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30
Q

Static response of muscle
spindle:

A

■ Response of both the primary & secondary endings.
■ When the muscle is stretched slowly, sensory endings continue to transmit signals for several minutes. This is called static response of the muscle spindle.

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31
Q

Dynamic response of muscle
spindle:

A

■ Response of the primary ending but not the secondary ending.
■ The primary ending is stimulated strongly when there is sudden change in length of the spindle.
■ Thus primary ending detects the rapid rate of change in spindle length.

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32
Q

Static and dynamic gamma fibres

A

■ Gamma motor nerve fibers control intensity of static & dynamic response.
■ Gamma dynamic fibers excites mainly nuclear bag intrafusal fibers.
■ Gamma static fibers excite nuclear chain fibers.
■ The simplest manifestation of muscle spindle is muscle stretch reflex.

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33
Q

Stretch Relfex

A

How a stretch reflex works:
– Stretch activates the muscle spindle
– Group II sensory neurons synapse directly with  motor neurons in the spinal cord
–  motor neurons cause the stretched muscle to contract
■ All stretch reflexes are monosynaptic and ipsilateral

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34
Q

low frequency vibrations stimulate?

A

Meisnner corpuscles which are slow adapting than PC

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35
Q

cold receptors?

A

TYPE A DELTA FIBERS (20 M/SEC)

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36
Q

Define Amorphosynthesis

A

A medical condition where the patient is unaware of somatic sensations from one side of the body, usually a sign of lesion in the left parietal lobe ( somatosensory association area )

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37
Q

Warm receptors

A

TYPE C (0.4 -2 M/SEC)

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38
Q

Dorsal column damage signs

A

ATAXIA

PATIENT CANNOT
PERCEIVE POSITION OR
MOVEMENT OF LEGS

VISUAL CLUES HELP
MOVEMENT

LOSS OF INFORMATION FROM MUSCLES AND
JOINTS

PATIENT DOES NOT KNOW ABOUT POSITION &
MOVEMENTS OF IPSILATERAL LIMBS BELOW THE
LEVEL OF LESION

WITH CLOSED EYES PATIENT UNABLE TO TELL
WHERE LIMB OR PART OF LIMB IS PLACED

IF U DORSIFLEX THE BIG TOE, UNABLE TO TELL
WHETHER UPWARD OR DOWNWARD DIRECTION

IMPAIRED MUSCULAR CONTROL
MOVEMENTS ARE JERKY

39
Q

What is neospinothalamic tract?

A

PAIN):TYPE A DELTA
FIBERS ENTER THE DORSAL
HORN IN LAMINA MARGINALIS.

40
Q

PALEOSPINOTHALMIC TRACT(
FOR SLOW PAIN):

A

THE FIBERS FROM TYPE C
FIBERS PASS IN LAMINA 2 & 3 ,
THEN TO LAMINA 5.

IT PASSES THROUGH
ANTERIOR COMMISSURE TO
THE OPPOSITE SIDE.

TERMINATE IN BRAIN STEM,
INTRALAMINAR NUCLEI OF
THALAMUS, TECTAL AREA,
PERIAQUEDUCTAL GREY AREA.

41
Q

what is ALLODYNIA?

A

SOMEONE WHO FEELS PAIN FROM NON-PAINFUL STIMULI. INDIVIDUALS WITH ALLODYNIA, HOWEVER, FEEL PAIN WHEN SOMETHING IS ORDINARILY PAINLESS.

42
Q

types of hyperalgesia?

A

PRIMARY HYPERALGESIA: DUE TO INCREASED SENSITIVITY OF PAIN
RECEPTORS. EG. SUN BURN

SECONDARY HYPERALGESIA: FACILITATION OF SENSORY TRANSMISSION

43
Q

Herpes Zoster is infection of?

A

Dorsal root ganglion

44
Q

Components of analgesia system

A

it HAS THREE COMPONENTS:
PERIAQUEDUCTAL GRAY AND
PERIVENTRICULAR AREAS

RAPHE MAGNUS NUCLEUS AND NUCLEUS
RETICULARIS PARAGIGANTOCELLULARIS

PAIN INHIBITORY COMPLEX IN DORSAL HORN
OF SPINAL CORD

45
Q

NEUROTRANSMITTERS OF ANALGESIC SYSTEM

A

Enkephalins & Serotonin. ACHIEVES PRESYNAPTIC INHIBITION BY BLOCKING CALCIUM cHANNELS IN THE MEMBRANES OF THE NERVE TERMINALS TO INHIBIT TRANSMITTER RELEASE.

ANALGESIA SYSTEM CAN INHIBIT PAIN TRANSMISSION AT RETICULAR
NUCLEI IN THE BRAIN STEM AND IN THE INTRALAMINAR NUCLEI IN
THE THALAMUS.

46
Q

define brain’s opiate system and its components

A

OPIATE LIKE SUBSTANCES WITH IN THE CNS PROVIDES THE EXTREME DEGREE OF ANALGESIA. THEY INCLUDE :
BETA ENDORPHIN (IN HYPOTHALAMUS AND PITUITARY)

ENKEPHALIN (MET AND LEU-ENKEPHALIN) FOUND IN BRAIN AND SPINAL CORD

DYNORPHIN. (IN BRAIN AND SPINAL CORD)
ALL ARE THE BREAK DOWN PRODUCTS OF PROTEINS WHICH ARE PROOPIOMELANOCORTIN, PROENKEPHALIN AND PRODYNORPHIN.

47
Q

reffered pain segment of Heart?

A

C3- T5

48
Q

PACINIAN CORPUSCLES function?

A

detect pressure and high frequency vibration, presnt superficially imediately below skin and deeper in tissue

49
Q

reffered pain segment of stomach?

A

7 TO 9TH THORACIC segment

50
Q

brainstem & cerebellar vault headache

A

SUBTENTORIAL PAIN STIMULI CAUSE
OCCIPITAL HEADACHE REFERRED TO THE
POSTERIOR PART OF THE HEAD.
SUPPLIED BY 9, 10 AND 2ND CERVICAL
NERVES

50
Q

intracranial headache types

A

HEADACHE OF MENINGITIS
HEADACHE CAUSED BY LOW CSF
PRESSURE.
MIGRAINE HEADACHE
ALCOHOL HEADACHE

51
Q

HAIR END ORGAN function?

A

(MOVEMENT OF OBJECTS and initial touch ON SKIN) adapts readily

52
Q

cerebral vault headache

A

STIMULATION OF PAIN RECEPTORS
ABOVE TENTORIUM ARE REFERRED TO
THE FRONTAL HALF OF THE HEAD
SUPPLIED BY 5TH CRANIAL NERVE.

53
Q

Intracranial causes of headache?

A

TUGGING ON THE VENOUS
SINUSES
DAMAGING THE TENTORIUM
STRETCHING THE DURA
TRAUMATIZING, STRETCHING
AND CRUSHING STIMULUS TO
THE BLOOD VESSELS OF THE
MENINGES

54
Q

Acupuncture relief pain by?

A

local lateral inhibition by stimulating large type A Beta sensory fibers of peripheral tactile receptors of same body area, and also by psychogenic stimulation of central angelia system.

55
Q

lower brain centers send signals to which layers of cortex?

A

Layers I and II receive diffuse, nonspecific input
signals from lower brain centers

55
Q

which cerebral layers send axons to cerebral cortex?

A

The neurons in Layers II and III send axons -
the cerebral cortex

56
Q

layer 5 send fibers to?

A

Generally larger and project to more
distant areas, such as to the basal ganglia, brain
stem and spinal cord.

56
Q

thalamus recieve signals from cerebral cortex through which layer?

A

Layer VI, especially large numbers of axons
extend to the thalamus, providing signals from
the cerebral cortex

57
Q

function of phosphoinositides?

A

they are phosphorylated form of phosphotidylinositol. Play role in lipid signalling, cell signalling and membrane trafficking

58
Q

ceramide?

A

sphingosine + 1fatty acid. ceramide + phosphoryl choline = sphingomyelin.

59
Q

polar head of sphingophospholipids?

A

phosphate-alcohol

60
Q

most abundant phospholipid in myelin?

A

Plasmalogen

60
Q

what are Plasmalogens?

A

type of ether phospholipid. ether linkage at C1 indtead of ester

61
Q

glucocerebrosides location?

A

generally present in all non neuronal cells of cns. specific function in cm of macrophages

62
Q

Galactocerebrosides location?

A

exclusively in cm of brain cells.

63
Q

sulfated galactosylceramides / sulfatides location?

A

nerve tissue and kidney

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