Week 5 Flashcards

(39 cards)

1
Q

What are the four domains of attention?

A
  • Arousal
  • Vigilance
  • Divided attention
  • selective attention
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2
Q

What does the 4-AT test do?

A

It assesses:
- Alertness
- Attention
- Acute change
- Abbreviated mental test

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3
Q

What are the four steps in learning?

A
  • Registration
  • Encoding
  • Retrieval
  • Consolidation
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4
Q

Define short term memory

A

The hold of information temporarily

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5
Q

Define working memory

A

The active maintanence and manipulation of short term memory which strengthens synapses and leads to long term memory

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6
Q

What are the 2 types of long term memory?

A

Implicit memory (procedural)

Explicit memory (declarative)

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7
Q

What are the types of explicit memory?

A

Episodic
- memories of personal events and experiences

Sematic
- Hard facts

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8
Q

What is the significance of the amygdala in memory?

A

The amygdala is involved in emotions, and memories associated with strong emotions are recalled better

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9
Q

What regions of the brain are involved in episodic memory?

A

The extended limbic system
- Diencephalon
- medial temporal lobe

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10
Q

what can be the result of impairment of our language centres?

A
  • Apashia/dysphasia (speech)
  • Anomia (naming)
  • Agraphia (writting)
  • Alexia (reading)
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11
Q

How is language tested?

A

Show a patient a picture and ask them to describe it

There is also a language specific section of the ACE-III

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12
Q

What are the domains of behaviour?

A
  • Executive functions?
  • Social cognition
  • Motivation
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13
Q

What aspects make up executive functions?

A
  • Sequencing
  • Organisation
  • Abstraction
  • Planning
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14
Q

What aspects make up social cognition?

A
  • Social interactions
  • Behaviour
  • Insight
  • Ambition
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15
Q

which parts of the prefrontal cortex control which aspects of behaviour?

A

Dorsolateral
- Executive functions

Orbitofrontal
- Social cognition

Ventromedial
- Motivation

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16
Q

Describe Tauopathies

A

Tau is a protein involved with microtubule structure in axons

If tau is hyperphosphorylated it can form tangles

17
Q

What can cause tauopathies?

A

Age, Genetics, repeated head injuries

18
Q

What is the pathology of alzheimers?

A

beta-amyloid plaques and intracellular neurofibrillary tangles composed of tau accumulate. This causes neural loss and brain atrophy

19
Q

What is the clinical presentation of alzheimers

A
  • Progressive memory loss
  • Loss of social/occupational functioning
  • Executive dysfunctions
  • Personality changes
20
Q

What is the pathology of frontotemporal dementia

A

Intra-neuronal and glial tau deposition

21
Q

What is the clinical presentation of frontotemporal dementia?

A
  • Behavioural changes
  • Language and memory difficulties
  • Parkinsonism in 50% of cases
22
Q

What is the pathology of progressive supranuclear palsy?

A

Intraneuronal and glial cell tau deposition within the basal ganglia, brainstem, and cortex

23
Q

What is the clinical presentation of progressive supranuclear palsy?

A
  • Parkinsonism
  • Dementia
  • Postural instability (falls)
24
Q

Explain Alpha-synucleinopathies

A

Alpha-synuclein is a protein involved in DNA repair.

Misfolded alpha-synuclein form Lewy bodies which accumulate in cytoplasm and lead to cell death

25
What is the pathology of Parkinson's disease?
Lewy body pathology starts in the gut and ascends to the brainstem and substantia nigra
26
What is the clinical presentation of Parkinson's disease?
Motor - Rigidity - tremor - bradykinesia Non-motor - Mood disturbance - Sleep disorder
27
Pathology of dementia with Lewy bodies?
Lewy bodies deposit in the brainstem and cortex
28
Clinical presentation of dementia with Lewy bodies
- Parkinsonism - Progressive cognitive difficulties - visual hallucinations - Fluctuation in cognition - sensitivity to antipsychotics
29
Pathology of multiple systems atrophy?
Lewy body deposition in oligodendrocytes within the brainstem, striatum and cerebellum
30
Clinical features of Multiple systems atrophy?
- Parkinsonism - Cerebllar/autonomic features (postural hypotension, genitourinary dysfunction, etc)
31
Pathology of Creutzfeldt Jakob disease?
Prions leading to - Spongiform vaculation in grey matter - Neuronal loss - Reactive proliferation of astrocytes and microglia
32
Clinical presentation of Creutzfeldt-Jakob disease?
- Rapid onset dementia - Behavioural change - Visual disturbance - myoclonic jerks - Ataxia
33
Pathology of Motor neuron disease?
Pathological TDP-43 (protein involved with dna repair, transcription repression, rna metabolism) leads to neuronal inclusion bodies
34
What are the intrinsic muscles of the tongue and what do they do?
- Longitudinal - Transverse - Vertical They change the shape of the tongue
35
Describe the innervation of the tongue
Anterior 2/3rds supplied by lingual nerve => chorda tympani => Facial nerve Posterior 1/3rd supplied by glossopharyngeal nerve
36
Where do the glossopharyngeal nerve and facial nerve insert into the brainstem?
Solitary tract nucleus
37
What is the taste centre for the brain?
Gustatory cortex
38
What is the structure in the eye responisble for detailed central vision?
The Macula
39