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125 Cards in this Set
- Front
- Back
Presbycusis
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Loss of high frequency perception
Happens in everyone in old age |
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Conductive Hearing Loss
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blockage of sound path from source to cochlea
Often middle ear infection Reversible |
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Sensorineural Hearing Loss
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Damage to inner ear or central auditory pathway
Incurable and permanent |
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Order of middle ear bones
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tympanic membrane - malleus - incus - stapes - oval window
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Scala Media
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Space into which hair cells and tectorial membrane project
Endolymph at +80mV |
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Hair cells in cochlea
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3 rows of outer hair cells - carry efferent information, are contractile
1 row of inner hair cells - carry afferent information |
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Tonotopic organization of the Cochlea
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High frequencies at the stiff base
Low frequencies at the floppy apex |
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Coding Pitch
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labeled line on basilar membrane
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Coding sound intensity
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coded by number of APs and number of responding neurons
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Superior Olive
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Left and Right sound info converges, sound localization
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Pupillary light reflex
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CN II -> pretectal nuclei -> Edinger Westphal nucleus -> ciliary ganglion -> pupillary constrictor
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Horner's Syndromes
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1st order: spine block
2nd order: brachial plexus/lung apex block 3rd order: carotid dissection |
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Environmental causes of Dilated Pupil
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Nightshade
Transderm scop (motion sickness med) |
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Adie's Tonic Pupil
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Large pupil, unresponsive to light
Follows ciliary ganglion injury (viral) Tonic (slow) to near response hypersensitive to pilocarpine Absent reflexes |
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Argyll Robertson Pupil
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Tertiary syphilis
Responds poorly to light, but quickly to near Usually bilateral |
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Aqueous Humor
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clear fluid produced by ciliary body
in anterior compartment |
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Cataract
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Opacification of lens
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Eye circulations
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Ciliary arteries - nourish uveal tract
Retinal arteries - nourish retina |
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Conjugate Eye movements
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same direction
-smooth pursuit -optokinetic (motion of world) -vestibular -saccades |
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Disjunctive Eye Movements
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eyes move in opposite direction
vergence |
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Pulse + Step actions
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pulse - moves eye, generated by PPRF
step - keeps eye in position, generated by integrator |
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MLF
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tract that allows for conjugal eye movements
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Sacculus and Utricle
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Detect head tilt, angular, and linear acceleration
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Semicircular Canal signals
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Signal proportional to head velocity
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Vestibulo-ocular reflex
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Provides stability of gaze in spite of head movements
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Left-beating nystagmus
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Turning head to left, eyes move right. Mediated by semicircular canals
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Caloric nystagmus
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fast beats of eye movement
Cold Opposite, Warm Same |
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Gain of Vestibulo-ocular reflex
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G = eye angle/head angle
normally G = -1, but can adapt due to flocculonodular lobe |
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Lens focus
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near = spherical, ciliary muscles contract
far = flat, ciliary muscles relax |
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Myopia
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Eyeball too long
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Hyperopia
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Eyeball too short
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Fovea
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Area of greatest visual acuity
Absence of upper layers and blood vessels Entirely cone receptors |
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Phototransduction
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cis -> trans-rhodopsin -> PDE -> less cGMP -> Na channels close -> hyperpolarization
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Bipolar cells
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Receive input from 1 photoreceptor
ON: glutamate is exitatory, depolarize in dark OFF: glutamate is inhibitory, depolarize in light |
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Horizontal Cell
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pools input and antagonizes bipolar cell to its own cone. creates center-surround receptive field
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Midget Cells
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80% of ganglion cells. Aka P-cells. Detect color
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Parasol Cells
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10% of ganglion cells that detect motion. Aka M-cells
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Projections of the optic nerve
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superior colliculus
pretectal complex accessory optic nuclei suprachiasmatic nucleus lateral geniculate nucleus |
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LGN organization
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eyes are kept separate
M and P cells kept separate |
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M cell pathway
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Mcells -> LGN -> layer IVc alpha ->layer IVB processing
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Orientation selectivity
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processing of multiple receptor fields in layer IVB
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P Cell pathway
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Pcells -> LGN -> layer IVc beta -> layers II and III
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Visual Cortex modularity
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Orientation selectivity (pinwheels)
Direction Selectivity Ocular Dominance Color (CO blobs) |
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extrastriate cortex
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all visual cortex beyond the primary visual cortex
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Inferotemporal cortex vs. posterior parietal cortex
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IFT: needed for object discrimination (what)
PPC: needed for landmark discrimination (where) |
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Ventral Visual Processing
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The "what" pathway
involves V4 |
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Dorsal Visual Processing
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The "where" pathway
involves V5 |
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V5
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Detects motion from the input of M cells.
Direction (but not orientation) selective |
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Akinotopsia
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Inability to perceive motion. Due to lesion of V5
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Achromotopsia
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Inability to perceive color, even with functioning cone receptors.
Due to lesion of V4 |
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Color Constancy
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V4 uses relative spectrum levels to determine color
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Posterior Parietal Lesion
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Contralateral neglect
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Inferotemporal Cortex Lesion
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Agnosia and prosopagnosia
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Retinal Arterial Occlusion
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Infarcts the retina. Can cause inferior or superior hemifield vision loss in one eye
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Optic Nerve Tumor
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Blocks vision in one eye
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Pituitary Adenoma
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Bitemporal Hemianopia
Compresses nasal fibers which causes loss of temporal fields |
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Left Homonymous Hemianopia
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Loss of left visual field in both eyes. Caused by lesion behind the optic chiasm
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Homonymous Quadrantanopsia
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Bilateral loss of a quadrant of vision. Caused by Meyer's loop or parietal lesion
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Macular Sparing
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Occurs when the posterior visual cortex is spared (dual blood supply?)
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Alexia without Agraphia
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Can write but not read
Usually a right homonymous hemianopia -- left occipital lobe and left splenium |
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Prosopagnosia
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Lesion in the Occipito-temporal region (often bilateral)
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Cerebral Hemi-achromatopsia
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Lack of color vision in a homonymous hemifield.
Localized to fusiform gyri (V4). Can occur with quadrantanopia |
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Balint's syndrome
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Simultanagnosia
Ocular apraxia Optic Ataxia Lesion/degeneration in bilateral parieto-occipital region |
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Classical Conditioning
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Learning the relationship between two stimuli
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Operant Conditioning
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Learning the relationship between a stimulus and a response
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Habituation
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Weakening response after repeated stimuli
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Sensitization
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Interneuron release of 5-HT
Long term = change in gene transcription |
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Hippocampal neurotransmitter
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glutamate
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Long-term potentiation
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Tetanic stimulation leads to increased synaptic strength in the hippocampus
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Properties of LTP
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Rapid onset
Long lasting Synapse specificity Associativity |
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NMDA Receptor
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Coincidence detector
requires depolarization and glutamate allows Na and Ca influx |
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Speech Lateralization
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R Handers: left hemisphere
L Handers: mostly left hemisphere too |
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Types of Aphasia
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Broca's
Global Wernicke's Conduction |
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Categories of aphasia
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Fluency
Comprehension Repetition Naming |
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Broca's Aphasia
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poor fluency
good comprehension poor repetition poor naming often due to embolism |
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Global Aphasia
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Poor fluency, comprehension, repetition, and naming
due to widespread infarction |
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Comprehension
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understanding word meaning
"Point to the pencil" |
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Naming
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being able to name an object when requested
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Wernicke's Aphasia
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Good fluency
Poor comprehension Poor repetition Poor naming often due to occlusion |
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Conduction Aphasia
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Poor repetition
Loss of arcuate fasciculus connecting broca's and wernicke's |
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Right hemisphere language disorders
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impaired prosody, loss of metaphor, humor, and discourse
tangential comments |
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Subcortical language disorders
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striatal and thalamic
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Frontotemporal Degeneration
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Causes progressive nonfluent aphasia and personality change
difficulty with grammar |
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Semantic Dementia
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Fluent, empty speech with comprehension and naming difficulty
Anterior/ventral temporal lobe degeneration |
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Alexia
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Peripheral: have trouble interpreting individual letters
Central: trouble pronouncing sight vocabulary or novel words |
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Patient HM
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Bilateral medial temporal lobe resection
unable to form new memories procedural memory intact |
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Episodic Memory
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Memory for prior experiences or events
Tightly linked to time and space |
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Episodic Memory Processing
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Encoding
Storage/consolidation Retrieval |
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Medial Temporal Lobe components
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Hippocampus
Entorhinal cortex - input to hippo Paraphippocampus- where input Perirhinal cortex- what input |
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Fregoli Syndrome
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Stranger thought to be inhabited by someone you know
-hyperfamiliarity for strangers |
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Capgras Syndrome
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Belief that familiar people replaced by imposeters
-hypofamiliarity |
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Papez circuit
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fornix -> mamillary bodies -> anterior thalamic nucleus -> cingulate gyrus -> cingulum -> fornix
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Wernicke-Korsakoff Syndrome
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due to thiamin deficiency (often from alcholism)
mammillary body damage and amnesia |
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Causes of Temporal-Limbic Amnesia
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Alzheimer's
PCA stroke Herpes encephalitis Wernicke-Korsakoff |
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Semantic Memory
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memory of facts
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Frontal Lobes and Memory
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Associative memory affected the most
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Frontal vs. Temporal-Limbic Amnesia
Immediate memory |
MT: normal
Frontal: impaired |
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Frontal vs. Temporal-Limbic Amnesia
Recognition memory |
MT: impaired
Frontal: normal |
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Frontal vs. Temporal-Limbic Amnesia
Item memory |
MT: impaired
Frontal: normal |
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Amyloid Plaques
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extracellular accumulation of amyloid
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Neurofibrillary Tangles
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Intracelluar accumulation of hyperphosphorylated tau
Correlate with disease severity and neuronal death |
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Working Memory
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short-term
frontal lobe localized R side: visuospatial L side: auditory |
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Consolidation
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Process by which memories are solidified into long-term stores
hippocampus -> neocortex |
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Classical Conditioning
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Cerebellum in charge
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Emotional Conditioning
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requires Amygdala
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Kluver-Bucy Syndrome
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Amygdala lesion
Blunted emotions lack of fear response visual agnosia |
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Operant Conditioning
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Nucleus accumbens - reward center
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Procedural Learning
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Supplementary motor area, basal ganglia, and cerebellum
Unconscious |
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Priming
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benefit in the ability to detect or identify words or objects after recent experience with them
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Left hemisphere lateralization
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Language
Praxis |
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Right hemisphere lateralization
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Prosody
Spatial Representation Field attention |
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Praxis
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knowledge of how to use body to interact with world
how to use tools |
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Grips
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Power
Precision Hook Scissor |
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Affordance
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knowledge of what grip to deploy in unfamiliar situations
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Praxis anatomy
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Left inferior parietal lobule
bilateral premotor cortices |
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Receptive apraxia
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left parietal lesion
bilateral apraxia unable to discriminate movements |
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Expressive apraxia
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premotor lesion
contralateral apraxia able to discriminate movements |
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Right Parietal number skills
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Subitizing - rapid apprehension of small quantities
Estimating |
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Left Parietal number skills
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Counting
Arithmetic |
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Gerstmann's syndrome
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Left parietal lesion
Agraphia Acalculia finger agnosia R/L confusion |
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Causes of Neglect
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Right middle cerebral artery stroke
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Anosognosia
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unilateral unawareness or denial of defects on one side of body
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Somatophrenia
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claims that contralateral limbs don't belong to patient
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Extinction
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Phenomenon in neglect
Can consciously observe left-field stimuli when not in competition with right-field stimuli |
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Balint's syndrome
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bilateral parietal lesions
Optic ataxia (can't reach for visual targets) Ocular apraxia Simultagnosia |