Podcast
Questions and Answers
Which of the following BEST describes the cauda equina?
Which of the following BEST describes the cauda equina?
Damage to the posterior gray horns of the spinal cord would MOST LIKELY affect which of the following?
Damage to the posterior gray horns of the spinal cord would MOST LIKELY affect which of the following?
Which of the following statements accurately describes the relationship between the spinal cord and the vertebrae?
Which of the following statements accurately describes the relationship between the spinal cord and the vertebrae?
Which of the following BEST describes the function of the gray commissure in the spinal cord?
Which of the following BEST describes the function of the gray commissure in the spinal cord?
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Which of the following structures contains the cell bodies of the neurons that control skeletal muscle movement?
Which of the following structures contains the cell bodies of the neurons that control skeletal muscle movement?
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Which of the following is a CORRECT statement about the white matter of the spinal cord?
Which of the following is a CORRECT statement about the white matter of the spinal cord?
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What is the function of the ascending tracts in the spinal cord?
What is the function of the ascending tracts in the spinal cord?
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Which of the following statements accurately describes the function of the anterior white columns in the spinal cord?
Which of the following statements accurately describes the function of the anterior white columns in the spinal cord?
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What is the most common symptom of encephalitis?
What is the most common symptom of encephalitis?
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Which of the following is NOT a common causative virus in AIDS patients with encephalitis?
Which of the following is NOT a common causative virus in AIDS patients with encephalitis?
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What causes the characteristic spongiform appearance of the brain in prion diseases?
What causes the characteristic spongiform appearance of the brain in prion diseases?
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What is the primary mode of transmission for bovine spongiform encephalopathy (BSE)?
What is the primary mode of transmission for bovine spongiform encephalopathy (BSE)?
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Which of the following is NOT a symptom of Creutzfeldt-Jakob disease (CJD)?
Which of the following is NOT a symptom of Creutzfeldt-Jakob disease (CJD)?
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What is the characteristic symptom of fatal familial insomnia (FFI)?
What is the characteristic symptom of fatal familial insomnia (FFI)?
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What caused the decline in the incidence of kuru in the Fore highlands of New Guinea?
What caused the decline in the incidence of kuru in the Fore highlands of New Guinea?
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What is the primary function of the cervical enlargement of the spinal cord?
What is the primary function of the cervical enlargement of the spinal cord?
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What is the function of the dorsal root ganglia?
What is the function of the dorsal root ganglia?
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What type of nerves are spinal nerves classified as?
What type of nerves are spinal nerves classified as?
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At what age does the spinal cord stop growing?
At what age does the spinal cord stop growing?
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What is the function of the slender strand of fibrous tissue that extends from the inferior tip of the spinal cord to the coccyx?
What is the function of the slender strand of fibrous tissue that extends from the inferior tip of the spinal cord to the coccyx?
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Which of the following is NOT a part of the spinal cord anatomy?
Which of the following is NOT a part of the spinal cord anatomy?
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How many spinal nerves are there in the human body?
How many spinal nerves are there in the human body?
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What happens to the dorsal and ventral roots as the vertebral column elongates after age 4?
What happens to the dorsal and ventral roots as the vertebral column elongates after age 4?
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What is the maximum width of the adult spinal cord?
What is the maximum width of the adult spinal cord?
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What is the primary function of neurotransmitters within a synapse?
What is the primary function of neurotransmitters within a synapse?
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Which of the following accurately describes the direction of nerve impulse transmission across a synapse?
Which of the following accurately describes the direction of nerve impulse transmission across a synapse?
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What is the synaptic cleft?
What is the synaptic cleft?
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At a neuroglandular junction, what role does the neuron play?
At a neuroglandular junction, what role does the neuron play?
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Which event directly triggers the release of neurotransmitters from the axon terminal into the synaptic cleft?
Which event directly triggers the release of neurotransmitters from the axon terminal into the synaptic cleft?
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What is the function of synaptic vesicles?
What is the function of synaptic vesicles?
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What is a key characteristic of cholinergic synapses related to neurotransmitters?
What is a key characteristic of cholinergic synapses related to neurotransmitters?
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How does a neurotransmitter such as acetylcholine (ACh) transmit a signal to the postsynaptic neuron?
How does a neurotransmitter such as acetylcholine (ACh) transmit a signal to the postsynaptic neuron?
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What triggers the exocytosis of synaptic vesicles and release of acetylcholine (ACh) at a cholinergic synapse?
What triggers the exocytosis of synaptic vesicles and release of acetylcholine (ACh) at a cholinergic synapse?
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How does acetylcholinesterase (AChE) remove ACh from the synaptic cleft?
How does acetylcholinesterase (AChE) remove ACh from the synaptic cleft?
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What is the primary mechanism by which organophosphates exert their toxic effects?
What is the primary mechanism by which organophosphates exert their toxic effects?
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Which of the following is used as an antidote to restore cholinesterase activity in organophosphate poisoning?
Which of the following is used as an antidote to restore cholinesterase activity in organophosphate poisoning?
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What is the immediate effect of ACh binding to receptors on the postsynaptic membrane?
What is the immediate effect of ACh binding to receptors on the postsynaptic membrane?
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Which of the following neurotransmitters primarily has inhibitory effects on postsynaptic neurons?
Which of the following neurotransmitters primarily has inhibitory effects on postsynaptic neurons?
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What is the fate of norepinephrine (NE) after it has been released into the synapse?
What is the fate of norepinephrine (NE) after it has been released into the synapse?
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Which of the following is a symptom associated with muscarinic receptor stimulation in acute organophosphate poisoning?
Which of the following is a symptom associated with muscarinic receptor stimulation in acute organophosphate poisoning?
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What is the name given to synapses that release norepinephrine (NE)?
What is the name given to synapses that release norepinephrine (NE)?
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Which of the following events occurs first at a cholinergic synapse after the arrival of an action potential?
Which of the following events occurs first at a cholinergic synapse after the arrival of an action potential?
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Which of the following symptoms is associated with nicotinic receptor stimulation at the neuromuscular junction in acute organophosphate poisoning?
Which of the following symptoms is associated with nicotinic receptor stimulation at the neuromuscular junction in acute organophosphate poisoning?
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What is the effect of drugs that stimulate receptors that otherwise only respond to neurotransmitters?
What is the effect of drugs that stimulate receptors that otherwise only respond to neurotransmitters?
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Which of the following neurotransmitters is also known as noradrenaline?
Which of the following neurotransmitters is also known as noradrenaline?
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Which of the following is a route of entry for organophosphates into the body?
Which of the following is a route of entry for organophosphates into the body?
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What is the primary effect of norepinephrine (NE) on postsynaptic neurons?
What is the primary effect of norepinephrine (NE) on postsynaptic neurons?
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What type of synapse uses norepinephrine as its neurotransmitter?
What type of synapse uses norepinephrine as its neurotransmitter?
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Which neurotransmitter is utilized in the preganglionic nerves of the sympathetic nervous system?
Which neurotransmitter is utilized in the preganglionic nerves of the sympathetic nervous system?
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What happens when 10 excitatory synapses and 10 inhibitory synapses are active simultaneously?
What happens when 10 excitatory synapses and 10 inhibitory synapses are active simultaneously?
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How do neuronal pools interact with each other?
How do neuronal pools interact with each other?
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What is the primary function of the meninges?
What is the primary function of the meninges?
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Which meningeal layer is the outermost covering of the CNS?
Which meningeal layer is the outermost covering of the CNS?
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What type of neural circuit is characterized by multiple inputs converging on a single neuron?
What type of neural circuit is characterized by multiple inputs converging on a single neuron?
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What is characterized by the spreading of stimulation from one neuron to multiple neurons?
What is characterized by the spreading of stimulation from one neuron to multiple neurons?
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What is one effect of blocking calcium channels at cholinergic synapses?
What is one effect of blocking calcium channels at cholinergic synapses?
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What is the role of interneurons within a neuronal pool?
What is the role of interneurons within a neuronal pool?
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What is the estimated number of interneurons in the human body?
What is the estimated number of interneurons in the human body?
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What type of neural circuits allows both voluntary and involuntary control of a motor function?
What type of neural circuits allows both voluntary and involuntary control of a motor function?
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Which layer of the meninges is directly adhered to the surface of the brain?
Which layer of the meninges is directly adhered to the surface of the brain?
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What is contained within the epidural space of the spinal cord?
What is contained within the epidural space of the spinal cord?
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What does an epidural block primarily affect?
What does an epidural block primarily affect?
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What is a common cause of epidural hematomas?
What is a common cause of epidural hematomas?
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What separates the dura mater from the arachnoid layer?
What separates the dura mater from the arachnoid layer?
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Which sign indicates meningeal inflammation in bacterial meningitis?
Which sign indicates meningeal inflammation in bacterial meningitis?
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Why is the pia mater important for the brain?
Why is the pia mater important for the brain?
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What is the significance of cerebrospinal fluid (CSF) in the subarachnoid space?
What is the significance of cerebrospinal fluid (CSF) in the subarachnoid space?
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Which symptoms are commonly associated with meningitis?
Which symptoms are commonly associated with meningitis?
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What happens if blood accumulates in the epidural space?
What happens if blood accumulates in the epidural space?
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What layer firmly binds to the nervous tissue of the brain?
What layer firmly binds to the nervous tissue of the brain?
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How does blood pressure impact epidural versus subdural hemorrhages?
How does blood pressure impact epidural versus subdural hemorrhages?
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What condition occurs when blood enters the space between the dura mater and the skull?
What condition occurs when blood enters the space between the dura mater and the skull?
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What is the function of arachnoid layer's lymphatic fluid?
What is the function of arachnoid layer's lymphatic fluid?
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What is the primary purpose of a lumbar puncture?
What is the primary purpose of a lumbar puncture?
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Which of the following is a common organism causing bacterial meningitis in adults?
Which of the following is a common organism causing bacterial meningitis in adults?
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Which symptom is typically associated with viral meningitis but not bacterial meningitis?
Which symptom is typically associated with viral meningitis but not bacterial meningitis?
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What is a notable difference between viral and bacterial meningitis regarding treatment?
What is a notable difference between viral and bacterial meningitis regarding treatment?
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Which organism is known to cause opportunistic infections leading to meningitis in immunocompromised patients?
Which organism is known to cause opportunistic infections leading to meningitis in immunocompromised patients?
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What finding in cerebrospinal fluid indicates bacterial meningitis?
What finding in cerebrospinal fluid indicates bacterial meningitis?
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Which type of meningitis is commonly referred to as aseptic meningitis?
Which type of meningitis is commonly referred to as aseptic meningitis?
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What is a potential cause of tubercular meningitis?
What is a potential cause of tubercular meningitis?
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What is the typical initial symptom of encephalitis?
What is the typical initial symptom of encephalitis?
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Which method is often required for the diagnosis of cysticercosis?
Which method is often required for the diagnosis of cysticercosis?
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What is a common treatment for brain abscesses?
What is a common treatment for brain abscesses?
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Which organism is primarily responsible for causing meningiococcemia?
Which organism is primarily responsible for causing meningiococcemia?
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What complication can arise from Naegleria fowleri infection?
What complication can arise from Naegleria fowleri infection?
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What is a key characteristic of fungal meningitis?
What is a key characteristic of fungal meningitis?
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Study Notes
Synapse Structure and Function
- A synapse is a site where a neuron communicates with another cell (neuron or effector)
- Nerve impulses travel along axons as action potentials.
- At the axon terminal, action potentials trigger neurotransmitter release to transfer information
- Synapses can be on dendrites, cell bodies, or axons
- Neuroeffector junctions are synapses between neurons and other cell types
- Neuro-muscular junctions are neuron-to-muscle cell synapses, while neuro-glandular junctions are neuron-to-secretory cell junctions.
- Communication is unidirectional across a synapse.
Synapse Structure (Presynaptic and Postsynaptic Neuron)
- A synaptic cleft, a narrow space, separates the plasma membranes of opposing neurons.
- The presynaptic neuron releases neurotransmitters from its axon terminal
- The postsynaptic neuron receives neurotransmitters at its membrane
Nerve Impulse Transmission at a Synapse
- Arrival of an action potential depolarizes the axon terminal
- Depolarization opens calcium channels, allowing calcium ions to enter.
- This triggers synaptic vesicle exocytosis, releasing neurotransmitters into the synaptic cleft.
- Neurotransmitters diffuse across the cleft and bind to receptors on the postsynaptic membrane.
- Binding may cause depolarization (excitatory) or hyperpolarization (inhibitory) in the postsynaptic membrane.
- Neurotransmitters are removed by enzymatic breakdown (e.g., AChE for acetylcholine) or reuptake.
- Acetylcholine (ACh) is a common neurotransmitter at cholinergic synapses (widespread in & out of CNS).
- Norepinephrine (NE), also called noradrenaline, functions at adrenergic synapses.
- Neurotransmitter effects are temporary due to enzymatic breakdown or reuptake.
Cholinergic Synapse (Specific Example)
- Action potential arrives and depolarizes presynaptic axon terminal
- ACh is released, triggered by calcium influx
- ACh binds to receptors on postsynaptic membrane, causing depolarization
- AChE breaks down ACh into acetate and choline, ending its effect.
Neurotransmitter Effects and Drugs
- Neurotransmitters can have excitatory or inhibitory effects.
- Many drugs affect the nervous system by interacting with neurotransmitter receptors, altering perception, motor control, or emotional states.
- The balance between excitatoryand inhibitory stimuli determines whether an action potential is generated in the postsynaptic neuron.
Neuronal Pools
- Neuronal pools are groups of interconnected interneurons with specific functions.
- Each pool has a limited number of inputs and outputs, and can have excitatory and inhibitory neurons.
- Pool outputs may stimulate or inhibit other pools or motor neurons.
Divergence and Convergence (Neural Circuits)
- Divergence: Information spreads from one neuron to many.
- Convergence: Multiple neurons synapse on a single neuron, enabling both voluntary and involuntary control of body processes.
Meninges (Protection for CNS)
- Meninges are 3 specialized membrane layers surrounding the brain and spinal cord.
- Provide physical stability, shock absorption, and transport needed oxygen/nutrients.
- Layers: dura mater, arachnoid, pia mater.
Dura Mater
- Outermost layer; fused to the skull.
- Two fibrous layers for the brain, separated by a gap.
- Dural folds in brain help hold the brain in place.
- Has epidural space in spinal cord (containing areolar tissue, blood vessels, and adipose tissue.)
Arachnoid
- Separated from dura by the subdural space.
- Contains lymphatic fluid for reducing friction.
- Squamous epithelial cells form the layer.
- Deep to arachnoid is the subarachnoid space (filled with CSF), providing shock absorption and transporting substances.
Pia Mater
- Innermost layer; tightly bound to underlying neural tissue.
- Blood vessels servicing the brain and spinal cord run along its surface within the subarachnoid space.
- Highly vascular in the brain, supplying oxygen and nutrients.
Spinal Cord Structure
-
Approximately 45 cm long, with cervical and lumbar enlargements for limb control.
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Tapered to a conus medullaris, where a fibrous filum terminale anchors it to coccyx.
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A central canal filled with cerebrospinal fluid (CSF).
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Posterior median sulcus and anterior median fissure are surface features.
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31 segments give rise to pairs of spinal nerves. (Cervical, thoracic, lumbar, sacral, coccygeal)
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Spinal nerves are mixed nerves (sensory and motor fibers)
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Cauda equina (horse’s tail) refers to the long ventral and dorsal roots of spinal nerves inferior to the spinal cord tip.
Spinal Cord Anatomy
- Gray matter forms an "H" or butterfly shape around the central canal, with posterior and anterior horns.
- White matter surrounds the gray matter—posterior, lateral, and anterior columns.
- Contains ascending tracts (sensory information) and descending tracts (motor commands).
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Description
Explore the intricate details of synapse structure and function in this quiz. Learn about how neurons communicate through synapses, including the mechanisms of neurotransmitter release and reception. Understand the differences between various types of synapses and their roles in nerve impulse transmission.