Modules
- Year 1
- Year 2
- Introduction to Year 2 and Year Outcomes
- Cardiorespiratory 2
- Metabolism 2
- Brain and Behaviour 2
- Human Development 2
- Human Sciences and Public Health 2
- Locomotor 2
- Cancer Week
- Moving and Handling Training
- Year 2 Lifesaver Programme
- Clinical Communication Skills
- Medicine in Society 2
- Extended Patient Contact
- Student Selected Component (SSC)
- Year 3
- Introduction to Year 3 and Year Outcomes
- Clinical Science and Professionalism (Weeks 1-3)
- Cardiovascular, Respiratory and Haematology (CR3)
- Gastroenterology and Cancer (MET3A)
- Public Health
- Endocrinology and Renal Medicine (MET3B)
- General Practice and Community Care
- Student Selected Component (SSC)
- Clinical and Communication Skills
- Year 4
- Introduction and Year 4 Outcomes
- Obstetrics and Gynaecology
- Child Health
- HIV & Sexual Health
- Musculoskeletal
- Health Care of the Elderly
- Neuroscience
- Dermatology
- General Practice and Community Care
- Psychiatry
- Ear, Nose and Throat
- Global Health and Ethics
- Ophthalmology
- Clinical & Communication Skills
- Student Selected Component (SSC)
- Year 5
- Introduction to Year 5 and Year Outcomes
- Teaching Week 1
- Teaching Week 2
- Anaesthesia & ITU (AN & ITU)
- Breaking Bad News
- Clinical Pharmacology & Therapeutics
- Community Care
- Doctors as Teachers and Educators (DATE)
- Emergency Medicine (EMERG MED)
- General (Internal) Medicine (G(I)M)
- Immediate Life Support (ILS)
- Student Assistantship
- Simulation
- Surgery
- Student Selected Component (SSC)
- Year GEP 1
Year GEP 1 GEP/BB: Brain and Behaviour
- Dr Greg Michael
- g.j.michael@qmul.ac.uk
Teaching Material for this Module
Introduction
The aim of Brain and Behaviour is to develop an understanding of the structure and function in the nervous system and appreciate ways in which this understanding and knowledge is applied and relevant to clinical practice.
At the end of this course you should be able to:
- Describe the major functional structures of the human central nervous system (CNS) and their main interconnections. This should include all major structures in the forebrain, midbrain and hindbrain and spinal cord.
- Describe the main pathways by which the sensory modalities of low threshold cutaneous sensation (touch, pressure and vibration), pain and proprioception are transmitted from the periphery to the brain. The location of where these pathways crossover (decussate) in the nervous system, the basic tests used to assess their integrity and the clinical signs associated with damage to them.
- To outline the main components of the motor system with particular emphasis on the monosynaptic reflex and the corticospinal (pyramidal) tract, how to test reflexes, their clinical significance, and how to recognise damage to the motor system.
- Describe the vascular anatomy of the CNS, the ventricular system of the brain, the meninges and the circulation of cerebrospinal fluid.
- Understand the structure and function of the different cranial nerves, the principles of examination of the cranial nerves and how this examination can reveal pathologies in brain function.
- Examine a person’s special senses with particular emphasis on appreciating the anatomy and physiology relevant to the understanding of such examinations.
- Have a broad understanding of the parts of the brain involved in and the management of common neurological conditions such as Parkinson’s disease, stroke, dementia, psychosis and depression.
- To appreciate the main neurotransmitters in the CNS, the receptors at which they act and how specific drug classes can be used in the pharmacological management of PNS and CNS disorders.
- Describe the physiology and pharmacology of movement disorders.
- Describe the different pathways by which pain is transmitted to the brain and how it can be physiologically and pharmacologically modulated.
- Understand the psychological principles relating to health and health-related behaviours.
- Describe the mental state examination, the major signs and symptoms of psychiatric illness and the main principles underlying treatment.
- Appreciate the effects on the conscious level of brain disease.
- Describe the neurobiological, psychological and clinical basis of addictive behaviour.
- Describe the anxiety and mood disorders and explain the rationale underlying their treatment.
Index
- General Outcomes for the Whole Person
- General Outcomes for the Respiratory System
- General Outcomes for Neurosciences
- General Outcomes for Ophthalmology
- Head Injury
- Parkinson's Disease and Neuro-degenerative Disorders
- General Outcomes for the Whole Person
- Medical knowledge: ANATOMY (TD 8.1)
- Anatomical Positions, Planes and Movements
- Anatomy of the Nervous System - General
- Medical knowledge: BIOCHEMISTRY (inc. Metabolism) (TD 8.3)
- Medical knowledge: PHARMACOLOGY (TD 8.10)
- Pharmacokinetics and Pharmacodynamics
- Medical knowledge: ANATOMY (TD 8.1)
- General Outcomes for the Respiratory System
- Medical knowledge: PHYSIOLOGY (TD 8.2)
- General Outcomes for Neurosciences
- Medical knowledge: ANATOMY (TD 8.1)
-
The Brainstem & Cerebellum
- Describe the main gross anatomical features of the cerebellum, including its input and output pathways and its lobular arrangement.
- Describe the microanatomical arrangement of the cerebellum including the cortical morphology and connections of the deep nuclei.
- Describe the functional subdivisions of the cerebellum and the effect of injury in different regions.
- Describe the functional significance of the cerebellar connections to the vestibular system
-
Circulation System of the Brain
- Describe the principal arteries of the brain, thalamus and spinal cord
- Explain the possibilities for collateral circulation through the Circle of Willis
- Describe the relationship of the blood supply to major functional areas of the brain
- Describe the venous drainage of the brain and spinal cord
- Describe the ventricular system of the brain and the formation and drainage of cerebrospinal fluid
- Describe the major vascular disorders with regard to the blood supply to the CNS
- Describe the structure of the arachnoid granulations and explain their function.
- Neural Pathways
- Vision
-
The Brainstem & Cerebellum
- Medical knowledge: PHYSIOLOGY (TD 8.2)
-
Autonomic Nervous System
- Discuss the function of the sympathetic and parasympathetic nervous systems
- Explain what transmitters are used in these systems
- Explain the hierarchical model of visual perception.
- Describe the anatomy of the peripheral sympathetic and parasympathetic nervous systems
- Explain the functions of the cortical association areas, particularly the posterior parietal association area and the frontal association areas
-
General Outcomes for Nervous System Physiology
- Define the term neurotrophic factor and explain the neurotrophic hypothesis
- Describe the basic organisation of the peripheral and central nervous system
- Review how action potentials are generated, propagated along axons and explain reasons for failure.
- Briefly describe how nerve conduction studies and electromyography are performed and how they can detect peripheral nerve abnormalities.
- Name and identify the major parts of the adult nervous system and describe their primary functions
- Describe the role of glial cells in the nervous system
- Review synaptic transmission and explain the importance of termination of transmitter action, and give two different examples of how this is achieved.
- Describe the process of nerve regeneration and state the criteria for determining its success
- Describe how epsps and ipsps are generated at excitatory and inhibitory synapses within the CNS.
- Briefly explain why regeneration in the CNS fails to occur
- State the main neurotransmitters employed by sensory afferents and in CNS neurons and their associated receptors.
- Define the term neuromodulator and give examples of such
- Basal Ganglia
-
The Neural Control of Movement
- Draw a diagram of the connections of the major components of the motor system (motor cortex, basal ganglia, cerebellum, brainstem, spinal cord and a-motoneurons)
- Outline the main fuction of each part of the motor system
- Define the area of the brain occupied by the motor cortex, its major inputs and outputs and its topographic arrangement (in terms of the distorted motor homunculus representation)
- Define the main functions of the motor association cortex
- Name the pathways that comprise the pyramidal and extra-pyramidal systems and describe their main functions
- Describe the basic neurological sequence involved in executing a voluntary movement
-
Somatosensory Pathways
- Describe the pathways to the brain for touch receptors; describe the clinical manifestations of lesions in these pathways
- Describe the pathways to the brain for proprioceptive receptors; describe the clinical manifestations of lesions in these pathways
- Describe the pathways to the brain for pain receptors; describe the clinical manifestations of lesions in these pathways
- Describe the organisation of somatosensory (VP) thalamus
- List the differences that may be encountered when a lesion is located at the peripheral, spinal, posterior fossa (brainstem), or supra-tentorial (thalamus/cortex) levels
- Motor Systems
- The Peripheral Nervous System
- The Vestibular System
-
Autonomic Nervous System
- Clinical skills: PLANNING AND INTERPRETING INVESTIGATIONS (TD 14 c-d)
- Medical knowledge: ANATOMY (TD 8.1)
- General Outcomes for Ophthalmology
- Medical knowledge: ANATOMY (TD 8.1)
- Vision
- Anatomy of the Ear
-
Anatomy of the Eye
- Describe the anatomy of the retina to include photoreceptors, bipolar cells, ganglion cells and neuro-glial cells.
- Describe the main neuronal cell types in the retinal and their role in transmission of visual information
- Describe the blood supply to the retina and the significance of the choroidal circulation
- Medical knowledge: PHYSIOLOGY (TD 8.2)
-
Vision
- Describe the mechanism for the production of lacrimal secretions and the role of these secretions in vision
- Explain the conditions of glaucoma and cataract and their probable causes
- Describe the normal pupillary and accommodation reflexes and their clinical significance
- Describe how photons absorbed by photoreceptor cells (rods and cones) cause changes in the membrane potential of these cells
- Explain what is meant by the retinal ‘dark current’
- Describe the retinal basis of colour vision.
-
Vision
- Medical knowledge: ANATOMY (TD 8.1)
- Head Injury
- Parkinson's Disease and Neuro-degenerative Disorders
- General Outcomes for Neurodegenerative Disorders
- Parkinson's Disease