Soheila Amri
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Based on PUM physiology presentations and own notes

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Soheila Amri
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Vision and visual pathway

Questão 1 de 50

1

Vision - choose correct

Selecione uma ou mais das seguintes:

  • Electromagnetic radiation in this range of wavelengths is called visible light or simply light.

  • The optical spectrum is the portion of the electromagnetic spectrum that is visible to the animal eye.

  • The visible spectrum is approximately between 400nm to 750nm

  • 8% of men are colour blind, it's a Y-linked disease

Explicação

Questão 2 de 50

1

Retina - rods & cones - choose correct

Selecione uma ou mais das seguintes:

  • Both photoreceptors are found in the inner nuclear layer of the retina at the back of each eye

  • Bipolar and ganglion cells send information from photoreceptors to the brain are in front of the cones and rods

  • The human eye have 6 million cones and 120 million rods

  • Cones and rods are types neurons

Explicação

Questão 3 de 50

1

Albinism; choose correct

Selecione uma ou mais das seguintes:

  • Albinos don't have colour vision

  • Albinos have reduced pigment epithelium in sclera and choroid

  • Albinos have colour vision

  • Albinos have increased visual acuity, due to intra-ocular reflection of light

Explicação

Questão 4 de 50

1

Vision - choose correct

Selecione uma ou mais das seguintes:

  • Retinal ganglion cells that express the photopigment melanopsin.

  • In the absence of rods and cones, mammals retain the ability to detect light for various non-image-forming visual functions.

  • Phototransduction is conducted only by cones and rods

  • Cones have rhodopsin and rods have fotopsin

Explicação

Questão 5 de 50

1

Retino-hypothalamic tract - choose WRONG

Selecione uma ou mais das seguintes:

  • Photosensitive ganglion cells seem to serve as photoreceptors for the photic synchronization of circadian rhythms.

  • Cones innervate the midbrain pupillary control center.

  • They project to the circadian pacemaker of the brain - the suprachiasmatic hypothalamic nucleus

  • Photosensitive ganglion cells contribute to the pupillary light reflex and other behavioral and physiological responses to environmental

Explicação

Questão 6 de 50

1

Neurotransmitters; choose WRONG

Selecione uma ou mais das seguintes:

  • Rods/cones - Glutamate

  • Amacrine cells - Inhibitory neurotransmitters (GABA, Glycine, Dopamine, Ach, Indolamine)

  • Horizontal cells - Excitatory neurotransmitters.

  • Horizontal cells - Inhibitory neurotransmitters.

Explicação

Questão 7 de 50

1

Retina; Choose correct

Selecione uma ou mais das seguintes:

  • Ganglion cells - the only retinal cell of the pathway transmitting signals by mean of action potential.

  • Amacrine cells - Occasionally action potential is recorded in.

  • Remaining cells of the retina - conduct their visual signals by electrotonic conduction (graded conduction).

  • Ganglion cells - conduct their visual signals by electrotonic conduction (graded conduction).

Explicação

Questão 8 de 50

1

Photoreceptors; choose correct

Selecione uma ou mais das seguintes:

  • Rods are used to determine color, depth, and intensity.

  • Each particular photosensitive cell responds to monochromatic spectral stimuli

  • All 3 types of photoreceptors transduce light into a change in membrane potential through different signal transduction pathway.

  • All 3 types of photoreceptors differ in the nature of the opsin they contain and therefore in their function.

Explicação

Questão 9 de 50

1

Vision; choose correct

Selecione uma ou mais das seguintes:

  • Cones are divided into red, blue and green

  • Visual imaging occurs in the visual cortex, occipital lobe

  • Fovea has the lowest visual acuity

  • Rods are trichromatic

Explicação

Questão 10 de 50

1

Generator potential; choose correct

Selecione uma ou mais das seguintes:

  • Dark current - the voltage-gated sodium channels in the outer segment are opened due to cGMP bound to them.

  • Dark current - depolarising sodium channels to - 40mV, in dark conditions

  • Rods are also de-polarising in light conditions

  • Cones de-polarise in dark conditions

Explicação

Questão 11 de 50

1

Signal tranduction pathway; choose correct

Selecione uma ou mais das seguintes:

  • The opsin in the outer segment absorbs a photon, changing the configuration of a molecule inside the cell from the less- energetic cis-form to the more-energetic trans-form.

  • Night blindness can be caused by deficiency of vitamin E

  • The light acts as a ligand

  • Light is absorbed by rhodopsin or by one of the photopsins of cones, changing shape of the retina.

Explicação

Questão 12 de 50

1

Signal transduction pathway; choose correct

Selecione uma ou mais das seguintes:

  • Each photo-activated rhodopsin triggers activation of about 100 transducins

  • PDE inhibits the hydrolysis of cGMP

  • Each transducin then activates the enzyme cGMP-specific phosphodiesterase (PDE)

  • cGMP was keeping the Na(Ca channels closed

Explicação

Questão 13 de 50

1

Signal transduction pathway ; choose correct

Selecione uma ou mais das seguintes:

  • A photoreceptor actually releases less neurotransmitter when stimulated by light.

  • Hyper-polarization means that less glutamate is released to the bipolar cell than before.

  • GTP provided by the inner segment powers the sodium- potassium pump.

  • The opening of Na+ channels hyperpolarizes the cell

Explicação

Questão 14 de 50

1

Which of these neurons do not belong to the visual pathway?

Selecione uma ou mais das seguintes:

  • Neurons of layer 4 of the visual cortex (Brodman’s area 17).

  • Bipolar cells, Photosensitive cells and Ganglion cells.

  • Horizontal and amacrine cells

  • Cells of the lateral geniculate body of the thalamus.

Explicação

Questão 15 de 50

1

Visual pathway; choose correct

Selecione uma ou mais das seguintes:

  • Old system - Suprachasmatic nucleus of hypothalamus – SCN (circadian rhythms)

  • Old System - Lateral geniculate nucleus of thalamus (LGN)

  • Old system - Visual cortex (4th neuronal of Brodman’s field 17)

  • Old system - Pretectal nuclei of the midbrain (pupillary reflexes) & Superior colliculi (rapid eye movement of both eyes)

Explicação

Questão 16 de 50

1

Functions of the lateral geniculate body (nucleus); choose correct.

Selecione uma ou mais das seguintes:

  • Parvocellular portion of LGN - (shape, color, texture, fine detail).

  • Interlaminar path - conduct impulses from ipsilateral eye.

  • Magnocellular portion of LGN - (spatial organisation, movement, location)

  • Layers 1,4,6 - colour

Explicação

Questão 17 de 50

1

Vision; Choose wrong

Selecione uma ou mais das seguintes:

  • Right retina - Left hemisphere, calcarine fissure

  • Left retina - Right hemisphere, cuneus gyrus fissure

  • Temporal vision crosses at the optic chiasm

  • Nasal vision crosses at the optic chiasm

Explicação

Questão 18 de 50

1

Functions of visual projection areas of the visual cortex - Choose wrong match

Selecione uma ou mais das seguintes:

  • V2, V3, VP – Motion, control of movement.

  • V3A , MT/V5 – Continued processing – larger visual field.

  • V1 – Primary visual cortex – receives input from the LGN – processing in terms on orientation edges, etc.

  • LO – Recognition of large objects.

  • V8 – Color vision.

Explicação

Questão 19 de 50

1

Refraction;

Selecione uma ou mais das seguintes:

  • Light, passing from one transparent medium to another, changes its speed, and bends.

  • Angle of refraction - The angle between the light ray and the normal, as it leaves a medium.

  • Each medium has its own refractive index

  • Angle of incidence - The angle between the light ray and the normal as it enters a medium

Explicação

Questão 20 de 50

1

Rate of bending of light depends on;

Selecione uma ou mais das seguintes:

  • Strength of the light ray

  • The angle between the light ray and the line perpendicular to the surface separating both media

  • The refractive index of the media

  • Absence of other sources of light

Explicação

Questão 21 de 50

1

Refraction;

Selecione uma ou mais das seguintes:

  • Parallel light rays are bent to pass through a single point behind the lens (focal point)

  • Rays striking perpendicular lens surface pass the lens by bending

  • Convex lenses diverge light rays

  • Rays striking perpendicular lens surface pass the lens without being bent

Explicação

Questão 22 de 50

1

Refraction;

Selecione uma ou mais das seguintes:

  • In the focal length distant sources of light rays are parallell

  • In the focal length distant sources of light rays are converged

  • In the focal length the close source is parallell

  • Focal length - distance beyond midpoint of a convex lens, and the focal point

Explicação

Questão 23 de 50

1

Refracted image of objects;

Selecione uma ou mais das seguintes:

  • Reversed - Upside-down, left side-right

  • Inversed - Downside-up, left side-right

  • Each point source of light on the object comes to a separate point focus on the opposite side of the lens in line with the lens centre

  • Only one source of light on the object comes to a separate point focus on the opposite side of the lens in line with the lens centre

Explicação

Questão 24 de 50

1

Power of lens;

Selecione uma ou mais das seguintes:

  • Expressed in diopters

  • Spherical Convex lenses = -1 power

  • Spherical Concave lenses = +1 power

  • Spherical Convex lenses = + 10 power

Explicação

Questão 25 de 50

1

Optics of the eye;

Selecione uma ou mais das seguintes:

  • Interface between posterior surface of the cornea and aqueous humour is a part of the optic system

  • Interface on both sides of the lens are parts of the optic system

  • Interface between the retina and the optic nerve is a part of the optic system

  • Interface between air and the anterior surface of the cornea is a part of the optic system

Explicação

Questão 26 de 50

1

Choose correct match of indexes of refraction to their medium;

Selecione uma ou mais das seguintes:

  • Air = 1.0

  • The lens = 1.40

  • The cornea = 1.33

  • The aqueous humour = 1.38

  • The vitreous humour = 1.34

Explicação

Questão 27 de 50

1

Optics of the eye;

Selecione uma ou mais das seguintes:

  • 1/3 of all the refractive power of the eye is provided by the anterior surface of the cornea.

  • Total refractive power of the eye is 59 dioptres

  • 2/3 of all the refractive power of the eye is provided by the anterior surface of the cornea.

  • Total refractive power of the eye is 39 dioptres

Explicação

Questão 28 de 50

1

Optics of the eye;

Selecione uma ou mais das seguintes:

  • Reduced eye - a simplified design of the ocular optical system, represented as having a single refracting surface and a uniform index of refraction

  • Reduced eye - By close object the light rays are diverged and refraction power of the eye should be increased in order to focus eye on object and produce the image exactly on the retina.

  • Accommodation - By close object the light rays are diverged and refraction power of the eye should be increased in order to focus eye on object and produce the image exactly on the retina.

  • Accommodation - a simplified design of the ocular optical system, represented as having a single refracting surface and a uniform index of refraction

Explicação

Questão 29 de 50

1

Accommodation;

Selecione uma ou mais das seguintes:

  • Refraction power of the eye can be increased voluntary by approximately 14 dioptres by changing the shape of the lens from moderately convexed to more convexed.

  • In normal conditions tension of ligaments of the lens causes its to remain spherically shaped.

  • Contraction of the ciliary muscle depend on parasympathetic transmission via III CN.

  • Contraction of smooth muscle fibers in the ciliary muscle tenses the ligaments to the lens capsule and the lens assumes a more spherical shape.

Explicação

Questão 30 de 50

1

The far point of vision;

Selecione uma ou mais das seguintes:

  • Reduced eye – refraction power 59 D

  • With age gets farther away

  • Light rays are divergent

  • Picks up 6 m and more distant objects.

Explicação

Questão 31 de 50

1

The near point of vision;

Selecione uma ou mais das seguintes:

  • Parallell light rays, and the point of vision comes closer with age

  • About 20 cm in front of eyes

  • Does not require accommodation

  • The nearest point in front of eye which can be focused on retina

Explicação

Questão 32 de 50

1

Choose correct elements of the near response;

Selecione uma ou mais das seguintes:

  • Accomodation

  • Pupillary constriction

  • Pupillary dilation

  • Divergence of the visual axes

Explicação

Questão 33 de 50

1

Choose correct for normal focusing ability;

Selecione uma ou mais das seguintes:

  • Distant object - parallel light rays focuses on retina

  • Light rays focus behind the retina

  • Close object - contraction of ciliary muscle provide accommodation – diverge rays are focus on retina

  • Light rays focus in front of the retina

Explicação

Questão 34 de 50

1

Defects of focusing;

Selecione uma ou mais das seguintes:

  • Presbypia (senile farsightedness) is caused by decreased lens elasticity

  • Presbypia (senile farsightedness) is caused by decreased power of ciliary muscle

  • Astigmatism is caused by a cornea that isn't spherical

  • Astigmatism is corrected with concave lenses

Explicação

Questão 35 de 50

1

Visual acquity does NOT depend on....?

Selecione uma ou mais das seguintes:

  • Fixation of eye (fovea centralis)

  • Refraction index of medium

  • Astigmatism

  • Myopia

Explicação

Questão 36 de 50

1

Visual acquity depends on

Selecione uma ou mais das seguintes:

  • Optical factors (image-forming mechanisms of the eye)

  • Depth of vision

  • Retinal factors

  • Stimulus factors (illumination, brightness, contrast, time of exposure)

Explicação

Questão 37 de 50

1

Depth of Vision;

Selecione uma ou mais das seguintes:

  • Distance is perceived by - sizes of known objects, moving parallax and stereopsis

  • Distance is perceived by - sizes of unknown objects and stereopsis

  • Distance is perceived by - relative distance, fast moving close objects and slow moving far objects

  • Stereopsis is dependent on mono-ocular vision - image only created on retina

Explicação

Questão 38 de 50

1

Photoreceptors;

Selecione uma ou mais das seguintes:

  • Rhodopsin decompose in darkness

  • Rhodopsin is combined of scotopsin and retinene-1 (aldehyde of vit. A)

  • The only retinal neurons that transmit visual signal by means of action potential are the ganglia cells

  • Activated rhodopsin deactivates transducin

Explicação

Questão 39 de 50

1

Phototransduction;

Selecione uma ou mais das seguintes:

  • Photon activates an electron

  • Activated transducin activates rhodopsin

  • Activated transducin activates cGMP

  • Phosphodiesterase hydrolyzes cGMP (which normally causes Na-channels stay open),
    and Na-channels close

Explicação

Questão 40 de 50

1

Blind spot;

Selecione uma ou mais das seguintes:

  • Found 15 degrees temporally to visual axis

  • It is NOT visible through the ophtalmoscope as the optic disc.

  • The optic nerve leaves the eye at the point 3 mm medial to and slightly above the posterior pole of the globe

  • There are some photoreceptors in this area

Explicação

Questão 41 de 50

1

Choose correct match between cranial nerve and activity of eye structure;

Selecione uma ou mais das seguintes:

  • Optic N. (CN2) - Mediates vision

  • Oculomotor N. (CN3) - innervates superior oblique muscle

  • Trochlear N. (CN4) - innervates superior oblique muscle

  • Trigeminal N. (CN5) - sensory portion of corneal reflex

  • Abducens N. (CN6) - Innervates orbicularis oculi and lacrimal glands

Explicação

Questão 42 de 50

1

Visual adaptation;

Selecione uma ou mais das seguintes:

  • Light adaptation (photopic vision) - regeneration of photopigment, that in turn increases visual sensitivity

  • Dark adaptation (scotopic vision) - a reduction in the amount of rhodopsin, which in turn reduces visual sensitivity

  • Light adaptation time is 5min

  • Dark adaptation time is 20min

Explicação

Questão 43 de 50

1

Visual fields; limitations

Selecione uma ou mais das seguintes:

  • Laterally = 90 degrees

  • Downward = 50 degrees

  • Upward = 50 degrees

  • Medially 65-70 degrees

Explicação

Questão 44 de 50

1

Visual pathway - choose correct order;
1. Geniculate body neurons
2. Bipolar cells
3. Cerebral cortex
4. Rods and cones
5. Ganglia cells

Selecione uma ou mais das seguintes:

  • 1, 3, 2, 4, 5

  • 4, 2, 5, 1, 3

  • 2, 4, 5, 1, 3

  • 4, 5, 2, 1, 3

Explicação

Questão 45 de 50

1

Visual pathway;

Selecione uma ou mais das seguintes:

  • Axons of ganglia cells converge and leave eye as the optic nerve through optic disc.

  • The temporal optic fibers cross at the optic chiasm

  • Each optic tract fibres synapse in ventral lateral geniculate nucleus of lateral geniculate body (LGB) of the thalamus.

  • Geniculocalcarine fibres pass as optic radiation to the primary visual cortex in the calcarine fissure area of the medial occipital lobe (striate cortex)

Explicação

Questão 46 de 50

1

Visual pathway;

Selecione uma ou mais das seguintes:

  • Geniculate body has 6 layers, 2 main parts parvocellular and magnocellular

  • Parvocellular -carries signals for colour vision, texture, shape, fine detail

  • Parvocellular - carries signals for detection of movement, depth and flicker

  • Major input comes form the retina

Explicação

Questão 47 de 50

1

Visual Cortex;

Selecione uma ou mais das seguintes:

  • Primary cortex; Brodmann’s area 18 (V2),19

  • Secondary cortex; Brodmann’s area 17 ( also known as V1)

  • Area V8 concern with colour vision

  • Dorsal and parietal pathway – motion

  • Ventral and temporal pathway – shape and recognition of forms and faces

Explicação

Questão 48 de 50

1

Defects of visual analyser;

Selecione uma ou mais das seguintes:

  • Optic chiasm – right or left homonymus hemianopia (half-blindness in same side half of the visual field

  • Interruption of optic nerve – blindness in the eye

  • Occipital lesion – macular sparing (loss of peripheral vision with intact macular vision)

  • Optic tract - bitemporal heteronymous hemianopia (half-blindness in opposite sides of the visual field)

Explicação

Questão 49 de 50

1

Reaction of pupil to light

Selecione uma ou mais das seguintes:

  • Afferent pathway: photoreceptors, bipolar cells, ganglion cells, optic nerve, optic tract, nuleus pretectalis and farther to Edinger-Westphal nucleus bilaterally.

  • Efferent pathway: from Edinger-Westphal nucleus through oculomotor nerve to ciliary ganglion and n.n. ciliares breves to papillary sphincter.

  • Efferent pathway: photoreceptors, bipolar cells, ganglion cells, optic nerve, optic tract, nuleus pretectalis and farther to Edinger-Westphal nucleus bilaterally.

  • Afferent pathway: from Edinger-Westphal nucleus through oculomotor nerve to ciliary ganglion and n.n. ciliares breves to papillary sphincter.

Explicação

Questão 50 de 50

1

Choose correct instrument to function;

Selecione uma ou mais das seguintes:

  • Slit lamp - facilitates examination of the eyelid, sclera, conjunctiva, iris, natural crystalline lens, and cornea

  • Ophtalmoscopy - Used to determine the health of retina and the vitreous humour

  • Ophtalmoscopy - facilitates examination of the eyelid, sclera, conjunctiva, iris, natural crystalline lens, and cornea

  • Perimetry - maps and quantifies the visual field

  • Slit lamp - maps and quantifies the visual field

Explicação