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99 Cards in this Set
- Front
- Back
What are somatic senses?
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touch
pressure temperature proprioception pain |
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What are visceral senses?
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pain
pressure |
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What are special senses?
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sight
hearing smell taste balance |
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What is sensation?
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perception / conscious awareness of stimuli received by sensory receptors
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What does sensation require?
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stimulus
receptor conduction of action potential to CNS |
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name the different types of sensory receptors (5)
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1. mechanoreceptors
2. chemoreceptors 3. thermoreceptors 4. photoreceptors 5. nociceptors |
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mechanoreceptor
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mechanical stimulus
touch tickle itch vibration pressure proprioception hearing balance |
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chemoreceptor
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chemicals binding
taste smell |
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thermoreceptors
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changes in temperature
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photoreceptors
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light
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nociceptors
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painful mechanical, chemical or thermal stimuli
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What do free nerve endings detect
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light touch, pain, itch, tickle and temperature
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What do Merckel cells detect?
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light touch
superficial pressure |
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What do hair follicle receptors detect?
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light touch when hair is bent
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What do pacinian corpuscles detect?
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pressure
in joints, proprioception |
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What do Meissner corpuscles detect?
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2 point discrimination
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What do Ruffini end organs detect?
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continuous touch and pressure
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What do muscle spindles detect?
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proprioceptors
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What is a primary receptor?
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has an axon that transmit action potential to CNS
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What is a secondary receptor?
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no axons, but release neurotransmitters
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what is adaptation?
tonic receptor? phasic receptor? |
decreased sensitivity to a continued stimulus.
tonic = accommodate slowly phasic = accommodate rapidly |
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What are the 2 major ascending pathways and what do they carry?
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anterolateral
dorsal column / medial-leminiscal system carry conscious and unconscious sensations |
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What does the spinothalamic tract carry and where is it located?
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pain
temperature light touch tickle pressure itch located in anterolateral system |
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Describe an action potential path in the spinothalamic tract
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primary neurons synapse with secondary neurons.
secondary neurons transmit to thalamus thalamus relays via tertiary neuron to appropriate somatic sensory cortex |
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spinoreticular tract
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project to reticular formation and influence level of consciousness
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spinomesencephalic tract
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carry action potentials from cutaneous pain receptors.
eye reflexes |
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What does the dorsal-column / medial lemniscal system carry?
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2 point discrimination, proprioception, pressure and vibration
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describe the pathway of an a.p. thru the dorsal-column / medial-lemniscal tract
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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 |
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What goes on the trigeminothalamic tract?
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sensory information from face, nose and mouth
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spinocerebellar system
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carry unconscious proprioception to cerebellum from same side of body
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spinoolivary tract
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contributes to coordination of movement
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Do descending pathways increase or decrease conscious perception of sensation?
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decrease perception
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Where is taste on the cerebral cortex?
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inferior to postcentral gyrus
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Where is olfactory cortex?
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inferior frontal lobe
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Where is primary auditory cortex?
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superior temporal
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where is visual cortex?
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occipital lobe
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name two major association areas
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somatic sensory association area
visual association area |
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where are upper motor neurons located?
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cerebral cortex
cerebellum brainstem |
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where are lower motor neurons located?
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cranial nuclei
anterior horn of spinal cord grey matter |
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Where is the primary motor cortex?
what is associated with this area |
precentral gyrus
premotor and prefrontal areas are staging areas for motor functions |
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What do the direct pathways maintain?
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muscle tone
control fine, skilled movements in face and distal limbs |
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What do the indirect pathways maintain?
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control conscious and unconscious muscle movements in the trunk and proximal limbs
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what controls muscle movements below the head?
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corticospinal tracts
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What tracts innervate the head?
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corticobulbar tracts
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What are some indirect pathways?
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rubrospinal
vestibulospinal reticulospinal fibers from basal nuclei |
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Why is the basal nuclei important in movement?
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plannin
organizing and coordinating motor movements and posture |
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What are the 3 parts of the cerebellum involved in modifying motor movements?
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1. vestibulocerebellum (balance and eye movement)
2. spinocerebellum (corrects discrepensies between intended and actual movements) 3. cerebrocerebellum (learn highly specific complex motor activities |
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What does the brainstem contain?
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nuclei for cranial nerves:
III-X XII and nuclei for reticular formation |
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What is RAS?
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collateral branches of trigeminothalamic neurons projecting into reticular formation
wakefulness and consciousness (if u are in a coma, the reticular formation / RAS is damaged) |
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what are some vital functions controlled by the brainstem?
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heart rate
blood pressure respiration |
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What is Wernicke's Area?
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sensory speech area
important for understanding and formulating coherent speech |
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What is Broca's area?
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Motor speech area
initiates complex series of movements necessary for speech |
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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 |
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Each cerebral hemisphere controls and receives input from the _________side of the body
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opposite
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What connects the left and right hemispheres?
What is the largest? |
commissures
corpus callosum (allows sharing between hemispheres |
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Which hemisphere is usually dominant in most people?
What does it control? |
left
controls speech and analytic skills |
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What does the right hemisphere control?
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spatial and musical abilities
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What are the 3 types of memory?
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Short term
sensory long term |
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What are the effects of aging on the nervous system?
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1. general decline in sensory and motor functions
2. short term memory is decreased 3. Thinking ability is not decreased |
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What type of receptors detect changes in blood glucose, oxygen and hydrogen ions?
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chemoreceptors
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Which type of nerve ending detects changes in temperature?
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free nerve endings
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Proprioceptors are found in the skin, T or F?
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False
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where do ascending pathways have secondary neurons that decussate inside the spinal cord?
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spinothalamic tract
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Where does decussation occur (ascending pathways)?
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spinal cord and medulla oblongata
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What is the fasciculus gracilis and where is it located?
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conveys sensations from nerve endings below midthoracic level
Dorsal column |
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what is the fasciculus cuneatus and where is it located?
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conveys sensations from above midthoracic
dorsal |
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Which pathway are the gracilius and cuneatus fasciculi?
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dorsal-column / medial-lemincus
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Describe the 3 neurons in sequence in the spinothalamic tract and where each is located
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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 |
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Which tract do the ascending secondary neurons decussate in spinal cord?
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spinothalamic
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Where in the spinal cord is the fasciculus gracilus located
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dorsal column
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Which pathway do the fasiculus gracilus and fasiculus cuneatus belong to?
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dorsal-column / medial lemniscal
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What does the posterior spinocerebellar tract convey?
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thoracic and above lumbar stuff
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What does the anterior spinocerebellar tract convey?
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below lumbar stuff
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what should you think of with spinoolivary tract?
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balance
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What shoul you think of with spinotetal tract?
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reflexes turning head and neck toward a point of cutaneous stimulation
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What does the dorsal-column / medial lemniscal tract relay to thalamus?
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2 point discrimination
proprioception pressure vibration |
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What does the reticulospinal tract send motor info about?
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posture adjustment, walking
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What does the corticospinal tract send motor info about?
indirect or direct? |
conscious skilled movements
hands especially direct |
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what does the corticobulbar tract send motor info to?
indirect or direct? |
head and face
facial expression chewing direct |
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What does the rurospinal tract send motor info to?
indirect or direct? |
movement coordination
indirect (unconscious) |
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What does the vestibulospinal tract send info to?
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maintains upright posture
balance indirect (unconscious) |
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What does the tectospinal tract send info to?
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head and neck movements in response to auditory and visual reflexes
indirect |
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what's another way to say indirect pathways and define it
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extrapyramidal system
less precise control, more overall body posture |
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what do the prefrontal lobes do?
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planning and initiating movement
concentrating planning complex problem solving |
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describe a lateral corticospinal tract
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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 |
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what is apraxia?
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deals with complex, skilled or learned movements
impedes this when a lesion is on premotor area. hesitancy and reduced dexterity to perform above movements |
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describe alpha brain waves
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awake but quiet resting state with eyes closed
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What is characteristic of a beta wave?
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higher frequency--occur during intense mental activity
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What is characteristic of a theta wave?
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usually occur in children, but can also occur ing adults who are experiencing frustration or have certain brain disorders
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What is characteristic of Delta waves?
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occur in deep sleep, in infancy and in patients with severe brain disorders
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Describe a EEG chart with awake and asleep
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Awake=alpha and beta waves
sleep stage 1=REM sleep stage 2 sleep stage 3 sleep stage 4=Delta waves |
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What are characteristics of REM sleep?
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eyes flicker
EEG resembles that of a waking state dreams occur |
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What is aphasia?
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defective speech
Broca's area |
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What does the amygdaloid do?
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explicit memory
fear |
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Where is procedural memory stored?
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cerebellum and premotor area
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What are the effects of aging on the nervous system?
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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 |
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What are the 2 types of strokes?
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hemorrhagic--bleeding of arteries supplying brain tissue
ischemic--blockage of arteries supplying brain tissue thrombus (clot) embolism (plug, fat globule, gas bubble) |
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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 |
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What does a lumbar puncture test for?
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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 |