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tsm 1.9
tsm 1.9
27
Medical
Undergraduate 2
11/07/2012

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Cards

Term
In what 3 ways are movement produced?
Definition
By reflexes, by voluntary movement and by central pattern generators
Term
What does the medial motor sytem control? What does the lateral system control?
Definition
Lateral fine movement in the distal limbs(hands and feet). Medial course movement in the proximal limbs
Term
What tracts constitute the medial motor system?
Definition
ventral corticospinal, tectospinal, vestibulospinal, reticulospinal
Term
What tracts constitute the lateral mototr system?
Definition
lateral corticospinal tract
Term
Is the medial motor system bilateral? Is the lateral motor system?
Definition
Yes. No(contralateral)
Term
Which motor system(medial or lateral) controls individual muscles
Definition
Lateral
Term
Which motor system will a lesion have more effect on(medial or lateral)
Definition
Lateral, because it inneervates contralaterally rathe than bilaterally
Term
What is the function of the tectospinal tract?
Definition
Control of neck muscles in response to visual stimuli.
Term
What is the function of the vestibulospinal tract?
Definition
Control of equilibrium
Term
What is the function of the reticulspinal tract?
Definition
Locomotion and posture control(along with the ventral corticospinal)
Term
Where do the lateral corticospinal tract fibres cross the misline?
Definition
Pyramidal decussation in the medulla?
Term
Where are the cell bodies of alpha MN's to the head larynx and lower parhynx located?
Definition
Cranial nerve motornuclei(brainstem)
Term
Which motor cranial nerve nuclei have no direct connection to rhe motor cortex?
Definition
3(occulomotor) 4(trochlear) 6(abducens)these control striated eye muscles
Term
Where are the cranial nerve motor nuclei located?
Definition
Brainstem
Term
What cranial nerves does the nucleus ambigus control?
Definition
The motor fibres of CN 9 and 10(larynx parhynx)
Term
What is the role of the corticobulbar fibres?
Definition
They are the upper motor neurones of cranial nerves 5,7,11 and 12 and contributes to the nucleus ambiguus.
Term
How does the corticobulbar fibres innervate the cranial nerves?
Definition
Bilaterally except for the lower half of CN7 supplying the lower face.
Term
How does a unilateral upper motor lesion of CN 7 present?
Definition
Lower one sided palsy with forehead sparing
Term
Will an upper motor lesion increase tendon jerk?Why?
Definition
Yes, because the tendon jerk reflex is normally tonically supressed?
Term
How will a lower motor neurone lesion affect tendon jerk?
Definition
It will be reduced or absent, because the efferent reflex axon is damaged
Term
Will muscle atrphy be geater in an upper or lower motor neurone lesion? Why?
Definition
it will be greater in a lower motor neurone lesion beacause in an upper lesion the Lower neurone will continue to provide stimulus for the muscle
Term
What motor neurone lesion (upper or lower)would a twitching rapidly atrophying muscle indicate? What causes the twitching?
Definition
A lower MN lesion. the twitching is due to the LMN no longer controlling the NMJ causing spontaneous vesicle release
Term
What is the babinski sign? What does it indicate?
Definition
On rubbing the sole if the toes extend eupwards than this is a postive babinski response and indicates an upper motor neurone lesion(or that u are a baby)
Term
In which muscles in the upper and lower limb does spasticity from an upper motor lesion occur?
Definition
Flexors of the upper limb and extensors of the lower limb
Term
From which vertebrae is the upper limb innervated?
Definition
C5-T1
Term
From which vertebrae is the lower limb innervated?
Definition
L2 - S3
Term
What is the purpose of monoaminergic pathways in the spinal chord?
Definition
To modify excitability, rather than produce movement
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