Lecture 7 part two (SECOND MIDTERM) Flashcards

1
Q

The lower motor neurons send their axons out through where?

A

the ventral root

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2
Q

2 very basic types of reflex arcs:

A

Monosynaptic: one synapse
Polysynaptic: more than one synapse

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3
Q

Example of monosynaptic reflex arc and of polysynaptic reflex arcs:

A

mono: stretch reflex
poly: withdrawal reflex (flexor reflex) and crossed extensor reflex

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4
Q

Stretch reflex:

A

stretches receptors inside of the muscle; signal is carried through by somatic afferent neuron and it goes directly to the motor nuclei; will contract the muscle in defense

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5
Q

Stretch reflex muscles and main nerves associated with them:

A
Biceps: C5, C6
Brachioradialis: C6
Triceps: C7
Patellar: L4
Calcaneal Tendon: S1
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6
Q

A patient has no patellar stretch reflex. Where is the damage?

A

L4

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7
Q

What do interneurons do? Where are they located?

A
  • they distribute sensory information and coordinate motor activity
  • located between sensory and motor nerves
  • the more complex the response to a given stimulus, the more interneurons are involved!
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8
Q

The 2 different types of signals being sent in withdrawal reflex (flexor reflex) and cross extensor reflex:

A

inhibitory

excitatory

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9
Q

In a cross extensor reflex, a motor response to the stimulus also occurs where?

A

on a side opposite the stimulus

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10
Q

The protective coverings of the nerves are known as…

A

meninges

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11
Q

3 meninges from outer to inner:

A
dura mater (tough mother)
arachnoid mater (spider mother)
pia mater (soft mother)
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12
Q

The meninges only exist where?

A

around the CNS

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13
Q

The pia mater has little extensions coming off called…

What do they do?

A

denticulate ligaments

-prevents spinal cord by moving around and slamming against vertebral column

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14
Q

The nerve and nerve roots get “dragged” in what direction?

A

caudal (inferior)

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15
Q

Bones continue to grow, but what stops growing? What also keeps growing?

A
  • the central nervous system stops growing

- the peripheral nervous system keeps growing

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16
Q

Where the spinal column and spinal cord taper off, it is called…

A

the conis medullaris

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17
Q

The conis medullaris has this little “piece” of connective tissue coming all the way down and anchoring it at the very end of the meninges; where the dura ends, what anchors the conis medullaris?

A
filum terminale (terminal thread)
(prevents movement and damage to spinal cord)
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18
Q

The portion with all of the nerve roots that contributes to the spinal nerves emerging after is called what?

A

cauda equina

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19
Q

What is the specific bilateral region of the skin surface monitored by a single pair of spinal nerves?

A

dermatome

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20
Q

A complex interwoven network of nerves is called a…

A

nerve plexus

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21
Q

What are the only rami involved in the nerve plexus for our limbs?

A

ventral rami

22
Q

Your limbs only develop from what region?

23
Q

Because your limbs only develop from the hypaxial region, they get their nerve innervation from…

A

ventral rami

24
Q

Usually how many segments combine to form a limb?

25
Dorsal divisions serve what muscles? Ventral divisions?
Dorsal: dorsal muscles (extensors, elevators) Ventral: ventral muscles (flexors, depressors)
26
In the Lumbosacral plexus... | Cranial division:
L2, L3, L4
27
In the Lumbosacral plexus... | Caudal division:
L5, S1, S2
28
When you combine the peroneal (fibular) nerve and tibial nerve, it forms one single nerve called...
the sciatic nerve
29
Femoral nerve.. | Roots and selected muscles
L2, L3, L4 | Hip flexors, quadriceps
30
Obturator nerve... | Roots and selected muscles
L3, L4 | Adductors
31
Peroneal nerve... | Roots and selected muscles
L4, L5 | Tibialis anterior
32
Superior gluteal nerve... | Roots and selected muscles
L4, L5, S1 | Gluteus medius and gluteus minimus
33
Tibial nerve... | Roots and selected muscles
S1, S2 | Gastrocnemius
34
``` In the Brachial plexus... Segmental roots: Trunks: Divisions: Cords: Terminal nerves: ```
Segmental roots: C4, C5, C6, C7, C8, T1 Trunks: Superior, middle, inferior Divisions: each of the 3 trunks divides into dorsal or ventral Cords: posterior (dorsal divisions) and lateral & medial (ventral divisions) Terminal nerves: posterior cord = axillary nerve, radial nerve. lateral & medial cords = musculocutaneous nerve, median nerve, ulnar nerve
35
In the Brachial plexus, a "root" can mean...
a spinal nerve which is contributing to the formation of a plexus
36
Axillary nerve... | Roots and selected muscles
C5, C6 | Deltoid, long head of triceps brachii
37
Musculocutaneous nerve... | Roots and selected muscles
C5, C6 | Biceps brachii, brachioradialis
38
Radial nerve... | Roots and selected muscles
C7, C8 | Other triceps heads, extensors
39
Median nerve... | Roots and selected muscles
C8, T1 | Most wrist flexors, radial side digital flexors
40
Ulnar nerve... | Roots and selected muscles
C8, T1 | Ulnar side wrist and digital flexors
41
The lateral cord and medial cord combine into what?
the median nerve
42
Basic concept... Paresis: Plegia:
Paresis: weakness Plegia: paralyzed
43
Quadriplegia: Paraplegia: Hemiplegia: Monoplegia:
Quadriplegia: all 4 limbs are paralyzed Paraplegia: lower limbs are paralyzed Hemiplegia: one side is paralyzed Monoplegia: one limb is paralyzed
44
Lower motor neuron lesion characteristics:
- Atrophy (because of the lack of nutrition; trophic factors) - Hypotonia: lost of lower reflexes; flaccid - Hyporeflexia: don't show the reflex - Tends to affect small groups of muscle
45
Damage to peroneal nerve could be from damage of what? or what nerve root? What is a sign?
- Trauma to knee or fibula - Nerve root L4, L5, S1 lesion - Foot drop, toe drag (equine gait, stoppage gait, slapping gait
46
Damage to superior gluteal nerve could be from damage of what? What is a sign?
- Trauma to buttocks (stabbing, intramuscular injection) | - Hip drop (waddling gait)
47
What is Saturday night palsy (crutch palsy) is a result from damage of what? What is a sign?
- Damage to radial nerve | - Wrist drop, inability to extend arm
48
Upper motor neuron lesion characteristics:
- Atrophy is RARE - Hypertonia: contant contraction; rigid & tight (spasticity = quick very strong stretch reflex. Clonus = stretches and locks in place) - Hyperreflexia: reflexes are stronger - Tends to affect large groups of muscle - Muscles working against gravity are stronger (pointing toes, upper limb flexors, lower limb extensors)
49
What may be the cause of circumduction gait (hemiparesis)? Signs?
- May be due to stroke, or even lesion in cervical spinal cord that affects one side - Leg extensors are hypertonic, difficult to flex knee and raise toes
50
What may be the cause of scissors gait (paraparesis)? Signs?
- May be due to trauma in thoracic region or cerebral palsy | - Leg extensors are hypertonic, difficult to flex knees and raise toes