Neurophysiology Flashcards

1
Q

Parts of neuron

A

Dendrites, axons, soma, synaptic terminal

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2
Q

Neuron types: type, examples, describe

A
Multipolar: motor neurons, interneurons
-1 axon, many dendrites
Bipolar: special senses neurons
-1 axon process, one drenditic process
Pseudounipolar: somatic, visceral sensory neurons
-1 process but brances
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3
Q

Graded membrane potentials - where?

A
  • graded in amplitude, proportional to intensity (stronger stimulus fires STRONGER signal)
  • in dendrites and body
  • sensory neuron: receptor potentials (Stimulus > receptor activated > Na+ influx in sensory neuron > potential that is graded
  • synaptic neurons: synaptic potentials
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4
Q

Action Potential - where? characteristics?

A
  • fixed amplitude
  • in axons
  • used for propagation
  • frequency proportional to intensity: stronger stimulus fires MORE
  • communication over long distance bt neurons
  • all or none
  • spike initiation zone
  • unidirectional (b/c of refractory periods)
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5
Q

Axonal transport: anterogrde vs retrograde

A
  • Fast anterograde - soma > synapse. transport NTs, macomolecules in vesicles long KINESIN
  • Slow anterograde - diffusion of cytosolic proteins
  • Fast retrogrde - nerve terminals > soma. along DYNEIN. surplus materials, endocytocized materials, infections
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6
Q

What does dendrites have that axons don’t

A
  • multiple branching
  • RIBOSOMES!
  • graded potentials
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7
Q

resting membrane potentil

A
  • 70mV due to higher K+ permeability > leaks OUT = inside more negative then outside
  • maintain by Na/K/ATPase: pumps K+ in and Na+ out
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8
Q

Relationship bt receptor potential and APs

A

-RPs in large > initiate APs

-

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9
Q

Factors for conduction velocity

A
  • increase size (decrease resistance)
  • myelination (decrease capacitance)
  • distance
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10
Q

Myelination

A
  • lipid insulator > faster AP conduction
  • PNS: Schwann cells, CNS: oligodendrocytes
  • Nodes of Ranvier: AP leap bt nodes = saltatory conduction
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11
Q

Demyelination

-diseases?

A

> Conduction block
-AP can’t reach next patch of N channels
ex: MS - demylenation of central axons
Guillin-Barre: peripheral

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12
Q

Local anesthetics and pain

  • block what?
  • ex?
A
  • blocks Na+ chnnels from inside. no Na+ influx > no AP
  • targets small-diameter, unmyelinated fibres because can access more Na+ channels to block
    ex: cocain, lidocaine
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13
Q

Why use NCS and EMG?

A
  1. localize lesion
  2. distinguish bt axonal loss vs demylination
  3. assess severity and prognosis
  4. asses age of lesion
  5. nerogenic vs myopathic
    * *PNS nor CNS test
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14
Q

Timelines of nerve lesion: acute, subacute, chronic

A

Acute 1-2wk
Subacute 4-8 wks
chronic months-yr

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15
Q

Describe nerve conduction studies

A
  • motor and sensory
  • particularly for myelinated fibres, large d
  • axonal loss: lower amplitude (takes few days after injury to happen, mimics conduction block. Test 7-10 days fter injury)
  • delymination: slower conduction, lower amplitude only for proximal test
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16
Q

What are the electro signs of delymination?

A
  • sign. prolongation of distal latency
  • sign. slowing
  • conduction block (distal ok, proximal test have lowered amplitude)
17
Q

Recovery timelines for nerve damage?

A

Demylination: usually complete recovery 1-3 months

Axonal loss: longer, incomplete b/c regeneration is slow

18
Q

What is EMG?

A

-needle electrode examination
-test at rest and during voluntary movement
-only MOTOR
-Abnormal:
fibrillation potentials at rest = axonal loss
change in motor unit potentials (MUP): long and high indicates re-innervation = chronic lesion
recruitment of motor units
1. reduced: neurogenic
2. early: myogenic

19
Q

What is neurogenic lesion?

A
  • nerve issue: fever motor units available to recruit
  • fire faster
  • reduced recruitment
20
Q

What is myogenic lesion?

A
  • muscle issue: smaller units

- need to recruit early