Week 5 Flashcards

1
Q

• Outline the major anatomical and functional divisions of the nervous system

A

Anatomical division
- Central nervous system-brain spinal chord
- Peripheral nervous system
○ Nerves
§ 12 pairs of crainial nerves and 31 pairs of spinal nerves
Functional divisions
- Voluntary conscious control
- Somatic nervour system
○ Speical sensense-vision, hearing, taste, smell, touch
○ Motor pathways
- Involuntary unconscious control
○ Autonomic nervous system
§ Innervation of involuntary structures to maintain homeostasis
§ Eg-cardiovascular and respiratory system
○ Enteric nerovus system
§ Involuntary nervous system of digestive tract=Controls digestion movement of contents

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2
Q

• Define the functional and structural features of a neuron.

A
  • Neuron structure
    ○ Dendrites (tree)
    § Dendritic membrane under synapce (post synaptic membrane) contain many receptor proteins to Recieve neural stimuli
    § Excitatory or inhibitory in nature
    ○ Soma/cell body
    § Houses nucleus and organelles
    § Metabolic center which processes and interprets stimulus to decided whether it will be passe done
    ○ Axon
    § Conducts nerve impulse to axon terminals so message can be relayed to effector cell-membrane around axon is different to that of cell body
    ○ Axon Hillock
    § Site of AP intitation
    ○ Myelin Coat
    § Insulates cxon and increases speed of AP conduction
    § Different cell types provide this coating in CNS and PNS
    ○ Nodes of ranvier
    § Gaps between myelin coats enables AP to jump between and propagate signal quicker
    ○ Axon terminal=specialised endings that make contact with effector cells
    § AP triggers relase of neurotransmitters at synapse
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3
Q

• Outline the functional and structural classification of neurons.

A

Multipolar= 2 or more dendrites surrounding cell body and One main axon

Motor/efferent neuron-carry info from CNS to effector 
Interneurons-integrate info within CNS

Unipolary/Psuedo unipolar= Only one axon from cell body 2 direction branches

Sensory/afferent neurons= Carry signals from periphery to CNS

Bipolar neurons=2 major processes= main dendrite and 1 main axon
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4
Q

• Discuss the structure and function of neuroglia within the central and peripheral nervous systems.

A
  • Glia=glue-protect neurons and nerovus system by noursihing and supporting cells in surround environment
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5
Q

STRUCTURE • Outline the components and significance of the blood-brain barrier.

A

○ Epithelium lining that usually lines any BV in body
○ Simple layer of squamous epithelial cells
○ No gaps between cells only cpnnected by tight junctions
§ Ensures any molecule that corsses enters through the multiple layers of BBB
○ Pericytes ensure stringent regulation of substances
○ Basement membrane enables strucutal support
Astrocytes-largest neuroglia cells have exending projections of podocytes that encaspulate BV to insure strucutral support to BBB adding to strigency of monitoring membrane

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6
Q

• Discuss the properties of the neuron that are key for neuronal communication.

A
  • Ion channels and Pumps
    ○ Facilitate entry and exit of ions (K+,Ca2+,Na+,Cl-)
    • Neurosynapses
      ○ At axon terminal enters extracellular space electrical message turns chemical○ Membrane potential looks at difference in charge electrical between intracelllular and extracellular spaces for electrical signalling and release of AP
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7
Q

• Describe the concept of membrane potential and the components of the membrane that establish the resting membrane
potential.

A

○ Membrane potential looks at the difference in charge electrical between intracellular and extracellular spaces
○ -70 milivolts is membrane ptoential for neurons at rest

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8
Q

• Describe the concept of membrane potential and the components of the membrane that establish the resting membrane
potential.

A

Plasma membrane-lipid bilayer spearates internal and extrenal cell environment controls movement of substances and is a chemical insulator and also electrical insulator as many substances moving are charged

Ion channels and Pumps- Facilitate entry and exit of ions to respond to change in chemical or electrical potential via gated channels (voltage for electric, chemical/ligand for chemical) or leakage channels or mechanical channels to control rest state

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9
Q

• Describe the subtypes of ion channels and their activity (leakage, ligand, voltage and mechanically gated).

A
- Ion channels and Pumps
		○ Facilitate entry and exit of ions
			§ Key ions look at
				□ K+
				□ Na+
				□ Ca2+
				□ Cl-
		○ Types of ion channels
			§ Gate channels
				□ Voltage gated
					® Respond to change in charge or electrical potential
				□ Chemically or ligan gated
					® Respond to change in chemical concentration or binding of a chemical
				□ Mechanically gates
					® Respond to mechanical stimulus
			§ Leakage channels
Always open OR randomly alternate between open and closed
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10
Q

Define the sequence of events of an action potential (i.e., reaching threshold, depolarisation, repolarisation, hyperpolarisation
and return to resting membrane potential).

A
  • Initiation
    ○ Stimulus reaches threshold at -55mv
    ○ At rest neuron recieves message amd membrane potential is moved to threshold
    • Depolarisation
      ○ Influx of positive ions in cell increase charge in intracellular space to +40mv
    • Repolarisation
      ○ Membrane potential goes down to -7omv exit of ions out of cell
      ○ Restore resting membrane potential
    • Hyper polarisation
      ○ Shooting past -70mv and then excess + ions added to regain -70mv
    • Resting potential
      ○ Voltage gated Na+ K+ channels closed
      ○ Na+/K+ pump maintains -70mv
      ○ High concentrentation of Na+ outside
      ○ High K+ on inside
    • Depolarisation AP
      ○ Stimulus initated Membrane potnetial change to threshold value of -55mv-action potential will occur beyond this
      ○ -55mv enables voltage gated sodium channels open
      ○ Na+ ions flow into cell from outside carrying + charge with it
      ○ Inside cell more +
      ○ Continues until membrane ptoential is +40mvAP
      ○ Explosive and fast
    • Repolarisation
      ○ Return to rest state
      ○ Volage gated Na+ channels close
      ○ Potassium K+ channels open at +40mv
      ○ K+ exit cell and iside becomes more negatively charged
      ○ Excess K+ pumped out
      ○ Some K+ re enter
      ○ Straight past deisred -70mv
      Refractory period-channels closed but sodium potassium pump re calibrating and establishing rest state
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11
Q

• Describe the structure and function of myelin and its role in saltatory conduction.

A

○ Myelinated-protein lipid complex that coats axon of neurons and acts as protector and insulator- neurons

Insulation by myelin allows AP moves through axon protected through the myelinated region to node of Ranvier which is loaded with voltage-gated ion channels to allow for eflux and influx of ions allowing fast signal

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12
Q

• Describe how EMGs can be used to examine the activation of muscle by the nervous system via surface and intramuscular
techniques.

A

○ Electromyography
§ Measures electrical activity in resting and contracting muscles
§ Forceful contraction produces increased electrical activity
§ Helps evaluate if muscle weakness or paralysis is from malfunctionn of muscle or nerves supplying muscle
○ Action potential in muscle is measured
○ Motor neurons communicate with muscle
○ Transform into AP propagated from neuromusclular junction to ends of muscle fibres
○ Involves Na+ and K+ channels
○ Activated contractile proteins to contract
○ Electrodes used in EMGS

	○ Surface emg- Electrodes on skin direclty over muscle

	○ Intramuscular emgs-Thin wires inserted into muscle
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13
Q

• Describe the structure and function of a synapse.

A

Neuronal communication occurs here

Space between neurons where signals may be released via ions or neurotrasnmitters

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14
Q

• Define the sequence of events of synaptic transmission.

A
  • Synapse propagation of one neuron to another
    ○ Action potential reaches axon terminal at pre synaptic neuron
    ○ Voltage gated Ca2+ channels open result in influx of Ca++ into axon terminals
    ○ Neurotransmitters in carrier vesicles exit axon terminals via exocytosis
    ○ Neurotransmitters diffuse across the synaptic cleft
    ○ Neurotransmitters bind to specific receptors on post synaptic neuron
    ○ Post synaptic potential stimulated
    ○ Aps in post synaptic neuron flow through
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15
Q

• Outline the role of neurotransmitters.

A

Neurotransmitters are messenger molecules that transmit messages across different neurons made in neurons they are packaged travelled down to the axon terminal of presynaptic cell

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16
Q

• Compare and contrast ionotropic and metabotropic neurotransmitters.

A
  • Ionotrpic vs Metabotropic
    § Ionotropic neurotransmission-ligand gated receptors
    □ Open close response in neurotransmitter binding
    □ Super quick and efficient
    □ Glutamate receptors NMDAr
    § Metabotropic-g protein coupled receptors
    §
    □ Take a bit longer but reliable
    □ Sense ligand binding and activates secondary messengers
    ® Activate other effector proteins-2a-enzymes, 2b-ion channels
    ® Causes signalling cascades within cell
    Impacts metabolic pathways membrane permability
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17
Q

• Categorise the major neurotransmitters by chemical type and effect.

A

○ Major neurotransmitters
§ Amino acid-fast transmission
□ Nueonrs that use them are amin acidergic-glutamate GABA
□ Glutamate (+)
® Binds NMDA receptros or AMPA receptors
® Ionotropic and metabotrpic
® Too much=excitotoxicitiy
□ GABA-Gamma aminobutyric acid(-)
® Binds GABA receptors
® Ionotropic and metabotropic
® Synaptic inhibition ighligy regulated-too much=loss of consciousness and coma too little=seizures
Some drugs enhance inhibtory activity of GABA-valium or ethanol

18
Q

• Explain the difference between graded potentials and action potentials.

A

Graded potential-graded response generated by ligan gated ions, transmitteed over short distances, can fizzle out, cann summate
AP-all or none response, generated by voltage gated ion channels, transmitted over long distances, cannot fizzle out, cannot summate

19
Q

• Name the anatomical features of the central nervous system.

A

Brain-cerebrum, brain stem, cerebellum

Spinal chord in vertebral column

20
Q

• Discuss the five main divisions of the brain and the brain lobes.

A

Forebrain
telencephalon (cerebral cortex-frontal lobe-motor and planning, parietal lobe-somatosensory, temporal lobe-language hearing, occipital lobe-vision, insular lobe-decision making)
diencephalon (thalamus-sensory and motor info, hypothalamus-internal body environment)

Midbrain-mesencephalon (visual, auditory dopamine and pain supression)
Hindbrain-metencephalon (pons-info flow and arousal, cerebellum-balance, coordination motor movement)
myelencephalon (vital functions brain stem)

21
Q

• Briefly describe the layered structure of the neocortex.

A
  • Neocortex
    ○ Cerebral cortex
    ○ Phylogenetically-relatively new recently developed
    ○ Gyri-grooves-and sulci-grooves and dips separate gyri- foldings
    ○ More SA
    ○ Higher order funtions-learning, languages,
    ○ Outermost layer of brain-cortex
    ○ Divided by longitudinal fissures into left and right
    ○ Cortical ribbon (GM-cell bodies, dendrites)
    Various tracts (WM-bundles of axons)
22
Q

• List the major fibre types of the cerebral cortex.

A
○ Commissural fibres
			§ Connect 2 cerebral hemisperes
				□ Eg corpus callosium
				□ Rostrum
				□ Genu knee bend
				□ Body
				□ Splenium
		○ Assosication fibres
			§ Connected various parts within same hemisphere
			§ Gyrus to gyrus
			§ Lobe to lobe
				□ Eg cingulum
		○ Projection fibres
			§ Connects cerebral cortex with subcortical regions
			§ Brain stem
			§ Spinal chord, Corona radiata, internal capsule
23
Q

• Explore the functional cortical areas.

A
  • Functional cortical areas
    • Cerebral cortex has evolved over years but basic structure is same
      ○ Operculum-lids of each lobe come together concela insular lobe
      ○ Frontal lobe-motor activity, planning, reasoning. Judgement
      ○ Parietal lobe-primary somatosensation
      ○ Temporal lobe-hearing, memory, language comprehension
      ○ Occipital lobe-vision
      ○ Insular lobe-hidden under cerebral hemisphere-sensorimotor, olfactor-gustatory, socio-emotional, cognition
24
Q

• Define the location and the functional and structural features of meninges.

A
  • Protective sturcutre of CNS
    • Skeleton-skull and veterbral column
    • Spinal covering
      ○ Dura mater
      § Toughest layer
      § Loose covering of brain
      § 2 layers
      □ Periosteal layer-closest to bone
      □ Meningeal-atop arachnoid mater
      ○ Arachnoid mater
      § Filament projections
      § Spider web like
      § CSF reabsorption site
      ○ Subarachnoid space allows for flow and circulation of CSF
      ○ Pia mater
      § Most delicate layer covering brain
      § Adheres to surface of brain
25
Q

FUNCTIONS • Explain the functions, production, and circulation of cerebrospinal fluid (CSF) through the ventricles.

A
○ Clear colourless fluid
		○ Surrounds brain and spinal chrod
		○ Mechanical protection
			§ Bouyancy
			§ Shock absorber/liquird cushioning
		○ Nourishment
			§ O2
			§ Glucose…
		○ Regulation
			§ Exchange of nutrients
			§ Removal of wasters
			§ Communication
26
Q

PRODUCTION • Explain the functions, production, and circulation of cerebrospinal fluid (CSF) through the ventricles.

A

Filtration of blood flowing through capillaries-plasma exits it and enters interstitial fluid in nervous tissue and this is filtered through ependymal cells forming CSF
○ Filtration is essential to ensure right concentration of ions and water to be same of CNS which is different to that of blood
CSF nourish and replenish nutrients in cells in these spaces and remove waste and bring it back to the systemic circulation

27
Q

CIRCULATION • Explain the functions, production, and circulation of cerebrospinal fluid (CSF) through the ventricles.

A

At chorid plexus filters blood and moves CSF into ventricular space now in ventricular circulation-travels to 3rd ventricle-moves accumulate to 4th ventricle via cerebral aqueduct-CSF travel down to the central canal to spinal cord or also go to subarachnoid spaces-leave via arachnoid granulations and enter subdural space and travel back into the systemic circulation and enter be filtered

28
Q

• Briefly discuss brain metabolism.

A
  • Brain receives nearly 20% of Cardiac Output and O2
    • Cells in the brain cannot use other sources of energy and need glucose to generate ATP and thus need a blood supply
  • loss of blood O2 to brain for 1 min-loss consciousness, 5 min-neuronal death irreversible damage
29
Q

• Briefly explore the clinical significance of blood-supply impairments.

A

capsule
- Impairments of Blood supply
□ Arterial blood flow essential to maintain cerebal function
□ Any interuption can lead to infarction or neurological dysfunction
□ Pathologies include:
□ Ischaemic stroke (block)
- Atherosclerosis
- Embolism-part of bloot clot and travel down to where its no longer small enough to squeeze through
□ Haemorrhagic stroke (burst)
- Anursyms
- Weakening of cebral arterioles due to hypertension-> intracerebral haemorrhage
- 1 person every 10 s affected by stroke
- Patient presentinf with motor or somatosensory distubances
□ Identify affect BV
□ Often assessed to determine functional brain regions affected
□ Allows clinican to identify BV affected being occluded or burst
- MCA stroke
□ Paralyss weakness of contralateral face and arm
□ Sensory loss of contralateral face and arm
□ Left MCA-damage to dominant hemisphere (usually left hemisphere) results in aphasia in broca or wernicke
□ Right MCA-damage to non dominant hemisphes (usually right hemisphere) results in contralateral neglect syndrom (hemineglect)
Face Arm Speech Time-identify stroke

30
Q

• Describe the basic structures that make up the limbic system and function

A

○ Olfaction-olfactory cortex
§ Primary olfaction cortex located base of medial temperoal lobe of brain
§ Sends info to
□ orbitofrontal olfactory area-smell discrimination, hippocampal formation, amygdala
§ Goes from cortex to limbic system
○ Memory-hippocampal formation
§ Parahippocampal gyrus located in ventromedial temporal lobe
§ Hippocampus helps in early stages of retrieval and conversion of short temr to long term memory
§ Type of memory hippocampus resposible for is explicit memory that has conscious recall
□ Semantic memory-facts and general knowledge
□ Episodic memory-personal experiences and events
§ Papez curcuit-explicit memory processing and consilodation discovered in 1920s by Papez
§ As info travels across papez circuit it helps consolidate explicit memory
○ Emotion-amygdala
§ Amygdala located in pole of tempeoral lobe within rostal gyrus
§ Has separate nucleii with separate functions
§ Recieves multimodal sensory input visuary, auditory-all neutral and tags it if - or +
§ All is subconscious until info reaches cortex
§ Monitors sensory input and alerts if reaction called for
§ 2 routes
□ Faste route no conscious awareness-direct to amygdala
□ Slower route to cortex-consicous awareness
® Greatwr analysis of info
® Maintain fear state or decrease it
○ Homeostasis-hypothalamus
§ Part of diencephelon located anterior and inferior to thalamus
§ Hypothalamis regulaltes this control by modulating endocrine system via pituitary gland and the ANS via brain stem
5 basisc physiological needs-controls BP, electrolyte palanse, regulates body temp, regulates energy metabolis through unfluence on feedinfg digestion and metabolic rate, regaultes reproduction through hormonal control of mating, preganancy and lactation, directs response to stress

31
Q

• Discuss the basic structure and function of the brainstem.

A
  • Connects spinal chord cerebellum and extending forebrain
    • Rostrally-continuous with diencephelo
    • Caudally-blends with spinal chord and 1st cervial segment
    • Horzontal divisions
      ○ Mid brain
      ○ Pons
      ○ Medulla oblongata
    • Longitudinal divisions
      ○ Tectum-roof-most prominent with mid brain separated with CSF with others
      ○ Tegmentum-covering the neural tube
      ○ Basal portion-comprises key white matter tracts and axons
    • Key functions
      ○ Produce neuortransmitters not produced anywhere else-noradrenalain seortonin dopamine
      ○ Modulates motor and sensory pathways
      ○ Arousal and consciousness
      ○ Regulate sleep-wake cycles
      Cardiovascular and respiratory control
32
Q

• Discuss the structure and function of the cerebellum

A
  • Cerebellum consists of 3 heimspheres connected by midiline called the vermis-not like corpus callosusm-IT HAS WHITA AND GREY MATTER
    • Surface gyri called folia and separated by fissures
    • Grey matter is known as cerebellar cortex and the embedded white matter are the arbor vitae
    • There are 4 deep grey matter nuclei
    • Each hemisphere has an anterior and posterior lobe separated by primary fissure
    • Posterolateral fissure sepates floccunodular node which lies anteriro and infeiror to cerebellar hemisphere
    • Horizontal fissure separates posterior lobe into a suprior and inferior portion-doesn’t have functional signifcance
    • Cerebellum connects to posterior brainstem by 3 bundles of nerve fibres
    • 1-suprior midbrain-efferent
    • 2-middle-pons-afferent
    • Inferior-medulla-afferent

○ Vestibulocerebellum-corresponds with flocculondular lobes=balance, eye control
§ Connections with vestibular and reticular nuclei
○ Spinocerebellum corresponds most close with vermis and paravermis=muscle tone skilled movement
§ Connections with spinal cord and proprioception-where body is in space
○ Cerebrocerebellum-corresponds most clossely with lateral zones of the hemispheres=plan and initiate motor movement
Reciprocal connections with cerebral cortex that plan motor movement

33
Q

SCHWANN Discuss the structure and function of neuroglia within the central and peripheral nervous systems.

A
- Schwann cells
		○ Produce myelin 
		○ Axonal insulation
		○ Conduction of signals
		○ Regneration of repair of nerves
		○ Sticks with single axon with signle neuron
34
Q

SATELITE Discuss the structure and function of neuroglia within the central and peripheral nervous systems.

A
- Satelite cells PNS
		○ Astrocyte like
		○ Cover nerve cell bodies
		○ Support and protect nerves
		○ Control extracellular environment
35
Q

ASTROCYTE Discuss the structure and function of neuroglia within the central and peripheral nervous systems.

A


- Astrocytes
○ Star shaped
○ Provide structural and chemical support and protection for neurons
○ Multiple processes regulate concentration of ions, nutrients dissolved gasses in interstitial fluid in NS
○ Comprise blood brain barrier
○ Absorb and recycle neurtransmitters
○ Form glial scars when neurons are dammaged they don’t regenerate but if damage occurs astrocytes form glial scars that kinda fix it not regnerate

36
Q

MICROGLIAL Discuss the structure and function of neuroglia within the central and peripheral nervous systems.

A
- Microglial cells
		○ Defense cells
		○ Phagocytes-moving scavengers
		○ Macrophages of cns
		○ Multple extending processes
		○ Involved in inflammation
37
Q

EPNDYMA Discuss the structure and function of neuroglia within the central and peripheral nervous systems.

A
- Ependyma cells
		○ Make cerebrospinal fluid
		○ Line empty spaces/ventricles of braina nd snial chord
		○ Form epnedyma
		○ Epithelial like cells
		○ Involved in CSF circulation
38
Q

OLIGODENDROCYTE Discuss the structure and function of neuroglia within the central and peripheral nervous systems.

A
  • Oligodendrocyte
    ○ Myeline producing cells
    § Insulation
    ○ Wrap processes arounf axons of neurons
    ○ Each process myelinates one axonal segment
    ○ Insure that messaging in neuronal communication happens accordingly
    ○ Single oligodendrocytes can contain up to 15 processes
39
Q

FUNCTION • Outline the components and significance of the blood-brain barrier

A
  • Control of CNS homeostasis by being selectivley permeable membrane and regulates transport of substances
    • Mediates communication through monitoring concentration of specific molecules within CNS and between CNS and body
      Protector of CNS
40
Q

• Discuss blood supply to the brain and spinal cord.

A

Posterior cerebral arteries= Terminal branches of basilar artery=supply medial and inferior surface of temporal, occipital lobes and posterior thalamus
Superior cerebellar ateries=Supplies mid brain superior parts of cerebellum
Pontine arteries= supplies pons
Anterior inferior cerebellar ateries=Supplies inferolateral pons, the anterolateral surface of the cerebellum

Circle of willis at base of brain joins anterior and posterior circulation
◊ Comprised of posterior cerbral arteries
◊ Posterior communicating arteries
◊ Internal carotid arteries
◊ Anterior cerebral arteries
Anterior communicating artery
Internal carotid artery branchs to:
Anterior cerebral artery directly from internal carotid and MCA considered natural extension of ICA supplies most of cortex on superior and anterior medial surface of brain from frontal to antior pairtal lobes-extend rostrally curves upwards and backwards aroudn corpus callosum

Middle cerebral artery MCA-biggest branch of ICA and runs between temporal and frontal lobes it supplies blood to 80% of the brain including temporal anterolateral and parietal lobes including primary motor, sensory areas of face through hand arm and in dominant hemispharer the areas of speech

Opthalmic artery
Anterior chroidal artery
Posterior communicating artery
Superior hypophyseal artery