GPT Neuro Notes Flashcards

(63 cards)

1
Q

What are the four lobes of the cerebrum and their primary functions?

A

Frontal (motor cortex - executive function - speech production) - Parietal (somatosensory - spatial processing) - Temporal (auditory - language comprehension - memory) - Occipital (visual processing)

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2
Q

What type of fibers connect the two hemispheres of the brain?

A

Commissural fibers (e.g. corpus callosum)

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3
Q

Name the subcortical nuclei of the basal ganglia and their role.

A

Caudate - Putamen - Globus pallidus - Substantia nigra - Subthalamic nucleus - involved in initiation and inhibition of movement

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4
Q

What is the function of the thalamus in the CNS?

A

Acts as a relay station for sensory and motor signals to the cerebral cortex and is involved in consciousness and sleep

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5
Q

Which brain region controls homeostasis and autonomic function?

A

The hypothalamus

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6
Q

What are the three parts of the brainstem and their key functions?

A

Midbrain (eye movements - contains substantia nigra) - Pons (connects cerebellum and contains cranial nerve nuclei V–VIII) - Medulla oblongata (controls respiratory and cardiovascular centers - cranial nerves IX–XII)

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7
Q

What is the main role of the cerebellum?

A

Coordination of balance - posture - timing of muscle contractions

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8
Q

Where does the spinal cord end in adults?

A

At the level of L1-L2 vertebrae

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9
Q

Describe the organization of gray and white matter in the spinal cord.

A

Gray matter is butterfly-shaped with dorsal horns (sensory) and ventral horns (motor) - White matter surrounds gray matter and contains ascending and descending tracts

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10
Q

What is the difference between somatic and autonomic nervous systems?

A

Somatic controls voluntary skeletal muscles - Autonomic controls involuntary smooth muscle - cardiac muscle - glands

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11
Q

Where do sympathetic preganglionic neurons originate?

A

From the thoracolumbar spinal cord (T1-L2)

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12
Q

Where do parasympathetic preganglionic neurons originate?

A

From the craniosacral regions (cranial nerves III - VII - IX - X - and sacral spinal cord)

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13
Q

What cells form the myelin sheath in the CNS and PNS?

A

Oligodendrocytes in CNS - Schwann cells in PNS

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14
Q

Describe the resting membrane potential of a neuron.

A

Approximately -70 mV - Inside the neuron is negative relative to outside - Maintained by Na+/K+ ATPase and K+ leak channels

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15
Q

What ion movement causes depolarization during an action potential?

A

Influx of Na+ through voltage-gated sodium channels

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16
Q

What ion movement causes repolarization during an action potential?

A

Efflux of K+ through voltage-gated potassium channels

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17
Q

What is saltatory conduction?

A

Action potentials jump between Nodes of Ranvier along myelinated axons - increasing conduction speed

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18
Q

Name the main inhibitory and excitatory neurotransmitters in the CNS.

A

GABA (inhibitory) - Glutamate (excitatory)

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19
Q

What receptors does acetylcholine act on in the autonomic nervous system?

A

Nicotinic receptors at ganglia and neuromuscular junction - Muscarinic receptors at parasympathetic target organs

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20
Q

Name two major dopamine pathways and their functions.

A

Nigrostriatal (motor control) - Mesolimbic/mesocortical (reward - cognition)

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21
Q

Which sensory pathway carries fine touch and proprioception?

A

Dorsal column-medial lemniscal pathway

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22
Q

Which sensory pathway carries pain and temperature?

A

Spinothalamic tract

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23
Q

Where do corticospinal tract fibers decussate?

A

At the medullary pyramids

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24
Q

What is the difference between the lateral and anterior corticospinal tracts?

A

Lateral corticospinal tract controls limb muscles (crossed fibers) - Anterior corticospinal tract controls axial muscles (uncrossed fibers)

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25
Describe the monosynaptic stretch reflex pathway.
Muscle spindle senses stretch → Ia afferent neuron → synapses directly on alpha motor neuron → muscle contraction
26
What is the primary role of the hypothalamus in autonomic control?
Integrates autonomic functions and regulates the pituitary gland
27
Which cranial nerves have parasympathetic fibers?
III (oculomotor) - VII (facial) - IX (glossopharyngeal) - X (vagus)
28
What are the main divisions of the autonomic nervous system?
Sympathetic and parasympathetic nervous systems
29
What are the components of a typical neuron?
Cell body (soma) - Dendrites - Axon - Myelin sheath - Synaptic terminals
30
What type of glial cells support neurons and maintain the blood-brain barrier?
Astrocytes
31
What type of glial cells act as immune cells in the CNS?
Microglia
32
Where are lower motor neurons located?
In the anterior horn of the spinal cord and motor nuclei of brainstem
33
What is the function of the dorsal root ganglion?
It contains the cell bodies of sensory neurons
34
What happens during the absolute refractory period?
No new action potential can be generated regardless of stimulus strength
35
What is the role of the corpus callosum?
Connects the left and right cerebral hemispheres for communication
36
Name the three layers of meninges surrounding the CNS.
Dura mater (outer) - Arachnoid mater (middle) - Pia mater (inner)
37
What is the blood-brain barrier?
A selective permeability barrier formed by endothelial cells and astrocytes that protects the CNS from toxins and pathogens
38
What neurotransmitter is primarily released by postganglionic sympathetic neurons?
Norepinephrine
39
What neurotransmitter is primarily released by postganglionic parasympathetic neurons?
Acetylcholine
40
What cranial nerves are responsible for eye movements?
III (oculomotor) - IV (trochlear) - VI (abducens)
41
Where is the primary motor cortex located?
In the precentral gyrus of the frontal lobe
42
Where is the primary somatosensory cortex located?
In the postcentral gyrus of the parietal lobe
43
What is the function of the limbic system in the nervous system?
Regulates emotions - memory - autonomic responses to emotional stimuli
44
What are spinal tracts?
Bundles of axons in the spinal cord that carry information up (ascending) to the brain or down (descending) from the brain to the body
45
Name the two main types of spinal tracts.
Ascending (sensory) - Descending (motor)
46
What does the Dorsal Column-Medial Lemniscal (DCML) tract carry?
Fine touch - vibration - proprioception
47
Describe the DCML pathway and decussation.
Fibers ascend ipsilaterally in dorsal columns - synapse in medulla - cross to contralateral medial lemniscus - thalamus - sensory cortex - Decussation in medulla
48
What does the Spinothalamic tract carry?
Pain - temperature - crude touch
49
Describe the Spinothalamic tract pathway and decussation.
Fibers enter spinal cord - synapse immediately in dorsal horn - cross in anterior white commissure - ascend contralaterally to thalamus - Decussation in spinal cord (1-2 levels above entry)
50
What is the function of the Spinocerebellar tracts?
Proprioceptive information to cerebellum for coordination
51
Describe decussation in Spinocerebellar tracts.
Dorsal spinocerebellar tract is ipsilateral (no crossing) - Ventral spinocerebellar tract crosses twice and ends ipsilateral
52
What is the main motor tract for voluntary limb movement?
Lateral corticospinal tract
53
Describe the lateral corticospinal tract pathway and decussation.
Originates in cortex - passes internal capsule - decussates at medullary pyramids - descends contralaterally - Decussation in medulla (pyramidal decussation)
54
What muscles does the anterior corticospinal tract control?
Axial (trunk) muscles
55
Describe the anterior corticospinal tract decussation.
Descends ipsilaterally - crosses at spinal cord level near target muscle
56
What is the function of the rubrospinal tract?
Facilitates flexor muscles and inhibits extensor muscles
57
Where does the rubrospinal tract decussate?
Midbrain (immediately after origin in red nucleus)
58
What is the role of the vestibulospinal tract?
Maintains posture and balance - facilitates extensor muscles
59
Does the vestibulospinal tract decussate?
No, it descends ipsilaterally
60
What does the reticulospinal tract do?
Modulates voluntary movement and reflexes
61
How does the reticulospinal tract descend?
Bilateral or mostly ipsilateral descent from the reticular formation
62
What is the main difference in decussation between sensory tracts DCML and Spinothalamic?
DCML crosses in medulla - Spinothalamic crosses in spinal cord (near entry level)
63
What does the mnemonic "Some Say Marry Money But My Brother Says Big Brains Matter More" help remember?
Cranial nerve functions (sensory or motor) - but useful to recall motor pathways usually cross early and sensory pathways cross variably