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86 Cards in this Set
- Front
- Back
individual peripheral nerve fibers consists of 1) _____ 2) ______ 3) ____
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1. an axon
2. neurolemma (sheath of Schwann) 3. endoneurial CT (endoneurium) |
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vasa nervosum are
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vessels embedded in nerve fibers
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epineurium ensheaths
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peripheral nerve fascicles, vasa nervosum, fatty tissue, and lymphatics
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a specific area of body wall, the dermatome is innervated by
a specific muscle mass, the myotome is innervated by |
GSA
GSE |
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dorsal (posterior root): somatic afferent fibers
ventral (anterior) root: _______ |
somatic efferent fibers
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dorsal and ventral ramus are functionally mixed, meaning
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have afferent and efferent roots
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ventral anterior primary ramus supplies
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the anterolateral body wall, hypaxial muscles and the extremities
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dorsal (posterior) primary ramus supplies
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the skin of the back and posterior scalp, facet joints, posterior ligaments of the spine and epaxial (intrinsic back) muscles
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GSE are somatic efferent fibers
GSA are ______ |
somatic afferent fibers
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somatomotor fibers (GSE) stimulate what?
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voluntary and reflex contraction of skeletal muscles
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somatosensory fibers (GSA) transmit information to CNS concerning:
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1) touch, pain, pressure & temperature
2) proprioception form muscles, tendons and joints |
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in somaticnervous system, how many neuron is/are btw the CNS and skeletal muscles or sensory receptors, innervated by GSE or GSA fibers respectively
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one
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skin of face and anterior scalp are innervated by _____
skin in the body, the dermatome, are innervated by _____ |
CN V
GSA of spinal nerves |
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loss of a single spinal nerve or dorsal root does not produce anesthesia b/c
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dermatomes overlap
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what kind of nerves carry information from ________ (aka cutaneuous receptors) in the skin to the CNS
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cutaneuous nerves
exteroceptors |
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exteroceptors include 3 types
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mechanoreceptos, thermoreceptor, nociceptors
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exteroceptors are continuous with peripheral processes of _________ neurons whose cell bodies are located in __________ ganglia
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psudounipolar sensory neurons
dorsal root (spinal) ganglia |
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dorsal root (spinal) ganglia is located in
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intervertebral foramen, just proximal to the mixed spinal nerve
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are there any synapse at the dorsal root of ganglia?
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no
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central process of the pseudounipolar sensory neurons continue to _______ in the spinal cord
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dorsal horn of spinal gray
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contraction of skeletal muscle is a direct result of stimulus by what types of neurons, and most of these are ______ neurons
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lower motor neurons
alpha motor neurons |
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lower motor neurons are located where?
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either brainstem or spinal cord
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alpha motor neurons stimulate what?
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skeletal muscles
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inputs from exteroceptors and proprioceptos are segregated ______ in the dorsal horn of spinal gray.
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modality
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ventral roots convey axons of _________ neurons, whose cell bodies are located ______ of the spinal gray
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lower motor neurons
ventral horns of spinal gray |
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how are lower motor neurons organized
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somatotropically
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lower motor neurons located _________ give rise to axons found in 9 of the 12 pairs of CN
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brains stems nuclei
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a motor unit is
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a lower motor neuron and all of the muscle fibers which it supplies
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each muscle fiber is innervated by a single _______
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alpha motor neuron
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peripheral nerve injuries are divided into 2 types:
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irritative and destructive
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irritative is reversible or irreversible?
how about destructive |
irritative - reversible
destructive - irreversible |
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cause of irritative and destructive pheripheral nerve injuries.
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irritative caused by acute or chronic mechanical trauma or inflammation.
destructive is caused by trauma (cutting) or neuropathy |
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if sensory fibers are stimulated in irritative peripheral nerve injuries what results? how abound destructive
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pain or parasthesia (altered sensation) result - irritative.
anesthesia or hypoesthesia (diminished sensation) result - destructive |
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if motor fibers are stimulated in irritative peripheral nerve injuries what result? how about destructive?
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spasm or twitching result from irritative
paralysis or paresis (weakness) result from destructive |
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visceral nervous system supply viscera (internal organs) and are divided into 2 components:
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motor (GVE) components
sensory (GVA) components |
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GVE, motor components control, regulate, innervate what?
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control smooth muscle contraction
regulates glandular secretion innervate cardiac muscle |
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motor (GVE) components form voluntary or autonomic nervous system?
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autonomic nervous system
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sensory (GVA) components convey what
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convey normally vague and poorly localized organic pain (hard to pin point) and visceral sensations. also convey info related to visceral reflexes.
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referred pain sensation from visceral is reflected on
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periphery
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distribution of sympathetic and parasympathetic
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sympathetic - widely distributed except to avascular tissues
parasympathetic - restricted distribition to head, viscera of trunk, erectile tissue |
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how many neurons do viceral nervous system have?
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2 neuron rule
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the first neuron of viceral nervous system is located where?
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in the CNS
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sympathetic nervous system, the preganglionic axon is long or short?
how about preganglionic axon of parasympathetic nervous system? |
preganglionic axons of:
sympathetic - short parasympathetic - long |
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postganglionic neurons of sympathetic nervous system are usually located _______ or ________ ganglion
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paravertebral or prevertebral ganglion relatively near the CNS
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postganglionic neurons of parasympathetic nervous system are usually located in a ganglion __________
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on or in the walls of the target organs
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what's chemical released at the postganglionic terminal of sympathetic? the postganglionic terminal of sympathetic is also called?
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NE
adrenergic ending |
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what's chemical released at the postganglionic terminal of parasympathetic? the postganglionic terminal of parasympathetic is also called?
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acetylcholine
chlinergic ending |
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the target organ of are usually dually innervated by para and sympathetic system?
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T
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the preganglionic neuron cell bodies of parasympathetics are located where? (2 places)
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brain stem nuclei
or the ventral horn of the S2 - S4 spinal cord segment |
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preganglionic parasympathetic axons leave the brain stem in 4 CN's, they are?
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III, VII, IX, X
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preganglionic axons of parasympathetic div. leaving spinal cord in the ventral roots of the S2 - S4 spinal nerve form what nerves
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pelvic splanchnic nerves
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pelvic splanchnic nerve provide what kind of innervation to what organs (3)?
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parasympathetic innervation to lower GI, pelvic and perineal organs
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parasympathetic div is also called
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craniosacral system
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visceral afferent fibers in additional to convey sensation of visceral pain, the fibers also convey physiologic sensation arising from ________ and _____
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mechanoreceptors and chemoreceptors
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mechanoreceptors innervated by visceral afferent fibers respond to
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distention in the walls of GI tract, respiratory structures, and the urinary bladder as well as baroreceptor in arteries
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chemoreceptors responds to changes in (3)
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1. partial pressure of O2 and CO2 in the blood
2. blood pH 3. the concentration of H+ in the stomach |
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the preganglionic neuron cell bodies of sympathetic div. are located in
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intermediolateral horns of the T1-L2 segment of spinal cord
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the preganglionic sympathetic axons leave the spinal cord in the ______ roots of the _________, then exit the ______ canal. the Axons head for bilateral chains of interconnected ganglia called _____.
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ventral roots of the T1-L2 spinal nerves
vertebral canal the sympathetic trunk |
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sympathetic div is also called
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thoracolumbar system
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sympathetic trunks lie _________ along each side of _____, extending from the _______ to _____.
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lie in the paravertebral gutters
spine base of the skull to coccyx |
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ganglia in the sympathetic trunk (chain) are called
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paravertebral ganglia
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after transversing their intervertebral foramina, the T1-L2 spinal nerves send _______ to the sympathetic chain via ________.
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preganglionic sympathetics
white rami communicantes |
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4 fates of preganglionic sympathetic reaching the sympathetic chains via the white rami:
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1. synapse @ the nearest ganglion
2. synapse @ a more superior ganglion 3. synapse @ a more inferior ganglion 4. pass thru the chain w/o synapsing |
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after synapsing in the chain, postganglionic sympathetics rejoin spinal nerves via _______ for distribution to the body wall
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gray rami comminucantes
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gray of rami commuunicants convey _________ fibers back to the spinal nerve
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postganglionic sympathetic fibers
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ALL spinal nerves will receive some ________fibers via ____ rami communicantes
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post ganglionic sympathetic fibers
gray rami communicantes |
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body wall structure that receive sympathetic innervation are (3)
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sweat glands
arrectores pili vascular smooth muscle |
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vascular smooth muscle, sympathetic stimuli induces ____________ except what arteries?
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vasoconstriction
coronary arteries |
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white and gray rami are both associated with what ____ nerves only
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T1-L2 spinal nerves only
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gray rami are found with all _______.
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spinal nerves
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postganglionic axons arising from _______ ganglia will leave the sympathetic chains and form a ________ on the ____ arteries and their branches to reach cranial and cervical viscera.
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cervical ganglia
periarterial plexus on the carotid arteries |
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interruption of periarterial plexus will produces __________.
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ipsilateral Horner's Syndrome
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Horner's syndrome include:
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ptosis, miosis and anhidrosis (no sweating)
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some postganglionic fibers arising in the _____ and ____ganglia will leave the chain as ________ branches to cervical and thoracic viscera (e.g. heart, lungs, and esophagus)
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cervical and upper thoracic ganglia
direct visceral branches |
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the direct visceral branches also convey _____ fibers from viscera to cervical and upper thoracic spinal nerves via the ___________. These pain afferent s may stimulate ______ fibers in the dorsal roots of these spinal nerve and produce ________ in the body wall or extremities.
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GVA fibers
white communicating rami GSA fibers referred pain |
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bundles of preganglionic sympathetic axons which exit the chain w/o synapsing are called _______. These fibers will synapse in _____________ ganglia located anterior to _______.
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splachnic nerve
collateral or prevertebral ganglia located anterior to the abdominal aorta and common iliac arteries |
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thoracic splanchnic nerves contain ________ fibers destined for ______
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preganglionic sympathetic fibers
abdomen |
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thoracic splanchnic nerves pierce _______ and seek synapse on neurons in _________. a limited number pass thru these ganglia and synapse in the ________. _________ fibers arising from the _________ reach their visceral targets by forming __________ along arteries, arising from the __________. Upon reaching the GI tract, these __________ fibers contribute to formation of _________ system w/i the walls of GI structures from esophagus to anal canal.
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diaphragm
preaortic (prevertebral) ganglia postganglionic sympathetic fibers prevertebral ganglia periarterial plexus abdominal aorta postganglionic synpathetic fibers enteric nervous system |
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enteric nervous system functions in GI structures
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facilitate contraction of smooth muscle sphinters and inhibit both peristalsis and inhibit both peristalsis and glandular secretion
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in the abdomen and pelvis, __________ accompanying sympathetic nerves also transmit pain from _______ and ________.
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visceral afferents
nociceptors strong concetrations of smooth muscle |
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nociceptors and strong contraction of smooth muscles in abdomen and pelvis tramsmit what kind of pain?
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niciceptors stimulated by excessive distension of a part of GI tract or bladder.
strong contractions of smooth muscle in the wall of visceral structure as uterus. |
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splanchnics convey pain via the _____ fibers from viscera to the _________ of spinal nerves _______ via the __________ rami. These pain afferents may stimulate ____ fibers in the dorsal roots of these nerves and produce abdominopelvic "__________".
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GVA fibers
dorsal roots T5-T2 white communicating rami GSA fibers "referred pain" |
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pain from abdominopelvic viscera is referred to _________
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specific regions of body wall.
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SSA convey what kind of information? CN that carry it?
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info related to those special senses which relate the body to the external environment.
CN VIII: vision - from retina, sound - from cochlea, equilibrium - from labyrinth of the inner ear. |
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SVA convey what kind of info?
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information related to those special senses associated with ingestion of food: smell, taste
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SVE innervate skeletal muscles derived from? the CN?
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derived from the pharyngeal arches: V, VII, IX, X
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