Spinal Cord and the Periphery Flashcards

1
Q

Where is grey matter located?

A

Centrally

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2
Q

What enters through the dorsal horn and dorsal root of the grey matter?

A

Axons of sensory fibres

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3
Q

Where a motor neuron cell bodies?

A

Ventral horn

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4
Q

What is white matter made up of?

A

Tracts - axons transmitting information between higher centres in the brain and peripheral nerves

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5
Q

Are ascending pathways sensory or motor?

A

Sensory - descending pathways are motor

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6
Q

What columns are white matter arranged as?

A

Posterior, lateral and anterior

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7
Q

How many neurons are between the peripheral receptor and cortex in ascending tract pathways?

A

3 neurons

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8
Q

What does the posterior/dorsal column deal with?

A

Fine touch, tactile localisation, vibration sense and proprioception

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9
Q

What does the lateral spinothalamic tract deal with?

A

Pain and temperature from contralateral side of the body

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10
Q

Where do the descending tracts of the spinal cord originate?

A

Cerebral cortex and brainstem

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11
Q

What are the descending tracts concerned with?

A

Control of movement, muscle tone, spinal autonomic functions

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12
Q

How many neurons do the tracts coming from cerebral cortex have in their pathway?

A

2 neurons

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13
Q

Where do the motor/descending tracts decussate?

A

Brainstem

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14
Q

What are corticospinal/pyramidal tracts concerned with?

A

Control of voluntary skilled movements

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15
Q

Where do the corticospinal fibres mostly cross?

A

Decussation of pyramids

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16
Q

What is responsible for muscle tone and reflexes?

A

Lower motor neuron

17
Q

What happens to reflex and tone if UMN is damaged but LMN is intact?

A

Exaggerated

18
Q

What is a reflex?

A

Involuntary stereotyped pattern of response brought about by a sensory stimulus

19
Q

Where are spinal reflexes mediated?

A

Level of the spinal cord

20
Q

What sequence of events occurs with a stretch reflex?

A

Tendon stretched - intramural muscle fibres stimulated - sensory neuron activated

21
Q

What is the stretch reflex important in control of?

A

Muscle tone and posture

22
Q

What happens if you lose the LMN and the reflex?

A

Areflexia

23
Q

What does the flexor reflex do?

A

Helps protect the body from painful stimuli