Monosynaptic Reflexes and Stretch Reflex

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Questions and Answers

What is a consequence of damaged descending cortical fibers?

  • Absence of clonus
  • Repetitive, sequential contraction of ankle flexors and extensors (correct)
  • Isolation of motor neuron lesions
  • Enhanced inhibition of antagonists

Which of the following is NOT a condition in which clonus may be seen?

  • Epilepsy
  • Parkinson's disease (correct)
  • Amyotrophic lateral sclerosis (ALS)
  • Spinal cord damage

What is the characteristic posture of decerebrate posturing?

  • Extended lower extremities with toes pointed inward and upper extremities extended with fingers flexed and forearms pronate (correct)
  • Flexed neck and extended head
  • Flexed upper limbs and extended lower limbs
  • Extended upper limbs and flexed lower limbs

What is the primary location of damage causing decorticate posturing?

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

What is a key difference between decerebrate and decorticate posturing?

<p>Extension vs. flexion of upper limbs (D)</p> Signup and view all the answers

Which of the following is a feature of decorticate posturing?

<p>Flexed upper limbs (A)</p> Signup and view all the answers

What is the relationship between clonus and upper motor neuron lesions?

<p>Clonus is a characteristic of upper motor neuron lesions (A)</p> Signup and view all the answers

Which of the following conditions is LEAST likely to exhibit decerebrate posturing?

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

What is the primary function of the muscle spindle in a monosynaptic reflex?

<p>To sense the stretch of the muscle and transmit the signal to the CNS (A)</p> Signup and view all the answers

What is the characteristic feature of clonus?

<p>Regular, repetitive, rhythmic contractions of a muscle (D)</p> Signup and view all the answers

What is the neurotransmitter released at the central synapse in a monosynaptic reflex?

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

What is the term for a reflex arc with a single synapse between the afferent and efferent neurons?

<p>Monosynaptic reflex (D)</p> Signup and view all the answers

What is the response to the stretch of a skeletal muscle with an intact nerve supply?

<p>Contraction of the muscle being stretched (B)</p> Signup and view all the answers

What is the typical example of a monosynaptic reflex?

<p>Knee jerk reflex (C)</p> Signup and view all the answers

What is the characteristic feature of states with increased motor neuron activity?

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

What is the minimum number of beats required to consider ankle clonus as abnormal?

<p>5 (B)</p> Signup and view all the answers

What is the primary mechanism that contributes to ankle clonus?

<p>Inverse stretch reflex sequence without Golgi tendon organ activation (B)</p> Signup and view all the answers

What type of injury can disrupt the descending cortical input to the Renshaw cell?

<p>Spinal cord injury (B)</p> Signup and view all the answers

What is the function of the Renshaw cell in the neural circuitry?

<p>Inhibition of alpha motor neurons (A)</p> Signup and view all the answers

What is the role of cortical fibers in the neural circuitry?

<p>Activation of Renshaw cells and type Ia inhibitory interneurons (C)</p> Signup and view all the answers

What is the result of synchronized motor neuron discharge in ankle clonus?

<p>Rhythmic plantar flexion (A)</p> Signup and view all the answers

What is the consequence of spindle discharge in ankle clonus?

<p>Spindle discharge cessation (C)</p> Signup and view all the answers

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