Neuroscience and Anesthesia Fundamentals
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Questions and Answers

If a neurotoxin selectively disrupted the function of the pons, which of the following functions would be MOST immediately affected?

  • Breathing patterns and unconscious processes. (correct)
  • Alertness and sleep/wake cycles.
  • Regulation of blood pressure and heart rate.
  • Coordination of balance and fine motor skills.

A patient requires anesthesia for a procedure on tooth #13. Which nerve block would be MOST effective in achieving pulpal anesthesia?

  • Middle superior alveolar nerve block (correct)
  • Posterior superior alveolar nerve block
  • Infraorbital nerve block
  • Anterior superior alveolar nerve block

How would a drug that selectively destroys the myelin sheaths of neurons in the PNS impact the nervous system's function?

  • Increase the neuron's resting membrane potential.
  • Impair sensory and motor signal transmission throughout the body. (correct)
  • Selectively block the release of neurotransmitters at neuromuscular junctions.
  • Enhance the speed and efficiency of action potential propagation in the CNS.

A dentist is planning to extract tooth #30. Which nerve block will provide adequate anesthesia of the tooth?

<p>Inferior alveolar nerve block (A)</p> Signup and view all the answers

A patient exhibits difficulty initiating movement and displays a blunted emotional response. Which area of the brain is MOST likely affected?

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

What is the primary functional distinction between the central nervous system (CNS) and the peripheral nervous system (PNS)?

<p>The CNS integrates and processes information to generate responses, whereas the PNS transmits signals to and from the CNS. (A)</p> Signup and view all the answers

During the administration of a greater palatine nerve block, the needle is typically inserted near which anatomical landmark?

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

How would selectively blocking voltage-gated sodium channels affect a neuron's ability to transmit signals?

<p>Prevent depolarization of the membrane during an action potential. (B)</p> Signup and view all the answers

A patient reports numbness in the anterior palate following a dental procedure. Which nerve was MOST likely affected?

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

How does the electrochemical gradient contribute to the function of neurons?

<p>It provides the driving force for ion movement across the membrane, essential for action potentials. (C)</p> Signup and view all the answers

Following an inferior alveolar nerve block, a patient experiences numbness of the lower lip on the injected side. Which nerve is MOST likely responsible for this sensation?

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

A patient is undergoing scaling and root planing on teeth #24 and #25. Which nerve block would MOST effectively anesthetize the facial gingiva in this area?

<p>Middle superior alveolar nerve block (D)</p> Signup and view all the answers

Which local anesthetic agent is metabolized in both the liver and the blood plasma?

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

A patient requires anesthesia for a procedure involving the lingual gingiva of the mandibular molars. Which nerve block would BEST provide anesthesia to this area?

<p>Lingual nerve block (B)</p> Signup and view all the answers

A clinician is performing a surgical procedure on tooth #8 and requires anesthesia of the labial gingiva. Which nerve provides this innervation?

<p>Anterior superior alveolar nerve (B)</p> Signup and view all the answers

Which of the following scenarios would prevent an action potential from being initiated?

<p>The resting membrane potential is hyperpolarized due to excessive efflux of potassium ions. (B)</p> Signup and view all the answers

In a reflex arc, what is the correct sequence of neuron activation to elicit a response to a sensory stimulus?

<p>Sensory neuron → Interneuron → Motor neuron (C)</p> Signup and view all the answers

Damage to which type of neuroglia cell would most directly impair the blood-brain barrier and regulation of the extracellular fluid around neurons in the CNS?

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

A patient exhibits impaired motor function and demyelination in the central nervous system. Which type of glial cell is most likely dysfunctional?

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

How would the introduction of a toxin that selectively disables ependymal cells lining the brain's ventricles most likely affect the central nervous system?

<p>Disrupted regulation of cerebrospinal fluid composition and flow. (C)</p> Signup and view all the answers

Following a traumatic brain injury, a patient exhibits increased susceptibility to infections and accumulation of cellular debris within the CNS. Which glial cell type is most likely impaired?

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

What is the primary role of the soma in neuronal signaling?

<p>To integrate and relay signals from dendrites to the axon hillock. (C)</p> Signup and view all the answers

How would a drug that selectively blocks the function of motor neurons affect the body?

<p>Impaired muscle movement or glandular secretion. (B)</p> Signup and view all the answers

If the extracellular concentration of potassium ions ($K^+$) significantly increases, what immediate effect would this have on a neuron's resting membrane potential?

<p>The membrane potential would become less negative (depolarized). (C)</p> Signup and view all the answers

A researcher is studying a neuron and observes that it primarily relays information between different regions within the central nervous system. Which type of neuron is the researcher most likely studying?

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

During the repolarization phase of an action potential, what is the primary movement of ions that contributes to the restoration of the negative membrane potential?

<p>Efflux of potassium ions ($K^+$) out of the cell. (B)</p> Signup and view all the answers

Which statement accurately describes the role of the sodium-potassium pump during and after an action potential?

<p>It maintains the resting membrane potential by transporting three sodium ions out of the cell and two potassium ions into the cell, using ATP. (A)</p> Signup and view all the answers

What distinguishes a 'suprathreshold stimulus' from a 'threshold stimulus' in the context of action potentials?

<p>A suprathreshold stimulus has a significantly higher strength than what is minimally required to produce an action potential, unlike a threshold stimulus. (A)</p> Signup and view all the answers

During the overshoot phase of an action potential, what is the state of the membrane potential relative to zero mV and what ionic event primarily drives this phase?

<p>The membrane potential becomes positive, driven by the large influx of $Na^+$ ions. (B)</p> Signup and view all the answers

What immediate effect would a drug that selectively blocks voltage-gated potassium channels have on the action potential?

<p>Prolong the repolarization phase, potentially leading to an extended action potential duration. (C)</p> Signup and view all the answers

Considering the roles of voltage-gated sodium and potassium channels, what would be the most likely effect of a toxin that permanently opens voltage-gated sodium channels in a neuron?

<p>The neuron would fire action potentials continuously without repolarization, leading to excitotoxicity. (C)</p> Signup and view all the answers

How does the electrochemical gradient across the cell membrane contribute to the action potential?

<p>It establishes a concentration and electrical difference that drives ion movement when channels open. (D)</p> Signup and view all the answers

If a neuron's membrane potential is experimentally held at -90mV, far from its resting potential, and then stimulated, what effect would this have on the neuron's ability to fire an action potential?

<p>It would inhibit the neuron's ability to fire by increasing the threshold stimulus required for depolarization. (C)</p> Signup and view all the answers

What is the primary function of the hyperpolarization phase that follows repolarization in an action potential?

<p>To briefly decrease the membrane potential below the resting potential, reducing the likelihood of immediate subsequent action potentials. (C)</p> Signup and view all the answers

How does the refractory period, which includes both absolute and relative refractory periods, impact the frequency and timing of action potentials?

<p>It prevents the backward propagation of action potentials and limits the frequency at which a neuron can fire. (A)</p> Signup and view all the answers

What is the immediate effect of the entry of positive ions into a cell during the initial phase of an action potential?

<p>Depolarization, causing the membrane potential to become less negative. (B)</p> Signup and view all the answers

In myelinated axons, how does myelin contribute to the velocity of action potential propagation?

<p>Myelin allows action potentials to 'jump' between nodes, increasing the speed of transmission. (C)</p> Signup and view all the answers

What role do neurotransmitter receptors on the postsynaptic cell membrane play in synaptic transmission?

<p>They bind neurotransmitters and initiate electrical signals in the postsynaptic neuron. (D)</p> Signup and view all the answers

During the falling phase of an action potential, which ion channels open, and what is the resulting effect on the membrane potential?

<p>Potassium (K⁺) channels open; the membrane potential decreases. (B)</p> Signup and view all the answers

How is the electrical signal of an action potential converted into a chemical signal at a synapse?

<p>By the release of neurotransmitters from the presynaptic neuron. (D)</p> Signup and view all the answers

What is the primary role of calcium ions in synaptic transmission?

<p>To trigger the fusion of synaptic vesicles with the presynaptic membrane. (A)</p> Signup and view all the answers

What is the state of the membrane potential in a resting cell, and what maintains this condition?

<p>The membrane potential is negative, maintained by the separation of oppositely charged particles. (A)</p> Signup and view all the answers

How do neurotransmitters contribute to neural communication after being released into the synapse?

<p>They diffuse across the synapse and bind to specific receptors on the postsynaptic cell, propagating the signal. (D)</p> Signup and view all the answers

If a neurotoxin blocks the function of voltage-gated potassium channels in a neuron, what would be the most likely effect on the action potential?

<p>The action potential's falling phase would be inhibited or prolonged. (A)</p> Signup and view all the answers

What distinguishes the mechanism of action potential propagation in myelinated axons compared to unmyelinated axons?

<p>Myelinated axons utilize saltatory conduction, where action potentials 'jump' between nodes of Ranvier. (C)</p> Signup and view all the answers

Flashcards

Anterior Superior Alveolar Nerve

Innervates the maxillary anterior teeth (3-3).

Middle Superior Alveolar Nerve

Innervates the maxillary premolars.

Posterior Superior Alveolar Nerve

Innervates the maxillary molars.

Nasopalatine Nerve

Innervates the palatal gingivae of maxillary anterior teeth (3-3).

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Greater Palatine Nerve

Innervates the palatal gingivae of maxillary premolars and molars (4-8).

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Incisive Branch of Inferior Alveolar Nerve

Innervates the mandibular incisors (4-4).

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Mental Nerve

Innervates the buccal/labial gingivae of mandibular premolars (5-5).

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Buccal Nerve

Innervates the buccal gingivae of mandibular molars (6-8).

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Lingual Nerve

Innervates the lingual gingivae of the mandible.

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Action Potential

A sudden change in resting membrane potential of a neuron.

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Resting Membrane Potential

The electrical potential difference across a neuron's membrane at rest.

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Threshold Stimuli

Stimuli that can produce an action potential when they reach a certain voltage.

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Depolarization

The phase where sodium channels open and sodium ions enter, making the inside of the cell more positive.

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Overshoot

The phase where the inside of the cell becomes more positive than the outside during an action potential.

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Repolarization

The phase where potassium ions exit the cell, returning it towards a negative charge.

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Hyperpolarization

The phase that occurs after repolarization, making the inside of the cell more negative than resting potential.

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Subthreshold Stimuli

Stimuli that are not strong enough to generate an action potential.

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Sodium-Potassium Pump

A pump that moves sodium out and potassium into the cell to restore resting potential.

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Voltage-Gated Channels

Channels that open in response to changes in membrane potential during action potentials.

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Soma

The cell body of a neuron that processes signals from dendrites.

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Sensory Neurons

Neurons that carry impulses to the central nervous system.

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Motor Neurons

Neurons that carry impulses away from the central nervous system.

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Internurons

Neurons that relay information within the central nervous system.

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Neuroglia

Support cells in nervous tissue that outnumber neurons.

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Astrocytes

Star-shaped neuroglia cells that support and regulate the nervous environment.

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Oligodendrocytes

Neuroglia that form the myelin sheath around CNS neurons.

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Microglia

Cells that act as phagocytes to remove debris in the nervous system.

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Membrane Potential

The charge difference across the membrane created by ion distribution.

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Nervous System

A system that detects and responds to changes in the body and environment, maintaining homeostasis.

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Central Nervous System (CNS)

Includes the brain and spinal cord; processes information and produces responses.

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Peripheral Nervous System (PNS)

Comprises all other nerves outside the CNS; relays sensory information.

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Electrochemical Gradient

A difference in charge and chemical concentration across a membrane that drives ion movement.

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Brain Regions

Divided into hindbrain, midbrain, and forebrain; each with distinct functions.

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Membrane Polarization

State where resting cells have separated charges, making the inside of the cell negative compared to the outside.

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Rising Phase

Initial stage of action potential where Na⁺ ions flow into the cell, causing depolarization.

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Falling Phase

Stage where K⁺ ions exit the cell, causing repolarization and returning to resting potential.

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Myelin

Fatty substance that coats some axons, allowing faster transmission of action potentials.

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Synapse

The gap between neurons where neurotransmitters transmit signals from one neuron to another.

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Neurotransmitters

Chemical signaling molecules that transmit signals across synapses.

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Presynaptic Terminal

End part of the axon that releases neurotransmitters into the synapse.

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Calcium's Role

Triggers the release of neurotransmitters from presynaptic vesicles during synaptic transmission.

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Study Notes

Local Anaesthetic - Nerves & Anatomy

  • Maxillary arch:

    • 3-3 = anterior superior alveolar nerve
    • premolars = middle superior alveolar nerve
    • molars = posterior superior alveolar nerve
  • Mandibular arch:

    • 4-4 = incisive branch of inferior alveolar nerve
    • 5-8 = main trunk of the inferior alveolar nerve
  • Inervation of Gingivae - Summary

    • Maxillary arch:

      • 3-3 = anterior superior alveolar nerve
      • premolars = middle superior alveolar nerve
      • molars = posterior superior alveolar nerve
    • Palatal gingivae:

      • 3-3 = nasopalatine nerve
      • 4-8 = greater palatine nerve
    • Mandibular arch:

      • Buccal / labial gingivae:

        • 5-5 = mental nerve
        • 6-8 = buccal nerve
      • Lingual gingivae:

        • Lingual nerve

Types of Local Anaesthetic

  • Lidocaine, articaine, prilocaine, and mepivacaine are widely used dental local anaesthetics.

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Description

This quiz covers fundamental neuroscience concepts, including the function of brain structures like the pons and their impact on bodily functions. Additionally, it addresses nerve blocks relevant to dental procedures and the effects of demyelination on the nervous system. It also covers the primary functional distinction between the central and peripheral nervous systems.

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