unit 2 review - somatosensory Flashcards

1
Q

what are the 3 divisions of the somatosensory syatem?

A

exteroreception
enteroreception
proprioception

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2
Q

what does extero reception include?

A

nociception
thermoreception
mechanoreception

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3
Q

what are the 4 types of mechanorecpetors on the skin?

A

meisseners
merkels
pacinian
ruffini

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4
Q

name to receptive field size and adaptation kind?
of the 4 mechanoreceptors

A

meisseners
- small, rapid
merkels
- small, slow
pacinian
- large, rapid
ruffini
- large, slow

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5
Q

what does rapid adaptation mean?

A

fires AP when stimulus is first placed and when stimulus is first removed

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6
Q

what frequency is each corpsucle best for ?

A

pacinian=high
merissners=low

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7
Q

describe mechanoreceptive channels?

A

all have unmyleinated axon terminals
- membranes of the axons convert mechanical force into a change of ionic current

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8
Q

what do primary afferent axons do?
where are the cell bodies of these axons located?

A

bring information from sensory receptors into the CNS (spinal cord)
- cell bodies are located in the dorsal root ganglia

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9
Q

what are the 4 types of axons?

A

Aalpha, Abeta, Adelta, C

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10
Q

what do the 4 types of axons correlate with? mylein wise

A

Aalpha, Abeta, Adelta, C
most myleinated to least mylenated

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11
Q

Aalpha info?

A

proprioceptors of the skeletal muscle

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12
Q

Abeta info?

A

mechanoreceptors of the skin

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13
Q

Adelta info?

A

pain and temperature

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14
Q

C info?

A

temperature, pain anf itch

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15
Q

what axon types go through the DCML?

A

Aalpha, Abeta

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16
Q

what type of information does the DCML carry?

A

epicritic
- touch and vibration (no pain or temperature)

17
Q

describe the pathway of the DCML?

A

1) first order sensory afferents enter spinal cord through dorsal horn (grey matter)
3) travel up spinal cord through (white matter)
4) projects to S1

18
Q

where is the DCML first synapse?

A

dorsal column nuclei

19
Q

where does the DCML decussate?

A

medial lemniscus in medulla
- high

20
Q

where is the DCML second synapse?

A

ventral posterior lateral nucleus

21
Q

what is not part of the DCML?

A

face

22
Q

what happens when you lesion above the medulla?
below?

A

above=loss of contralateral touch
below=loss of ipsilateral touch

23
Q

where is S1 located?
where do those inputs usually go?

A

parietal lobe
- layer IV/4

24
Q

layer IV of S1 has two components?
name and describe them

A

area 1 = texture
area 2 = size and shape

25
Q

what are areas 5 and 7 concerned with?

A

intergration of the senses
- movement planning, attentiveness

26
Q

damage to 5 and 7
what is agnosia?

A

inability to recognize objects

27
Q

neglect syndrome?

A

happens contralaterally,
- will neglect everything on a side of body

28
Q

describe the meilenation of noiceceptors?

A

unmylenated

29
Q

what are the axons associated with slow vs. past pain?

A

slow = C axons
fast = Adelta axons

30
Q

what information does the spinothalmatic pathway carry?

A

protopathic component
- pain, temp, itch

31
Q

what fibers go through the spinothalamatic pathway?

A

Adelta and Ac

32
Q

describe the spinothalamatic pathway?

A

1) axons from dorsal root ganglia enter dorsal horn
2) ascends up the spinal cord to the S1

33
Q

where does the spinothalamatic pathway first synapse?

A

in the substantia gelatinosa

34
Q

where does spinothalamatic pathway dessucate?

A

immediatley in the spinal cord
- very low

35
Q

where does spinothalamatic pathway synapse for the second time?

A

contralateral thalamus
- intralaminar VP nuclei

36
Q

what are the 4 sections of the spinal cord?

A

cervical: neck and arms
thoracic: torso
lumbar: legs
sacral

37
Q

describe is primary vs. secondary hyperglesia

A

primary=at site of damage
secondary=around site of damage

38
Q

what does substance P do?

A

increases inflammation
- relates to secondary anaglesia

39
Q

what is the descending pain control pathway?

A

1) periaquaductal grey signals raphe nuclei
2) affects noiceceptive inputs in the dorsal horn of the spinal cord
pathway can be activated by emotional factors or opioids