Mechanism of Synaptic Transmission
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Questions and Answers

Which part of the brain does the basilar artery NOT supply?

  • Cerebral cortex
  • Spinal cord (correct)
  • Cerebellum
  • Brainstem
  • What is the primary function of the terminal branches of the basilar artery?

  • Control heart rate and breathing
  • Supply blood to the spinal cord
  • Supply blood to the cerebral cortex (correct)
  • Regulate body temperature
  • Which of the following areas of the brain does the lateral cortical branch of the basilar artery supply?

  • Medial surface of the cerebral cortex
  • Lateral surface of the cerebral cortex (correct)
  • Tentorial surface
  • All of the above
  • Which statement accurately describes the relationship between the basilar artery and the cerebral cortex?

    <p>The basilar artery supplies the cerebral cortex indirectly through its terminal branches. (D)</p> Signup and view all the answers

    What is the primary difference between the medial, lateral, and tentorial branches of the basilar artery?

    <p>The regions of the brain they supply (D)</p> Signup and view all the answers

    Which of the following structures is supplied by the part of the temporal lobe near the inferior border?

    <p>Temporal pole and insula (C)</p> Signup and view all the answers

    What part of the temporal lobe is located near the inferior border?

    <p>Surface of the temporal lobe (B)</p> Signup and view all the answers

    Which of the following structures is NOT directly mentioned in the content as being supplied by a part of the temporal lobe?

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

    What is the location of the medial half of the temporal lobe?

    <p>Not mentioned in the content (B)</p> Signup and view all the answers

    Based on the content, which of the following is a likely conclusion about the temporal lobe?

    <p>The temporal lobe is a complex structure with multiple parts. (C)</p> Signup and view all the answers

    What is the primary function of the association sensory area, located in the superior parietal lobe?

    <p>Understanding and integrating sensory information (B)</p> Signup and view all the answers

    Which of the following is NOT a supraspinal facilitatory area for the stretch reflex?

    <p>Area 4 (B)</p> Signup and view all the answers

    Which of the following is a condition that primarily affects the blood?

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

    Which of these arteries are responsible for supplying blood to the association sensory area?

    <p>ACA and MCA (B)</p> Signup and view all the answers

    What is the primary function of the dynamic component of a muscle spindle?

    <p>Detecting the rate of change in muscle length (C)</p> Signup and view all the answers

    What is the term used to describe the inability to recognize objects by touch due to a lesion in the association sensory area?

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

    Which of the following is NOT a function of the Association Sensory Area?

    <p>Control of fine motor skills (B)</p> Signup and view all the answers

    What is the name of the fluid that flows from the lateral ventricles of the brain?

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

    Which of the following is a supraspinal inhibitory area for the stretch reflex?

    <p>Area 6 (A), Area 4 (B)</p> Signup and view all the answers

    What is an example of a condition that affects the ears?

    <p>Otitis media (D)</p> Signup and view all the answers

    Which of the following is a feature of the axoplasm?

    <p>Presence of neurofilaments (B)</p> Signup and view all the answers

    A patient presents with difficulty in speaking, but can understand what is being said. The injury is most likely located in:

    <p>Broca's area (C)</p> Signup and view all the answers

    What is the mechanism of action of Tolcapone?

    <p>COMT inhibitor (D)</p> Signup and view all the answers

    Which of the following is responsible for the myelination of axons in the peripheral nervous system (PNS)?

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

    Which of the following is a common annual follow-up investigation for type 2 diabetes?

    <p>Blood lipid profile (C)</p> Signup and view all the answers

    Which artery supplies the splenium of the corpus callosum?

    <p>Posterior cerebral artery (PCA) (A)</p> Signup and view all the answers

    What is the main function of the hypothalamus?

    <p>Regulation of visceral activities (C)</p> Signup and view all the answers

    Which part of the brain is primarily responsible for the formation of cerebrospinal fluid?

    <p>Choroid plexus (C)</p> Signup and view all the answers

    What is the primary cause of hydrocephalus?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following structures is supplied by both the anterior cerebral artery (ACA) and the internal carotid artery (ICA)?

    <p>None of the above (D)</p> Signup and view all the answers

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    Flashcards

    Broca's area

    Region of the brain responsible for speech production.

    Negri bodies

    Intracytoplasmic inclusions used for rabies diagnosis.

    Schwann cell

    Cell responsible for myelination in the peripheral nervous system.

    Respiratory depression

    Condition caused by morphine overdose leading to decreased respiration.

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    Oxaloacetate

    A key molecule determining the regulation of ketolysis.

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    Association Sensory Area

    Region in the superior parietal lobe responsible for understanding sensory information.

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    Supplied by MCA & ACA

    The association sensory area receives blood supply from the Middle Cerebral Artery and Anterior Cerebral Artery.

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    Stereognosis

    The ability to recognize objects by touch without looking.

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    Asteriognosis

    Inability to recognize objects by touch, often due to lesion in the sensory area.

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    Dynamic Muscle Spindle

    A type of muscle spindle that responds to changes in muscle length during dynamic movement.

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    Otitis media

    An infection of the middle ear common in children.

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    Sinusitis

    Inflammation or infection of the sinuses, causing facial pain.

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    Pyemia

    A type of blood infection characterized by the presence of pus-forming bacteria.

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    Stretch reflex

    A muscle contraction in response to stretching within that muscle.

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    CSF flow

    Cerebrospinal fluid passes from the lateral ventricles to other parts of the brain.

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    Medial Cortical Branches

    Branches of the basilar artery that supply the medial surface of the cerebral hemisphere.

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    Lateral Cortical Branches

    Branches of the basilar artery that supply the lateral surface of the cerebral hemisphere.

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    Tentorial Branches

    Branches of the basilar artery that supply the surface of the tentorium part of the brain.

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    Basilar Artery

    An artery that supplies blood to the posterior part of the brain, giving rise to cortical branches.

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    Cortical Regions

    Areas of the cerebral hemisphere supplied by specific branches of the basilar artery.

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    Temporal Lobe

    A region of the brain located beneath the lateral sulcus, involved in processing sensory input and language.

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    Insula

    A small region of the brain located deep within the lateral sulcus, involved in perception, emotion, and self-awareness.

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    Temporal Pole

    The most anterior part of the temporal lobe, significant for various cognitive and emotional functions.

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    Frontal Lobe

    The part of the brain located at the front, associated with reasoning, motor control, and expressive language.

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    Lateral Surface

    The outer part of the brain's lobes including the temporal lobe, involved in sensory and motor functions.

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    Limb

    1/2 of the post. limb supplied by MCA; other half by ICA.

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    Coronal Callosum Supply

    All parts of the corpus callosum are supplied by ACA, except splenium by PCA.

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    Hypothalamus

    Region responsible for the control of visceral activities.

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    Choroid Plexus

    Structure responsible for the formation of cerebrospinal fluid (CSF).

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    Hydrocephalus

    Chronic accumulation of CSF in the ventricular system leading to brain atrophy.

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    Study Notes

    Voluntary Work in Suez

    • This is a collaborative effort, not an individual project
    • Participants are from the Suez medical community
    • The project spans from 2020 to 2025

    Mechanism of Synaptic Transmission

    • Neurotransmitters are released through exocytosis
    • Action potential travels down the axon, causing depolarization and calcium influx
    • Calcium influx stimulates synaptic vesicles to migrate to the active zone
    • Fusion between V-snare and T-snare occurs, releasing neurotransmitters
    • Neurotransmitters diffuse into the synaptic cleft
    • Neurotransmitters bind to specific receptors on the postsynaptic neuron
    • Receptors are ligand-gated ion channels
    • Influx of sodium or calcium causes depolarization, leading to excitatory postsynaptic potentials
    • Influx of potassium or chloride causes hyperpolarization, generating inhibitory postsynaptic potentials
    • Chemical transmitters are removed by diffusion, reuptake by the presynaptic knob, enzymatic degradation, or by microglial cells.

    Drug of Choice for Absence Seizures

    • Ethosuximide is the drug of choice for absence seizures.

    Anterior Cerebral Artery Occlusion

    • Anterior cerebral artery (ACA) supplies the medial surface of the cerebral hemisphere, excluding the occipital lobe and a portion of the lateral surface
    • Smaller terminal branches
    • Supplies the medial surface except the occipital lobe and upper inch on the lateral surface, and the medial half of the orbital surface of the frontal lobe.

    Middle Cerebral Artery (MCA) Occlusion

    • Runs over the insula in the lateral sulcus
    • Larger terminal branches
    • Supplies the lateral surface of the cerebral hemisphere, excluding the occipital lobe and a strip on the lateral surface of the temporal lobe near the inferior border

    Posterior Cerebral Artery (PCA) Occlusion

    • Runs in the anterior portion of the calcarine sulcus
    • Supplies the tentorial surface, the occipital lobe, and a portion of the lower temporal lobe on the lateral surface.

    Central Branches of the Arteries

    • Pierce the anterior perforated substance and lamina terminalis
    • Supply the anterior part of the corpus striatum and the anterior limb of the internal capsule

    Arterial Supply of the Cingulate Gyrus

    • Anterior cerebral artery

    Neurotransmitter in Substantia Nigra

    • Dopamine

    Pain Modulation in the Brain

    • Periaqueductal grey is a key component of the pain control system
    • This area can suppress the transmission of pain signals to the brain
    • Three major components: periaqueductal gray and periventricular areas, raphe magnus nucleus, and nucleus reticularis paragigantocellularis
    • Signals pass through pain inhibitory complex located in the dorsal horns spinal cord before reaching brain
    • This control system can block pain signals before they reach the brain

    Toxicity of Alprazolam

    • Flumazenil is a specific antagonist to benzodiazepines, including alprazolam.

    Pilocytic Astrocytoma

    • A type of glioma affecting children
    • Well-circumscribed cerebellar cystic mass
    • Microscopically: bipolar astrocytes, Rosenthal fibers, eosinophilic granular bodies, fibrillary background

    Alzheimer's Disease

    • Associated with deteriorating cognitive function

    Microglia Functions

    • Phagocytic cells within the nervous system

    Peripheral Nervous System Cell Types

    • Schwann cells: Myelin sheath formation around axons
    • Neurons: Receive and transmit nerve signals, based on a variety of morphologies
    • Astrocytes: Contribute to the blood-brain barrier.
    • Oligodendrocytes: Myelin formation inside the central nervous system
    • Ependymal cells: Secretion of cerebrospinal fluid
    • Satellite cells: Support neurons

    Opioid Overdose

    • Naloxone blocks acute opioid overdose

    Lateral Lemniscus

    • Carries hearing impulses from both ears
    • Spinal lemniscus: carries pain, temperature, and crude touch from opposite side of the body
    • Trigeminal lemniscus: carries pain, temperature, touch and proprioception from the same side of the face.
    • Medial lemniscus: carries fine touch and proprioception from opposite side of the body, below the face

    Primary Motor Area

    • Located in the precentral gyrus of the frontal lobe.
    • Supplied by the MCA and ACA.
    • Responsible for voluntary movements of the opposite side of the body (excluding the eye)
    • Lesions result in contralateral hemiplegia.

    Prefrontal Cortex

    • Located in most of the medial frontal gyrus, orbital part of inferior surface, and rest of lateral frontal lobe
    • Responsible for behavior, learning, and emotions
    • Lesions result in disturbances of function.
    • Frontal eye field (8): responsible for voluntary eye movements to the opposite side of the body

    Broca's Area

    • Located in the posterior inferior frontal gyrus
    • Responsible for speech production
    • Lesions result in motor aphasia

    Primary Visual Cortex

    • Located on each side of the calcarine sulcus
    • Responsible for perception of visual stimuli
    • Large lesion: result in contralateral homonymous hemianopsia

    Secondary Visual Cortex

    • Surrounds the primary visual cortex
    • Responsible for understanding the meaning of visual information

    Word Blindness

    • Lesion to the middle of superior temporal gyrus
    • Results in difficulty in recognizing words

    Auditory Area

    • Middle part of superior temporal gyrus
    • Responsible for sound perception
    • Lesion: unilateral or bilateral difficulty hearing

    Wernicke's Area

    • Located in posterior portion of superior and middle temporal gyri
    • Responsible for comprehending language.
    • Lesion: sensory aphasia

    Primary Sensory Area

    • Located in the postcentral gyrus, receiving sensory information from the opposite side of the body.
    • Lesions affect sensations from the opposite side of the body.
    • This section focuses on sensory areas and important details for understanding various diseases of the brain and their effects

    Association Sensory Area

    • Located in the superior parietal lobe

    Tumor of the Interpeduncular Fossa

    • Impacts the oculomotor nerve

    Muscle Spindle Structure

    • Nuclear bag: dynamic fibers
    • Nuclear chain: static fibers

    Ketolysis Regulation

    • Bioavailability of oxaloacetate determines the regulation

    Cerebellar Lesions

    • Damage results in intention tremors

    Classification of Drugs for CNS

    • Monoamine reuptake inhibitors, monoamine oxidase inhibitors, and presynaptic inhibitors (alpha-2 blockers, 5-HT blockers)

    Neurotransmitters of the CNS

    • Glutamate

    Symptoms of Cerebellar Diseases

    • Ataxia and dysmetria are common symptoms.

    Spinal Cord Hamisection

    • Causes ipsilateral loss of tactile localization, vibration, and proprioception

    Cranial Nerves in Upper Medulla

    • Hypoglossal and vestibular nuclei are within open medulla

    Myelinating Cell in Peripheral Nervous System

    • Schwann cell
    • Molecular death is the final stage

    Diagnosis of Primary Amebic Meningoencephalitis

    • Cerebrospinal fluid (CSF) sample

    Important Medical Conditions

    • Diabetic patient with heart attack, follow-up, quitting smoking, and lifestyle changes crucial

    Types of Meningitis

    • Group A and B Neisseria meningitides, Streptococcus pneumonia, and Listeria monocytogenes are common causes

    Causes of Subacute Sclerosing Panencephalitis

    • Measles

    Location of Nerve Cells

    • Ganglion: group of nerve cells outside CNS
    • Nucleus: group of nerve cells inside CNS

    Viral Infections

    • Rabies: transmitted via peripheral nerves; mode of transmission: bite from a rabid animal or contact with the saliva of infected animals
    • Poliomyelitis: transmitted through the fecal-oral route

    Other details:

    • Tolcapone: COMT inhibitor
    • Rabies diagnosis: Negri bodies
    • East African sleeping sickness: caused by Trypanosoma brucei rhodesiense
    • Beriberi: vitamin B1 (thiamine) deficiency
    • Mycotic aneurysms: due to subacute infectious endocarditis
    • Alternative aspects and detailed explanations about different neurological topics.
    • Meningiomas common characteristics
    • Classification of different types of tumors and their locations and features
    • Details on location of crucial parts of the brain, functions and nerves, and what happens if there is a disease in that region.

    Types of Pain

    • Fast pain: Neospinothalamic tract (glutamate)
    • Slow pain: Paleospinothalamic tract (substance P)

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    Explore the intricacies of synaptic transmission in this detailed quiz. Discover how neurotransmitters are released, the role of calcium, and the resultant excitatory and inhibitory effects on neurons. A must for those interested in neuroscience and neurobiology.

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