Exam 3: Thoracic Spinal Nerves Flashcards

1
Q

How many nerve pairs are in the thoracic spinal nerves

A

12 pairs of thoracic nerve roots

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2
Q

Which division (ant or post primary ramus) divides into a medial and lateral branch

A

Posterior primary ramus

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3
Q

What muscles are supplies by the medial branches of the posterior primary ramus

A

Semispinalis (upper 6), longissimus (lower 6), multifidi

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4
Q

What sensory supply is from the medial branch of the posterior primary ramus

A

Sensory supplies skin paraspinally

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5
Q

What branches increase in size from superior to inferior

A

Lateral branches of posterior primary ramus

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6
Q

What muscles are supplied by lateral branches of the posterior primary ramus

A

Longissimus, iliocostalis, levator costarum

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7
Q

Where do the lateral branches of the posterior primary rami provide sensory info to

A

Sensory supply to skin near costal angles

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8
Q

What course do the anterior primary rami follow

A

Course of the rib above the nerve

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9
Q

The anterior primary ramus of T 1 contributes to what

A

The brachial plexus, small branch forms the first intercostal nerve

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10
Q

What nerve is contributed to from the anterior primary rami of T2 and T1 sometimes

A

Intercosotobrachial nerve

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11
Q

Each intercostal nerve gives off what that divides into anterior and posterior branches and what does it supply

A

Lateral cutaneous branch supplies the overlying skin (back to costal angle)

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12
Q

Where do intercostal nerves terminate and what do they supply

A

They terminate as anterior cutaneous branches that supply skin close to the midline

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13
Q

Intercostal nerves course along their adjacent ribs giving off muscular branches to supply what?

A

Internal, external, innermost intercostals/ serratus post/ transversus thoracis and others 7-11

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14
Q

Intercostal nerves 7-11 course along adjacent ribs to supply what specifically along with the other muscles of intercostal nerves

A

Transverse abdominal, internal abdominal oblique, external abdominal oblique, rectus abdominus (TIRE)

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15
Q

Besides musculature what else do intercostal nerves supply

A

Adjacent blood vessels, bones, joints, and ligaments

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16
Q

What nerve is the largest of the thoracic nerves and where is it from?

A

Subcostal nerve from T12

17
Q

What else does the subcostal nerve contribute to besides normal intercostal nerve innervations

A

Contributes to lumbar plexus and can supply skin as far inferior as the superior buttocks

18
Q

What is another name for the subcostal nerve supplying skin to superior buttocks

A

Cluneal nerves

19
Q

Each thoracic nerve communicates with _____ by way of both _____ and ____ communicans

A

Sympathetic trunk/white/gray

20
Q

What is the difference in location between gray and white communicans

A

Gray ramus is medial and at all 12 levels (postgang symp nonmyelinated), white ramus is more lateral and only located at T1-L2 (pregang symp. Myelinated fibers)