The Nervous System Part 1 Flashcards

1
Q

What does the CNS and PNS consist of?

A
  • CNS: brain and spinal cord
  • PNS: nerves which pass to and from the CNS (Cranial and spinal nerves)
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2
Q
  1. Is motor information transmitted to voluntary or involuntary areas and what part of the nervous system transmits it?
  2. What muscles/organs is motor information carried to?
A
  • To voluntary skeletal muscle via somatic nervous system
  • To carciac muscle, glands and involuntary smooth muscle of organs and blood vessels via
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3
Q

What is the neuron structure and what are the 2 types?

A
  • Nucleated cell body with dendrites (cytoplasmic processes) and the axon
    1. afferent neurons: carry sensory info to the cns
    2. efferent neurons: carry motor info away from cns
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4
Q

Where does the spinal cord end?

A

Between the 1st and 2nd lumbar vertebrae forming the conus medullaris

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5
Q

What is the grey matter in the spinal cord composed of?

A
  • Cell bodies of neurons (and their glial cells)
    Arranged as a
  • Dorsal (posterior) horn
  • Ventral (anterior) horn
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6
Q

What is the white matter in the spinal cord composed of?

A
  • Nerve fibres
  • The white colour results from the myelinated axons
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7
Q

Label the transverse section of the spinal cord

A
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8
Q

What is the bundle of spinal nerves at the end of the spinal cord called?

A

Cauda equina (from L2-S5)

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9
Q

What is the purpose of the cervical and lumbar enlargements on the spinal cord?

A

The limbs have a lot of muscles. The more motor neurons, the more cell bodies needed to feed the muscles in the limbs

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10
Q

Where are the brachial plexus and lumbar and sacral plexi found in the spinal cord?

A
  • Brachial plexus: Cervical enlargement between C5-T1
  • Lumbar and sacral plexi: Lumbar enlargement between T11 and L1
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11
Q

What does the subarachnoid space contain and what is it located between?

A
  • Cerebrospinal fluid (CSF)
  • Between pia and arachnoid mater
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12
Q

What is the lumbar cistern? What’s its clinical significance?

A
  • An area of subarachnoid space which extends from the conus medullaris
  • Where a lumbar puncture and spinal anasthesia are administered
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13
Q

What are spinal nerves structure?

A

Each nerve begins as an anterior (motor) and posterior (sensory) nerve root. These unite at the intervertebral foramina forming a single single spinal nerve

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14
Q

The spinal nerve leaves the vertebral canal via intervertebral foramina and divides into 2.
What are the 2 ramis?

A
  • Posterior rami: supplies nerve fibres to synovial joints of the vertebral column, deep back muscles and overlying skin
  • Anterior rami: supplies nerve fibres to much of the remaining area of the body, motor and sensory
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15
Q

What is a nerve plexus?

A

A network of nerve fibres

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16
Q

What is a ganglion?

A

A collection of neuronal cell bodies situated outside the CNS.

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17
Q

What is the spinal cord continuous with?

A

The medulla oblongata

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18
Q

What is the space between the bones of the vertebral canal and the dura mater?

A
  • Epidural space
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19
Q

How many cranial nerves are there and what info do they carry?
Which nerve is the exception?

A
  • 12 pairs of cranial nerves
  • Sensory info from and motor info to the head and neck
  • Vagus nerve innervates the structures in the thorax and abdomen
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20
Q

How many spinal nerves are there?

A
  • 31 pairs of symettrical spinal nerves
  • 8 cervical
  • 12 thoracic
  • 5 lumbar
  • 5 sacral
  • 1 coccygeal
21
Q

Whats a fasicle? What connective tissue are they surrounded by?

A
  • Many bundles of nerve fibres
  • Dense irregular connective tissue called the epineurium
22
Q

What is each fascicle surrounded by?

A

Perineurium (sheath of specialised cells forming 2-7 layers)

23
Q

Within each fascicle what are the individual nerve fibres and blood vessels surrounded by?

A

Loose connective tissue the endoneurium

24
Q
  1. What do the dorsal roots and roolets transmit?
  2. What do the ventral roots and ventral rootlets transmit?
A
  1. Sensory info towards spinal cord
  2. Motor info away from the spinal cord
25
Q
  1. What neurons are located in the ventral horn of grey mater?
  2. What neurons are located in the dorsal root ganglion?
A
  1. Motor neurons
  2. Cell bodies of pseudounipolar sensory neurons
26
Q

In the trunk each thoracic spinal nerve divides into a dorsal (small) and ventral (large) ramus.

  • What do the ventral ramus form?
  • How is the anterior skin supplied by nerves?
A
  • Intercostal nerves which pass anteriorly in the intercostal space between 2 ribs giving branches to the intercostal muscles
  • Skin is also supplied by intercostal nerves via lateral cutaneous branch (lateral chest) and an anterior cutaneous branch (anterior chest)
27
Q

Can intercostal nerves supply the abdomen?

A

Yes - the lowest intercostal nerve continues into the abdomen to supply the abdominal wall muscles and overlying skin

28
Q

Once a sensory axon has entered the spinal cord what 2 things may it do?

A
  1. Synapse with a motor neuron whose axon leaves the spinal cord at the same segmental level
  2. Sensory info may be transmitted upwards. Motor info can then be transmitted down the spinal cord.
29
Q

What are the sensory nerve endings in the skin called and what do they detect?

A
  • Cutaneous receptors
  • Touch, pressure, pain and temperature
    the sensory info is transmitted back to the cns in spinal nerves and the pattern of distribution of spinal nerves in the skin is consistent
30
Q

What is a dermatome?

A

The area of skin supplied by a single spinal nerve/spinal cord segment

31
Q

Whats a myotome?

A

A region of skeletal muscle innervated by a single spinal nerve/spinal cord segment

32
Q

What are the basic components of a reflex arc?

A
  • Sensory receptor
  • Sensory neuron
  • Motor neuron
  • Skeletal muscle fibres
33
Q

What are the 2 main types of nerve plexus?

A
  • Somatic plexuses
  • Autonomic plexuses
34
Q

What do somatic plexuses supply?

A
  • Skin, voluntary skeletal muscle and joints
  • Formed from ventral rami of spinal nerves
35
Q

What do autonomic plexuses supply?

A
  • Distribute nerves to blood vessels and viscera
  • Found in throax, abdomen and pelvis

Some autonomic plexuses accomany major arteries = perivascular plexuses

36
Q

What are the 4 somatic plexuses?

A
  • Cervical
  • Brachial
  • Lumbar
  • Sacral
37
Q

What does the cervical plexus supply?

A

Ventral rami of cervical spine nerves C1-4 supply:
* Skin
* Muscles of head, neck and shoulder

38
Q

What does the brachial plexus supply?
Through which nerves does it supply?

A

Ventral rami C5-C8 and T1 supply:
* Skin and muscles of upper limb
1. Axillary (shoulder region)
2. Musculocutaneous (anterior arm)
3. Radial (posterior arm, forearm, hand)
4. Ulnar (anterior forearm and hand medially)
5. Median (anterior forearm and hand laterally)

39
Q
  1. Where do the ventral rami of lumbar spinal nerves and sacral spinal nerves form the sacral plexus?
  2. What does it supply?
  3. What nerve innovates?
A
  1. L4-L5 and S1-S4
  2. Skin and muscle of thigh and leg/foot
  3. Sacral - Sciatic nerve
    Lumbar - femoral and obturator nerve
40
Q
  1. Where do the ventral rami of lumbar spinal nerves form the lumbar plexus?
  2. What does it supply?
  3. What nerves innovate?
A
  1. L1-L4
  2. Muscle and skin of the anterior and medial aspect of the thigh
  3. Femoral and obturator nerves
41
Q

Embryology

When does limb development take place?

A

4th - 8th week of development
* Upper limb buds - day 24
* Lower limb buds - day 28

42
Q

Embryology

What is the skin of limbs and the skeletomuscular derived from in embryology?

A
  1. Limbs: embryonic ectoderm
  2. Skeletomuscular: mesoderm
43
Q

Embryology - 4th week of development

  1. What is the apical ectodermal ridge (AER)?
  2. Why is it critical for normal development?
A
  • AER is critical structure for normal limb development by mesoderm thickening
  • Directs the proximo-distal growth of the limb
44
Q

Embryology

How does the AER promote formation of cartilage and muscle?

A
  • Promoting proliferation of cells in the underlying mesenchyme (undifferentiated connective tissue)
45
Q

Embryology - week 6 of development

What forms in week 6 of development after the limbs have grown?

A

Distal parts of limb buds form
* Handplates
* Footplates
* Digits formed by cell death

46
Q

Embryology

During 4-5 embryonic weeks, ____ development is sensitive to environmental toxins ( ____ ) such as….

A
  • Limb
  • Teratogens
  • Thalidomide

Full absence of limb = amelia, partial = meromelia

47
Q

Label the nerves of the brachial plexus

A
48
Q

Label the brachial plexus

A