anatomy of spinal nerves Flashcards

1
Q

from medial to lateral describe the arrangement of the spinal nerves

A

begins with either anterior or posterior horn in the spinal cord

then to either anterior or posterior rootlets which then form a root which then join form the mixed spinal nerve

from the spinal nerve you get a an anterior and posterior ramus branching off

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2
Q

anterior -motor or sensory?

A

motor

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3
Q

what does a spinal nerve supply to its area of the body wall?

A

somatic general sensory
somatic motor
sympathetic motor to organs
reflex functions

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4
Q

where would you examine C2 dermatome?

A

back of scalp and adams apple

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5
Q

where would you examine C3 dermatome?

A

back of neck and jugular notch

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6
Q

where would you examine C4?

A

clavical and shoulder tip

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7
Q

where would you examine C5 dermatome?

A

badge patch on the arm

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8
Q

where would you examine C6 dermatome?

A

thumb

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9
Q

where would you examine C7 dermatome?

A

middle finger

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10
Q

where would you examine C8 dermatome?

A

little finger (pinky)

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11
Q

where would you examine T1 dermatome?

A

medial forearm

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12
Q

where would you examine T2 dermatome?

A

medial arm and sternal angle

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13
Q

where would you examine T4 dermatome

A

male nipple

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14
Q

where would you examine T8 dermatome

A

xiphoid process

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15
Q

where would you examine T12 dermatome

A

pubic symphysis

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16
Q

where would you examine L1 dermatome

A

groin

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17
Q

where would you examine L2 dermatome

A

anterior thigh

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18
Q

where would you examine L3 dermatome

A

anterior knee

19
Q

where would you examine L4 dermatome

A

medial malleolus

20
Q

where would you examine L5 dermatome

A

dorsum of foot

21
Q

where would you examine S1 dermatome

A

heel

22
Q

where would you examine S2 dermatome

A

posterior knee

23
Q

where would you examine S3 dermatome?

A

buttock

24
Q

where would you examine S 4 dermatome?

A

perineum

25
Q

where would you examine S5 dermatome?

A

perianal skin

26
Q

describe what is happening when a dermatome is tested for sensory function?

A

stimulation in anterior aspect of right T10 dermatome

AP generated by receptors in that segement

AP travels along axons to anterior ramus

AP travels to T10 spinal nerve

AP travels to T10 posterior root then to posterior rootlets

AP travels to posterior horn of spinal cord

27
Q

what nerve is made up from L2, L3 and L4

A

femoral nerve

28
Q

what is the other name for the anterior rami of T2-T11

A

intercostal nerves

29
Q

anterior rami of T12=?

A

subcostal nerve

30
Q

the area below T12 is supplied by what 2 nerves>

A

iliohypogastric and ilioinguinal nerves

31
Q

what supplies the skin of the anatomical snuff box?

A

radial nerve

32
Q

what nerve supplies the skin in the web between big toe and second toe

A

deep fibular nerve

33
Q

what nerve supplies sensory to the skin on the dorsum of the foot?

A

superficial fibular nerve

34
Q

what nerve supplies sensory to most of posterior thigh>?

A

posterior cutaneous nerve of thigh

35
Q

what nerve supplies deltoid and teres minor?

A

axillary nerve

36
Q

what nerve supplies muscles of anterior arm?

A

musculocutaneous

37
Q

what muscles supplues anterior forearm, thenar muscles and lumbricals 1+2

A

median nerve

38
Q

what nerve supplies the muscles of the posterior arm and posterior forearm

all extensors of carpus and digits and abbuctor pollicus longus

A

radial nerve

39
Q

what nerve supplies some of anterior forearm ( flexor carpis ulnaris and adductor pollicus and medial half od flexor pollicus longus), and hypothenar muscles and lumbrical 3+ 4 and ALL interossei muscles

A

ulnar nerve

40
Q

what nerve supplies lateral lower leg muscles

A

superficial fibular nerve

41
Q

what nerve supplies the muscles in anterior lower leg?

A

deep fibular nerve

42
Q

what nerve supples the quads, sartorius and pectineus

A

femoral nerve

43
Q

what is happening when a spinal nerve myotome is tested?

A

AP generated by voluntary intention in primary somatosensory cortex

AP conducted via UMN of axons of corticospinal tract

AP travels to anterior horn of L3 spinal cord

UMN synapses with L3 LMN

AP travels to either L3 postior or anterior ramus

AP via L3 anterior rami often weave through the lumar plexus via named nerve

APs reach neuro motor junction of supplied muscle

44
Q

what does this describe?

A

patellar tendon gets tapped

stretch applied to quads via quad tendon

quad muscle spindle inititiates AP in anterior rami axons of femoral nerve

AP conducted to dorsal horn of spinal cord

axons then synapse upon LMN that supply quads
AP then reaches NMJ of quads causing them to contracts and bend the knee