ToB: Nervous System Flashcards

1
Q

Where is CSF found?
What is its function?

Name the disease where there’s too much CSF

A

In subarachnoid space of the brain, ventricular system of spinal cord and brain and central canal of spinal cord

Nourishes, removes metabolites and exerts hydrostatic pressure (cushioning)

Hydrocephaly

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2
Q

Name the meninges

A

SDASP:

skull, dura mater, arachnoid mater, subarachnoid space, pia mater

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3
Q

Name two autoimmune diseases (one PNS and one CNS) where myelin is destroyed

What PNS and CNS cells do myelination?

A

PNS: Guilliam Barré
CNS: Multiple sclerosis

PNS: Schwann cells, CNS: oligodendrocytes

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4
Q

What do ependyma cells do and where are they found?

What do astrocyte cells do and where are they found?

A

In the CNS:
Ependyma cells secrete CSF
Astrocytes transport nutrients and waste across the BBB

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5
Q

Name the 3 ‘sheaths’ in the nerve structure and what they cover

A

Epineurium: covers the nerve
Perineurium: covers the fascicle
Endoneurium: covers an axon

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6
Q

Name the 3 structures of nerves and their differences

A

Multipolar: single axon, many dendrites
Bipolar: single axon and one dendrite
Unipolar: single axon, no dendrites

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7
Q

Contrast temporal and spatial summation

A

Temporal: waves of neurotransmitter from one pre-synaptic neurone to overcome the threshold

Summation: neurotransmitters from multiple pre-synaptic neurones to overcome the threshold

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8
Q

What are dendritic spines?

What do they provide and what condition lacks them?

A

Small membranous protrusions from the dendrite
They allow for neural plasticity/ ability for the brain to change over time.
Thus, Down’s syndrome individuals have learning difficulties and fewer dendritic spines

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9
Q

Why do we have dendrites?

What is arborisation?

A

To increase the surface area for signal reception

‘Arborisation’ is when a neurone integrates signals with other neurones

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10
Q

How many cranial nerves are there and where do they originate from?

How many have parasympathetic components?

A

12 cranial nerves: 2 from the brain and 10 from the brain stem

4 have parasympathetic components

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11
Q

What kind of glandular secretions are stimulated by parasympathetic and sympathetic systems?

A

Parasympathetic:
Facial nerve 7: Serous salivary secretions from submandibular and sublingual, lacrimal gland: tears, nasal gland

glossopharyngeal nerve 9: salivary secretions from parotid gland (also leads to tongue and pharynx)

Sympathetic: Stimulates mucous secretion and sweat

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12
Q

What are cranial nerves 3 and 10 called, what do they do?

A

3: ocular motor parasympathetic nerve: constricts the pupil and controls 4/6 muscles for eye movement
10: VAGUS parasympathetic nerve controls heart rate and GI tract

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13
Q

Describe the differences in the parasympathetic and sympathetic pathways (including neurotransmitter differences)

What is one sympathetic exception?

A

Parasympathetic: long pre-synaptic and short post-synaptic, uses Ach at both synapses

Sympathetic: Short presynaptic (that often synapses at/around the sympathetic chain) and a long post-synaptic, uses Ach at the presynaptic and Noradrenaline at the effector organ

Exception: sweat glands are sympathetic but use Ach at the effector organ

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14
Q

Name the 3 sacral spinal nerves.

Explain the parasympathetic and sympathetic interactions with sex and urination

A

S2, S3, S4

Sex:
P: increases blood flow to the genitalia
S: ejaculation

Urination:
P: Pee: contracts the detrusor muscle
S: No pee: Relaxes the detrusor muscle and constricts the internal sphincter

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15
Q

Explain a vasovagal syncope.

A

When a trigger (fear, pain, phobia, etc) overly stimulates a parasympathetic response of vasodilation: causing a drop in BP and HR.
The brain quickly lacks perfusion and person faints

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16
Q

Explain Raynaud’s phenomenon, what are common symptoms and a serious implication?

*Bonus: How would you treat this surgically?

A

Spasm of digital arteries, usually precipitated by cold and relieved by heat. Common symptoms include cyanosis, pallor, redness, pain, numbness, paraesthesia and pins and needles. It is a chronic condition that can lead to tissue infarction.

Peripheral Sympathectomy

17
Q

What happens in Horner’s syndrome? Name 3 common symptoms

A

It’s the disruption of sympathetic innervation to the eye:

Droopy eyelids, different sized pupils, absence of sweating on half the face

18
Q

What’s Hirschsprung’s disease and its implications?

Why does it have a high mortality rate?

A

A rare congenital disease where distal intestines lack ganglion/innervation which causes ineffective peristalsis:
Stools back up in the intestines which causes constipation and infection