Shared Flashcard Set

Details

Neuro Test 2
2/5 Somatosensation
64
Dentistry
Graduate
02/09/2014

Additional Dentistry Flashcards

 


 

Cards

Term
What are the 4 somatosensation perceptual modalities?
Definition
tactile (fine touch, texture)
proprioception
thermal
pain
Term
What receptor is tactile or cutaneous receptors?
Definition
mechanoreceptors
Term
What is the main anatomical pathway for touch and proprioception?
Definition
dorsal column
Term
What is the main anatomical pathway for pain and temperature?
Definition
spinothalamic
Term
Does the trigeminothalamic tract go with the STT, DC, or both?
Definition
both

These (STT/DC) are the face and arms, and the TTT is head; but there are components of both of these in the TTT.
Term
What determines how well you discriminate between 2 areas of skin in touch, spatial resolution.
Definition
density of receptors/innervation

size of receptive field
Term
True or false:

The amount of cortex devoted to each part of the skin will vary, and will vary indirectly proportionately to density of innervation.
Definition
False

the amount of cortex devoted to each part of the skin will vary, and will vary DIRECTLY proportionately to density of innervation.

(the smaller the receptive fields are and the larger the density of innervation: those areas are going to have bigger representation in the = concept of homunculus)
Term
What is the receptor mechanism of all our sensory systems?
Definition
Transduction - takes physical property stimulus and translates it into electrical signal
Term
What are the afferents in the somatosensory system?
Definition
DC and STT (synapse in spinal cord with cell bodies in DRG)

TTT (CN innervation-CNV coming into CNV nucleus)
Term
Does somatosensation have a nucleus in the brainstem?
Definition
yes
Term
What part of the brainstem do the primary afferents from TTT end up in the DC?
Definition
medulla
Term
Where does the head part of the somatossensory end up in the thalamus?

body?
Definition
VPM

VPL
Term
Where is the primary somatosensory cortex?
Definition
postcentral gyrus
Term
When mechanoreceptors respond to stretch or pressure, opening the channels will lead to ___________.
Definition
depolarization
Term
What is neurotransmitter that is released onto the primary afferent?
Definition
glutamate
Term
Will the superficial or deep receptors have a larger receptive field?
Definition
deep (more tissues for stimulus to travel through)
Term
What are the 2 superficial receptors for touch?
Definition
merkel's and meissner's

(both M's, earlier in alphabet)
Term
What are the 2 deep receptors for touch?
Definition
ruffini and pacinian
Term
How many cutaneous receptors are there?
Definition
4 (2 superficial, 2 deep)
Term
Rapid-adapting or slow-adapting:

Fires an action potential and then stops (signal becomes desensitized and then fades away)
Definition
rapid-adapting
Term
Rapid-adapting or slow-adapting:

Receptor stays on all the time
Definition
slow-adapting
Term
Is the Meissner's corpuscle a superficial or deep receptor?

Is it rapid-adapting or slow-adapting?
Definition
superficial

rapid-adapting
Term
Is the Merkel cell a superficial or deep receptor?

Is it rapid-adapting or slow-adapting?
Definition
superficial

slow-adapting
Term
Is the Pacinian corpuscle a superficial or deep receptor?

Is it rapid-adapting or slow-adapting?
Definition
deep

rapid-adapting
Term
Is the ruffini ending a superficial or deep receptor?

Is it rapid-adapting or slow-adapting?
Definition
deep

slow-adapting
Term
What is a particular area in periphery where application of adequate stimulus will cause cell to respond?
Definition
receptive field
Term
True or false:

For touch, a portion of skin is directly innervated by receptor terminals
Definition
True
Term
True or false:

Most sensitive areas of skin have smallest density of receptors and greatest RFs
Definition
False

Most sensitive areas of skin have greatest density of receptors and smallest RFs
Term
Will the fingertips have more or less area of cortex devoted to them when compared to the back for sensitivity?
Definition
more (our homunculus)
Term
True or false:

Most sensory receptors are maximally sensitive to multiple stimulus energies.
Definition
False

Most sensory receptors are maximally sensitive a single stimulus energy
Term
True or false:

Axons of receptors function as modality-specific line of communication between the periphery and the brain
Definition
True
Term
What are the 2 things that proprioception monitors?
Definition
stationary body position and movement (kinesthesia-how fast we're going)
Term
What are the 2 receptors in proprioception that respond to muscle stretch and tension?
Definition
Muscle spindles respond to muscle being stretched, elongated.

Golgi tendon organs (intrafusal fibers) responding to tension, respond when muscles contracting.
Term
Are the muscle spindles parallel or perpendicular to normal muscle fibers?
Definition
parallel

(as muscles stretch in this direction, spindle will get stretched and will pull open mechanosenstive channels and you will get signaling)
Term
Where do the ascending touch and proprioception fibers synapse?

Where do reflex responses synapse?
Definition
DC nuclei in medulla

spinal cord
Term
What neuron is needed in order to complete a muscle stretch reflex?
Definition
alpha motor neurons
Term
What is the main pathway to the cortex for fine touch and proprioception?
Definition
DC/ML
Term
What is the main pathway to the cortex for pain and temperature?
Definition
AL (anterolateral- STT is part of it because there are other pathways that travel here)
Term
What are the projections to cerebellum (SCT) also known as?
Definition
unconscious proprioception pathways

(Taking that information, not to conscious somatosensory cortex but directly to cerebellum.)
Term
Where are the primary neuron's cell body located?
Definition
dorsal root ganglion
Term
Is the DC/ML or STT fast?
Definition
DC/ML is fast, STT is slow.

pain and temperature not as fast.
Fastest fibres are proprioceptive
Term
Are there small or large fibers in pain and temperature sensation?

Are there small or large fibers in proprioception and touch?
Definition
small

large
Term
What are the 2 ways to classify fibers?
Definition
speed of action potential propagation and diameter
Term
What are the 2 ways to name fastest to slowest fibers?
Definition
A to C

I to IV (I and II are fastest)
Term
What are proprioceptive fibers categorized from I to IV?
Definition
I (fast)
Term
What are pain fibers called from A to C?
Definition
C (dull pain) or A delta
Term
Where does touch and proprioception cross?

Where does pain temp cross?
Definition
touch and proprioception (DC) stay ipsilateral until they get to the medulla and then cross over

pain and temp (STT) cross over in the spinal cord
Term
The dorsal column is (ipsilateral or contralateral) below the medulla?

When it crosses over it forms the __________.
Definition
ipsilateral

medial leminscus
Term
Is the gracile or cuneate fascicle involved with lower limb and trunk innervation?
Definition
gracile fascicle
Term
Is the gracile or cuneate fascicle involved with upper limb and neck?
Definition
cuneate fascicle
Term
Where is the primary synapse for DC/ML and STT pathways?

Where is the secondary synapse?
Definition
primary: DC/ML- medulla; STT-spinal cord

secondary: both in thalamus
Term
Where is the point of entry for the trigeminal nerve?
Definition
side of pons
Term
In TTT, where does touch and proprioception come in and synapse?

Where does CN V primary afferent synapse?
Definition
trigeminal ganglion (equivalent to DRG)

main sensory or chief sensory nucleus of trigeminal system
Term
Where does pain and temperature synapse in TTT?
Definition
Fibres come in, descend and synapse in different locations within another nucleus that runs all the way into the spinal cord; nucleus is called spinal nucleus of five
Term
Where do we get unconscious proprioception from the jaw (keep jaw position accurate) in TTT?
Definition
mesencephalic nucleus of trigeminal system in midbrain
Term
In the TTT, where does STT and DC/ML come together?
Definition
pons - pontine fibers push sensory system out of the way
Term
The pathway for input from head and face:

Trigeminal input goes to main trigeminal nucleus (touch) in _____ and SN of V (pain & temp) in _________/________.

2nd order neurons’ axons cross and ascend in_______________ to Ventroposterior Medialis (VPM).

VPM projects to ____________.
Definition
Trigeminal input goes to main trigeminal nucleus (touch) in pons and SN of V (pain & temp) in medulla/spinal cord

2nd order neurons’ axons cross and ascend in medial lemniscus to Ventroposterior Medialis (VPM)

VPM projects to somatosensory cortex
Term
If you have damage to 1 side of the spinal cord, will you have deficits in touch (ipsilaterally or contra laterally)?

Is deficit in pain (ipsilateral or contralateral)?
Definition
Deficits in touch ipsilaterally, pain contralaterally
Term
If you have damage to 1 side of the medulla, will you have deficits in touch (ipsilaterally or contra laterally)?

Is deficit in pain (ipsilateral or contralateral)?
Definition
Deficits in touch and pain both contralaterally
Term
The VPM is to the head or legs/arms?

The VPL is to the head or legs/arms?
Definition
VPM-head

VPL-legs and arms
Term
In primary somatosensory cortex (post central gyrus), where are the legs, body, arms?
Definition
Legs buried in midline.

Body and arms and head follow laterally on the top surface
Term
What are cortical columns produced by?
Definition
intracortical synaptic connectivity
Term
What are responsible for for input and output to cortex as well as cortico-cortical connections?
Definition
different cortical layers (within a column, information type is the same)
Term
What are two changes that show that there is human brain plasticity at the level of the cortex?
Definition
Changes due to arm amputation (Ramachandran)
-Cortical face area expanded into arm area
-Phantom limb, pain?

Changes due to increased use
e.g., increased cortical representation of fingers of stringed instrument players
Supporting users have an ad free experience!