Seizures try again Flashcards

1
Q

What NT do NMDA receptors respond to

A

Glutamate
Glycine

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2
Q

Mg2+ must be dislodged before what channel can open

A

NMDA receptor

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3
Q

an open NMDA channel results in influx of what

A

Na+
Ca2+

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4
Q

an open NMDA channel results in efflux of what

A

K+

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5
Q

activation of NMDA receptor leads to depolarization or hyperpolarization

A

depolarization

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6
Q

Activation of AMPA receptor leads to influx of

A

Na+

variable Ca2+

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7
Q

activation of AMPA receptor leads to efflux of

A

K+

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8
Q

post synaptic kainate receptor leads to excitation or inhibition

A

excitation

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9
Q

pre synaptic kainate receptor leads to excitation or inhibition

A

inhibition

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10
Q

is GABA-A a postsynaptic receptor or presynaptic receptor

A

postsynaptic receptor

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11
Q

binding of GABA-A leads to influx of

A

Cl-

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12
Q

GABA-A has IPSP —

A

-70 mV

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13
Q

What med binds to GABA-A receptor

A

BZD

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14
Q

what type of receptor is GABA-B

A

metabotropic receptor

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15
Q

activation of presynaptic GABA-B receptor leads to

A

decreased Ca2+ influx

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16
Q

activation of postsynaptic GABA-B receptor leads to

A

increased K+ efflux

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17
Q

GABA-B has IPSP —

A

-100 mV

18
Q

between GABA-A and GABA-B which has more hyperpolarization

A

GABA-B

19
Q

a stimulus causes what type of change to a sodium channel

A

conformational change

20
Q

what is the fast response in voltage gated channels

A

sodium influx

21
Q

sodium influx leads to

A

depolarization

22
Q

K+ efflux leads to

A

hyperpolarization

23
Q

most pharmacotherapy for seizure is directed at regulating the

A

voltage gated ion channels

24
Q

prolong the inactivation phase of Na+ channels

A

Na+ channel blockers

25
Q

prolong the efflux of potassium

A

K+ channel activators

26
Q

in seizure we have too much of what NT

A

glutamate

27
Q

in seizures we have too little of what NT

A

GABA

28
Q

what electrolyte disturbances can cause seizures

A

hypocalcemia
hypomagnesemia
hyponatremia

29
Q

in early phases of status epilepticus, you are able to maintain what type of metabolism

A

aerobic metabolism

30
Q

what causes hypoglycemia in status epilepticus

A

insulin secretion > available glucose stores

31
Q

is the sympathetic system or parasympathetic system activated in status epilepticus

A

parasympathetic

32
Q

what type of stroke has a high risk of seizure

A

multi-infarct

33
Q

patients who develop seizure two weeks post stroke are more likely to develop epilepsy due to

A

glial scarring

34
Q

where is the reticular activating system located

A

brainstem

35
Q

what maintains consciousness, alertness, and arousal

A

reticular activating system

36
Q

what type of connections to the autonomic NS help control breathing and heart rate in reticular activating system

A

efferent

37
Q

what is the worst GCS score

A

3

38
Q

what is the best GCS score

A

15

39
Q

GCS tests for

A

best eye response
best verbal response
best motor response

40
Q

13 or higher GCS score

A

mild brain injury

41
Q

9-12 GCS score

A

moderate brain injury

42
Q

8 or less GCS score

A

severe brain injury