spinal nerves and its plexus Flashcards

1
Q

how many pairs of spinal nerves are there altogether ?

A

31

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2
Q

where does spinal nerves supply to?

A

all parts of the body except head and some areas of the neck

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3
Q

what are the region of spinal nerves?

A
8 cervical nerves
12 thoracic nerves
5 lumbar nerves 
5 sacral nerve 
1 coccygeal nerve
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4
Q

what are the parts from the spinal cord ?

A

dorsal and ventral ramus

they both carry mixed sensory and motor fibers

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5
Q

what does ventral plexus unite to form?

A
the spinal nerves from
C1-8
L1-5
S1-5
Co1 
unite and form plexus
carry sensory and motor fibres for the innervation of the kin and muscles of the limb and neck
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6
Q

what are the 4 plexus it forms?

A

cervical
brachial
lumbar
sacral plexus

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7
Q

which ventral rami does not form plexus ?

A

T1-T12

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8
Q

what does the ventral rami of T2-11 form?

A

intercostal nerves
they supply the skin and muscles of the anterolateral thorax and abdominal wall
(2-7 supply the thorax and structures within it
7-11 are atypical anterior thoraco abdominal nerves

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9
Q

what is ventral rami T12 ?

A

subcostal nerve

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10
Q

where does the dorsal rami of spinal nerves supply?

A

posterior body trunk area with both motor and sensory fibers via several branches

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11
Q

what is the cranial plexus formed by?

A

by the ventral rami of the upper 4 cerivical nerves (C1-C4)

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12
Q

what is cervical plexus?

A

Transmit sensory impulses from the skin of neck,back of head and shoulder
Most are cutaneous nerves that supply only the skin
C1 has no sensory supply
C5 have little effect

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13
Q

which plexus does phrenic nerve arise from?

A

cervical plexus

C3,4,5

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14
Q

what is the function of phrenic nerve ?

A

Supplies both motor and sensory fibers to the diaphragm

Chief muscle that cause breathing movements

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15
Q

what happen if the cervical plexus is damaged ?

A

Irritation of phrenic nerve : spasms of diaphragm or hiccups

Both phrenic nerve are destroyed, diaphragm is paralysed and respiratory arrest occurs (mechanical ventilators can keep victims alive)

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16
Q

what is the function of Supraclavicular nerve ?

A

Supplies the skin of shoulder and clavicular region

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17
Q

where is the Supraclavicular nerve found at ?

A

cervical plexus

C3,4

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18
Q

some example of what is in cervical plexus

A
  1. supraclavicular (3 and 4) they supply the skin of shoulder and clavicular region
  2. phrenic (3,4,5) serves the diaphragm , motor function
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19
Q

what is brachial plexus?

A

C5,6,7,8 and T1

Innervate upper limb
Can be palpated superior to the clavicle and lateral border of sternomastoid muscle

20
Q

what happens when the radial nerve is damaged ?

A

Unable to extend at the forearm, wrist and fingers.

Unopposed flexion of wrist occurs, known as wrist-drop.

21
Q

where is the radial nerve found at and what is its function?

A

brachial plexus C5-8
Triceps brachii muscle (forearm extension)
Wrist and finger extension too

22
Q

what is the function of axillary nerve?

A

Move deltoid, teres minor and tricep

C5,6

23
Q

what happens when the axillary nerve is damaged ?

A

Loss of movement or sensation in the shoulder.

Caused by
fracture of the humerus (upper arm bone),
pressure from casts or splints,
improper use of crutches.

24
Q

where is musculocutaneous nerve found at and what is its function?

A

brachial plexus C5-7

Anterior compartment of the arm: the coracobrachialis, biceps brachii, and brachialis.

Cutaneous innervation of the lateral forearm

25
Q

what will happen when the musculocutaneous nerve is damaged?

A

Loss of sensation in the skin on the front side of the forearm.

Weakened flexion at the shoulder and elbow.

Weakened rotation of the arm.

26
Q

where is the ulnar nerve found at and what is its function?

A

brachial plexus C8,T1

Stimulates muscles in the forearm, hand and fingers so you can:
Bend and straighten the pinky and ring fingers.
Grip and hold items.

27
Q

what happens when the ulnar nerve is damaged ?

A

Weakness, loss of coordination of the fingers.

Claw Like deformity of the hand and wrist.
Pain, numbness, decreased sensation, tingling, or burning sensation

28
Q

what happens when the median nerve is damaged ?

A

Compression of this nerve in the anterior wrist make it difficult to use pincer grasp (oppose thumb)
Carpal tunnel syndrome
To test: grip an object with his thumb and index finger and try to pull the object away.

29
Q

where is the median nerve found at and what is its function?

A

brachial plexus C5-8 and T1

Flexor muscles of the forearm and hand

Protonation of forearm
flexion, abduction, opposition, and extension of the thumb.

Sensory of skin of the lateral ⅔ of the hand , palm side and dorsum of fingers

30
Q

what are some examples of nerve in brachial plexus ?

A
  1. radial nerve
  2. musculocutaneous
  3. ulnar nerve
  4. median nerve
  5. axillary nerve
31
Q

what is lumbar plexus ?

A

serve mainly the lower limb and also sends some branches to the abdomen and buttock

32
Q

what is lumbar plexus consist of?

A

spinal nerve L1-4

33
Q

what are some examples in lumbar plexus?

A
  1. femoral nerve L2-4 , innervates anterior thigh muscles, quads which are thigh extensors and flexors
  2. obturator (L2-4). motor to abduct muscles
34
Q

where can the femoral nerve be found and what is its function?

A

lumbar plexus L2-4

Innervate anterior thigh muscles, quads which are for hip flexors and knee extension

35
Q

where is the obturator nerve found at and what is its function?

A

lumbar plexus L2-4

Innervates the adductor muscles

36
Q

what is the sacral plexus?

A

they serve the buttock, lower limb, pelvic structures and perineum

37
Q

what nerves make up sacral plexus?

A

spinal nerves L4,5 S1-S4

38
Q

where is the Pudendal nerve found at and what is its function?

A
sacral plexus (S2-4)
Supplies most of skin and muscles of perineum
39
Q

what are some examples of the nerves in ?sacral plexus

A
  1. sciatic nerve (tibial, L4-S3) (common fibular)
    - sensory, test leg and sole of feet
    - motor muscles to back of thigh, leg foot
  2. pudendal (S2-4)
    - supplies most of skin and muscles of perinium, and external anal sphincter
40
Q

what does the sciatic nerve consist of?

A

tibial nerve

common fibular

41
Q

what happens when the tibial nerve is damaged ?

A

paralyzes the calf muscles, cannot plantar flex the foot , shuffling gait

42
Q

where is tibial nerve found at and what is its function?

A

L4,L5 and S1,2,3

Longest nerve in the body

Sensory: to posterior surface of leg and sole of foot
Motor: muscles to the back of leg (hamstrings)

43
Q

what is the Common fibular nerve ? where is it found at and what is its function?

A

sacral plexus L4,5 and S1,2

Sensory: anterior and lateral surface of the leg and dorsum of the foot
Motor : bicep femoris

44
Q

what are dermatome?

A

an area of skin in which sensory nerves derive from a single spinal nerve root
(C1 has no dermatome)
dermatome overlap so destruction of a single spinal nerve will not cause complete numbness

45
Q

what is the function of dermatome?

A

Helpful in evaluating and diagnosing conditions affecting the spine or nerve roots.
Experiencing symptoms along a specific dermatome can help inform doctors about which area of the spine may be affected.

46
Q

what is the lowest dermatome?

A

anterior trunk is T12

posterior trunk L5