Spinal Nerves Flashcards

1
Q

Steps of reflex arch

  1. ________ activates ________
  2. Nerve impulse travels through ________ ________ to ________
  3. ________ process information about stimulus
  4. ________ ________ send impulse to ________
  5. ________ brings response
A
  1. Stimulus, receptor
  2. Sensory neuron, CNS
  3. interneurons
  4. Motor neurons, effector
  5. Effector
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2
Q

________: both the receptor and effector organs are on same side

________: impulses initiation from a receptor cross the spinal cord to activate effector on opposite limb

________: sensory axons synapse directly on motor neurons, whose axons project to the effector

________: more complex pathways exhibit a number of synapse involving interneuron within the reflex arch

A

Ipsilateral
Contralateral

Monosynaptic
polysynaptic

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3
Q

Which two reflex arc types do not involve interneurons

A

Monosynaptic, polysynaptic

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4
Q

Withdrawal(flexor) reflex is an example of what reflex

A

Polysynaptic

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5
Q

Stretch reflex like a knee jerk is ________ reflex

A

Monosynaptic

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6
Q

Tendon reflex is ________ reflex

A

Monosynaptic

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7
Q

________ ________ organs are nerve endings in tendons near a muscle-tendon juntion

As a muscle contracts, force is exerted on tendon, causes tension in tendon, activation of ________ ________ organ

Nerve impulses signal ________ in the spinal cord which in turn inhibit the actions of the ________ neurons

Muscles relax, protecting the muscle and tendon from excessive tension

A

Golgi tendon

Golgi tendon

interneuron, motor

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8
Q

C1-C7 exit the ________ ________ above the vertebra of the same number

C8 exits above first ________ vertebrae

The remaining spinal nerves exit ________ vertebrae

Roots of ________ and ________ spinal nerves travel inferiorly to reach their intervertebral foramen

A

Intervertebral foramen

Thoracic

Below

Lumbar, Sacral

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9
Q

After leaving the intervertebral foramen, spinal nerve splits into branches called ________

The ________ramus innervates the deep muscles and skin of back

The ________ ramus innervates anterior and lateral portions of trunk and upper and lower lumbs

Many of anterior rami form ________ ________

The ________ ________ extend between the spinal nerves and the ________ ________ ________

A

Rami

Posterior

Anterior

Nervus plexuses

Rami communicantes, sympathetic trunk ganglie

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10
Q

A ________ is a segment of skin supplied by a SINGLE nerve

All spinal nerves except ________ innervate a segment of skin

Skin divided into sensory segments form a dermatome map

In ________ ________ pain, pain in one organ is mistakenly referred to a dermatome

A

Dermatome

C1

Referred visceral

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11
Q

Shingles is the reactivation of ________ ________.

During infection, virus moves from skin to ________ ________ ________. Remains dormant there until adulthood

Includes blisters along dermatomes because it travels along sensory nerve axons

A

Chickenpox

Posterior root ganglion

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12
Q

anterior rami of spinal nerves T- to T- are intercostal nerves

Spinal nerve T- is a subcostal nerve

T- is the only one that forms plexus

Part of T- helps form ________ plexus
Part of T- lies in first ________ space

T- innervates intercostal muscles of the second intercostal space and is sensory for axilla and ________ surface of arm

T- to T- innervate intercostal muscles and are sensory for ANTERIOR chest wall

A

T1-T11

T12

T1

T1, brachial
T1, intercostal

T2, medial

T3-T6

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13
Q

A nerve plexus is a network of interweaving ________ ________ of spinal nerves

Major plexuses:

Cervical plexus (C- to C-)

Brachial plexus (C- to T-)

Lumbar plexus (L- to L-)

Sacral (L- to S-)

Sciatic nerves:

A

Anterior rami

Cervical, brachial, lumbar, sacral

C1-C5: Ansa cervicalis, phrenic nerve

C5-T1: Musculocutaneous, axillary, median, radial, ulnar

L1-L4 Femoral, obturator

L4- S4 Superior gluteal, inferior gluteal

Common fibular, tibial

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14
Q

Left and right cervical plexuses are formed by anterior ramus of C- to C-

Innervates:

Phrenic originated from C-
- Travels through ________ cavity to innervate ________ (motor and sensory) and ________ ________, ________ ________, ________ ________ (sensory)

Motor branches:
Ansa cervicalis (C1, C2, C3) = ________ muscles
Segmental branches (C1-C4) = ________ and ________ muscles

Cutaneous branches:
________ _______ (C2-C3)
________ ________ (C2)
________ ________(C3-C4)
________ ________(C2-C3)

A

C1 to C4

C4

Thoracic, diaphragm, fibrous pericardium, mediastinal pleura, diaphragmatic peritoneum

Infrahyoid
Anterior and middle scalene

Great auricular
Lesser occipital
Supraclavicular
Transverse

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15
Q

The brachial plexus is formed by the anterior rami of spinal nerves C- to T-

Superior trunk: C- to C-
Middle trunk: C-
Inferior trunk: C- to T-

Erb’s point: C- to C-
Klumpke’s point: C- to T-

A

C5-T1

C5-C6
C7
C8-T1

C5-C6
C8-T1

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16
Q

5 branches of brachial plexus:

Nerve for skin on far lateral side of forearm:
Nerve for far medial side of forearm:
Nerve that is in the middle and goes through cubital fossa: and carpal tunnel
Nerve for armpit and deltoid and teres minor:
Nerve that does most muscles of back of arm:

A

Musculocutaneous
Ulnar
Median
Axillary
Radial

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17
Q

Axillary nerve

Terminal branch:
Anterior Rami:
Motor innervation:
Cutaneous innervation:

A

Posterior cord, posterior division of brachial plexus
C5-C6
Deltoid (arm abduction), Teres minor (lateral rotation)
Superolateral arm

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18
Q

Radial nerve

Terminal branch:
Anterior Rami:
Motor innervation:
Cutaneous innervation:

A

Posterior cord, posterior division of brachial plexus
C5-T1
Posterior arm muscles (triceps brachii, anconeus), posterior forearm muscles (supinate forearm, extend wrist, digits, abducts thumb, brachioradialis),

Posterior region of arm, forearm, dorsal aspect of lateral 3 digits

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19
Q

Musculocutaneous nerve

Terminal branch:
Anterior Rami:
Motor innervation:
Cutaneous innervation:

A

Lateral cord of anterior division of brachial plexus
C5-C7
Anterior arm muscles (coracobrachialis, biceps brachii, brachialis)
Lateral region of forearm

20
Q

Median nerve:

Terminal branch:
Anterior Rami:
Motor innervation:
Cutaneous innervation:

A

Medial and lateral cords, anterior division of brachial plexus
C6-T1
Most anterior forearm muscles (flexors, pronators), Thenar muscles, Lateral 2 lumbricals
Palmar and dorsal tips of lateral 3 fingers and half of ring finger

21
Q

Ulnar Nerve

Terminal branch:
Anterior Rami:
Motor innervation:
Cutaneous innervation:

A

Medial cord, anterior division
C8-T1
Anterior forearm muscles, intrinsic hand muscles
Palmar and dorsal of medial 1 digit (pinky) and half of ring finger

22
Q

Dorsal scapular nerve:

A

Levator scapulae, rhomboid major, rhomboid minor

23
Q

Long thoracic nerve

A

Serratus anterior

24
Q

Suprascapular

A

Supraspinatus, infraspinatus

25
Q

Lateral pectoral nerve

A

Pectoralis major

26
Q

Upper subscapular, lower subscapular, thoracodorsal nerves

A

Subscapularis, teres major, latissimus dorsi

27
Q

Medial pectoral nerve

A

Pectoralis major, pectoralis minor

28
Q

Axillary nerve

A

Deltoid, teres minor

29
Q

Radial nerve:

A

brachioradialis, triceps brachii, anconeus, supinator, extensors in forearm

30
Q

Musculocutaenous nerve:

A

Biceps brachii, coraco brachialis, brachialis

31
Q

Medial nerve

A

Most flexors in forearm

32
Q

Ulnar nerve

A

Flexor carpi ulnaris

33
Q

Superior trunk injury affects C- and C- (________ palsy)
- ________ ________ position
- Because of excessive lateral flexion or separation of neck and shoulder
- Shoulder adducted, arm medially rotated, elbow extended, wrist flexed

Inferior trunk injury affects C- to T- ( ________ palsy)
-Arm is excessively abducted
- Can affect ______ muscle function or show as ________ hand

Axillary nerve injury
- ________ palsy
- Affects ________ muscle and causes difficulty in abducting the arm

Winge scapula
- ________ ________ nerve is injured and ________ ________ muscle is affected
- Medial border of scapula protrudes

A

C5 and C6, Erb’s
- Waiter’s tip

C8 and T1, Klumpke’s
- Scalene, claw hand

  • Crutch
  • Deltoid
  • Long thoracic, serratus anterior
34
Q

A wrist drop is a ________ injury

Ulnar injury loses function of ________ muscles and ulnar ________ lumbars
- Claw hand is an ________ injury

________ injury is lost function of thumb and can’t flex digits 2 and 3 when making a fist

A

Radial

Ulnar

Median

35
Q

Lumbar plexus formed by L- to L-

posterior division is the ________ nerve
Anterior division is the ________ nerve

Illiohyogastric nerve (L-)
Motor = Partial innervation of ________ muscles
Cutaneous = Superior lateral ________ region and inferior ________ wall

Ilioinguinal nerve (L-)
Motor = Partial innervation of ________ muscles
Cutaneous = ________ abdominal wall. ________ (males) are ________ ________ (female)

Genitofemoral nerve (L-, L-)
Cutaneous = skin over ________ ________

Lateral femoral cutaneous nerve (L-, L-)
Cutaneous = Skin of ________ ________

A

Femoral
Obturator

L1, abdominal, gluteal, abdominal

L1, Abdominal, inferior, scrotum, labia majora

L1, L2, femoral triangle

L2, L3, anterolateral thigh

36
Q

Femoral nerve passes through ________ ________
Obturator nerve passes through ________ ________

A

Femoral triangle
obturator foramen

37
Q

Femoral nerve:

Anterior Rami
Motor innervation
Cutaneous innervation

A

L2-L4

Quadriceps, Iliapsoas
Saphenous nerve: medial aspect of fit

38
Q

Obturator nerve:

Anterior Rami
Motor innervation
Cutaneous innervation

A

L2-L4
Medial thigh muscles
Superomedial thigh

39
Q

Sacral plexus

Formed by L- to S-

The _______ nerve is the largest and longest nerve in sacral plexus

Superior to _______ _______, divisions split into two nerves:
- _______ nerve
- _______ _______ nerve

Along the lateral knee, the common fibular nerve splits into the _______ and _______ fibular nerve

A

L4-S4

Sciatic

Popliteal fossa
- Tibial
- Common fibular

Deep, superficial `

40
Q

Sciatic nerve exits the _______ _______ foramen next to _______ muscle

_______ _______ nerve: L- to S-
Motor to gluteus medius, gluteus maximus TFL

_______ _______ nerve: L- to S-
Motor to gluteus maximus
_______ _______ nerve: S- to S- skin on _______ thigh
_______ nerve: S- to S-
motor to muscles of _______
Cutaneous to skin of external _______

A

Greater sciatic, piriformis

Superior gluteal, L4-S1

Inferior gluteal, L5-S2

Posterior femoral cutaenous, S1-S3 posterior

Pudendal, S2-S4
Perineum, gentalie

41
Q

Sural is purely _______

A

Cutaneous

42
Q

Tibial nerve

Rami:
Motor:
Cutaneous:

A

L4-S3
Posterior thigh muscles, Posterior leg muscles, plantar foot muscles
Sural nerve

43
Q

Common fibular

Rami:
Motor:
Cutaneous:

A

L4-S2
Short head of biceps femoris
head of fibula

44
Q

Deep fibular

Rami:
Motor:
Cutaneous:

A

L4-S1
Anterior leg muscles, dorsum foot
Dorsal interspace between first and second toes

45
Q

Superficial fibular

Rami:
Motor:
Cutaneous:

A

L5-S2
Lateral leg muscles
Anteroinferior part of leg, dorsum of foot7

46
Q

Femoral
obturator
Superior gluteal:
Inferior gluteal:
Tibial:
Common fibular:
Superficial fibular:
Deep fibular:
Pudendal:

A

Iliacus, quadriceps, sartorius
adductors
TFL, gluteus medius
Gluteus maximus
Long hamstrings, popliteus, calf muscles
Biceps femoris short head
Fibularis long, brevis
Tibialis anterior, fibularlis tertius
Muscles of perineum