Chapter 17 Flashcards

(50 cards)

1
Q

Why is the brain considered a delicate organ?

A

Because accidents can cause head injury, and diseases can disrupt its normal functioning, leading to a wide range of symptoms.

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2
Q

Who is primarily responsible for assessing brain disorders?

A

Neurologists and psychiatrists, using clinical skills, biomedical assays, and brain imaging.

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3
Q

Name two common brain disorders found even in children and teenagers.

A

Epilepsy and depression.

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4
Q

What characterizes epilepsy?

A

Recurring seizures caused by disorganized neuronal firing and abnormal excitability.

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5
Q

What happens during an epileptic seizure?

A

Loss of consciousness, stiffness, shaking, possible tongue biting or incontinence, followed by confusion or sleepiness.

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6
Q

What neurotransmitters modulate seizure activity?

A

GABA (inhibitory) and glutamate (excitatory).

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7
Q

Difference between partial and generalized seizures?

A

Partial seizures are localized, generalized seizures spread to the entire cortex.

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8
Q

What does EEG show during a generalized seizure?

A

Large, slow, synchronous waves replacing the normal alpha rhythm.

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9
Q

How has neuroscience improved epilepsy treatment?

A

Development of selective drugs targeting excitatory transmission and brain imaging to localize seizure sources for possible surgery.

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10
Q

What is the usual cause of common headaches?

A

Muscle tension.

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11
Q

When can headaches indicate serious problems?

A

If they appear suddenly or are associated with rash or vomiting, indicating irritation of the meninges.

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12
Q

What symptoms often accompany migraines?

A

One-sided headache, nausea, sensitivity to light/noise, and an aura of flashing lights or jagged lines.

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13
Q

What brain changes are observed at the start of a migraine?

A

Increased activity and blood flow in pain-processing brain regions, followed by reduced blood flow.

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14
Q

What class of drugs effectively stops migraine attacks?

A

Triptans, which activate specific serotonin (5-HT) receptors.

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15
Q

What usually causes stroke symptoms like one-sided weakness?

A

Interrupted blood supply to the opposite side of the brain.

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16
Q

Why do neurons need a continuous blood supply?

A

To receive oxygen and glucose for ATP production, which fuels electrical activity.

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17
Q

What is a Transient Ischaemic Attack (TIA)?

A

A temporary interruption of blood flow causing reversible neurological symptoms.

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18
Q

What happens to neurons during a prolonged stroke?

A

Neurons lose ATP, fail to maintain ion gradients, swell, burst, and release toxic neurotransmitters like glutamate.

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19
Q

What is tissue plasminogen activator (TPA) used for?

A

Breaking up clots to restore blood flow after a stroke.

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20
Q

Have glutamate-blocking drugs been successful in stroke treatment?

A

Not yet; they are still in development.

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21
Q

What has genetic research revealed about brain diseases?

A

Many inherited brain diseases are caused by specific gene defects, e.g., spinocerebellar ataxia.

22
Q

What is Huntington’s disease caused by?

A

A repeat mutation in the huntingtin gene.

23
Q

What ethical questions arise from genetic testing for brain diseases?

A

Whether people want to know their risk, and issues surrounding prenatal testing and abortion.

24
Q

What is multiple sclerosis (MS)?

A

An autoimmune disease causing inflammation and demyelination in the nervous system with relapsing-remitting symptoms.

25
How is MS treated?
With steroids to reduce inflammation and sometimes immune-modulating drugs like azathioprine or ß-interferon.
26
Name two other autoimmune nervous system diseases.
Myasthenia gravis and Guillain Barré syndrome.
27
What is Alzheimer’s disease?
A neurodegenerative dementia causing memory loss, cognitive decline, and personality changes.
28
What are the hallmark pathological features of Alzheimer’s disease?
Amyloid plaques and neurofibrillary tangles in the brain.
29
Which gene variations increase Alzheimer’s risk?
Mutations in amyloid precursor protein, presenilins, and the apoE-4 allele.
30
What neurotransmitter system is particularly affected in Alzheimer’s?
The acetylcholine system.
31
How do current Alzheimer’s drugs work?
By blocking enzymes that break down acetylcholine, modestly improving symptoms.
32
What differentiates depressive disorder from normal sadness?
Prolonged low mood, loss of interest, disturbed sleep/appetite, and suicidal thoughts.
33
How common is depressive disorder?
About 1 in 5 people may suffer from it at some time in life.
34
How do antidepressants work?
By enhancing serotonin and noradrenaline neurotransmission.
35
What recent findings link depression and brain structure?
Severe depression can cause brain cell loss; antidepressants may promote neurogenesis in the hippocampus.
36
What hormone is involved in stress-related brain damage?
Cortisol.
37
Why is neuroscience research important for brain diseases?
It advances understanding, diagnosis, and treatment of complex disorders.
38
What is schizophrenia?
A progressive, disabling psychiatric disorder affecting 1 in 100 people, characterized by abnormalities in brain chemistry and structure.
39
When does schizophrenia typically start?
In early adulthood.
40
What are the core symptoms of schizophrenia?
Delusions (bizarre, often persecutory beliefs), hallucinations (abnormal sensory perceptions like hearing voices), cognitive decline, impaired social interaction, and reduced ability to work.
41
Is schizophrenia the same as split personality?
No, schizophrenia is often misunderstood but is not related to split personality and sufferers are usually not violent.
42
What factors contribute to schizophrenia?
Genetic factors, environment, and stress.
43
What structural brain changes are seen in schizophrenia?
Enlargement of the brain’s ventricles and impaired frontal lobe activity.
44
What is an example of a dopamine-related treatment for schizophrenia?
Drugs that block dopamine receptors help reduce symptoms but do not cure the disorder.
45
How does dopamine function abnormally in schizophrenia?
Experimental activation (e.g., with amphetamines) shows abnormal dopamine release.
46
Besides dopamine, which other neurotransmitter system may malfunction in schizophrenia?
Glutamate.
47
What do post-mortem studies suggest about schizophrenia?
There may be abnormal neuronal connections formed during brain development.
48
What is the significance of ongoing schizophrenia research?
It represents one of the last frontiers in medical neuroscience and focuses on genetic and brain imaging studies to develop new treatments.
49
What is a prospective study in schizophrenia research?
Studying at-risk family members over time using genetic info, brain scans, and mental tests to identify early disease markers.
50
How might prospective studies help in schizophrenia?
By identifying early markers, they may lead to new, effective treatments.