Neurology 1: Introduction
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Questions and Answers

What is a function of acetylcholine (ACh)?

  • Transmits chronic pain signals
  • Modulates arousal and attention
  • Regulates mood and appetite
  • Involved in muscle contraction (correct)
  • Which neurotransmitter is primarily linked to Parkinson's disease due to low levels?

  • Noradrenaline
  • Serotonin
  • Acetylcholine
  • Dopamine (correct)
  • What is the primary role of GABA in the central nervous system?

  • Regulates fight or flight response
  • Inhibitory neurotransmitter (correct)
  • Excitatory neurotransmitter
  • Modulates memory and learning
  • Which neurotransmitter is associated with depression and anxiety due to low levels?

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

    Which of the following neurotransmitters is linked to the fight or flight response?

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

    What symptom is associated with excessive glutamate activity?

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

    Which type of sensory fiber is responsible for transmitting fast, sharp pain signals?

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

    What is a characteristic of Aα fibers?

    <p>Large, myelinated fibers for motor control (A)</p> Signup and view all the answers

    What is the main function of the axon terminal?

    <p>To release neurotransmitters (A)</p> Signup and view all the answers

    Which type of neuron is characterized by having one axon and one dendrite?

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

    During which phase of the action potential do voltage-gated sodium channels open?

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

    What triggers the action potential when the membrane potential reaches which value?

    <p>-55 mV (B)</p> Signup and view all the answers

    Which type of conduction occurs in myelinated axons?

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

    What is the role of the sodium-potassium pump during the resting state of a neuron?

    <p>It maintains the resting membrane potential (C)</p> Signup and view all the answers

    What typically happens during the hyperpolarisation phase?

    <p>The membrane becomes more negative than the resting potential (D)</p> Signup and view all the answers

    Which type of neuron is most commonly found throughout the CNS?

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

    What is the primary function of leakage ion channels in the neuron membrane?

    <p>Contribute to resting membrane potential (D)</p> Signup and view all the answers

    Which type of neuroglia acts as the immune cells of the CNS?

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

    Which of the following channels opens in response to the binding of a neurotransmitter?

    <p>Ligand-gated channels (C)</p> Signup and view all the answers

    What triggers the opening of voltage-gated calcium channels at the axon terminal?

    <p>Change in membrane potential (A)</p> Signup and view all the answers

    What is the role of astrocytes in the nervous system?

    <p>Regulate ionic environment around neurons (C)</p> Signup and view all the answers

    Which process occurs first when an action potential arrives at the axon terminal?

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

    What is the main function of Schwann cells in the peripheral nervous system?

    <p>Produce myelin sheath around axons (A)</p> Signup and view all the answers

    What happens to neurotransmitters after they bind to receptors on the postsynaptic membrane?

    <p>They alter the postsynaptic membrane potential (D)</p> Signup and view all the answers

    Which fibers are primarily affected by local anaesthetics first?

    <p>Aδ fibers (A), C fibers (B)</p> Signup and view all the answers

    What effect do local anaesthetics have on touch and pressure sensations?

    <p>They are preserved (A)</p> Signup and view all the answers

    Which ion channel is blocked by local anaesthetics to inhibit pain sensation?

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

    What is the primary mechanism through which local anaesthetics work?

    <p>Blocking sodium channels (D)</p> Signup and view all the answers

    Which type of neuron is primarily targeted by local anaesthetics?

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

    During action potential generation, which phase is characterized by sodium ions entering the neuron?

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

    Which of the following sensations is maintained when local anaesthetics are applied?

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

    What happens to the membrane potential during hyperpolarization?

    <p>It becomes less negative than resting potential (B)</p> Signup and view all the answers

    What is the primary function of the Central Nervous System (CNS)?

    <p>Processing and integrating information received from the body (C)</p> Signup and view all the answers

    Which part of the neuron is primarily responsible for conducting electrical impulses away from the cell body?

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

    What role do the Nodes of Ranvier play in the action potential process?

    <p>They increase the speed of signal transmission (A)</p> Signup and view all the answers

    Which system within the Peripheral Nervous System is responsible for controlling voluntary movements?

    <p>Somatic Nervous System (A)</p> Signup and view all the answers

    What is the function of the myelin sheath in neurons?

    <p>To increase the speed of impulse transmission (C)</p> Signup and view all the answers

    What are the two main components of the Peripheral Nervous System?

    <p>Afferent and Efferent pathways (A)</p> Signup and view all the answers

    Where are action potentials primarily initiated in a neuron?

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

    Which of the following describes the autonomic nervous system's sympathetic branch?

    <p>It is responsible for fight or flight responses. (B)</p> Signup and view all the answers

    What triggers the release of neurotransmitters at the axon terminal?

    <p>Action potential reaching the axon terminal (A)</p> Signup and view all the answers

    What is the primary role of dopamine in the basal ganglia?

    <p>To modulate and regulate movement (A)</p> Signup and view all the answers

    How does the deficiency of dopamine lead to motor symptoms in Parkinson's disease?

    <p>Reduced modulation of basal ganglia activity (B)</p> Signup and view all the answers

    What is the function of myelin in the nervous system?

    <p>To insulate axons and facilitate rapid conduction (B)</p> Signup and view all the answers

    What effect does demyelination have on nerve conduction in multiple sclerosis?

    <p>It disrupts the transmission of nerve impulses (B)</p> Signup and view all the answers

    What symptom is typically associated with a deficiency of dopamine?

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

    What is a common treatment option for Parkinson's disease?

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

    Which of the following best describes the condition of multiple sclerosis?

    <p>A condition characterized by episodic demyelination in the CNS (A)</p> Signup and view all the answers

    Study Notes

    Neurology 1: Introduction

    • This unit introduces neurology, focusing on the central and peripheral nervous systems, neuron structure, action potentials, and synapses.
    • It covers the roles and potential dysfunctions of neurotransmitters.

    1. Introduction to Neurology

    Central Nervous System (CNS)

    • Composed of the brain and spinal cord.
    • Responsible for processing and integrating body information.
    • Regulates bodily functions, including movement, sensory perception, emotions, thoughts, and memory.

    Peripheral Nervous System (PNS)

    • Includes nerves outside the CNS.
    • Divided into afferent (sensory) and efferent (motor) pathways.
    • Afferent system carries sensory information to the CNS.
    • Efferent system carries motor commands from the CNS to muscles and glands.
    • Further divided into:
      • Somatic nervous system: controls voluntary skeletal muscle movements.
      • Autonomic nervous system: controls involuntary functions (e.g., heart rate, digestion).
        • Further divided into sympathetic (fight-or-flight) and parasympathetic (rest-and-digest) systems.

    2. The Neuron: Structure and Types

    Neuron Structure

    • Cell body (soma): contains the nucleus and organelles, maintaining the neuron's structure and function.
    • Dendrites: branch-like structures receiving signals from other neurons and transmitting them to the cell body.
    • Axon: a long projection conducting electrical impulses (action potentials) away from the cell body to other neurons or muscles.
    • Axon hillock: the junction between the cell body and axon, where action potentials are initiated.

    3. The Action Potential

    Resting Membrane Potential

    • The neuron is at rest with a membrane potential of approximately -70 mV.
    • Maintained by the sodium-potassium pump (3 Na+ out, 2 K+ in) and leakage channels.

    Phases of Action Potential

    • Threshold (-55 mV): stimulus depolarizes the membrane to trigger an action potential.
    • Depolarization (+30 mV): voltage-gated sodium channels open, allowing Na+ influx.
    • Repolarization: voltage-gated potassium channels open, allowing K+ efflux.
    • Hyperpolarization (-90 mV): membrane becomes more negative than resting potential due to further K+ efflux.
    • Return to Resting State (-70 mV): sodium-potassium pump restores resting membrane potential.

    4. Protein Channels in the Neuron Membrane

    • Leakage ion channels: allow ions to passively move.
    • Mechanically gated channels: open in response to mechanical deformation.
    • Voltage-gated channels: open in response to membrane potential changes.
    • Ligand-gated channels: open in response to neurotransmitter binding.

    5. Neuroglia: Supporting Cells in the Nervous System

    • PNS: Schwann cells produce myelin sheaths, and satellite cells provide support and regulate neuron environment.
    • CNS: Oligodendrocytes produce myelin, astrocytes maintain the blood-brain barrier, microglia act as immune cells, and ependymal cells produce/circulate cerebrospinal fluid (CSF).

    6. The Synapse: Communication Between Neurons

    • Action potential arrival triggers voltage-gated calcium channels opening.
    • Calcium influx causes synaptic vesicles to fuse with the presynaptic membrane.
    • Neurotransmitter release into the synaptic cleft.
    • Neurotransmitter binding to receptors on the postsynaptic membrane.
    • Postsynaptic potential change (alteration in membrane potential).
    • Neurotransmitter inactivation occurs by reuptake, enzymatic degradation, or diffusion.

    7. Neurotransmitters: Functions and Examples of Malfunctions

    • Acetylcholine (ACh): muscle contraction, autonomic functions, cognition (Alzheimer's disease with decreased ACh).
    • Dopamine: movement, motivation, reward (Parkinson's disease with low dopamine, schizophrenia with excess dopamine).
    • Serotonin: mood, appetite, sleep, pain perception (depression and anxiety with low levels).
    • Noradrenaline/Norepinephrine: fight-or-flight, arousal, attention (mood disorders).
    • Gamma-Aminobutyric Acid (GABA): primary inhibitory neurotransmitter, reducing neuronal excitability (anxiety disorders and epilepsy).
    • Glutamate: primary excitatory neurotransmitter, learning and memory (excitotoxicity in Alzheimer's).

    8. Sensory Fibers in the Skin and Local Anaesthesia

    • Sensory fibre types:
      • Aα fibres: proprioception and motor control
      • Aβ fibres: touch and pressure
      • Aδ fibres: fast pain and temperature
      • C fibres: slow pain, temperature, and itch
    • Local anaesthetics block sodium channels, preventing action potential initiation/propagation, inhibiting pain/temperature sensations and preserving touch/pressure.

    Multiple Choice Questions (MCQs) & Short Answer Questions (SAQs)

    • The provided text includes multiple choice questions and short answer questions (SAQs) on specific neurology concepts. These questions cover neuron types, membrane potential, neurotransmitters, synapse function, etc. (See the OCR text for specific question text and answer choices.)

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    This quiz introduces the fundamentals of neurology, focusing on the central and peripheral nervous systems, neuron structure, and the functioning of neurotransmitters. It explores how the CNS processes information and regulates bodily functions. Test your knowledge on the critical aspects of the nervous system.

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