COM2 Physiology week 7 Flashcards

(67 cards)

1
Q

What is sleep+ what is it driven by + typical actions

A

A motivated behavior
-Driven by sleepiness - a strong internal urge
-Typical actions are : lying down

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2
Q

What does an EEG(Electroencephalogram) record

A

Records brain activity via scalp electordes

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3
Q

What does an EMG record( Electromyogram)

A

Records muscle activity in the face

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4
Q

What does EOG( Electro-oculogram)

A

Records eye movements

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5
Q

In EEGs explain :
-Synchronous + desynchronous activity
-how the neurons fire and what they appear as + examples

A

Synchronous Activity:

Neurons fire together → large, regular waves.

Example: Delta waves (deep sleep).

Desynchronous Activity:

Neurons fire randomly → small, irregular waves.

Example: Beta waves (alert, active brain).

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6
Q

Name the stages of sleep:
-1. what it is dominated by

A
  • Wakefulness
    NREM1(non rem)
    NREM2
    NREM3
    REM sleep (stage R)
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7
Q

Explain the stages of the sleep cycles +their characteristics
1.Wakefulness- what it is dominated by
2.NREM 1 - What is present
3.NREM 2- What is present
4.NREM 3 - What is present
5.REM sleep ( STAGE R)- What does the EEG show + what occurs here

A

1.W- dominated by alphad and beta waves
2.NREM1: light sleep - Theta waves
3.NREM2: still light sleep + memory consolidation - Theta waves Present still present, sleep spindles+ K complexes
4.NREM3 : Deep sleep - Delta waves
5.REM sleep -vivid dreamin happens
: - EEG shows desynchronized beta activity
+ rapid eye movements occu

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8
Q

Explain NREM3- Slow-wave sleep:
-characteristic
-only what can wake up the perosn
-upon waking what is the person like
-What waves is this stage dominated by

A
  • Deepest stage of sleep
    -Only loud noise can wake the person
    -Upon waking: Person is groggy and confused
    -EEG: dominated by delta waves
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9
Q

Explain the REM sleep stage (stage R)
- What they may not react to
-What they will rect to
-Upon waking what is the perosn linke
-What does the EEG show`

A
  • Most sounds but respond to meaningful stimuli, like their name
  • upon waking, person is alert and attentive
    -EEG: desynchronized beta like activity
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10
Q

Name the braincenters that induce sleep

A
  • Raphe Nuclei
    -Nucleus of tractus solitarius
    -Diencephalon:-thalamus+ hypothalamus
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11
Q

Explain Raphe nuclei as a brain center that induces sleep:
-location
Where neurons priject to
-Neurotransmitter used+ wha happens when its blocked
-

A
  • In pons and medulla
    -Neurons project to:
    Reticular formation
    Thalamus, hypothalamus, limbic system, neocortex,
    Spinal cord
    Neurotransmitter: Serotonin

Blocking serotonin → prevents sleep for days.

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12
Q

Explain the nucleus tractus solitarius as a brain center that induces sleep
-location
-what it recieves + from what
-

A

-In medulla and pons
-Recieves visceral sensory input form vagus and glossopharyngeal nerves

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13
Q

Explain the diencephalon(thalamus + hypothalamus) as a brain center that induces sleep:
-Stimulating what specifically induces sleep

A

Rostral hypothalamus
Diffuse thalamic nuclei

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14
Q

Name 3 sleep promoting substances

A
  • Muramyl peptide
    -Delta sleep inducing peptide ( DSIP)
    -Other peptides
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15
Q

Explain muramyl peptide as a sleep promtoing substance:
-Where is it found
-Micro injectiosn into where induce sleep

A

-Found in CSF, Blood and urine after sleep deprivation
-Microinjections into 3rd ventricle

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16
Q

Explain Delta sleep inducing peptide (DSIP) as a sleep promoting substance:
-Characteristic
-Where its found

A

A nonapeptide
-Found in CSF after elctrical stimulation of the thalamus

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17
Q

Explain other peptides as sleep promoting substances
-What is it isolated from

A

-Isolated from brainstem tissues and CSF

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18
Q

What is another name for Orexin

A

Hypocretin

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19
Q

Explain Orexin:
-Where cell bodies are located
-Explain its firing patter during :
Alert waking
Quiet wakefulness

A
  • Cell bodies in lateral hypothalamus
    -During alert waking: High firing
    -During quiet wakefulness- low firing
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20
Q

What is the function of Orexin-what does it promote

A

Promtoes arousal and wakefulness

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21
Q

What is Narcolepsy

A

Nuerological disorder where sleep occurs at inappropriate times

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22
Q

What are the causes of narcolepsy- 3

A
  • Loss of Orexin (hypocretin) function
    -Destruction of orexin neurons or defective receptors
    -Low or absent orexin in CSF
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23
Q

What are sympotoms of Narcolepsy+ brief description

A
  • Sleep attacks- sudden sleep urge
    -Cataplexy- sudden muscle weakness or paralysis
    -Sleep paralysis- inabiity to move when falling asleep or waking up
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24
Q

Where does cataplexy(sudden msucle weakness and paralysis)
-often start
what is it caused by

A
  • Starts in face and neck
    -Caused by REM sleep muscle paralysis happening at the wrong time
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25
Name the 3 treatments of Narcolepsy+ their purpose/ what they do + examples
-stimulants- reduce sleep attacks- methylphenidate -Antidepressants - Treat REM releated sympotms(cataplexy) - increased serotonin/norepinephrine -Modafinil- wake-promoting drug
26
Name a problem assoiated with Deep sleep/ slow-wave sleep (NREM3)
Sleep walking
27
Explain sleepwalking: -when does it occur -More common in who -What may ppl do while sleep walking
-Occurs during slow -wave sleep( deep sleep/ NREM3 ) - More common in children but if present in adults may have agentic component -People may perform complex behaviours
28
Do ppl have memory of their episode after sleepwalking
- No
29
What is a sleep releating eating disorder:
- Where a person leaves their bed and eats which sleepwalking
30
In humans what does prolonged wakefulness( not sleeping) lead to
- Sluggish thinking -Irritability -Abnromal behaviour
31
Why is sleep important what does it restore + maintain
rESTORES BRAIN FUNCTION + MAINTAINS CNS BALANCE
32
Name 6 functions sleep is important for
-Neural maturation -Learnign and memory -Targeted synaptic erasure -Cognition -Waste clerance -Energy conservance
33
What is a seizure
A temporary distruption of brain function due to uncrontrolled excessive neuronal activity
34
What are the causes of seizures
- Hypoglycemia -Drug intoxication -Kidney failure
35
What is epilepsy
A chronic condition involving recurrent seizures not caused by an acute ilness
36
What are the causes of epilepsy
- Head trauma neurdegenerative diseases -stroke
37
What is the pathophysiology of Epilepsy / why it happnes
Due to imbalance between neuronal excitiation and inhibiton
38
What is epilepsy treated with + what do they aim to
Antiepileptic drugs - they aim to reduce excitation or inhibition
39
How are epileptic seizures classified
- Focal seizures( partial seizures) or generalized seizures
40
Explain focal seizures: -Where does it originate -2 comon causes -NAME THE TYPES of focal seizures
- Originate in one localized brain region -Commin causes tumors, scar tissue Types of focal seizures: -Simple partial -complex partial
41
Give characteristics of focal seizures: - How they remain focal/spreaD -Where do the go to
Remain focal or spread -go to thalamus , then to secondrary generalization
42
Name the 2 types of focal seizures
-Simple partial -Complex partial
43
Exlain the 2 tyes of focal seizures :simple partial ,complex partial: -consciusoness -what it may include/ start with -What is it followed by + memory
simple partial: - No loss of consciousness -May include arua(fear) -Followed by motor symptoms( jerking) complex partial - Impaired consciusness, Oftern starts with an aura, followed by automatisms
44
Name the types of generalised seizures( component of epilepsy seizures)
- Generalised tonic-clonic seizures -Absence seizures
45
The first type of generalised seizures(epilepsy): Generalized tonic-clonic -consciousness -What happens+ across what -What may it involve
-Abrupt loss of conciosness -Extereme neuronal discharge across cortx, cerebrum and brainstem -May involve: -tounge biting -breathing difficulties -Whole body muscle spasms
46
What does the generalsied siezure type of epilepsy: -Involve -What does it spread through
-involbes both cerebral hemispheres -Spreads through thalamocortical connections
47
Explain Absence seizure as a type of generalised seiure in epliepsy: -Typically in who -what does it involve -Symptoms
Typically in children -Involves thalamocortical circuits -Blank staring, eyelid blinkin
48
When does absence seizures often dissaperar+ what can they trgger
By age 30 + can trigger generalised tonic-clonic seizures
49
Name the 2 phases of seizures+ when they occur + charactertisitc
-Ictal- During seizure activity- intense electircal discharges -Postictal- recoery period
50
Explaun where focal seizures spread to in proprogation:
Spread : within hemisphere -opposite hemisphere -To subcortical areas and thalamus
51
What is the name of the main drug to treat epilepsy
- Antiepileptic drugs
52
Name the 5 different mechanism in which different antiepileptic drugs work
- Block voltage gated sodium channels -Alter calcium currents -Increase GABA activity -Inhibit Glutamate receptors -Multiple mechanisms
53
What does the drug choice for epilepsy depend on
- Seizure type -Patients age -Other individual factors
54
What can be done to stop focal seizures
Surgical excision
55
What is depression releated to (neurotransmitters)
Decreases norepinephrine and serotonin
56
Name a drug that causes depression
Resrpine
57
Name 2 antidepressent drugs for depression + briefly how they work
- MAO inhibitors: Block breakdown of NE and serotonin -Tricyclic Antidepressants: Block reuptake of NE and serotonin so they stay longer in synapse
58
What does bipolar disorder alternate between+ what do some have
- Depression and mania some have mania only
59
Name a treatment for Bipolar disorder + how it works
- Lithium compounds: Decrease formation/action of NE and serotonin -controls manic phase
60
Name symptoms of schizophrenia
-Hallucinations -Delusions -social withdraw
61
Explain 3 possible causes of schizophrenia
- Glutamate dysfunction in the prefrontal cortex -Excess dopamine activity in behavioural brain centers -Limbic system abnormalities particullaly: -Hippocampus -Amygdala -Prefrontal cortex -Anterior caudate nucleus
62
Name the neural pathway involved in schiz
-Mesolimbic dopaminergic system
63
Explain the mesolimbic dopaminergic system in schiz: -origin -Where it projects to -What it secretes
- Origin: Ventral tegmental area(VTA) of the midbrain -Projects to : limbic system + prefrontal cortex -secretes dopamine, affecting behaviour
64
Name 3 early signs of Alzheimers
- Amnesic memory loss -Language deterioration -Visuospatial deficits
65
Name 3 later features of alzheimers disease
- Behavioural and neuropsychiatric symptoms -Progressive loss of ability to perform daily activites -gait problems
66
Name + explain the 3 causes of Alzheimers
- Neuronal loss in memory lated limbic structures -Beta amyloid plaques ,- peptide accummulates in the brain tissue -Neurodegeneration
67
Name the 2 vascular contributions to alzheimers 1. caused by what
- Cardiovascular diseases - caused by hypertension, diabetes -Vascular dementia