Physio viva final Flashcards
Function of dorsal column
Carry sensory information of fine touch(tactile sensation),vibration,proprioception
Function of cerebellum
Planning and tuning of skeletal muscle contraction,posture,equilibrium,smooth voluntary movements
Function of basal ganglia
Control reflexes,autonomic,voluntary movement,and group movements for emotional responses
Function of thalamus
Relay station to cortex,cortex alert through connection with RF,centre for crude sensation,and emotional reaction reflexes
Function of bypothalamus
Control of water balance,autonomic,endocrine,emotions,temperature,body weight,metabolism,sexual function,sleep
Ascending and descending tract
Sensory,motor
Ascending tracts and levels
Dorsal medial laminiscus and anteriolateral system,dorsal lateral cuneicerebellar
1st ,2nd,3rd neuron of ascending tract
E.g dorsal column
1 dorsal root
nucleus gracile and cuneatus
decussate at medulla
2 vpl nucleus of thalamus
E.g anterolateral
3 cortex
1.dorsal root(substantial gelinatonsa)
Decuusate in spinal cord
2 vpl thalamus
3 cortex
Tract responsible for pain and temperature
Laterals Spinothalamich tract
Types of pain fibres
Slow C fibers
Fast a delta fibers
Neurotransmitter released in fast pain
Glutamate
What is touch and types of touch
Touch is cutaneous feeling which can be two tyoes crude,fine
Ganglion definition and location
Collection of cell bodies e.g sympathetic parasympathetic ganglia outside CNS ,basal ganglia inside cns
Touch pathways
Fine touch via dorsal medial laminiscL system and crude touch via anterior sponothalmic
Crude and fine touch
Fine touch localised and crude touch not localised
2 point discrimination and how far can it be felt
Sense of touch felt at two different points when stimulated simultaneously.fingertip 1 to 2 cm,dorsal surface 2 to 5,shoulder 7 to 20
Receptors classification
Mechanic,thermo,chemo,electromagnetic,nociceptors
Receptor potential/graded potential
Change in potential of receptor when stimulated caused by opening of certain ions is ftimulus strongenough can cause action potential to be generated
Pain
An unpleasant sensory or emotional experience associated with actual or potential tissue damagr
Receptors organs
Cells or organ that detect stimulus
Sensation and types
Mechano,thermo,chemo,em,nociceptors
Difference between fast and slow pain
Fast:glutamate,0.1 sec,localised,superficial tissue,A delta
Slow:substance p,1 sec,non localised,deep tissue,C
Exteroceptors and their location
Sensory receptors that detect stimuli originating from outside of the body.Specialized to monitor external environment of body.vibration,pain,vision,sound,pain,temp
Somatotropic representation of body in pre motor and sensors areas
When a specific part of body is associated with a distinct location in CNS.Homunculus of body specifying labelled line principle
Difference between spasticity and rigidity
Spasticity:abnormal increase in muscle tone interfering with movement and speech,symptom of chronic UMN lesion,produces more in one direction than other,clasp knife splasyicity,affects antagonist muscles,depends on amplitude and velocity.
Rigidity:inability to relax normally,flexors ans extensor,symptom of Parkinson disease,high muscle tone remain throughout range of movement of joint,sand resistance in all directions,cogwheel rigidity and lead pipe rogidity
Test for cerebellar lesions
Shuffling gait,past pointing and tone
Capsulated,uncapsulated receptor
Cap:meissner,oacinianmerkel,ruffian corpuscles
Uncap:free nerve endings,Mackey disc,hair follicles
Brain waves and their productions
Oscillating electrical voltages in brain measuring a few millionths of a volt
Highest voltage brain waves
Delta
Hemiballismus
Hyperkinetic involuntary movement disorder characterised by intermittent,sudden,violent,ballistic high amplitude movements involving ipsilateral arm and leg caused by dysfunction in subthalamua
Chorea and tremor
Movement disorder that caused involuntary,irregular unpredictable muscle movements lesion in putamen
Tremor rhythmic involuntary shaking movement in one or more parts of your body due to muscle contraction
Posterior ganglion of sympathetic and parasympathetic statem
UM and LMN lesion differnces
UMNmabove anterior horn cell I spinal cord or nuclei of cranial nerves,increased splasticity,muscle groups of lower limb marked in flexors,upper.imb weakness in extensors,increased deep tendon reflexes superficial reflexes absent,extensor plantar respose(up going toes),late wasting due to disuse,absent fascicukqtion
LMN:anterior horn cell,motor nerve river or Neuromuscular junction
Reduced tone,distal muscle weakness flexors and extensors,deep tension reflexes reduced or absent,plantar response normal or absent,fascilcykation anterior horn cell lesion,wasting usually
Difference between root and ramus
Roots purely sensory or motor.ramus have both
Difference between dorsal and ventral ramus
Dorsal innervate skin and muscles of back,ventral innovate limbs and anterior body skin and muscles
Difference between posterior and ventral root
Dorsal sensory ,ventral motor
Sensory examination
Eevaluation of pain ,temp,light touch,position sense,vibration,discriminative sensation
Differences between anterograde Ns retrograde amnesia
Anterograde:new memories not formed characterising lesion or removal of hippocampus
Retrograde:old memories lost characterising thalamus lesion or removal
Difference between carotid body and sinus
Body:chemoreceptor located in adventotia of bifurcation of common carotid artery monitor blood ph,pco2,po2
Sinus:dilated area at base of ICA superior to bifurcation of Internal and external at level of superior border of thyroid cartilage,baroreceptor control by,hr.
Referred pain
Pain perceived at location other than site of pain ful stimulus/origin
Mechanism of memory
Habitution(negative memory) progressive low influx of calcium ions,close calcium channels,less release of vesicles at synapse
Facilitation-presynaptic neuron release serotonin which activate adenyl cycles and cause more synaptic activity(check notes Physio sap)
Dermatome and significance
Area of skin supplied. Y one sensory nerve fiber tell us location of stimulus
Pain pathway
Lat and DCML
Proprioception and it’s receptor
Kinaesthesia(sense of self movement and body position) sense that lets us perceive location,movement,action of parts of body,includes perception of joint movement and position ,muscle force effort.
Mechano(nruromuscul Spindle,GTO,joint kinaesthetic receptor,vestibular apparatus)
Difference between light and crude touch
Light touch localised crude touch not localised
Significance of EEG
Results show changes in brain activity that may be useful in diagnosing brain conditions especially epilepsy and other seizures disoderes
Exaggeration of dopamine and it’s causes
Schizophrenia (delusions,hallucinations,disorganised speech,trouble with thinking,
A knot motivation.
Causes
Dermatome of unmilicus and xiphoif pricess
T10,T6
Function of insulin
Allow glucose to enter cells and maintain glucose in bloodstream within normal levels by stimulating glycogen synthase
Functions of hormones of hypothalamus
TRH:release TSH,CRH:release of ACTH,GnRH:release of LH,FSH,Ghrh:release of gh and Ghih,prolactin inhibitory hormone:cause inhibition of prolactin secretion
Conn syndrome
Primary aldosteronism is a rare condition caused by overproduction of hormone aldosterone that control sodium and potassium in blood