ses 4 Flashcards

1
Q

what is the location of cell bodies of lower motor neurons

A

lamina IX

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2
Q

Where are the gamma neurons found and what is their function

A

in the spinal cord and they increase sensitivity of stretch reflexes

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3
Q

define motor unit

A

A lower motor neuron and all the muscle fibres it supplies

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4
Q

define reflex

A

Involuntary, unlearned, reputable, automatic reaction to specific stimuli that does not require involvement of the brain

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5
Q

How is the length of the muscle detected

A

muscle fibres (intrafusal) are located in the middle of the muscle and sense changes in length firing with stretch

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6
Q

what is the reflex arc

A

neural path\y involved in reflex; receptor=>afferent fibre=>integration centre=>efferent fibre=> effector

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7
Q

Define stretch reflex

A

hardwired connection between LMN and afferents of muscle-length senses organs

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8
Q

what does myosynaptic/ myotatic reflex refers to

A

single synapse involved with single jerk, descending inhibition of multi synaptic reflexes

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9
Q

where is the information sent with eliciting of a reflex

A

brain via dorsal column, cerebellum via spino-cerebellar tract, spinal motor neuron

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10
Q

what stimulates hyperreflexia

A

sleep, alcohol consumption

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11
Q

what stimulates hyporeflexia

A

inhibition from descending pathways

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12
Q

What reflexes can be elicited in upper limb and what nerve roots do they test

A

biceps and brachioradial =>C5/6; triceps => C6/7

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13
Q

What reflexes can be elicited in lower limb and what nerve roots do they test

A

Quadriceps reflex =>L3/4 and Achilles S1/2

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14
Q

What is the flexor reflex

A

It is a complex set of reflexes mediated in response to a noxious stimulus that allows coordinated response, polysynaptic

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15
Q

What is the muscle tone like in development

A

low in-utero, absent in new born

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16
Q

Name some extrapyramidal signs

A

pill rolling trauma, choreiform movements, Parkinsonian gait, loss of facial expression, cog-wheel rigidity, intention trauma, Dysdiadochokinesis

17
Q

what is Dystonia

A

sustained muscle contractions cause twisting and repetitive movements or abnormal postures

18
Q

what is the cause for extrapyramidal signs

A

Damage to basal ganglion

19
Q

what are the causes of pyramidal signs

A

upper motor lesions

20
Q

what are the signs of +ve Babinski sign

A

dorsiflexion of hallux and funning out of the toes

21
Q

what does the Romberg’s tests tests

A

positive => loss of balance especially with closed eyes

22
Q

what are the common signs of LMN lesions

A

fasciculation, hyporeflexia, atrophy, reduced power, sensory loss

23
Q

what are the common signs of UMN lesions

A

hyperreflexia, weakness, reduced atrophy, pronator draft, +ve Babinski and Romberg’s tests deficit in half’s/quarters

24
Q

What portion of the nerve can be affected and what is the prognosis for each

A

cell body => irreversible ; axon=> some potential to re-grow

25
Q

When does tonic synaptic inhibition of alpha-motor neurons occurs and why is it important

A

REM sleep avoids extraocular and respiratory muscles. Stop acting out of the dreams

26
Q

what is the role of gamma neurons

A

modulation of alpha fibres=> activation increases tone

27
Q

name a drug that can induce Parkinsonism

A

Haloperidol, CO poisoning

28
Q

what is cerebellar ataxia

A

problem with movement execution

29
Q

What are the pyramidal signs

A

extensor planter reflex, hyperreflexia, clasp-knife rigidity

30
Q

what causes outflow incontinence

A

Automatic bladder=> lesion of S2-4 => nocks out pudendal and parasympathetic supply to the bladder

31
Q

What is automatic reflex bladder

A

spinal cord damage above sacral region leading to reflex voiding (hyper-reflexia)

32
Q

What is a result of spinal cord damage above T10 on the bladder

A

all of the innervation lost => constant dripping of urine

33
Q

what is a Hemiparetic gait

A

pyramidal damage => rigidity associated walk with leg extended and circumducted