peripheral nervous system Flashcards

1
Q

Explain peripheral nerve origination and fucntion:
VE

SE

SA

A
  • Visceral Efferent = from lat. horn = motor for vessels.
  • Somatic efferent = from Ant. horn = motor for muscles
  • Somatic Afferent = from post. horn = sensory for skin and muscles
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2
Q

Peripheral nerves have 3 meningeal coverings….describe each….

A
  1. Epineurium = outer most layer. most prominent around nerve trunks, provides tensile strength and is continuous with dura.
  2. Perineurium = middle layer. continuous with arachnoid and is blood-nerve barrier
  3. Endoneurium = innermost layer. surrounds individual nerve fibers.
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3
Q

Myelin is produced by____ in the CNS and by ______ in the PNS.

A
  • Oligodendroglia
  • Schwann cells
  • Myelin is the cell membrane of both of these.
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4
Q

What is the node of ranvier?

A

An unmyelinated portion of axon between myelinated portions in the CNS, or the interface between successive myelin segments in PNS.

*Local anesthetics can act at the nodes.

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5
Q

Describe the 3 steps of salatory conduction:

A
  1. Membrane depolarization occurs at nodes.
  2. Depolarization renewed at next node.
  3. Conduction proceeds in either direction.
    * Basically jumping from Node to node increasing velocity.
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6
Q

6 types of receptors:

A
  • Chemoreceptors = taste, smell, pH metabolite concentrations.
  • Photoreceptors = Retinal visual receptors.
  • Thermoreceptor = Temperature
  • Mechanoreceptors = respond to physical deformation, touch, muscle length & tension (auditory, vestibular receptors.)
  • Nociceptor = pain!
  • Porprioceptors (joints, muscle spindles)
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7
Q

Receptor potentials do what?

A

Encode intensity & duration of stimuli. Some are more sensitive than others and so they can reflect increased intensity.

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8
Q

What does receptor field do?

A

conveys info about the location of a stimulus, “wiring” patterns in ascending sensory pathways to cortex preserve location and nature information

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9
Q

All receptors can adapt except _______.

A

Nociceptors!

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10
Q

What are rapid adapting receptors?

A

Receptors that can adapt a lot…lol *pacinian corpuscles & hair follicles.

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11
Q

What are slow adapting receptors?

A

Only adapt a little & detect static position. * Muscle spindles

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12
Q

2 types of encapsulated receptors:

A
  • Muscle spindles = detect muscle length!
    (numerous in all skeletal muscle. Consists of a few small muscle fibers within a capsule around the middle third of the fibers.
  • Golgi tendon organs = detects Muscle tension!

(Consists of collagen bundles with sensory fibers that are surrounded by capsule, which when distorted stimulates the fibers.)

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13
Q

The spinal cord is organized into 31 segments, what are they?

A

8 cervical
12 thoracic

5 lumbar

5 sacral

1 coccygeal

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14
Q

_______ is the caudal end of spinal cord.

A

Conus Medullaris

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15
Q

The two regions on the Conus medularis are:

A
  1. Cervical enlargement = C5-T1 (neurons that supply the upper extremities)
  2. Lumbar enlargement = L2-L3 (neurons that supply the lower extremities)
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16
Q

______ enter the cord in the posterolateral sulcus.

A

Dorsal rootlets.

*FUN FACT: rootlets coalesce to form dorsal roots that each have a Dorsal root ganglion that contains bodies of SENSORY NEURONS.

17
Q

_______ leave the cord from the anterolateral sulcus.

A

Ventral rootlets

*ventral rootlets coalesce to form ventral roots.

18
Q

Describe spinal cord connectivity of sensory, motor and reflexes….

A

Sensory = afferent fibers enter cord via dorsal roots (Stay ipsilateral) and may terminate in post horn or ascend to medulla.

Motor = motor neurons located in anterior horns, leave cord thru ventral roots, activity modulated by defending fibers from rostral structures.

Reflexes = stereotyped motor outputs, involve neural circuits contained in cors

19
Q

The posterior intermediate sulcus is present in what two cross-sections of spinal cord?

A

Cervical and Thoracic.

20
Q

Describe the spinal cord gray matter of the posterior horn…

A
  • Consistes of mostly interneurons
  • contains substantia gelatinosa (Pain & Tempature)
  • contains Lissauer’s tract (finely myleniated & unmyleinated fibers.
21
Q

Describe spinal cord gray matter of the Anterior horn….

A
  • contains motor neurons that control skeletal muscle ( known as lower motor neurons or alpha neurons)
  • Contains Gamma -motor neurons, innervate muscle spindles.
  • Two specialized columns in anterior horn at cervical levels.
    1. Spinal accessory nucleus (caudal medulla to c5) CNXI
    2. Phrenic nucleus, innervates diaphragm (c3,4,5)
22
Q

Describe intermediate spinal cord gray matter..

A
  • Preganglionic sympathetic neurons all in T1-L3. (Clarke’s nucelus found of medial surface of intermediate matter from T1-L2)
  • S2-S4, sacral parasympathetic nucleus.
  • Axons leave via anterior roots and supply pelvic viscera.
  • Relay nucleus for transmission of info to cerebellum, proprioceptive info from leg
23
Q

All reflexes involve interneurons except ________ reflex.

24
Q

Briefly describe the stretch reflex…

A

Simplest, monosynaptic so only 2 neurons and one synapse between them.

*believed to be important during movements and maintaining posture.

25
Q

_______ can inhibit motor neurons/stimulated muscle.

A

Muscle tension /Golgi tendon organ

26
Q

What 6 arteries are associated with blood flow to the spinal cord?

A
  1. Subclavian artery –> Vertebral artery—-> Anterior Spinal artery.
  2. Anterior spinal artery —> Radicular artery, Great vertebral radicular artery(Adamkiewicz) & Lumbar artery.

*Corona artery communicates Anterior spinal artery with Posterolateral artery