Neurology Flashcards
Which lobe of the cerebral cortex is responsible for generating motor commands? A) temporal B) parietal C) occipital D) frontal
D) frontal
You have read with interest Terje Lomos original observations on long-term potentiation (LTP) in the rabbit hippocampus. You are convinced that subsequent research provides strong evidence for a role of LTP in memory formation.This role depends upon which neuronal property? A. Faster signal conduction B. Increased pre-synaptic excitability C. Increased axonal branching D. Reduced numbers of synapses E. Increased synaptic strength
E. Increased synaptic strength
- indirect
- mostly subconcious
- doesn’t pass down to spine, but to brain stem nuclei (ANS)
Which motor neuron pathway does this describe?
Extra-pyramidal
If the dorsal coloumn pathway is damaged, where does damage show i.e. contra or ipsilateral side
Ipsilateral side as the axon doesn’t decasate
In a ‘generic’ sensory pathway, where would a 2nd order neuron most likely be located?
•Cell body in dorsal horn or Brain stem
If someone injures their head and loses vision in the left field, what brain region is damaged? A) Left Parietal Lobe B) Right Parietal lobe C) Left occipital lobe D) Right occipital lobe E) Left optic nerve
D) Right occipital lobe
Describe proprioceptive deafferentation
interuption/disruption of the afferent nerve cells
Without the usual proprioceptive input from the dorsal horn, the sensory pathway is virtually unable to make meaningful movements
Name the 6 main sensory receptors responsible for limb proprioception
- pacinian corpuscle
- raffini ending
- free nerve endings
- Golgi tendon organ
- Kinaesthetic receptors
- muscle spindle
what are the two motor pathway categories in the spinal cord?
Pyramidal and Extrapyramidal
What are chemically gated ion channels opened by
Neurotransmitters
Describe what triggers an action potential
All or nothing event An increase in membrane potential above the threshold potential (usually around -70mV)
what is a sensory neuron
neurons responsible for converting external stimuli from the environment into corresponding internal stimuli. They are activated by sensory input, and send projections to other elements of the nervous system, ultimately conveying sensory information to the brain or spinal cord.
Which neurotransmitter is used in the post-ganglionic sympathetic innervation of sweat glands in the skin? A) Noradrenaline B) Acetylcholine C) Dopamine D) Glutamaye E) Serotonin
B) Acetylcholine
Describe the role of proprioception in the control of normal movement
The sense though which we perceive the position and movement of our body, including our sense of equilibrium and balance (senses that depend on the notion of force)
How does botox work
cleaves SNARE proteins to stop Ach vesicles fusing to the terminal bouton. This prevents exocytosis, and ‘freezes’ the muscle
Where is the vestibular system?
The inner ear
what are oligodendrocytes
cell type in the CNS concerned with the production of myelin in the central nervous system.
What are the 3 basic functional classes of a neuron
sensory interneuron motor
What does ischaemic damage do to nerves
Cellular respiration stops Cells depolarise Massive calcium influx Excitotoxicity (glutamate)
Describe the withdrawal reflex
- Pain signal travels along the Ad fibre, to the dorsal root ganglion
- travels across an interneuron to the anterior horn cell
- travels along a motor neuron to move e..g the hand
In a ‘generic’ sensory pathway, where would a 1st order neuron most likely be located?
•Sensory cell body in DRG
Which pathway (spinothalemic, spinocerebellar or dorsal coloumn) does the muscle spindle fibres use
Spinocerebellar- unconcious
Muscle/Tendon
What are the 2 types of glial cell seen in the PNS
- Satellite cells - Schwann cells
Botulinum toxin interferes with neuronal signalling by blocking exocytosis. What type of biological molecule is normally released in this situation? A. Neurotransmitter B. Peptide hormone C. Phospholipid D. Prostaglandin E. Steroid hormone
A. Neurotransmitter
what are ependymal cells
epithelial cells in the CNS which mainly produce CSF
Which layer of the meninges surrounds and supports the sinuses that form the route through which blood drains from the CNS? A) dura mater B) arachnoid mater C) subarachnoid D) pia mater
A) dura mater
describe what happens at the synaptic cleft
- action potential reaches the pre-synaptic knob 2. vesicles are transported to the membrane by the SNARE complex 3. vesicle contents (ACh) released via exocytosis into the synaptic cleft 4. ACh binds to the receptors on the post-synaptic knob 5. Na released causing depolarisation 6. Action potential propagated
Fill in the blanks: The brain is folded inwards, producing —— (rounded ridges). The grooves in between these are ——. Deeper versions of these are called ——. A) Sulci, Grooves, Fissures B) Fissures, Gyri, Sulci C) Gyri, Fissures, Sulci D) Gyri, Sulci, Fissures
D) Gyri, Sulci, Fissures
Why do we have 3 semicircular canals at different angles?
To detect movement in the 3 planes
what are astrocytes
the most numerous cell type within the central nervous system (CNS) and perform a variety of tasks, from axon guidance and synaptic support, to the control of the blood brain barrier and blood flow.
How are neurotransmitters removed from the synaptic cleft
-diffuse away in the cleft -broken down by enzymes -reuptaken and transported to neighbouring cells
What are the 4 types of glial cell seen in the CNS
Astrocytes Microglial cells Ependymal cells Oligodendrocytes
What is the SNARE complex
a group of proteins which mediate vesicle fusion, that is, the fusion of vesicles with their target membrane bound compartments
What do muscle spindles detect
proprioception
What do free nerve endings detect
pain, temperature, light touch
What do kinaesthetic receptors detect
proprioception
Where does the indirect spinothalamic pathway go?
NOT to the somatosensory cortex, but to other areas of the brain such as:
- reticular formation
- hypothalamus
- limbic system
- periaqueducted grey- descending pain modulation
What do raffian endings detect
Stretching of skin/muscle and heavy touch pressure
What is the function of the scarpes ganglion
(a vestibular ganglion)
Projects nerves to the vestibular nuclei via the vestibular nerve
function of the utricle
posture and equilibrium during linear accleration in the horizontal plane