CH. 16 Spinal Cord and Spinal Nerves Flashcards

1
Q

What are the 5 parts of the spinal cord?

A
  1. Cervical part: superiormost region of spinal cord: contains motor neurons whose axons contribute to the cervica; spinal nerves and receives input from sensory neurons through these spinal nerves.
    2) Thoracic part: lies inferior to the cervical part; contains neurons for the thoracic spinal nerves
    3) Lumbar part: shorter segment of spinal cord that contains neurons for the lumbar spinal nerves
    4) Sacral part: lies inferior to the lumbar part and contains the neurons for the sacral spinal nerves
    5) Coccygeal part: most inferior tip of the spinal cord
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2
Q

What is the conus medullaris?

A

marks official end of the spinal cord proper; tapering inferior end of the spinal cord

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3
Q

What is the cauda equina and what strand of pia mater is located within it?

A

groups of axons inferior to conus medullaris that project inferiorly from the spinal cord;

filum tierminale is thin stand of pia mater that helps anchor the conus medullaris to the coccyx

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4
Q

What are the two longitudional grooves on the external surace of the spinal cord?

A

posterior median sulcus and anterior median sulcus

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5
Q

What spaces innervate the upper and lower limbs respectively?

A

cervical enlargement and lumbosacral enlargement

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6
Q

What are the structures that encircle the spinal cord from outermost to innermost?

A

vertebra, epidural space, dura mater, subdural space, arachnoid mater, subarachnoid space, and pia mater

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7
Q

What are the subdivisions of gray matter in the spinal cord?

A

1) Anterior horns: left and right anterior masses of gray matter that primarily house cell bodies of somatic motor neurons that innervate skeletal muscle
2) lateral horns: occur in the T1-L2 parts of spinal cord that contain cell bodies of autonomic motor neurons which innervate cardiac muscle, smooth muscle, and glands
3) posterior horns: left and right posterior masses of gray matter that contain axons of sensory neurons and cell bodies of interneurons
4) gray commissure: horizontal bar of gray matter that surround a narrow central canal that primarily contains unmyelinated axons and serves as a communication route between the right and left sides of gray matter

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8
Q

What are the groups of nuclei found in the gray matter of the spinal cord?

A

1) Sensory nuclei: located in the posterior horns and contain interneuron cell bodies

Somatic sensory nuclei: receive information from sensory receptor, such as pain or pressure receptors in the skin, and

Visceral sensory nuclei: receive information from sensory receptors such as the stretch receptors in the smooth muscle walls of viscera

2) Motor nuclei: anterior and lateral horns contain motor neuron cell bodies that send nerve impulses to muscles and glands

Somatic motor nuclei: in anterior horns innervate skeletal muscle and

Autonomic motor neurons: in lateral horns innervate smooth muscle, cardiac muscle, and glands

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9
Q

What are the 3 regions of white matter located in the spinal cord?

A

1) Posterior funiculus: lies between the posterior gray horns on the posterior side of the cord and posterior median sulcus
2) Lateral funiculus: white matter region on each lateral side of the spinal cord
3) Anterior funiculus: composed of tracts of white matter that occupy the space on each anterior side of the cord between the anterior gray horns and the anterior median fissure
- anterior funiculi arte interconnected by white commisure

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10
Q

What spinal nerve innervates the deep muscles of the back?

A

posterior ramus

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11
Q

What nerve innervates the anterior and lateral portions of the trunk, upper limbs, and lower limbs?

A

anterior ramus

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12
Q

How are nerve plexuses organized?

A

organized such that axons from each anterior ramus extends to body structures through several different branches; each terminal branch of the plexus houses axons from several different spinal nerves

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13
Q

What are the properties of a reflex?

A

■ A stimulus is required to initiate a reflex.
■ A rapid response requires that few neurons are involved and
synaptic delay is minimal.
■ A preprogrammed response occurs the same way every time.
■ An involuntary response requires no conscious intent or
preawareness of the reflex activity. Thus, reflexes are usually
not suppressed.

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14
Q

What are the five steps of a simple reflex arc?

A

1) Stimulus activates sensory receptor: sensory receptors respond to both external and internal stimuli
2) Nerve impulse tracels through sensory neuron to the CNS: sensory neurons conduct impulses from the receptor into the spinal cord
3) Information from nerve impulse is porcessed in integration center by interneurons: complex reflexes may use a number of interneurons with the CNS to integrate and process incoming sensory information and transmit information to a motor neuron - simple reflexes do not involve interneurons
4) Motor neuron transmits nerve impulse to effector: transmitted through anterior root of a motor neuron and then the spinal nerve to the peripheral effector organ
5) Effector responds to nerve impulse from motor neuron: effector is muscle or gland that responds to nerve impulse from motor neuron

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15
Q

What are the two ways in which reflex arcs may be termed?

A

Ipsilateral: when both receptor and effector organs of the reflex arc are on the same side of the spinal cord

Contralateral: when the sensory impulses from a receptor organ cross over through the spinal cord to activate offector organs in the opposite limb

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16
Q

How are reflexes termed based on the complexity of their processes?

A

Monosynaptic reflex: sensory axons synapse directly on the motor neurons

Polysynaptic reflexes: complex neural pthatways that exhibit a number of synapses involving interneurons withtin the reflex arc

17
Q

What are the common spinal reflexes?

A

1) Withdrawal (flexor) reflex: polysynaptic reflex arc that is initiated by a painful stimulus; stimulation of a receptor organ causes the transmission of sensory information to the spinal cord
2) Stretch reflex: monosynaptic reflex that monitors and regulates skeletal muscle length; when a stimulus results in the stretching of a muscle, that muscle reflectively contracts
3) Golgi tendon reflex: polysynaptic reflex that prevents skeletal muscles from tensing excessively

18
Q

What are the 3 ways in which reflex responses may be classified?

A

1) Hypoactive reflex: a reflex response is diminished or absent
2) Hyperactiove reflex: refers to an abnormally strong response
3) Normal

19
Q
A