The Spinal Cord and Periphery Flashcards

1
Q

Where do the sensory axons enter the spinal cord?

A

Dorsal horn

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2
Q

Where do the motor neurons have their spinal cord?

A

Ventral horn

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3
Q

How is the white matter arranged in the spinal cord?

A

It is arranged in 3 columns: posterior, lateral and anterior

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4
Q

What is carried in the corticospinal/ pyramidal tract?

A

Motor impulses from the motor cortex to the skeletal muscles

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5
Q

What is carried in the posterior/dorsal column?

A

Touch, tactile localisation, vibration sense and proprioception

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6
Q

What is carried in the lateral spinothalamic tract?

A

Pain and temperature

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7
Q

What is the function of the corticospinal tract?

A

Control of voluntary skilled movements

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8
Q

Where does the corticospinal tract start?

A

Motor cortex (area 4)

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9
Q

What is the blood supply to the corticospinal tract?

A

MCA

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10
Q

Where do the corticobulbar fibres go to?

A

Contralateral cranial nuclei

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11
Q

Where do the corticospinal fibres decussate?

A

Pyramids of the medulla

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12
Q

Where are upper and lower motor neurons found?

A

Upper - above the level of decussation

Lower - below the level of decussation

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13
Q

How are 1st, 2nd and 3rd order neurons differentiated?

A

1st Order - Receptor to dorsal root/ CrN ganglion
2nd Order - Ganglion to thalamus
3rd Order - Thalamus to Parietal Cortex

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14
Q

Where are the cells bodies of the 2nd neurons in the posterior column found?

A

Lower Medulla

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15
Q

What is the 2nd order neuron called in the posterior column and where does it pass?

A

Medial lemniscus: passes through the medulla, pons and midbrain to the thalamus

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16
Q

Where does the 3rd order neuron end in the posterior column?

A

They pass through the internal capsule and radiate to the post-central gyrus (Area 2,1,3)

17
Q

Where do the first order neurons in the lateral spinothalamic tract end?

A

Grey matter

18
Q

Where do the 2nd order neurons decussate in the lateral spinothalamic tract?

A

Level of entry at the spinal cord

19
Q

Where do the 3rd order neurons of the lateral spinothalamic tract end?

A

Post central gyrus

20
Q

What is a reflex?

A

An involuntary stereotyped pattern of response brought about by a sensory stimulus

21
Q

What are the steps of a stretch reflex?

A

1) Tendon stretched
2) Intrafusal Muscle Fibres Stimulated
3) Sensory Neuron Activated
4a) Monosynaptic reflex arc
4b) Polysynaptic reflex arc to inhibitory interneuron
5a) Muscle contraction
5b) Reciprocal Innervation

22
Q

What are the steps in a flexor reflex?

A

1) Pain stimulus
2) Sensory neuron activated
3) Polysynaptic reflex arc
4a) Flexion and withdrawal from noxious stimulus
4b) Crossed extensor response to contralateral limb (only in weight bearing limbs)

23
Q

What happens to reflexes when there are UMN lesions?

A

They are exaggerated

24
Q

What happens to the tone with an UMN lesion?

A

Increased tone - spasticity

25
Q

What happens to the tone with a LMN lesion?

A

Decreased tone - flaccidity