Nerves Flashcards

(312 cards)

1
Q

all cells have a resting potential t/f

A

true. ALL CELLS NOT just excitable cells have a resting potential.

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2
Q

resting potential means the interior/exterior is negative with respect to the other

A

interior

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3
Q

resting potential is _ in excitable cells

A

-70mV

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4
Q

name two excitable cells

A

muscle and neurons

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5
Q

in neurons the action potential is called

A

nerve impulse

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6
Q

as sodium flood the cell during initial depolarization the membrane potential can reach as high as

A

+55mV (inside positive)

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7
Q

depolarization is reducing or increasing the charge across the membrane

A

reducing

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8
Q

threshold voltage is

A

-50mV

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9
Q

neurilemma

A

aka sheath of Schwann/Schwann’s membrane or neurolemma = thin membrane spirally enwrapping the myelin layers of certain fibers especially those of the PERIPHERAL NERVES, or the axons of UNMYELINATED NERVE FIBERS

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10
Q

all axons of the (CNS/PNS) have a sheath of Schwann cells (neurilemma)

A

PNS only. CNS does not have neurilemma = this is why regeneration of these severed axons is more difficult

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11
Q

in the CNS myelin sheaths are called

A

oligodendrocytes

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12
Q

right sided lesions of the spinal cord result in loss of motor activity on the _ side, and pain and temperature sensations on the __ side

A

lose motor activity on the SAME (ipsilateral) side, and pain and temperature lost on the opposite side (contralateral)

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13
Q

the primary action of local anesthetics in producing a conduction block is to decrease the permeability of the ion channels to __ions

A

sodium.

anesthetic will displace the calcium ions from the sodium channel receptor site allowing synesthetic molecule to bind the site, blocking the sodium channels ==> decrease sodium conductance ==> decreases rate of electrical depolarization –> fail to reach threshold potential level so no propagated AP = called CONDUCTION BLOCKADE

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14
Q

nerve block produced by local anesthetics is called

A

non-depolarizing nerve block

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15
Q

local anesthetics reversibly/irreversibly block nerve impulse conduction

A

reversibly = therefore loss of sensation at site.

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16
Q

the site of action of local anesthetics is at the ___ of the nerves

A

lipoprotein sheath

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17
Q

local anesthetics are effective on?

A

free nerve endings and on axons

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18
Q

which are affected first by local anesthetics:

skeletal muscle tone, proprioception, touch myelinated nerve fibers

A

small, myelinated nerve fibers which conduct pain and temperature are affected FIRST. followed by touch, proprioception and skeletal muscle tone

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19
Q

emergence from a local anesthetic nerve bock follows the same diffusion patterns as induction does except in

A

reverse order

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20
Q

recovery from local anesthesia is usually slower/faster process than induction because the anesthetic is bound to the drug receptor site in the sodium channel and therefore is released more ___ than absorbed.

A

slower

slowly

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21
Q

when a local anesthetic is given which conductance is changed and which are not affected: Calcium/chloride/potassium/sodium

A

only sodium changes!

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22
Q

what is the function of the lateral spinothalmic tract:

a. discriminating touch and pressure sensations
b. unconscious kinesthesia
c. pain, temp, and crude touch;opposite side
d. crude touch and pressure

A

lateral spinothalmic =

pain, temp, and crude touch; opposite side

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23
Q

what is the function of the anterior spinothalmic tract

a. discriminating touch and pressure sensations
b. unconscious kinesthesia
c. pain, temp, and crude touch;opposite side
d. crude touch and pressure

A

crude touch and pressure = anterior spinothalmic

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24
Q

function of anterior and posterior spinocerebellar tract

a. discriminating touch and pressure sensations
b. unconscious kinesthesia
c. pain, temp, and crude touch;opposite side
d. crude touch and pressure

A

unconscious kinesthesia

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25
function of fasciculi gratis and cuneatus a. discriminating touch and pressure sensations b. unconscious kinesthesia c. pain, temp, and crude touch;opposite side d. crude touch and pressure
discriminating touch and pressure sensations
26
the white/gray matter of the spinal cord contains tracts that travel up and down the spinal cord
white
27
_tracts are sensory
ascending
28
_ tracts are motor
descending
29
you can tell by the name of tract if they are ascending or descending (usually). most ascending tracts start with "spino" indicating origin in the spinal cord and name ends with the part of the brain that the tract leads to. for example the spinothalmic tract travels from where to where?
spine to thalamus
30
1. tracts whose names begin with a part of the brain are __
motor
31
is the corticospinal tract motor/sensory
motor (it starts with a part of the brain-cerebrum) and goes down towards motor neurons in the cord.
32
the origin of a spinal tract refers to the
location that the cell body of the tract lies
33
the termination of a spinal tract refers to
where the axon terminates
34
spatial summation occurs when two excitatory inputs arrive at a postsynaptic neuron in rapid succession or simultaneously?
at the same time (simultaneously)
35
neurotransmitters that are EXCITATORY will increase the probability of causing an
action potential in the postsynaptic neuron = an excitatory postsynaptic potential (EPSP)
36
neurotransmitters that are INHIBITORY will decrease the probability of causing an
action potential in the postsynaptic neuron = an inhibitory postsynaptic potential (IPSP)
37
Can the same NT be excitatory to one receptor and inhibitory effect on another?
yes
38
there are 2 forms of summation by which EPSPs may combine to reach threshold and initiate an AP: called?
temporal and spatial summation
39
in spatial summation two excitatory inputs (from multiple presynaptic fibers) arrive at a postsynaptic neuron in rapid simultaneously and produce a greater
depolarization
40
in temporal summation 2 excitatory inputs arrive at post synaptic neuron in __
rapid succession
41
in temporal summation 2 excitatory inputs arrive at post synaptic neuron in rapid succession. this causes an increase in
the FREQUENCY OF NERVE IMPULSES in a single presynaptic fiber
42
if an AP is initiated at the midpoint along the length of an axon it will spread towards the
cell body (soma) and nerve endings
43
Saltatory conduction occurs in _ neurons only
myelinated
44
Saltatory conduction: conduction is faster/slower? | consumes more or less energy?
faster and consumes LESS energy | 100 meters/second
45
Continuous conduction (the opposite of salutatory conduction) occurs in _ nerves
unmeylinated, relatively SLOW (1.0meter/sec)
46
T/F the myelin sheath decreases membrane capacitance and increases membrane resistance preventing movement of sodium and potassium through the membrane
true
47
salutatory conduction is of value of value for 2 reasons: 1. increases _ of nerve transmission 2. __energy for the axon bc ONLY THE NODES OF RANVIER DEPOLARIZES
1. velocity | 2. conserves
48
conduction velocity depends on diameter and presence of nerve myelin sheath. the larger/smaller the diameter of a nerve the faster the conductance velocity.
larger diameter = faster = bc reduces resistance to flow smaller diameter = slower
49
T/F in most cases acetylcholine has an inhibitory effect
false. AcH is most often an EXCITATORY NT
50
T/F GABA is believed to ALWAYS cause inhibition
true
51
excitatory NT's from the presynaptic membrane opens channels in the postsynaptic membrane that leads to an increase in the concentration of ___ w/in the postsynaptic cell and a decrease of __ ions.
increase sodium decrease potassium = this leads to depolarization of the postsynaptic cell which is propagated further along the cell membrane by an AP
52
inhibitory NT's encourage _ of the postsynaptic cell, making it less likely to generate an AP
hyperpolarization
53
hyperpolarization created by inhibitory NT's is achieved by either increasing the flow of __ ions out of the cell or increasing __ ions into the cell.
increasing Cl- into the cell or increasing K+ out of the cell = both ways make the inside of the cell more negative
54
if GABA bind a GABA A receptor which occurs: increasing Cl- into the cell or increasing K+ out of the cell
GABA A = Cl- flow into the cell
55
if GABA bind a GABA B receptor which occurs: increasing Cl- into the cell or increasing K+ out of the cell
GABA B = K+ out of the cell to remember (think A is closer to Cl-) than and B is closer to K)
56
whether a NT acts in an excitatory or inhibitory manner is determined by
the kind of receptor it binds-not the NT!!!
57
where does AcH act as an inhibitor?
inhibition of the heart by the vagus nerves
58
Norepinephrine usually act as excitatory/inhibitory?
usually act as excitatory
59
Dopamine usually act as excitatory/inhibitory?
inhibitory
60
serotonin usually act as excitatory/inhibitory?
inhibitor of pain pathways in spinal cord and brain
61
1. glutamate is ALWAYS excitatory/inhibitory? 2. GABA is ALWAYS excitatory/inhibitory? 3. glycine is ALWAYS excitatory/inhibitory?
1. excitatory 2. inhibitory 3. inhibitory
62
nitric oxide = changes intracellular that modify neuronal __ for seconds, minutes or longer
excitability
63
Monamine oxidase (MAO) is an enzyme that CATALYZES the oxidative DEAMINATION of monoamines such as
NE, serotonin, and epinephrine
64
deamination by Monamine oxidases(MAO) is helpful because it
metabolizes excess neurotransmitters that may build up at postsynaptic terminals
65
Parkinson's disease affects which part of the brain
basal ganglia
66
basal ganglia is important for controlling _ movement and establishing _
voluntary movement and establishing posture
67
Huntington's disease affects which part of the brain
basal ganglia
68
when the ___ altered the person has unwanted movements ex. involuntary jerking, spasm movements of facial muscles
basal ganglia Huntington's disease Parkinson's disease
69
the striatum of the basal ganglia refers to what 2 nuclei? caudate putamen globus pallidus
caudate nucleus and putamen = striatum
70
striatum gets its name bc it appears
striated
71
lentiform nucleus is the combo of what basal ganglia nuclei? caudate putamen globus pallidus
putamen and globus palidus
72
1. putamen and globus palidus | 2. putamen and caudate nucleus
1. putamen and globus palidus =Lentiform nucleus (to remember look at the word Lentiform (L) = gLobus paLLidus 2. caudate and putamen = striatum
73
basal ganglia and cerebellum = large collections of nuclei that modify movement. they communicate to each other via the ___ and what neurotransmitter?
thalamus dopamine via a direct and indirect path
74
1. output of cerebellum is excitatory or inhibitory? | 2. output of basal ganglia is excitatory or inhibitory?
1. excitatory | 2. inhibitory
75
the cerebellum is __ to the cerebrum
posterior
76
cerebellum is above/bellow the pons and medulla
above
77
cerebellum is divided into
2 lateral hemispheres and a middle portion
78
2 functions of cerebellum
maintain equilibrium and muscle coordination
79
the major parts of the extrapyramidal system are the subcortical nuclei which are the?
basal ganglia nuclei
80
the two classes of AcH receptors in autonomic ganglia
nicotinic and muscarinic
81
main type of neuron in autonomic ganglia
postganglionic
82
the classic NT of autonomic ganglia whether sympathetic or parasympathetic is
AcH
83
Nicotinic receptors are stimulated by: | AcH/nicotine/muscarine
AcH and nicotine | NOT MUSCARINE
84
nicotinic receptors are found at _ ganglionic synapses and at neuromuscular junctions and adrenal medulla.
all
85
nicotinic receptors produce excitation and a __ EPSP which causes ion channels to open
fast
86
1. curare blocks what receptors? | 2. hexamethonium blocks what receptors
both nicotinic
87
muscarinic receptors are stimulated by: | AcH/nicotine/muscarine
AcH and muscarine | BUT NOT NICOTINE
88
muscarinic receptors are found at target organs when AcH is released by postganglionic neurons = all parasympathetic and some sympathetic (heart smooth muscle and glands). a _ EPSP is mediated
slow
89
atropine blocks which receptor
muscarinic = atropine | curare and hexamethonium = nicotinic
90
fibers that secrete AcH are called
cholinergic
91
fibers that secrete NE are called
adrenergic
92
the cholinergic effects at PRE GANGLIONIC neurons (both sympathetic and parasympathetic) are excitatory/inhibitory
excitatory
93
the cholinergic effects at PostGANGLIONIC parasympathetic) are excitatory/inhibitory
inhibitory OR excitatory
94
all preganglionic neurons are
cholinergic in both SNS and PNS
95
1. all or most of postganglionic neurons in PNS are 2. most of postganglionic neurons in SNS are 3. the exception is in postganglionic sympathetic nerve fibers to the sweat glands and piloerector muscles of the hairs are
1. cholinergic (Ach) 2. adrenergic (NE) 3. cholinergic
96
corticospinal tract is aka
pyramidal tract
97
corticospinal tract carries messages for
voluntary motor movement (fine skilled movements of skeletal muscle) to the lower motor neurons (LMN) in the brain stem and spinal cord.
98
corticospinal tract aka pyramidal tract is direct and monosynaptic = means
does not synapse with other cells until reaches final destination in brain stem or spinal cord. therefore very rapid transmission
99
fibers of the pyramidal tract that synapse with the cranial nerves located in the brain stem form the _ tract
coticobulbar tract = carries motor messages important for speech and swallowing
100
the fibers of the pyramidal tract that synapse with spinal nerves sending out messages to skeletal muscle for voluntary movement are called
corticospinal tract
101
The corticospinal tract DECUSSATE (85%) of the fibers at ___ to cross to opposite side of the brain.
lower medulla
102
The corticospinal tract DECUSSATE (85%) of the fibers.these fibers are called
the lateral corticospinal tract or the crossed pyramidal tract
103
corticospinal tract fibers that don't (10-15%) continue down ipsilaterally. they are called
uncrossed or direct fibers aka direct pyramidal tract. or the ventral pyramidal tract or the anterior corticospinal tract
104
descending pathways are subdivided into a LATERAL AND MEDIAL SYSTEM. the __ ends on motor neurons that go to the limb muscles and on lateral interneurons
lateral
105
descending pathways are subdivided into a LATERAL AND MEDIAL SYSTEM. the __ ends on medial interneurons
medial
106
the lateral descending system includes the lateral corticospinal tract that is part of the corticobulbar tract. these will effect ___ motor neurons and supply the muscle of the limbs, digits and muscles of the lower part of the face and tongue
contralateral
107
the _descending system includes the ventral corticospinal, lateral and medial vestibulospinal, reticulospinal and tectospinal tracts. these affect posture and provide motor background for movement of the limbs and digits
medial
108
preganglionic fibers always reside in the
cns
109
postganglionic fibers always lie in
peripheral ganglia
110
sympathetic/parasympathetic preganglionic neurons are located in the thoracolumbar region of the spinal cord
sympathetic
111
sympathetic/parasympathetic preganglionic neurons are located in the cranial nerve nuclei or the sacral spinal cord
parasympathetic
112
sympathetic/parasympathetic postganglionic neurons are located in the paravertebral and prevertrebral ganglia
sympathetic
113
sympathetic/parasympathetic postganglionic neurons are located in the ganglia in or near the target organ
parasympathetic
114
sympathetic preganglionic axons are __ while their postganglionic axons are __ (long or short)
short preganglionic | post ganglionic are long
115
parasympathetic preganglionic axons are __ while their postganglionic axons are __ (long or short)
``` long short (opposite of SNS) ```
116
the _ nervous system includes the myenteric and submucosal plexus in the wall of the GI tract.
enteric
117
the myenteric plexus regulates ___
motility
118
the submucosal plexus regulates
ion and water transport and secretion
119
preganglionic and postganglionic neurons release _NT that act on _ receptros
AcH | muscarinic
120
interneurons in ganglia release
catecholamines
121
sympathetic preganglionic neurons release _ and _ post ganglionic neurons
``` pre = AcH post = NE ```
122
EXCEPTION: sympmathetic postganglionic neurons that supply sweat glands release
AcH
123
all __ganglionic neurons are cholinergic in both SNS and PNS = release AcH
pregagnlionic
124
Either all or almost all of the postganglionic neurons of the PNS are
cholinergic
125
most postganglionic sympathetic neurons are __ except for the ?
adrenergic | except for sweat glands and piloerector muscles of hairs which are cholinergic
126
two states of an ion channel Is high conductance = _ | and zero conductance = _
open | closed
127
sodium channels rapidly open and close and K+ channels _ opening and closing
delay
128
hyperpolarization of the cell is a hypoexcitable state called the ___ this is happening as the potassium is leaving the interior of the cell making it more negative than the resting potential
RELATIVE refractory period = means in order to trigger a second action potential the depolarizing stimulus must be of a greater magnitude to achieve threshold.
129
during the absolute/relative refractory period the cell will not respond to any stimulus
absolute
130
presynaptic neurons transmit info __ a synapse
towards
131
post synaptic neurons transmit info _ from a synapse
away
132
nerve impulses only travel in one direction because?
synapses are polarized
133
electrical synapses are common in __ and rare in: CNS/cardiac muscle/smooth muscle
common in cardiac and smooth muscle | rare in CNS.
134
electrical synapses are connected by _ junctions which allow the current to pass directly from postsynaptic neuron
gap
135
a Beta blocker used for hypertension has what mechanism?
blocks beta-1 adrenergic receptors in the heart causing a decrease in heart rate and force of contraction
136
beta blockers block the effects of
adrenaline on the body's beta receptors = slows nerve impulses that travel thru the heart so that it doesn't have to work as hard and needs less blood and O2. also block impulses that can cause arrhythmia
137
Selective beta blockers block which receptor more? 1 or 2?
beta 1 (heart)
138
B1 receptors are responsible for your
heart rate and strength of your heart beat
139
non selective beta blockers block
both B1 and B2 receptors.
140
B2 receptors are responsible for the function of your
smooth muscles
141
adrenergic receptors are located on autonomic effector organs that are regulated by
catecholamines | epinephrine and NE
142
two types of adrenergic receptors are
alpha and beta adrenergic receptors and Beta receptors (1 and 2)
143
alpha _ adrenergic receptors are located in sympathetic POSTSYNAPTIC nerve terminal = increase vascular smooth muscle contraction
alpha 1
144
alpha _ adrenergic receptors are located in sympathetic PRESYNAPTIC nerve terminals.
alpha 2
145
beta 1 adrenergic receptors are located in the
heart
146
beta 2 adrenergic receptors are located in the
liver and smooth muscle vasculature, bronchioles and uterus = increase hepatic glucose output, decrease contraction of BV's bronchioles and uterus
147
NE stimulates mainly which receptors
alpha
148
epinephrine stimulates_ receptors
alpha and beta receptors
149
beta cell of pancreas islets cells have which receptors (adrenergic)
alpha 2
150
when alpha 2 receptors are bound what happens
inhibits NE AND INSULIN release
151
T/F all cells including neurons have a resting potential that is about -70mV
true
152
T/F an action potential is propagated with the same shape and size along the entire length of the axon
true
153
resting potential is est because
there is more sodium ions outside of the cell than there are potassium inside. K+ and Na+ leakage thru potassium sodium leak channel. more potassium leaks out bc the channels are 100x more permeable to K+ than Na+. also due to Na+/K+ pu,p = electrogenic pu,p.
154
the size of the resting membrane potential varies but in excitable cells ranges bw
-40 and -85mV
155
what cells lack a STABLE resting membrane potential
visceral smooth muscle and cardiac pacemaker cells
156
the only mode of communication bw the CNS and effectors = aka Final Common pathway
motor neurons
157
exteroreceptors, interoreceptors, and proprioceptors are _
sensory recptors
158
interorecptors are
viscerorecptors
159
free nerve endings respond to (3)
itch, movement ,pain and temperature
160
nocireceptors are?
free nerve endings that detect painful stimuli
161
merkel disks and root hair plexus are
free nerve endings
162
proprioceptors are found in
joints, muscles and tendons
163
when scaling and root planning you use a firm finger rest for minutes at a time. which receptors are used in sensing this CONTINUOUS PRESSURE? a. pacinian corpuscle b. meissner's corpuscles c. ruffini's corpuscles d. Krause's corpuscles
ruffini's corpuscles = dermis of skin, exteroreceptors activated by mechanical/thermal stimuli by sensation of crude and persistent touch, heat
164
which receptor used when you manipulate an instrument in your fingers a. pacinian corpuscle b. meissner's corpuscles c. ruffini's corpuscles d. Krause's corpuscles
pacinian corpuscle dermis of skin, joint capsules deep pressure high frequency vibration and stretch
165
a sensory receptor that receives external stimuli
exteroreceptor
166
activated by light pressure; mechanical, low frequency vibration and discriminative touch a. pacinian corpuscle b. meissner's corpuscles c. ruffini's corpuscles d. Krause's corpuscles
Meissner's corpuscle
167
these receptors are found in mucous membranes and respond to mechanical and thermal stimuli such as touch, low freq vibration and cold a. pacinian corpuscle b. meissner's corpuscles c. ruffini's corpuscles d. Krause's corpuscles
Krause's corpuscle
168
these receptors are found in the skin and joint capsules and are activated by deep pressure and mechanical, high freq vibration and stretch
Pacinian corpuscle
169
these receptors feel crude and PERSISTENT touch and heat (thermal) a. pacinian corpuscle b. meissner's corpuscles c. ruffini's corpuscles d. Krause's corpuscles
Ruffini's corpuscle
170
the only two receptors that are activated by heat a. pacinian corpuscle b. meissner's corpuscles c. ruffini's corpuscles d. Krause's corpuscles
Krause's corpuscle = in mucous membrane | Ruffini's corpuscle (in skin and exterorecptors)
171
a. pacinian corpuscle b. meissner's corpuscles c. ruffini's corpuscles d. Krause's corpuscles these are all __
encapsulated nerve endings of touch and pressure receptors
172
nocireceptors, merkel disks, and root hair plexus are all
free nerve endings
173
when someone tickles you what receptor is activated
nociceptors = pain, temp, itch ,tickle, stretch
174
___ contains low threshold mechanoreceptors, thermoreceptors, and nocireceptors
skin
175
muscles joints and viscera contain _ receptors
mechanoreceptors and nociceptors
176
baroreceptors are found in the __ and sense_
carotid sinus and the aortic arch = stretch receptors that respond to change in blood pressure
177
1. The ________ is a small cluster of chemoreceptors located near the fork (bifurcation) of the carotid artery (which runs along both sides of the throat).
carotid body detects changes in the composition of arterial blood flowing through it, mainly the partial pressure of oxygen, but also of carbon dioxide. Furthermore, it is also sensitive to changes in pH and temperature.
178
is the carotid body more sensitive to CO2 or O2 changes
While the central chemoreceptors in the brainstem are highly sensitive to CO2 the carotid body is a peripheral chemoreceptor that mainly provides afferent input to the respiratory center that is highly O2 dependent. However, the carotid body also senses increases in CO2 partial pressure and decreases in arterial pH, but to a lesser degree than for O2
179
___is a dilated area superior to the bifurcation of the common carotid at the level of the superior border of thyroid cartilage. It is sensitive to pressure changes in the arterial blood at this level.contains numerous baroreceptors which function as a "sampling area" for many homeostatic mechanisms for maintaining blood pressure.
carotid sinus
180
the primary functional unit of the parasympathetic and sympathetic nervous system is the: one/two/three/four neuron motor pathway
two neuron | preganglionic neuron in the CNS and a postganglionic neuron whose cell body is located in one of the autonomic ganglia
181
_ nervous system includes all nerves that control the muscles and external sensory receptors (muscle fibers and gland cells are effectors)
somatic
182
_ nervous system = the organs/viscera of our body such as heart stomach intestines
autonomic
183
ANS divisions
autonomic and parasympathetic nervous system
184
the _ nervous system includes the myenteric and submucosal plexus in the wall of the GI
enteric
185
myenteric plexus regulates
motility (to remember just look at the M)
186
submucosal plexus regulates
ions and water transport and secretion
187
1. do motor neurons in the ANS reach their targets directly? | 2. do motor neurons in the somatic nervous system reach their targets directly?
1. no. they connect to a 2nd motor neuron that will reach the target organ 2. yes
188
motor neurons of the somatic or ANS system cannot send inhibitory signals thru their motor neurons
somatic cannot | ANS can
189
Parasympathetic system: all preganglionic neurons are ___ and almost all or most postganglionic are
cholinergic
190
Sympathetic nervous system: all preganglionic neurons are _ and most postsympathetic neruons are _ except for
cholinergic | post: adrenergic except for the sympathetic fibers to the sweat glands, pilorector muscles = cholinergic
191
adrenergic fibers release
NE
192
cholinergic fibers release
AcH
193
__ preganglionic neurons branch extensively and synapse with numerous postganglionic neurons. it is this high ratio of postganglionic to preganglionic fibers that results in widespread effects thru the body
sympathetic
194
the presynaptic sympathetic nerve fibers originate in the ___ horns of the spinal cord segments: _
lateral | T1-L2
195
the presynaptic sympathetic nerve fibers exit the spinal cord in the _ roots and eventually enter the ventral primary __
ventral (bc they are motor) | rami
196
the presynaptic sympathetic nerve fibers exit the ventral primary rami via __ rami communications which carry the presynaptic sympathetic fibers to the sympathetic trunk
white
197
the main nerves of the PNS are the
vagus nerves.
198
vagus nerves of the PNS originate in the
medulla oblongata
199
each preganglionic parasympathetic neuron synapses with just a few postganglionic neurons located
near or in the effector organs muscles or glands
200
Horner's syndrome is a lack of
sympathetic tone. causes miosis. ptosis, anhydrosis on the affected side
201
excessive PNS activity carried by the vagus nerve can cause a __ with hypotension and possible syncope (passing out, is defined as a transient loss of consciousness and postural tone)
vasovagal episode
202
in dentistry excessive PNS activity can be seen as
orthostatic hypotension.
203
AcH is made from _ using enzyme _
acetyl-CoA and choline | choline acetyltransferase
204
the AP conducted along the motor nerve causes depolarization and
an influx of calcium, which causes AcH to be released into the synapse
205
Ach binds to _ receptors on the motor end plate
nicotinic
206
the stimulation of th each receptor results in the opening of
sodium channels and some potassium channels = influx of sodium and efflux of potassium = small net depolarization termed miniature end plate potentials (mEPP)
207
if enough miniature end plate potentials (mEPP) occur simultaneously their summation creates a
end plate potential EPP (not an action potential) = a current in muscle tissue that sparks an AP in the muscle fiber
208
AcH is broken down into
acetate and choline by acetylcholinesterase (AChE) on the motor end plate
209
if acetylcholinesterase is inhibited there will be a pronlongation of the
EPP end plate potential which can lead to tetanus
210
synaptic delay
AcH diffuses across cleft and binds receptor changing its ion permeability and potential. this time is the synaptic delay
211
electrical/chemical synaptic transmission directly connect the cytosol of 2 neurons and allow rapid bidirectional current flow bw the neurons, acting as low pass filters
electrical
212
electrical/chemical synaptic transmission involves the release of transmitter from presynaptic terminal, diffusion of the NT across the cleft and binding to receptor
chemical
213
_ junctions correlate electrical synapses
gap
214
gap junctions contain channels formed by hemichannels called
connexons.
215
connexons are formed by proteins called
connexins
216
the single most important tract concerned with skilled voluntary activity is the _
corticospinal tract
217
the spinal cord extends from the level of the foramen magnum of the skull to the
first lumbar vertebra
218
the 6 columns of white matter in the spinal cord that contains the ascending and descending tracts are called the
funiculi
219
most ascending fibers that convey sensory info that originate on the right side of the body will
cross over and reach the region of the left side of the brain
220
the decussation of the ascending tracts for sensory occurs in the
medulla oblangata
221
the two major descending tracts from the brain are the
corticospinal (pyramidal) tracts and the extrapyramidal tracts.
222
the corticospinal tracts carry voluntary motor stimuli from the cerebral cortex to motor neurons in the spinal cord. they are called the pyramidal tracts bc some of them
cross in the pyramids of the medulla
223
the other tracts such as vestibulospinal anterior corticospinal lateral and anterior reticulospinal etc come from a variety of locations in the brain and are group named
extra pyramidal tracts
224
extrapyramidal tracts are associated with
muscle tone and balance
225
Glut-_# mediates glucose transport into RBC's and thru the blood brain barrier
GLUT-1
226
Glut-_# provides glucose to the liver and pancreatic cells
GLUT-2
227
Glut-_# is in muscle and adipose tissue and regulated by insulin
GLUT-4
228
Glut-_# is the main transporter in neurons
GLUT-3
229
Glut-_# transports fructose in the intestine and testis
GLUT-5
230
1. glucose transport into RBC's and thru the blood brain barrier 2. provides glucose to the liver and pancreatic cells 3. transporter in neurons 4. muscle and adipose tissue and regulated by insulin 5. transports fructose in the intestine and testis
1. GLUT-1 2. GLUT-2 3. GLUT-3 4. GLUT-4 5. GLUT-5
231
the classification and naming of stereoisomers are based on the
absolute configuration of the 4 substituents of the asymmetric carbon
232
what is the compound that is used for reference? it is the smallest sugar to have an asymmetric carbon
glyceraldehyde
233
the naming of configurations of both _ and _ is based on the absolute configuration of glyceraldehyde as established by x-ray diffraction
amino acids and simple sugars
234
L- amino acid stands for
levortatory
235
D- Amino acid stands for
dextrorotatory = the way they rotate light
236
D- amino acid, although not common are found in some _ and _
anitibiotics and bacterial cell walls
237
``` which patient has the least chance of edema formation: one with inflammation one who is standing with venous constriction with arteriolar constriction ```
arteriolar constriction bc causes decreased capillary hydrostatic pressure. note arteriolar dilation increases likelihood of edema.
238
the physical cause of edema is __ pressure in the interstitial places
positive. under normal conditions, negative pressure is in the interstitium
239
systemic or generalized edema may be due to
heart failure or renal disease
240
massive systemic edema is called
anasarca
241
a 0.9% solution of sodium chloride or a 5% glucose solution are both hypertonic/isotonic to plasma
isotonic.
242
solution of sodium chloride greater than 0.9% is
hypertonic to plasma
243
solution of sodium chloride less than 0.9% is
hypotonic to plasma
244
in an isotonic solution the water potential on each side of the membrane is
the same
245
in an isotonic solution is there water movement
yes but the water that moves in one direction will be balanced by the amount that moves back in the other. There is no NET osmotic movement of water
246
``` which is not an oncogene: HER-2/neu ras src myc CAAT ```
CAAT = this is the binding site for RNA transcription factors
247
__ is a defective gene that is involved in triggering cancer cell growth
oncogene
248
are proto-oncogenes normal or defective
= normal gene that can become an oncogene due to mutations or increased expression. The resultant protein may be termed as oncoprotein. in cancer cells proto oncogenes are mutated and create oncogenes
249
__ code for proteins that help to regulate cell growth and differentiation. they are often involved in signal transduction and execution of mitogenic signals, usually through their protein products
Proto-oncogenes
250
one or more _ are mutant in all forms of cancer
oncogenes
251
a proto oncogene is a gene that has functions to promote
cell division
252
when proto oncogenes are mutated, defective versions of these genes are formed (oncogenes) they may produce products that promote abnormal cell division. a key feature of oncogene activity is
a single altered allele leads to unregulated growth
253
in tumor suppressor genes __alleles must be defective to lead to abnormal cell division
both | opposite of oncogenes which appears as only one altered allele
254
What cancer is associated with the oncogene: | HER-2/neu: a growth factor receptor
30% of human breast cancer
255
What cancer is associated with the oncogene: ras: a signal transduction molecule
many different cancers of different origins including pancreas (90%), colon (50%), lung (30%), thyroid (50%), bladder 6%, ovarian 15%, breast skin liver kidney and some leukemias
256
What cancer is associated with the oncogene: myc: a transcription factor
Burkitt's lymphoma, | B cell leukemia and lung cancer
257
What cancer is associated with the oncogene: src: a protein tyrosine kinase
``` the first oncogene ever discovered neuroblastoma small cell lung cancer colon and breast carcinomas rhabdomyosarcoma ```
258
osteoblasts make a protein mixture called __ which mineralizes to become bone. it is primarily composed of
osteoid | type 1 collagen
259
the intracellular matrix of bone contains a calcium binding protein called __ and a calcium and collagen binding protein called
osteocalcin | osteonectin
260
bone density and structural integrity decrease after age _ in men and _ in women
45 men | 30 women
261
the pitch of a sound is related mainly to the amplitude or the frequency of the sound wave
frequency
262
a sound can be characterized according to its pitch, loudness, and timbre. what is timbre
quality
263
the higher the frequency, the __ the pitch
higher
264
frequency is measured in
Hz or cycles per second
265
the __ of a sound is related to the intensity and the amplitude of the wave
loudness
266
the greater the amplitude of a sound, the __ the intensity of the wave and the louder the sound
greater
267
intensity is measured in
decibels (dB)
268
__ is measured in Hz and __ is measured in decibels (dB)
frequency | intensity
269
the __ of a sound is related to the presence of additional sound-wave frequencies superimposed on the principal frequency
timbre (sound quality)
270
intracellular fluid (ICF) or extracellular fluid (ECF) compromises 2/3 of the body's WATER
ICF
271
intracellular fluid (ICF) or extracellular fluid (ECF) compromises 1/3 of the body's WATER
ECF (Outside of the cell)
272
is the ICF homogenous in the body
no
273
the ICF is made mostly of a solution of
POTASSIUM and organic ions, proteins, etc
274
the ECF is made up of primarily
NaCl and NaHCO3 solution
275
the __ is further subdivided into 3 subcompartments: plasma, transcellular fluid, and interstitial fluid
ECF
276
interstitial fluid surrounds the cells but does not circulate. it comprises about __ of the ECF
75%
277
plasma circulates as the extracellular component of blood. it makes up _ % of the ECF
25%
278
___ is a set of fluids outside of normal compartments. 1-2 L of fluid that makes up the CSF, digestive juices, mucous etc
transcellular fluid
279
60-40-20 rule?
60% of body weight is water 40% of body weight is ICF 20%of body weight is ECF
280
sweating begins at what temp
37degrees celsius and up (98.6F)
281
human body regulates its core temp bw
98F and 100F
282
osmolarity vs tonicity: osmolarity compares the amount of solutes in 2 solutions while tonicity compares the
osmotic pressure gradient
283
tonicity measures _ solutes
impermeable.
284
osmolarity measures _ solutes
all solutes in solution
285
heat flows form hot to cold or cold to hot
hot to cold
286
Isotopes of an element have different ___ but same ___
``` different weights (bc different number of neurons) same chemical properties ```
287
isotopes are stable or radioactive forms of an element that differ in atomic weight but are otherwise chemically identical to the ___ form of the element
naturally abundant form
288
isotopes have the same
protons/atomic number
289
isotopes have different
mass numbers/number of neutrons
290
the radioactive forms of isotopes are used as _ in medical radiography
tracers
291
the cell cycle stages are
G1-S-G2-M
292
the G1 stage stands for
GAP1
293
the S stage stands for
synthesis (the stage when DNA replication occurs)
294
the G2 stage stands for
GAP2
295
The M stage stands for
mitosis
296
mitosis is divided inot
PMAT = prophase, prmetaphase, metaphase, anaphase, and telophase
297
interphase is when?
G1, S and G2 (before mitosis)
298
growth and preparation of the chromosome occurs in what stage
G1
299
in what stage do we prepare for mitosis
G2
300
protein and RNA synthesis occur in all phases of the cell cycle except the
M phase (mitosis)
301
a eukaryotic cell cant divide into 2 or more unless what 2 process occur
doubling of the genome (DNA) in S phase and halving of that genome during mitosis
302
first antibody to appear in the circulation after antigen stimulation
IgM
303
the most common antibody in our body is
IgG
304
the second antibody to appear in circulation after antigen stimulation
IgG
305
which antibody can pass the placenta and enter the fetal circulation
IgG
306
second most abundant antibody
IgA
307
which antibody has a function that is unknown
IgD
308
what antibody acts as a receptor on the surface of B lymphocytes
IgD
309
which antibody is LARGE and has 5 antibody units
IgM
310
which antibody is important in complement activation
IgM
311
which antibody is the primary antibody against A and B antigens on RBCs
IgM
312
which antibody is present in only trace amounts in the serum
Ige