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what are the two main division of the nervous system?
Central and Peripheral
What is the primary effect of excitatory postsynaptic potentials (EPSPs)?
They make the neuron more likely to fire an action potential
What is the role of acetylcholinesterase in synaptic transmission?
To break down acetylcholine after its action
Which cells support neurons but cannot conduct impulses?
Neuroglia
What is the role of dendrites in neurons?
Receive impulses
Which process moves organelles from cell body to axon terminals?
Axonal transport
What is the function of oligodendrocytes in the CNS?
form myelin sheaths
Which neurons are responsible for voluntary muscle control?
Somatic motor neurons
What is the primary role of astrocytes?
Regulate external environment
Which neurotransmitter is involved in muscle contraction?
Acetylcholine
What is the function of the blood-brain barrier?
Protect brain from toxins
Which ion is primarily responsible for depolarization?
Sodium (Na+)
What is the 'all-or-none' law in action potentials?
Threshold reached, AP occurs
What is the role of myelin in nerve conduction?
Increase conduction speed
Which neurotransmitter is inhibitory in the spinal cord?
Glycine
What is the primary excitatory neurotransmitter in the brain?
Glutamate
Which neurotransmitter is linked to the 'fight or flight' response?
Norepinephrine
What is the role of neurotrophins in the nervous system?
Promote neuronal growth
Which cells form the myelin sheath in the PNS?
Schwann cells
What is the primary function of microglia?
Phagocytize debris
Which neurotransmitter is involved in mood regulation?
Serotonin
What is the resting membrane potential of a typical neuron?
-70 mV
What is the correct order of nerve functions from first to last?
Sensory Input, Integration, Motor Output
Which of the following organs has a bipolar neuron?
Eyes
True or False: The resting potential in the neuron is -55mV
False
What portion of the neuron ends the cell body and starts the axon, and is the origin of action potentials?
Axon Hillock
Action potentials are "all or nothing" events and they primarily release ____________ ?
Yes, Neurotransmitters
What part of the action potential returns the membrane to the cell's resting potential (resting state)?
Repolarization
Central Nervous System (CNS)
consists of the brain and spinal cord, the main control center of the body. It receives, processes, and integrates information from the peripheral nervous system.
Peripheral Nervous System (PNS)
The PNS comprises all the nerves extending from the CNS to the rest of the body. It relays sensory information to the CNS and carries motor commands from the CNS to muscles and glands.
Nervous Tissue
Nervous tissue is composed of two main cell types: Neurons and Neuroglia (Glial Cells)
Neurons
Neurons are the functional units of the nervous system, specialized for conducting nerve impulses. They are generally incapable of cell division.
Neuroglia (Glial Cells)
Neuroglia support and protect neurons. They are capable of cell division.
Cell Body (Soma)
The cell body contains the nucleus and other organelles essential for neuronal function. Clusters of cell bodies are called nuclei in the CNS and ganglia in the PNS.
Dendrites
Dendrites are branched extensions of the neuron that receive incoming signals (graded potentials) and conduct them toward the cell body.
Axon
The axon is a long, slender projection that transmits nerve impulses (action potentials) away from the cell body to other neurons, muscles, or glands.
Axon Terminals (Boutons)
Axon terminals are the specialized endings of the axon where neurotransmitters are released into the synapse.
Myelin Sheath
The myelin sheath is a fatty insulating layer around some axons that increases the speed of nerve impulse conduction. It's formed by oligodendrocytes in the CNS and Schwann cells in the PNS. Gaps in the myelin sheath are called Nodes of Ranvier.
Neurilemma
The neurilemma is the outermost layer of the Schwann cell, which surrounds the axon in the PNS. It plays a crucial role in axon regeneration. The CNS lacks a neurilemma, which contributes to the limited regenerative capacity of CNS axons.
Axonal Transport
Axonal transport is the process by which materials are moved along the axon. Anterograde transport moves materials from the cell body to the axon terminal, while retrograde transport moves materials in the opposite direction. This process is essential for neuronal maintenance and function. Kinesin and dynein are motor proteins involved.
Neurotrophins
Neurotrophins are proteins that support neuronal survival, growth, and differentiation. Examples include nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), and glial-derived neurotrophic factor (GDNF). They are crucial for development and regeneration.
Resting Membrane Potential
The resting membrane potential is the electrical potential difference across the neuronal membrane when the neuron is not actively transmitting a signal. It's typically around -70 mV.
Depolarization
Depolarization is a decrease in the membrane potential (making the inside of the cell less negative). It's usually caused by an influx of sodium ions (Na⁺).
Hyperpolarization
Hyperpolarization is an increase in the membrane potential (making the inside of the cell more negative). It's usually caused by an efflux of potassium ions (K⁺) or an influx of chloride ions (Cl⁻).
Threshold Potential
The threshold potential is the membrane potential that must be reached to trigger an action potential. It's typically around -55 mV.
Action Potential
An action potential is a rapid, all-or-none change in the membrane potential that propagates along the axon.
All-or-None Law
The all-or-none law states that an action potential either occurs completely or not at all; its magnitude is independent of the strength of the stimulus.
Refractory Period
The refractory period is the time after an action potential during which another action potential cannot be initiated. It has an absolute and relative phase
Saltatory Conduction
Saltatory conduction is the rapid propagation of action potentials along myelinated axons, where the action potential "jumps" between the Nodes of Ranvier
Synapse
A synapse is the junction between two neurons or between a neuron and a target cell (muscle or gland). There are electrical and chemical synapses.
Electrical Synapse
An electrical synapse involves direct electrical coupling between cells via gap junctions. Transmission is fast and bidirectional.
Chemical Synapse
A chemical synapse involves the release of neurotransmitters from the presynaptic neuron to the synaptic cleft, which then bind to receptors on the postsynaptic neuron. Transmission is slower and unidirectional.
Neurotransmitter
A neurotransmitter is a chemical messenger released from the presynaptic neuron that binds to receptors on the postsynaptic neuron, causing a change in its membrane potential.
Synaptic Vesicles
Synaptic vesicles are membrane-bound sacs in the axon terminal that store and release neurotransmitters
Synaptic Cleft
The synaptic cleft is the space between the presynaptic and postsynaptic neurons
Receptor
A receptor is a protein on the postsynaptic membrane that binds to a neurotransmitter, initiating a cellular response
Postsynaptic Potential
A postsynaptic potential is a change in the membrane potential of the postsynaptic neuron caused by the binding of a neurotransmitter to its receptor. Excitatory postsynaptic potentials (EPSPs) cause depolarization, while inhibitory postsynaptic potentials (IPSPs) cause hyperpolarization.
Spatial Summation
Spatial summation is the summation of postsynaptic potentials from multiple synapses at the same time
Temporal Summation
Temporal summation is the summation of postsynaptic potentials from a single synapse over time
Synaptic Plasticity
Synaptic plasticity is the ability of synapses to change their strength over time. Long-term potentiation (LTP) strengthens synapses, while long-term depression (LTD) weakens them. These processes are crucial for learning and memory
Long-Term Potentiation (LTP)
LTP involves an increase in synaptic strength due to repeated stimulation. It often involves the insertion of AMPA receptors
Long-Term Depression (LTD)
LTD involves a decrease in synaptic strength due to reduced stimulation. It often involves the removal of AMPA receptors
Presynaptic Inhibition
Presynaptic inhibition occurs when a neuron synapses onto the axon terminal of another neuron, reducing the release of neurotransmitter
Postsynaptic Inhibition
Postsynaptic inhibition occurs when an inhibitory neurotransmitter (e.g., GABA, glycine) hyperpolarizes the postsynaptic neuron
CNS Components
The CNS comprises the brain and spinal cord. Its primary function is to process sensory information and coordinate motor responses to maintain homeostasis
The CNS consists of:
the brain and spinal cord
the PNS includes…
cranial and spinal nerves.
Neurons conduct…
impulses
neuroglia support…
neurons
Neurons have…
a cell body, dendrites, and an axon
Axonal transport is crucial for…
neuronal function (anterograde and retrograde)
Sensory neurons are…
afferent
motor neurons are…
efferent
interneurons integrate…
information
The resting membrane potential is typically…
-70 mV
Action potentials are…
all-or-none events
Myelin sheaths increase conduction speed via…
saltatory conduction
Chemical synapses involve…
neurotransmitter release into the synaptic cleft
EPSPs cause…
depolarization
IPSPs cause…
hyperpolarization
Acetylcholine has…
nicotinic and muscarinic receptors
Monoamines use…
second messenger systems
Glutamate is the major…
excitatory neurotransmitter
GABA is the major…
inhibitory neurotransmitter
Synaptic plasticity involves
LTP and LTD
Spatial and temporal summation integrate…
synaptic inputs
Presynaptic and postsynaptic inhibition modulate…
neuronal activity.
Neurotrophins are essential for…
neuronal survival and growth
The blood-brain barrier protects…
the CNS
G-protein coupled receptors utilize…
second messenger systems (cAMP).
Many drugs act by…
influencing neurotransmitter systems (agonists and antagonists).
Sensory neurons (afferent):
Transmit signals from the body to the CNS
Motor neurons (efferent):
Transmit signals from the CNS to muscles and glands
bradykinesia
movements that are slower than expected. For instance, it may take you longer to stand up
orthostatic hypotension
a condition where blood pressure drops significantly upon standing up from a sitting or lying position, ex. 138/88 sitting, 116/60 standing
Because of this should the doctor consider prescribing another medication to work in conjunction with LDOPA? And what drug should the doctor prescribe?
Yes, we should reconsider the patient’s medications. The client is showing a decline in functioning, with increased confusion, irritability, and ongoing dizziness despite using Carbidopa/Levodopa. Over time, Levodopa can lose effectiveness as the disease progresses, so it may be appropriate to adjust the dosage or timing and consider adding another medication to enhance its benefits.
A monoamine oxidase-B (MAO-B) inhibitor, such as selegiline or rasagiline, could be introduced. These drugs block the breakdown of dopamine in the brain, helping to prolong the effects of Levodopa and reduce “off” periods. This may improve movement control and daily functioning without significantly increasing side effects.