Neuroscience Fundamentals Rehabilitation 4th Edition Lundy Ekman
Neuroscience Fundamentals Rehabilitation 4th Edition Lundy Ekman
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Chapter 4: Neuroplasticity
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
ANS: C
Rationale: When a person suffers a stroke or traumatic injury, neurons in the brain that are deprived of oxygen for a prolonged period die and do not regenerate. Oxygen-deprived neurons release large quantities of glutamate, an excitatory neurotransmitter, from their axon terminals.
ANS: D
Rationale: First, glutamate binds persistently to the NMDA-type glutamate receptor in the cell membrane. Stimulation of this receptor results in an influx of calcium ions (Ca+2) into the cell, and indirectly facilitates the release of internal Ca+2 stores. An influx of sodium ions (Na+) into the cell results in further stimulation of NMDA receptors and an additional influx of Ca+2 into the cell. Channels that are permeable to Ca+2 open because of the injury. With the increase in Ca+2 inside the cell, more potassium ions (K+) diffuse out of the cell, requiring increased glycolysis that provides energy for the Na+/K+ pump to actively transport K+ into the cell. Together, the increased glycolysis and the increased Ca+2 lead to several destructive consequences for neurons.
ANS: E
Rationale: Excitotoxicity causes excessive production of lactic acid, destroys cellular proteins, causes cellular edema, and interferes with the function of mitochondria.
ANS: B
Rationale: The hippocampus, located in the temporal lobe, is essential for processing memories that are easily verbalized. For example, the hippocampus is important in remembering names and events (declarative memory) but not in remembering how to perform motor acts (procedural memory; riding a bicycle and tying shoe laces are examples of procedural memory).
ANS: E
Rationale: Development of glial scars, limited expression or complete absence of nerve growth factor (NGF), and growth inhibiting factors prevent functional axonal regeneration in the brain and spinal cord.
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