NPB MT2
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Questions and Answers

What role does the direct pathway in the basal ganglia play in movement initiation?

  • It exclusively limits movement initiation to reflex actions.
  • It acts as a neuromodulator reducing synaptic transmission.
  • It inhibits movement through thalamus activation.
  • It facilitates the initiation of voluntary movements. (correct)
  • Which of the following distinguishes the indirect pathway in the basal ganglia?

  • It boosts the execution of planned movements.
  • It facilitates motor learning through dopamine release.
  • It inhibits initiation of movements. (correct)
  • It has no effect on the thalamus.
  • How do pluripotent stem cells differ from other cell types?

  • They can only differentiate into brain cells.
  • They specifically generate muscular tissue.
  • They can develop into any cell type in the body. (correct)
  • They are unable to divide indefinitely.
  • What is the primary function of the Circle of Willis in brain circulation?

    <p>To ensure continuous blood supply to the brain.</p> Signup and view all the answers

    What are the primary consequences of a hemorrhagic stroke?

    <p>Damage from pressure and bleeding in the brain.</p> Signup and view all the answers

    What is primarily affected in individuals with right parietal lobe syndrome?

    <p>Spatial awareness of the opposite side.</p> Signup and view all the answers

    In terms of voluntary vs reflexive movements, which statement is correct?

    <p>Voluntary movements depend on the motor cortex.</p> Signup and view all the answers

    What characterizes the process of dopamine signaling in the nigro-striatal pathway?

    <p>It modulates motor control by influencing movement initiation.</p> Signup and view all the answers

    What impact does a lesion in the motor cortex have on voluntary movements?

    <p>It leads to weakness or loss of specific movements.</p> Signup and view all the answers

    Which spinal cord injury is associated with the highest level of paralysis?

    <p>Tetraplegia.</p> Signup and view all the answers

    Which option identifies the location of cell bodies responsible for transmitting sensory information from the body to the brain?

    <p>Dorsal root ganglion</p> Signup and view all the answers

    Which plane would separate the body into anterior and posterior portions?

    <p>Coronal</p> Signup and view all the answers

    What type of paralysis is associated with lower motor neuron injury?

    <p>Flaccid paralysis</p> Signup and view all the answers

    Which statement about aneurysms and 'ballooning' is accurate?

    <p>An aneurysm is an abnormal widening of an artery; ballooning can cause bleeding into or around the brain</p> Signup and view all the answers

    How does medication that selectively activates D2 receptors in the basal ganglia affect the balance between the direct and indirect pathways?

    <p>Inhibits the indirect pathway; relieves rigidity</p> Signup and view all the answers

    What would be the likely symptom for a person with a lesion at the C5 level?

    <p>Loss of touch on the side ipsilateral to the lesion</p> Signup and view all the answers

    How do the basal ganglia influence motor behavior?

    <p>By interacting with various pathways including the cortical outputs</p> Signup and view all the answers

    Where would you expect to find dye a few days after injecting an anterograde tracer into the left motor cortex, specifically in the hand area?

    <p>In the spinal nerve that innervates the right hand</p> Signup and view all the answers

    What is the best therapeutic approach for managing Parkinson's disease symptoms by increasing dopamine levels?

    <p>L-DOPA medication</p> Signup and view all the answers

    Which pathway describes the motor information pathway for pinching fingers together to retrieve hair?

    <p>Left Motor cortex -&gt; Right Corticospinal tract -&gt; Right Ventral horn</p> Signup and view all the answers

    If you selectively activate the indirect pathway of the basal ganglia, what would be the expected effect on movement control?

    <p>Increased inhibition of movement</p> Signup and view all the answers

    Which brain region is correctly paired with its primary function in voluntary motor control?

    <p>Basal ganglia; movement coordination, planning/prediction</p> Signup and view all the answers

    Which option accurately describes the pathway of motor information for movement initiation?

    <p>Left Motor cortex -&gt; Right Corticospinal tract -&gt; Right Ventral horn</p> Signup and view all the answers

    What would be the result of activating the indirect pathway of the basal ganglia?

    <p>Increased inhibition of movement</p> Signup and view all the answers

    Which pairing of a brain region and its function related to voluntary motor control is correct?

    <p>Basal ganglia; movement coordination, planning/prediction</p> Signup and view all the answers

    Which structure's cell bodies are responsible for transmitting sensory information to the brain?

    <p>Dorsal root ganglion</p> Signup and view all the answers

    A cut along which plane would divide the body into anterior and posterior sections?

    <p>Coronal</p> Signup and view all the answers

    What type of paralysis is caused by lower motor neuron injury?

    <p>Flaccid paralysis</p> Signup and view all the answers

    Which statement about aneurysms and their associated symptoms is accurate?

    <p>An aneurysm is an abnormal widening of an artery; ballooning can cause bleeding into or around the brain</p> Signup and view all the answers

    How would medication that selectively activates D2 receptors in the basal ganglia affect motor control pathways?

    <p>Inhibits the indirect pathway; relieves rigidity</p> Signup and view all the answers

    What does hemispatial neglect refer to?

    <p>No conscious awareness of the opposite side of the world</p> Signup and view all the answers

    Which of the following statements about arteries is correct?

    <p>Arteries carry oxygenated blood away from the heart</p> Signup and view all the answers

    What type of movement do upper motor neurons control?

    <p>Voluntary movements</p> Signup and view all the answers

    What is the primary function of the diaphragm?

    <p>To facilitate breathing</p> Signup and view all the answers

    What does the term 'contralateral' refer to?

    <p>Opposite side of the body</p> Signup and view all the answers

    How are voluntary movements characterized?

    <p>They are purposeful and initiated in response to stimuli</p> Signup and view all the answers

    What is the role of the corticospinal tract located in the nervous system?

    <p>To enable voluntary movement on the ipsilateral side</p> Signup and view all the answers

    What differentiates reflexes from voluntary movements?

    <p>Reflexes are rapid and involuntary responses</p> Signup and view all the answers

    Which condition is characterized by a collection of blood underneath the dura?

    <p>Subdural hematoma</p> Signup and view all the answers

    What typically causes a spinal bifida defect?

    <p>Improper formation of vertebrae</p> Signup and view all the answers

    What is primarily affected in Parkinson's disease?

    <p>Movement control</p> Signup and view all the answers

    Which method is NOT typically used to manage symptoms of Parkinson's disease?

    <p>Antiepileptic medications</p> Signup and view all the answers

    What describes the result of a coup-contrecoup injury?

    <p>Collision of brain tissue with the skull</p> Signup and view all the answers

    What is the primary pathway through which the basal ganglia influence motor behavior?

    <p>Corticospinal tract</p> Signup and view all the answers

    Which movement would be classified as a fine motor movement?

    <p>Pinching fingers together</p> Signup and view all the answers

    Which of the following is a potential result of polio?

    <p>Flaccid paralysis</p> Signup and view all the answers

    Study Notes

    Midterm 2 Study Guide

    • This is a review guide for sections L8-L11, not an exhaustive list.
    • Items not listed may still be important.

    Definitions

    • Hemispatial neglect (hemineglect): Lack of conscious awareness of the opposite side of the world or oneself.
    • Circle of Willis: Network of arteries at the base of the brain.
    • Arteries: Carry oxygenated blood away from the heart (except pulmonary artery).
    • Veins: Carry deoxygenated blood towards the heart (except pulmonary vein).
    • Unilateral: One side.
    • Bilateral: Two sides.
    • Ipsilateral: Same side.
    • Contralateral: Opposite side.
    • Dermatome: Area of skin innervated by a single spinal nerve.
    • Diaphragm: Main breathing muscle innervated by C3-C5 (phrenic nerve).
    • Upper motor neurons: Brain neurons sending signals to the spinal cord for voluntary movement.
    • Lower motor neurons: Spinal cord neurons extending to skeletal muscles.
    • Ganglion: Collection of neuron cell bodies outside the brain/spinal cord (e.g., basal ganglia are inside).

    Key Topics/Concepts

    • Brain damage: Consequences of damage to different brain regions (frontal, temporal, brainstem, cerebellum, occipital, and parietal lobes).
    • Brain circulation: Importance of brain vasculature, flow of oxygenated and deoxygenated blood, and the circle of Willis.
    • Strokes: Types of strokes (ischemic, hemorrhagic), consequences of strokes.
    • Brain anatomy: Spaces and meninges of the brain, methods of viewing brain structure (anatomical planes/sections- sagittal, coronal, transverse).
    • Spinal cord: Details of spinal injuries and relationships between spinal cord, vertebral column, and the spinal nerves.
    • Brain-spinal relationships: Information flow and the spinal cord (efferent/afferent signals, reflex arc, spinal tracts).
    • Voluntary vs reflexive movements: Relevant brain structures and their roles in voluntary movement, and which pathways are associated with voluntary vs reflexive movements.
    • Motor control: Key concepts of motor control and the role of descending motor pathways and basal ganglia.
    • Reflexes: Simple, involuntary responses.
    • Postural reflexes: Maintain body posture and balance.

    Additional Topics

    • Voluntary Movements: Purposeful, goal-directed actions.
    • Neuromodulators: Neurotransmitters that modulate neural activity without opening ion channels.
    • Pluripotent Stem Cells: Can divide indefinitely and develop into any cell type.
    • Consequences of brain damage: Focal vs diffuse damage, specific symptoms from lesions (e.g., loss of voluntary movement, loss of sensation, cognitive deficits).
    • Types of strokes: Hemorrhagic, ischemic (thrombotic, embolic). Effects of stroke on brain function and recovery.
    • Spinal cord injuries: Types of spinal cord injuries (e.g., compression). Consequences and symptoms.
    • Brain regions involved in Voluntary movement control: Motor cortex, basal ganglia, and cerebellum. Their roles and interconnections are important.
    • Consequences of lesions: Location of lesion and its impact on the body.
    • Neuroplasticity: Ability of the brain to change and adapt over time with new experiences.

    Glossary

    • Brain Structures: Specific regions (frontal, temporal..)
    • Neural Pathways: (e.g., corticospinal, indirect...)
    • Neurotransmitters: (e.g., Dopamine, GABA..)
    • Reflexes: (e.g., withdrawal..)
    • Treatments: (e.g, deep brain stimulation)

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