Nurological Phys Flashcards

1
Q

What are the 4 cranial nerves associated with vision, what nerve number and which are sensory, motor and/or both

A
  • Optic (II) sensory
  • Oculomotor (III) motor
  • Trochlear (IV) motor
  • Abducens (VI) motor
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2
Q

What are the 3 cranial nerves (and nerve number) are associated with:
facial feeling, mastication; taste anterior, facial expression; and taste posterior, swallowing.

A
  • Trigeminal (V) both: facial feeling and mastication
  • Facial (VII) both: taste (anterior), facial expression
  • Glossopharyngeal (IX) both: taste (posterior), swallowing
"glosso"= tongue
"pharyngeal"= throat
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3
Q

What cranial nerve (and number) is associated with the sense of smell?

A

Olfactory (I)

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4
Q

What single cranial nerve (and number) is associated with the sense of hearing, balance and equilibrium?

A

Vestibulocochlear (VIII)

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5
Q

What single cranial nerve (and number) is associated with involuntary visceral organs? (interfaces with the parasympathetic control of the heart, lungs, and digestive tract)

A

Vagus (X) both

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6
Q

What single cranial nerve (and number) is associated with the ability to shrug (sternocleidomastoid and trapezius muscles)

A

Accessory (XI) motor

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7
Q

The nervous system is organized to:

A

1-Detect changes (from stimuli) in the internal and external environment (inside and outside body)

2- Evaluate (CNS) the level and type of stimuli

3- Respond by initiating changes in muscles or glands or not initiating change

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8
Q

Central Nervous System (CNS) is composed of what?

A

brain and spinal cord

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9
Q

Peripheral Nervous System (PNS) is composed of what?

A
Cranial nerves (12)
Spinal nerves (31)
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10
Q

Afferent (arriving- ascending) neurons are what?

A

sensory, Receptors to CNS

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11
Q

Efferent (exiting- descending) neurons are what?

A

motor, From CNS to effector organ (muscles or glands)

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12
Q

Autonomic NS uses what kind of activation?

what 2 NS is it broken into; what do they control?

A

voluntary activation (command to skeletal muscle)

  • Sympathetic “fight or flight”
  • Parasympathetic “Rest and digest”
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13
Q

Somatic NS uses what kind of activation?

what neurotransmitter is used?

A
involuntary activation (command to glands, smooth and cardiac muscle)
-ACH
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14
Q

Neuron vs Glia (glial cells)

what do they do?

A
  • pick up info. can carry it away, unidirectional

- helping supporter cells. They help neurons and other cells function properly in the nervous system.

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15
Q

Neuroglia are what?

A

Support cells (5–10x more numerous than neurons)

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16
Q

Oligodendrocytes:

A

CNS, myelinating cells

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17
Q

Schwann cells:

A

PNS (the only one in PNS), myelinating cells

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18
Q

Ependymal cells:

A

CNS, make and circulate cerebral spinal fluid (CSF)

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19
Q

Astrocytes:

A

CNS, wrap around capillaries in brain and spinal cord, to feed neuron glucose. Create a blood brain barrier (BBB)- allow neurons to get what they need and protect them from things that could be harmful (Selectivity)

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20
Q

Microglia:

A

CNS, macrophage (clean up)

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21
Q

RESTING Electric Potential:
where is K+
where is Na+
where is Ca++

A

1) K+ > INside of cell
2) Na+ > OUTside of cell
3) Ca2+ > OUTside :induces muscle contraction

Sodium and Calcium is in the same place

INSIDE of the CELL - High K, Low Na
OUTSIDE of the Cell - High Na, Low K

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22
Q

what is Action Potential?

A

the rapid change and propagation of a chemical membrane potential.

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23
Q

In general terms how is an impulse sent down an axon?

A

Stimulus changes the charge other voltage gated channels open causing a chain reaction of increasing positive and then negative charge
Depolarization and Repolarization/Hyperpolarization

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24
Q
what is the process of an Action Potential of a nerve cell?
Resting
Threshold
Rising
Falling
Hyperpolarization
A

-Resting Phase
-Threshold
-Rising Phase = Depolarization (action potential)
(Facilitated transport of Na+ in)
-Falling Phase = Repolarization
(Facilitated transport of K+ out)
-Hyperpolarization = more K+ out than Na+ in
-Refractory Period = Depo to RP (Needs Na/K ATPase to reset)

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25
Myelination = Saltatory Conduction | what does this do for conduction of impulse down an axon?
Rather than having to travel down the entire length of an axon, the impulse can "skip" ahead resulting in much faster conduction.
26
Gray Matter (grey cortex):
outer layer of brain, inner layer of spinal cord. Neuron body: communication between neurons, thinking, evaluation, processing.
27
White Matter:
inner layer of brain, outer layer of spinal cord. Neuron axon (myelinated= fast processing).
28
Name 5 neurotransmitters:
``` ACH- skeletal muscle Epinephrin/ norepinephrine Serotonin GABA Dopamine ```
29
Synaptic bouton
vesicles containing neurotransmitters
30
what are the 3 protective membranes surrounding the brain and spinal cord? what is between these layers?
"these layers PAD the brain" -Pia mater: layer touching the brain Subarachnoid space: CSF -Arachnoid Subdural space: veins, veinous drainage -Dura matar: "tough mother" outer most layer
31
What makes and circulates CSF?
choroid plexus (Ependymal glia cells)
32
what are meninges?
Protective membranes surrounding the brain and spinal cord
33
What does the CSF do?
is a pressure cushion and delivers electrolytes
34
choroid plexus
a network of blood vessels in each ventricle of the brain. It is derived from the pia mater and produces the CSF.
35
What is the Frontal lobe responsible for?
behavior, intelligence, memory, movement
36
What is the Parietal lobe responsible for?
intelligence, *language*, reading, sensation
37
What is the Temporal lobe responsible for?
behavior, *hearing*, memory, speech, vision
38
What is the Occipital lobe responsible for?
vision
39
What is the Cerebellum responsible for?
balance, coordination
40
What is the Brain Stem responsible for?
BP, breathing, consciousness, heart beat, swallowing, RAS
41
RAS
Reticular Activating System: a diffuse network of nerve pathways in the brainstem connecting the spinal cord, cerebrum, and cerebellum, and mediating the overall level of consciousness.
42
what is a reflex arch?
- Receptor activates an afferent sensory neuron - Sends impulse to spinal cord for evaluation - An efferent motor neuron then sends info. to - An effector neuron which activates a motor response
43
What do stretch receptors do?
detect unauthorized or extensive stretch. | Then send a sensory impulse to a motor neuron to contract muscle and prevent over stretch
44
How are the vertebrae organized?
- breakfast: 7 cervical - lunch: 12 thoracic - dinner: 5lumbar
45
How are the spinal nervers organized?
- slept in breakfast: 8 cervical - lunch: 12 thoracic - dinner: 5 lumbar - dessert: 6 sacral (* 1 is a coccygeal nerve*)
46
How do you recognize a Dorsal Root Ganglia (DRG)? | what type of neuron is it?
it has a knob on the nerve cord | sensory neuron
47
What mnemonic is used to describe sensory and motor neurons location and job?
SAID: Sensory Afferent In Dorsally MOVE: Motor Out Ventral Efferent
48
What do afferent sensory neurons do?
carry nerve impulses from stimulus to CNS and brain
49
What do efferent motor neurons do?
carry nerve impulses from the CNS and brain to the effector neuron activating movement
50
Myotomes:
(motor) the relationship between the spinal nerve and muscle eg: Pt. has motor activation above the umbilicus but not bellow, may had spinal cord injury at the 10th thoracic ventral nerve.
51
Dermatomes:
(sensory) the relationship between the spinal nerve and skin. The are of the skin supplied by a single specific spinal nerve root. eg: Pt. has sensory feeling above the umbilicus but not bellow, may had spinal cord injury at the 10th thoracic dorsal nerve.
52
Sympathic is what? | How does it manifest?
"fight or flight" Protection response, removes body from homeostasis - increase respiratory rate (increases O2) - increased HR - increase BP - increased brain activity - increase epinephrine - increase sweat secretion - mydriasis (pupils dilate) - decrease GI (constriction of blood flow to smooth muscle)
53
Parasympathic is what? | How does it manifest?
"rest and digest" Maintaining homeostasis - decrease BP - decrease HR - miosis (contraction of pupil) - increase GI activity
54
Miosis
contraction of pupil
55
Mydriasis
pupils dilate
56
Sympathetic have what type of pre/ post ganglionic fibers? What is the reaction like?
Short pre long post very quick reaction
57
Parasympathetic have what type of pre/ post ganglionic fibers? What is the reaction like?
Long pre short post precise organ interaction
58
What type of receptor does epinephrine/ norepinephrine signal?
Adrenergic
59
What type of receptor does ACH signal?
Cholinergic
60
What is the neurotransmitter is used by the parasympathetic NS?
ACH
61
What is the neurotransmitter is used by the sympathetic NS?
Short preganglioic fibers "cholinergic" -ACH | Long postganglioic fibers "Adrenergic" -norepinephrine
62
Why are the same neurotransmitter not released at the heart?
because then the heart reaction wold be the same to different "fight or flight" and "rest and digest"
63
Can neurons repair? CNS PNS
CNS: limited by increased scar formation and different type of oligodendrcytes PNS: limited repair, generally only in schwann cells