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99 Cards in this Set

  • Front
  • Back
What are somatic senses?
touch
pressure
temperature
proprioception
pain
What are visceral senses?
pain
pressure
What are special senses?
sight
hearing
smell
taste
balance
What is sensation?
perception / conscious awareness of stimuli received by sensory receptors
What does sensation require?
stimulus
receptor
conduction of action potential to CNS
name the different types of sensory receptors (5)
1. mechanoreceptors

2. chemoreceptors

3. thermoreceptors

4. photoreceptors

5. nociceptors
mechanoreceptor
mechanical stimulus
touch
tickle
itch
vibration
pressure
proprioception
hearing
balance
chemoreceptor
chemicals binding
taste
smell
thermoreceptors
changes in temperature
photoreceptors
light
nociceptors
painful mechanical, chemical or thermal stimuli
What do free nerve endings detect
light touch, pain, itch, tickle and temperature
What do Merckel cells detect?
light touch
superficial pressure
What do hair follicle receptors detect?
light touch when hair is bent
What do pacinian corpuscles detect?
pressure

in joints, proprioception
What do Meissner corpuscles detect?
2 point discrimination
What do Ruffini end organs detect?
continuous touch and pressure
What do muscle spindles detect?
proprioceptors
What is a primary receptor?
has an axon that transmit action potential to CNS
What is a secondary receptor?
no axons, but release neurotransmitters
what is adaptation?

tonic receptor?

phasic receptor?
decreased sensitivity to a continued stimulus.

tonic = accommodate slowly

phasic = accommodate rapidly
What are the 2 major ascending pathways and what do they carry?
anterolateral

dorsal column / medial-leminiscal system

carry conscious and unconscious sensations
What does the spinothalamic tract carry and where is it located?
pain
temperature
light touch
tickle
pressure
itch

located in anterolateral system
Describe an action potential path in the spinothalamic tract
primary neurons synapse with secondary neurons.

secondary neurons transmit to thalamus

thalamus relays via tertiary neuron to appropriate somatic sensory cortex
spinoreticular tract
project to reticular formation and influence level of consciousness
spinomesencephalic tract
carry action potentials from cutaneous pain receptors.

eye reflexes
What does the dorsal-column / medial lemniscal system carry?
2 point discrimination, proprioception, pressure and vibration
describe the pathway of an a.p. thru the dorsal-column / medial-lemniscal tract
primary neurons synapse with secondary neurons in the medulla.

secondary neurons cross over and go to thalamus

synapse with tertiary neuron and message goes to appropriate somatic sensory cortex
What goes on the trigeminothalamic tract?
sensory information from face, nose and mouth
spinocerebellar system
carry unconscious proprioception to cerebellum from same side of body
spinoolivary tract
contributes to coordination of movement
Do descending pathways increase or decrease conscious perception of sensation?
decrease perception
Where is taste on the cerebral cortex?
inferior to postcentral gyrus
Where is olfactory cortex?
inferior frontal lobe
Where is primary auditory cortex?
superior temporal
where is visual cortex?
occipital lobe
name two major association areas
somatic sensory association area

visual association area
where are upper motor neurons located?
cerebral cortex
cerebellum
brainstem
where are lower motor neurons located?
cranial nuclei
anterior horn of spinal cord grey matter
Where is the primary motor cortex?

what is associated with this area
precentral gyrus

premotor and prefrontal areas are staging areas for motor functions
What do the direct pathways maintain?
muscle tone
control fine, skilled movements in face and distal limbs
What do the indirect pathways maintain?
control conscious and unconscious muscle movements in the trunk and proximal limbs
what controls muscle movements below the head?
corticospinal tracts
What tracts innervate the head?
corticobulbar tracts
What are some indirect pathways?
rubrospinal
vestibulospinal
reticulospinal
fibers from basal nuclei
Why is the basal nuclei important in movement?
plannin
organizing
and coordinating motor movements and posture
What are the 3 parts of the cerebellum involved in modifying motor movements?
1. vestibulocerebellum (balance and eye movement)

2. spinocerebellum (corrects discrepensies between intended and actual movements)

3. cerebrocerebellum (learn highly specific complex motor activities
What does the brainstem contain?
nuclei for cranial nerves:
III-X
XII
and nuclei for reticular formation
What is RAS?
collateral branches of trigeminothalamic neurons projecting into reticular formation

wakefulness and consciousness

(if u are in a coma, the reticular formation / RAS is damaged)
what are some vital functions controlled by the brainstem?
heart rate
blood pressure
respiration
What is Wernicke's Area?
sensory speech area

important for understanding and formulating coherent speech
What is Broca's area?
Motor speech area

initiates complex series of movements necessary for speech
What is aphasia?

What are the types and what area are they associated with
absent or defective speech or language comprehension

1. receptive (wernicke's aphasia)
defective auditory and visual comprehension

2. jargon / conduction aphasia
(both wernicke's and broca's)
fluently but unintelligibly or poor retention

3. Anomic (separation of wernicke's area from parietal or temporal association areas)
fluent but circular speech, poor word finding ability

4. expressive aphasia (broca's)
hesitant distorted speech
Each cerebral hemisphere controls and receives input from the _________side of the body
opposite
What connects the left and right hemispheres?

What is the largest?
commissures

corpus callosum (allows sharing between hemispheres
Which hemisphere is usually dominant in most people?

What does it control?
left

controls speech and analytic skills
What does the right hemisphere control?
spatial and musical abilities
What are the 3 types of memory?
Short term
sensory
long term
What are the effects of aging on the nervous system?
1. general decline in sensory and motor functions

2. short term memory is decreased

3. Thinking ability is not decreased
What type of receptors detect changes in blood glucose, oxygen and hydrogen ions?
chemoreceptors
Which type of nerve ending detects changes in temperature?
free nerve endings
Proprioceptors are found in the skin, T or F?
False
where do ascending pathways have secondary neurons that decussate inside the spinal cord?
spinothalamic tract
Where does decussation occur (ascending pathways)?
spinal cord and medulla oblongata
What is the fasciculus gracilis and where is it located?
conveys sensations from nerve endings below midthoracic level

Dorsal column
what is the fasciculus cuneatus and where is it located?
conveys sensations from above midthoracic

dorsal
Which pathway are the gracilius and cuneatus fasciculi?
dorsal-column / medial-lemincus
Describe the 3 neurons in sequence in the spinothalamic tract and where each is located
primary
dorsal root ganglia

secondary
cross thru anterior gray and white commissures of spinal cord and up to thalamus

tertiary
in thalamus to somatic sensory cortex
Which tract do the ascending secondary neurons decussate in spinal cord?
spinothalamic
Where in the spinal cord is the fasciculus gracilus located
dorsal column
Which pathway do the fasiculus gracilus and fasiculus cuneatus belong to?
dorsal-column / medial lemniscal
What does the posterior spinocerebellar tract convey?
thoracic and above lumbar stuff
What does the anterior spinocerebellar tract convey?
below lumbar stuff
what should you think of with spinoolivary tract?
balance
What shoul you think of with spinotetal tract?
reflexes turning head and neck toward a point of cutaneous stimulation
What does the dorsal-column / medial lemniscal tract relay to thalamus?
2 point discrimination
proprioception
pressure
vibration
What does the reticulospinal tract send motor info about?
posture adjustment, walking
What does the corticospinal tract send motor info about?

indirect or direct?
conscious skilled movements
hands especially

direct
what does the corticobulbar tract send motor info to?

indirect or direct?
head and face
facial expression
chewing

direct
What does the rurospinal tract send motor info to?

indirect or direct?
movement coordination

indirect (unconscious)
What does the vestibulospinal tract send info to?
maintains upright posture
balance

indirect (unconscious)
What does the tectospinal tract send info to?
head and neck movements in response to auditory and visual reflexes

indirect
what's another way to say indirect pathways and define it
extrapyramidal system

less precise control, more overall body posture
what do the prefrontal lobes do?
planning and initiating movement
concentrating
planning
complex problem solving
describe a lateral corticospinal tract
motor nerve fibers originate in precentral gyrus of each frontal lobe

fibers decussate in pyramids of medulla oblongata

fibers descend in spinal cord to motor neurons that innervate skeletal muscles
what is apraxia?
deals with complex, skilled or learned movements
impedes this when a lesion is on premotor area.
hesitancy and reduced dexterity to perform above movements
describe alpha brain waves
awake but quiet resting state with eyes closed
What is characteristic of a beta wave?
higher frequency--occur during intense mental activity
What is characteristic of a theta wave?
usually occur in children, but can also occur ing adults who are experiencing frustration or have certain brain disorders
What is characteristic of Delta waves?
occur in deep sleep, in infancy and in patients with severe brain disorders
Describe a EEG chart with awake and asleep
Awake=alpha and beta waves
sleep stage 1=REM
sleep stage 2
sleep stage 3
sleep stage 4=Delta waves
What are characteristics of REM sleep?
eyes flicker
EEG resembles that of a waking state
dreams occur
What is aphasia?
defective speech
Broca's area
What does the amygdaloid do?
explicit memory
fear
Where is procedural memory stored?
cerebellum and premotor area
What are the effects of aging on the nervous system?
hair follicles and free nerve endings stay the same but pacinian and Meissner corpuscles decrease.
More difficulty with touch, 2 point discrimination and decreased awareness to pressure
loss of proprioception
sensory neurons and motor neurons loose function
reflexes slow
short term memory
sleep patterns
What are the 2 types of strokes?
hemorrhagic--bleeding of arteries supplying brain tissue

ischemic--blockage of arteries supplying brain tissue
thrombus (clot)
embolism (plug, fat globule, gas bubble)
Discuss Lumbar Puncture
Where?
What's normally in CSF?
what is it tested for?
what are complications?
subarachnoid space below L2

Normally CSF contains cells, water, protiens, sugars

CSF is tested for red and white blood cells, protein, glucose, clarity, color and presence of bacteria, viruses or abnormal cells

complications may include:
headaches
infection
temporary numbness or lower back pain
bleeding in spinal canal
pressure / brain herniation
What does a lumbar puncture test for?
meningitis
encephalitis
cancer
bleeding in subarachnoid space
Reye syndrome
myelitis
neurosyphilis
Gullian Barre Syndrome
demyelinating diseases
pressure--manometer
por fin, used to inject medicines directly into spinal cord