Med neuro exam 2 lect Flashcards

(63 cards)

1
Q

pontine reticulospinal tract

A

PRST
excites extensors
p plus

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2
Q

medullary reticulospinal tract

A

MRST
inhibits extensors
M minus

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3
Q

Central tegmental tract

A

consciousness

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4
Q

medial forebrain bundle

A

pleasure pathway

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5
Q

cholinergic

A

nucleus basalis of meynertt

septal nuclei

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6
Q

inactivation of monamines

A

monoamine oxidase

reuptake

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7
Q

noradrenergic neurons

A

mood, memory, hormones
lateral tegmental group
locus coeruleus

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8
Q

dopaminergic neurons

A

nigrostriatal path
mesocorticolimbic path
tuberoinfundibular path

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9
Q

serotonin

A

made in raphe nuclei

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10
Q

decerebrate posturing

A

lesion btwn rostral red nucleas and mid pons

upper and lower limbs extedned spasticiity

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11
Q

decorticate postureing

A

diencephalon
upper limb flexion (red nucleus intact)
lower limb extension

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12
Q

midpontine RF

A

turns on exctitatory neurons

promotes wakefulness

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13
Q

RF in caudal pons

A

turns off excitation from mid ponitne

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14
Q

posterior hypo

A

hypersomnia

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15
Q

anterioro hypo

A

hyposomnia

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16
Q

sleep cycle

A

awake
SS1,2,3,4
Rem

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17
Q

REM sleep

A

rapid eye movement

paradoxical sleep because loud wont wake u but whispered name will

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18
Q

suprachiasmatic nucleus

A

regulates circadian rythm

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19
Q

acetylcholine

A

wakefullnesss and rem sleep
basal forbrain
laterodorsal and pedunculo pontine tegmental nuclei

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20
Q

norephinephrine

A

locus coeruleus
fight or flight
wakefulness

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21
Q

histamine

A

tuberomammilary nucleus of posterior hypothalamus

wakefulness

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22
Q

serotonin 5-HT

A

raphe nuclei

wakefulness

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23
Q

dopamine

A

substantia nigra

wakefulness

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24
Q

orexin hypocretein

OX

A

lateral hypothalamus
wakefulness
flip flop system for sleep wake transitions

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25
Ventrolateral preoptic area
GABAergic neurons that suppress wakefullnes neuromodulators
26
GABA and glycine | REM
during REM they inhibit a lot and eliminate muscle tone
27
ACetylcholine in REM
only thing not turned off in REM | from basal forebrain and pons to cortex
28
flip flop system
Orexin turnes on awake stuff which turns off asleep stuff asleep stuff turns off both the others imagine a scale when one gets too high it swaps
29
sublaterodorsal nucleus | ventral part of the periaqueductal gray in the lateral ponting tegmentum and chollinergic nuclei
pontine circuit of REM sleep
30
insomnia and narcolepsy
unstable flip flop switch
31
somnambulism
sleep walking | stuck between non rem and wake stage
32
sympathetic
fight or flight info from throaci and lumbar cord ganglia close to spinal cord
33
parasympathetic
rest digest info from brainstem and sacral cord close to organs
34
reflexes ans vs sns
hypothalamus vs somatosensory and motor cortex
35
RVLM
rostral ventrolateral medulla glutamate gaba epinephrine supraspinal vasomotor pathway thru dorsolateral funiculus
36
spinal shock
acut sci transient abesnt of voluntary and reflex below injury
37
neurogenic shock
30min to 6 weeks hypotension bradycardia poikilothermia
38
injurey below T6
maintain blood pressure
39
injury above T6
lose control of BP and heart rate
40
orthostatic hypotenison
drop in blood pressure with 90degree head up tilt acute: loss of vasomotor tone chronic" reduced sympathetic activity
41
autonomic dysreflexia
sudden episod high blood pressure baroreflex mediated bradycardia T6 or higher lose inhibitive cortical input responding to sympathtetic response from full bladder
42
spinal plasticity response to cardiovascular abnormality
CGRP+ cfiber afferents density increases Nerve growth factor propriospinal sprouting
43
gabapentin
decreases presynaptic glutamate release | suppresses muscular spasticity and neuropathic pain
44
lower urinary tract
external urethral spicnter has somatic nerves | othersr are autonomic
45
supraspinal mictuition
barringtons nucleus periaqueductal gray nucleus tractus solitarri
46
micturition pathways
spinal reflexes for storage | spinobulbospinal relexes for voiding
47
detrusor sphincter dyssynergia
loss of recipercot relationship
48
molecular changes after sci
NGF up primary c fiber afferent sprouting up GDNF BDNF and NT3 up
49
treatments
E stim of pudendal nerve | PNGs
50
Lateral geniculate nucleus
eyes
51
medial geniculate nucleus
auditory
52
Ventral posterior laterall nucleus VPL
body
53
VPM
face
54
ventral posterior inferior nucleus VPI
vestibular info
55
right visual field
left side of brain
56
after chiasm
defecits in contra visual field | effects both eyes
57
damage in one retina
scotoma monocuolar | that specific visual filed affected
58
lesion of opitc nerve
loss from one eye visual field
59
leaseon of optic chiasm
nasal retina cross temporal dont hemianopia bitemporal so temporal visual field loss cuz nasal retina lost?
60
lesion of optic tract or lateral geniculate
contralateral visual
61
superior bank
inferior visual field
62
pupillary light refelx
each pretectal nuclei gets input from both sides and sends to both edingerwestphal and goes to constrict
63
blind in right eye pupilary reflix
right eye nothing left eye response in both sides if only one eye responds then motor pathway is damaged