Peripheral Nervous System Flashcards

1
Q

what are the receptors for the pain neurotransmitter glutamate

A

AMPA and NMDA. The former results in permeability changes which encourages further action potentials to occur. The latter releases calcium when glutamate binds, which causes the post synaptic potential (of dorsal horn) to be hypersensitive through opening calcium channels and a second messenger system, only requiring a little amount of glutamate and substance P to generate an action potential

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2
Q

what are the six types of sensory receptors?

A

photoreceptors, mechanoreceptors, thermoreceptors, osmoreceptors, chemoreceptors and nociceptors (pain receptors)

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3
Q

compare tonic and phasic receptors

A

tonic receptors adapt slowly or do not adapt at all to stimuli, where as phasic receptors adapt rapidly to stimuli. For example, tonic receptors are useful for remembering information about the stimulus such as to maintain posture and balance. On the other hand, phasic receptors are useful for stimuli that is not felt after a short while, for example clothing.

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4
Q

What are the five types of tactile receptors (type of mechanoreceptor) and what are each responsible for?

A

Hair receptors: respond to gentle touch of hairs and are phasic. Merkel’s disc: responds to light, sustained touch and is tonic e.g. reading Braille. Pacinian corpuscle: responds to vibrations and deep pressure and is phasic. Ruffini endings: respond to deep, sustained pressure and stretch of skin like in a massage (tonic). Meissner’s corpuscle: sensitive to light, fluttering touch like tickling with a feather (phasic)

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5
Q

what are the three types of pain receptors (nociceptors)

A

mechanical nociceptors, thermal nociceptors and polymodal nociceptors: detect all stimuli equally

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6
Q

what are prostaglandins?

A

prostaglandins sensitise nociceptors, lowering their threshold for activation, meaning less stimuli is needed to feel pain/ pain is felt easier. Drugs like aspirin aim to inhibit the release of prostaglandins and have a pain-relieving or analgesic effect

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7
Q

What kind of afferent nerve fibres carry the pain signals originating at each nociceptor?

A

Both mechanical and thermal nociceptors transport their signals via small, myelinated A-delta fibers which are phasic (respond rapidly to pain). Polymodal nociceptor signals are carried by small unmyelinated C fibers and are phasic (respond slowly to pain).

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8
Q

what are the two best known pain neurotransmitters?

A

substance P, which activates ascending pathways that transmit nociceptor signals to higher levels for further processing (for the perception and localisation of pain) and glutamate, which makes the dorsal horn interneuron hypersensitive

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9
Q

How can pain be relieved?

A

opiates are released via efferent analgesic pathways which can then bind to opiate receptors on the pre-synaptic knob of an afferent pain fibre. this inhibits the release of substance P

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10
Q

what is the name of a single cardiac cell, which are joined by ____ and includes ____

A

syncytium, joined by intercalated discs, includes gap junctions.

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11
Q

sensory systems convey four types of information. what are they and how do we code for them?

A

Modality (type): nerve specific not receptor specific according to labelled line theory. location (where) smaller and more dense receptor fields have more acuity. intensity (how strong) depending on AP firing frequency and size of stimulus. and timing (when and how often) measured by when a response/firing begins and ends and impacted by whether receptor is phasic or tonic

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12
Q

what are some examples of reflexes which occur in the body? (including monosynaptic relfexes)

A

Platellar tendon stretch reflex or knee jerk reflex, crossed extensor coupled with withdrawal reflex, pupillary light reflex and vestibulo-ocular reflex

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13
Q

what are the two types of muscle receptors and what do they detect?

A

Muscle spindles monitor changes in muscle length. Golgi tendon organs monitor changes in muscle tension. Both are activated by muscle stretch

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14
Q

what are the two types of intrafusal muscle fibers found within a muscle spindle? (these lie parallel to ‘ordinary’ extrafusal fibers where fuses means spindle).

A

Nuclear bag (muscle length and velocity- dynamic) and Nuclear chain (muscle length- tonic)

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15
Q

How are gamma motor neurons able to change the shape and sensitivity of the muscle spindle

A
  1. gamma motor neurons innervate the contractile component of the muscle spindle 2. when the extrafusal muscle contracts, the gamma motor neuron increases the rate of firing, making the spindle more sensitive to stretch and allowing it to shorten (not slacken). 3. if the extrafusal muscle were to relax or stretch, the gama motor neurons would decrease firing, making the spindle less sensitive to stretch, so it can also relax.
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16
Q

what is the effect of doing a ‘monkey grip’ on the knee jerk reflex?

A

The monkey grip increases the firing rate from the gamma motor neurons, which results in a shorter, more sensitive (to stretch) muscle spindle. This means the leg will kick up higher/ more forcefully

17
Q

what is the function of the golgi tendon organ

A

the golgi tendon organ detects tension on the tendon, which is caused by muscle contraction. To maintain homeostatic muscle contraction, the golgi tendon signals via an afferent neuron, which synapses at an interneuron at the spinal cord, for the contracting muscle to relax and its muscle antagonist to contract (e.g. extensor vs flexor.

18
Q

what is the clinical significance of the pupillary light reflex

A

can allude to damage in the optic or oculomotor nerve or problems with the CNS (under the influence of durgs or brainstem death)

19
Q

Describe the clinical significance for the Rinne and Weber tests

A

Both are methods to evaluate whether a person has conductive hearing loss or sensorineural hearing loss. Rinne test: if the sound is heard longer in AC than in BC, a person has normal hearing. If BC>AC they have conductive hearing. Sensorineural hearing loss is still AC>BC but both are greatly depreciated. Weber test: if the sound is heard stronger in one ear over another, this ear has conductive hearing loss, whereas the the sensorineural causes sound to be heard best in normal ear

20
Q

compare conductive hearing loss with sensorineural hearing loss

A

conductive hearing loss concerns the outer and middle ear (helix to ear drum) and may be caused by wax build-up or infection/damage to bones. Sensorineural hearing loss concerns the inner ear (beyond the ear drum) and may be caused by damage to the auditory nerve, hair cells or elsewhere in the cochlear e.g. through ageing or repetitive exposure to loud noise.

21
Q

How does one perform the Rinne and Weber tests?

A

Rinne test: strike the tuning fork and place it on the mastoid bone near the ear. record the time until the patient can no longer hear sound. move the fork near the ear cannal and record the time until the patient hears no sound. Weber test: strike tuning fork and place on the middle of your head. note where the sound is best heard; right, left or both ears.

22
Q

How are frequencies arranged in the cochlea?

A

highest frequencies are heard closest to the oval window, and these are often the first to dissipate in old age

23
Q

How are vibrations perceived in the organ of corti

A

once vibrations reach the oval window, they enter the cochlea were the perilymph continues to vibrate and so does the basilar membrane. the tectorial membrane remains stationary, which means the inner hair cells are pulled and this mechanically opens ion channels for an action potential. The hair cells are connected to the tectorial membrane via stereocilium, which are connected via a tip link

24
Q

how does the lens accommodate to see objects at different distances?

A

short distance the lens will bulge and become stronger to bend the light rays more. this is done by slackening the suspensory ligaments, by contracting the ciliary muscles. Long distance, lens is flat and weak- ciliary muscles relax and suspensory ligaments pull on lens

25
Q

what is presbyopia

A

reduced ability to accommodate lens in old age

26
Q

what are the clinical terms for near sightedness and far sightedness respectively?

A

myopia (eyeball to long or lens too strong) and hyperopia (eyeball too short or lens too weak)

27
Q

what is rhodopsin?

A

a membrane protein/enzyme containing its substrate retinene, which is important for visual perception. in the light, retinene is converted from the 11-cis form to all trans form. thus an action potential is propogated to the visual cortex as the Na+ and Ca2+ channels are closed.

28
Q

why does the fovea have the greatest visual acuity?

A

it has the smallest receptor field (photoreceptors) it contains single receptors

29
Q

what is characteristic of the fovea

A

located in the macula lutea, contains only cones (colour vision), ganglion and bipolar cells are pulled apart so light strikes cones directly, point of most distinct vision, ‘pinhead sized depression in exact center of retina