Neurophysiology Flashcards
Located in or near the effector organs
Parasympathetic Ganglia
Located in the paravertebral ganglia
Sympathetic Ganglia
Preganglionic neurons of sympathetic nervous system
T1-L3 spinal cord, thoracolumbar region
Preganglionic neurons of parasympathetic nervous system
originate in nuclei of cranial nerves and in spinal cord segments S2-4 or craniosacral region
Chromaffin cells
80% epinephrine
20% norepinephrine
short preganglionic nerve axon
sympathetic
long preganglionic nerve axon
parasympathetic
long postganglionic nerve axon
sympathetic
short postganglionic nerve axon
parasympathetic
NT for sympathetics ub effector organs
NE, except in sweat glands, it is ACh
Alpha-1 (Gen overview)
sympathetic, smooth muscle, Gq, increases IP3/Ca
Alpha-2 (Gen overview)
sympathetic, GI tract, Gi, decreases cAMP
Beta-1 (Gen overview)
sympathetic, heart, Gs, increases cAMP
Beta-2 (Gen overview)
Sympathetic, smooth muscle (lungs), Gs, increases cAMP
Nm (N1) (Gen overview)
Cholinergic, skeletal muscle, opens Na/K channels
Nn (N2) (Gen overview)
Cholinergic, autonomic ganglia, opens Na/K channels
M1 (Gen overview)
Cholinergic, CNS, Gq, increased IP3/Ca
M2 (Gen overview)
Cholinergic, Heart, Gi, decreases cAMP
inhibitory to heart
M3 (Gen overview)
Cholinergic, Glands & Sm Muscle, Gq, increase IP3/Ca
excitatory in sm muscle and glands
Radial muscle of Iris
alpha-1 receptor
equally sensitive to epinephrine and NE but only NE is released from these neurons
platelets and fat cells
Alpha-2 receptor, produce inhibition
bronchial smooth muscle
Beta-2 receptors, cause relaxation, more sensitive to epinephrine
Relaxation of Bladder Wall
Beta-2 Receptors
In autonomic ganglia of sympathetic and parasympathetic NS
N2 receptor (Nn) also found in adrenal medulla
Receptor in NMJ
N1 (Nm)
alpha-1 agonist
NE, phenylephrine
alpha-1 antagonist
Phenoxybenzamine, Phentolamine, Prazosin
alpha-2 agonist
clonidine
alpha-2 antagonist
Yohimbe
Beta-1 Agonst
NE, Isoproterenol, Dobutamine
Beta-1 Antagonist
Propranolol, Metoprolol
Beta-2 agonist
isoproterenol and albuterol
Beta-2 antagonist
propranolol and butuxamine
Nicotinic Agonist
ACh, Nicotine, Carbachol
Nictonic Antagonist
Curare and Hexamethonium (ganglion not NMJ)
Muscarinic Agonist
ACh, Muscarine, Carbachol
Muscarinic Antagonist
Atropine
Receptor to increase HR, contractility, and AV node conduction
Beta-1 (sympathetic)
Receptor that contricts BV in skin and splanchnic
alpha-1 (sympathetic)
receptor that dilates BV in skeletal muscles
Beta-2 (sympathetic)
Receptor that decreases GI motility
alpha-2, beta-2 (sympathetic)
receptor that contricts sphincters in GI tract
alpha-1 (sympathetic)
receptor that dilates bronchiolar smooth muscle
beta-2 (sympathetic)
ejaculation receptor
alpha (sympathetic)
Receptor that relaxes bladder wall
beta-2 (sympathetic)
Receptor that constricts bladder sphincter
alpha-1 (sympathetic)
Receptor that increases sweating
M (sympathetic cholinergic)
Receptor that increases renin secretion
beta-1 (sympathetic)
Receptor that increases lipolysis
beta-1 (sympathetic)
Receptor that decreases HR, Contractility and AV node conduction
M2 (parasympathetic)
Receptor that increases GI motility and relaxes GI sphincters
M3 (parasympathetic)
Receptor that constricts bronchiolar smooth muscle
M3 (parasympathetic)
erection receptor
M (parasympathetic)
Receptor that contracts bladder wall
M3
Receptor that relaxes bladder sphincter
M3
Autonomic centers in the medulla
vasomotor, respiratory, swallowing, coughing and vomiting centers
Autonomic centers in the pons
pneumotaxic center
Autonomic centers in the midbrain
micturition
Autonomic centers in the hypothalamus
temperature regulation center, thirst and food intake
mechanoreceptors
pacinian corpuscles, joint receptors, stretch receptors in muscle, hair cells in auditory and vestibular systems, baroreceptors in carotid sinus
Photoreceptors
rods and cones of the retina
Chemoreceptors
Olfactory, taste, osmoreceptors, carotid body with O2 receptors
Nociceptors
extreme pain and temperature
A fiber - Ia
muscle spindle afferents, largest diameter, fastest, motor neuron
A fiber - Ib
golgi tendon organs, largest diameter and fastest
A fiber - II
touch and pressure, secondary afferent of muscle spindles, medium diameter and medium velocity
intrafusal fibers
gamma-MN, medium diameter and medium velocity
III (A-delta)
touch, pressure, fast pain, and temperature - small diameter, medium conduction velocity
B fibers
Preganglionic autonomic fibers, small diameter and medium conduction velocity
C fibers- IV
Slow pain; postganglionic autonomic fibers, smallest diameter and slowest conduction velocity
Onion like structures in the subcutaneous skin surrounding unmyelinated nerve endings
Pacinian Corpuscle, vibration and tapping, rapidly adapting
Receptor present in nonhairy skin
Meissner’s corpuscle, senses velocity, rapidly adapting
Encapsulated mechanoreceptor that senses pressure
Ruffini’s corpuscle, slowly adapting
Transducer is on epithelial cells, senses location
Merkel’s Disk, slowly adapting
Substance P
NT for nociceptor, relief from opiods
Emmetropia
normal eye sight, light focuses on the retina
Hypertropia
far-sighted, light focuses behind the retina, correct with a convex lens
Myopia
near-sighted, light focuses in front of the retina, correct with a biconcave lens
Astigmatism
curvature of lens is not uniform, correct with cylindric lens
Presbyopia
loss of accommodation power of lens that occurs with aging.
correct with a convex lens
Layers of Retina
Pigment layer, photorecptor layer, external limiting layer, outer nuclear layer, outer plexiform layer, inner nuclear layer, inner plexiform layer, ganglion layer, optic nerve,
Layer of retina that converts 11-cis to all-trans retinal
pigment epithelial cells
Layer with rods and cones
Receptor cell layer
Fovea
highest acuity, ratio of cones to bipolar cells is 1:1
high acuity, less sensitivity
Cones - color, adapt first in dark
low acuity, high sensitivty
Rods - night vision, adapt later in dark
form local circuits with the bipolar cells
horizontal and amacrine cells
Cutting Optic nerve
causes blindness is IL eye
Cutting the Optic Chiasm
causes heteronymous bitemporal hemianopia
TUNNEL VISION
Cutting Optic Tract
causes homonymous CL hemianopia
meaning if you cut the righ toptic tract you can’t see out of the left sides of both eyes
Cutting the geniculocalcarine tract
homonymous hemianopia with macular sparing
meaning, cut the left GC tract and will not see out of right side of eye but can see the middle dot of visual field
Necessary for regeneration of 11-cis retinal
vitamin A
On-center, Off-surround
light striking the center of the receptive field depolarizes (excites)the ganglion cell, light striking surround of receptive field hyperpolarizes(inhibits) the ganglion cell.
reverse for Off-center, On-surround
Visual Cx - Simple cells
respond best to bars of light that have the correct position and orientation
Visual Cx - Complex Cells
respond best to moving bars or edges of light with correct orientation
Visual Cx - Hypercomplex cells
respond best to line with particular length and to curves and angles
measurement of frequency
hertz
measurement of intensity
decibels
air filled part of ear
Middle ear, contains tympanic membrane, auditory ossicles
fluid filled part of ear
Inner ear, semicircular canals, cochlea, and vestibule
stapes insert on
Oval window, the membrane between middle and inner ear
Perilymph
scala vestibuli and scala tympani - high in Sodium
Scala media
contains endolymph, which has a high K
Bordered by basilar membrane - site of organ of Corti
Hair cells arranged in single rows and are few in number
Inner hair cells on the organ of Corti
Hair cells arranged in parallel rows and are greater in number
Outer Hair cells on the organ of Corti
Spiral ganglion
Contains the cell bodies of the auditory nerve (CNVIII), which synapse on hair cells
Bending of cilia
K+ conductance, in 1 direction will hyperpolarizes, in the opposite will depolarize
Base of basilar membrane
High Frequencies
Apex of Basilar membrane
Low Frequencies, near the helicotrema
Medial Geniculate
Hearing
detect angular acceleration and rotation
semicircular canals - filled with endolymph
detect linear acceleration
saccule and utricle
Kinocilium
single long cilum associated with vestibular system
Direction of nystagmus
the direction of the fast (rapid eye) movement - occurs in the same direction as the head rotation
Postrotatory nystagmus
occur opposite direction of head rotation
Olfactory epithelium is innervated by what to detect noxious or painful stimuli
CNV
Olfactory nerve
unmyelinated C fibers, smallest and slowest
mitral cells in olfactory bulb
out forms the olfactory tract which project to prepiriform Cx
G-olf for olfactory receptors
activate AC to increase cAMP and open sodium channels
Fungiform papillae
salty and sweet, anterior 2/3 of tongue, innervated by CN VII (chorda tympani)
Circumvallate and Foliate Papillae
Sour and Bitter, posterior 1/3 tongue, innervated by CN IX
Back of throat and epiglottis
CNX
Detect muscle tension
Golgi tendon organ, group Ib fibers arranged in series with extrafusal muscle fibers
detects static and dynamic changes in muscle length
Muscle Spindles, group Ia and II, parallel with extrafusal fibers
Provide force for muscle contraction
Extrafusal fibers, innervated by alpha-MN
innervated by gamma-MN
intrafusal fibers
are encapsulated in sheaths to form muscle spindles
Include: nuclear bag & nuclear chain
detect rate of change in muscle length
Nuclear bag fibers (nuclei collect in bag region)
innervated by Ia fibers
detect static changes in muscle length
Nuclear chain fibers (nuclei are in rows)
innervated by II fibers
Knee Jerk
Stretch (myotactic) reflex
monosynaptic - response is contraction of muscle after it is stretched
Golgi Tendon Reflex
Disynaptic, relaxation of muscle after stimuli contracts muscles (Ib fibers)
After Touching a hot stove
Flexor-withdrawal reflex - polysynaptic, stimulus is pain
causes IL flexion and CL extension
Clasp Knife Reflex
exaggerated golgi tendon reflex, dx of corticospinal tracts
Renshaw Cells
Inhibitory cells in the ventral horn of the spinal cord
Stimulation of flexors and inhibition of extensors
Rubrospinal tract, stimulation of red nucleus
Stimulatory effect on both extensors and flexors but primarily extensors
Pontine reticulospinal tract
Inhibitory effect on both extensors and flexors, predominant effect on extensors
Medullary Reticulospinal tract
Originates on Dieter’s nucleus
Lateral Vestibulospinal tract - stimulates extensors and inhibits flexors
tectospinal tract
originates in superior colliculus - controls neck muscles
Transection at C7
loss of sympathetic tone to the heart. HR and arterial pressure will decrease
Transection at C3
Stops breathing
Transection at C1
Hanging - death
Lesion above Lateral Vestibular Nucleus
Decerebrate rigidity because removal of inhibition from higher centers
Lesion above pontine reticular formation but below midbrain
Decerebrate rigidity
Lesions above the red nucleus
Decorticate posture and intact tonic neck reflexes
Vestibulocerebellum
control of balance and eye movement
Pontocerebellum
planning and initiation of movement
Spinocerebellum
synergy, control of rate, force, range, and direction of movement
Granular Layer of cerebellar Cx
innermost layer, contains granule cells, golgi type II cells, and glomeruli (axons of mossy fibers)
Purkinje Cell Layer of Cerebellar Cx
middle layer, output is always inhibitory
Molecular Layer of Cerebellar Cx
outermost layer, contains stellate and basket cells, dendrites of Purkinje and Golgi type II cells, and parallel fibers
Climbing Fibers
Comes from inferior olive of medulla, high frequency bursts or complex spikes, role in cerebellar motion learning
Only output of cerebellar cortex
Purkinje cells - they are always inhibitory (NT is GABA)
Dysdiadochokinesia
inability to perform rapid alternating movements - cerebellar injury
Lesions of globus pallidus
inability to maintain postural support
Lesions of Subthalamic Nucleus
result in wild, flinging movements (hemiballismus) on CL side
Lesions of the striatum
quick, continuous, and uncontrollable movements
huntington
Lesions of Substantia Nigra
destruction of dopaminergic neurons, Parkinsons
lead-pipe rigidity, tremor, and reduced voluntary movement
Responsible for generating a plan for movement
premotor cortex and supplementary Cx (area 6)
Responsible for the execution of movement
Primary motor cortex (area 4)
Jacksonian seizures
epileptic events in the primary motor cortex
Awake adults with open eyes
beta waves
Awake adults with closed eyes
alpha waves
suprachiasmic nucleus
associated with circadian rhythm, receives input from the retina
what decreases duration of REM sleep?
benzodiazepines and increasing age
Facial expression, intonation, body language and spatial tasks
Right Hemisphere
language, lesions here cause aphasia
Left hemisphere
Damage to wernicke’s area
causes sensory aphasia, difficult to understand written or spoken language
Damage to Broca’s area
causes motor aphasia, speech and writing are affected but understanding is intact
Short term memory
Synaptic Changes
Long term memory
involve structural changes and is more stable
BL lesion of hippocampus
block the ability to form new LT memories
Heat generating mechanisms in response to cold
Thyroid hormone, Shivering, cold temps activate the sympathetic nervous system and activate beta receptors in brown fat to increase metabolic rate and heat production
Shivering response to Cold
Posterior hypothalamus (this is to make people warm)
Heat loss in response to Heat
Anterior hypothalamus (this is to cool people off)
If the core temperature is below the set point
Posterior Hypothalamus is activated (increased metabolism, shivering, vasoconstriction of cutaneous BV)
If core temperature is above the set point
Anterior hypothalamus is activated (vasodilation of cutaneous BV, increased sympathetic outflow to sweat glands)
Pyrogens
increase IL-1 and act on anterior hypothalamus to increase prostaglandins which increase the set point temperature
Aspirin
reduces fever by inhibiting cyclooxygenase thereby inhibiting the production of prostaglandins, decreases the set point temperature
Steroids
reduce fever by blocking the release of arachidonic acid from brain phospholipids, prevents production of prostaglandins
Heat Exhaustion
caused by excessive sweating. blood volume and arterial blood pressure decrease and syncope (fainting) occurs
Heat Stroke
occurs when body temperature increases to the point of tissue damage. The normal response to increased ambient temperature (sweating) is impaired, the core temperature increases further
Hypothermia
ambient temperature is so low that heat-generating mechanisms cannot adequately maintain core temperature near the set point
Malignant Hyperthermia
massive increase in oxygen consumption and heat production by skeletal muscle, which causes a rapid rise in body temperature
What time is it?
Drinkin’ Time