Neurology Flashcards
What are 5 main functions of the NS?
1) Sensation
2) Motor capability
3) Cognition
4) Homeostasis
5) Emotions
What are the 5 main parts of a neuron?
1) Dendrites
2) Soma / cell body
3) Axon hillock
4) Axon
5) Presynaptic terminal
What are the 4 lobes of the brain and what are their functions?
1) Frontal – personality, motor planning, motor cortex
2) Parietal – integration of multiple sensory systems, somatosensory cortex
3) Occipital – visual cortex
4) Temporal – auditory processing
What are the 3 regions of gray matter?
1) Dorsal horn
2) Lateral horn
3) Ventral horn
What is found in the dorsal horn?
Cell bodies of interneurons upon which afferent neurons terminate
What is found in the lateral horn?
Cell bodies of autonomic efferent nerve fibres
What is found in the ventral horn?
Cell bodies of somatic efferent neurons
Is Na+ more concentrated in the ICF or ECF?
ECF
Is K+ more concentrated in the ICF or ECF?
ICF
Is Cl- more concentrated in the ICF or ECF?
ECF
Is Ca2+ more concentrated in the ICF or ECF?
ECF
Is Mg2+ more concentrated in the ICF or ECF?
ECF
What direction is the passive flow of Na+ and K+?
Na+ flows in and K+ flows out
What direction is the active transport of Na+ and K+?
K+ transported in and Na+ transported out
What is the net movement at equilibrium potential?
Zero
What is equilibrium potential?
The membrane which would produce an electrical force that would be equal to and in the opposite direction to the chemical force produced by the ion concentration gradient
What should be assumed when considering equilibrium potentials?
100% permeability
Why is resting membrane potential not equal to Ek?
At rest, the cell is not completely permeable to K+ ions and there is a small permeability to Na+ ions
What forces act on Na+ ions at the point of threshold?
Chemical and electrical
What happens before reaching ENa+?
The voltage-dependent Na+ channels inactivate
What other channel beside K+ channels contribute to afterhyperpolarization?
Ca2+ activated K+ channels
What is the effect of a drug that opens Na+ channels?
Depolarization
What is the effect of a drug that opens K+ channels?
Hyperpolarization
What is the effect of a drug that opens Na+ and K+ channels?
Depolarization (Na+ wins)
What is the most important intracellular cation?
Potassium
What is the function of potassium?
Maintain cellular osmolarity and membrane potential inside the cell
What is the concentration of K+ in normal plasma?
3.5 - 5 meq
What is hyperkalimia?
When the concentration of K+ in plasma is greater than 5 meq
Why will injecting a high concentration of potassium into the ECF cause death?
Ek will depolarize, which causes neurons and muscle cells to depolarize, meaning that muscle contraction and the heart stay in contraction
Where does synaptic transmission occur?
Over the dendrites, soma, and axon hillock
What are the 7 events of chemical synaptic transmission?
1) Action potential propagation
2) Depolarization of presynaptic terminal
3) Opening of vdep Ca2+ channels
4) Ca2+-induced fusion of vesicles with presynaptic membrane
5) Binding of transmitter to postsynaptic receptor
6) Postsynaptic action
7) Termination of transmitter action
What 2 events happen when calcium enters the presynaptic terminal?
- Triggers the fusion of vesicles with presynaptic membrane
- Releases transmitters into synaptic cleft
How much calcium is needed for synaptic function?
Very little
What is an analogy that can describe the relationship between transmitters and receptors, and what describe the transmitters in this analogy?
- Lock in key
- Transmitters are the key
What are 2 classifications of transmitters?
1) Small fast-acting
2) Large slow-acting
What are 3 examples of small fast-acting transmitters?
1) Acetylcholine
2) Dopamine
3) GABA
What is one example of a large slow-acting transmitter?
Endorphins
What is the main excitatory neurotransmitter?
Glutamate
What are the 2 main inhibitory neurotransmitters?
1) Glycine
2) GABA (gamma-ammobutyric acid)
What are 2 ways that the postsynaptic terminal can be excited?
1) Na+ entry into the cell by opening Na channels (depolarization)
2) Close K+ channels, causing less positive ions to leave (depolarization)
What is central inhibition?
Inhibitory neurotransmitters bind to a receptor that causes ion channels to open and produce a postsynaptic hyperpolarization
What 2 things cause central inhibition?
1) K+ leaving postsynaptic cell
2) Cl- entering
What is an excitatory response?
Neutron depolarizes and if it reaches threshold an AP is initiated
What is an inhibitory response?
Neutron hyperpolarizes and APs are harder to elicit
Define ionotropic
Receptor is linked to an ion channel and opens/closes the channel
Define metabotropic
Receptor is linked to a G protein, which can activate second messengers
What can metabotropic synapse-activated second messenger channels do?
- Open/close channels
- Activate enzymatic pathways
Define motoneuron
A motor neuron that innervates muscles
What is the transmitter released by motoneurons?
Acetylcholine
What are 4 attributes of a stimulus?
1) Modality
2) Intensity
3) Location
4) Duration
What are the 4 types of mechanoreceptors that convey touch?
1) Meissner’s corpuscle
2) Merkel cells
3) Pacinian corpuscle
4) Ruffini endings
What is special about Meissner’s corpuscle and Merkel cells?
- Closer to surface
- Finer discrimination
- Smaller receptive field
What is special about Pacinian corpuscle and Ruffini endings?
- Courser discrimination
- Larger receptive field
- Further away from surface
Which touch mechanoreceptors are rapidly adapting and which are slowly adapting?
Rapidly adapting – Merkel cells and Ruffini endings
Slowly adapting – Meissner’s corpuscle and Pacinian corpuscle