NERVES Flashcards

1
Q

In what from do the somatic nerves initially emerge from the spinal cord

A

As a sensory dorsal and motor ventral nerve root

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2
Q

Where do the sensory dorsal and motor ventral nerve root meet and come together

A

The intervertebral foreamen

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3
Q

What do sensory dorsal and motor ventral nerve root create when they meet at the intervertebral foreamen

A

A mixed spinal nerve

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4
Q

Where does the mixed spinal nerve exit from

A

The Intervertebral foreamen

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5
Q

What does the mixed spinal nerve branch into after it exits from the intervertebral foreamen

A

A dorsal and ventral ramus

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6
Q

What does ramus stand for in anatomical terms

A

A branch

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7
Q

What does the ventral ramus supply

A

Skin
Muscles
Bones of anterolateral skeleton
upper and lower limbs

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8
Q

What does the dorsal ramus supply

A

The posterior side of the trunk

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9
Q

What does the dorsal root carry?

A

Sensory (afferent) fibres

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10
Q

What does the ventral root carry?

A

Motor (efferent) fibres

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11
Q

What does the mixed spinal nerve carry?

A

Both motor and sensory fibres

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12
Q

What does the dorsal and ventral rami carry?

A

Both motor and sensory fibres

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13
Q

In what direction does the dorsal ramus pass out of each spinal level

A

Posteriorly

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14
Q

What organs does the dorsal ramus supply?

A

Muscle of back and skin of back

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15
Q

In what direction does the ventral ramus pass out of each spinal level

A

Laterally and then anteriorly

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16
Q

What organs does the ventral ramus supply?

A
Anterolateral thoracic (intercostal) 
Abdominal walll (oblique muscles and rectus abdominis)
Skin overlying these muscles
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17
Q

What are the ventral rami that supply the intercostal muscles known as?

A

Intercostal nerves

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18
Q

What intercostal nerves lies below rib 7

A

The 7th intercostal nerves

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19
Q

Where does the 4th intercostal nerve lie in relation to the 4th rib

A

Below it in the intercostal groove

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20
Q

How many ribs are there?

A

12

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21
Q

How many intercostal nerves are there?

A

12

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22
Q

What spinal level supplies the lower 6 intercostal nerves

A

T7-T12

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23
Q

What do the lower 6 intercostal nerves supply

A

The bottom 6 ribs

The muscles of the anterior abdominal wall

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24
Q

What runs through each costal groove

A

Vein
Artery
Nerve

25
What is the T12 rib also called
The subcostal nerve
26
What is a cutaneous nerve
Nerves to the skin (sensory to skin)
27
What plexus do the cutaneous nerves of the arm arise from?
The brachial plexus
28
Define a dermatome
The joined up strip of skin supplied by fibres coming from only one single spinal nerve.
29
Is a dermatome a nerve ?
NO! | It is a strip of skin
30
What is narrower - a dermatome or a cutaneous nerve?
A dermatome
31
Why are dermatomes useful clinically?
They help pinpoint the exact spinal nerve fibre that is responsible for a cutaneous nerve mis-functioning
32
What dermatome supplies the ear?
C3
33
What dermatome supplies the thumb
C6
34
What dermatome supplies the index and middle finger?
C7
35
What dermatome supples the medial forearm, ring finger and pinky
C8
36
What dermatome supplies the lateral arm
C6
37
What dermatome supplies the medial upper arm
T1
38
What dermatome supplies the central portion of the arm
C5
39
What is a cutaneous field?
an area of skin supplied by sensory neurons from a single peripheral nerve. It may be distributed to more than one spinal cord level
40
What happens to sensation in a dermatome if the ventral ramus is badly damaged
Complete loss of sensation in dermatome
41
What happens to sensation if you damage a peripheral nerve?
You lose sensation in the entire cutaneous filed
42
What do the dermatomes of the trunk relate to?
The intercostal spaces of the thorax
43
What joint occurs in the midline of the trunk at dermatome T2
Sterno-costal joints
44
What feature is found at dermatome T4
Nipple
45
What feature is found at dermatome T10
Belly button (umbilicus)
46
What dermatome is the nipple found in
T4
47
What dermatome is the belly button found in
T10
48
What dermatome layer is the Xiphoid process in
T5
49
What dermatome layer is the costal margin in?
T8
50
What is the endonerium
A layer of delicate connective tissue around the myelin sheath of each nerve fibre
51
What secretes myelin in the peripheral nervous system
Schwan cells
52
What secretes myelin the the central nervous system
Oligodendrocytes
53
What is a perineurium
A protective sheath that surrounds each fascicle in the nerve
54
If multiple fascicles are bundled together and are supplied by its own blood supply and fatty tissue - what is it called?
Epineurium
55
Where is a Schwann cell located?
Schwann cell nuclei are located on the outside of the sheath
56
What is a myotome?
A region of skeletal muscle innervated by a single nerve or spinal cord level?
57
A what dermatome level do pain fibres from the heart enter?
T1-T4
58
At what dermatome level do pain fibres from the appendix enter?
T10