Clinical Neuroscience Quiz 3 Review - CYK 10-12

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Questions and Answers

What is the primary function of Purkinje cells within the cerebellar cortex?

  • Motor neurons that directly control muscle movements.
  • Sensory receptors that detect changes in body position.
  • Inhibitory interneurons that modulate the activity of deep cerebellar nuclei. (correct)
  • Excitatory interneurons that amplify motor signals.

Which of the following describes the role of the deep cerebellar nuclei in motor control?

  • Inhibit all motor output from the cerebral cortex.
  • Act as the primary output structures, sending motor signals to the thalamus and brainstem. (correct)
  • Receive sensory input directly from the spinal cord.
  • Regulate hormone release related to physical activity.

A patient exhibits cerebellar dysfunction following a stroke. Which artery is least likely to be involved based on the known blood supply to the cerebellum?

  • Posterior cerebral artery (PCA) (correct)
  • Anterior inferior cerebellar artery (AICA)
  • Superior cerebellar artery (SCA)
  • Posterior inferior cerebellar artery (PICA)

What specific motor deficits would you expect to observe in a patient with damage localized to the vermis of the cerebellum?

<p>Difficulties with balance, posture, and gait. (D)</p> Signup and view all the answers

Which of the following symptoms is most likely to arise from a lesion affecting the intermediate zone of the cerebellum?

<p>Impaired coordination and precision of limb movements. (C)</p> Signup and view all the answers

A patient presents with nystagmus and difficulty maintaining visual fixation. Which area of the cerebellum is most likely affected?

<p>Flocculonodular lobe (A)</p> Signup and view all the answers

What type of sensory information is primarily conveyed by the spinocerebellar tracts, and how is this information processed in relation to the body?

<p>Unconscious proprioception related to limb position, processed ipsilaterally. (B)</p> Signup and view all the answers

Which of the following functions is least associated with the cerebellum's contribution to overall neural processing?

<p>Sensory detection of light touch and vibration. (B)</p> Signup and view all the answers

In what capacity does the spinocerebellar functional lobe of the cerebellum contribute to adapting to external changes?

<p>Postural adjustments prior to stepping on a moving sidewalk. (B)</p> Signup and view all the answers

What role does the cerebrocerebellar functional lobe play in complex motor tasks?

<p>Modification to finger positions while texting on a phone. (A)</p> Signup and view all the answers

During head movements, what compensatory action does the vestibulo-ocular reflex (VOR) initiate to maintain stable vision?

<p>It induces reflexive eye movement equal in magnitude but opposite in direction to head movement. (D)</p> Signup and view all the answers

How do the utricle and saccule contribute to the vestibular system's ability to detect motion?

<p>The utricle detects linear motion, while the saccule detects vertical motion. (A)</p> Signup and view all the answers

To what primary brain region does the vestibular nerve transmit information from the vestibular system, and how does this contribute to overall balance and motor control?

<p>Cerebellum, for motor coordination and balance. (C)</p> Signup and view all the answers

Which function is NOT performed by the vestibular system?

<p>Conducting auditory information. (B)</p> Signup and view all the answers

In what way does the vestibulo-ocular reflex (VOR) help an individual maintain clear vision during daily activities?

<p>By stabilizing the visual image on the retina during head movements. (C)</p> Signup and view all the answers

What is the underlying cause of Benign Paroxysmal Positional Vertigo (BPPV)?

<p>Dislodged calcium carbonate crystals in the inner ear. (D)</p> Signup and view all the answers

How does the vestibular system respond to head rotation to the right-hand side?

<p>Excitation of the right vestibular organ, inhibition to the left vestibular organ. (A)</p> Signup and view all the answers

What are the approximate degrees of tilt each semicircular canal has in relation to the horizontal plane when the head/neck is in a neutral position?

<p>Anterior &amp; Posterior Canals 45 degrees; Horizontal canal 30 degrees superior tilt (D)</p> Signup and view all the answers

Within which structure are the vestibular hair cells housed?

<p>Crista ampullaris (D)</p> Signup and view all the answers

What series of events correctly describes how sound waves are transduced into neural signals in the auditory system?

<p>Sound waves → tympanic membrane vibration → ossicles vibration → hair cell deflection → neurotransmitter release → spiral ganglion neuron firing (D)</p> Signup and view all the answers

Where does the visual pathway synapse between the optic nerve and the occipital cortex?

<p>Lateral geniculate nucleus (B)</p> Signup and view all the answers

At which structure do the optic nerve fibers from the nasal side of each retina cross over to the opposite side of the brain?

<p>Optic chiasm (C)</p> Signup and view all the answers

Which part of the visual field is processed by the optic nerve fibers originating from the nasal side of each retina?

<p>Temporal (A)</p> Signup and view all the answers

What is the primary visual deficit that results from damage to the primary visual cortex?

<p>Cortical blindness (C)</p> Signup and view all the answers

How does the superior colliculus contribute to visual processing?

<p>Integrating visual information with motor control for eye movements. (C)</p> Signup and view all the answers

For what type of visual information is the dorsal stream of the visual pathway primarily responsible?

<p>Motion processing (B)</p> Signup and view all the answers

Which aspect of visual processing is mainly handled by the ventral stream of the visual pathway?

<p>Object recognition (B)</p> Signup and view all the answers

Where in the brain does the integration of visual information from both eyes occur to allow for depth perception?

<p>Primary visual cortex (D)</p> Signup and view all the answers

Which cranial nerve transmits visual information from the retina to the brain?

<p>Optic nerve (B)</p> Signup and view all the answers

What specific visual field defect can result from damage to the optic radiation?

<p>Homonymous hemianopsia (A)</p> Signup and view all the answers

Flashcards

Purkinje Cells

Inhibitory interneurons in the cerebellar cortex that release GABA.

Deep Cerebellar Nuclei

The primary output structures of the cerebellum that send motor signals to the thalamus and brainstem.

Medial Zone (Vermis)

Responsible for regulating balance and posture; coordinates movements along the midline.

Intermediate Zone of Cerebellum

Adjusts the precision of voluntary movements, particularly for limbs.

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Flocculonodular Lobe

Regulates eye movements and maintains balance.

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Spinocerebellar Tracts

Detects unconscious proprioception ipsilaterally to the respective hemisphere.

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Spinocerebellar Functional Lobe

Helps coordinate posture and fine motor control; adjusts posture when anticipating environmental changes.

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Cerebrocerebellar Functional Lobe

Involved in planning and fine-tuning voluntary movements, such as finger movements.

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Vestibulo-ocular Reflex (VOR)

Stabilizes vision during head movement by generating compensatory eye movements in the opposite direction.

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Utricle

Detects horizontal linear acceleration (e.g., forward/sideways motion).

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Saccule

Detects vertical motion (e.g., moving up or down).

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Vestibular Nerve

Transmits signals from the vestibular organs to the cerebellum for balance and motor coordination.

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Vestibulo-ocular Reflex (VOR)

Stabilizes the visual image on the retina by coordinating eye movements during head movements.

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Benign Paroxysmal Positional Vertigo (BPPV)

Tiny calcium carbonate crystals become dislodged from the utricle and move into the semicircular canals, causing dizziness and vertigo.

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Vestibular Response to Head Rotation

Excitation of the right vestibular organ and inhibition to the left vestibular organ.

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Crista Ampullaris

Houses the vestibular hair cells.

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Lateral geniculate nucleus

The synapse location for the visual pathway (optic nerve to occipital cortex) within the brain

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Optic chiasm

Where optic nerve fibers from the nasal side of each retina cross over

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Temporal

The optic nerve fibers from the nasal side of each retina contribute to this part of the visual field

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Cortical blindness

The possible result of damage to the primary visual cortex

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Superior colliculus

Integrates visual information with motor control for eye movements.

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Dorsal stream

Motion processing ; also known as "where" pathway.

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Ventral Stream

Object recognition; known as the "what" pathway.

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Primary Visual Cortex

Integrates visual information from both eyes.

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Optic Nerve

Carries visual information from the retina to the brain.

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Homonymous hemianopsia

Loss of vision in the same side of the visual field in both eyes.

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Study Notes

Cerebellum: Purkinje Cells

  • Inhibitory interneurons located in the cerebellar cortex.
  • Release GABA, inhibiting activity of deep cerebellar nuclei.

Cerebellum: Main Output Nuclei

  • Deep cerebellar nuclei are the main output structures.
  • Send motor signals to the thalamus and brainstem for movement coordination.

Cerebellum: Blood Supply

  • The cerebellum is primarily supplied by the anterior inferior cerebellar artery, superior cerebellar artery, and posterior inferior cerebellar artery.
  • The posterior cerebral artery mainly supplies the occipital and parts of the temporal lobe, but does NOT supply the cerebellum.

Cerebellum: Medial Zone (Vermis)

  • Primarily involved in equilibrium, posture, and gait.
  • Regulates balance and posture, and coordinates midline movements (walking).

Cerebellum: Intermediate Zone Lesions

  • Lesions can lead to impaired balance and posture.
  • This zone adjusts the precision of voluntary limb movements.

Cerebellum: Flocculonodular Lobe Injury

  • May result in abnormal eye tracking or nystagmus.
  • Primarily involved in regulating eye movements and maintaining balance.

Cerebellum: Spinocerebellar Tracts

  • Responsible for detecting unconscious proprioception ipsilaterally.
  • Carry proprioceptive information about limb position and movement to the cerebellum.

Cerebellum: Functions Excluded

  • Does NOT handle sensory detection of light touch and vibration.
  • Primarily involved in motor control, coordination, and balance.

Cerebellum: Spinocerebellar Functional Lobe

  • Contributes greatly to postural adjustments prior to stepping on a moving sidewalk.
  • Coordinates posture and fine motor control, adjusting posture when anticipating environmental changes.

Cerebellum: Cerebrocerebellar Functional Lobe

  • Contributes greatly to modification to finger positions while texting on a phone.
  • Involved in planning and fine-tuning voluntary movements.

Vestibular System: Vestibulo-Ocular Reflex (VOR)

  • Head rotation to the right 45 degrees induces reflexive eye movement 45 degrees to the left in order to prevent retinal slip.
  • Stabilizes vision during head movement by generating compensatory eye movements in the opposite direction.

Vestibular System: Utricle and Saccule

  • The utricle detects linear (horizontal motion).
  • The saccule detects vertical motion.

Vestibular System: Vestibular Nerve

  • Transmits information from the vestibular system to the cerebellum.
  • Sends signals from the semicircular canals, utricle, and saccule to the cerebellum for balance and motor coordination.

Vestibular System: Functions Excluded

  • Does NOT conduct auditory information.
  • Responsible for detecting head movements, maintaining balance, and controlling eye movements.

Vestibular System: VOR Function

  • The vestibulo-ocular reflex (VOR) helps stabilize vision during head movements.
  • Coordinates eye movements during head movements, allowing clear vision even during motion.

Vestibular System: Benign Paroxysmal Positional Vertigo (BPPV)

  • BPPV is caused by dislodged calcium carbonate crystals in the inner ear.
  • Otoconia move into the semicircular canals, causing dizziness and vertigo with head movement.

Vestibular System: Head Rotation

  • Head rotation to the right-hand side causes excitation of the right vestibular organ and inhibition to the left vestibular organ.
  • Creates a balanced signal, informing the brain of the head's movement.

Vestibular System: Semicircular Canal Degrees

  • Anterior & Posterior Canals are at 45 degrees (with the head/neck in a neutral position).
  • Horizontal canal is at a 30 degrees superior tilt.

Vestibular System: Vestibular Hair Cells

  • Housed in the crista ampullaris.
  • Detect fluid movement, aiding in sensing balance and orientation.

Auditory System: Sound Wave Transduction

  • Sound waves cause tympanic membrane vibration, then vibration of the ossicles.
  • Hair cell deflection then occurs, leading to neurotransmitter release and firing of the spiral ganglion neurons.

Visual Pathway: Synapse Location

  • The lateral geniculate nucleus (LGN) is the synapse location for the visual pathway from the optic nerve to the occipital cortex.
  • The optic nerve fibers synapse in the LGN, then visual information is transmitted to the primary visual cortex.

Visual Pathway: Optic Nerve Fibers

  • Optic nerve fibers from the nasal side of each retina cross over at the optic chiasm.
  • Ensures visual information from the left field of vision is processed in the right hemisphere, and vice versa.

Visual Pathway: Nasal Side Contribution

  • Optic nerve fibers from the nasal side of each retina contribute to the temporal visual field.
  • After crossing over at the optic chiasm the temporal (outer) part of the visual field is processed.

Visual Pathway: Damage

  • Damage to the primary visual cortex can lead to cortical blindness.
  • The individual cannot process visual stimuli despite having intact eyes and optic nerves.

Visual Pathway: Motor Control Integration

  • The superior colliculus integrates visual information with motor control for eye movements.
  • Coordinates eye movements to orient the eyes towards visual stimuli through saccadic eye movements.

Visual Pathway: Dorsal Stream

  • The dorsal stream of the visual pathway is primarily responsible for motion processing.
  • Processes information related to motion, spatial orientation, and the location of objects in space.

Visual Pathway: Ventral Stream

  • The ventral stream of the visual pathway is primarily responsible for object recognition.
  • Processes information related to object shape, color, and texture.

Visual Pathway: Integration

  • The primary visual cortex integrates visual information from both eyes.
  • Combines and processes visual input, allowing for depth perception and binocular vision.

Visual Pathway: Cranial Nerve

  • The optic nerve carries visual information from the retina.
  • Transmits electrical signals generated by photoreceptors to the visual centers of the brain.

Visual Pathway: Optic Radiation

  • Damage to the optic radiation can result in homonymous hemianopsia.
  • This is the loss of vision in the same side of the visual field in both eyes.

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