Labs 7-11: Practical Exam 2 Flashcards
VI
- Nerve name
- Nerve type(s)
- Function(s)
- Abducens n.
- Motor
- Allows eye to be abducted; eye movement (lateral vision)
- Sense body position
XI
- Nerve name
- Nerve type(s)
- Function(s)
- Accessory n.
- Motor
- Head, neck, and shoulders
- Innervation to 2 muscles
- Sternocleidomastoid
- Trapezius

Adductor longus

Adductor longus

Adductor magnus

Adductor magnus

Arbor vitae
Astigmatism
Blurred vision caused by irregular shaped cornea or lens
Audiometer
Instrument to measure hearing

Auditory tube

Auditory tube

Auditory tube
Autonomic reflex pathways
- Cardiac muscle, smooth muscle, or glands
- Generally not consciously aware of the reflex
- Examples: digestion, sweating, hormone release, dilation/contraction of blood vessels

Biceps brachii

Biceps brachii (anterior)

biceps femoris

Biceps femoris (2)

Biceps femoris
Biceps jerk reflex
- Used to evaluate the function of level C5 and C6 spinal nerves
Blindspot
- Created by the optic disc
- Occur because there are no visual receptor cells at the point where the optic nerve connects with the retina

Brachialis

Brachialis (anterior)

Brachioradialis

Brachioradialis (anterior)



Brain stem
Calcaneal (Achilles or Ankle Jerk) reflex
- Evaluates the S1 and S2 levels of the spinal cord

Cardiac muscle

Cardiac muscle

Cerebellum

Cerebral aqueduct
Cerebrospinal fluid
The fluid in and around the brain and spinal cord

Cerebrum
Chemoreception
Detection of chemical stimuli, perceived as smell and taste

Choroid

Choroid

Choroid

Ciliary body

Cochlea

Cochlea
Color deficiency (aka color blindness)
- Decreased ability to perceive some colors in ambient light
- In the retina, the color receptors are 3 cones that detect red, blue, & green light
- The most common type causes difficulty in distinguishing yellow, red, and green from each other; known as red-green color blindness

Cornea

Corpus callosum
Cranial nerves
- Motor
- Sensory
- Mixed
- Motor
- III (Oculomotor)
- IV (Trochlear)
- VI (Abducens)
- XI (Accessory)
- XII (Hypoglossal)
- Sensory
- I (Olfactory)
- II (Optic)
- VIII (Vestibulocochlear)
- Mixed
- V (Trigeminal)
- VII (Facial)
- IX (Glossopharyngeal)
- X (Vagus)



Deltoid (anterior)

Diencephalon


Electromyography (EMG)
- Records the voltage produced by skeletal muscle contraction and active motor units in a muscle

Extensor carpi radialis brevis (posterior)

Extensor carpi radialis longus (posterior)

Extensor carpi ulnaris (posterior)

Extensor digiti minimi (posterior)

Extensor digitorum (posterior)

Extensor indicis (posterior)

Extensor pollicis brevis (posterior)

Extensor pollicis longus (posterior)

Extensors

External abdominal oblique

External abdominal oblique

External auditory meatus

External auditory meatus

External intercostals

External intercostals (anterior)

Extrinsic eye muscles

Extrinsic eye muscles
VII
- Nerve name
- Nerve type(s)
- Function(s)
- Facial n.
- Mixed
- Motor
- Facial expression, lacrimation, mucous secretion, salivation, taste
- Facial muscles
- Secretion from salivary, tear, nasal, & palatine glands
- Sensory
- Taste on anterior 2/3 of tongue
- Hearing, general sensation in inner ear
- Motor

Flexor carpi radialis (anterior)

Flexor digitorum profundus (anterior)

Flexor digitorum superficialis (anterior)

Flexor pollicis longus (anterior)

Flexors
Muscle fatigue
Force decreases over time as the number of motor units decreases

Fourth ventricle
Frequency
- Pitch
- Measured in hertz

Frontal lobe

Gastrocnemius

Gastrocnemius
General senses
- Receptors dispersed throughout the skin, organs, muscles, and joints
- Some include:
- Pain
- Pressure
- Stretch
- Temperature
- Touch
- Vibration

Glenohumeral joint
IX
- Nerve name
- Nerve type(s)
- Function(s)
- Glossopharyngeal n.
- Mixed
- Motor
- Salivation
- Swallowing
- Taste
- Sensory
- Sensations from posterior 1/3 of tongue
- Reflexes of BP & respiration
- Inner ear, upper pharynx
- Motor

Gluteus maximus

Gluteus maximus

Gluteus medius

Gluteus medius

Gracilis

Gracilis
Gustation
Sense of taste

Gyrus



Humeroulnar joint
XII
- Nerve name
- Nerve type(s)
- Function(s)
- Hypoglossal n.
- Motor
- Tongue movements for speech, food manipulation, & swallowing

Incus

Incus
Intensity
Loudness, decibels

Internal abdominal oblique

Internal abdominal oblique

Internal intercostals

Internal intercostals (anterior)

Iris

Iris

Latissimus dorsi

Latissimus dorsi


Lens

Lens

Linea alba

Linea alba

Longitudinal fissure




Macula
- Area of sharpest vision (greatest visual acuity)
- Critical to central vision
- Largest concentration of cones

Malleus

Masseter (lateral)

Medulla oblongata
Meninges
- Three protective membranes that surround the brain and spinal cord
- Layers
- Pia mater: innermost layer
- Arachnoid mater: middle layer
- Dura mater: outermost layer
Monosynaptic reflex
- Description
- Examples
- When the afferent (sensory) neuron sends its signal directly to an efferent (motor) neuron. There is no interneuron present in the arc
- Examples:
- Biceps brachii reflex
- Triceps brachii reflex
- Patellar reflex
- Calcaneal reflex
- Plantar reflex
Motor unit
- Made up of a motor neuron and the skeletal muscle fibers innervated by that motor neuron’s axonal terminals
Motor unit recruitment
The addition of motor units to increase the overall contraction strength of a muscle.


Near point of vision
Closest point on which the eye can focus


Nervous system cells
- Neurons (nerve cells)
- Neuroglia (supporting cells)
Nervous system components
- Central nervous system (CNS) composed of the brain and spinal cord
- Peripheral nervous system (PNS) composed of the cranial and spinal nerves

Occipital lobe
III
- Nerve name
- Nerve type(s)
- Function(s)
- Oculomotor n.
- Motor
- Turn the eyeball up, down, and medially
- Iris, lens, and upper eyelid
- Pupillary constriction, lens accommodation
- Sense body position
Olfactory adaptation
Temporary inability to distinguish a particular odor after a prolonged exposure to that odor

Olfactory bulb
I
- Nerve name
- Nerve type(s)
- Function(s)
- Olfactory n.
- Sensory
- Sense of smell

Optic chiasm
II
- Nerve name
- Nerve type(s)
- Function(s)
- Optic n.
- Sensory
- Vision

Optic nerve

Optic nerve

Optic nerve

Optic nerve

Orbicularis oculi

Orbicularis oculi (anterior)

Orbicularis oris

Orbicularis oris (anterior)

Parietal lobe
Patellar reflex (knee jerk)
- Used to evaluate the function of the L2, L3, and L4 levels of the spinal cord

Pectoralis major

Pectoralis major (anterior)

Pectoralis minor

Pectoralis minor (anterior)
Peripheral vision
Ability to see objects as they come into the outer edges of the visual field

Pineal body

Pinna

Pinna / Auricle

Piriformis

Piriformis

pituitary gland
Plantar reflex
- Evaluates the function of the S1 and S2 levels of the spinal cord.

Platysma (anterior)
Polysynaptic reflex
- When there is an interneuron present in the reflex arc

Pons

Pupil

Pupil
Reading an EMG


Rectus abdominis

Rectus abdominis

Rectus femoris

Rectus femoris
Reflex arc components
- Receptor: detects the stimulus
- Sensory neuron: carries the signal from the periphery to the CNS
- Interneuron: relays the signal within the CNS
- Motor neuron: carries a signal from the CNS
- Effector: responds to the motor neuron signal
Reflex classifications
- Somatic
- Autonomic
Reflex hammer

- Broad flat side: normally used to tap on tendons or ligaments directly. We use this side for patellar, calcaneal, and triceps reflex tests.
- Pointed side: used to touch a finger that is placed over a structure of the body. In this simulation, you will place your thumb on the biceps tendon and strike with the pointed side to test the biceps brachii reflex
- Tapered metallic tip: used to touch and move over areas of skin. We use it to trigger the plantar reflex
Reflexes
- How are they triggered?
- Describe speed and control
- Components
- Triggered by a stimulus and result in a predictable response
- Fast and involuntary, which means we are not aware and not in control
- Components
- Receptor: detects the stimulus
- Afferent (sensory) neuron: conducts the signal from the receptor to the spinal cord
- Interneuron: receives the signal (if a polysynaptic reflex)
- Efferent (motor) neuron: receives a signal and carries it to the effector
- Effector: executes the response of the reflex

Retina

Sartorius

Sartorius

Scalene

Scalene (anterior)

Sciatic nerve

Sclera

Sclera

Sclera

Semicircular canals

Semicircular canals

Semicircular canals

Semimembranosus

Semimembranosus

Semitendinosus

Semitendinosus

Serratus anterior

Serratus anterior

Skeletal muscle

Skeletal muscle

Smooth muscle

Soleus

Soleus
Somatic reflex pathways
- Description
- Example
- Reflexes in the skeletal muscles
- Individual is typically aware or conscious that the reflex action is occurring
- Example: knee jerk reflex
Special senses
- Concentrated in the head, and each type is associated with a sensory organ
- They include:
- Vision
- Hearing
- Smell
- Balance
- Taste



Stapes

Stapes
Stereoscopic vision
- Combination of two retinal images giving a three-dimensional perceptual view

Sternocleidomastoid

Sternocleidomastoid (anterior)
Stretch reflexes
- Not learned; pre-programmed
- They do not change but can be overridden by the central nervous system

Sulci

Temporal lobe

Temporalis

Temporalis (lateral)

Tensor fasciae latae

Tensor fasciae latae

Third ventricle

Tibialis anterior

Tibialis anterior

Tibiofemoral joint

Tibiofibulotalar joint
Time to fatigue
- The amount of time it takes for a muscle contraction to decrease to 50% maximum strength
Time to fatigue

- 48 kg (force) / 2 (time to reach 50%) = 24
- 24 kg reached at 60 seconds

Transverse abdominis

Transverse abdominis

Trapezius

Trapezius


Triceps brachii

Triceps brachii (posterior)
Triceps reflex
- Used to evaluate the C7 and C8 spinal nerves
V
- Nerve name
- Nerve type(s)
- Function(s)
- Trigeminal n.
- Mixed
- Face pain
- Chewing, tenses tympanic membrane and soft palate, general sensation in scalp, face, tongue, teeth
- 3 divisions
- Opthalmic
- Maxillary
- Mandibular
IV
- Nerve name
- Nerve type(s)
- Function(s)
- Trochlear n.
- Motor
- Eye movement (superior oblique muscle)
- Sense body position

Tympanic membrane

Tympanic membrane




X
- Nerve name
- Nerve type(s)
- Function(s)
- Vagus n.
- Mixed
- Motor
- Swallowing & gag reflexes
- Gland secretion
- Peristalsis
- Speech
- Taste
- Slows heart rate
- Sensory
- Taste buds & epiglottis
- General sensation in outer ear
- Thoracic and abdominal sensation
- Motor

Vastus intermedius

Vastus lateralis

Vastus lateralis

Vastus medialis

Vastus medius


VIII
- Nerve name
- Nerve type(s)
- Function(s)
- Vestibulocochlear n.
- Sensory
- Hearing (cochlear)
- Equilibrium (vestibular)
Visual acuity
Distinguish between two closely spaced objects

Vitreous humor

Vitreous humor
What does EMG stand for?
Electromyography
What does EMG study?
Electrical activity in skeletal muscles
What happens when a skeletal muscle contracts?
- The chemical environment inside the muscle fibers begins to become less favorable for contraction
- This leads to a weakening of the muscle contraction called muscle fatigue. The exact mechanism of the phenomenon is not known
Which part of the reflex hammer will you use to test the triceps reflex?
- The broad rubber side
- It is used when striking a tendon or ligament directly
Which part of the reflex hammer will you use to test the patellar reflex?
- The broad rubber side
Which part of the reflex hammer will you use to test the calcaneal reflex?
- The broad rubber side
Which part of the reflex hammer will you use to test the biceps reflex?
- Use the pointed rubber side to strike the thumb while it touches the biceps tendon
Which part of the reflex hammer will you use to test the plantar reflex?
- The metallic tip
Why are reflex responses useful for clinical evaluations of nerve function?
Failure of a reflex response may indicate damage along the neural pathway, typically in the tracts of the spinal cord or in the peripheral nerves.
Why would decreased availability of ACh lead to muscle fatigue?
- The nervous system requires Acetylcholine (ACh) to allow muscles to work
- Insufficient ACh levels result in muscle weakness that worsen with exertion
- The muscles may work for a while, then exhaust their supply of ACh, leading to fatigue
- This is because there is a break in the chain of events in muscular contraction