Nervous System 4 - Dermatomes, Reflexes and Arcs Flashcards

1
Q

Knowing which spinal cord segments supply each dermatome makes it possible to detect damaged regions of the spinal cord. True or False?

A

True

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2
Q

What is a dermatome?

A

An area of skin that provides sensory input to the CNS via one pair of spinal nerves

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3
Q

What are the 2 principle functions for the spinal cord maintaining homeostasis?

A

Nerve impulse propagation | Integration of information

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4
Q

What are white matter tracts?

A

Highways for nerve impulse propagation
Sensory input – Toward brain
Motor output - From brain to skeletal
muscle or other effectors

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5
Q

What are grey matter tracts?

A

Receive & integrate incoming
& outgoing information

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6
Q

Nerve impulses from sensory neurons propagate up the spinal cord to brain via 2 main routes. What are they?

A

Spinothalamic tract
Sense pain, warmth, coolness itching & tickling
Posterior column (2 tracts)
Fasciculus Gracilis | Fasciculus Cuneatus
Touch, pressure, vibration & conscious proprioception
(e.g. awareness of limb position)

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7
Q

Motor output to skeletal muscles travel down the spinal cord in two types of descending pathways. What are they?

A

Direct pathways
Lateral & anterior corticospinal & corticobulbar tracts
Cause voluntary movements | Innervate skeletal muscle

Indirect pathways
Rubrospinal, tectospinal, vestibulospinal, lateral
reticulospinal & medial reticulospinal tracts
Cause automatic movements | Regulate muscle tone,
posture, balance etc.

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8
Q

What is a reflex?

A

A fast, automatic, unplanned sequence of
actions that occur in response to a particular stimulus

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9
Q

What is an example of an inborn reflex?

A

Pulling hand away from a flame

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10
Q

What is an example of a learned (acquired) reflex?

A

Slamming on a car brake pedal

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11
Q

What is a somatic reflex?

A

Reflexes which generate skeletal muscle contraction |e.g. Stretch reflex

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12
Q

What is an autonomic (visceral) reflex?

A

Reflexes which generate contraction of cardiac muscle, smooth muscle & glands | e.g.
Changing heart rate

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13
Q

What is a reflex arm (circuit)?

A

Nerve impulses propagating into, through & out of the central nervous system follow specific pathways

Sensory receptor
Sensory neuron responds to a specific
stimulus using a generator potential
Generator potential causes depolarisation of
sensory neuron – Nerve impulse generated

Sensory neuron
Axons of sensory neuron propagate
nerve impulses to axon terminal located
in spinal cord grey matter or brain stem

Integrating centre
One or more regions of grey matter act
as an integrating (processing centre)
Monosynaptic arc – Single synapse between sensory
neuron & motor neuron (simplest type of reflex)
Polysynaptic arc – More than two types of neurons &
more than one CNS synapse
Integrating centre consists of one or more interneurons,
which relay impulses to other interneurons & a motor
neuron

Motor Neuron
Impulses triggered by the integrating centre
propagate out of the CNS along a motor neuron

Effector
The part of the body that responds to the
motor nerve impulse (e.g. muscle or gland)
If effector is skeletal muscle – Somatic reflex
If effector is cardiac muscle, smooth muscles
or a gland – Autonomic reflex

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14
Q

What are the 4 important somatic spinal reflexes?

A

Stretch reflex - Causes reflex contraction of a muscle that has been stretched
Tendon reflex- Causes relaxation of the muscle attached to the stimulated tendon organ
Flexor reflex - Causes withdrawal of a part of the body in response to painful stimulus
Crossed extensor reflex - Causes contraction of muscle that extend joints in the limb opposite a painful stimulus

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15
Q

What is the stretch reflex?

A

Monosynaptic reflex arc that causes contraction of a stretched skeletal muscle | e.g. knee jerk

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16
Q

What is the tendon reflex?

A

Feedback mechanism to control muscle tension by causing relaxation | Prevents injury

17
Q

What is the flexor reflex?

A

Intersegmental reflex that causes sensory neuron nerve impulses to ascend & descend in the spinal cord

18
Q

What is the crossed extensor reflex?

A

Reflex used to maintain balance after stepping back

19
Q

True or False?

A

Reflexes are often used for diagnosing disorders of the nervous system & locating injured tissue

20
Q

What is the patellar reflex and what is it used to test for?

A

Stretch reflex that causes extension of the leg at the knee joint by contraction of the quadricep following tapping of the patellar ligament
Reflex is blocked by damage to sensory or motor nerves supplying L2 – L4
Absent in chronic diabetes patients (degeneration of nerves)

21
Q

What is the Achilles reflex and what is it used to test for?

A

Causes plantar flexion of foot by contraction of to gastrocnemius & soleus in response to tapping of the calcaneal (Achilles) tendon
Absence of reflex indicates damage to nerves supplying
posterior leg muscles in the lumbosacral region of spinal cord (L5 – S2)
Absent in patients with chronic diabetes, alcoholism, & subarachnoid haemorrhages
Exaggerated in patients with cervical cord compression or
legion of motor tracts in L1-L2

22
Q

What is the Babinski sign?

A

Great toe extension resulting from gentle stroking of the lateral outer margin of the sole
Tortora & Derrickson (2017)
Normally occurs in infants under 1½ years old
(incomplete myelination in corticospinal tract)
Positive Babinski sign >1.5 years indicates
interruption of corticospinal tract (L4 – S2)
Plantar flexion reflex (curling of toes) normal >1.5 years

23
Q

What is the abdominal reflex and what is it used to test for?

A

Involves abdominal muscle contraction in response to stroking the side of the abdomen
Causes the umbilicus to move in the direction of the stimulus
Absence of reflex associated with
lesions of the corticospinal tracts
Absent because of lesions to peripheral nerves, lesions to
integrating centres in thoracic region of spinal cord
Absent in patients with multiple sclerosis

24
Q

True or False? Damage or irritation to the sacral & coccygeal plexuses can cause sciatica

A

True