Nervous System and Pain - Week 1
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Questions and Answers

Which of the following is NOT a deep cerebellar nucleus?

  • Caudate (correct)
  • Dentate
  • Embolliform
  • Globose

What is the name of the functional subdivision of the cerebellum that functions in error correction and receives input from the spinal cord?

  • Cerebrocerebellum
  • Flocculonodular lobe
  • Spinocerebellum (correct)
  • Vestibulocerebellum

What is the name of the most lateral deep cerebellar nucleus?

  • Embolliform
  • Fastigial
  • Globose
  • Dentate (correct)

Which of the following is a consequence of damage to the flocculonodular lobe?

<p>Truncal ataxia and nystagmus (A)</p> Signup and view all the answers

Which of the following is TRUE about the cerebellar hemispheres?

<p>They are connected by the vermis (C)</p> Signup and view all the answers

Which of the following is the primary function of the cerebrocerebellum?

<p>Motor learning (D)</p> Signup and view all the answers

Which of the following arteries supplies blood to the cerebellum?

<p>Superior cerebellar artery (D)</p> Signup and view all the answers

What is the primary output of the cerebellum?

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

Which mechanoreceptor is best suited for detecting static touch and is slow-adapting?

<p>Merkel cell neurite complex (C)</p> Signup and view all the answers

Which of the following accurately describes the function of a Pacinian corpuscle?

<p>Detecting rapidly changing vibration (B)</p> Signup and view all the answers

A patient reports a constant sensation of skin stretching. Which receptor type is most likely responsible for this sensation?

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

What does the acronym 'MILD' represent in the context of sensory receptors?

<p>Modality, Intensity, Location, Duration (B)</p> Signup and view all the answers

Which of the following is characterized by a weird tingling or numb sensation on the skin?

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

Which pathway is primarily responsible for conveying fine touch and vibration information to the brain?

<p>Dorsal column-medial lemniscus pathway (D)</p> Signup and view all the answers

Where do second order neurons in the dorsal column medial lemniscus (DCML) pathway synapse?

<p>Ventral posterior lateral nucleus of the thalamus (D)</p> Signup and view all the answers

Which of the following best describes the role of transient receptor potential (TRP) channels in the somatosensory system?

<p>Involved in transduction by thermal receptors (A)</p> Signup and view all the answers

Which of the following best describes the function of the thalamus within the nervous system?

<p>Serving as a relay station for sensory information. (B)</p> Signup and view all the answers

What is the primary role of oligodendrocytes within the nervous system?

<p>Synthesizing myelin in the central nervous system. (C)</p> Signup and view all the answers

Disruptions of which two resources may lead to neuronal cell death?

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

Which of the following is the most accurate description for how sensory transduction occurs?

<p>Stimuli detection is coupled to the opening or closing of ion channels. (A)</p> Signup and view all the answers

What role do microglial cells play in the nervous system?

<p>They help with repair after neuronal injury and remove debris. (A)</p> Signup and view all the answers

Which type of mechanoreceptor is characterized by being rapidly adapting and found near the epidermis?

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

Which of the following is NOT part of the brainstem?

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

Which of the following is NOT primarily associated with somatosensation pathways?

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

Which receptor is responsible for detecting noxious heat above 125 F?

<p>TRPV2 receptor (A)</p> Signup and view all the answers

What type of pain results from injury to the peripheral nervous system (PNS) or central nervous system (CNS)?

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

Which pathway carries information about pain, temperature, and crude touch from the body?

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

Which brain structure is key for endogenous pain inhibition and sympathetic responses?

<p>Periaqueductal Gray (PAG) (B)</p> Signup and view all the answers

What kind of sensory information does the Trigeminothalamic Tract carry?

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

Which part of the brain is involved in emotional learning related to pain?

<p>Anterior Cingulate Cortex (A)</p> Signup and view all the answers

What type of pain is described as normal physiological response to noxious stimuli?

<p>Nociceptive pain (D)</p> Signup and view all the answers

Where do second-order neuron axons in the ALS pathway terminate?

<p>Ventral posterior lateral thalamus (D)</p> Signup and view all the answers

What role does the globus pallidus internal segment (GPi) play in movement regulation?

<p>It inhibits the thalamus to prevent movement. (D)</p> Signup and view all the answers

Which structure releases dopamine to facilitate movement in the basal ganglia?

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

What is a key characteristic of Parkinson's disease in terms of movement?

<p>Difficulty initiating movement. (B)</p> Signup and view all the answers

What is the function of the indirect pathway in the basal ganglia?

<p>To inhibit thalamic activity to suppress unwanted movements. (D)</p> Signup and view all the answers

Which disease is characterized by the degeneration of neurons in the striatum, leading to uncontrolled movements?

<p>Huntington's disease (B)</p> Signup and view all the answers

What symptom is typically associated with Parkinson's disease?

<p>Rigidity and cognitive decline. (B)</p> Signup and view all the answers

Which neurotransmitter is primarily used by the neurons in the substantia nigra?

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

What mnemonic helps remember the characteristic of slow movements in Parkinson's disease?

<p>You park your car slowly when you park. (D)</p> Signup and view all the answers

What is the primary factor affecting the speed of diffusion over long distances?

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

How do ions primarily move across the cell membrane?

<p>Through specific channels and pores (B)</p> Signup and view all the answers

What primarily drives the flow of water in osmosis?

<p>Solute concentration gradient (D)</p> Signup and view all the answers

What distinguishes osmotic pressure from osmolarity?

<p>Osmotic pressure is the pressure required to prevent water movement (B)</p> Signup and view all the answers

What role does the Na+/K+ pump play in cellular function?

<p>It maintains cell volume and membrane potential (B)</p> Signup and view all the answers

Which characteristic accurately defines tonicity?

<p>Concentration of non-permeable solutes outside the cell (D)</p> Signup and view all the answers

How does the reflection coefficient affect solute particles' passage through a membrane?

<p>A coefficient of one prevents all particles from passing (D)</p> Signup and view all the answers

What is the significance of Van't Hoff's equation in relation to osmotic pressure?

<p>It relates osmotic pressure to solute concentration and temperature (C)</p> Signup and view all the answers

Flashcards

What are the two main components of the nervous system?

The nervous system is composed of two main parts: the central nervous system (CNS) which includes the brain and spinal cord, and the peripheral nervous system (PNS), which encompasses the nerves extending from the CNS to the rest of the body.

What are the critical requirements for the nervous system to function properly?

The nervous system relies heavily on energy, primarily utilizing glucose and oxygen. Disruptions in its supply of these vital nutrients can lead to severe damage or even death of nerve cells.

What is the role of ascending pathways in the nervous system?

Ascending pathways are responsible for transmitting sensory information from the periphery (your body) to the central nervous system (brain).

What do descending pathways do in the nervous system?

Descending pathways carry information from the central nervous system (brain) to the periphery (your body).

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What is the brainstem and what components does it include?

The brainstem is a critical part of the brain located at the base of the skull, essential for controlling essential functions such as breathing, heart rate, and consciousness. It consists of three components: the midbrain, pons, and medulla.

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What is the cerebellum and what function does it serve?

The cerebellum, located at the back of the brain, plays a vital role in coordinating movement, balance, and posture, ensuring smooth and precise bodily actions.

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What is the role of the thalamus?

The thalamus serves as a relay station for sensory input from the body, processing and directing information to the appropriate areas of the brain for interpretation.

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What is the function of the basal ganglia?

The basal ganglia is a group of interconnected brain structures that work together to regulate movement, making it smooth and coordinated.

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Pacinian corpuscle

A type of sensory receptor that detects vibration. They are located deep within the skin and are rapidly adapting, meaning they quickly stop responding to a constant stimulus.

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Merkel cell neurite complex

A type of sensory receptor that is good at detecting static touch and pressure. They are located near the skin surface and are slowly adapting, meaning they continue to respond to a constant stimulus.

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Ruffini corpuscle

A type of sensory receptor that detects stretching of the skin. They are located in the middle layers of the skin and are slowly adapting.

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Dorsal Column-Medial Lemniscus (DCML) pathway

The pathway that carries sensory information about touch, pressure, and vibration from the body to the brain. It decussates (crosses over) in the medulla.

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Anterolateral System (ALS) / Spinothalamic pathway

The pathway that carries sensory information about pain and temperature from the body to the brain. It decussates in the spinal cord.

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Nociceptors

A type of sensory receptor that detects pain, which is triggered by nociceptors. They are free nerve endings in the skin.

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Thermal Receptors

Free nerve endings in the skin that detect changes in temperature. They use Transient Receptor Potential (TRP) channels to transduce temperature changes into electrical signals.

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TRPV1 (Transient Receptor Potential Vanilloid 1)

A receptor protein that is involved in the detection of temperature changes. It is found on thermal receptors.

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TRPV2 Receptor

A receptor that detects noxious heat above 125°F. It's activated by very hot temperatures and contributes to the sensation of burning pain.

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TRPV1 Receptor

A receptor that detects both heat and capsaicin (the compound in chili peppers) above 109°F. It contributes to the sensation of burning pain and is activated by both heat and spicy foods.

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TRPA1 Receptor

A receptor that detects noxious cold below 64°F. It's activated by very cold temperatures and contributes to the sensation of freezing pain.

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Nociceptive Pain

A type of pain caused by the nervous system responding to noxious stimuli. It's a normal protective response to injury or damage.

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Neuropathic Pain

A type of pain that results from damage to the peripheral or central nervous system. The body perceives pain even in the absence of a real injury.

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Spinothalamic Tract (STT)

A neural pathway that carries information about pain, temperature, and crude touch from the body to the brain. It originates in the spinal cord and ascends to the thalamus, then projects to the somatosensory cortex.

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Pain Matrix

A network of brain regions involved in processing and experiencing pain.

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Diffusion

The movement of a substance from an area of high concentration to an area of low concentration.

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Osmosis

The movement of water across a semi-permeable membrane from a region of higher water concentration to a region of lower water concentration.

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Osmotic pressure

The pressure that must be applied to a solution to prevent the inward flow of water across a semi-permeable membrane.

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Osmolarity

The concentration of dissolved particles in a solution.

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Tonicity

The effect of a solution's osmolarity on a cell.

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Aquaporin

A protein channel that allows water to move across cell membranes.

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Osmotic pressure difference

The difference in osmotic pressure between two solutions separated by a semi-permeable membrane.

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Reflection coefficient

A measure of how easily a solute can pass through a semi-permeable membrane.

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What is the cerebellum?

A part of the brain responsible for coordinating movement, balance, and motor learning. It receives input from the brain and spinal cord, and sends output to the brain to fine-tune movements.

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What are the lobes of the cerebellum?

The cerebellum has three lobes: anterior, posterior, and flocculonodular.

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What happens when the cerebellum is damaged?

Damage to the cerebellum can result in ataxia, a condition characterized by loss of coordination.

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What is the cerebellum's role in motor control?

The cerebellum helps to refine and correct motor commands, ensuring movements are accurate and coordinated.

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What does the spinocerebellum do?

The spinocerebellum deals with error correction during movement and coordinates movements of the body.

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What does the vestibulocerebellum do?

The vestibulocerebellum is involved in maintaining balance and coordinating eye movements.

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What does the cerebrocerebellum do?

The cerebrocerebellum is responsible for motor learning and adapting motor programs to improve future movements.

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How does the cerebellum communicate with other parts of the brain?

The cerebellum receives sensory information from the body and the brain, and sends output to the brain to help regulate movement.

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What is the role of the Globus Pallidus (GPi) in movement?

The Globus Pallidus (GPi) is a brain structure that is responsible for inhibiting the thalamus, which is involved in controlling movements. In the resting state, the GPi prevents unwanted movements by keeping the thalamus in check.

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What is the direct pathway of the basal ganglia responsible for?

The direct pathway of the basal ganglia is responsible for initiating movements by stimulating the thalamus, which then activates the motor cortex. This pathway is stimulated by dopamine released from the substantia nigra.

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What is the indirect pathway of the basal ganglia responsible for?

The indirect pathway of the basal ganglia suppresses unwanted or excessive movements by increasing inhibition of the thalamus. When this pathway is correctly functioning, it controls and smooths our movements.

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What is the cause of Parkinson's disease?

Parkinson's disease occurs due to a loss of dopamine-producing cells in the Substantia nigra. This results in a disruption of the direct pathway and an imbalance with the indirect pathway, leading to difficulties initiating and controlling movements.

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What is the cause of Huntington's disease?

Huntington's disease is caused by degeneration of neurons in the striatum, a key component of the basal ganglia. This causes an imbalance in the indirect pathway, leading to uncontrolled movements, like involuntary writhing or jerking motions.

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What is the function of the substantia nigra?

The substantia nigra is a brain region that produces dopamine, a neurotransmitter crucial for the function of the basal ganglia. It plays a key role in both the direct and indirect pathways influencing movement control.

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What is the role of D1 dopamine receptors?

D1 dopamine receptors are involved in the direct pathway of the basal ganglia. When dopamine binds to these receptors, it activates the pathway, enhancing movement initiation.

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What is the function of the subthalamic nucleus (STN)?

The subthalamic nucleus (STN) is a brain structure that receives input from the globus pallidus external segment (GPe) and projects to the globus pallidus internal segment (GPi). It plays a crucial part in the indirect pathway, modulating movement control.

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Study Notes

Nervous System and Pain - Week 1

  • The nervous system is composed of the central nervous system (CNS) and peripheral nervous system (PNS).
  • High energy demands of the nervous system require glucose and blood flow. Disruption of these can cause neuron death.
  • Ascending pathways carry sensory information from the periphery to the CNS.
  • Descending pathways carry information from the CNS to the periphery.
  • The brainstem includes the midbrain, pons, and medulla.
  • The cerebellum coordinates movement.
  • Basal ganglia help regulate movement.
  • The thalamus acts as a relay station for body senses.
  • The hippocampus is involved in memory.
  • The amygdala plays a role in emotions, fear, fighting, food, and mating behaviors.
  • Neurons are the smallest unit of the nervous system.
  • Calcium is needed for synaptic function.
  • Glial cells support neurons. These include oligodendrocytes, astrocytes, and microglia.
  • Astrocytes form the blood-brain barrier and synthesize neurotransmitters.
  • Glioblastomas are a highly malignant type of primary brain cancer.
  • Oligodendrocytes produce myelin in the CNS.
  • Schwann cells produce myelin in the PNS.
  • Spinal reflexes exhibit neural circuits like feedforward excitation, feedforward inhibition, and convergence.
  • Microglial cells remove debris after neuronal injury.

Nervous System and Pain - Week 2

  • Sensory transduction couples stimulus detection to ion channel opening/closing.
  • Sensory neurons generate membrane potentials in response to stimuli.
  • Somatosensation provides information about internal and external body conditions.
  • Somatosensation includes touch and position pathways (mechanoreceptors) and pain and temperature pathways (thermoreceptors, chemoreceptors).

Nervous System and Pain - Week 3

  • Facial nerves control facial muscle movements and provide sensory information from the anterior two-thirds of the tongue.
  • Facial nerves emerge from the pons in the brain stem and follow a complex path to reach their destinations in the face.
  • Upper motor neuron lesions cause issues with the lower facial muscles, while lower motor neuron lesions affect muscles on the same side of the face.

Nervous System and Pain - General

  • TRPV1 receptors are activated by heat and capsaicin.
  • TRPV2 receptors are activated by extreme heat.
  • TRPA1 receptors are activated by noxious cold temperatures.
  • Nociceptive pain is the body's normal response to noxious stimuli.
  • Neuropathic pain results from nerve damage.
  • The periaqueductal gray (PAG) plays a role in pain modulation and relief.
  • Basal ganglia are involved in initiating and regulating movements.
  • The cerebellum helps coordinate complex movements.
  • The globus pallidus, an output nucleus of the basal ganglia, inhibits the thalamus in a resting state.
  • The indirect pathway in the basal ganglia helps suppress unwanted movements.
  • The direct pathway allows for the execution of desired movements.
  • The spinalthalamocortical tract relays sensory information related to pain and temperature.
  • The trigeminothalamic pathway carries similar sensory information for the face.
  • The cerebellum helps with coordination and balance.

Cell Membranes and Transport

  • Cell membranes are selectively permeable.
  • Hydrophobic substances can pass through the membrane directly.
  • Hydrophilic substances require channels or pores.
  • The fluid mosaic model describes membrane structure.
  • Cell membranes maintain concentration differences of solutes.
  • Cholesterol helps stabilize the membrane.
  • Phospholipids have hydrophilic heads and hydrophobic tails.
  • Channels and pores are proteins that facilitate transport.
  • Diffusion is the movement of substances from high to low concentration.

Osmosis

  • Osmosis is the movement of water across a semipermeable membrane from a region of lower solute concentration to a region of higher solute concentration.
  • Cell volume changes depending on the tonicity of the solution.
  • Hypertonic solutions cause cells to shrink.
  • Hypotonic solutions cause cells to swell.
  • Isotonic solutions maintain cell volume.

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Explore the foundational elements of the nervous system in this Week 1 quiz. Learn about the structure and functions of the CNS and PNS, as well as key brain regions and their roles in movement, memory, and emotion. Test your knowledge of the complexities of neuron function and the importance of glial cells.

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