Reflexes Flashcards

1
Q

synonyms for myotatic reflexes

A

deep tendon reflexes, muscle stretch reflexes, tendon jerks

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2
Q

stretching of intrafusal fibers sends afferent info to the

A

dorsal horn of spinal corn, stimulates alpha motor neurons

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3
Q

when spinal pathways synapse on the gamma-motor neurons, they influence contraction of the..

A

muscle spindle, which determines how much contraction happens when the muscle is stretched

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4
Q

these fibers have many mitochondria, extensive capillary blood supply, myoglobin for O2 storage

A

slow twitch fibers (type I) (distance running)

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5
Q

these fibers have fewer mitochondria, less extensive blood supply, glycogen store and glycolytic enzymes

A

fast twitch fibers (type IIb) (sprinting)

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6
Q

what determines whether a muscle fiber will be type I or type IIb?

A

the INNERVATION

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7
Q

a single motor neuron innervating a group of muscle fibers

A

motor unit

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8
Q

describe motor unit recruitment as used in motor activity

A

the maximum force developed by a muscle increases exponentially as the percentage of motor units recruited increases and superimposes

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9
Q

describe the pathway in muscle stretch reflex (flexion)

A

cutaneous afferent fiber enters dorsal horn, synapses, goes to ventral horn, activates motor neuron in the flexor muscle; dorsal horn synapse also goes through ant commissure to contralateral ventral horn to motor neuron to have opposite extensor muscle support

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10
Q

describe the muscle stretch reflex pathway (stretch)

A

muscle spindle afferent fibers enter dorsal horn, synapse, motor neurons activate the muscle to stretch ;while alpha motor neurons activate the antagonist

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11
Q

reflexes are hyperactive if the lesion is in..

A

the upper motor neurons

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12
Q

reflexes are hypoactive if the lesion is in the..

A

lower motor neurons

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13
Q

what type of lesion is characterized by increased muscle tone/spasticity?

A

upper motor neuron syndrome

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14
Q

what type of lesion is characterized by loss of cutaneous reflexes?

A

lower motor neuron syndrome and upper motor neuron syndrome

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15
Q

what type of lesion is characterized by Hoffman and Babinski’s sign?

A

upper motor neuron

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16
Q

what type of lesion is characterized by fibrillation and fasciculation?

A

lower motor neuron syndrome

17
Q

what type of lesion is characterized by decreased muscle tone and flaccidity?

A

lower motor neuron syndrome

18
Q

the polysynaptic superficial reflexes

A

abdominal, cremasteric (L1), Hoffman, plantar (Babinski sign is plantar extension, abnormal)

19
Q

jaw jerk reflex tests neurons in the..

A

pons

20
Q

dermatome of clavicle

A

C4

21
Q

dermatome of upper arm lateral

A

C5

22
Q

dermatome of thumb and lateral forearm

A

C6

23
Q

dermatome of middle figer and first finger

A

C7

24
Q

dermatome of last 2 digits

A

C8

25
Q

dermatome of nipple

A

T4

26
Q

dermatome of umbilicus

A

T10

27
Q

dermatome of calf

A

L4, 5

28
Q

dermatome of big toe

A

L5

29
Q

dermatome of little toe

A

S1

30
Q

dermatome of perineum

A

S3-5

31
Q

glove stocking sensory loss indicates lesion in..

A

peripheral nerves

32
Q

sensory loss of everything below the waist indicates..

A

complete transection of thoracic cord (T7)

33
Q

sensory loss in S2-S5 indicates lesion in..

A

cauda equina

34
Q

sensory loss of right side from the waist down, plus left thoracic sensory loss indicates..//this is also called..

A

left hemisection of thoracic cord; Brown-Sequard syndrome (T4)