What did he say? He said they're selling chocolate!
NO SHOT Neeraj's legs pass the BBB
Officer, I'm not drunk driving, I just have truncal ataxia
Isaiah's first skipped lecture
Neural tube defects part 82
100

Middle ear reflexes are activated by sounds that have these 3 characteristics

What are long, loud, and low?

The ear reflexes are bilateral and too slow for sudden noises

Slide 13

100

This cell is considered to be the CNS resident macrophage

What are microglia?

Cerebellar microglia express more immune response genes compared to cortical and striatal microglia

Slide 7

100

A lesion on the right side of the cerebellum would produce symptoms on this side of the body

What is the right side?

Slide 18

100

This is the brain's primary fuel source under normal conditions

What is glucose?

Slide 8

100

50 to 70% of all NTDs can be prevented by maternal use of this supplement prior to and during pregnancy

What is folic acid?

Slide 5

200

The outer ear boosts sounds around this frequency

What is ~3kHz?

Human speech range

Slide 5

200
This is the process in which microglia and astrocytes secrete complement proteins to opsonize and destroy excess/redundant neurons

What is synaptic pruning?

Slide 8

200

These two cerebellar peduncles serve as the inputs to the cerebellum

What are the middle and inferior peduncles?

Slide 7

200

Along with fMRIs, this other imaging modality leverages brain energy metabolism to map activity

What is a PET scan?

PET: Uses 18F-FDG and looks for accumulations 

fMRI: Measures blood-oxygen-level-dependent signals

Slide 40

200

A prenatal diagnostic approach in detecting open neural tube defects is to test the maternal serum for this protein

What is alpha-fetoprotein (AFP)?

AFP is produced by the fetal liver and only gets into the maternal circulation when there is a direct opening in the fetal skin or neural tissue

Meningocele -> closed

Myelomeningocele -> open

Slide 20

300

Perilymph is rich in this ion

What is sodium?

Endolymph is rich in potassium

Slide 15

300

Type 2 interferons have this effect on BBB permeability

What is increase permeability?

Recruit other inflammatory cells that secrete inflammatory cytokines, especially CXCL10

Type 1: decrease permeability

Type 3: act like type 1

Slide 18

300

In this test, the patient tries to remain upright while their heels are together and eyes are closed

What is the Romberg test?

Loss of proprioception

Slide 34

300

In times of high neuronal activity, neurons preferentially use this astrocyte derived molecule as their primary oxidative fuel source

What is lactate?

Neurons have low glycolytic activity and thus in times of high neuronal activity they take up and use lactate provided by astrocytes

Slides 23-25

300

This neural tube defect may present with a tuft of hair or dimple over the defect

What is spina bifida occulta?

Slide 11

400

The vestibulo-ocular reflex uses this tract to project fibers to the nuclei of CNs 3, 4, and 6 

What is the medial longitudinal fasciculus (MLF)?

Slide 30

400

These 2 chemokines drive immune surveillance in the CNS

What are CCL19 and CCL20?

CCL19 and CCL21 regulate access from the perivascular space to the brain parenchyma during inflammation

Slide 14

400

A lesion in this functional area of the cerebellum would result in dysdiadochokinesia

What is the cerebrocerebellum?

Slide 21

400

Glycogen in the brain is almost exclusively stored in this cell

What are astrocytes?

Slide 15

400

In this lethal neural tube defect, there is a failure of closure along the entire neural tube

What is craniorachischisis?

Slide 13

500

This second-order neuron in the central auditory pathway bypasses the superior olivary nucleus and instead synapses on the contralateral inferior colliculus

What is the dorsal acoustic stria?

There are 3 second-order neurons (ventral, intermediate, and dorsal):

- Ventral (trapezoid body) goes to both superior olivary nuclei

- Intermediate goes to both the superior olivary nucleus and nuclei of the lateral lemniscus

- Dorsal bypasses the superior olivary nucleus 

The superior olivary nucleus is the earliest binaural integration spot, thus the dorsal stria is labeled as monaural

Slide 24

500

Leukocyte migration into the CSF occurs through these 2 routes (probably)

What are the choroid plexus and perivascular space?

Slide 12

500

This afferent tract transmits proprioceptive impulses from muscle spindles, Golgi tendon organs, and joint receptors of the upper limb and upper thorax

What is the cuneocerebellar tract?

Dorsal spinocerebellar: Lower limbs and trunk

Ventral spinocerebellar: Upper and lower limbs

Olivocerebellar: Whole body via relay in inferior olive

Slide 22

500

This fuel source for the brain has a potential therapeutic use in treating epilepsy 

What are ketone bodies?

Slides 36, 38-39

500

In this neural tube defect, the meninges, brain tissue, and part of the ventricles will herniate through a bony defect in the skull

What is a meningohydroencephalocele?

Most commonly seen in the occipital lobe (western countries)

Meningocele -> meninges

Meningoencephalocele -> meninges + brain tissue

Meningohydroencephalocele -> meninges + brain tissue + ventricle

Slide 16

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