Peripheral Nervous System Flashcards

1
Q

T/F The ventral roots bring sensory information into the spinal cord

A

False

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2
Q

T/F The ventral and dorsal rami of all the spinal nerves (at least from C1 to S5) partake in the formation of nerve plexuses before reaching their effector organs

A

False; dorsal rami do not partake in the formation of nerve plexuses

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3
Q

The [cervical / brachial / lumbar / sacral / lumbosacral ] plexus produces the nerves that innervate the upper limbs

A

brachial (plexus)

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4
Q

Spinal nerves enter/leave the spinal column via the [transverse / vertebral / intervertebral / laminar ] foramina

A

intervertebral (foramina)

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5
Q

<> A patient complains to her physician of paresthesia (tingling, numbness, etc.) in the lateral portion of the right hand, including the first 3 digits. After examination, the physician diagnoses carpal tunnel syndrome involving compression and irritation of the right <> nerve.

A

Median n.

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6
Q

<> Bob began experiencing excruciating, stabbing pains on the left side of his face. The pain episodes would only last for about a minute, but would occur a hundred times per day. Bob’s physician diagnosed the condition as tic douloureux, or neuralgia (nerve pain) of the <> nerve. When analgesics and other drugs failed to offer any relief, this nerve was cut, relieving the agony but also resulting in loss of sensation on the left side of Bob’s face.

A

Trigeminal n.

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7
Q

<> Doug Coconuts was riding his motorcycle in Hawaii when an accident left him with severe abrasion and trauma to his right medial elbow. As a result of this damage, Doug experienced substantial loss in his ability to flex his fingers and wrist, nor could he adduct his wrist as before. He also noticed tingling and numbness on the medial side of his hand. These deficits were most likely due to damage to the <> nerve as it crossed the elbow area.

A

Ulnar n.

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8
Q

<> An industrial accident left Seymour Gore with a deep laceration on the anterior side of his left lateral elbow. After the trauma, Seymour noticed he had developed wrist drop, due to his inability to contract the wrist extensors of his left forearm. This incident had severed the <> nerve as it crossed Seymour’s elbow.

A

Radial n.

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9
Q

A condition known as ____________________ may result from fracture of the ethmoid bone, or lesions involving the olfactory nerve, either causing partial or total loss of smell

A

anosmia

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10
Q

After suffering a stroke in her brainstem, Mary noticed ptosis of her right eyelid, which her doctor said was due to damage to the fibers of her ____________________ nerve

A

oculomotor n.

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11
Q

Paralysis of the chewing muscles on one side of the head could be most easily caused by damage to the ____________________ nerve on that side

A

(mandibular branch of the) trigeminal n.

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12
Q

Irritation and swelling of the ____________________ nerve may result in Bell’s palsy, resulting in muscle paralysis and lacrimation problems on the affected side of the face

A

facial n.

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13
Q

From superiormost to inferiormost, name the four nerve plexuses which are formed as the ventral rami branch and then rejoin one another, and then name a major nerve which emerges from each plexus. (1 pt each; 8 pts total)

A

Nerve plexuses:
(1) Cervical plexus (2) Brachial plexus (3) Lumbar plexus (4) Sacral plexus
Phrenic n.
Musculocutaneous, axillary, radial, ulnar, median nn. Femoral n.
Sciatic, gluteal nn.
The list of nerve examples is not exhaustive, and other answers are possible; I just gave the larger, more well-known nerve examples here. For this question, only one nerve example is required for each plexus

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14
Q

Which ONE of the following lists the cranial nerves in order of their emergence from the CNS, proceeding from superiormost (olfactory nerves) to inferiormost? Note that, for brevity, not all cranial nerves are listed.

A. Optic — Oculomotor — Trochlear — Abducens — Facial — Glossopharyngeal — Vagus — Hypoglossal

B. Optic — Oculomotor — Facial — Trigeminal — Vagus — Abducens — Glossopharyngeal — Hypoglossal

C. Optic — Facial — Oculomotor — Trigeminal — Hypoglossal — Glossopharyngeal — Abducens — Vagus

D. Optic — Oculomotor — Trigeminal — Abducens — Facial — Hypoglossal — Vagus — Glossopharyngeal

E. Oculomotor — Optic — Trigeminal — Facial — Abducens — Vagus — Glossopharyngeal — Hypoglossal

A

A; remember “On occasion, our trusty truck…”

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15
Q

The only cranial nerve which extends beyond the head and neck region; contains many parasympathetic efferents controlling the viscera.

A

Vagus nerve

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16
Q

Its three branches contain the major sensory nerves of the face

A

Trigeminal nerve

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17
Q

Nerve which carries only the sensory afferents of hearing and balance

A

Vestibulocochlear nerve

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18
Q

Nerves which pierce the cribriform plate of the ethmoid bone to bring sensory information directly into the brain

A

Olfactory nerve

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19
Q

Carries motor efferents to control four extrinsic eye muscles as well as the levator palpabrae superioris muscles

A

Oculomotor nerve

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20
Q

Contains motor efferents controlling the chewing muscles

A

Trigeminal nerve

21
Q

Its 5 divisions contain motor efferents controlling the muscles of the face

A

Facial nerve

22
Q

Contains motor efferents controlling the superior oblique muscle of the eye

A

Trochlear nerve

23
Q

Nerve(s) carrying visual afferents into the brain

A

Optic nerve

24
Q

Nerve(s) carrying taste afferents into the brain

A

Facial nerve
Glossopharyngeal nerve
Vagus nerve

25
Q

Nerve(s) carrying smell afferents into the brain

A

Olfactory nerve

26
Q

Nerve(s) carrying motor efferents controlling extrinsic eye muscles

A

Oculomotor nerve
Abducens nerve
Trochlear nerve

27
Q

Nerve supplying motor efferents to the diaphragm

A

Phrenic nerve

28
Q

The largest nerve in the body, it actually consists of two nerves travelling together in a common sheath until they diverge just above the knee

A

Sciatic nerve

29
Q

A nerve running through the medial thigh and leg, and providing sensory afferents servicing the hip and knee joints, as well as the skin of the medial leg and foot.

A

Saphenous nerve

30
Q

A large nerve, some of whose branches innervate the anterior thigh muscles (quadriceps), the sartorius, and the iliacus muscles.

A

Femoral nerve

31
Q

The part of the sciatic nerve servicing the triceps surae, and most of the hamstrings and adductor magnus muscles; also serves the skin on the back of the thigh, leg, and sole of the foot

A

Tibial nerve

32
Q

The nerve servicing most of the adductor muscles and the skin of the medial thigh

A

Obturator nerve

33
Q

The nerve servicing the skin of the lateral thigh and the peritoneum

A

Lateral femoral cutaneous

34
Q

The nerve servicing the skin of the buttocks, posterior thigh, and popliteal area

A

Posterior femoral cutaneous

35
Q

The nerve servicing the skin of the anterior and medial thigh

A

Anterior femoral cutaneous

36
Q

The nerve servicing the skin & muscles of the perineum and the ext. anal sphincter

A

Pudendal nerve

37
Q

The physician places earphones on your head, and tests your ability to perceive various frequencies of sound

A

Vestibulocochlear n.

38
Q

The physician asks you to smile, frown, crinkle your forehead, and make any number of other faces with your non-chewing facial muscles

A

Facial n.

39
Q

The physician asks you to move your lower jaw from side to side, and then to bite down on a piece of wood (tongue depressor) placed in your mouth between your upper and lower teeth

A

Trigeminal n.

40
Q

The physician waves an open vial in front of your nose and asks you to identify the odor.

A

Olfactory n.

41
Q

In the first part of this three-parted eye test, the physician asks you to read an eye chart (a Snellen chart) on the wall using only one eye at a time

A

Optic n.

42
Q

In the second part of this three-parted eye test, the physician moves her pen back and forth in front of you, and notes how well your eyes are able to track her pen

A

Oculomotor n.

43
Q

In the third part of this three-parted eye test, the physician shines a penlight into your eye and notes the pupillary response (do the pupils constrict?)

A

Oculomotor n.

44
Q

The ability to taste various sweet, sour, salty, and bitter substances on the anterior 2/3 of the tongue is assessed, and tearing is assessed with ammonia fumes.

A

Facial n.

45
Q

Facial symmetry (symmetry of facial muscles) is assessed

A

Facial n.

46
Q

The physician checks the strengths of the SCM and trapezius muscles by asking you to rotate your head and shrug your shoulders against resistance

A

Accessory n.

47
Q

The physician asks you to stick out your tongue and then retract it, and notes any deviations in normal tongue position

A

Hypoglossal n.

48
Q

Your physician asks you to speak and cough, and then tests your gag and swallowing reflexes with a tongue depressor

A

Vagus n.