Neurology and Stroke Quiz
44 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the leading cause of strokes?

  • Cerebral hemorrhage
  • Ischemia (correct)
  • Embolism
  • Thrombosis
  • What is the consequence of neurons becoming overactive after an ischemic stroke?

  • Cell regeneration
  • Increased glucose uptake
  • Increased sodium and calcium influx (correct)
  • Reduced glutamate release
  • What is a possible treatment for ischemic stroke?

  • Tissue plasminogen activator (correct)
  • Stent placement
  • Antibiotics
  • Opioid analgesics
  • Which of the following is NOT a characteristic of an ischemic stroke?

    <p>Immediate onset of symptoms (A)</p> Signup and view all the answers

    What is the name of a bruise in the brain caused by closed-head injury?

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

    Which of the following is a direct consequence of free radicals?

    <p>Damage to DNA (A)</p> Signup and view all the answers

    What is a potential consequence of a blood clot traveling to a smaller blood vessel?

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

    Which of the following is a possible treatment for ischemic stroke related to glutamate release?

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

    What is the primary cause of Huntington's disease?

    <p>A single dominant gene mutation (A)</p> Signup and view all the answers

    What is the typical age of onset for Huntington’s disease?

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

    What is the difference between Huntington’s disease and Multiple Sclerosis (MS)?

    <p>Huntington's disease is genetic, while MS is autoimmune. (A)</p> Signup and view all the answers

    What is the mechanism by which the HTT gene contributes to Huntington's disease?

    <p>The gene accumulates errors in its DNA sequence leading to an abnormal protein. (B)</p> Signup and view all the answers

    Which of these is NOT a symptom of Multiple Sclerosis?

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

    How does the number of CAG repeats in the HTT gene relate to the severity of Huntington’s disease?

    <p>Higher CAG repeats correlate with more severe symptoms. (C)</p> Signup and view all the answers

    What is the primary role of oligodendrocytes in the context of Multiple Sclerosis?

    <p>They produce myelin, which insulates nerve fibers. (B)</p> Signup and view all the answers

    Which of the following is a possible treatment for Multiple Sclerosis?

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

    What percentage of Parkinson's Disease cases have a known mutation?

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

    What is the main component of Lewy bodies?

    <p>Alpha-synuclein (B)</p> Signup and view all the answers

    What percentage of familial Parkinson's Disease cases are caused by multiplication mutations in the alpha-synuclein gene?

    <p>2% (C)</p> Signup and view all the answers

    Which of the following is NOT a gene linked to Parkinson's Disease?

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

    Which of these statements about the MPTP model of Parkinson's Disease is TRUE?

    <p>It involves the conversion of MPTP to MPP+ in astrocytes. (D)</p> Signup and view all the answers

    What is the approximate concordance rate of Multiple Sclerosis in monozygotic twins?

    <p>25% (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Experimental Autoimmune Encephalomyelitis (EAE)?

    <p>Involves both T-cell and B-cell mediated autoimmune processes (A)</p> Signup and view all the answers

    Which of the following is a disease modifying therapy commonly used to treat Multiple Sclerosis?

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

    In which stage of Alzheimer's disease does mild cognitive impairment, characterized by confusion, memory decline, and attention difficulties, become evident?

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

    Which of the following is a pathological hallmark observed in the brains of Alzheimer's disease patients during an autopsy?

    <p>Presence of amyloid plaques (A)</p> Signup and view all the answers

    Why is a definitive diagnosis of Alzheimer's disease typically made only during an autopsy?

    <p>The diagnosis requires confirmation of neuropathological changes in the brain. (B)</p> Signup and view all the answers

    Which of the following statements is TRUE regarding Alzheimer's disease?

    <p>It often leads to a decline in cognitive function, personality changes, and behavioral disturbances. (D)</p> Signup and view all the answers

    What is the main difference between the PNS and the CNS concerning regeneration?

    <p>The CNS utilizes a different type of glial cell for myelination. (D)</p> Signup and view all the answers

    What is the role of Schwann cells in axonal regeneration in the PNS?

    <p>They facilitate the clean-up of cellular debris and release growth factors. (A)</p> Signup and view all the answers

    What is the main factor prohibiting regeneration in the CNS?

    <p>The inhibitory factors released by oligodendrocytes. (A)</p> Signup and view all the answers

    Which of the following is NOT a pattern of axonal regeneration in mammalian peripheral nerves?

    <p>The damaged nerve is completely removed by phagocytosis. (C)</p> Signup and view all the answers

    What is the process called where axons from undamaged neurons grow to innervate target cells previously innervated by damaged axons?

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

    What is the main evidence for cortical reorganization after retinal lesions?

    <p>The development of new receptive fields in nearby cortical areas. (D)</p> Signup and view all the answers

    What is the term used to describe the phenomenon where the somatosensory cortex reorganizes following peripheral nerve transection?

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

    What is a key difference between cortical reorganization observed in animal models and humans?

    <p>Animal models demonstrate faster reorganization than humans. (C)</p> Signup and view all the answers

    What is a common symptom of Parkinson's Disease?

    <p>Tremor during inactivity (C)</p> Signup and view all the answers

    What is the relationship between the Kindling Model of Epilepsy and human post-traumatic epilepsy?

    <p>The Kindling Model suggests that post-traumatic epilepsy may develop gradually over time. (C)</p> Signup and view all the answers

    What is the primary characteristic of an aura?

    <p>A warning sign that precedes a seizure. (B)</p> Signup and view all the answers

    What is the role of dopamine in Parkinson's Disease?

    <p>Dopamine production is decreased, resulting in difficulty initiating movements. (B)</p> Signup and view all the answers

    Which of these is NOT a treatment option for Parkinson's Disease?

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

    What is the significance of Lewy bodies in the context of Parkinson's Disease?

    <p>Lewy bodies are clusters of abnormal proteins that are found in the substantia nigra of patients with Parkinson's Disease. (D)</p> Signup and view all the answers

    How is the Kindling Model of Epilepsy created?

    <p>By stimulating the brain with electrical or chemical impulses repeatedly over time. (A)</p> Signup and view all the answers

    Which of these is NOT a newer intervention under investigation for the treatment of epilepsy?

    <p>Vagus nerve stimulation (A)</p> Signup and view all the answers

    Flashcards

    Free Radicals

    Unstable atoms that can damage lipid membranes, the blood-brain barrier, and DNA, leading to cell death.

    Ischemic Stroke

    A stroke caused by disrupted blood supply, accounting for 87% of strokes.

    Thrombosis

    A condition where a blood clot forms in a blood vessel, causing obstruction.

    Embolism

    A blood clot that travels from one location and lodges in a smaller vessel, obstructing blood flow.

    Signup and view all the flashcards

    Arteriosclerosis

    Thickening of artery walls usually due to fat deposits, which can lead to reduced blood flow.

    Signup and view all the flashcards

    Thrombolysis

    A treatment for ischemic stroke that breaks down blood clots, commonly using tissue plasminogen activator.

    Signup and view all the flashcards

    Contusions

    A type of closed-head injury involving bruises from bleeding under the skull, typically called hematomas.

    Signup and view all the flashcards

    Concussions

    A closed-head injury characterized by disturbance of consciousness without structural damage to the brain.

    Signup and view all the flashcards

    Idiopathic Parkinson’s Disease

    80% of Parkinson’s cases have no specific known cause.

    Signup and view all the flashcards

    Familial Parkinson’s Disease

    5% of cases are inherited and may run in families.

    Signup and view all the flashcards

    Alpha-synuclein Mutations

    Mutations in SNCA are uncommon but main component of Lewy bodies.

    Signup and view all the flashcards

    MPTP Neurotoxin

    MPTP is converted into MPP+, causing neuron loss in substantia nigra.

    Signup and view all the flashcards

    Parkin Gene Mutations

    Mutations in PRKN occur in early-onset and juvenile cases of Parkinson’s.

    Signup and view all the flashcards

    Aura in epilepsy

    Sensory warnings like smell or feeling that precede seizures.

    Signup and view all the flashcards

    Anticonvulsant medications

    Medications used to treat frequency and severity of seizures.

    Signup and view all the flashcards

    Kindling model of epilepsy

    Progressive development of seizures from repeated brain stimulation.

    Signup and view all the flashcards

    Parkinson's Disease symptoms

    Characterized by slow movements, tremors, and muscle rigidity.

    Signup and view all the flashcards

    Substantia nigra degeneration

    Loss of dopaminergic neurons leading to Parkinson's symptoms.

    Signup and view all the flashcards

    Lewy bodies

    Protein clumps found in the substantia nigra of Parkinson's patients.

    Signup and view all the flashcards

    L-dopa

    A medication that increases dopamine levels in Parkinson's treatment.

    Signup and view all the flashcards

    Deep brain stimulation

    Surgical treatment targeting specific brain areas like the subthalamic nucleus.

    Signup and view all the flashcards

    Huntington’s Disease

    A progressive motor disorder with genetic causes, leading to severe dementia and death within 15 years.

    Signup and view all the flashcards

    Huntingtin gene

    A dominant gene causing Huntington’s Disease; its mutations involve CAG repeat expansions.

    Signup and view all the flashcards

    CAG repeats

    Errors in the Huntingtin gene that cause Huntington's and correlate with symptom severity.

    Signup and view all the flashcards

    Multiple Sclerosis

    An autoimmune disease that causes progressive loss of CNS myelin, leading to neuronal degeneration.

    Signup and view all the flashcards

    Oligodendrocytes

    Cells responsible for creating myelin in the central nervous system, affected in Multiple Sclerosis.

    Signup and view all the flashcards

    Symptoms of Multiple Sclerosis

    Advanced symptoms include visual disturbances, muscle weakness, and loss of coordination.

    Signup and view all the flashcards

    Progressive nature

    Both Huntington’s Disease and Multiple Sclerosis worsen over time, leading to serious complications.

    Signup and view all the flashcards

    No cure

    Both Huntington’s Disease and Multiple Sclerosis currently have no cure, only treatments to slow progression.

    Signup and view all the flashcards

    Multiple Sclerosis Causes

    Combination of genetic predisposition and environmental factors leading to the disease.

    Signup and view all the flashcards

    Genetic Predisposition

    Increased risk of Multiple Sclerosis related to genetics, especially in monozygotic twins.

    Signup and view all the flashcards

    Environmental Factors

    Factors like climate, infections, and lifestyle that influence Multiple Sclerosis incidence.

    Signup and view all the flashcards

    Alzheimer's Disease

    Most common form of dementia, typically age-related with specific brain changes.

    Signup and view all the flashcards

    Progression of Alzheimer's

    Stages from preclinical to dementia, each with increasing cognitive decline.

    Signup and view all the flashcards

    Neurofibrillary Tangles

    Abnormal aggregates of tau protein found in the brains of Alzheimer's patients.

    Signup and view all the flashcards

    Active EAE Model

    An experimental model of Multiple Sclerosis achieved through immunization.

    Signup and view all the flashcards

    Corticosteroids in MS

    Medications primarily used to reduce inflammation in Multiple Sclerosis.

    Signup and view all the flashcards

    CNS functions

    Central Nervous System manages information processing and coordination.

    Signup and view all the flashcards

    PNS features

    Peripheral Nervous System connects limbs and organs to the CNS.

    Signup and view all the flashcards

    Schwann Cells

    Glial cells in PNS that promote regeneration and clean debris.

    Signup and view all the flashcards

    Axon regeneration

    The process where axons reconnect after injury, more common in PNS.

    Signup and view all the flashcards

    Collateral sprouting

    New nerve fibers grow from intact axons near an injury site.

    Signup and view all the flashcards

    Cortical reorganization

    The brain's ability to adapt and reorganize itself after injury or changes.

    Signup and view all the flashcards

    Retinotopic map changes

    Cortical areas acquire new functions after retinal lesions or damage.

    Signup and view all the flashcards

    Study Notes

    Brain Damage and Neuroplasticity

    • The presentation covers key topics of brain injury, neurological diseases, and neuroplastic responses to nervous system damage.

    Brain Injury

    • Types of brain injury include brain tumors, cerebrovascular disorders, closed-head injuries, infections of the brain, neurotoxins, and genetic factors.

    Brain Tumors (Neoplasms)

    • A brain tumor is a mass of cells that grows independently of the rest of the body, considered cancerous.
    • Types of brain tumors include meningiomas, infiltrating tumors, and metastatic tumors.
    • Meningiomas account for ~20% of neoplasms, are encapsulated within the meninges, and are typically benign and removable.
    • Infiltrating tumors are the majority of cases, grow diffusely through surrounding tissue, and are often malignant, making removal or destruction challenging. Examples include gliomas.
    • Metastatic tumors account for ~10% of neoplasms and originate elsewhere, often the lungs.

    Cerebrovascular Disorders: Stroke

    • Stroke is a sudden-onset cerebrovascular event causing brain damage.
    • An infarct is dead or dying tissue.
    • The penumbra is damaged tissue surrounding the infarct, potentially salvageable with early intervention.
    • Causes of stroke include Cerebral hemorrhage (13% of strokes) and Cerebral ischemia (87% of strokes)
    • Cerebral hemorrhage involves blood vessel ruptures, including aneurysms (weakened blood vessel points). The breakdown of blood components forms free radicals leading to damaged lipid membranes, blood-brain barrier, and DNA damage causing cell death
    • Cerebral ischemia involves disruption in blood supply to the brain, including conditions like thrombosis (blood clot) and embolism (blood clot traveling to smaller vessels), and arteriosclerosis (thickening of artery walls due to fat deposits).
    • Damage from ischemic strokes involves blood-deprived neurons becoming overactive, releasing glutamate, and activating NMDA receptors causing Na+ and Ca2+ influx, killing neurons and potentially releasing more glutamate before cell death.

    Closed-Head Injuries

    • Closed-head injuries are brain injuries caused by blows that do not penetrate the skull, resulting in the brain colliding with the skull.
    • Types include direct and contrecoup injuries.
    • Contusions involve hematomas (bruises).
    • Concussions cause a disturbance in consciousness without structural brain damage.

    Infections of the Brain

    • Encephalitis is brain inflammation caused by microorganisms like bacteria, viruses, fungi, and parasites.
    • Abscesses are pockets of pus.
    • Meningitis is an inflammation of the meninges (membranes surrounding the brain and spinal cord). Bacterial meningitis is treated with antibiotics. Syphilis is an example of a bacterial infection.
    • Viruses can also cause encephalitis, and some viruses like rabies can have a preference for neural tissue, affecting behavior, while other viruses have no preference for CNS tissue. These are often treated with vaccines and anti-viral drugs.

    Neurotoxins

    • Neurotoxins are substances that cause harm to the nervous system.
    • Exogenous neurotoxins enter the general circulation and cross the blood-brain barrier. Examples include heavy metals (like mercury and lead, causing toxic psychosis) and toxins from certain animals (venom from spiders, snakes, and bacterial toxins).
    • Endogenous neurotoxins are produced within the body, such as antibodies in autoimmune disorders and excess excitatory neurotransmitters (e.g., glutamate during strokes).

    Genetic Factors

    • Genetic factors can cause brain damage/disease
    • Some genetic disorders, like phenylketonuria (PKU) and Becker's/Duschenne's muscular dystrophy, are caused by recessive genes.
    • Most disorders, and Down syndrome in particular, are often caused by multiple genes/mutations.
    • Down syndrome results in an extra chromosome 21 (trisomy 21), with a higher prevalence in mothers of advanced age.

    Neurological Diseases

    • Epilepsy is characterized by recurrent seizures of endogenous origin, affecting about 4% of the population. Causes include brain damage and inflammatory processes, among others. Diagnosis uses electroencephalograms (EEGs) measuring brain activity.
    • Parkinson's Disease affects approximately 1% of the population, typically in middle and old age. Symptoms include slow movements, tremors, difficulty in initiating movements, muscle rigidity, reduced facial expression, pain, and dementia. Causes include degeneration of dopaminergic neurons in the substantia nigra (loss of dopamine in the basal ganglia). Diagnoses include PET scans monitoring dopamine levels within basal ganglia.
    • Huntington's Disease is a progressive motor disorder, rare (1:10,000) but with a genetic basis. Symptoms involve fidgetiness progressing into jerky movements of limbs and dementia. Caused by a dominant gene, huntingtin, that produces huntingtin protein accumulation, clumps of proteins in the brain. The disease is fatal within approximately 15 years. Diagnosis generally occurs in patients in their 40s.
    • Multiple Sclerosis is a progressive disease characterized by multiple hard areas (sclerosis) in the CNS, causing a loss of myelin and progressive loss of neurological function. Causes include genetic predisposition and several environmental factors, such as climate and viral/bacterial infections. Treatments include corticosteroids (to reduce inflammation) and disease-modifying immunomodulators.
    • Alzheimer's disease occurs in the majority of individuals over age 65 and is caused by significant neural degeneration, loss of neurons, formation of amyloid plaques, and tau tangles, often resulting in dementia.

    Neuroplastic Responses to Nervous System Damage

    • Describes the process of neural degeneration, reorganisation and eventual recovery from damage. Axotomy models, showing rapid degeneration of the distal segment and slow degeneration of the proximal segment, illustrate the process. Neural regeneration is different in mammals, with regeneration being common in invertebrates and frogs, but uncommon in higher vertebrates.
    • The presentation covers cell replacement therapies, both in embryonic cells and non-embryonic cells, such as neural transplantations, for the treatment of damage from Parkinson's Disease or spinal cord damage.
    • Neuroprotective treatments aim to prevent neurodegeneration by addressing factors like apoptosis (cell death) inhibitors, neurotrophic factors (promoting neural growth and survival), and estrogens (which might slow neuronal death).
    • Rehabilitative training through methods such as constraint-induced therapy and facilitated walking (harness on treadmill) are often beneficial in recovery from spinal injury or stroke.
    • Benefits of cognitive and physical exercise, and the idea of neuroplasticity during this recovery process. The concept of reorganization (a release from inhibition or the development of collateral sprouting) is presented. A two-steps model of reorganization (inhibition and collateral sprouting) is identified.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Test your knowledge on the leading causes and treatments of strokes, as well as the mechanisms behind Huntington's disease and Multiple Sclerosis. This quiz covers essential concepts and consequences related to these neurological conditions. Perfect for students and professionals looking to reinforce their understanding of neurology.

    More Like This

    Ischemic Stroke Overview Quiz
    46 questions

    Ischemic Stroke Overview Quiz

    KidFriendlyAquamarine avatar
    KidFriendlyAquamarine
    Ischemic Stroke Quiz
    3 questions

    Ischemic Stroke Quiz

    SublimeEternity avatar
    SublimeEternity
    Ischemic Stroke Overview
    56 questions

    Ischemic Stroke Overview

    LikableTensor6496 avatar
    LikableTensor6496
    Use Quizgecko on...
    Browser
    Browser