Test 3 Flashcards
- The spinal dura mater attaches to all the following structures Except:
A. Foramen magnum
*True- The Spinal Dura begins at the foramen Magnum. Spinal Dura at foramen magnum is tightly attached to the inner rim of the foramen.
- The spinal dura mater attaches to all the following structures Except:
B. Ligamentum flavum.
False- From C2 down, Spinal Dura is separated from all the constituents of vertebral canal (Spinal Canal), among them Ligamentum flavum, by the Epidural fat and internal venous plexus.
- The spinal dura mater attaches to all the following structures Except:
C. Axis
*True- The axis is another bony attachment for the Spinal Dura
- The spinal dura mater attaches to all the following structures Except:
D. Coccyx
*True- The Coccyx is the other bony attachment of the Spinal Dura that occurs through the Filum Terminale Interna & the Filum Terminale Externa (Coccygeal Ligament)
- The spinal dura mater attaches to all the following structures Except:
E. Posterior atlantooccipital membrane
*True- Spinal Dura is firmly attached to the Posterior atlantooccipital membrane. This will protect the Spinal Cord from the buckling of the Dura during extension at atlantooccipital joint
- All the following statements describe the Cervical Plexus Except:
A. Its roots are from C1 – C4
True- Cervical Plexus is made by the Ventral Primary Rami of C1- C4 that make the Roots of the plexus
- All the following statements describe the Cervical Plexus Except:
B. Its cutaneous terminals conduct sensation from the occiput to the shoulder.
True- The four major cutaneous branches of Cervical Plexus: Lesser Occipital, Great Auricular, Transverse Cervical & Supraclavicular nerves, they all together conduct sensations between the occiput and the shoulder
- All the following statements describe the Cervical Plexus Except:
C. It innervates the anterior neck muscles
True- Anterior neck muscles located at C1-C4 level such as Longus Colli, Longus Capitis and rectus Capitis Anterior they all innervated by branches off of the roots of the plexus
- All the following statements describe the Cervical Plexus Except:
D. Greater occipital nerve is one of its terminals.
False- Greater Occipital nerve is the C2 dorsal ramus and it does not belong to the Cervical Plexus
- All the following statements describe the Cervical Plexus Except:
E. C1 makes the upper root of its Ansa Cervicalis
True- The Ansa Cervicalis of Cervical Plexus is made of the upper root (C1) and the lower root (C2-C3)
- The Lumbosacral enlargement of the spinal cord is located at:
A. L4 – S3 cord level
False- The Lumbosacral enlargement of the spinal cord is located at L1-S3 cord level
- The Lumbosacral enlargement of the spinal cord is located at:
B. T11 – L1 vertebral level
True- The Lumbosacral enlargement of the
spinal cord is located at T11-L1 vertebral level
- The Lumbosacral enlargement of the spinal cord is located at:
C. C. L2 – L5 cord level
False- As stated above, the Lumbosacral enlargement of the spinal cord is located at L1-S3 cord level
- The Lumbosacral enlargement of the spinal cord is located at:
D. L1 – S3 vertebral level
False- As stated above, the Lumbosacral
enlargement of the spinal cord is located at T11-L1 vertebral level
- The Lumbosacral enlargement of the spinal cord is located at:
E. T12 – L4 cord level
False- As stated above, the Lumbosacral
enlargement of the spinal cord is located at L1-S3 cord level
- The lowest disc level that most likely can affect the nerve roots of the lumbar plexus is?
L1
False- L1 disc when protruded can affect L2 through Co (the only one Coccygeal spinal nerve). Since Lumbar Plexus is basically made of L1-L4 roots; therefore, L2, L3 & L4 roots of Lumbar plexus are most likely to be affected by L1 disc.
- The lowest disc level that most likely can affect the nerve roots of the lumbar plexus is?
L2
False- L2 disc when protruded can affect L3-Co. Since Lumbar
Plexus is basically made of L1-L4 roots; therefore, L3 & L4 roots of Lumbar plexus are most likely to be affected by L2 disc
- The lowest disc level that most likely can affect the nerve roots of the lumbar plexus is?
L3
True- L3 disc when protruded can affect L4-Co. Since Lumbar
Plexus is basically made of L1-L4 roots, therefore, L4 root which is the lowest root of Lumbar plexus most likely to be affected by L3 disc
- The lowest disc level that most likely can affect the nerve roots of the lumbar plexus is?
L4
False- L4 disc when protruded can affect L5-Co. Since Lumbar
Plexus is basically made of L1-L4 roots; therefore, L4 disc protrusion will not have any affect on the roots of Lumbar plexus
- The lowest disc level that most likely can affect the nerve roots of the lumbar plexus is?
L5
False- L5 disc when protruded can affect S1-Co. Since Lumbar
Plexus is basically made of L1-L4 roots; therefore, L5 disc protrusion will not have any affect on the roots of Lumbar plexus
Please note: The roots of Lumbar Plexus as they emerge out of the vertebral canal through the IVFs, pass above the corresponding IV discs. Therefore, if any of the lumbar discs undergoes degeneration and is protruded, the root of Lumbar Plexus associated with that level would be safe.
for Question 4
- In which Rexed laminae are the somatic lower motor neurons located?
A. Laminae VI and VII
False- The neurons in both laminae VI & VII are
among the Interneurons (neurons located in between the input and output neurons)
- In which Rexed laminae are the somatic lower motor neurons located?
B. Lamina VIII only
False- The neurons in this lamina are also act as Interneurons
- In which Rexed laminae are the somatic lower motor neurons located?
C. Laminae VII and X
False- The neurons in these two laminae are also act as Interneurons
- In which Rexed laminae are the somatic lower motor neurons located?
D. Lamina VII only
False- As mentioned above, the neurons in lamina VII Are mostly among the Interneurons. You may realize that at the most lateral tips of lamina VII, which is called Lateral Intermediate Horn, at T1-L2/L3 cord level the Preganglionic Sympathetic neurons are located. At S2-S4 cord level the Preganglionic Parasympathetic neurons are located
- In which Rexed laminae are the somatic lower motor neurons located?
E. Lamina IX only
True- The larger neurons of lamina IX are the lower motor neurons that project out through the ventral rootlets – ventral roots – spinal nerves – dorsal and ventral rami toward the skeletal muscles of the body
- Where are the postganglionic sympathetic neurons for the radiating muscles of the iris located?
A. Ciliary ganglion
False- The Ciliary Ganglion contains the
Postganglionic Parasympathetic neurons for both the Ciliary muscles of the lens, and the Circular muscles of the iris
- Where are the postganglionic sympathetic neurons for the radiating muscles of the iris located?
B. Pterygopalatine ganglion
False- The Pterygopalatine Ganglion contains
the postganglionic Parasympathetic neurons for the Lacrimal gland as well as Nasal and palatine glands
- Where are the postganglionic sympathetic neurons for the radiating muscles of the iris located?
C. Otic ganglion
False- Otic Ganglion contains the postganglionic Parasympathetic neurons for the Parotid gland
- Where are the postganglionic sympathetic neurons for the radiating muscles of the iris located?
D. Superior cervical ganglion
True- Superior Cervical Ganglion
contains the Postganglionic Sympathetic neurons for the Radiating
muscles of the iris and more.
- Where are the postganglionic sympathetic neurons for the radiating muscles of the iris located?
E. Stellate ganglion
False- The Stellate Ganglion contains The
Postganglionic Sympathetic neurons. The Sympathetic Postganglionic fibers besides innervating the Heart, they also travel along with C7, C8, and T1 spinal nerves to innervate the blood vessels along with Erector Pile muscles of corresponding regions
- The postganglionic parasympathetic neurons of the Lacrimal nerve are located in:
A. Pterygopalatine ganglion in pterygopalatine fossa
True- As stated above, the Postganglionic parasympathetic neurons of Lacrimal nerve are located in Pterygopalatine Ganglion in the Pterygopalatine fossa
- The postganglionic parasympathetic neurons of the Lacrimal nerve are located in:
B. Inferior salivatory nucleus in the medulla
False- The Inferior Salivatory Nucleus is where the Preganglionic Parasympathetic neurons of cranial nerve IX (Glossopharyngeal Nerve) are located. These neurons synapse with the Postganglionic neurons in Otic ganglion
- The postganglionic parasympathetic neurons of the Lacrimal nerve are located in:
C. Dorsal motor nucleus in the medulla
False- The Dorsal Motor Nucleus is the location for the Preganglionic Parasympathetic neurons of cranial nerve X (Vagus Nerve). The fibers of these neurons travels with the Vagus to reach the postganglionic neurons located at their target areas which are the lungs, stomach, small intestines, and two segments of the large intestines
- The postganglionic parasympathetic neurons of the Lacrimal nerve are located in:
D. Superior salivatory nucleus in the pons
False- The Superior Salivatory Nucleus of the Pons is the location for the reganglionic Parasympathetic neurons of cranial nerve VII (Facial Nerve). The fibers of these neurons travel through different nerves to reach the Postganglionic Parasympathetic neurons in Pterygopalatine and Submandibular Ganglions
- The postganglionic parasympathetic neurons of the Lacrimal nerve are located in:
E. Edinger-Westphal nucleus in the midbrain
False- The Edinger-Westphal Nucleus is the location of the Preganglionic Parasympathetic neurons of cranial nerve III (Oculomotor Nerve). The fibers of these neurons synapse with Postganglionic neurons in Ciliary Ganglion
- Sweat glands and hair follicles are innervated by the postganglionic parasympathetic fibers
True
False- The Sweat Glands and Hair Follicles are innervated by the Postganglionic Sympathetic (Not Parasympathetic) fibers
- Sweat glands and hair follicles are innervated by the postganglionic parasympathetic fibers
False
It is false, because as stated above, it is the Sympathetic division of the Autonomic nervous System innervates the Hair Follicles and Sweat Glands
- At any given moment, there is about 125 ml of cerebrospinal fluid located in:
A. Lateral ventricles and subdural space
False- The above mentioned amount of Cerebrospinal fluid is not limited to the Lateral ventricles, and is not found in subdural space
- At any given moment, there is about 125 ml of cerebrospinal fluid located in:
B. All ventricles and subarachnoid space
True- The 125ml of Cerebrospinal fluid is found in all four ventricles and the Subarachnoid space
- At any given moment, there is about 125 ml of cerebrospinal fluid located in:
C. All ventricles and epidural space
False- The above mentioned amount of Cerebrospinal fluid is found in all four ventricles, but not found in Epidural space
- At any given moment, there is about 125 ml of cerebrospinal fluid located in:
D. 3rd and 4th ventricles and extradural space
False- The above mentioned amount of Cerebrospinal fluid is not limited to the 3rd and 4th ventricles, and is not found in Extradural space
- All of the following are characteristics of Oculomotor nerve lesion except
A. Dilation of the pupil
True- In Oculomotor nerve lesion, the
Parasympathetic fibers that innervate the constrictor muscles of the iris would also be affected. Therefore, the radiating muscles of the iris would not be opposed by the constrictor muscles any more, and result in Dilation of the pupil
- All of the following are characteristics of Oculomotor nerve lesion except
B. Ptosis
True- In Oculomotor nerve lesion, the Levator Palpebrae Superioris muscle, which is also innervated by this nerve, would be paralyzed and no longer can lift the upper eyelid up, therefore, the eyelid would be dropped (Ptosis)
- All of the following are characteristics of Oculomotor nerve lesion except
C. Miosis
False- Miosis which is the Constriction of the Pupil is not a consequence of Oculomotor nerve lesion, but rather is a result of Sympathetic nerve lesion. As you know that the Radiating muscles of the iris are innervated by the Postganglionic nerve fibers from the Superior Cervical Ganglion. In Miosis, the Constrictor muscles of the iris which are innervated by the Parasympathetic portion of the Oculomotor nerve, are unopposed by the paralyzed Radiating muscles of the iris. Therefore, the Pupil will be reduced in diameter (Miosis)
- All of the following are characteristics of Oculomotor nerve lesion except
D. Lateral deviation of the eye
True- In Oculomotor nerve lesion, a total of
Five muscles of the eye would be paralyzed. Four of the external eye muscles can move the eye superiorly, inferiorly and medially toward the nose but not laterally. Since the only muscle that can move the eye laterally is innervated by cranial nerve VI, therefore, when the Oculomotor nerve is not there, the Lateral Rectus muscle of the eye would not be opposed by the Medial Rectus and that would result in lateral deviation of the eye
- All of the following are characteristics of Oculomotor nerve lesion except
E. Paralysis of ciliary muscles
True- In Oculomotor nerve lesion, the
Parasympathetic fibers which innervate the ciliary muscles of the Lens would also be affected. Therefore, the Lens would not be able to accommodate for near object vision
- Which of the following transitional movements is correct when rotating the head to the left with the body in its anatomical position?
A. +ӨY
True- This symbol indicates the rotation of the head toward the left
- Which of the following transitional movements is correct when rotating the head to the left with the body in its anatomical position?
B. –ӨX
False- This symbol indicates hyperextension of the Spine backward
- Which of the following transitional movements is correct when rotating the head to the left with the body in its anatomical position?
C. +ӨZ
False- This indicates bending the Spine to the right
- Which of the following transitional movements is correct when rotating the head to the left with the body in its anatomical position?
D. –ӨY
False- This symbol indicates the rotation of the head toward the right
- Which of the following transitional movements is correct when rotating the head to the left with the body in its anatomical position?
E. +ӨX
False- This symbol indicates flexing the Spine foreword
Note: In order to find the correct transitional movement all you need is to look toward the positive direction of each of the 3 axes (in this case which is the Y-axis). Then if the movement is clockwise is +ӨY or counterclockwise is -ӨY. Therefore, when rotating the head toward the left, it considered as clockwise rotation along the Y-axis and that is +ӨY
question 11
- All of the following autonomic ganglia are located either on both sides of the vertebral column or just in front of it Except:
A. Otic ganglion
The Otic Ganglion is among those autonomic ganglia which are not located on either side of the vertebral column or in front of it. This Parasympathetic ganglion is located in the infratemporal fossa on the medial side of Mandibular division of the Trigeminal nerve
- All of the following autonomic ganglia are located either on both sides of the vertebral column or just in front of it Except:
B. Superior cervical ganglion
True- Superior Cervical Ganglia (2) are the
highest Sympathetic ganglia which are located on both sides of the upper cervical vertebrae
- All of the following autonomic ganglia are located either on both sides of the vertebral column or just in front of it Except:
C. Celiac ganglion
True- Celiac Ganglia are located around the Celiac Artery/Trunk (a major branch off of the abdominal aorta) located in front of the vertebral column
- All of the following autonomic ganglia are located either on both sides of the vertebral column or just in front of it Except:
D. Superior mesenteric ganglion
True- Superior Mesenteric Ganglia are
located around the Superior Mesenteric Artery (another major branch off of the abdominal aorta), located in front of the vertebral column
- All of the following autonomic ganglia are located either on both sides of the vertebral column or just in front of it Except:
E. Stellate ganglion
True- The Stellate Ganglia (one on each side of the Vertebral column, located at the base of the Neck) are made of the inferior Sympathetic Cervical ganglia that merge with the first Thoracic Sympathetic ganglia
- Vertebral arteries and their union in front of the Pons, the Basilar artery, along with their branches supply all the following neuronal structures Except
A. Spinal cord
A. True- As the Vertebral arteries pass through the posterior Atlanto-occipital membrane and enter the dural sac, they give origin to three spinal arteries to supply the spinal cord
- Vertebral arteries and their union in front of the Pons, the Basilar artery, along with their branches supply all the following neuronal structures Except
B. Edinger-Westphal nucleus
True- Branches of the Basilar artery supply
the Midbrain and the Edinger-Westphal nucleus is located in the upper half of this part of the brain stem
- Vertebral arteries and their union in front of the Pons, the Basilar artery, along with their branches supply all the following neuronal structures Except
C. Submandibular ganglion
False- Submandibular Ganglion is located
in the floor of the mouth. Therefore, it is out of the reach of Vertebral arteries and its branches
- Vertebral arteries and their union in front of the Pons, the Basilar artery, along with their branches supply all the following neuronal structures Except
D. Facial nucleus
True- Branches of the Basilar artery also supply the Pons and the Facial nucleus is located in the lower half of this part of the brainstem
- Vertebral arteries and their union in front of the Pons, the Basilar artery, along with their branches supply all the following neuronal structures Except
E. Visual cortex
True- Basilar artery which is made of the union of the two Vertebral arteries at the base of the pons, terminates into its two Posterior Cerebral Arteries. These two arteries are the main suppliers of the Visual Cortex besides other areas of the brain
- The anterior divisions of ———- and posterior divisions of ——— together form the largest nerve, “Sciatic”, in the body
A. L1 - L4 and L1 – S2
False- There are No such Anterior or Posterior
Divisions that make any known nerve in the body
- The anterior divisions of ———- and posterior divisions of ——— together form the largest nerve, “Sciatic”, in the body
B. L1 - S4 and L2 – S2
False- There are No such Anterior or Posterior
Divisions that make any known nerve in the body
- The anterior divisions of ———- and posterior divisions of ——— together form the largest nerve, “Sciatic”, in the body
C. L4 - S2 and L4 – S3
False- There are No such Anterior or posterior Divisions that make any known nerve in the body. However, as you see in answer E, L4 – S3 Anterior divisions along with L4 – S2 Posterior divisions together they make the largest known nerve in the body
- The anterior divisions of ———- and posterior divisions of ——— together form the largest nerve, “Sciatic”, in the body
D. L5 - S4 and L4 – S3
False- There are No such Anterior or Posterior
Divisions that make any known nerve in the body
- The anterior divisions of ———- and posterior divisions of ——— together form the largest nerve, “Sciatic”, in the body
E. L4 - S3 and L4 – S2
It is the L4 –S3 Anterior divisions (Tibial Nerve) along with L4 – S2 Posterior divisions (Common Peroneal/Fibular Nerve) that making the Sciatic nerve, the largest nerve in the body and is located in the posterior thigh compartment
- The Spinothalamic tract:
A. Is a fasciculus that communicates between adjacent spinal segments
False- The Fasciculus that communicates between adjacent spinal segments is called Propriospinal Tract/Fasciculus
- The Spinothalamic tract:
B. Is a fasciculus that conducts propreioception from muscles and joints
False- The Fasciculi that conduct proprioception from muscles and joints are several in number, and at each location have different names. For example, Fasciculus Gracilis, Fasciculus Cuneatus, Anterior & Posterior Spinocerebellar Tracts/Fasciculi, Medial lemniscus and more all conduct either conscious or unconscious proprioception from muscles and joints
- The Spinothalamic tract:
C. Is a fasciculus that is located all around the gray matter
False- This is the Fasciculus that discussed in A. The Fasciculus that communicates between adjacent spinal segments, the Propriospinal Tract/Fasciculus is the one located all around the gray matter of the Spinal Cord
- The Spinothalamic tract:
D. Is a fasciculus that conducts pain among other sensations from the Skin
True- The Spinothalamic Tract which is part of the Anterolateral System of the White Mater is the Fasciculus that conducts Pain, Temperature and touch to the Thalamus