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95 Cards in this Set

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Receptor & Types

Specialised nerve ending stimulated by the different types of stimulus


Mechanoreceptor - free nerve ending, Meisser corpuscles


Nociceptors - free nerve ending


Thermoreceptors - end bulb of Krause , end organ of Ruffini


Chemoreceptors - receptor of taste and smell


Electromagnetic receptor - rods and cones

D/f type of stimuli

Action potential


✓ a rapid change in the membrane potential followed by returning back to resting membrane potential


✓ non propagatory , non graded


✓ Follows all or none law


✓ it has a refractory period


✓ increase in the intensity of stimulus increase the AP


✓ when RP reached the threshold, AP produced

Receptor potential

When a receptor is adequately stimulated, non propagatory, depolarising potential is developed


✓ Non propa, graded


✓ don't follow all or none law


✓ no refractory period


✓ RP doesn't depend on AP


✓increase in the intensity of stimulus increase the magnitude of RP

Labled line principles

Specificity of nerve fibres for transmitting of only one modality of sensation

Bell magendie law

In the spinal cord dorsal roots are sensory and ventral roots are motor

Define tracts, descending tract

Bundle of nerve fiber carrying sensory or motor impulse from the brain or to the brain


Descending


- extra pyramidal: rubrospinal, reticulospinal , tectospinal, olivospinal, vestibulospinal


- pyramidal: anterior and lateral corticospinal


Ascending tracts names

Pathway and functions of corticospinal tract

Function: control skilled and voluntary movement


Pathway of superficial reflex

Lesion in corticospinal tract

Loss of voluntary movement in distal limbs


Muscle tone increase due to release phenomenon


Superficial reflex are absent


Deep reflex are exaggerated


Knee and ankle clonuses are present


Coordination is reduced

Release phenomenon

Escape of LMN from the inhibitory control of UMN

Bibinski sign

Dorsiflexion of great toe and fanning out of other toe in response to scratching the skin along the lateral side of sole of foot


-

Normal : planter flexion of all toe


Function of extrapyramidal , lesion

Function: control movement of eye ball


Maintain equilibrium, posture, tone , complex movement of body


Transmission of voluntary impulse


Lesion : muscle power - weakness


Muscle tone: rigidity


Coordination is normal but slow


Plantar response is flexor

Law of projection

It’s a sensory pathway from receptor to the cerebral cortex stimulated on any particular site along its course.

Stimulation of receptor

Weber - fechner law

Magnitude of sensation is proportionate to the log of intensity of the stimulus.


Interpreted signal strength = log ( stimulus) + constant

Intensity of stimulus

Define emotion and its component

It’s a subjective, conscious experience of psycho physiological expression


1. Conation ( urge to action)


2. Affection ( feeling itself)


3. Cognition ( awareness)

Expression


CCA

Thalamic syndrome


Effect of it

~infraction on the posteroinferior of thalamus causing hemiparesis


~ loss of superficial and deep sensations with preserved crude pain

* crude touch - Anterior spinothalamic tract

Thalamus function

✅ sensory rely station except olfactory


✅ control of emotion and behaviour, memory mechanisms


✅interpretation of crude and temperature sensation


✅ autonomic control of viscera


✅ it control the motor activity

Reticular formation

Continuous network of nerve cell or fibres that extended from the spinal cord through the MO, pons , midbrain , sub thalamus, hypothalamus

Nicotinic receptor

It’s a ligand gated ion channel found in autonomic ganglia at the synapse Btw sympathetic, parasympathetic system


Nm neuromuscular junction of skeletal muscle


Nn post ganglionic neuron , cns

Ligand gated channel - btwn


Skeletal muscle

Basal ganglia


Structure

Collection of masses of grey matter


Caudate nucleus


Putamen


Globus pallidus


Subthalamic nucleus


Substantia nigra

Function of basal ganglia

Planning and programming of movement


Control axial and girdle movement


Cognitive process

Basal ganglia disorder

Hyperkinetic - chorea , athetosis, Ballism


Hypokinetic - Akinesia , bradykinesia


Parkinson’s


Huntington’s

Hyperkinetic disorders

Athetosis - continuous slow writhing movement


Ballism- involuntary, flailing, violent movement


Chorea - rapid , involuntary dancing movement

ABC

Hyperkinetic disorders

Athetosis - continuous slow writhing movement


Ballism- involuntary, flailing, violent movement


Chorea - rapid , involuntary dancing movement

ABC

Hypokinetic disorder

Akinesia - difficulty in initiating movement and decrease in spontaneous movement.


Bradykinesia - slowness of the movement

Hyperkinetic disorders

Athetosis - continuous slow writhing movement


Ballism- involuntary, flailing, violent movement


Chorea - rapid , involuntary dancing movement

ABC

Hypokinetic disorder

Akinesia - difficulty in initiating movement and decrease in spontaneous movement.


Bradykinesia - slowness of the movement

Parkinson’s is hyper or hypo ?


Caused by ?

Both hyper nd hypo


Deficiency of NT dopamine in corpus striatum and lesion in substantia nigra

Hunting’s disease


Effect ?

Degeneration of neuron in the inhibitory pathway between the corpus striatum and substantia nigra .


Reduction in the secretion of GABA ,substance P, acetyl CoA

Function of cerebellum

Control the same side of the body ( ipsilateral movement)


Coordinate the voluntary movement ( axial musculature and bilateral movement)


Control the tone, posture, crude movement.


Controls the fine movement

Division of cerebellum with its physiological name ?

Archi - vestibulocerebellum


Paleo - spino


Neo - cerebrocerebellum

Archicerebellum formed by


Function?

Flocculonodular lobe


Lingula


Axial , bilateral movement

Paleo cerebellum


Function

Anterior lobe minus lingula


Uvula , pyramid


Tone , posture, crude movement

Paleo cerebellum


Function

Anterior lobe minus lingula


Uvula , pyramid


Tone , posture, crude movement

Neocerebellum formed by and function

Middle lobe except uvula , pyramid


Regulation of fine movement

Reflex/ Reflex action


Reflex arc

Involuntary motor response due to any sensory stimuli



Complete anatomical pathway of reflex action is called reflex arc

Superficial reflex with root value

Abdominal reflex T 10-12


Corneal reflex C 5-6


Plantar reflex L5- S1

Superficial reflex with root value

Abdominal reflex T 10-12


Corneal reflex C 5-6


Plantar reflex L5- S1

Deep reflex

Knee jerk L2-4


Ankle jerk L5-S2


Biceps jerk C5-6

Superficial reflex with root value

Abdominal reflex T 10-12


Corneal reflex C 5-6


Plantar reflex L5- S1

Deep reflex

Knee jerk L2-4


Ankle jerk L5-S2


Biceps jerk C5-6

Visceral reflex

Pupillary reflex


Vomitting , micturation reflex , baroreceptor

Superficial reflex with root value

Abdominal reflex T 10-12


Corneal reflex C 5-6


Plantar reflex L5- S1

Deep reflex

Knee jerk L2-4


Ankle jerk L5-S2


Biceps jerk C5-6

Visceral reflex

Pupillary reflex


Vomitting , micturation reflex , baroreceptor

Pathological reflex

Babinski sign


Clonus


Pednular movement

Reflex classification

Clinical


No. Of synapse


Physiological ( flexor , extensor )


Somatic , autonomic reflex


Inborn or acquired ( condition , unconditioned)

Inhibition


Irradiation

Inhibitory response to pre, post synaptic inhibition


If the impulse is stronger than the normal it spread to the other neuron

Function of tract of gall and burdach

Fine touch sensation


Tactile localisations, discrimination


Sense of vibration


Sensory pathway for superficial reflex

Cerebellum lesion signs

Hypotonia


Gait


Ataxia


Intention tremor


Dysmetria


Dysdiadochokinesia ( inability of rapid alteration movement)


Nystagmus


Rebound phenomenon


Knee jerk

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Lateral spinothalamic tract function

Temperature, tickling, pain , sexual sensation

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Lateral spinothalamic tract function

Temperature, tickling, pain , sexual sensation

Spinal cord lesion


Below the level

Opp


Extensive sensory loss , Little sensory loss


Same side


Little sensory loss , extensive motor loss

Aka brown sequard syndrome

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Lateral spinothalamic tract function

Temperature, tickling, pain , sexual sensation

Spinal cord lesion


Below the level

Opp


Extensive sensory loss , Little sensory loss


Same side


Little sensory loss , extensive motor loss

Aka brown sequard syndrome

Changes at the level of section

Same side


Motor loss - complete paralysis of LMN.


Sensory - complete anesthesia due to destruction of dorsal nerve root

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Lateral spinothalamic tract function

Temperature, tickling, pain , sexual sensation

Spinal cord lesion


Below the level

Opp


Extensive sensory loss , Little sensory loss


Same side


Little sensory loss , extensive motor loss

Aka brown sequard syndrome

Changes at the level of section

Same side


Motor loss - complete paralysis of LMN.


Sensory - complete anesthesia due to destruction of dorsal nerve root

UMN LMN

UMN - neuron of cerebral cortex and brain stem


LMN - neuron of cranial and spinal

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Lateral spinothalamic tract function

Temperature, tickling, pain , sexual sensation

Spinal cord lesion


Below the level

Opp


Extensive sensory loss , Little sensory loss


Same side


Little sensory loss , extensive motor loss

Aka brown sequard syndrome

Changes at the level of section

Same side


Motor loss - complete paralysis of LMN.


Sensory - complete anesthesia due to destruction of dorsal nerve root

UMN LMN

UMN - neuron of cerebral cortex and brain stem


LMN - neuron of cranial and spinal

Muscle spindle

Receptor which provide the sensory information that used by the cns for the control of muscle activity

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Lateral spinothalamic tract function

Temperature, tickling, pain , sexual sensation

Spinal cord lesion


Below the level

Opp


Extensive sensory loss , Little sensory loss


Same side


Little sensory loss , extensive motor loss

Aka brown sequard syndrome

Changes at the level of section

Same side


Motor loss - complete paralysis of LMN.


Sensory - complete anesthesia due to destruction of dorsal nerve root

UMN LMN

UMN - neuron of cerebral cortex and brain stem


LMN - neuron of cranial and spinal

Muscle spindle

Receptor which provide the sensory information that used by the cns for the control of muscle activity

Nerve supply of muscle spindle

Motor - delta fiber


Sensory - Annulospiral ( group 1A)


Flowers spray ending ( group 2)

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Lateral spinothalamic tract function

Temperature, tickling, pain , sexual sensation

Spinal cord lesion


Below the level

Opp


Extensive sensory loss , Little sensory loss


Same side


Little sensory loss , extensive motor loss

Aka brown sequard syndrome

Changes at the level of section

Same side


Motor loss - complete paralysis of LMN.


Sensory - complete anesthesia due to destruction of dorsal nerve root

UMN LMN

UMN - neuron of cerebral cortex and brain stem


LMN - neuron of cranial and spinal

Muscle spindle

Receptor which provide the sensory information that used by the cns for the control of muscle activity

Nerve supply of muscle spindle

Motor - delta fiber


Sensory - Annulospiral ( group 1A)


Flowers spray ending ( group 2)

Function of muscle spindle


Function of muscle tone

Responsible for stretch reflex


Control the muscle tone, posture, length



Maintenance of posture, appearance and bias of reflex action, voluntary movement

Function of anterior spinothalamic tract

Light touch


Pressure sensation on opp. Side

Lateral spinothalamic tract function

Temperature, tickling, pain , sexual sensation

Spinal cord lesion


Below the level

Opp


Extensive sensory loss , Little sensory loss


Same side


Little sensory loss , extensive motor loss

Aka brown sequard syndrome

Changes at the level of section

Same side


Motor loss - complete paralysis of LMN.


Sensory - complete anesthesia due to destruction of dorsal nerve root

UMN LMN

UMN - neuron of cerebral cortex and brain stem


LMN - neuron of cranial and spinal

Muscle spindle

Receptor which provide the sensory information that used by the cns for the control of muscle activity

Nerve supply of muscle spindle

Motor - delta fiber


Sensory - Annulospiral ( group 1A)


Flowers spray ending ( group 2)

Function of muscle spindle


Function of muscle tone

Responsible for stretch reflex


Control the muscle tone, posture, length



Maintenance of posture, appearance and bias of reflex action, voluntary movement

Muscle tone

Partial contraction of muscle during resting conditions due to asynchronous discharge of impulse from motor nerve