L9, L10, L11 - PHYSIOLOGY OF VISUAL SYSTEM Flashcards

(68 cards)

1
Q

The projection of visual fields (area of environment that is perceived by each eye) onto the retina is ___ and ___

A

Reversed and inverted

  • medial visual fields project onto lateral retina
  • lateral visual fields project onto medial retina
  • upper visual fields project onto lower retina
  • lower visual fields project onto upper retina
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2
Q

The projection of visual fields onto the retina is reversed and inverted

What causes this?

A

Refraction of light through the cornea and lens

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3
Q

What are the 2 smooth muscle groups in the iris?

What occurs when they contract?

What kind of neural control are they under?

A
  1. Sphincter muscle - miosis - parasympathetic control

2. Radial muscle - mydriasis - sympathetic control

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4
Q

The shape of the lens and its strength is regulated by the ___ muscle

A

Ciliary muscle

part of the ciliary body

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5
Q

The ciliary muscle is a circular ring of ___ muscle attached to the lens by ____

A

Smooth muscle

Suspensory ligaments

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6
Q

A. ___ stimulation relaxes the ciliary muscle via ___ receptor activation; this causes the lens to be ___ for far vision

B. ___ stimulation contracts the ciliary muscle via ___ receptor activation; this causes the lens to be ___ for near vision

A

A. Sympathetic, B2 adrenergic, flat (far)

B. Parasympathetic, M3 cholinergic, convex (near)

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7
Q

The “near response” is a three-part response that consists of

A
  1. accommodation
  2. convergence of visual axis
  3. pupillary constriction
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8
Q

Unlike the pupillary light reflex, the near (or accommodation) reflex requires the participation of the ___

A

cerebral cortex

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9
Q

Age-related reduction in accommodative ability of the lens is known as

A

Presbyopia

middle aged ~50 = reading glasses

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10
Q

A. Myopia (i.e. ___ ) occurs when distant parallel rays are focused ___ the retina; it is corrected with a ___ lens

B. Hyperopia (i.e. ___ ) occurs when distant parallel rays are focused ___ the retina; it is corrected with a ___ lens

A

A. nearsightedness, in front of, concave lens

B. farsightedness, behind, convex lens

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11
Q

What are the 5 major neuronal cell classes in the retina

What is the main pathway?

A
  1. Photoreceptors
  2. Bipolar cells
  3. Horizontal cells
  4. Amacrine cells
  5. Ganglion cells

Mnemonic:
Peanut Butter HAG

Photoreceptor to bipolar cell to ganglion cell

Mnemonic:
Peanut Butter & Gelly

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12
Q

A. Axons of ___ cells form the optic nerve that conducts APs

B. ___ cells modulate signals from photoreceptors to bipolar cells

C. ___ cells modulate output of bipolar cells to ganglion cells

A

A. ganglion cells

B. horizontal cells

C. amacrine cells

P => (H) => B => (A) => G

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13
Q

The exact center of the retina is the ___

It is the area of HIGHEST visual acuity as it ONLY contains only ___ cells

A

Fovea

Cone cells

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14
Q

The area immediately surrounding the fovea is known as the ___

It contains a high concentration ___ cells

A

Macula lutea

Cone cells
thus fairly high acuity

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15
Q

In the fovea, the ___ cells and ___ cells are pulled aside so that light strikes photoreceptors directly

A

Bipolar cells + ganglion cells

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16
Q

Why does central vision have a high resolution?

A

Because each ganglion cell is devoted to a very small portion of the visual field

(most foveal receptors synapse on only 1 bipolar cell which synapses on only 1 ganglion cell)

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17
Q

A. ___ (or S) cones absorb light of short wavelength

B. ___ (or M) cones absorb light of medium wavelength

C. ___ (or L) cones absorb light of long wavelength

A

A. Blue (S)

B. Green (M)

C. Red (L)

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18
Q

A. Packing density of ___ cells decreases sharply outside of the fovea

B. Packing density of ___ cells increases at the periphery of the retina

(emphasized)

A

A. Cones

B. Rods

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19
Q

A. What are the light-sensitive pigments in the rods?

B. What are the light-sensitive pigments in the cones?

A

A. Rhodopsin

B. Cone pigments
or color pigments

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20
Q

The 2 key components of rhodopsin are:

A. the aldehyde of Vit A ___

B. the protein ___

A

A. Retinal (or retinol)

B. Opsin

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21
Q

A. ___ is the cascade of chemical and electrical events through which light energy is converted into a receptor potential

B. Rods and cones are unusual in that their receptor potential is a ____

A

hyperpolarization

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22
Q

A. ___ is the conformation of retinal in the dark

B. The only action of light is to change the conformation of retinal into the ___ isomer

A

A. 11-cis retinal

B. trans isomer

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23
Q

A. Inactive rhodopsin is composed of ___ and ____

B. When light enters and retinal is activated, what occurs?

A

A. opsin and retinal

B. opsin dissociates from retinal and is released (bleached)

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24
Q

A. After opsin dissociates from retinal its conformation changes leading to activation of a heterotrimeric G-protein known as ___

B. What events occur following the activation of this heterotrimeric G-protein?

A

A. Transducin

B. activation of phosphodiesterase => decreased intracellular cGMP => closure of Na+ channels => HYPERpolarization of photoreceptor cells

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25
A. Transmitter released by photoreceptor cells is ___ B. Hyperpolarization of photoreceptor cells leads to ___ release of synaptic transmitter
A. glutamate B. decreased NOTE: decreased release of glutamate causes a response in bipolar cells and other neural elements
26
A. ON cone bipolar neurons (ON CB) are ___ by glutamate B. ON CB ___ when the photoreceptors that synapse with it are in the light
A. hyperpolarized B. depolarizes
27
A. OFF cone bipolar neurons (OFF CB) are ___ by glutamate B. OFF CB ___ when the photoreceptors that synapse with it are in the dark
A. depolarized C. depolarizes
28
A. ON CB converge onto __ B. OFF CB converge onto __
A. ON-center ganglion cells (ON GC) B. OFF-center ganglion cells (OFF GC)
29
Rod bipolar neurons (RB) activate ON GC + OFF GC indirectly via ___
amacrine cells
30
The main function of ganglion cells is to act as ___ detectors
contrast i.e. relay info not so much about the intensity of light but rather the DIFFERENCES in the intensity of light b/w the neighboring location
31
Photoreceptors release ___ glutamate when illuminated | emphasized
less
32
A. shining light on center of ON GC receptive field ___ firing rate of APs B. shining light on periphery of ON GC receptive field ___ firing rate of APs
A. increases B. decreases
33
A. shining light on center of OFF GC receptive field ___ firing rate of APs B. shining light on periphery of OFF GC receptive field ___ firing rate of APs
A. decreases B. increases
34
Out of all retinal neurons, only ___ cells generate the APs necessary to transmit information farther along the central visual pathway
Ganglion cells | she said important to remember
35
The 3 cones have different absorption curves 1. Blue cone peak @ ___ 2. Green cone peak @ ___ 3. Red cone peak @ ___ (emphasized)
1. Blue cone peak @ 420 2. Green cone peak @ 534 3. Red cone peak @ 564
36
The wavelength of the absorbed photon only affects it's possibility of ___ , not the receptor's ____ response
absorption electrical
37
Color vision depends on ALL 3 cone types' various ___ of stimulation in response to different wavelength
ratios
38
The MC types of hereditary color blindness are d/t the loss or limited function of __ cone (aka protan) or __ cone (aka deutran) photopigments
Red (protan) Green (deutran) i.e. red-green color blindness
39
A. Deuteronomaious is classified by ___ B. Deuteranopes is classified by ___
A. Blue (B) / Red (R) / Red-like (R') cones = yellow + green appear redder B. No working green cone cells = reds seen as brownish-yellow and greens seen as beige
40
A. Protanomaious is classified by ___ B. Protanopes is classified by ___
A. Blue (B) / Green (G) / Green-like (G') cones = red, orange, and yellow appear greener + colors not as bright B. No working red cone cells = certain shades of orange, yellow, and green all appear as yellow
41
___ type (aka tritan) color blindness is very rare
Blue
42
A. Tritanopia is classified by ___ B. Tritanomaly is classified by ___
A. Missing blue cone = blue-yellow color blindness B. Malfunctioning blue cone = blue appears greener and it c/b difficult to tell yellow from red and pink
43
Genes that encode __ and __ pigments show a high degree of sequence homology (~95%) and lie adjacent to each other on the __ chromosome
red and green X-chromosome
44
Blue pigment gene is found on chromosome __
7
45
A. Red-green color blindness is an ____ disorder B. Tritanopia is an ____ disorder
A. X-linked recessive (affects males >> females) B. Autosomal recessive (affects males = females)
46
Ishihara charts can be used to test for ___ color-blindness
red-green
47
Which of the following visual field defects will most likely develop as a result of extensive damage of the left occipital lobe? A. loss of right 1/2 of visual field in both eyes B. loss of right 1/2 of visual field in left eye C. complete loss of visual input from the left eye C. complete loss of visual input from the right eye
Which of the following visual field defects will most likely develop as a result of extensive damage of the left occipital lobe? A. loss of right 1/2 of visual field in both eyes
48
Retinal ganglion cells transmit information to the brain via the ___ , ___ , ___
Optic nerve, optic chiasm, optic tract
49
Axons are sorted in the chiasm so that all information about the ___ visual field of both eyes is conveyed to ___ side of brain
left visual field | right side of brain
50
ALL sensory information is processed in the thalamus before it gets to the ___
cortex
51
Primary visual cortex relays information to specific areas of visual association cortex A. more dorsal areas process info about __ and __ B. more ventral areas process information about __ and __
A. location and movement B. color and form
52
Specific lesions in the ___ pathway can result in prosopagnosia (inability to recognize faces), inability to distinguish b/w animate and inanimate objects and cortical color agnosias
occipito-temporal pathway - V4
53
Specific lesions in the ___ pathway can cause visual-spatial disorientation (appearing clinically as impaired ability to see)
occipito-parietal visual pathway - medial temporal area | particularly in the nondominant hemisphere
54
A pituitary tumor was discovered using MRI scans, and was found to be pressing on the center of the optic chiasm from below. What visual field defects are expected in this patient? A. binasal hemianopia B. bitemporal hemianopia C. left homonymous hemianopia D. right homonymous hemianopia
A pituitary tumor was discovered using MRI scans, and was found to be pressing on the center of the optic chiasm from below. What visual field defects are expected in this patient? B. bitemporal hemianopia
55
A. ___anopia = loss of 1/2 of visual field B. ___anopia = loss of 1/4 of visual field C. ___nymous = visual field losses are similar for both eyes D. ___nymous = 2 eyes have nonoverlapping field losses
A. hemianopia B. quadrantanopia C. homonymous D. heteronymous
56
A. Damage anterior to optic chiasm causes affects ___ eye(s) B. Damage at the chiasm causes ___ deficits C. Damage behind the chiasm causes ___ deficits
A. ipsilateral eye B. heteronymous deficits C. homonymous deficits
57
Primary movement of the superior oblique muscle is ___ Primary movement of the inferior oblique muscle is ___
SO = intorsion IO = extorsion
58
Damage to CN III deviates the eye ___ and ___ d/t unopposed action of the __ and __ muscles
down and out LR and SO
59
The pair of agonist EOM muscles with the same primary action is called a ____ e.g. right LR and left MR accomplish right gaze together
Yoke Pair
60
When gazing to the left, which pair of EOM's are contracted?
left LR and right MR
61
A. Movements that redirect gaze to focus image on the FOVEA are known as ____ B. Movements that compensate for motion and stabilize the visual word on the RETINA are known as ____
A. gaze shifting movements B. gaze stabilization movements
62
A. ___ are rapid conjugate eye movements aimed to focus new visual target on the retina; "ballistic" B. ___ is a voluntary tracking movement, but requires a target for proper execution; it is continuously adjusted by visual feedback about the target's retinal image C. ___ movements are disconjugate; involve either convergence or divergence of the lines of sight of each eye
A. Saccades B. Smooth pursuit C. Vergence
63
True or False? Vergence and accommodation are tightly linked
True
64
A. Vestibulo-ocular reflex uses signals from the ___ to counter-rotate the eyeballs; most efficient at ___ speeds of rotation B. Cytokinetic response uses input from the ____ to rotate the eyes to follow surroundings; most efficient at ___ speeds of rotation
A. vestibular labyrinth, higher B. photoreceptors, lower (bc visual input processed more slowly)
65
Which of the following will occur during sustained rotation of the head towards the right? A. right beat nystagmus B. slow rotation of eyes to the right C. convergence D. contraction of the superior rectus muscles E. quick resetting movements of the eyes to the left
Which of the following will occur during sustained rotation of the head towards the right? A. right beat nystagmus
66
When an optokinetic nystagmus drum is rotated in one direction, the eyes will follow it (smooth pursuit in direction that drum is moving) In order for PT to continue following it, the patient must make ____ in the ____ direction of drum movement
saccades in the opposite direction of drum movement
67
A 53-year-old man presents to the emergency dept w/ diplopia, left-sided ptosis, unsteady gait, headache, and left eye pain that had persisted for four days. What is the most likely dx? A. CN III palsy B. CN VI palsy C. CN IV palsy D. CN V palsy
A. CN III palsy
68
Which of the following occurs when a healthy subject looks at the optokinetic drum which rotates to the right? A. subject makes optokinetic saccades to the left B. subject generates smooth pursuit movements to the left C. eyes remain stationary D. subject generates smooth pursuits in both directions independent from drum rotation E. subject generates saccades in both directions independent from drum rotation
A. subject makes optokinetic saccades to the left