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110 Cards in this Set
- Front
- Back
Cervical Plexus
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C2,3 Greater Auricular
C2,3 Lesser Occipital C2,3 Transverse cervical C3,4 Supraclavicular C1,2,3 Ausa cervicalis C3,4,5 Phrenic |
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Brachial Plexus
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C5-Dorsal Scapular
C5,6 Axillary,Suprascapular, Subclavius C5,6,7 Musculocutaneous, Long Thoracic, Lateral Pectoral C6,7,8 Thoracodorsal C8, T1 Ulna, Medial Pectoral C5-T1 Median, Radial |
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Lumbar Plexus
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L1- ilioingunial, iliohypogastric
L1,2 genitofemoral L2,3 lateral cutaneous femoral L2,3,4 Femoral, obturator |
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Sacral
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L4-S1 Superior Gluteal
L5-S2 Inferior Gluteal L4-S3 Sciatic, Tibial L4-S2 Peroneal (common, superficial, deep) S2,3,4 Pudendal |
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Three primary brain vesicles (Cranial dilations)
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1. Proencephalon (forebrain)
2. Mesencephalon (midbrain) 3.Rhombencephalon (hindbrain) |
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Rhombencephalon consists of :
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1.metencephalon - pons and cerebellum
2.myelencephalon- medulla oblongata |
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Neural plate
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1.appears during week 3 anterior to primitive pit
2.elevations create neural folds which close to form the neural tube. a.) initially open at both ends -cranial neuropore - closes day 25 -caudal neuropore- closes day 27 b.) lumen becomes central canal of spinal cord and ventricles of the brain |
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Neural crest gives rise to:
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Sensory ganglia of spinal nerves (dorsal root ganglion), postganglionic neurons of the ANS, Schwann cells, melanocytes, odontoblasts, meninges, pharyngeal arch mesenchyme
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Neuroepithelium
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lines neural tube; gives rise to cells of the mantle layer, neurons, and glial cells.
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Mantle - Forms ______matter of the spinal cord.
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The mantle forms the gray matter of the spinal cord.
1.basal plate- ventral; motor 2.alar plate- dorsal; sensory 3.sulcus limitans-separates basal and alar plates 4.roof plate and floor plate-inducers of mesenchyme |
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Marginal layer- forms the _____matter of the spinal cord
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white matter
1.outer layer 2.nerve fibers from developing neurons of mantle |
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Spinal Nerves consist of :
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1. fibers from neurons of basal plate (motor) form VENTRAL ROOTS; week 4
2.fibers from dorsal root ganglia (neural crest) grow into cord forming DORSAL ROOT 3. Fibers from dorsal root ganglia grow distally and join ventral nerve roots to form spinal nerve. |
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cauda equina
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results from differential growth of spinal cord and vertebral column
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Anomalies of spinal cord:
Spina bifida cystica |
Neural tissue and/or meninges exposed.
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Brain Flexures: weeks 4-8
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1.mesencephalic- "cranial flexure", midbrain
2.cervical- brainstem and cord; at approximately level of foramen magnum 3.pontine |
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Rhombencephalon- hind brain
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1. distinct basal and alar plates
2.alar plate moves to lateral position 3. sensory and motor areas subdivided into columns (GSA, SVA, GVA etc), supply structures of head and neck primarily, but also neurons of vagus nerve (CN X) |
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Dorsal Rami of the Spinal Nerves
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1. Also called posterior primary rami
2. Divide (except first cervical, fourth and fifth sacral and coccygeal) into medial and lateral branches 3. Supply muscle and skin of the posterior back and neck. |
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Which dorsal rami of spinal nerves do NOT divide into medial and lateral branches?
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1st cervical
4th and 5th sacral coccygeal |
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Dorsal ramus of C1-
What nerve? Innervates? |
suboccipitial nerve
1.muscles of the SOT 2.Supplies semispinalis capitits m. |
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Dorsal ramus of C2-
innervates? |
1.Supplies the inferior obilque m.
2.Exits inferior to the above m. 3.Medial branch is called the greater occipital n. which pierces the semispinalis capitis m. and supplies the skin of the posterior scalp. 4.Lateral branch supplies the splenius, longissimus capitis, and semispinalis capitis mm. |
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Dorsal rami of the lower 5 cervical nerves:
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1. Medial branches supply the skin
2. Lateral branches supply the iliocostalis cervicis, longissimus cervicis, and longissimus capitis mm. |
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Location of Acetylcholine Cholinergic nicotinic receptors:
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All postganglionic neurons
Adrenal medullary cells myoneural junction |
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Location of Muscarinic Acetylcholine receptors
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All parasympathetic neuro-effector organs
Select sympathetic target organs- 1.eccrine sweat glands 2.smooth muscles in the walls of blood vessels in skeletal muscle |
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Where are norepinephrine adrenergic alpha 1 receptors located?
effects? |
1.blood vessels
2.sphincter muscles 3.other sympathetic tissues effects- a. vasoconstriction b.constriction c.stimulation |
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Where are norepinephrine alpha 2 cell receptors located?
effects? |
1. postganglionic adrenergic axon
effects-autoinhibition |
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Where are norepienephrine beta 1 cell receptors located?
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1.heart
2.kidney 3.adipose tissue |
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Where are norepinephrine beta 2 cells located?
effects? |
1.lungs
2.smooth muscle in walls of blood vessels relaxation, bronchodilation, relaxation, vasodilation |
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Roof plate of mesencephalon-made of ependymal cells covered by vascular mesenchyme
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1.tela choroidea- ependymal cells plus vascular mesenchyme
2. choroid plexus from vascular mesenchyme- creates CSF |
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Where does the motor nuclei innervating structures of they eye originate?
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Basal plates of the Mesencephalon
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What part of the mesencephalon relays for visual and auditory reflexes?
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alar plates- anterior and posterior colliculi
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anencephaly
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failure of closure of cephalic portion of neural tube, resulting in degeneration of neural tissue
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Somatic efferent cranial nerves
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CN III, IV,VI, XII
1.arise in brain stem 2.innervate muscles derived from preotic and occipital myotomes |
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Cranial nerves of pharyngeal arches
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CN V, VII, IX, and X
1.arise from nuclei of brain stem 2.contain sensory and motor components |
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Special sensory cranial nerves
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CN I, II, and VIII
1.CN I from olefactory bulb 2.CN II from developing neurons of retina 3.CN VIII- -vestibular nerve from semicircular ducts to nuclei in brain stem -cochlear nerve from spiral organ of Corti to nuclei in brain stem |
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Adrenal gland of ANS
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1. Cortex from mesoderm
2. Medulla from sympathetic nervous system (neural crest) |
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Parasympathetic ANS
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1. preganglionic fibers from neurons in brain stem and sacral spinal cord
2.postganglionic fibers from neural crest migration to site of ganglia |
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Sympathetic ANS
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1. preganglionic neurons develop within the lateral horn in thoracolumbar region of spinal cord
2. Postganglionic neurons- neural crest cell migration in thorax to form chain of ganglia along vertebral column; migration to site of ganglia |
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A collection of neuron cell bodies OUTSIDE the CNS:
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Ganglion
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A collection of neuron cell bodies WITHIN the CNS:
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Nucleus
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Grouping of nerve fibers that interconnect regions of the CNS
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Tract
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The structure of GSA, GVA sensory neurons is:
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pseudounipolar
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The structure of SSA, SVA special sensory neurons is:
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bipolar
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The structure of GSE, GVE motor neurons is:
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multipolar
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Refers to movement or sensations from the whole body, especially skeletal muscles, and receptors in the skin, joints and skeletal muscles telling the brain about the environment. (temp, touch, pain, stretch, position, etc)
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General somatic
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Refers to organs of the body, smooth muscles, cardiac muscle, and glands. Motor or sensory from these tissues. Sensory includes pain and stretch primarily
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General visceral
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Sight, hearing, and equillibrium
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Special somatic
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Smell, taste and special skeletal muscles (traps, SCM)
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Special Visceral
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Organs WITHOUT dual innervation
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adrenal medulla-sympathetic only
arrector pili muscles-sympathetic only sweat glands-sympathetic only most blood vessels- mostly sympathetic *control is achieved by increasing or decreasing the tone (firing rate) of sympathetic neurons |
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C1, 2, 3 Motor to omohyoid, sternohyoid, sternothyroid
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ansa cervicalis
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Cervical nerves that are NOT part of the cervical plexus:
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1.Suboccipital nerve- dorsal ramus of C1. Motor to the SOT muscles, NO cutaneuous sensory branch.
2.Greater occipital nerve- dorsal ramus of C2. Sensory to posterior scalp, motor to splenius m. 3.Third occipital nerve- dorsal ramus of C3. Medial branch to sensory to a small area of posterior scalp. |
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Real Texans Drink Cold Beer.
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Roots- 5
Trunks-3 Divisions- (6) 2 per trunk Cords- 3 Branches- |
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Roots of the Brachial Plexus
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Ventral rami of C5-T1
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Organs WITHOUT dual innervation
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adrenal medulla-sympathetic only
arrector pili muscles-sympathetic only sweat glands-sympathetic only most blood vessels- mostly sympathetic *control is achieved by increasing or decreasing the tone (firing rate) of sympathetic neurons |
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C1, 2, 3 Motor to omohyoid, sternohyoid, sternothyroid
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ansa cervicalis
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Cervical nerves that are NOT part of the cervical plexus:
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1.Suboccipital nerve- dorsal ramus of C1. Motor to the SOT muscles, NO cutaneuous sensory branch.
2.Greater occipital nerve- dorsal ramus of C2. Sensory to posterior scalp, motor to splenius m. 3.Third occipital nerve- dorsal ramus of C3. Medial branch to sensory to a small area of posterior scalp. |
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Real Texans Drink Cold Beer.
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Roots- 5
Trunks-3 Divisions- (6) 2 per trunk Cords- 3 Branches- |
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Roots of the Brachial Plexus
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Ventral rami of C5-T1
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Cephalgia
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headache
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Polycythemia
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increased mass of RBC
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Genu Varum
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Bow-legged
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anamnesis
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Recalling past info for a medical history form.
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cathartic
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substance that makes you poop more
accelerates defication |
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pathognomonic
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charactorisitic for a specific disease
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teleology
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study of evidences of design or purpose in nature
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Genu Valgum
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knock- kneed
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Antiemetic
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Keeps you from vomiting
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Carminative
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relieves farting
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edentulous
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without teeth
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Corpulence
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obesity
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alopectia
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disease where the hair falls out
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cardiomegaly
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abnormal enlargement of the heart from either hypertrophy or dilation
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lumbodynia
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pain in lumbar region
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lumbago
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pain in lumbar region
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claudication
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limpness or lameness
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xeroderma
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mild form of ichthyosis- itchy, scaly skin
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dorsal root is derived from
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neural crest (go into alar plates)
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ventral roots come from
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neural tube. (come out of nerons in basal plate)
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ependymal cells make
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CSF
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choroid plexus
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between metencephanlon and myelenchephalon- (both part of rhombencephalon.)
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basal plates- motor nuclei innervating structures of the eye
alar plates- anaterior and posterior colliculi; relays for visual and auditory reflexes |
Mesencephalon
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Lamina terminalis
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site of closure of anterior neuropore
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Cranial Nerves
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Somatic Efferent -CN III, IV, VI, XII
Nerves of pharyngeal arches CN V, VII, IX, X Special sensory- I, II, VIII |
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Postganglionic fibers come from
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neural crest
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Microglia
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Phagocytic cell of CNS
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ganglionic gliocytes
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supportive cells of ganglis PNS
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Visceral=
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autonomic nervous system, smooth muscle, cardiac muscle, glands
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Spinal nerves contain what kind of nerves?
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GSE, GSA, GVE, GVA
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PNS components
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Cranial and Spinal nerves
-visceral nerves and plexuses -enteric system of nerves -neuroglial cells (only some, not all) ALL dervied from neural crest and outgrowth |
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Distal end of spinal cord
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conus medullaris
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filum terminale
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pia mater (extends further than cord)
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funiculi
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means cord or column
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How many spinal nerves?
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31 pairs
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bell-magendic law
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dorsal root of spinal nerve carries sensory info, ventral root carries motor info.
SAME DAVE |
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Recurrent meningeal nerve innervates
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-Posterior aspect of IVD
-Posterior longitudinal ligament -anterior epidural vein -anterior aspect of the dura -periosteum of posterior aspect of vertebral bodies typically more than one branch (2) |
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what forms plexuses? (4 of them)
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ventral ramus
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Rami communicantes
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ANS
White rami communicantes connects spinal nerve to the paravertebral ganglia gray rami connects the paravertebral ganglia to the spinal nerve |
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31 pair of spinal nerves
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8 cervical
12 thoracic 5 lumbar 5 sacral 1 coccygeal |
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Somatic nervous system
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Innervates skin and most skeletal muscle, from somites
Dermatomyotomes Dermatomes Myotomes |
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Visceral (autonomic) Nervous System
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sympathetic and parasypathetic
sympathetic- T1-L2 parasympathetic- cervical and sacral |
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Sympathetic innervation of Thoracic and Cervical Viscera
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(T1,T3, some T4,T5)-head
(T1-T4)-heart and lungs (T3-T6)-upper limbs (T4-T9)- abdominal viscera (T8-L1)-adrenal gland (T11-L2)-urinary bladder and prostate (T10-L2)-pelvic viscera and reproductive organs (T7-L1)-lower limbs |
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Sympathetic GVE fibers to lymphoid tissues
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T-lymphocytes, macrophages
Lymph nodes Spleen( contains 3x as many sympathetic fibers as kidneys) GIT- ANS division located in wall of gut, regulate GIT secretions and motility (GIT=gastral intestinal tract) |
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Two interconnected plexuses within the walls of the GIT:
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1. Myenteric plexus
2. submucous nerve plexus each one formed by: ganglia- house nerve cell bodies and associtated cells bundles of nerves which pass between ganglia and to surrounding tissues |
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80% of norepi released is re-uptaked back into axon, broken down by_____
20% remaining in synaptic space is broken down by _____ |
MAO-monoamine oxidase
COMT- catechol-O-methyl transferase |
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Adrenergic receptors:
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alpha- 1.blood vessels 2. presynaptic, autoinhibitory
beta 1.heart 2.lungs |
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Supraclavicular branches of brachial plexus
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1.dorsal scapular
2.long thoracic 3.suprascapular |
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Damage to Long Thoracic nerve
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C5,6,7,
Serratus anterior m. "winged scapula" |
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Damage to axillary nerve
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C5,6 shoulder injuries, paralysis of deltoid m. and teres minor
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Damage to radial nerve
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damage to extensors
Depends where nerve is damaged improper use of crutches frogging drunkard paralysis church pew paralysis |
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damage to median nerve
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signs-carpal tunnel, pronator teres syndromes,
honeymooners palsy fracture of humerous or distal radius |
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carpal tunnel vs pronator teres
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you lose feeling in thenar eminence in pronator teres syndrome. Pt. resists pronation
carpal tunnel-pins and needles |