Sleep Flashcards

1
Q

What are electrooculograms and electromyograms used for?

A

Electrooculogram: measures eye movement

Electromyogram: measures facial muscle contraction/movement

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2
Q

Table compaing rate of brain activity, hertz, rhythm and muscle activity for each stage of sleep

(awake, NREM 1-2, NREM 3-4, REM).

A
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3
Q

What happens to HR and RR during REM sleep?

A

increased.

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4
Q

Outline the sleep cycle.

A

Cycle consists of NREM1-4 and REM sleep. Last 1-1.5 hours. Repeats.

ECG rhythm slows up to stage 4 and transitions to rapid rhythms in REM.

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5
Q

How does sleep change as the night progresses?

A

more slow wave sleep at the beginning of the night and more REM at the end

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6
Q

How does sleep regulation change with sleep deprivation?

A

More REM sleep

More slow wave sleep

Sleep onset is earlier

Sleep for longer

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7
Q

How does the RAS control consciousness?

A

Projects into cerebral cortex from brainstem to influence its activity.

Higher activity –> higher arousal

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8
Q

How does the RAS act both directly and indirectly?

A

Direct influence: directly synapses in the cerebral cortex

Indirect: uses intralaminar nuclei of the thalamus

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9
Q

What is the role of the lateral hypothalamus?

How does it do this?

A

promotes wakefulness - excitatory stimulation of RAS using orexin

active during day

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10
Q

What is the role of the ventrolateral preoptic nucleus? how does it do this?

A

Promote sleep.

Inhibits RAS.

Active during day.

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11
Q

Explain the relationship between the lateral hypothalamus and the ventrolateral preoptic nucleus.

A

antagonistic, so activation of one inhibits the other (LH active at start of day and VLP at end

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12
Q

What is the role of the suprachiasmatic nucleus?

A

synchronise sleep with falling light level.

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13
Q

How does the SC nucleus function?

A

receives input from ganglion cells in retina, and as light levels fall, SC nucleus becomes more active, activating hypothalamic nuclei to inhibit the LH and stimulate the VLP nucleus

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14
Q

Where is the pineal gland located?

A

back of the third ventricle.

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15
Q

What does the pineal gland secrete? What does this hormone do?

A

melatonin.

Modulate sleep.

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16
Q

What are the functions of sleep?

A

Restoration/recovery

Energy conservation

Predator avoidance

Specific brain functions

17
Q

What are the functions of dreaming?

A

Safety valve for antisocial emotion

Disposal of unimportant/unwanted memories

Memory consolidation (NREM sleep = declarative memory [facts/events], REM sleep = procedural memory [skills])

18
Q

compare dreaming in NREM and REM sleep.

A

REM - more frequent and well recalled.

19
Q

Outline the psychiatric, neurological and somatic effects of sleep deprivation.

A

Psychiatric: tiredness, stress, mood fluctuations and depression

Neurological: impaired attention, risk of errors, neurodegeneration

Somatic: glucose intolerance, impaired immunity, reduced leptin/increased appetite

20
Q

How is insomnia treated?

A

removing cause, improving sleep routine and using hypnotic drugs (to enhance inhibitory GABAergic circuits)

21
Q

Give some potential causes of insomnia.

A

pain/apnoea, brain dysfunction, depression, night working.

22
Q

List some primary causes of hypersomnia

A

narcolepsy, post TBI, idiopathic

23
Q

List some secondary causes of hypersomnia.

A

Due to poor overnight sleep:

Obstructive sleep apnoea

Nocturnal pain

Anxiety

Medication

Restless legs syndrome

24
Q

What is narcolepsy?

A

falling asleep repeatedly during day with disturbed overnight sleep, with cataplexy (sudden loss of voluntary muscle tone triggered by strong emotions)

25
Q

What is narcolepsy associated with?

A

dysfunction of REM sleep due to orexin deficiency

26
Q

What is orexin? Why might it be deficient? How is deficiency managed?

A

lateral hypothalamic neurotransmitter.

Deficiency due to genetic/autoimmune deficiency

Manage with strict sleep routines.

27
Q
A