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Questions and Answers
What is the primary function of afferent nerves?
What is the primary function of afferent nerves?
Which of the following best describes the role of efferent nerves?
Which of the following best describes the role of efferent nerves?
What is the main benefit of the reflex arc in vertebrates?
What is the main benefit of the reflex arc in vertebrates?
What aspect of the nervous system is the somatic nervous system primarily associated with?
What aspect of the nervous system is the somatic nervous system primarily associated with?
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Which statement accurately describes the autonomic nervous system?
Which statement accurately describes the autonomic nervous system?
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What role does the parasympathetic nervous system play in the body?
What role does the parasympathetic nervous system play in the body?
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How does the sympathetic nervous system differ from the parasympathetic nervous system?
How does the sympathetic nervous system differ from the parasympathetic nervous system?
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Which statement is true regarding sensory data?
Which statement is true regarding sensory data?
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What is the primary function of sensory neurons?
What is the primary function of sensory neurons?
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Which type of neuron is responsible for conveying motor impulses from the CNS to effectors?
Which type of neuron is responsible for conveying motor impulses from the CNS to effectors?
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Where are interneurons primarily found?
Where are interneurons primarily found?
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How does the sodium-potassium pump maintain the resting potential of a neuron?
How does the sodium-potassium pump maintain the resting potential of a neuron?
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What is the role of afferent nerves in the peripheral nervous system?
What is the role of afferent nerves in the peripheral nervous system?
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Which system is specifically involved in involuntary responses such as heart rate regulation?
Which system is specifically involved in involuntary responses such as heart rate regulation?
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What distinguishes motor neurons from sensory neurons?
What distinguishes motor neurons from sensory neurons?
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What is the primary function of synapses in the nervous system?
What is the primary function of synapses in the nervous system?
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What is the primary function of the nervous system?
What is the primary function of the nervous system?
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Which of the following components is part of the Central Nervous System?
Which of the following components is part of the Central Nervous System?
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What are the three layers that make up the meninges?
What are the three layers that make up the meninges?
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How does cerebrospinal fluid (CSF) assist the central nervous system?
How does cerebrospinal fluid (CSF) assist the central nervous system?
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What is the role of the sympathetic response in the autonomic nervous system?
What is the role of the sympathetic response in the autonomic nervous system?
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What structure separates the right and left cerebral hemispheres?
What structure separates the right and left cerebral hemispheres?
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Which part of the nervous system is primarily responsible for voluntary movements?
Which part of the nervous system is primarily responsible for voluntary movements?
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What is the function of afferent nerves in the peripheral nervous system?
What is the function of afferent nerves in the peripheral nervous system?
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What is the primary function of the frontal lobes?
What is the primary function of the frontal lobes?
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Which lobe is primarily responsible for sensory perception and integration?
Which lobe is primarily responsible for sensory perception and integration?
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Which lobe encodes memory and is involved in processing auditory information?
Which lobe encodes memory and is involved in processing auditory information?
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Which lobe is primarily associated with understanding language in most individuals?
Which lobe is primarily associated with understanding language in most individuals?
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What role does the insular lobe play in the brain?
What role does the insular lobe play in the brain?
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Which function is considered an executive function associated with the frontal lobes?
Which function is considered an executive function associated with the frontal lobes?
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Why is the parietal lobe important for sensory data?
Why is the parietal lobe important for sensory data?
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Which lobe is the most common site of injury in traumatic brain injury?
Which lobe is the most common site of injury in traumatic brain injury?
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What is the primary role of the cerebellum?
What is the primary role of the cerebellum?
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Which section of the brainstem is responsible for vital functions such as breathing and heart rate?
Which section of the brainstem is responsible for vital functions such as breathing and heart rate?
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What functionality does the pons provide in the brainstem?
What functionality does the pons provide in the brainstem?
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Which parts compose the midbrain?
Which parts compose the midbrain?
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Apart from motor control, what other function is the cerebellum involved in?
Apart from motor control, what other function is the cerebellum involved in?
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Which structure connects the cerebrum to the spinal cord?
Which structure connects the cerebrum to the spinal cord?
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In which part of the brainstem is the medulla located?
In which part of the brainstem is the medulla located?
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What is a function of the midbrain?
What is a function of the midbrain?
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What is the primary reason for high blood glucose levels in type 1 diabetes?
What is the primary reason for high blood glucose levels in type 1 diabetes?
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In type 2 diabetes, what happens when the insulin produced by the pancreas is unable to work effectively?
In type 2 diabetes, what happens when the insulin produced by the pancreas is unable to work effectively?
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What characterizes gestational diabetes?
What characterizes gestational diabetes?
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What occurs in the body during diabetic ketoacidosis (DKA)?
What occurs in the body during diabetic ketoacidosis (DKA)?
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Which of the following is NOT typically associated with type 1 diabetes?
Which of the following is NOT typically associated with type 1 diabetes?
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How is gestational diabetes typically diagnosed during pregnancy?
How is gestational diabetes typically diagnosed during pregnancy?
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What can be a serious complication of diabetes, especially in type 1 diabetics?
What can be a serious complication of diabetes, especially in type 1 diabetics?
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What is a common outcome when the pancreas becomes overworked in type 2 diabetes?
What is a common outcome when the pancreas becomes overworked in type 2 diabetes?
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Study Notes
Paramedic Science: Health & Human Development 2 - The Nervous System
- The nervous system is the body's command centre, originating from the brain. It controls movements, thoughts, automatic responses, digestion, breathing, and sexual development (puberty).
The Nervous System
- The nervous system is divided into:
- Central Nervous System (CNS)
- Brain & Spinal Cord
- Meninges (3 membranous layers surrounding the CNS structures):
- Dura Mater
- Arachnoid Mater
- Pia Mater
- Cerebrospinal Fluid (CSF)
- Clear, colourless, watery fluid acting as a cushion to protect the brain and spinal cord
- Peripheral Nervous System (PNS)
- Motor Function (Efferent Nerves):
- Carry signals from the brain to the PNS to initiate actions
- Sensory Function (Afferent Nerves):
- Carry signals from the PNS to the brain
- Somatic Nervous System
- Autonomic Nervous System
- Parasympathetic Response
- Sympathetic Response
- Motor Function (Efferent Nerves):
- Central Nervous System (CNS)
The Central Nervous System (CNS)
- The cerebrum is divided into two cerebral hemispheres separated by the longitudinal fissure.
- The cerebrum is made up of different lobes:
- Frontal Lobe: Largest lobe, responsible for voluntary movement, language, and higher-level executive functions (planning, organization).
- Parietal Lobe: Vital for sensory perception (taste, hearing, sight, touch, smell), interpreting sensory input from the body.
- Temporal Lobe: Second largest lobe, involved in processing auditory information, memory encoding, affect/emotions, and aspects of visual perception (left side is dominant for most people, involved with language).
- Insular Lobe: Involved in consciousness, emotions, taste, perception, motor control, self-awareness, and body homeostasis(hunger, pain).
- Occipital Lobe: Main area for visual processing, assigning meaning and remembering visual perceptions.
- Cerebellum: Located at the back of the brain, underlying the occipital and temporal lobes, controlling posture, balance, coordination of voluntary movements, and motor learning.
- Brainstem: Connects the cerebrum to the spinal cord and cerebellum. Responsible for vital functions.
- Midbrain: Involved in motor movements and auditory and visual processing.
- Pons: Handles unconscious processes, sleep-wake cycle, and breathing; acts as a junction point.
- Medulla Oblongata: Involved in transmitting signals between the spinal cord and higher brain areas; controls autonomic activities such as heartbeat and respiration.
- Pyramidal Decussation: Point where motor fibers from the medullary pyramids cross to the opposite side of the brain.
- Spinal Cord: An extension of the CNS; starts at the medulla oblongata and ends in the conus medullaris; carries nerve signals, spinal nerves and nerve roots.
The Peripheral Nervous System (PNS)
- Composed of millions to billions of nerve cells
- Sensory neurons carry impulses from sensory organs (skin, other organs) to the central nervous system (including eyes, ears, nose, tongue, and skin).
- Motor neurons carry signals from the CNS to specific effectors (muscles, glands).
- Interneurons in the CNS are the intermediary between sensory and motor neurons.
- Nerve cell parts: Dendrites, Soma, Axon, Myelin Sheath, Nucleus, Synapse
The Cranial Nerves
- A set of 12 paired nerves in the brain that transmit electrical signals between the brain, face, neck and torso, and carry out functions of taste, smell, hearing, facial expressions, blinking and tongue movement.
The Cranial Nerves' Functions
- Olfactory, Optic, Oculomotor, Trochlear, Abducens, Trigeminal, Facial, Vestibulocochlear, Glossopharyngeal, Vagus, Accessory, Hypoglossal.
Specific Conditions:
-
Stroke: Disruption in blood supply to part of the brain, resulting in brain injury.
- Types: Ischemic (blockage of blood vessels), Hemorrhagic (rupture of blood vessels).
-
Transient Ischemic Attack (TIA): Temporary disruption in blood supply to the brain, causing sudden symptoms similar to a stroke, lasting a few minutes to hours, and resolving within 24 hours.
-
Signs & Symptoms: Face drooping, Arm weakness, Speech difficulty, Time to call 999, pupil assessment, Glasgow coma scale.
-
Treatment: Follow JRCALC Stroke/TIA Guideline, possible medical intervention.
-
Addison's Disease: Rare disorder of the adrenal glands, causing insufficient cortisol and aldosterone production (hormones for regulation of energy and electrolyte balance)
- Symptoms: Weakness, fatigue, low mood, weight loss, increased thirst, nausea.
- Treatment: Follow JRCALC Steroid-dependent Patients Guideline.
-
Diabetic Ketoacidosis (DKA): Serious complication of diabetes, resulting from insufficient insulin in allowing blood glucose into cells for use as energy; the liver breaks down fat to release ketones leading to dangerous levels
- Treatment: JRCALC Glycaemic Emergencies in Adults and Children Guideline.
-
Hyperosmolar Hyperglycaemia: Metabolic complication in diabetes characterized by severe hyperglycemia, dehydration, hyperosmolar plasma, altered consciousness.
- Symptoms: Excessive thirst, frequent urination, tiredness.
- Treatment: IV saline and insulin.
-
Seizures: Sudden and uncontrolled electrical disturbance in the brain, causing changes in behaviour, movements, or feelings in the patient.
- Types: Focal, generalised (absence, tonic-clonic), treatment intervention.
-
Hyperglycemia: High blood glucose levels.
-
Hypoglycemia: Low blood glucose levels, blood glucose less than 4mmol/l in a diabetic patient.
- Symptoms: Sweating, trembling, shaking, palpatations, pounding heart, hunger, headache, nausea, incoordination, confusion, speech difficulty, fits etc.
-
Meningitis: Inflammation of the fluid and membranes surrounding the brain and spinal cord. Viral and bacterial meningitis are two types of meningitis that occur.
-
Cauda Equina Syndrome: Dysfunction of lumbar and sacral nerve roots that cause urinary incontinence, altered sensation and weakness in the lower limbs.
- Causes: Herniated discs, spinal stenosis, injuries etc.
-
Treatment guidelines (JRCALC) are provided for each condition in this summary.
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