Consciousness and brain activity L2 Flashcards

(59 cards)

1
Q

consciousness medical definition=

A

the state of being aware and responsive

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2
Q

what can levels of consciousness be plotted as

A

Awareness vs responsiveness

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3
Q

what cortex is involved in awareness and attention

A

parietal cortex

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4
Q

locked in syndrome=

A

fully conscious but paralysed

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5
Q

most common cause of loss of consciousness world wide

A

malaria

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6
Q

3 parts of assessment

A

Airways
breathing
cardiac output

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7
Q

what can be used to assess consciousness

A

glasgow coma scale

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8
Q

3 things Glasgow coma scale uses

A
eyes (4)
verbal response (5)
Motor response (6)
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9
Q

minimun score of glasgow coma scale

A

3

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10
Q

maximum score of glasgow coma scale

A

15

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11
Q

6 motor levels

A
none
decerebrate 
decorticate
withdraws 
localizes 
obeys
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12
Q

5 verbal levels

A
none
incomprehensible 
inappropriate
confused 
appropriate
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13
Q

4 eye levels of eye opening

A

none
to pain
to verbal command
spontaneous

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14
Q

what is a moderate to server score

A

9-11

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15
Q

what score is not in a coma

A

above 9

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16
Q

critical score=

A

8

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17
Q

above 12=

A

minor injury

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18
Q

brain stem death definition

A

irreversible loss of the capacity for consciousness + irreversible capacity to breath

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19
Q

what must the criteria for brain stem death not be caused by

A

depressant drugs
primary hypothermia
reversible endocrine, circulatory and metabolic disturbances

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20
Q

6 tests for brainstem death

A
pupil response
corneal reflex
vestibular-occular reflex 
cranial nerve motor response 
cough/ gag reflex
respiratory effort
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21
Q

brain stem areas essential for consciousness (2)

A

reticular activating system (RAS)

cerebral cortex

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22
Q

what is the reticular activating system

A

a collection of nuclei found throughout the midbrain and extends into the hind brain and spinal cord

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23
Q

another name from the reticular activating system

A

Diffuse modulatory system

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24
Q

name 4 nuclei of the RAS

A

locus coeruleus
Raphe nuclei
ventral tegmental area
cholinergic nuclei

25
where is locus coerulus
pons
26
neurotransmitter of locus coerulus
noradrenaline
27
when is the locus coerulus active
arousal novel stimuli mediates sympathetic effects of stress
28
Disorders of locus coerulus
anxiety, panic , PTSD
29
where are Raphe nuclei
midline midbrain, pons and medulla
30
neurotransmitter of raphe nuclei
serotonin
31
role of Raphe nuclei
projections help regulate circardian rhythm | and pain inhibition
32
disorders of Raphe nuclei
depression | OCD
33
where is the Ventral tegmental area
ventral regions of midbrain
34
where does the ventral tegmental area project to
frontal cortex and limbic system
35
what does the ventral tegmental area do
reinforces pleasurable sensations
36
disorders of ventral tegmental area
addiction | schizophrenia
37
2 cholinergic nuclei
basal forebrain nuclei | dorsolateral pontine nuclei
38
neurotransmitter of cholinergic nuclei
Acetyl choline
39
what is the activated role of the cholinergic nuclei
states of arousal induce wakefulness and REM sleep learning and memory
40
disorders of Cholinergic nuclei
Alzeimers amnesia dementia
41
what area is associated with sleeping sickness
posterior hypothalamus damage
42
when awake what fibres fire
increased cholinergic fibre firing
43
when asleep what do fibres do
decreased cholinergic fibre firing
44
In wakefulness what need to happen to the thalamus
stimulate the thalamus and inhibit the inhibitory effect of the reticular nucleus
45
3 neurons that cause oscillations in EEG
Thalamocortical reticular corticothalamic
46
2 main stages of sleep
Non- REM sleep | REM sleep
47
which type of sleep is synchronised
non-REM sleep
48
which type of sleep is desynchronised
REM sleep
49
REM=
rapid eye movements
50
what type of frequency does REM cause
high frequency in EEG
51
another word for REM sleep
paradoxical sleep
52
which sleep is associated with dream
REM sleep
53
where do neurons in the retina project to
suprachiasmatic nucleus (SCN) of the thalamus
54
what does SCN secrete
vasopressin
55
what does vasopressin do in the brain
indirectly modulates the pineal gland to release melatonin
56
what is melatonin
a sleep promoting neurohormone
57
when does melatonin levels rise
just before a person is about to go to sleep
58
rare sleep disorder=
Narcolepsy
59
what does fMRI measure
glucose uptake in the brain