test 1: lecture 7 Flashcards

1
Q

where does spinal cord end?

A

conus medullaris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

lumbar and sacral nerves that travel past the conus medullaris are ___

A

cauda equina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

dorsal root has what kind of nerves?

A

sensory (afferent)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ventral root have what kind of nerves?

A

motor (efferent)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

___ is made of nerve cell bodies, dendrites and axons

A

gray matter

H shaped

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

another name for tracts?

A

fasciculi (pathways)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

three funiculus of white matter in the spinal cord

A

dorsal funiculus

lateral funiculus

ventral funiculus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
A

cervical spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
A

Thoracic spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
A

lumbar spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what part of the spinal cord has more grey matter then white matter?

A

lumbar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
A

dorsal horn

intermediate gray

ventral horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

___ part of the spinal cord contains mainly neurons responding to sensory input

A

dorsal horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

___ part of the spinal cord contains some sensory neurons, some motor neurons, interneurons

A

intermediate gray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

__ part of the spinal cord has mainly motor neurons whose axons exit the spinal cord

A

ventral horn

(blue)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

3 divisions of the spinal gray matter

A

dorsal horn

intermediate gray

ventral horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

where is lateral horn found?

A

T1-L2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

lateral horn

A

(T1-L2)

  • cell bodies of preganglionic sympathetic neurons
  • send axons out ventral root to innervate smooth muscle, cardiac muscle and glands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

lower motor neurons are ___

A

alpha and gamma motor neurons that leave the ventral horn to innervate skeletal muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

___ is one alpha motor neuron and all the muscle fibers it innervates

A

motor unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

___ is the collection of alpha motor neurons that innervates a single muscle, e.g., biceps brachii

A

motor neuron pool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Motor neuron pool – the collection of alpha motor neurons that innervates ____

A

a single muscle, e.g., biceps brachii

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

where do you find preganglionic sympathetic neurons?

A

lateral horn (T1-L2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

where are preganglionic parasympathetics found?

A

sacral level

on lateral edge of the intermediate grey

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what type of muscle does each part of the ventral horn innervate?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

pathway for motor innervation of skeletal muscle

A

upper motor neuron → lower (alpha) motor neuron → muscle

(2 neurons)

lower motor neuron leaves through the ventral horn and travels through spinal nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

___ controls voluntary muscle contraction of the distal extremities

A

corticospinal tract (pyramidal tract)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

corticospinal tract

A

upper motor neuron in cerebral cortex

switched sides in the brain stem at the pyramidal decussation

travels down spinal cord in lateral funiculus

synapses with lower motor neuron in ventral horn

lower motor neuron (alpha) leaves spinal cord through ventral root

travels to skeletal muscle

gamma motor neurons travel from muscle spindles (reflex contraction) through dorsal root synapses on LMN and cause reflex

30
Q

is the UMN contralateral or ipsilateral to the LMN for the corticospinal tract

A

voluntary muscle control

(contralateral - switches sides at the pyramidal decussation)

31
Q

the corticospinal tract will travel down the ___ part of the spinal cord

A

lateral funiculus

32
Q

___ cross the midline

A

decussation

33
Q
A

corticospinal tract

(descending pathway from motor cortex→ cross sides in pyramid → down through the lateral funiculus →voluntary muscle control)

34
Q

Descending spinal pathways from brain

  • modulate spinal reflexes or directly drive ___output
  • Clinically referred to as “___Neurons”

___ is a common descending tract

A

motor

Upper Motor

corticospinal tract

35
Q

lateral pathways in the spinal cord usually control ___ and is under direct ___ control.

A

voluntary movement of the distal musculature

cortical

(corticospinal tract and rubrospinal tract)

36
Q

ventromedial pathways control ___

A

posture, locomotion orienting and balance

37
Q

what are some ventromedial pathways of the spinal cord?

A

pontine and medullary reticulospinal tracts for posture and locomotion

38
Q

ventromedial pathways are under ___ control and innervate ___ and proximal musculature

A

brainstem

axial

39
Q

___ are the lateral pathways of the spinal cord

A

corticospinal tract

rubrospinal tract

40
Q

what pathway controls detailed finger movements

what pathway controls basic extension of hands

A

corticospinal tract

rubrospinal tract

41
Q

what pathways control posture, locomotion and balance

A

ventromedial pathway

42
Q

general sensory pathway

A

3 neurons

sensory afferent enter spinal cord by dorsal root

synapse on second order neuron

second order changes sides

2nd order synapses on 3rd order in the thalamus

3rd order travels to the somato-sensory cortex

43
Q

in sensory pathway which neuron will change sides?

A

second neuron

44
Q

___ carries proprioception (limb position sense) fine touch, pressure and vibratory sense to the cortex.

A

dorsal column medial leminiscal tract

45
Q

the 1st neuron for the dorsal column medial lemniscal system goes where?

A

touch and proprioception

heavily myelinated

comes from body through dorsal root and some will trigger reflexes axon collateral will travel up spinal cord through the dorsal column will synapse on 2nd order neuron in the medulla

46
Q

pathway for vibration, touch and proprioception

A

dorsal column- medial lemniscal tract

sensory from body through dorsal root into dorsal columns

will synapse on 2nd neuron at the medulla at the dorsal column nuclei

2nd neuron crosses sides (now called medial lemnicus)

2nd will synapse with 3rd in the thalamus (ventropostero-lateral nucleus VPL)

3rd will travel into the cerebral cortex

47
Q

what is this pathway called

A

dorsal column-medial lemniscal tract

48
Q

what pathway carries info about vibration, light touch, pressure, proprioception

A

dorsal column- medial lemniscal pathway

49
Q

parts of the dorsal column

A

Fasiculus gracilis – hindlimb (sacal, lumbar)

Fasiculus cuneatus – forelimb (thoracic, cervical)

(organized from medial to lateral from bottom of spinal cord to top: sacral→ cervical)

50
Q

___ is a body map

A

somatotopy

areas are divided based on where from the body they came from

dorsal column (organized from medial to lateral from bottom of spinal cord to top: sacral→ cervical)

51
Q

two parts of the dorsal column

A

Fasiculus gracilis – hindlimb (sacral and lumbar)

Fasiculus cuneatus – forelimb (throacic and cervical)

52
Q

what pathway

A

Dorsal Column – Medial Lemniscal Tract

Vibration, Light touch, Pressure, Proprioception

(3 neurons- dorsal root to dorsal column → medulla, change sides → 3rd at thalamus → primary somatosensory cortex

53
Q

pain and temperature tract

A

spinothalamic tract

(unmyelinated and lightly myelinated tracts)

54
Q

for the spinothalamic tract the first neurons are small diameter axons of dorsal roots that carry pain and temperature modalities into the cord. They all synapse with sensory neurons in the ___

A

dorsal horn!

(black and grey)

55
Q

spinothalamic tract

A

pain and temperature

unmyelinated or lightly myelinated

1st from body through dorsal root will synapse in dorsal horn

2nd from dorsal horn crosses sides goes up through the anteriolateral tract

2nd synapses at 3rd in the thalamus (ventroposterolateral nucleus VPL)

up to cerebral cortex

56
Q
A

spinothalamic tract

(pain and temperature)

1st → 2nd at dorsal horn

2 crosses

2→3 at thalamus up to the cerebral cortex

57
Q
A

spinothalamic tract

58
Q

compare the dorsal column-medial leminiscal pathway and the spinothalamic pathway

A
59
Q

___ convey unconscious proprioception to IPSILATERAL cerebellum.

A

spinocerebellar system

dorsal spinocerebellar

cuneocerebellar

60
Q

what controls lower limb unconscious proprioception to the cerebellum?

A

dorsal spinocerebellar tract

61
Q

what controls upper limb unconscious proprioception to the cerebellum?

A

cuneocerebellar tract

62
Q

dorsal spinocerebellar tract

A

lower limb unconscious proprioception to ipsilateral cerebellum

2 nerve pathway

sensory from muscle spindles through dorsal root ganglion

synapses on 2nd neurons at clark’s nucleus

2nd neuron up through the inferior cerebellar peduncle to the cerebellar cortex

63
Q

cuneocerebellar tract

A

upper limb unconscious proprioception to ipsilateral cerebellum

2 nerve pathway

sensory from muscle spindles through dorsal root ganglion

synapses on 2nd neurons at accessory cuneate nucleus in the brain stem

2nd neuron up through the inferior cerebellar peduncle to the cerebellar cortex

64
Q

two ascending pathways for conscious proprioception

A

Dorsal Column - Medial Lemniscal Tract (proprioception/touch/vibration/ pressure)

Spinothalamic Tract (pain/temperature)

65
Q

two ascending tracts for unconscious proprioception

A
  • Dorsal Spinocerebellar Tract (lower limb)
  • Cuneocerebellar Tract (upper limb)
66
Q

•somatosensory input is split into separate ___ and carried up to brain on separate paths

A

submodalities

67
Q

what tract goes through here?

A

dorsal spinocerebellar tract

(unconscious proprioception of the lower limb to the cerebellum)

68
Q

what tract goes through here?

A

•Dorsal Column - Medial Lemniscal Tract (proprioception/touch/vibration/ pressure)

69
Q

what tract goes through here?

A

spinothalamic tract

ascending pain and temperature to the cortex

70
Q

these are showing ___ tracts

A

ascending

71
Q

these are ___ tracts

A

descending

72
Q

what tract

A

corticospinal tract (voluntary control of distal muscles ex. finger movement)