Lectures 12 & 13 Flashcards

1
Q

three branches of the PNS once exiting the vertebral column

A

dorsal root ganglion, dorsal ramus, ventral ramus

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2
Q

types of axons in the spinal cord

A
  • 50% sensory (afferent)
  • 40% postganglionic sympathetic (autonomic efferent)
  • 10% motor (voluntary efferent)
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3
Q

purpose of myelinated vs unmyelinated axons

A

myelinated: motor, touch, pressure and propreoception
unmyelinated: pain, temperature

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4
Q

3 main arteries in the spine

A
  • posterior spinal artery
  • radicular arteries
  • anterior spinal artery
    (image 3)
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5
Q

spinal levels

A
  • cervical (8)
  • thoracic (12)
  • lumbar (5)
  • sacral (5)
  • coccygeal (none)
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6
Q

which is longer, the spinal cord or the vetebral canal? (image 4)

A

vertebral canal, spinal cord ends at L2 but nerve roots extend further via cauda equina

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7
Q

3 spinal nerve groups (image 5)

A
  • brachial plexus (C5 - T1) M + S to upper limbs
  • intercostal nerves (T1 - T12) M + S to body wall
  • lumbosacral plexus (L2 - S4) M + S to lower limbs
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8
Q

types of sensation

A

quantitative
- mechanoreception (touch and pressure)
- propreoception (location)
qualitative
- thermoreception (temperature)
- nocioception (pain)

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9
Q

what do free nerve endings sense?

A

pain and temperature

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10
Q

what do corpuscles sense?

A

pressure and touch

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11
Q

what senses propreoception in muscles?

A

muscle spindles (eg: tendon organ)

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12
Q

differences in the afferents for each type of sensory nerve

A

nocioception + thermoreception
- small, little myelin
mechanoreception
- medium, light-heavy myelin
propreoception
- large, heavy myelin

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13
Q

Monosynaptic reflex arc

A

stimulus (in kneecap for example) lengthens the muscle splindles, sends message to afferent neuron, sends message to motor(efferent) neurons (contracts quad and relaxes hamstring) also sends message to thalamus

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14
Q

Crossed-extensor reflex

A

painful stimulus activates nociceptor (afferent), withdrawal relflex triggered by motor neurons (efferent) activates both sides of the body (eg: lifting leg requires muscle contraction in both legs), also sense message to thalamus

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15
Q

hypergalesia

A

painful stimuli feel more intense than they should

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16
Q

allogynia

A

non-painful stimuli (light touch) feel painful

17
Q

Endogenous pain control

A

rubbing an injured area activates inhibitory interneurons within the spinal cord

18
Q

Exogenous pain control

A

NSAIDS (peripheral): reduce prostaglandin production
Opioids (central): block Ca+ entry and open K+ channels