Somatic sensation and ascending pathways Flashcards

1
Q

What is a sensory modality? Give general somatic sensory examples

A
How a stimulus is perceived
temperature
pain
pressure/crude touch
vibration 
fine touch
proprioception
2 point discrimination
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2
Q

What determines the sensory modality

A

The type of receptor

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3
Q

What modality is wetness?

A

It is a combination of modalities (e.g. temp and fine touch)

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4
Q

Briefly describe the route of a primary sensory neurone

A

Cell body is found in the dorsal route ganglion

Crosses from PNS to CNS

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5
Q

Briefly describe the route of a secondary sensory neurone

A
Cell body is found in the spinal cord (sometimes brainstem)
Crosses midline (decussates)
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6
Q

Briefly describe the route of a tertiary sensory neurone

A

Cell body is found in the thalamus

Projects to the primary sensory cortex

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7
Q

Briefly describe the types of primary neurones

A

Rapidly adapting- signal degenerates over time
e.g. mechanoreceptors in the skin
Slow adapting- signal frequency doesn’t decay
e.g. nociceptors (pain transmission)

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8
Q

What is a receptive field

A

The area of skin that a sensory neurone collects information from

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9
Q

What is the relationship between acuity and the receptive field?

A

Inversely proportional

Smaller receptive field= greater acuity

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10
Q

What is the clinical significance of receptive fields overlapping?

A

Determine dermatomal sensation in the middle of the dermatome, where it is less likely there will be any overlap

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11
Q

Briefly describe two benefits of the orderly and parallel way in which the corresponding CNS is organised

A

Requires minimum amount of ‘building material’ e.g. axons, myelin, neurones
Converts information from dermatomes into the homunculus

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12
Q

What system is the modality of pain relayed to the cortex by?

A

Spinothalamic (anterolateral) system

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13
Q

What system is the modality of crude touch relayed to the cortex by?

A

Spinothalamic (anterolateral) system

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14
Q

What system is the modality of temperature relayed to the cortex by?

A

Spinothalamic (anterolateral) system

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15
Q

What system is the modality of fine touch relayed to the cortex by?

A

Dorsal column system

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16
Q

What system is the modality of 2 point discrimination relayed to the cortex by?

A

Dorsal column system

17
Q

What system is the modality of vibration relayed to the cortex by?

A

Dorsal column system

18
Q

Briefly describe the medial lemniscus

A

Connects the gracile and cuneate nucleus with the thalamus

19
Q

What is the cervical nucleus in the dorsal column called?

A

Cuneate nucleus

20
Q

What is the lumbar nucleus in the dorsal column called?

A

Gracile nucleus

21
Q

How are neurones added on as they travel up the dorsal column? How is this drawn topographically?

A

Neurones are added laterally
Lumbar is most medial, and cervical is most lateral
(Check cross sectional diagram with notes)

22
Q

How are neurones added on as they travel up the spinothalamic tract? How is this drawn topographically?

A

Neurones are added medially
Lumbar is the most lateral, and cervical is the most medial
(Check cross sectional diagram with notes)

23
Q

Briefly describe where the primary and secondary sensory neurones synapse in the spinothalamic system

A

In the spinal cord, near the same level the primary neurone entered the spinal cord

24
Q

What is the spinothalamic tract?

A

The tract connecting the spinal cord to the thalamus

25
Q

Briefly describe why you rub an area of pain

A

Stimulates mechanoreceptors
Stimulates A-Beta fibres
Stimulates inter neurone
Inhibits secondary sensory neurones

26
Q

Briefly describe what happens during hypnosis to reduce pain

A

Stimulates excitatory cortical neurone
Acts on periaqueductal grey in midbrain
This then synapses at the nucleus raphe magnus
This then stimulates inhibitory interneurones

27
Q

Briefly describe how proprioception works

A

Muscle spindles report muscle length

There are also receptors in joints

28
Q

Briefly describe lissauer’s tract

A

It allows first order sensory neurones of the spinothalamic tract to ascend or descend before decussating