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58 Cards in this Set

  • Front
  • Back
What causes holoprosencephaly?
Loss of SHH signaling
Which part of notocord secretes Sonic Hedgehog? What signaling molecule is secreted by the opposite part?
Floor plate secretes SHH: roof secretes BMPs
What causes smooth brain (no gyri)?
Called lissencephaly; Caused by abnormal migration of neurons
What protein monitors the stability of microtubules?
Tau
What are the types of glia in the CNS?
Astrocytes, oligodendrocytes, microglia
What is the glia cell type that mylinates in the CNS?
Oligodendrocytes
Difference in mylination between CNS and PNS?
In CNS, one oligodendrocyte can mylinate many axons; in PNS one schwann cell myelinates one segment of one axon
What is wallerian degeneration?
Degeneration of parts of neuron separated from cell body
What is the major CNS excitatory neurotransmitter?
Glutamate
What is the major CNS inhibitory neurotransmitter?
GABA
Excitatory receptors use ligand gated ion channels selective for what type of ions?
Cations
Inhibitory receptors use ligand gated ion channels selective for what type of ions?
Anions
What part of neurotransmitter biology is altered in fragile X mental retardation?
Metabotropic glutamate receptor function
Difference between AMPA and NMDA receptors?
(Note that both are glutamate receptors)
AMPA receptors are primary mediator of fast excitation; NMDA currents are slower and more sustained and receptor function can be modulated (critical for synaptic plasticity)
Purpose of acetylcholine as neurotransmitter?
Major excitatory transmitter at NMJ and autonomic ganglia; also minor excitatory transmitter in CNS
Biggest medical impact mediated through Acetylcholine receptors?
Tobacco addiction (nicotine is an agonist at AChRs)
Disease caused by antibody-mediated autoimmune response to muscle AChRs?
Myasthenia Gravis
Major neurologic disease category associated with mutations in GABA receptor subunits?
Epilepsy
What is axoplasmic transport TOWARD the cell body called?
Retrograde
Which types of axoplasmic transport are microtubule associated?
Fast anterograde and retrograde
What is special about design of NMJ?
Designed so a single EPP causes a muscle fiber action potential (NOT true in CNS)
How do you affect specificity of a ligand gated ion channel?
Change combination of subunits
How does topiramate (anticonvulsant) work?
Inhibits AMPA receptors (glutamate receptors)
Nicotine is an agonist to what?
Acetylcholine receptors
What type of receptors are found around the nervous system as well as in heart, smooth muscle, and exocrine glands?
muscarinic acetylcholine receptors
What is the difference between ionotropic and metabotropic acetylcholine receptors?
Ionotropic respond better to nicotine than muscarine and are ligand-gated ion channels; metabotropic receptors respond better to muscarine and are GPCRs
Atropine, a drug used to dilate pupils, is an antagonist to what?
Acetylcholine receptors
What does glutamic acid decarboxylase do?
Makes GABA from glutamate
How are muscular nerve fibers classified?
Fiber diameter (roman numerals)
How are cutaneous nerves classified?
Conduction velocity (ABCs)
Where do the UMNs for conscious movement cross the midline?
In pyramidal decussation in lower medulla
What type of muscles are innervated by the reticulospinal tract?
extensor muscles (for postural support)
What muscles are innervated by the medial vestibulospinal tract?
Neck and upper limb muscles; used to respond to vestibular stimuli
Spastic paralysis is a sign of what?
UMN lesion
Where are the cell body of the three neurons making up in the dorsal column/medial lemniscus system?
(1) dorsal root ganglion; (2) nucleus gracilis and cuneatus in medulla; (3) in VPL of the thalamus
What sends inputs to the VPL nucleus in the thalamus? Where does it project?
Spinal thalamic tract and Medial lemniscus system; projects to postcentral gyrus
What sends inputs to the VPM nucleus in the thalamus? Where does it project?
trigeminothalamic tract; projects to postcentral gyrus
What system carries proprioceptive signals from body?
Dorsal column/medial lemniscus
Where does fasciculus cuneatus start?
T5 and up
Where do axons in the dorsal column/medial lemniscus cross the midline?
In medulla where the nucleus gracilis and cuneatus are located and the medial lemniscus forms
If a patient sways or fall down while standing with eyes closed (but is fine with open eyes), what is this called and what does it signal?
Positive Romberg sign; means patient has lost proprioreceptive capabilities, has sensory ataxia; likely has lesion of dorsal column/medial lemniscus system
What system carries pain and temperature?
Anterolateral system
Better name (more inclusive) for spinothalamic tract?
Anterolateral system
What is Lissauer's tract?
Ascending primary neurons of anterolateral system (1-2 spinal segments) before they synapse in dorsal horn
Where do axons in the anterolateral system cross the midline?
in ventral commissure of spinal cord, 1-2 segments above where primary neurons entered spinal cord
Purpose of spinoreticular tract?
Projects pain information to brainstem reticular formation and from there to limbic system to process emotional content and remember the painful stimulus
Purpose of spinocerebellar system?
Transmitts unconscious ipsilateral proprioception to cerebellum
What sensory tracts project to the ipsilateral side of the brain?
Spinocerebellar
Where do axons of the spinocerebellar system synapse?
In Clarke's nucleus or in the external cuneate nucleus in the caudal medulla
What sensory tract crosses the midline twice?
Ventral spinocerebellar tract
What division of the nervous system do the decending hypothalamic axons contribute to?
Sympathetic preganglionic neurons
What happens if you lesion decending hypothalamic neurons in the brainstem?
Horner's syndrome on ipsilateral side
* pupillary constriction (miosis)
*drooping eyelid (ptosis)
*no sweating (anhydrosis)
What causes an uninhibited or infantile bladder?
Lesions to cortical areas above pons
What causes a spastic bladder?
Spinal cord lesion above sacral levels that lesions preganglionic parasympathetic fibers
What happens in ALS?
Progressive loss of motor neurons and axons
What is difference between Becker and Duchenne muscular dystrophy?
In Becker's, a deletion in th dystrophin gene leaves the reading frame intact and some protein is produced; In Duchenne, the reading frame is disrupted and no protein is produced
Most common muscle disease in adults?
Myotonic dystrophy; involves repeat in DMPK gene on chromosome 19
What is first affected with a central cord lesion?
Bilateral crossings of spinothalamic tracts (anterolateral system) AT THAT LEVEL