Brain Regions and Structures

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Questions and Answers

If a lesion selectively ablates the ventral posterolateral nucleus (VPL) of the thalamus, but spares the ventral posteromedial nucleus (VPM), which of the following sensory modalities would remain largely intact?

  • Discriminative touch from the trunk.
  • Fine touch and proprioception from the lower limbs.
  • Vibration sense from the upper limbs.
  • Pain and temperature sensation from the face. (correct)

In a patient presenting with pronounced ataxia, dysmetria, and intention tremor primarily affecting the upper limbs, magnetic resonance imaging reveals selective atrophy of a specific cerebellar region. Identify the MOST likely site of cerebellar damage.

  • Flocculonodular lobe
  • Posterior lobe lateral to the vermis (correct)
  • Vermis
  • Anterior lobe

A researcher is developing a novel therapeutic intervention targeting glutamate-mediated excitotoxicity following acute spinal cord injury. Which intervention would MOST effectively mitigate secondary damage by directly modulating astrocytic glutamate transporter function?

  • Administering a selective NR2B subunit antagonist to NMDA receptors.
  • Enhancing neuronal uptake of cystine to promote glutathione synthesis.
  • Upregulating expression of the glutamate transporter EAAT2/GLT-1 in astrocytes. (correct)
  • Inhibiting microglial activation to prevent cytokine-mediated inflammation.

Following a traumatic brain injury, a patient exhibits a unique pattern of cognitive deficits, including severe impairment in generating verbs associated with visually presented nouns (e.g., failing to produce "kick" when shown a picture of a foot). Which specific brain region is MOST likely compromised?

<p>Left inferior frontal gyrus (C)</p>
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A neuroanatomical study involving tract-tracing techniques in primates reveals a previously uncharacterized pathway projecting from the amygdala directly to layer IV of the primary visual cortex. What is the MOST plausible functional implication of this novel pathway?

<p>Modulating early visual processing based on the emotional salience of stimuli. (D)</p>
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A patient presents with a constellation of symptoms including anosmia, hypogonadism, and midline facial defects. Genetic analysis reveals a loss-of-function mutation in a gene critical for the migration of GnRH-secreting neurons during development. Which embryonic brain region was MOST likely disrupted, leading to this clinical presentation?

<p>Olfactory placode (B)</p>
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In the context of spinal cord injury research, a novel therapeutic strategy aims to promote axonal regeneration across the lesion site by manipulating the extracellular matrix. Which specific intervention would MOST effectively counteract the inhibitory effects of chondroitin sulfate proteoglycans (CSPGs), a major component of glial scars?

<p>Delivery of chondroitinase ABC to enzymatically degrade CSPGs. (C)</p>
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A patient exhibits a pronounced deficit in comprehending prosody (emotional tone) in speech, while their ability to understand the literal meaning of words remains intact. Lesion analysis would MOST likely reveal damage to which specific brain region?

<p>Right superior temporal gyrus (D)</p>
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Consider a scenario where a novel synthetic drug selectively enhances the activity of the pontine respiratory group (PRG) in the pons. What would be the MOST likely physiological consequence observed in an individual administered with this drug?

<p>Shorter, more frequent breaths. (C)</p>
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A neuroimaging study uses diffusion tensor imaging (DTI) to assess white matter integrity in individuals with chronic traumatic encephalopathy (CTE). Which specific DTI metric would MOST sensitively detect early axonal damage and demyelination in the corpus callosum?

<p>Increased radial diffusivity (RD) (A)</p>
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During human brain development, a mutation affects the normal function of radial glial cells. What is the MOST likely consequence of this mutation on cortical organization?

<p>Disrupted neuronal migration leading to laminar disorganization. (C)</p>
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A researcher is investigating the role of specific transcription factors in the differentiation of gustatory receptor cells. Which transcription factor is MOST critically involved in specifying the identity of type II taste receptor cells, responsible for detecting sweet, bitter, and umami tastes?

<p>Math3 (D)</p>
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A patient presents with selective damage to the arcuate fasciculus. Which of the following symptoms would MOST likely be observed?

<p>Impaired repetition of spoken words and phrases. (C)</p>
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A researcher discovers a novel class of interneurons within the spinal cord dorsal horn that selectively inhibit the activity of projection neurons expressing the neurokinin 1 receptor (NK1R). What is the MOST likely functional role of these interneurons?

<p>Attenuating the perception of nociceptive stimuli. (A)</p>
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A patient who has had a stroke now experiences a profound sensory loss that is disproportionately affecting their ability to discriminate fine textures and shapes by touch. This condition is known as tactile agnosia. Where is the MOST probable location of the lesion causing this deficit?

<p>Posterior parietal cortex (C)</p>
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A study using optogenetics selectively activates astrocytes in the hypothalamus of mice. The researchers observe a significant decrease in food intake and an increase in energy expenditure. Which specific hypothalamic region is MOST likely being targeted by this optogenetic manipulation?

<p>Ventromedial hypothalamus (VMH) (C)</p>
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Following a viral infection, a patient develops selective damage to neurons within the dorsal root ganglia (DRG) that express the TRPV1 receptor. What sensory modality would be MOST affected by this neuronal loss?

<p>Noxious heat detection (C)</p>
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A neuroscientist is investigating the role of the cerebellum in motor adaptation using a prism adaptation task. Which specific cerebellar circuit is MOST critically involved in recalibrating motor commands to compensate for the visual distortion induced by the prisms?

<p>Climbing fiber pathway through the inferior olive to the cerebellar cortex. (A)</p>
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A researcher is studying the effects of a novel neurotoxin that selectively disrupts the function of ependymal cells lining the cerebral ventricles. What would be the MOST immediate consequence of this disruption on the central nervous system?

<p>Reduced production and circulation of cerebrospinal fluid (CSF). (A)</p>
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Following a spinal cord injury, a patient experiences exaggerated muscle tone and hyperactive reflexes below the level of the lesion. This condition, known as spasticity. What is the MOST likely underlying mechanism contributing to this spasticity?

<p>Loss of descending modulation of spinal reflex circuits. (B)</p>
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In an experiment involving targeted gene knockout in mice, the gene encoding aquaporin-4 (AQP4) is selectively deleted in astrocytes surrounding cerebral blood vessels. What would be the MOST likely consequence of this deletion on brain function following a stroke?

<p>Increased cerebral edema formation. (C)</p>
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A patient presents with significant behavioral changes, including impaired social judgment, disinhibition, and a marked inability to plan and execute complex tasks. Neuroimaging reveals selective atrophy of which specific region?

<p>Orbitofrontal cortex (B)</p>
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A researcher is investigating the mechanisms underlying the development of phantom limb pain following amputation. Which specific neuroplastic change in the somatosensory cortex is MOST likely contributing to the perception of pain in the missing limb?

<p>Expansion of the cortical representation of adjacent body parts into the denervated area. (A)</p>
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A patient presents with hypotonia, ataxia, and intention tremor. Imaging reveals damage restricted to the cerebellum. Which specific region of the cerebellum is MOST likely affected?

<p>Posterior lobe (C)</p>
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A researcher aims to develop a targeted therapy to enhance axonal regeneration following spinal cord injury by manipulating intrinsic neuronal properties. Which intracellular signaling pathway would be MOST effective in promoting axon growth by overcoming the inhibitory effects of myelin-associated inhibitors?

<p>Activation of the mammalian target of rapamycin (mTOR) (C)</p>
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Following a stroke, a patient exhibits hemispatial neglect, characterized by a profound lack of awareness of stimuli presented to one side of their body/surroundings, despite intact sensory function. Where is the stroke MOST likely located?

<p>Right parietal lobe (C)</p>
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In a study examining the effects of specific neurotransmitters on sensory perception, a researcher selectively blocks the release of substance P in the dorsal horn of the spinal cord. What would be the MOST likely consequence on the perception of pain?

<p>Reduced perception of sharp, acute pain. (D)</p>
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Researchers are investigating potential therapeutic targets for promoting remyelination in multiple sclerosis (MS). Which specific cell type would be MOST effectively targeted to enhance myelin regeneration in demyelinated axons?

<p>Oligodendrocyte precursor cells (OPCs) (A)</p>
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A patient presents with a lesion affecting the anterior portion of the spinal cord. Which sensory modalities would be MOST affected?

<p>Pain and temperature. (D)</p>
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A researcher is studying the molecular mechanisms underlying the formation of the blood-brain barrier (BBB). Which specific protein is MOST critical for the formation of tight junctions between endothelial cells in brain capillaries, thereby restricting paracellular permeability?

<p>Occludin (C)</p>
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Following damage to the vestibulocerebellum, also known as the flocculonodular lobe, what specific function is MOST likely to be impaired?

<p>Maintenance of balance and posture. (C)</p>
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A researcher is investigating the role of specific cranial nerves in taste perception. Selective transection of which nerve would MOST significantly impair the ability to taste sweet, sour, and salty substances on the anterior two-thirds of the tongue?

<p>Facial nerve (CN VII) (D)</p>
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A study found that patients with damage to a certain area of the spinal cord could still feel a crude sense of touch, but could not identify exactly where they were being touched. Where is the MOST probable location of damage?

<p>Dorsal column (C)</p>
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In an experiment investigating the role of microglia in synaptic pruning during brain development, researchers selectively deplete microglia from the developing mouse cortex. Which of the following outcomes would be MOST likely?

<p>Increased density of dendritic spines and impaired synaptic maturation. (D)</p>
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A patient presents with a profound loss of smell, and an MRI reveals selective atrophy of the olfactory bulb. Which cranial nerve is MOST directly affected?

<p>Olfactory nerve (CN I) (A)</p>
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A researcher is investigating the role of the corpus callosum in interhemispheric communication. In an experimental paradigm involving bimanual motor coordination, which specific behavioral outcome would be MOST sensitive to disruption of callosal function?

<p>Impaired performance on tasks requiring simultaneous, independent movements of both hands. (A)</p>
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A patient has a lesion in the medulla oblongata. Which of the following is MOST likely to occur?

<p>Difficulty in regulating heart rate and respiration. (B)</p>
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Flashcards

Embryonic brain regions

Forebrain, midbrain, hindbrain are the scientific names.

What are the two parts of the forebrain?

Telencephalon and diencephalon.

Cerebrum and Diencephalon.

The cerebrum controls higher functions, the diencephalon relays sensory information.

Midbrain scientific name

The mesencephalon.

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Hindbrain regions

Metencephalon and myelencephalon.

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What does the metencephalon comprise?

Pons and cerebellum.

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Myelencephalon

The medulla oblongata.

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Primary brain vesicles

Prosencephalon, mesencephalon, rhombencephalon.

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Secondary brain vesicles

Telencephalon, diencephalon, mesencephalon, metencephalon, myelencephalon.

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Gray vs. white matter

Gray matter = cell bodies/dendrites; white matter = myelinated axons.

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List the brain's meninges

Dura mater, arachnoid mater, pia mater.

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Spaces between meninges

Spaces include subdural and subarachnoid spaces.

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Brain ventricles

Lateral ventricles, third ventricle, fourth ventricle.

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Functions of cerebrospinal fluid

Cushioning, waste removal, nutrient transport.

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Blood-brain barrier components

Tightly packed endothelial cells with tight junctions.

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Blood-brain barrier function

Protects brain from toxins and pathogens.

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Cerebral hemispheres

Connected by corpus callosum, control opposite body sides.

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Corpus callosum

Connects the two cerebral hemispheres, allowing communication.

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Cerebral lobes

Frontal, parietal, temporal, occipital.

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Motor cortical regions

Motor cortex controls voluntary movements; association areas integrate information.

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Sensory cortical regions

Sensory cortex receives sensory information; association areas interpret it.

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Prefrontal cortex functions

Executive functions, planning, decision-making.

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Wernicke's area and Gnostic area

Language understanding vs. integrating sensory info.

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Cerebral lateralization

Specialization of hemispheres for certain functions.

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Hypothalamus functions

Regulates body temperature, hunger, thirst, sleep.

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Cerebellum

Coordinates movement and balance, motor learning.

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Major features of the midbrain

Relays information, controls eye movement

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Respiratory center

Located in the pons.

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Medulla oblongata autonomic centers

Cardiac, respiratory, and vasomotor centers.

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12 cranial nerves

Olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, hypoglossal.

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Cranial Nerve functions

Sensory, motor or mixed functions controlling head, neck, and torso.

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Spinal cord functions

Conveys sensory information and conducts motor commands.

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Anatomic subdivisions of the spinal cord

Cervical, thoracic, lumbar, sacral, coccygeal.

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Spinal nerves

Named by vertebral exit point; contain sensory and motor axons.

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Cauda equina formation

Occurs due to differential growth rates of the spinal cord and vertebral column.

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Spinal cord and vertebral column

Spinal cord is protected by the vertebral column.

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Spinal cord meninges

Dura mater, arachnoid mater, pia mater and spaces between them.

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Gray matter locations

Anterior horns, posterior horns, lateral horns, gray commissure.

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Sensory and motor input to the spinal cord

Sensory input travels via ascending tracts; motor output via descending tracts.

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White matter location

Anterior, posterior, lateral columns containing ascending and descending tracts.

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Study Notes

General Regions of the Brain

  • Forebrain: responsible for higher-level cognitive functions
  • Midbrain: involved in motor control, vision, and hearing
  • Hindbrain: regulates autonomic functions and movement

Embryonic Brain Regions

  • Prosencephalon (forebrain): telencephalon (cerebrum) and diencephalon (thalamus, hypothalamus, epithalamus)
  • Mesencephalon (midbrain): midbrain
  • Rhombencephalon (hindbrain): metencephalon (pons and cerebellum) and myelencephalon (medulla oblongata)

Secondary Brain Vesicles

  • Telencephalon: forms the cerebrum
  • Diencephalon: forms the thalamus, hypothalamus, and epithalamus
  • Mesencephalon: forms the midbrain
  • Metencephalon: forms the pons and cerebellum
  • Myelencephalon: forms the medulla oblongata

Gray and White Matter

  • Gray matter: contains neuron cell bodies, dendrites, and unmyelinated axons and is located in the cortex and nuclei
  • White matter: contains myelinated axons and is located in the deeper layers of the brain
  • Gray matter processes information, while white matter transmits signals

Meninges

  • Dura mater: tough, outermost layer
  • Arachnoid mater: middle layer with a spiderweb-like appearance
  • Pia mater: delicate, innermost layer
  • Subdural space: located between the dura mater and arachnoid mater
  • Subarachnoid space: located between the arachnoid mater and pia mater and contains cerebrospinal fluid

Brain Ventricles

  • Lateral ventricles: located in each cerebral hemisphere
  • Third ventricle: located in the diencephalon
  • Fourth ventricle: located between the pons and cerebellum
  • Ventricles are filled with cerebrospinal fluid and lined by ependymal cells

Cerebrospinal Fluid (CSF)

  • Cushions and protects the brain and spinal cord
  • Transports nutrients and removes waste products
  • Helps regulate the chemical environment of the brain

Blood-Brain Barrier (BBB)

  • Formed by tight junctions between endothelial cells of brain capillaries, supported by astrocytes
  • Protects the brain from harmful substances

How the BBB Protects the Brain

  • Restricts the passage of many substances from the bloodstream into the brain
  • Allows the passage of essential nutrients via selective transport mechanisms

Cerebral Hemispheres

  • Left hemisphere: controls the right side of the body and involved in language, math, and logic
  • Right hemisphere: controls the left side of the body and involved in spatial awareness, creativity, and facial recognition

Corpus Callosum

  • Connects the left and right cerebral hemispheres
  • Facilitates communication between the two hemispheres

Cerebral Lobes

  • Frontal lobe: involved in motor control, planning, decision-making, and personality
  • Parietal lobe: processes sensory information
  • Temporal lobe: involved in auditory processing, memory, and language
  • Occipital lobe: processes visual information
  • Insula: involved in taste, visceral sensations, and empathy

Motor Cortical Regions

  • Primary motor cortex: controls voluntary movements
  • Premotor cortex: plans and coordinates complex movements
  • Motor association areas: integrate sensory information with motor commands

Sensory Cortical Regions

  • Primary somatosensory cortex: receives sensory information from the body
  • Somatosensory association area: interprets sensory information
  • Visual cortex: receives visual information
  • Auditory cortex: receives auditory information

Prefrontal Cortex

  • Involved in executive functions such as planning, decision-making, and working memory
  • Functions differently in adults and teenagers due to ongoing brain development

Wernicke Area and Gnostic Area

  • Wernicke area: involved in language comprehension
  • Gnostic area: integrates sensory information to create a complete perception of the world

Cerebral Lateralization

  • The specialization of functions between the left and right cerebral hemispheres

Left and Right Hemisphere Functions

  • Left hemisphere: language, math, logic
  • Right hemisphere: spatial awareness, creativity, facial recognition

Hypothalamus

  • Controls the autonomic nervous system
  • Regulates body temperature
  • Regulates hunger and thirst
  • Regulates sleep-wake cycles
  • Controls the endocrine system
  • Involved in emotional responses
  • Regulates sexual behavior

Midbrain

  • Contains the superior and inferior colliculi, substantia nigra, and red nucleus
  • Involved in motor control, vision, and hearing

Respiratory Center in the Pons

  • Pneumotaxic center: regulates the rate and depth of breathing
  • Apneustic center: stimulates inspiration

Medulla Oblongata

  • Contains the cardiac, vasomotor, and respiratory centers
  • Controls autonomic functions such as heart rate, blood pressure, and breathing

Autonomic Centers of the Medulla

  • Cardiac center: regulates heart rate and force of contraction
  • Vasomotor center: regulates blood vessel diameter and blood pressure
  • Respiratory center: regulates breathing rate and depth

Cerebellum

  • Coordinates voluntary movements
  • Maintains balance and posture
  • Involved in motor learning

Cranial Nerves

  • Olfactory (I): smell
  • Optic (II): vision
  • Oculomotor (III): eye movement
  • Trochlear (IV): eye movement
  • Trigeminal (V): facial sensation and chewing
  • Abducens (VI): eye movement
  • Facial (VII): facial expression and taste
  • Vestibulocochlear (VIII): hearing and balance
  • Glossopharyngeal (IX): taste and swallowing
  • Vagus (X): autonomic functions
  • Accessory (XI): head and shoulder movement
  • Hypoglossal (XII): tongue movement

Functions of Cranial Nerves

  • Cranial nerves perform specialized sensory or motor functions
  • Some cranial nerves carry both sensory and motor information

Spinal Cord and Spinal Nerves

  • Spinal cord: conducts sensory information from the body to the brain and motor information from the brain to the body
  • Spinal nerves: transmit sensory and motor information between the spinal cord and the body

Spinal Cord Structure

  • Cervical, thoracic, lumbar, sacral, and coccygeal regions
  • Anterior median fissure and posterior median sulcus
  • Gray matter and white matter

Spinal Nerves

  • 31 pairs of spinal nerves: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal
  • Each spinal nerve is formed by the union of a dorsal root and a ventral root

Cauda Equina

  • Formed by the lumbar and sacral spinal nerve roots
  • Arises during development due to differential growth rates of the spinal cord and vertebral column

Spinal Cord and Vertebral Column

  • Spinal cord is shorter than the vertebral column
  • Spinal nerves exit the vertebral column through intervertebral foramina

Spinal Cord Meninges

  • Dura mater, arachnoid mater, and pia mater
  • Epidural space, subdural space, and subarachnoid space
  • Meninges protect the spinal cord and provide support

Gray Matter of the Spinal Cord

  • Anterior (ventral) horn: contains motor neurons
  • Posterior (dorsal) horn: contains sensory neurons
  • Lateral horn: contains sympathetic neurons

Gray Matter Regions

  • Anterior horn: contains motor neurons that innervate skeletal muscles
  • Posterior horn: receives sensory information from the body
  • Lateral horn: contains sympathetic neurons that innervate visceral organs

Sensory and Motor Input to the Spinal Cord

  • Sensory input enters the spinal cord via the dorsal root
  • Motor output exits the spinal cord via the ventral root

White Matter of the Spinal Cord

  • Anterior, lateral, and posterior columns
  • Contains ascending and descending tracts

Dermatome

  • An area of skin innervated by a single spinal nerve
  • Clinically significant for identifying the location of spinal nerve damage

Properties of a Reflex

  • Rapid, involuntary, and predictable response to a stimulus

Reflex Classification

  • Reflexes can be classified by development, response, complexity, and processing site

Reflex Arc

  • Sensory receptor, sensory neuron, integration center, motor neuron, and effector

Ways to Classify a Reflex

  • Spinal or cranial
  • Somatic or visceral
  • Monosynaptic or polysynaptic
  • Ipsilateral or contralateral
  • Innate or acquired

Common Spinal Reflexes

  • Stretch reflex: maintains muscle tone and posture
  • Golgi tendon reflex: prevents muscle damage
  • Withdrawal reflex: moves a body part away from a painful stimulus
  • Crossed-extensor reflex: maintains balance during the withdrawal reflex

Hypoactive and Hyperactive Reflexes

  • Hypoactive reflexes: indicate damage to the lower motor neurons or muscle
  • Hyperactive reflexes: indicate damage to the upper motor neurons

Sensory Receptors as Transducers

  • Sensory receptors convert different forms of energy into electrical signals

Sensory Receptor Structure

  • Sensory receptors have a receptive field, which is the area within which they can detect stimuli
  • The size of the receptive field affects the precision of stimulus localization

Sensation

  • Conscious awareness of a stimulus

Stimulus Characteristics

  • Modality (type of stimulus)
  • Location (where the stimulus is applied)
  • Intensity (strength of the stimulus)
  • Duration (how long the stimulus lasts)

Receptor Classification Criteria

  • Type of stimulus
  • Location
  • Structure

Types of Sensory Receptors

  • Mechanoreceptors: respond to mechanical forces
  • Thermoreceptors: respond to temperature changes
  • Photoreceptors: respond to light
  • Chemoreceptors: respond to chemicals
  • Nociceptors: respond to pain

Tactile Receptors

  • Unencapsulated tactile receptors: free nerve endings, tactile discs, and root hair plexuses
  • Encapsulated tactile receptors: tactile corpuscles, lamellated corpuscles, and bulbous corpuscles

Referred Pain

  • Pain perceived at a location other than the site of the painful stimulus
  • Occurs because visceral and somatic sensory neurons converge on the same ascending pathways

Olfactory Receptors

  • Located in the olfactory epithelium in the nasal cavity
  • Olfactory receptors bind odorants, leading to the generation of action potentials

Papillae of the Tongue

  • Filiform papillae: provide texture but do not contain taste buds
  • Fungiform papillae: contain taste buds and are located on the tip and sides of the tongue
  • Circumvallate papillae: contain taste buds and are located on the back of the tongue
  • Foliate papillae: contain taste buds and are located on the sides of the tongue

Gustatory Receptors

  • Located in taste buds on the tongue, palate, and pharynx
  • Gustatory receptors detect different tastes such as sweet, sour, salty, bitter, and umami

Types of Tastes

  • Sweet, sour, salty, bitter, and umami
  • Smell enhances the perception of taste

Accessory Structures of the Eye

  • Eyelids, eyelashes, eyebrows, lacrimal apparatus, and extrinsic eye muscles
  • Protect the eye and aid in vision

Structures of the Eye

  • Fibrous tunic: sclera and cornea
  • Vascular tunic: choroid, ciliary body, and iris
  • Retina: contains photoreceptors

Structures of the Ear

  • Outer ear: auricle and external acoustic meatus
  • Middle ear: tympanic membrane and auditory ossicles
  • Inner ear: bony labyrinth and membranous labyrinth

Auditory Ossicles

  • Malleus, incus, and stapes
  • Transmit vibrations from the tympanic membrane to the inner ear

Bony and Membranous Labyrinth

  • Bony labyrinth: a series of bony cavities in the temporal bone
  • Membranous labyrinth: a series of membranous sacs and ducts within the bony labyrinth

Cochlea

  • Contains the spiral organ (organ of Corti), which contains hair cells that detect sound vibrations
  • Vibrations of the stapes on the oval window cause pressure waves in the perilymph of the cochlea

Frequency and Intensity of Sound

  • Frequency: the number of sound waves per second, measured in Hertz (Hz)
  • Intensity: the amplitude of sound waves, measured in decibels (dB)

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