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69 Cards in this Set
- Front
- Back
cervical enlargement is associated with innervation of...
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arms
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lumbar enlargement is associated with innervation of...
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lower limb
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first three sections of nerve
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ventral/dorsal ROOT --> spinal NERVE --> ventral/dorsal RAMUS
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2 effects of intervertebral disk pushing on spinal nerves
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blockade of conduction --> muscle weakness
points of irritation within spinal nerve, conducting APs back into spinal cord (ectopic impulses) |
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ectopic impulses
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APs from impinged spinal nerve back to spinal cord
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Sciatica
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impinged (usu. lumbar) spinal nerves
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function of denticulate ligaments
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suspend spinal cord in SAS
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mixed nerves
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with spinal + peripheral neurons
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when measuring the impulse along a peripheral nerve, what is the name of what the recording electrode records?
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compound action potential
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when applying a stimulating electrode to the skin, in what direction is the impulse propogated?
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BOTH directions!
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bigger blips on compound AP represent ...
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A-alpha & A-beta fibers
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smaller blips on compound AP represent...
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A-delta fiber
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blip way out to the right on a compound AP represents
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C-fiber
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which class of afferent fibers are myelinated?
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A
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which class of afferent fibers are unmyelinated?
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C
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examples of A-alpha fibers
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fibers from annulospiral endings from the muscle spindle
fibers from Golgi Tendon Organs |
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examples of A-beta fibers
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fibers from flower-spray endings of the muscle spindles; cutaneous tactile receptors
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what type of fibers conduct crude tactile, temperature and pain sensations?
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A-delta fibers
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fibers carrying pain and temperature sensations?
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C fibers
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which fibers tend to be part of the DC-ML system?
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A-alpha, A-beta
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what fibers tend to be part of the anterolateral system?
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A-delta & C fibers
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which fibers are most sensitive to pressure, cooling & anoxia?
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A-alpha & A-beta fibers
therefore, pressure, cooling or anoxia can cut off impulses in these nerves (as with feet falling asleep) |
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which fibers are most sensitive to local anesthetics?
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A-delta and C fibers
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cutaneous area of UPPER ARM
DERMATOME? |
C5
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cutaneous area of THUMB
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C6
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cutaneous area of MIDDLE FINGER
DERMATOME |
C7
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cutaneous area of LITTLE FINGER
DERMATOME: |
C8
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cutaneous area of NIPPLE
DERMATOME: |
T4
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cutaneous are of UMBILICUS
DERMATOME: |
T10
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cutaneous are of BIG TOE
DERMATOME: |
L5
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cutaneous area of HEEL
DERMATOME: |
S1
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cutaneous area of BACK OF THIGH
DERMATOME: |
S2
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pathogen causing shingles
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herpes zoster
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pathogenesis of shingles
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viral particles taken up by nerve endings
lie dormant for years virus reactivated, transported by axo-plasmic transport erupt on skin as a rash |
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what does shingles follow on skin
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dermatome
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2 tell-tale symptoms of shingles
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rash following a dermatome
hepetic neuralgia |
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rostral to caudal perfusion in the spine is supplied by ____ arteries
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medullary
(NOT in the medulla!) |
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single, largest medullary artery
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Artery of Adamkowitz
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function of Artery of Adamkowitz
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supplies lumbosacral enlargement
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damage to Artery of Adamkowitz during surgery can cause
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ischaemia to lumbosacral enlargement and subsequent loss of innervation to lower limb
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Nissl stain is used to visualize ____ matter
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grey matter
(Stains cell bodies only) |
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Weigert stain is used to visualize ____ matter
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white matter
(stains myelin) |
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which artery supplies most blood to ventral horns of spinal cord?
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central artery
(Branch of anterior spinal artery) |
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anterior artery syndrome
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loss of motor funciton
retention of sensory function mediated through dorsal columns |
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3 nuclei of dorsal horn (from dorsal to ventral)
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posteromarginal nucleus
substantia gelatinosa nucleus proprius |
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2 nuclei in intermediate zone
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Clarke's nucleus
intermediolateral nucleus |
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nuclei of ventral horn
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Somatic motor nuclei
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only see Clarke's nuceli in what region of the spinal cord?
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thoracic
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lamina I corresponds to which nucleus
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posteromarginal nucleus
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lamina II corresponds to which nucleus?
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substantia gelatinosa
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nucleus proprius corresponds to which laminae?
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III, IV, V
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somatic motor nuclei are in lamina ___
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IX
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nuclei of intermediate horn are both in lamina ___
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VII
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dorsal fasciculus, aka:
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Tract of Lissauer
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dorsal fasciculus do not stain well with Weigert stain, meaning they are ____ fibers, or ____ fibers
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unmyelinated fibers
C fibers (and A-delta fibers) |
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medial division of dorsal root
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A-alpha and A-beta fibers
exit medial and dorsal to dorsal fasciculus |
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lateral division of dorsal root provides input to which Tract?
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Lissauer's tract
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lateral divison has what type of fibers?
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C fibers, A-delta fibers
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lateral divison has fibers that mediate what kind of sensation?
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pain
temperature |
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medial division inputs into which sensory system?
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DC-ML
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lateral division inputs into which sensory system
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anterolateral (AL)
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somatotopy
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organization of nuclei that mediate innervation in the same part of the body are clustered together in the grey matter
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gracile fasciculus is associated with innervation of the _____-
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lower limbs
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cuneate fasciculus is associated with innervation of the _____
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arms
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posterior intermediate sulcus divides ___ & ____
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gracile and cuneate fasciculi
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Is the lateral white matter a one- or two-way highway?
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TWO- WAY!
(afferent and efferent) |
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anterior white commisure contains which neurons
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axons of second-order neurons that are part of the anterolateral system
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lateral somatic nuclei only exist where and where in the spinal cord? why?
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cervical and lumbosacral enlargements
b/c lateral somatic nuclei innervate the limbs/extremities! |
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2 nuclei found from T1 - L2
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intermediolateral nuclei
Clarke's nuclei |