Psychopharmatology (1) Flashcards

1
Q

Two major divisions neurosystem

A

(1) The central nervous system (CNS) consists of the brain and spinal cord. The brain is completely surrounded and protected by the skull. It connects directly to the spinal cord, similarly protected by the vertebral column.
(2) The peripheral nervous system (PNS) consists of nerves. Nerves lie outside the CNS. The division between the CNS and the PNS is arbitrary. The two systems work together and are connected to each other.

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2
Q

Three functions nervous system

A
  1. The nervous system receives sensory input. Sensory receptors in skin and other organs respond to external and internal stimuli by generating nerve signals that travel by way of the PNS to the CNS.
  2. The CNS performs information processing and integration, summing up the input it receives from all over the body. The CNS reviews the information, stores the information as memories, and creates the appropriate motor responses.
  3. The CNS generates motor output. Nerve signals from the CNS go by way of the PNS to the muscles, glands, and organs. The CNS also coordinates the movement of your arms and hands.
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3
Q

Two types of cells in the nervous tissue

A

(1) Neurons; the cells that transmit nerve impulses between parts of the nervous system;
(2) Neuroglia (sometimes referred to as glial cells); support and nourish neurons.

Neuroglia, greatly outnumber neurons in the brain.

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4
Q

Types of neuroglia

A

There are several types of neuroglia in the CNS, each with specific functions.
(1) Microglia are phagocytic cells that help remove bacteria and debris.
(2) Astrocytes provide metabolic and structural support directly to the neurons.
(3) The myelin sheath is formed from the membranes of tightly spiraled neuroglia. In the PNS, Schwann cells perform this function, leaving gaps called nodes of Ranvier.
(4) In the CNS, neuroglia cells called oligodendrocytes form the myelin sheath.

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5
Q

Three types of neurons (function)

A

(1) Sensory neurons; a sensory neuron takes nerve signals from a sensory receptor to the CNS. Sensory receptors are special structures that detect changes in the environment.
(2) Interneurons; an interneuron lies entirely within the CNS. Interneurons can receive input from sensory neurons and from other interneurons in the CNS. Thereafter, they sum up all the information received from other neurons before they communicate with motor neurons.
(3) Motor neurons; a motor neuron takes nerve impulses away from the CNS to an effector (muscle fiber, organ, or gland). Effectors carry out our responses to environmental changes, whether these are external or internal.

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6
Q

Features of neurons

A

(1) cell body; the cell body contains the nucleus, as well as other organelles.
(2) Dendrites; dendrites are short extensions that receive signals from sensory receptors or other neurons. Incoming signals from dendrites can result in nerve signals that are then conducted by an axon.
(3) Axon: the axon is the portion of a neuron that conducts nerve impulses. An axon can be quite long. Individual axons are termed nerve fibers, and collectively they form a nerve. In sensory neurons, a very long axon carries nerve signals from the dendrites associated with a sensory receptor to the CNS, and this axon is interrupted by the cell body. In interneurons and motor neurons, on the other hand, multiple dendrites take signals to the cell body, and then an axon conducts nerve signals away from the cell body.

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7
Q

Myelin sheath

A

Many axons are covered by a protective myelin sheath. The myelin sheath develops when Schwann cells (PNS) or oligodendrocytes (CNS) wrap their membranes around an axon many times. Each neuroglia cell covers only a portion of an axon, so the myelin sheath is interrupted. The gaps where there is no myelin sheath are called nodes of Ranvier. The myelin sheath plays an important role in the rate at which signals move through the neuron. Long axons tend to have a myelin sheath, but short axons do not. The gray matter of the CNS is gray because it contains no myelinated axons; the white matter of the CNS is white because it does. In the PNS, myelin
gives nerve fibers their white, glistening appearance and serves as an excellent insulator. When the myelin breaks down, as is the case in multiple sclerosis (MS), then it becomes more difficult for the neurons to transmit information. In effect, MS “short-circuits” the nervous system. The myelin sheath also plays an important role in nerve regeneration within the PNS. If an axon is accidentally severed, the myelin sheath remains and serves as a passageway for new fiber growth.

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8
Q

Resting potential

A

The battery’s potential energy can be used to perform work. A resting neuron also has potential energy. This energy, called the resting potential, exists because the plasma membrane is polarized: Positively charged ions are stashed outside the cell, with negatively charged ions inside. The outside of the cell is positive because positively charged sodium ions (Na+) gather around the outside of the plasma membrane. At rest, the neuron’s plasma membrane is permeable to potassium, but not to sodium. Thus, positively charged potassium ions (K+) contribute to the positive charge by diffusing out of the cell to join the sodium ions. The inside of the cell is negative in relation to the exterior of the cell because of the presence of large, negatively charged proteins and other molecules that remain inside the cell because of their size. The neuron’s resting potential energy can be measured in volts.

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9
Q

Synaptic cleft

A

Separates the sending neuron from the receiving neuron. The nerve signal is unable to jump the cleft. Therefore, another means is needed to pass the nerve signal from the sending neuron to the receiving neuron.

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10
Q

Transmission across synapse

A

Carried out by molecules called neurotransmitters, stored in synaptic vesicles in the axon terminals.

The events at a synapse are (1) nerve signals traveling along an axon to reach an axon terminal; (2) calcium ions entering the terminal and stimulating synaptic vesicles to merge with the sending membrane; and (3) neurotransmitter molecules releasing into the synaptic cleft and diffusing across the cleft to the receiving membrane; there, neurotransmitter molecules bind with specific receptor proteins. Depending on the type of neurotransmitter, the response of the receiving neuron can be toward excitation or toward inhibition. Excitation occurs because a neurotransmitter, such as acetylcholine (ACh), has caused the sodium gate to open. Sodium ions diffuse into the receiving neuron. Inhibition would occur if a neurotransmitter caused potassium ions to exit the receiving neuron.

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11
Q

Response based on the type of neurotransmitter

A

The response of the receiving neuron can be toward excitation or toward inhibition. Excitation occurs because a neurotransmitter, such as acetylcholine (ACh), has caused the sodium gate to open. Sodium ions diffuse into the receiving neuron. Inhibition would occur if a neurotransmitter caused potassium ions to exit the receiving neuron.

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12
Q

Integration of excitatory and inhibitory signals at the synapse

A

Inhibitory signals and
excitatory signals are summed up in the dendrite and cell body of the postsynaptic neuron. Only if the combined signals cause the membrane potential to rise above threshold does an action potential occur.

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13
Q

What happens when a neurotransmitter has been released into a synaptic cleft and has initiated a response

A

It is removed from the cleft. In some synapses, the receiving membrane contains enzymes that rapidly inactivate the neurotransmitter. For example, the enzyme acetylcholinesterase (AChE) breaks down the neurotransmitter acetylcholine. In other synapses, the sending membrane rapidly reabsorbs the neurotransmitter, possibly for repackaging in synaptic vesicles or for molecular breakdown. The short existence of neurotransmitters at a synapse prevents continuous stimulation (or inhibition) of receiving membranes. The receiving cell needs to be able to respond quickly to changing conditions. If the neurotransmitter were to linger in the cleft, the receiving cell would be unable to respond to a new signal from a sending cell.

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14
Q

Neurotransmitters

A

More than 100 substances are known or suspected to be neurotransmitters. Some of the more common ones in humans are acetylcholine, norepinephrine, dopamine, serotonin, glutamate, and GABA (gamma-aminobutyric acid). Neurotransmitters transmit signals between nerves. Nerve-muscle, nerve-organ, and nerve-gland synapses also communicate using neurotransmitters. Acetylcholine (ACh) and norepinephrine are active in both the CNS and PNS. In the PNS, these neurotransmitters act at synapses called neuromuscular junctions. In the PNS, ACh excites skeletal muscle but inhibits cardiac muscle. It has either an excitatory or inhibitory effect on smooth muscle or glands, depending on their location. Norepinephrine generally excites smooth muscle. In the CNS, norepinephrine is important to dreaming, waking, and mood. Serotonin is involved in thermoregulation, sleeping, emotions, and perception. Many
drugs that affect the nervous system act at the synapse. Some interfere with the actions of neurotransmitters, and other drugs prolong the effects of neurotransmitters.

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15
Q

The gate control theory of pain

A

Proposes that the tracts in the spinal cord have “gates” and that these “gates” control the flow of pain messages from the peripheral nerves to the brain. Depending on how the gates process a pain signal, the pain message can be allowed to pass directly to the brain or can be prevented from reaching the brain.

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16
Q

What can temporarily block pain messages

A

Endorphins
If the spinal cord is severed, we suffer a loss of sensation and a loss of voluntary control—paralysis. If the cut occurs in the thoracic region, the lower body and legs are paralyzed, a condition known as paraplegia. If the injury is in the neck region, all four limbs are usually affected, a condition called quadriplegia.

17
Q

Cerebrum

A

= telencephalon; largest portion of the human brain. It is the last center to receiver sensory input and carry out integration before commanding voluntary motor responses. It has two halves; left and right cerebral hemispheres; divided by the longitudinal fissure. They communicate through the corpus callosum.

18
Q

Corpus callosum

A

Extensive bridge of nerve tracts.

19
Q

Cerebral cortex

A

Outer layer of gray matter that covers the cerebral hemispheres (unmyelinated axons).

It is the region of the brain that accounts for sensation, voluntary movement, and all the thought processes we associate with consciousness. The cerebral cortex contains motor areas and sensory areas, as well as association areas. The primary motor area is in the frontal lobe just anterior to (before) the central sulcus. Voluntary commands to skeletal muscles begin in the primary motor area, and each part of the body is controlled by a certain section. Large areas of cerebral cortex are devoted to controlling structures that carry out very fine, precise movements. Thus, the muscles that control facial movements take up an especially large portion of the primary motor area. Likewise, hand movements require tremendous accuracy. Together, these two structures command nearly two-thirds of the primary motor area.

20
Q

Primary motor area

A

The primary motor area is in the frontal lobe just anterior to (before) the central sulcus. Voluntary commands to skeletal muscles begin in the primary motor area, and each part of the body is controlled by a certain section. Large areas of cerebral cortex are devoted to controlling structures that carry out very fine, precise movements. Thus, the muscles that control facial movements take up an especially large portion of the primary motor area. Likewise, hand movements require tremendous accuracy. Together, these two structures command nearly two-thirds of the primary motor area.

21
Q

The primary somatosensory area

A

The primary somatosensory area is just posterior to the central sulcus in the parietal lobe. Sensory information from the skin and skeletal muscles arrives here, where each part of the body is sequentially represented. Like the primary motor cortex, large areas of the primary sensory cortex are dedicated to those body areas with acute sensation. Once again, the face and hands require the largest proportion of the sensory cortex. Reception areas for the other primary sensations—taste, vision, hearing, and smell—are located in other areas of the cerebral cortex.

22
Q

Association areas

A

Association areas are places where integration occurs and where memories are stored.

23
Q

Basal nuclei

A

Basal nuclei integrate motor commands to ensure that the proper muscle groups are stimulated or inhibited. Integration ensures that movements are coordinated and smooth. Parkinson disease is believed to be caused by degeneration of specific neurons in the basal nuclei.

24
Q

Hypothalamus

A

The hypothalamus is an integrating center that helps maintain homeostasis. It regulates hunger, sleep, thirst, body temperature, and water balance. The hypothalamus controls the pituitary gland and thereby serves as a link between the nervous and endocrine systems. The thalamus consists of two masses of gray matter located in the sides and roof of the third ventricle. The thalamus is on the receiving end for all sensory input except the sense of smell. Visual, auditory, and somatosensory information arrives at the thalamus via the cranial nerves and tracts from the spinal cord. The thalamus integrates this information and sends it on to the appropriate portions of the cerebrum. The thalamus is involved in arousal of the cerebrum, and it participates in higher mental functions, such as memory and emotions.

25
Q

Pineal gland

A

The pineal gland, which secretes the hormone melatonin, is located in the diencephalon. Presently, there is much popular interest in the role of melatonin in our daily rhythms. Some researchers believe it can help alleviate jet lag or insomnia. Scientists are also interested in the possibility that the hormone may regulate the
onset of puberty.

26
Q

Cerebellum

A

The cerebellum lies under the occipital lobe of the cerebrum and is separated from the brain stem by the fourth ventricle. The cerebellum has two portions joined by a narrow median portion. Each portion is primarily composed of white matter. In a longitudinal section, the white matter has a treelike pattern called arbor vitae. Overlying the white matter is a thin layer of gray matter that forms a series of complex folds. The cerebellum receives sensory input from the eyes, ears, joints, and muscles about the present position of body parts. It also receives motor output from the cerebral cortex about where these parts should be located. After integrating this information, the cerebellum sends motor signals by way of the brain stem to the skeletal muscles. In this way, the cerebellum maintains posture and balance. It also ensures that all the
muscles work together to produce smooth, coordinated, voluntary movements. The cerebellum assists in the learning of new motor skills, such as playing the piano or hitting a baseball.

27
Q

Reticular formation

A

The reticular formation is a complex network of nuclei, which are masses of gray matter, and fibers that extends the length of the brain stem. The reticular formation is a major component of the reticular activating system (RAS). The RAS receives sensory signals and sends them to higher centers. Motor signals received by the RAS are sent to the spinal cord. The RAS arouses the cerebrum via the thalamus and causes a person to be alert. If you want to awaken the RAS, surprise it with sudden stimuli, such as an alarm clock ringing, bright lights, smelling salts, or cold water splashed on your face. The RAS can filter out unnecessary sensory stimuli, explaining why you can study with the TV on. To inactivate the RAS, remove visual or auditory stimuli, allowing yourself to become drowsy and drop off to sleep. General anesthetics function by artificially suppressing the RAS. A severe injury to the RAS can cause a person to become comatose, from which recovery may be impossible.

28
Q

Limbic system

A

The limbic system integrates our emotions with our higher mental functions. Because of the limbic system, activities such as sexual behavior and eating seem pleasurable and mental stress can cause high blood pressure. The limbic system is an evolutionary ancient group of linked structures deep within the cerebrum. It is a functional grouping rather than an anatomical one. The limbic system blends primitive emotions and higher mental functions into a united whole.

29
Q

Amygdala

A

Limbic system; creates the sensation of fear. This center can use past knowledge fed to it by association areas to assess a current situation. If necessary, the amygdala can trigger the fight-or-flight reaction. The frontal cortex can override the limbic system, cause you to rethink the situation, and prevent you from acting out strong reactions.

30
Q

Hippothalamus

A

The hippocampal region acts as an information gateway during the learning process. It determines what information about the world is to be sent to memory and how this information is to be encoded and stored by other regions in the brain. Most likely, the hippocampus can communicate with the frontal cortex, because we know that memories are an important part of our decision-making processes. The hippocampus of patients with Alzheimer disease, a brain disorder characterized by gradual loss of memory, is significantly smaller than normal. The hippocampus serves as a bridge between the sensory association areas (where memories are stored) and the prefrontal area (where memories are used). The prefrontal area communicates with the hippocampus when memories are stored and when these memories are brought to mind.

31
Q

Processing of information by the hemispheres

A

The left hemisphere is more global, whereas the right hemisphere is more specific in its approach.

Left: verbal, logical, analytical, rational.
Right: nonverbal, visuospatial, intuitive, creative.

32
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33
Q

Ganglia

A

Collection of nerve cell bodies outside the CNS.

34
Q

Nerve

A

Composed of bundles of axons separated from one another by connective tissue.

35
Q

Cranial nerves

A

Overall, cranial nerves receive sensory input from and send motor outputs to the head region. The spinal nerves receive sensory input from and send motor outputs to the rest of the body. Two important exceptions are the vagus nerve X, which communicates with internal organs, and the spinal accessory nerve XI, which controls neck and back muscles.

36
Q

Reflexes

A

Automatic responses to a stimulus in the somatic system.

37
Q

Spinal reflex

A

A stimulus (e.g., sharp pin) causes sensory receptors in the skin to generate nerve signals that travel in sensory axons to the spinal cord. Interneurons integrate data from sensory neurons and then relay signals to motor neurons, causing contraction of a skeletal muscle and movement of the hand away from the pin.

38
Q

Autonomic system

A

The autonomic system is also in the PNS. The autonomic system regulates the activity of cardiac and smooth muscles, organs, and glands. The system is divided into the sympathetic and parasympathetic divisions. Activation of these two systems generally causes opposite responses. Although their functions are different, the two divisions share some features: (1) They function automatically and usually in an involuntary manner; (2) they innervate all internal organs; and (3) they use two neurons and one ganglion for each impulse. The first neuron has a cell body within the CNS and a preganglionic fiber that enters the ganglion. The second neuron has a cell body within a ganglion and a postganglionic fiber that leaves the ganglion. Reflex actions, such as those that regulate blood pressure and breathing rate, are especially important to the maintenance of homeostasis. These reflexes begin when the sensory neurons in contact with internal organs send messages to the CNS. They are completed by motor neurons within the autonomic system.

39
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