Nervous System Flashcards

1
Q

What is the CNS encased in?

A

The CNS (brain and spinal cord) is encased in connective tissue layers, the meninges, but CNS tissue contains very little collagen, making it soft and easily damaged by injuries.

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2
Q

What does white matter contain?

A

White matter includes myelinated axons, often grouped together as tracts, and the myelin-producing oligodendrocytes.

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3
Q

What does gray matter contain?

A

Gray matter contains abundant neuronal cell bodies, dendrites, astrocytes, and microglial cells, and is where most synapses occur.

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4
Q

The major structures of the CNS

A

The major structures
comprising the CNS are the cerebrum, cerebellum, spinal cord, and brain stem

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5
Q

Nerve cell bodies of the CNS

A

Nucleus (mostly brain)

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6
Q

Nerve cell bodies of the PNS

A

Ganglion

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7
Q

Nerve cell fibers of the CNS

A

Tract (mostly spinal cord)

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8
Q

Nerve cell fibers of the PNS

A

Nerve

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9
Q

The major structures of the PNS

A

Cranial nerves, spinal nerves, and ganglia

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10
Q

Cauda Equina

A

The long bundle of nerves that extend to form lumbar, coccygeal, and sacral spinal nerves.

Clinically important because of lumbar punctures (spinal tap) used to access subarachnoid space

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11
Q

The two anterior projections (horns) of gray matter in the spinal cord

A

Contain cell bodies of motor neurons whose axons make up the ventral roots of spinal nerves.

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12
Q

The two posterior projections (horns) of gray matter in the spinal cord

A

Contain interneurons which receive sensory fibers from neurons in the spinal
(dorsal root) ganglia.

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13
Q

What does the central canal develop from?

A

Near the middle of the cord the gray matter surrounds a
small central canal, which develops from the lumen of
the neural tube, is continuous with the ventricles of the brain, is lined by ependymal cells, and contains CSF

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14
Q

The dorsal root of spinal
cord contains what fibers?

A

The dorsal root of spinal
cord has only sensory
fibers.

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15
Q

The ventral root of spinal
cord contains what fibers?

A

The ventral root has only
motor fibers.

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16
Q

What do the fibers of the dorsal and ventral roots become?

A
The fibers of the dorsal and 
ventral roots mix together, 
and then divide distally into 
the posterior (dorsal) ramus 
and anterior (ventral) ramus. Each ramus has a mixture of sensory and motor fibers.
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17
Q

Meningeal layers

A

Dura mater (most external), Arachnoid, Pia mater (most internal)

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18
Q

What is in the subarachnoid space?

A

CSF

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19
Q

Extradural or Epidural Hermatoma

A

Blood from torn branches of a middle meningeal
artery collects between the external periosteal layer of the dura and the skull bones, usually after a blow to the head.

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20
Q

Dural border or Subdural Hematoma

A

Classically is called a subdural hematoma; however, this term is a misnomer because there is no naturally occurring space at the dura-arachnoid junction. The “space” is called a potential space. The blood creates a
space at the dura-arachnoid junction.

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21
Q

Subarachnoid hemorrhage

A
An extravasation (escape) of blood, usually arterial, 
into the subarachnoid space, where CSF is found.
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22
Q

Blood-brain Barrier (BBB)

A

Allows very tight control of the passage of substances from blood into the CSF of the CNS. It is extremely important clinically because it blocks or slows down the transport of many types of
drugs, such as those that might be used to treat Alzheimer’s, Parkinson’s
Disease and brain cancer, into the brain.

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23
Q

Choroid Plexus

A

Removes water from blood and releases it as the CSF (cerebrospinal fluid); in this sense, it “produces” CSF.

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24
Q

Choroid Plexus location and composition

A

The choroid plexus consists of folds of highly vascular tissue, projecting into the large ventricles of the brain. Ependyma and vascularized pia mater

It is found in the roofs of the third and fourth ventricles and in
parts of the two lateral ventricular walls.

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25
Q

Node of Ranvier (or nodal gap)

A

The gap between two
Schwann cells.

These regions are uninsulated and but rich in ion channels, allowing them
to regenerate the action
potential.

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26
Q

Endoneurium

A

Surround axons and Schwan cells

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27
Q

Perineurium

A

Surrounds fascicles or bundles of nerve fibers

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28
Q

Epineurium

A

Surrounds multiple fascicles of nerve fibers.

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29
Q

Ascending Tracts (Afferent/Sensory)

A

Conscious tracts – The dorsal column-medial lemniscal pathway and the anterolateral system,
for touch and some types of proprioception.

Unconscious tracts – The spinocerebellar tracts, for muscle proprioception.

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30
Q

Dorsal column–medial lemniscus pathway (DCML)

A

Conveys sensations of fine touch, vibration, two-point discrimination, and proprioception (position) from the skin and joints.

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31
Q

Spinothalamic tract (part of the anterolateral system)

A

The spinothalamic tract consists of two pathways: anterior and lateral. The anterior spinothalamic tract
carries information about crude touch. The lateral spinothalamic tract conveys pain and temperature.

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32
Q

Spinocerebellar tracts

A

Carry unconscious proprioceptive information from the muscles to the
cerebellum. We cannot mentally acknowledge these signals, but they help the brain coordinate and refine motor actions.

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33
Q

Somatosensory Cortex of the brain

A

Postcentral Gyrus

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34
Q

Somatomotor Cortex of the brain

A

Precentral Gyrus

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35
Q

Descending Tracts (Efferent/Motor)

A

Pyramidal tracts and Extrapyramidal tracts

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36
Q

Pyramidal tracts

A

Originate in the cerebral cortex, carrying motor fibers to the spinal cord
and brain stem. They are responsible for the voluntary control of the musculature of the
body and face.

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37
Q

Extrapyramidal tracts

A

Originate in the brain stem, carrying motor fibers to the spinal cord. They are responsible for the involuntary and automatic control of all musculature, such as muscle tone, balance, posture and movement.

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38
Q

Autonomic Nervous System (ANS)

A

It is structurally a division of the peripheral nervous
system that supplies smooth muscle and glands,
and influences the function of internal organs.

It is functionally a system that acts unconsciously
to regulate “visceral” bodily functions.

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39
Q

Two divisions of ANS

A

Sympathetic and Parasympathetic

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40
Q

Parasympathetic Nervous System

A

A division of the ANS used for “rest-and-digest” or “feed-and-breed.”

Structure: The parasympathetic division has craniosacral “outflow,” meaning that the neurons begin at the cranial nerves (ie, the oculomotor nerve, facial nerve, glossopharyngeal nerve
and vagus nerve) and sacral (S2-S4) spinal cord.

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41
Q

Sympathetic Nervous System

A

A division of the ANS used for “fight-or-flight-or-freeze.”

Structure: The sympathetic division has thoracolumbar
“outflow,” emerging from the spinal cord in the thoracic and lumbar areas, terminating around L2-L3

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42
Q

Which of these general effects is associated with the sympathetic division of the ANS?

A

Quick response

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43
Q

The pia mater is closely applied to the entire surface of the CNS tissue. What is its function?

A

It forms a physical barrier separating CNS tissue from CSF in the subarachnoid space.

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44
Q

Which type of glial cells are associated with ganglia?

A

Satellite cells

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45
Q

The central canal of the spinal cord and the ventricles of the brain are formed from the embryonic ____________

A

Neural tube

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46
Q

The Nodes of Ranvier contribute to saltatory conduction. Which is true?

A

In saltatory conduction the action potential is faster than that in unmyelinated fibers.

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47
Q

Ganglia are clusters of neuron cell bodies in the PNS. In the CNS, clusters of neuron cell bodies are called

A

Cerebral nuclei

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48
Q

Where in the brain is the somatosensory cortex located?

A

Postcentral gyrus

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49
Q

Where is the choroid plexus found?

A

In the roofs of the 3rd and 4th brain ventricles

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50
Q

What are the components of the choroid plexus?

A

Ependyma and pia mater with blood vessels.

51
Q

The choroid plexus consists of ependyma and vascularized pia mater. It functions as a type of barrier between

A

Blood and the CSF

52
Q

What is the clinical advantage of knowing the location of the various dermatomes?

A

This knowledge can help diagnose which spinal nerves may be damaged.

53
Q

Which meningeal layer lies between the CSF and the tissue of the CNS

A

Pia mater

54
Q

The dura mater is

A

One of the meninges of the CNS

55
Q

Around the spinal cord, the dura mater is separated from the periosteum of the vertebrae by the

A

Epidural space

56
Q

The epineurium

A

Wraps the entire nerve in a layer of connective tissue

57
Q

In a ___________________, blood from the middle meningeal artery accumulates between the skull bones and the dura mater.

A

Extradural hemorrhage

58
Q

Where in the nervous system do most synapses occur?

A

Gray matter

59
Q

What happens at the tissue level in Multiple Sclerosis?

A

White blood cells penetrate the blood-brain barrier and attach the myelin sheath.

60
Q

Myelin is composed of

A

Lipids and proteins

61
Q

In the PNS, bundles of myelinated axons are called

A

Nerves

62
Q

Where do the cell bodies of the post synaptic neurons lie?

A

The cell bodies of the postsynaptic neurons of the sympathetic system lie in the sympathetic chains (paravertebral) and in prevertebral ganglia.

63
Q

The arachnoid has two parts:

A

A layer of connective tissue adjacent to the dura mater, and a network of collagen and fibroblasts, connected to the pia mater.

64
Q

The anterior horns of the spinal cord contain mainly cell bodies of ___________________

A

Motor neurons

65
Q

Which of these characteristics is associated with the sympathetic division?

A

Thoracolumbar outflow

66
Q

What is the caudal equina?

A

It is the collection of the spinal nerves searching the lumbar, coccygeal, and sacral regions.

67
Q

Typically, a spinal nerve has

A

Both sensory and motor fibers

68
Q

Which tract conveys information about pain and temperature?

A

Lateral Spinothalamic tract

69
Q

Which of these tracts carry “unconscious” information about body position?

A

Spinocerebellar tract

70
Q

Sensory nerve fibers are

A

Afferent

71
Q

The autonomic nervous system regulates or manages

A

Homeostasis

72
Q

A subarachnoid hemorrhage may result from a

A

Saccular aneurysm

73
Q

What is filled with CSF and cushions and protects the CNS?

A

Subarachnoid space

74
Q

What releases excess CSF into the blood?

A

Arachnoid villi

75
Q

What protects neurons and glia from bacterial toxins, infectious agents, etc., and maintains the composition and balance of ions in the interstitial fluid?

A

Blood-Brain barrier

76
Q

One of the functions of the sub-arachnoid space is to

A

Cushion the CNS from damage

77
Q

In general, the descending pathways of the central nervous system are composed of what type of nerve fibers?

A

Motor

78
Q

How many pairs of thoracic nerves are there in humans?

A

12

79
Q

Ganglia are clusters of nerve cell bodies that are found…

A

Only in the peripheral nervous system

80
Q

The blood-brain barrier is made up of three parts: a capillary endothelium in which the cells are tightly connected and allow almost no passage of substances, a basement membrane that envelopes the capillaries, and

A

A layer of perivascular astrocytic “feet”

81
Q

In the CNS, bundles of myelinated axons are called

A

Tracts

82
Q

The autonomic nervous system differs anatomically from somatic nerve pathways in that

A

The ANS has a two-neuron efferent pathway

83
Q

White matter is white because of

A

The lipid content of the cell membrane sheaths

84
Q

Reversed prompt

The CNS (brain and spinal cord) is encased in connective tissue layers, the meninges, but CNS tissue contains very little collagen, making it soft and easily damaged by injuries.

A

What is the CNS encased in?

85
Q

Reversed prompt

White matter includes myelinated axons, often grouped together as tracts, and the myelin-producing oligodendrocytes.

A

What does white matter contain?

86
Q

Reversed prompt

Gray matter contains abundant neuronal cell bodies, dendrites, astrocytes, and microglial cells, and is where most synapses occur.

A

What does gray matter contain?

87
Q

Reversed prompt

The major structures
comprising the CNS are the cerebrum, cerebellum, spinal cord, and brain stem

A

The major structures of the CNS

88
Q

Reversed prompt

Nucleus (mostly brain)

A

Nerve cell bodies of the CNS

89
Q

Reversed prompt

Ganglion

A

Nerve cell bodies of the PNS

90
Q

Reversed prompt

Tract (mostly spinal cord)

A

Nerve cell fibers of the CNS

91
Q

Reversed prompt

Nerve

A

Nerve cell fibers of the PNS

92
Q

Reversed prompt

Cranial nerves, spinal nerves, and ganglia

A

The major structures of the PNS

93
Q

Reversed prompt

The long bundle of nerves that extend to form lumbar, coccygeal, and sacral spinal nerves.

Clinically important because of lumbar punctures (spinal tap) used to access subarachnoid space

A

Cauda Equina

94
Q

Reversed prompt

Contain cell bodies of motor neurons whose axons make up the ventral roots of spinal nerves.

A

The two anterior projections (horns) of gray matter in the spinal cord

95
Q

Reversed prompt

Contain interneurons which receive sensory fibers from neurons in the spinal
(dorsal root) ganglia.

A

The two posterior projections (horns) of gray matter in the spinal cord

96
Q

Reversed prompt

Near the middle of the cord the gray matter surrounds a
small central canal, which develops from the lumen of
the neural tube, is continuous with the ventricles of the brain, is lined by ependymal cells, and contains CSF

A

What does the central canal develop from?

97
Q

Reversed prompt

The dorsal root of spinal
cord has only sensory
fibers.

A

The dorsal root of spinal
cord contains what fibers?

98
Q

Reversed prompt

The ventral root has only
motor fibers.

A

The ventral root of spinal
cord contains what fibers?

99
Q

Reversed prompt

The fibers of the dorsal and 
ventral roots mix together, 
and then divide distally into 
the posterior (dorsal) ramus 
and anterior (ventral) ramus. Each ramus has a mixture of sensory and motor fibers.
A

What do the fibers of the dorsal and ventral roots become?

100
Q

Reversed prompt

Dura mater (most external), Arachnoid, Pia mater (most internal)

A

Meningeal layers

101
Q

Reversed prompt

CSF

A

What is in the subarachnoid space?

102
Q

Reversed prompt

Blood from torn branches of a middle meningeal
artery collects between the external periosteal layer of the dura and the skull bones, usually after a blow to the head.

A

Extradural or Epidural Hermatoma

103
Q

Reversed prompt

Classically is called a subdural hematoma; however, this term is a misnomer because there is no naturally occurring space at the dura-arachnoid junction. The “space” is called a potential space. The blood creates a
space at the dura-arachnoid junction.

A

Dural border or Subdural Hematoma

104
Q

Reversed prompt

An extravasation (escape) of blood, usually arterial, 
into the subarachnoid space, where CSF is found.
A

Subarachnoid hemorrhage

105
Q

Reversed prompt

Allows very tight control of the passage of substances from blood into the CSF of the CNS. It is extremely important clinically because it blocks or slows down the transport of many types of
drugs, such as those that might be used to treat Alzheimer’s, Parkinson’s
Disease and brain cancer, into the brain.

A

Blood-brain Barrier (BBB)

106
Q

Reversed prompt

Removes water from blood and releases it as the CSF (cerebrospinal fluid); in this sense, it “produces” CSF.

A

Choroid Plexus

107
Q

Reversed prompt

The choroid plexus consists of folds of highly vascular tissue, projecting into the large ventricles of the brain. Ependyma and vascularized pia mater

It is found in the roofs of the third and fourth ventricles and in
parts of the two lateral ventricular walls.

A

Choroid Plexus location and composition

108
Q

Reversed prompt

The gap between two
Schwann cells.

These regions are uninsulated and but rich in ion channels, allowing them
to regenerate the action
potential.

A

Node of Ranvier (or nodal gap)

109
Q

Reversed prompt

Surround axons and Schwan cells

A

Endoneurium

110
Q

Reversed prompt

Surrounds fascicles or bundles of nerve fibers

A

Perineurium

111
Q

Reversed prompt

Surrounds multiple fascicles of nerve fibers.

A

Epineurium

112
Q

Reversed prompt

Conscious tracts – The dorsal column-medial lemniscal pathway and the anterolateral system,
for touch and some types of proprioception.

Unconscious tracts – The spinocerebellar tracts, for muscle proprioception.

A

Ascending Tracts (Afferent/Sensory)

113
Q

Reversed prompt

Conveys sensations of fine touch, vibration, two-point discrimination, and proprioception (position) from the skin and joints.

A

Dorsal column–medial lemniscus pathway (DCML)

114
Q

Reversed prompt

The spinothalamic tract consists of two pathways: anterior and lateral. The anterior spinothalamic tract
carries information about crude touch. The lateral spinothalamic tract conveys pain and temperature.

A

Spinothalamic tract (part of the anterolateral system)

115
Q

Reversed prompt

Carry unconscious proprioceptive information from the muscles to the
cerebellum. We cannot mentally acknowledge these signals, but they help the brain coordinate and refine motor actions.

A

Spinocerebellar tracts

116
Q

Reversed prompt

Postcentral Gyrus

A

Somatosensory Cortex of the brain

117
Q

Reversed prompt

Precentral Gyrus

A

Somatomotor Cortex of the brain

118
Q

Reversed prompt

Pyramidal tracts and Extrapyramidal tracts

A

Descending Tracts (Efferent/Motor)

119
Q

Reversed prompt

Originate in the cerebral cortex, carrying motor fibers to the spinal cord
and brain stem. They are responsible for the voluntary control of the musculature of the
body and face.

A

Pyramidal tracts

120
Q

Reversed prompt

Originate in the brain stem, carrying motor fibers to the spinal cord. They are responsible for the involuntary and automatic control of all musculature, such as muscle tone, balance, posture and movement.

A

Extrapyramidal tracts

121
Q

Reversed prompt

It is structurally a division of the peripheral nervous
system that supplies smooth muscle and glands,
and influences the function of internal organs.

It is functionally a system that acts unconsciously
to regulate “visceral” bodily functions.

A

Autonomic Nervous System (ANS)

122
Q

Reversed prompt

Sympathetic and Parasympathetic

A

Two divisions of ANS

123
Q

Reversed prompt

A division of the ANS used for “rest-and-digest” or “feed-and-breed.”

Structure: The parasympathetic division has craniosacral “outflow,” meaning that the neurons begin at the cranial nerves (ie, the oculomotor nerve, facial nerve, glossopharyngeal nerve
and vagus nerve) and sacral (S2-S4) spinal cord.

A

Parasympathetic Nervous System

124
Q

Reversed prompt

A division of the ANS used for “fight-or-flight-or-freeze.”

Structure: The sympathetic division has thoracolumbar
“outflow,” emerging from the spinal cord in the thoracic and lumbar areas, terminating around L2-L3

A

Sympathetic Nervous System