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barry 2013
patho 1 test 2 (neuro)
81
Other
Graduate
03/12/2011

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Term
T/F. neurons are dependent on anaeronic metobolism.
Definition
FALSE. they are very dependent on aerobic metablism and glucose
Term
after ______ of no blood flow to brain we become unconscious. After ________ irreversible damage or death occurs.
Definition
20 seconds; 4-5 minutes
Term
What things cause vasodilation and subsequent increase in cerebral blood flow?
Definition
Acidosis/hydrogen ion concentration (most), hypercapnia, and hypoxia
Term
What areas of the brain are most sensitive to hypoxia?
Definition
hippocampus and cerebellum
Term
A) how much blood flow does the cerebrum require?

B)How much will be in the brain at any given time?
Definition
A) 750 mL/min.

B)100-150 mL
Term
A) What vessel(s) supply the anterior portion of the brain?

B) What vessels supply the posterior?
Definition
A) left and right internal carotid arteries (250 mL each)

B) Basilar artery (250 mL)
Term
what lobes make up the anterior and posterior portions of the brain?
Definition
Anterior= frontal, parietal, temporal

Posterior= occipital and cerebellum
Term
A) how much blood does the average brain receive per 100 grams of brain tissue?

B)The intracranial circulating pool turn overy _____ times per minute
Definition
A) ~55 mL/min

B)5-7 (100-150 mL x 5-7 = ~750 mL/min)
Term
What is the reason people don't typically survive a massive cerebral infarction?
Definition
they involve the cortex and brain stem which harbor most of the regulatory functions
Term
What makes up the CNS and PNS?
Definition
CNS= brain and spinal cord
PNS= ALL nerves (cranial and spinal)
Term
What are the functions of the CNS and PNS?
Definition
CNS= controls everything

PNS= conducts impulses from receptors to CNS and from CNS to effectors
Term
T/F. nerve impulses can only travel in ONE direction
Definition
TRUE
Term
Brain receives ___% of CO and consumes ____% of total oxygen
Definition
15; 20
Term
Brain receives ___% of CO and consumes ____% of total oxygen
Definition
15; 20
Term
A) cerebral blood flow of less than ____ mL/100g brain tissue/min will result in ischemia

B) cerebral blood flow of less than ____ mL/100g brain tissue/min will result in infarction

C) cerebral blood flow of less than ____ mL/100g brain tissue/min will result in massive infarction
Definition
A) 30-35
B) 20
C) 15
Term
What is the basic functional unit of the nervous system?

What can neurons do that no other cell in the body can do (with the exception of autorhythmic cells in the heart)?
Definition
neuron

generate an action potential
Term
do neurons contain centrioles?
Definition
no because they do not undergo mitosis and reproduce
Term
true or false. impulses CANNOT come from the axon to the body (soma) of the neuron within the same neuron.
Definition
TRUE. they can if it is going from axon of one neuron to body of another neuron (axosomatic synapse)
Term
in myelinated neurons there are segments of interruption in the sheath known as _________. What is their function
Definition
nodes of Ranvier. important in case an axon wants to synapse with another axon (axoaxonic synapse)
Term
what causes release of neurotransmitters?
Definition
binding of calcium to synaptic vesicle
Term
What are the types of glial cells (neuroglia) and what is their function?
Definition
CNS
1. Astrocytes- maintain blood-brain barrier, absorb and recycle neurotransmitters
2. oligodendrocytes- myelinate axons of the CNS, provide structural framework
3. microglia- remove cell debris, wastes, and pathogens via phagocytosis
4. ependymal cells- line ventricles in brain and central canal of spinal cord and assist in producing, circulating and monitoring CSF
PNS
1. satellite cells- surround neuron cell bodies in ganglia
2. schwann celss- surround all axons in PNS. myelination of axons in PNS
Term
T/F. since we dont have lymphatic tissues in the CNS, the glial cells act as lymphatic system of CNS
Definition
TRUE
Term
T/F. brain tumors are the result of an increase in reproduction of neurons.
Definition
False. Neurons dont reproduce. brain tumors originate from glial cells
Term
T/F. All tumors of the brain are considered malignant
Definition
True
Term
In the brain we dont have veins we have __________.
Definition
sinuses
Term
What are the parts of the telencephalon?

What are the parts of the diencephalon?
Definition
Telencephalon- cerebral cortex and basal ganglia/nuclei

Diencephalon- anything with the word thalamus in it (thalamus, hypothalamus, subthalamus, epithalamus)
Term
what is the mesencephalon and myelencephalon and metencephalon?
Definition
mesencephalon- midbrain/brain stem

myelencephalon- medulla oblongata

metencephalon- pons and cerebellum
Term
where is the pneumotaxic center located?

Where is the apneustic center and center where most resp functions located?
Definition
in the Pons

in the medulla oblongata
Term
Where is the action potential/nerve impulse started?
Definition
right at the beginning of the axon where it meets the soma
Term
what are the lobes of the brain and their general functions?
Definition
2 frontal- motor (also aggression)
2 parietal- sensory
2 temporal- integration and special sensory functions (hearing, taste)
2 occipital- vision
Term
what are the lobes of the brain and their general functions?
Definition
2 frontal- motor
2 parietal- sensory
2 temporal- integration and special sensory functions (hearing, taste)
2 occipital- vision
Term
A) what separates the two hemispheres of the brain?
B) what separates the frontal lobes
from parietal?
C) what separates parietal from occipital?
D) what separates frontal and parietal from temporal?
Definition
A) longitudinal fissure
B) central sulcus/fissure
C) parieto-occipital sulcus
D) lateral sulcus (sylvian fissure)
Term
_________ is the primary somatosensory cortex.

_________ is the primary motor cortex
Definition
Post central gyrus

Precentral gyrus
Term
_________ is the primary visual cortex
Definition
calcarine sulcus
Term
T/F. Any time a nerve impulse has to change direction (e.g. vertical to horizontal)it MUST cross a synapse.
Definition
TRUE
Term
What structures comprise the basal ganglia/nuclei?
Definition
lentiform nucleus and caudate nucleus (he also said these make up the corpus striatum)
Term
what structures comprise the lentiform nucleus?
Definition
putamen and globus pallidus
Term
A) _______ fibers connect areas within the same lobe (sometimes different lobes, but always the same hemisphere)

B) ______ fibers connect areas within different hemispheres

C) _______ fibers are used to communicate upper and lower structures with each other
Definition
A) Association

B) Commisural (such as corpus collosum)

C)projection
Term
What are the structures and functions of the limbic system?>
Definition
amygdala- aggression, jealousy, fear
cingulate gyrus- autonomic functions regulating HR and BP
Fornicate gyrus- region encompassing the cingulate, hippocampus, and parahippocampal gyri
hippocampus- long term memories
hypothalamus- regulates ANS via hormones
mamillary body- important for memory
nucleus accumbens- reward, pleasure, and addiction
orbitofrontal cortex- decision making
parahippocampal gyrus- spatial memory
Term
what sense has a very close connection with the limbic system?
Definition
smell
Term
A) where is CSF produced?

B) describe the flow of CSF starting in the choroid plexus of the lateral ventricles
Definition
A) choroid plexus of lateral ventricles

B) from lateral ventricle, thru interventricular foramen (MONRO's foramen), to the third ventricle, thru the cerebral aqueduct (sylvian aqeuduct), to the fourth ventricle and down to the spinal cord by way of spinal canal (central canal) and will cross to the subarachnoid space. It then returns to the convexity of the cranium where it is reabsorbed by villi
Term
What is the difference b/w communicating and non-communicating hydrocephalus?
Definition
hydrocephalus can happen from occlusion of Monro's foramen or sylvian aqeuduct in which the CSF cannot communicate from ventricles to subarachnoid space (NON-COMMUNICATING)

Or, if problem occurs with production or reabsorption after it gets to spinal cord it is a COMMUNICATING HYDROCEPHALUS
Term
Describe the blood flow to the brain.
Definition
Term
What vessels comprise the anterior circulation and account for ~80-85% of blood flow to brain?
Definition
L and R internal carotid arteries, L and R anterior cerebral arteries, and the anterior communicating artery
Term
What vessel(s) supply the brainstem, cerebellum, and mesencephalon (midbrain)?
Definition
The basilar artery (only one) which is a branch of the R and L vertebral arteries
Term
A) what artery is used if you need to shunt blood from right hemisphere to left hemisphere and vice versa?

B) what artery is used to shunt blood from anterior and posterior circulation and vice versa?
Definition
A) Anterior communicating artery

B) Posterior cerebral arteries (R and L)
Term
What arteries comprise the circle of willis?
Definition
the anterior, middle, and posterior cerebral arteries (bilaterally), right and left posterior communicating arteries, and the anterior communicating artery
Term
Most strokes happen in a territory supplied by what artery? Why?
Definition
Middle cerebral artery, because it branches into the lenticulostriate artery which supplies the internal capsule.
Term
what fibers are surgically cut to alleviate seizure activity in severe epileptics?
Definition
commissural fibers (corpus collosum)
Term
A) where is dopamine produced?

B)What neurotransmitters are involved with Parkinson's
Definition
A) Substantia Nigra

B) a decreased production of dopamine and a normal production of acetylcholine
Term
A) what are the two types of corticospinal tracts?

B)the lateral corticospinal tract is also known as what?
Definition
A)lateral corticospinal and anterior (ventral) corticospinal

B)pyramidal tract
Term
T/F. The corticospinal tracts cross at the medulla.
Definition
FALSE. Only the lateral one does. The anterior does not, it crosses at the level of the spinal cord segment.
Term
What are upper and lower motor neurons?
Definition
upper motor neuron originates the fiber in the cortex and sends impulse to spinal cord, lower motor neuron receives the impulse after the synapse and sends it to the motor effector
Term
A)what is the final destination for somatic sensory pathways?

B)why is it called spinothalamic tract instead of spinocortical tract if the post central gyrus is the final destination?
Definition
A)post central gyrus

B)because the tract ends in the thalamus and the thalamus sends the final impulse to the post central gyrus of the cortex
Term
How many types of stimuli can a sensory receptor detect?

T/F. sensory receptors are transducers
Definition
ONLY ONE. e.g. a receptor for pain won't be stimulated by ANY OTHER stimuli

TRUE
Term
A) sensory receptors are usually somewhere on the surface of our body and they detect stimuli. Where is the FIRST sensory neuron?

B)T/F. all sensory (somatic) spinal fibers MUST go to a ganglion before getting to the spinal cord
Definition
A) Dorsal root ganglion also called pre-ganglion. NOT in the spinal cord.

B)TRUE
Term
explain the dorsal column medial lemniscus pathway
Definition
It is a sensory pathway for deep pressure, vibration, and tactile info.

The first sensory neuron is in the dorsal root ganglia and the axon (from the fasciculus gracilis and fasciculus cuneatus) goes up ipsilaterally (terminate at the gracile and cuneate nuclei in medulla) and synapses with the second neuron in the medulla oblongata. The axon of this second neuron crosses to the other side of the medulla (now it is the "medial lemniscus"). Goes up this side and synapses with the third neuron in the thalamus. From the thalamus it goes to to the post central gyrus
Term
explain the anterior and lateral corticospinal tract pathway.
Definition
transmits sensory information from pain, temperature, and superficial pressure.

first sensory neuron in dorsal root ganglia. The axon enters the spinal cord and immediately crosses (for test purposes) to the other side of the spinal cord and synapses with the second sensory neuron in the spinal cord. It goes up the same side and synapses at the thalamus. From here it reaches its destination in the post central gyrus.
Term
Olfactory Nerve
Definition
Cranial nerve I
Sensory;
carries impulses for Smell
Term
optic nerve
Definition
Cranial nerve II
Sensory;
carries impulses for vision
Term
oculomotor nerve
Definition
CN III
Motor;
innervates extrinsic muscles of the eye EXCEPT the superior oblique and lateral rectus muscles of the eye
Term
trochlear nerve
Definition
CN IV. Also called the pathetic nerve. It is motor;
innervates the superior oblique muscle of the eye to look down
Term
trigeminal
Definition
CN V
Both sensory and motor;
innervates all sensory impulses from face (sensory) and contains motor fibers for chewing (motor)
Term
abducens
Definition
CN VI
motor;
innervates lateral rectus muscle of eye to abduct it.
Term
facial nerve
Definition
CN VII
both sensory and motor;
sensory= taste for anterior 2/3 of tongue
motor= innervates muscles for facial expression
Term
vestibulocochlear (acoustic) nerve
Definition
CN VIII
Sensory;
vestibular portion=equilibrium
cochlear portion= hearing
Term
glossopharyngeal nerve
Definition
CN IX
both sensory and motor;
sensory- taste for posterior 1/3 of tongue
motor- innervates muscles involved in deglutition (swallowing)
Term
vagus nerve
Definition
CN X
Both sensory and motor
sensory- transmits sensory impulses from the viscera (internal organs)
motor- cardiac function, GI motility, secretion. It is THE MOST IMPORTANT nerve in the parasympathetic area.
75% of all the parasympathetic fibers in the body are in the vagus nerve
Term
Spinal(accessory) nerve
Definition
CN XI
Motor;innervates muscles of neck and upper portion of shoulder (traps)
Term
hypoglossal nerve
Definition
CN XII
Motor;
innervates extrinsic muscles of the tongue
Term
Are the centers that regulate the ANS in the CNS or PNS?
Definition
CNS- they are basal nuclei
Term
T/F. The ANS is ALWAYS involuntary.

T/F. The ANS is ALWAYS unconscious.
Definition
True

False. It is most of the time but not always
Term
T/F. ALL organs in the body have both sympathetic and parasympathetic innervation.
Definition
TRUE
Term
T/F. sympathetic stimulates parasympathetic and vice versa.
Definition
FALSE. They OPPOSE eachother, they don't STIMULATE each other
Term
A) Where are the sympathetic control centers located?

B) Where are the parasympathetic ones located?
Definition
A) In the sympathetic nuclei of the thoracic portion of the spinal cord

B) above and below the sympathetic ones (like a sandwich) in the cervical and lumbosacral areas
Term
Where are the ganglia for parasympathetic and sympathetic tracts?
Definition
sympathetic- very close to the spinal cord

parasympathetic- far from spinal cord, sometimes in the wall of the structure to be innervated
Term
T/F. Both symp. and parasymp. divisions MUST go to pre- and post-ganglionic fibers before arriving to the effector.
Definition
TRUE. The sympathetic will have short pre-ganglionic and long post-ganglionic fibers whereas the parasympathetic will have the opposite (all due to location of the ganglion in relation to the "control center")
Term
ALL pre-ganglionic fibers in the ANS are _________ and therefore use _______ as the neurotransmitter.
Definition
cholinergic; acetylcholine
Term
Post-ganglionic fibers in the parasympathetic division of ANS are ________ and use _______ as the neurotransmitter.
Definition
cholinergic; acetylcholine
Term
post-ganglionic fibers in the sympathetic division of the ANS are (mostly) _________ and use ___________ as the neurotransmitter.
Definition
adrenergic; epinephrine or norepinephrine
Term
What post-ganglionic fibers in the sympathetic nervous system are cholinergic?
Definition
sweat glands
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