Lumbar Plexus and Autonomics Flashcards

1
Q

What kind of nerves make up the lumbar plexus?

What roots?

A

Ventral rami

T12-L4(L5)

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2
Q

Give the nerves of the lumbar plexus with roots:

A
Subcostal - T12
Iliohypogastric - T12, L1
Ilioinguinal - L1
Genitofemoral - L1, L2
Lateral femoral cutaneous - L2, L3
Obturator - L2-L4
Femoral L2-L4
Lumbosacral trunk - L4,L5

So Indecent Ian Gets Laid On Fridays Luckily

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3
Q

What controls the swallowing reflex?

A

PS axons

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4
Q

What makes up the abdominal aortic plexus?

What does it do?

A

Celiac, SM, IM plexuses

Autonomic control of digestion

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5
Q

What does the hypogastric plexus innervate?

What does this do?

A

Pelvic viscera

Autonomic control of urinary and reproductive function

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6
Q

Where are sympathetic preganglionic neuron cell bodies housed?

A

Lateral horn T1-L2

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7
Q

How do sympathetic axons travel?

A

With somatic motor neuron axons to exit the spinal cord and 1st enter the ant. Roots, then T1-L2 spinal nerves

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8
Q

Which axons are myelinated?

A

Pre-ganglionic (white ramus)

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9
Q

What structures use the spinal nerve pathway?

A
Blood vessels
Arrector pili (hair)
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10
Q

What structures use the postganglionic sympathetic nerve pathway?

A

Salivary gland in the mouth

Visceral effectors in the head

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11
Q

What structures use the postganglionic sympathetic nerve pathway?

A

Heart and lungs

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12
Q

Where does the synapse occur in the adrenal medulla pathway?

A

On the effector organ, NOT in the sympathetic trunk

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13
Q

What uses the splanchnic nerve pathway?

A

Small intestine and bladder

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14
Q

Are splanchnic nerves sympathetic or PS?

Name them, (5)

A

Sympathetic

Greater, lesser, least
Lumbar and sacral

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15
Q

Where do splanchnic nerves terminate?

A

Prevertebral (collateral) ganglia

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16
Q

What are the prevertebral ganglia?

Single or paired?

Located where?

A

Celiac, SM, and IM ganglia

Single

Abdominopelvic cavity

17
Q

Describe the effects of the PS system

A

Discrete and localized, can affect 1 of group of organs only

18
Q

What organs do PS pelvic splanchnic nerves innervate?

A
Distal large intestine
Rectum
Reproductive organs
Bladder
Distal ureters
Erection
19
Q

Where is visceral pain from the gall bladder located?

Cecum and appendix?

Stomach?

A

T6 right

T10-T12 right

T5-T9 left

20
Q

What do GVA travel with?

A

GVE

21
Q

What forms the anterior Vagal trunk?

What does it supply preganglionic fibers to?

A

Anterior esophageal plexus

Stomach, liver, gall bladder, duodenum, pancreas

22
Q

What forms the posterior Vagal trunk?

What does it supply preganglionic fibers with?

A

Posterior esophageal plexus

Stomach, intestines

23
Q

Sacral PS supply what?

Via what?

What spinal segments?

A

Hindgut

Pelvic splanchnic nerves

S2-4

24
Q

What muscles does the iliohypogastric nerve supply?

A

Ext oblique, int oblique, transversus abdominis

25
Q

What muscles does the subcostal nerve supply?

A

Ext, int, transv abdom, rectus abdom, pyramidalis

26
Q

Where does cancer in the testes metastasize to?

A

Brain and lungs