Peripheral nerves system PNS (ch13) Flashcards

1
Q

What is the peripheral nervous system?

A

PNS links CNS to body
and to external environment
– Sensory:
* Somatic
* Visceral
– Motor:
* Somatic
* Visceral (Autonomic)

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2
Q

Name all the Cranial Nerves I - XII?

A
  • CN I – Olfactory n
  • CN II – Optic n.
  • CN III – Oculomotor n.
  • CN IV – Trochlear n.
  • CN V – Trigeminal n.
  • CN VI – Abducens n.
  • CN VII – Facial n.
  • CN VIII – Vestibulocochlear n.
  • CN IX – Glossopharyngeal n.
  • CN X – Vagus n.
  • CN XI – Spinal accessory n.
  • CN XII – Hypoglossal n.
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3
Q

What is the function of each of the cranial nerves?

A
  • CN I – Olfactory Nerve
    Function: Sensory nerve for the sense of smell.
  • CN II – Optic Nerve
    Function: Sensory nerve responsible for vision.
  • CN III – Oculomotor Nerve
    Function: Motor nerve controlling most eye movements and pupil constriction.
  • CN IV – Trochlear Nerve
    Function: Motor nerve controlling the superior oblique eye muscle.
    -CN V – Trigeminal Nerve
    Function: Mixed nerve with sensory function for the face and motor function for chewing muscles.
  • CN VI – Abducens Nerve
    Function: Motor nerve controlling the lateral rectus eye muscle.
    -CN VII – Facial Nerve
    Function: Mixed nerve with sensory functions for taste and motor functions for facial expressions, tear and saliva secretion.
  • CN VIII – Vestibulocochlear Nerve
    Function: Sensory nerve for hearing and balance.
  • CN IX – Glossopharyngeal Nerve
    Function: Mixed nerve with sensory functions for taste and touch in the back of the tongue and motor functions for swallowing.
  • CN X – Vagus Nerve
    Function: Mixed nerve involved in various functions, including speech, swallowing, and autonomic control of visceral organs.
    -CN XI – Spinal Accessory Nerve
    Function: Motor nerve controlling certain neck muscles.
  • CN XII – Hypoglossal Nerve
    Function: Motor nerve controlling the muscles of the tongue.
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4
Q

What is Anosmia?

A
  • An: without somia: smell
  • Anosmia refers to the loss or absence of the sense of smell.
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5
Q

What is anopia?

A
  • Definition: Anopia is a medical term referring to the absence or loss of vision in one or both eyes.
    1) Ipsilateral Blindness: Total blindness in one eye. Causes: Damage to the optic nerve or retina on one side.
    2) Bitemporal Hemianopia: Loss of vision in the outer half of both visual fields.
    Cause: Lesions affecting the optic chiasm (optic crossing)
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6
Q

CN IV – Trochlear n

A

Superior oblique m.
– SO4
* Intorsion (medially)
* Depression (inferiorly)
* Abduction

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7
Q

CN V – Trigeminal n

A

Principle sensory n. to face
* Three brr.
– Ophthalmic br. (CN V1)
* sensory
– Maxillary br. (CN V2)
* sensory
– Mandibular br. (CN V3)
* sensory & motor

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8
Q

CN VI (Abducens Nerve)

A

Innervated Muscle: Lateral rectus muscle.
Function: Abducts the eye (moves it laterally).
Mnemonic: “LR6” - Lateral Rectus is innervated by CN VI.

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9
Q

CN VI – Abducen n. palsy

A

Medial Strabismus: Inward deviation of the affected eye.
Diplopia: Double vision due to misalignment of the eyes.
Note: CN VI controls the lateral rectus muscle, responsible for moving the eye outward. Palsy leads to an imbalance in eye muscle function.

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10
Q

CN VII (Facial Nerve)

A

Makes Muscles Move:
Helps you make facial expressions.
Takes care of the parotid gland.
Keeps Things Moist:
Manages the saliva and tears.
Taste and Feel:
Deals with taste on the front part of your tongue.
Takes care of feelings on your ear and around it.

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11
Q

CN VIII (Vestibulocochlear Nerve)?

A

Double Duty Nerve:
Splits into two parts: Cochlear (for hearing) and Vestibular (for balance).
Cochlear Branch:
Responds to sound waves, helping you hear.
Vestibular Branch:
Reacts to body positions, maintaining balance and equilibrium.

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12
Q

CN IX (Glossopharyngeal Nerve)

A

*Motor Functions:
Controls Stylopharyngeus and Superior Pharyngeal Constrictor muscles.
* Parasympathetic Control:
Influences the Parotid Gland.
* Sensory Domains:
Handles various sensory functions in areas like pharyngotympanic tubes, palatine tonsils, oropharynx, and the posterior 1/3 of the tongue.
* Gustatory Sensation:
Involved in taste perception for the posterior 1/3 of the tongue.

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13
Q

CN X (Vagus Nerve)

A
  • Sensory Neurons: Monitors sensations in the inferior pharynx, larynx, thoracic organs, and visceral organs.
  • Somatic Motor Neurons: Controls muscles of the soft palate, pharynx, and intrinsic laryngeal muscles.
  • Visceral Motor Neurons: Influences the function of vital organs like the heart, esophagus, stomach, small intestine, large intestine, and gallbladder.
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14
Q

CN XI (Accessory Nerve)

A
  • Cranial Component:
    *Travels with CN X (Vagus Nerve).
    *Innervates muscles of the larynx involved in speech.
  • Spinal Component:
    *Controls the sternocleidomastoid and trapezius muscles.
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15
Q

Overview of cranial nerves

A

Only sensory neurons
– Olfactory (I)
– Optic (II)
– Vestibulocochlear (VIII)
* Primarily motor neurons
– Oculomotor (III)
– Trochlear (IV)
– Abducen (VI)
– Accessory (XI)
– Hypoglossal (XII)
* Both sensory & motor
neurons
– Trigeminal (V)
– Facial (VII)
– Glossopharyngeal (IX)
– Vagus (X)

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16
Q

Musculocutaneous Nerve

A
  • Origin: Lateral cord
  • Innervates:
    Coracobrachialis muscle
    Biceps brachii muscle
    Brachialis muscle
17
Q

Median Nerve

A
  • Origin: Medial and lateral cords
  • Motor:
    *Flexor muscles of forearm and digits
    *Some muscles of the hand
    Sensory:
    *Anterior thumb
    *Anterior 2nd, 3rd, and 4th (lateral half) digits
    *Palm of the hand
18
Q

Ulnar Nerve?

A

Origin: Medial cord
Motor:
Flexor muscles of the forearm
Most intrinsic hand muscles
Sensory:
5th digit
4th (medial half) digits

19
Q

Radial Nerve

A

Origin: Posterior cord
Motor:
- Triceps brachii muscle
- Brachioradialis muscle
- Extensor muscles of the forearm and digits

20
Q

Radial nerve

A

Origin: Posterior cord
Motor:
Triceps brachii muscle
Brachioradialis muscle
Extensor muscles of the forearm and digits
Sensory:
Posterior arm
Posterior forearm
Posterior thumb, 2nd, 3rd, and 4th (lateral half) digits

21
Q

Axillary Nerve

A

Axillary Nerve Location: Surgical neck of the humerus
Innervates:
Teres minor muscle
Deltoid muscle

22
Q

What are the Sacral Plexus?

A
  • Sciatic n. (large nerves in body, thigh, leg, and foot)
  • Pudendal n. ( external genitalia and surrounding areas)
  • Superior gluteal n. (hip movement and stabilization)
  • Inferior gluteal n. (hip extension and external rotation)
23
Q

Sensory Receptors?

A
  • Exteroceptors – detect stimuli originating from outside body
  • Interoceptors – detect stimuli originating from within body itself
  • Mechanoreceptors – respond to chemicals in taste and smell and in internal changes.
    – depolarize in response to anything that mechanically deforms tissue where receptors
    are found.
24
Q

more Sensory Receptors?

A
  • Photoreceptors – special sensory exteroceptors found
    only in eye
    – depolarize in response to light
  • Nociceptors – usually slowly adapting exteroceptors
    – depolarize in response to noxious stimuli
  • Thermoreceptors: detect temp
25
Q

CNS to PNS neurons?

A

*Upper Motor Neurons (UMNs):
Originate in the primary motor cortex.
Make decisions to move and initiate movements.
Not in direct contact with muscle fibers.
* Lower Motor Neurons (LMNs):
Receive messages from upper motor neurons.
In direct contact with skeletal muscle fibers.
Release acetylcholine onto muscle fibers to initiate contraction.

26
Q

Lower Motor Neurons 3 types?

A
  • Motor Neuron Pools: Groups of LMNs innervating the same muscle.
  • Large Motor Neurons (Alpha): Stimulate skeletal muscle fibers for contraction.
  • Smaller Motor Neurons (Gamma):
    Innervate intrafusal fibers, part of stretch receptors.
27
Q

significance of Amyotrophic Lateral Sclerosis (ALS)?

A

Also known as Lou Gehrig’s disease.
- Gradual loss of motor neurons, leading to muscle weakness and atrophy.