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66 Cards in this Set

  • Front
  • Back

Action Potential

Na channels open, flows in, creates depolarization


Electrical impulse travels through cell


Followed by repolarization


K+ leaves


All or nothing principle

Acetylcholine

Peripheral & central nervous system


2 types of receptors - muscarinic & nicotinic


Causes of muscles to contact


REM sleep


Sleep wake cycle


Learning & memory


Nicotine mimics receptors = enhanced memory & alertness


Degeneration of ACh cells in hippocampus = memory deficits in Alzheimers

Dopamine

Personality, mood, memory, & sleep


Contributes to schizophrenia (elevated)


Regulation of movement


Tourettes = elevation


Parkinsons = degeneration

Norepinephrine

Mood, attention, dreaming, learning, & some autonomic functions


Catecholamine hypothesis = depression is caused by low norepinephrine

5HT

Usually inhibitory


Mood, hunger, temperature regulation, sexual activity, arousal, sleep, aggression, & migraines


Elevated = schizophrenia, autism, anorexia


Decreased = aggression, depression, suicide, bulimia, ptsd, ocd

GABA

Inhibitory


Anxiety


Benzos & other depressants enhance GABA

Glutamate

Excitatory


Learning & memory


Formation of longterm memory


Excitotoxicity = seizures & stroke related brain damage, Huntington's, Alzheimers

Spinal cord

Quadriplegic = loss of sensory & voluntary movement, damage to cervical level


Paraplegic = damage to thoracic level results in loss of voluntary functioning of legs

Cerebral Ventricles

Hydrocephalus = obstruction of flow of CFS leads to fluid buildup & enlargement of ventricles


Large ventricles in schizophrenia

Peripheral Nervous System

Nerves relay messages between CNS & sensory organs, muscles, & glands


Somatic nervous system = sense receptors in CNS to motor nerves to skeletal muscles, movements are voluntary


Autonomic = sensory nerves from viscera to motor to smooth muscle, cardiac, & glands, primarily involuntary


-Sympathetic = arousal & expending energy, flight or fight


-parasympathetic = conservation of energy, digestion & rest

5 stages of CNS development

1. Proliferation: new cells begin at 2.5 weeks gestation


2. Migration: neurons get to final destination beginning at 8 weeks


3. Differentiation: develop axons & dendrites


4. Myelination: glial cells insulate


5. Synaptogenesis:

Neuroimaging Techniques

CT & MRI show structure


CT horizontal slices


MRI cross-sectional images, better images, more angles, 3D


PET & SPECT functional images


PET show blood flow, glucose metabolism, o2 consumption; assess disease


SPECT lower resolution

Hindbrain

Medulla


Pons


Cerebellum

Medulla

Hindbrain


Flow of info between spinal cord & brain


Swallowing, coughing, sneezing


Vital functions like breathing, heartbeat, & BP


Damage is fatal

Pons

Hindbrain


Connects cerebellum halves


Integrates movement from right & left sides

Cerebellum

Hindbrain


Balance & posture


Coordinated & refined motor movement


Sensorimotor learning


Abnormalities = schizophrenia, autism, adhd


Damage = ataxia: slurred speech, severe tremors, loss of balance

Forebrain

Thalamus


Hypothalamus


Basal ganglia


Limbic system: amygdala, hippocampus, & cingulate cortex

Thalamus

Forebrain


Motor activity, language, memory


Relay station for incoming sensory information to cortex, except olfaction


Wernicke - Korsakoff: thiamine deficiency, alcoholism, atrophy of neurons, mental confusion, abnormal eye movements & ataxia, severe anterograde amnesia, retrograde amnesia, confabulation

Hypothalamus

Forebrain


Vital functions, hunger, thirst, sex, sleep, temperature, movement, emotional reactions


Damage = uncontrollable laughter, intense rage & aggression


Maintain homeostasis through influence on ANS & glands


SCN: circadian rhythms

Basal ganglia

Forebrain


Caudate nucleus, putamen, globus pallidus, substantia nigra


Planning, organizing, & coordinating voluntary movement


Motor expression of emotion


Huntington's, Parkinsons, Tourettes, OCD, ADHD


Mania, depression, OCD, psychosis

Limbic system

Forebrain


Memory, mediation of emotion


Amygdala: integrates, coordinates, & directs motivational & emotional activities; attaches emotions to memories; flashbulb memories; bilateral lesions = substantially reduce fear & aggression; Kluver-Bucy = lesions + hypersexuality, psychic blindness


Hippocampus: learning & memory, processing spatial, visual & verbal info; converts short term memory to longterm memory

2 hemispheres of cerebral cortex

Contralateral Representation: Left controls right


Brain lateralization:


-left: letters & words, language sounds, verbal memory, reading & writing, positive emotions, analytical


-right: facial recognition, complex geometric patterns, music and other non language sounds, nonverbal memory, emotional content of language, since of direction, negative emotions, intuitive


Split brain patients:


Frontal Lobe

Primary motor cortex: involved in execution of movement, damaged results in loss of reflexes loss of muscle tone


Supplementary motor area: planning and control of movement , learning new sequences, mediates motor imagery


Broca's area : major motor speech area, located in inferior frontal region, damaged produces expressive Aphasia characterized by difficulties in producing spoken and written language


Prefrontal cortex: Freddy of complex behaviors including emotion, memory, attention, self-awareness, and higher order cognition, damage linked to schizophrenia ADHD and dementia ,


- damage to Dorsal lateral area results in convexity dys executive syndrome


- damage to orbital frontal area produces orbital frontal disinhibition syndrome


- damage to medial frontal area produces frontal apathetic syndrome

Temporal lobe

Contains auditory cortex and Wernicke's area


Lesions in auditory cortex causes agnosia, auditory hallucinations, other disturbances and auditory sensation


Wernicke's area: comprehension of language, Wernicke's aphasia characterized by severe deficits in language comprehension and and abnormalities in language production


Mediate encoding coding, retrieval, and storage of long-term declarative memories


Lesions cause retrograde and anterograde amnesia

Occipital lobe

Visual cortex responsible for visual perception, recognition, and memory


Damage causes visual agnosia, visual hallucinations, or cortical blindness inter


Apperceptive visual agnosia: unable to perceive objects despite integrable acuity


Associative visual agnosia: unable to recognize object as a result of impaired memory or inability to access semantic knowledge


Prosopagnosia: caused by lesions at Junction of occipital, temporal, and parietal lobes; inability to recognize faces

Two theories of color vision

1. Trichromatic Theory: three types of color receptors - red, blue, green


- all other colors produced by variations of three receptors


2. Opponent - process Theory: 3 bipolar receptors - red / green, yellow /blue, and white / black


- overall pattern of stimulation of cells produces various colors that we perceive


- supported by negative after images

Color blindness

Result of genetic defect that affects one or more of the three types of cones


Can also be caused by damage to the retina, optic nerve, or other part of visual system


Males affected more than females due to defect of X chromosome

Depth perception

Depends on combination of binocular and monocular cues enter


- binocular cues: convergence and retinal disparity, are responsible for depth perception of objects at relatively close distances


- convergence: turning inward of eyes as object gets closer and vice versa


Retinal disparity: two eyes see objects in the world from two different views, the closer the object the greater the disparity of the two images


Gate control theory of pain

Nervous system can process only limited amount of sensory information at any one time


When too much information is received, spinal cord act as a gate that block incoming pain signals


Phenomena that can close the gate include massage, heat or cold, and distraction

Synesthesia

Rare condition in which stimulation of one sensory modality trigger sensation in another sensory modality

Three psychophysical laws

Study of relationship between physical stimulus magnitudes and corresponding psychological Sensations


Absolute threshold: minimum stimulus needed to produce sensation


Difference threshold: smallest increment in stimulus intensity needed to recognize discrepancy between two stimuli


1. Weber's law: just noticeable difference between two stimuli is proportional to the magnitude of the stimuli


2. Fechner's law: subjective sensation is proportional to logarithm of stimulus intensity; mathematically formalized


3. Stevens power law: proposed relationship between the magnitude of a physical stimulus and its perceived intensity or strength

Learning and memory: Structures of the brain

Temporal lobes: essential for encoding, storage, and retrieval of long-term declarative memories


- right lobe: non verbal memory tasks


- left lobe: verbal memory


Hippocampus:


Amygdala: fear conditioning and adding emotional significance


Prefrontal cortex: episodic memory and prospective memory, constructive memory and false recognition


- dorsolateral prefrontal cortex important for working memory


Thalamus: processing incoming information and transfers it to the cortex


- damage produces anterograde Amnesia, retrograde amnesia, and confabulation


Basal ganglia, cerebellum, and motor cortex: procedural memory and implicit memory

Learning and memory: neural mechanisms

Short term memory involves neurochemical changes at existing synapses


Long term memory entails increase in number of synapses and modifications to the structure of existing synapses


- long-term potentiation: greater responsivity of postsynaptic neuron to low-intensity stimulation by a presynaptic neuron after presynaptic neuron has been barraged by high-frequency stimulation; mediates long-term memory by causing changes in number of cells dendrites


- protein synthesis: long term memory seems to depend on enhanced protein synthesis following learning or training


Language: brain asymmetry

Left hemisphere usually dominant


Right hemisphere participates in production and comprehension of language


If left hemisphere is lost early in development or damaged in adulthood then right hemisphere assumes functions to some degree


Right hemisphere capable of some comprehension


Injury to right May produce subtle linguistic impairments

Broca's aphasia

AKA expressive, Moto, and nonfluent aphasia answer


Broca's area located in the dominant frontal lobe, usually left


Speak slowly and with great difficulty


Poorly articulated and lacks intonation, stressed, and rhythm

Wernicke's aphasia

Receptive, impressive aphasia


Located in left temporal lobe


Trouble understanding written and spoken language


Unable to generate meaningful language


Unaware that speech is meaningless

Conduction aphasia

Occurs when structure connecting Wernicke's area and Broca's area is damaged


Does not affect language comprehension that results in paraphasia and impaired repetition

Transcortical aphasia

Lesions outside Broca's and Wernicke's areas that disconnect of these from other regions of the brain


Transcortical motor aphasia: Broca's area is isolated, nonfluent effortful speech, lack of spontaneous speech, anomia


Transcortical sensory aphasia: Wernicke's area is isolated, deficits and comprehension, anomia, and fluent speech but unimpaired repetition


Mixed transcortical aphasia: Broca's and Wernicke's both affected, talk but have nothing to say, unable to understand written and spoken language , can produce automatic responses

Global aphasia

Caused by widespread brain injury involving Broca's and Wernicke's areas as well as other areas in left frontal temporal and parietal lobes


Extensive disruption to production and understanding of language


Often accompanied by right hemiplegia, right Hemi sensory loss, and right hemianopia

4 theories of emotion

1. James - Lange theory: stresses importance of peripheral factors, emotions represent perceptions of bodily reactions to sensory stimuli


- you're afraid because your knees are shaking


- studies of quadriplegic and paraplegic report less intense emotions after injuries


2. Canon - Bard Theory: greater emphasis on brain mechanisms, emotional and bodily reactions to stimuli occur simultaneously as a result of Thalamus stimulation of Cortex and peripheral nervous system


- bodily reactions are fairly similar for all emotions


3. 2 Factor Theory: emotions are consequence of combination of physiological and cognitive interpretation and the environmental context in which it occurs


- the epinephrine study


4. Cognitive appraisal Theory:


- primary appraisal refers to evaluation of situation as irrelevant , depends on individual beliefs and values


- secondary appraisal evaluation of resources person has to cope in a stressful situation


- reappraisal when person monitor the situation and modifies appraisals

Emotion: brain mechanisms

Papez's circuit: includes hippocampus, mammillary bodies, anterior nuclei of Thalamus, cingulate gyrus


1. Cerebral cortex:


- left government happiness and other positive emotions, damaged produces catastrophic reactions such as severe depression, anxiety, depression and paranoia


- write mediate sadness, fear, other negative emotions, damage results in indifference, Amity, liability, and undo cheerfulness


- right hemisphere is dominant for recognition and expression of emotion


2. Amygdala: attaches emotion to memory, evaluate sensory information, determines emotional importance, and mediates response to information


3. Hypothalamus: influences ANS and pituitary gland , involved in translation of emotions into physical responses

Stress

General Adaptation Syndrome: adrenal and pituitary glands, three stages


1. Alarm reaction: hypothalamus activates Adrenal medulla, releases epinephrine , glucose level rises and heart and respiration respiration rates accelerate


2. Resistance: breathing and heart rate returns to normal levels, hypothalamus signals pituitary gland to release adrenocorticotropic hormone , activate the adrenal cortex to release cortisol


3. Exhaustion: with prolonged stress the pituitary gland and the adrenal cortex lose ability to maintain elevated hormone levels, physiological processes break down, fatigue, depression, and illness may occur

Sexual dimorphism

Human brain is sexually dimorphic


Sex-related differences in physical appearance


Brain Imaging techniques find sex-related differences in size of certain regions of the brain including the corpus callosum, hippocampus + scn


related to differential exposure to androgens during prenatal and postnatal development

Puberty

Secondary sex characteristics: development occurs when hypothalamus secretes chemicals that stimulate anterior pituitary gland and releases gonadotropic hormones


Hypothalamic pituitary gonadal axis: process that stimulates puberty

Menopause

Cessation of menstruation enter


Late forties early fifties


Hormone replacement therapy: reduces negative effects of menopause, altering estrogen only or both estrogen and progesterone

Five stages of sleep

Beta waves: alert, fully awake


Alpha Waves: awake, arrested, relaxed


Theta waves: deep relaxation, light sleep


Delta waves: deep sleep


Sleep stages 1 through 4 are non-rem sleep


Stage 1 Alpha Waves replaced by theta waves


Stage 2 theta waves predominate but are interrupted by birth of sleep spindles


Stage 3 large slow delta waves appear


Stage 3 large slow Delta waves up here


stage 4 aka deep sleep Delta waves dominate


Stage 5 REM sleep

Sleep patterns over the lifespan

Infants begin with REM sleep and gradually change to non rim


Newborn on RAM predominated by slow wave activity


First four stages of non-rem sleep not distinguishable until 6 months of age

TBI

Temporary or permanent impairment in cognitive, emotional, behavioral, and or physical functioning


- closed head injury brain may be affected by hemorrhage, alteration or Loc


- open head injury: does not usually have loss of consciousness and produces more localized damage


Post-traumatic amnesia: post-injury anterograde amnesia coma duration is good predictor of Persistence of symptoms caused


Retrograde amnesia: recent memory is affected more than remote memory

Post-concussion syndrome

Pattern of somatic and psychological symptoms of up to 50% of people who experience mild brain injury


Symptoms colon headache, dizziness, nausea, blurred vision, and drowsiness


Tinnitus, cognitive impairment especially in memory attention concentration and information processing speed


Diffuse axonal injury is primary organic Factor


Psychological factors include subjective interpretation of injury


Receive DSM-5 diagnosis of major or mild neurocognitive disorder due to TBI

Cerebrovascular accident

AKA stroke


Disruption in blood supply to brain


thrombosis, embolism, and hemorrhage


Risk factors are hypertension and atherosclerosis , diabetes mellitus, smoking, and age

Stroke symptoms

Middle cerebral artery: contralateral hemiplegia and hemiparesis, Aphasia, apraxia and sensory neglect


Posterior cerebral artery: contralateral homonymous hemianopia, memory loss, blindness, visual agnosia


Anterior cerebral artery: contralateral hemiplegia, gate apraxia, depression, confusion, impaired judgment and inside, blower bowel and bladder incontinence, mutism

Huntington's disease

Inherited degenerative disease


Offspring have 50% chance of developing disorder, diagnosed between ages 30 and 50


Depression, apathy, anxiety, antisocial Tendencies, forgetfulness begin first


Fidgeting and clumsiness


Facial grimaces and piano playing movements


Deficits and planning, problem solving, and decision-making, eventually dementia

Parkinson's disease

Progressive degeneration of dopamine-producing cells in substantia nigra


Exposure to herbicides, pesticides, toxins over extended period may play a role


Positive symptoms: tremor, akathisia

Seizures

Types:


- generalized seizures: not focal onset, tonic - clonic seizure AKA Grand Mall include tonic stage or muscles contract and body stiffens and chronic stage involves rhythmic shaking of Limbs, absence seizures: AKA petit Mall brief attacks involving loc without prominent motor symptoms


- partial seizures: one side of the brain , two main types simple do not involve loc while complex entail alteration in consciousness

Symptoms of seizure

Temporal lobe: automatisms, hallucinations, happiness, other alteration and emotion, Deja Vu, autonomic signs , changes in personality


Frontal lobe: motor symptoms, speech arrest, olfactory hallucinations, autonomic symptoms


Parietal lobe: unusual physical Sensations on opposite side of body


Occipital lobe: strange colors, visual phenomena, rapid eye blinking

Disorders of the endocrine system

1. Pituitary gland: secretes several hormones including antidiuretic hormone and somatogropic hormone


- adh in kidneys to mediate fluid retention, hyposecretion of ADH produces diabetes insipidus


2. Thyroid gland: hyperthyroidism - this is characterized by speeding up metabolism, elevated body temperature, heat intolerance, increased appetite with weight loss, education, liability, insomnia AKA Graves disease; hypothyroidism - slowed metabolism, reduced appetite with weight gain, slowed heart rate, low body temperature, lethargy, depression, decreased libido, impaired concentration and memory


3. Pancreas: hypoglycemia - Hunger, dizziness, headaches, blurred vision, anxiety, confusion; diabetes mellitus

Drug effects

Agonists: produces similar effects as a neurotransmitter


Inverse Agonist: produces opposite effect


Partial Agonist: effects that are similar but less than effects produced by neurotransmitter


antagonist: no activity in the cell or on home but reduce or block effects of neurotransmitter

Antipsychotics

Traditional: effective for alleviating psychotic psychotic symptoms often prescribed as treatment for schizophrenia, acute Mania, hallucinations associated with MDD


- less effective for negative symptoms


- blocks dopamine receptors, dopamine hypothesis: schizophrenia is related to overactivity of dopamine receptors


- side effects: anticholinergic effects including dry mouth, blurred vision, constipation, tachycardia, delayed ejaculation; tardive dyskinesia , neuroleptic malignant syndrome: rapid onset of motor, mental, and autonomic symptoms including muscle rigidity, tachycardia, hyperthermia, and altered consciousness must stop drug as soon as NMS develops



Atypical: used to treat schizophrenia and other disorders with psychotic symptoms


- clozapine useful in treating bipolar, symptoms of Huntington's disease, Parkinson's, drug addiction


- alleviate both positive and negative symptoms of schizophrenia


- act on D4 and other dopamine receptors and serotonin and glutamate


- side effects: anticholinergic effects, sedation, lower seizure threshold, less likely to cause tardive dyskinesia

Tricyclics

Type of antidepressant


Amitriptyline, Nortriptyline, Doxepin, imipramine, clomipramine


Treat depression involving decreased appetite and weight loss sleep disturbance anhedonia


Panic disorder, agoraphobia, bulimia, OCD


Blocks reuptake of norepinephrine, serotonin, or dopamine


Side effects: cardiovascular symptoms such as tachycardia, palpitations, hypertension, severe hypotension, cardiac arrhythmia


Overdose: impaired concentration, Ataxia, education, cardiac arrhythmia, delirium, senior, Colma

Ssris

Treats depression that are particularly effective for melancholic depression


block reuptake of Serotonin


Less cardiotoxic, safer an overdose, less likely to produce cognitive impairment

MAOI

Most effective for treating non endogenous and atypical depression that involves anxiety comma reversed vegetative symptoms, interpersonal sensitivity


Inhibit enzyme monoamine oxidase, involved in deactivating norepinephrine, dopamine, and serotonin


Side effects: hypertensive crisis - occurs when taken in conjunction with barbiturates, and feta means, antihistamines, or with foods containing tyramine symptoms include stiff neck, nausea, rapid heart rate, severe headache, sensitivity to light

2 true mood stabilizers

Lithium:


- classic bipolar


- mode of action not well understood, related to reuptake of Serotonin and norepinephrine


- side effects include nausea, vomiting, diarrhea, metallic taste and weight gain


- toxicity can result in seizures, coma, and death



Carbamazepine:


- initially used as anticonvulsant


- Treats bipolar disorder when people have not responded to lithium


- most effective or rapid cyclers


- mode of action not well understood, believed to affect serotonin levels


- side effects: dizziness anorexia and rash


- - do not use with cardiac problems

Barbiturates

Barbitals


Used as sedatives and anesthetic


In frequently prescribed now


Interrupt impulses to reticular activating system

Benzodiazepines

Most widely prescribed psychiatric medication


Used to relieve anxiety but also treat sleep disturbance and alcohol withdrawal stimulate inhibitory action of Gaba


Side effects: drowsiness dizziness lethargy Ataxia impaired psychomotor ability heritability paradoxical excitation or education


Promote psychological dependence

Beta blockers

Propanolol


Used to treat high blood pressure angina and other cardiovascular disorders


Reduce physical symptoms of anxiety


Block beta adrenergic receptors which respond to epinephrine and norepinephrine answer


Side effects: bradycardia shortness of breath diarrhea

Psychostimulants

Amphetamines and Methylphenidate


Potentiate release of norepinephrine and dopamine


Block the reuptake


Side effects: restlessness insomnia poor appetite palpitation arrhythmia


Can lead to dependence


Prolonged use of amphetamine can resemble paranoid schizophrenia