Neuroanatomy Flashcards

1
Q

What does a nerve fiber consist of?

A

An axon, a neurolemma and surrounding endoneurial connective tissue.

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2
Q

Do large or small myelinated or unmyelinated fibres conduct faster?

A

Larger myelinated fibers conduct faster than smaller unmyelinated fibres

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3
Q

What types of nerves are myelinated?

A

A & B

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4
Q

What types of nerves are unmyelinated?

A

C

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5
Q

What do A alpha nerves transmit?

A

Somatic, motor and proprioception

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6
Q

What is the diameter of different types of A nerves?

A

Alpha - 16um
Beta - 8um
Gamma - 4um
Delta - 4um

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7
Q

What is the speed of the different A type nerves?

A

Alpha - 100m/s
Beta - 50m/s
Gamma - 25m/s
Delta - 25m/s

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8
Q

What do A beta nerves transmit?

A

Touch

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9
Q

What do A gamma nerves transmit?

A

Motor to muscle spindles

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10
Q

What do A delta nerves transmit?

A

Pain and temperature (fast pain or epicritic pain)

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11
Q

What do B nerves transmit?

A

Preganglionic autonomic

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12
Q

What is the diameter and speed of B nerves?

A

Diameter - 2um
Speed - 12.5m/s

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13
Q

What does a C type nerve transmit?

A

Pain and temperature (slow pain and protopathic pain)
Postganglionic sympathetic nerve

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14
Q

What is the diameter and speed of C nerves?

A

Diameter - 1um
Speed - 2m/s

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15
Q

What is the umbilicus dermatome?

A

T10

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16
Q

What dermatome supplies the nipple?

A

T4

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17
Q

What is the largest cranial nerve?

A

Trigeminal nerve

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18
Q

Where does the sensory root for the trigeminal root lie?

A

In the trigeminal (semilunar) ganglion that is at the apex of the petrous temporal bone

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19
Q

Where do the motor neurons of the trigeminal nerve begin?

A

The upper pons

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20
Q

Where do the cranial nerve nucleis lie?

A

First 4 cranial nerve nuclei lie above the pons
Second 4 lie in the pons
Last 4 lie below the pons

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21
Q

What is a myotome?

A

A unilateral muscle mass receiving intervention from fibres conveyed by a single spinal nerve (from the anterior ramus division)

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22
Q

What is a myotome?

A

A unilateral muscle mass receiving intervention from fibres conveyed by a single spinal nerve (from the anterior ramus division)

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23
Q

What myotomes do knee flexion?

A

L5, S1

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24
Q

What nerves do shoulder adduction and medial rotation?

A

C6, C7, C8

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25
Q

What myotome does great toe extension?

A

L5

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26
Q

What myotome does tibialis anterior and posterior and inversion of the foot?

A

L4

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27
Q

What myotome does extensor hallucis longus and extension of the great toe?

A

L5

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28
Q

What myotome does gastrocnemius, plantarflexion of the foot, ankle jerk?

A

S1

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29
Q

What myotome does small muscles of the foot?

A

S2

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30
Q

What nerves do pronation?

A

C7, C8

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31
Q

What nerve supplies general sensation of the mucosa of the anterior two thirds of the tongue?

A

The lingual nerve - a branch of CN V3 - cell bodies in the trigeminal ganglion

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32
Q

What nerve supplies taste on the tongue?

A

The chorda tympani nerve, a branch of CN VII - cell bodies in the geniculate ganglion of the facial nerve

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33
Q

What action does C5/6 do?

A

Elbow flexion

34
Q

What action does C6 do?

A

Elbow extension, wrist extension, supination, arm adduction, medial rotation of the arm

35
Q

What action does C7 do?

A

Incorporated into many myotomes/actions (medial rotation of elbow, adduction of arm, arm extension, elbow extension, hand flexion, pronation, digital extension and flexion

36
Q

What action does C7/C8 do?

A

Digital flexion and extension and pronation of the hand

37
Q

What does the L3 dermatome supply?

A

Anterior and medial thigh and knee

38
Q

What does dermatome L4 supply?

A

Medial leg, medial ankle and side of foot

39
Q

What dermatome does L5 do?

A

Lateral leg, dorsum of foot, medial sole, 1-3 toes

40
Q

What does dermatome S1 supply?

A

Lateral ankle, lateral side of dorsum and sole of foot, 4-5 toes

41
Q

What does dermatome S2 supply?

A

Posterior leg, posterior thigh, buttocks and penis

42
Q

What action does L2,L3 do?

A

Hip flexion

43
Q

What action does L4, L5 do?

A

Hip extension
Ankle dorsiflexion

44
Q

What action does L5, S1 do?

A

Knee flexion

45
Q

What action does L3, L4 do?

A

Knee extension

46
Q

What action does S1 and S2 do?

A

Ankle plantarflexion

47
Q

What are the roots that make up the brachial plexus?

A

C5, C6, C7, C8 and T1

48
Q

What are the sections of the brachial plexus called?

A

Roots -> trunks -> divisions -> cords -> branches

49
Q

What are the trunks of the brachial plexus?

A

Superior middle and inferior

50
Q

Which roots make up which trunks in the brachial plexus?

A

C5&6 - superior
C7 - middle
C8/T - inferior

51
Q

Which trunks make up the cords of the brachial plexus

A

Superior and middle - lateral cord
Superior, middle and inferior - posterior cord
Inferior - medial cord

52
Q

Which cords make up the branches of the brachial plexus?

A

Musculocutaneous - lateral cord
Axillary and radial - posterior cord
Median - lateral and medial cord
Ulnar - medial cord

53
Q

Where do the roots of the brachial plexus lie?

A

Behind the scalenus anterior muscle

54
Q

Where do the roots of the brachial plexus emerge and form the trunks?

A

They emerge between the scalenus anterior muscle and the scalenus medius to form the trunks which cross the lower part of the posterior division behind the clavicle.

55
Q

Where do the trunks of the brachial plexus divide into anterior and posterior?

A

Each of the three trunks divides into an anterior and a posterior division behind the clavicle

56
Q

Where do the cords of the brachial plexus enter the axilla?

A

These three cords enter the axilla above the first part of the axillary artery, approach and embrace its second part, and give off their branches around its third part

57
Q

What is Erb’s palsy?

A

Erb’s palsy results in a medially rotated arm with the elbow in extension

58
Q

At what level would injury to the brachial plexus affect the nerve supply to the supra and infraspinatous?

A

At the level of the trunks or proximal to them

59
Q

What weakness will there be if there is ulnar nerve injury?

A

Weakness to the ulnar part of the hand

60
Q

Does the posterior pituatory lie inside or outside the blood brain barrier?

A

Outside

61
Q

What eye muscles are used for eye abduction?

A

The superior and inferior recti

62
Q

What actions does the inferior rectus muscle do?

A

Depressed, adducts and laterally rotates the eye

63
Q

What do the oblique eye muscles do?

A

Adduction

64
Q

What cranial nerve moves the muscles of mastication?

A

The motor root of the mandibular nerve (CNV3)

65
Q

Which cranial nerves arise from the cerebrum?

A

The first two nerves (olfactory and optic)

66
Q

Which nerves emerge from the brainstem?

A

The last ten (III - XII)

67
Q

Which cranial nerve arises from the midbrain?

A

The trochlear nerve (IV) comes from the posterior side of the midbrain

68
Q

Which of the cranial nerves has the longest intracranial length?

A

The trochlear nerve (IV)

69
Q

Which cranial nerve arises from the midbrain-pontine junction?

A

Oculomotor (III)

70
Q

Which cranial nerves arises from the pontine-medulla junction?

A

Abducens, facial, vestibulocochlear (VI-VIII)

71
Q

Which cranial nerves come from the medulla oblongata?

A

Posterior to the olive: glossopharyngeal, vagus, accessory (IX-XI)
Anterior to the olive: hypoglossal (XII)

72
Q

Which cranial nerve passes through the cribiform plate?

A

CN I

73
Q

Which cranial nerve passes from the optic canal?

A

Optic nerve (CN II)

74
Q

Which cranial nerves come through the superior orbital fissure?

A

Oculomotor (CN III)
Trochlear (CN IV)
Ophthalmic (CN V1)
Abducens (CN VI)

75
Q

What cranial nerve goes through the foramen rotundum?

A

Maxillary (CN V2)

76
Q

Which cranial nerve goes through the foramen ovale?

A

Mandibular (CN V3)

77
Q

Which cranial nerves go through the internal acoustic meatus?

A

Facial (CN VII)
Vestibulocochlear (CN VIII)

78
Q

Which cranial nerves go through the jugular foramen?

A

Glosopharyngeal (CN IX)
Vagus (CN X)
Accessory (CN XI)

79
Q

Which cranial nerve goes through the hypoglossal canal?

A

Hypoglossal (CN XII)

80
Q

Why do patients receiving epidural anaesthesia develop headaches less frequently than with spinal anaesthesia?

A

With epidural anaesthesia, headache does not occur because the vertebral epidural space is not continuous with the cranial epidural space

81
Q

Where does the epidural space terminate?

A

Superiorly at the foramen magnum and laterally at the IV foramina. So epidural anaesthetic cannot ascend beyond the foramen magnum