Shared Flashcard Set

Details

Nerve/Neuromuscular Module
Dr. Babler 2-25-09
22
Health Care
Professional
03/07/2009

Additional Health Care Flashcards

 


 

Cards

Term

What is another name for motor fibers and sensory fibers?

Definition

Afferent and Efferent 

 

Afferent (sensory)

General somatic afferent

General visceral afferent

 

efferent (motor)

General Somatic Efferent

Genreal visceral efferent

 

Term
Where do somatic fibers travel to?
Definition
To the body wall
Term

What do you call a nerve fiber that is:

 

1. sensory and travels to the body wall

2.  Sensory and travels to the viscera

3.  Motor and travels to the body wall

4.  Motor and travels to the viscera

Definition

1.  GSA

2.  GVA

3.  GSE

4.  GVE

Term
With respect to somatotropic organization, explain how the motor cell bodies are organized in the ventral horns the spinal cord gray matter.
Definition

The flexors are more dorsal, the extensors are more vental.

 

The trunk and shoulder are more medial while the hands and fingers are more lateral.

Term

What horns of the spinal cord do the sensory fibers enter?  Where do the motor fibers exit?  The autonomic fibers?

Definition

Sensory fibers- dorsal horn

 

Motor fibers- ventral horn

 

Autonomic- originate in the intermediolateral and excit via the ventral horn.

Term
Compare and contrast gray matter of the spinal cord with white matter.
Definition

The gray matter has cell bodies for GSA, GVA, GSE, and GVE.  It contains somatotropic organization.

 

The white matter has both sensory and motor fibers traveling between the brain and peripheral nervous system (spinothalamic, dorsal column, and corticospinal).

Term
Name the three basic tracts of spinal cord white matter.
Definition

1.  Spinothalamic (ascending-sensory)

2.  Dorsal Column (ascending-sensory)

3.  Corticospinal (descending-motor)

Term
Sensory input to the cerebral cortex involves how many neurons?
Definition

The spinal cord ascending tracts involve

three neurons

Term
In the cases of pain and temperature sensation, where are the primary neurons located?  What is their origin?
Definition

The primary neurons for pain and temperature are located outside of the spinal cord in the dorsal root ganglion.

 

These cells originate from neural crest cells.

 

FYI:  The impulse then synapses with secondary neurons in the dorsal horn on the ipsilateral side of the pain sensation.  The nerve impulse then crosses over to the contralateral side and ascends the spinal cord via the spinothalamic tract.  It then synapses with the tertiary neurons in the thalamus before traveling to the contralateral side of the cerebral cortex.

Term
In the cases of pain and temperature sensation, where are the secondary neurons located? 
Definition

They are located in the dorsal horn on the ipsilateral side of the pain sensation.

 

The nerve impulse then crosses over to the contralateral side and ascends the spinal cord via the spinothalamic tract.

Term
If you burn your left hand on the stove, what side of the cerebral cortex recieves that information.  Trace the pathway.
Definition

1.  The GSA fibers sense the pain and send a signal towards the spinal cord.

2.  Signal synapses in the primary neurons in the dorsal root ganglion.

3.  The signal enters the dorsal horn of the spinal cord and immediately synapses with the secondary neurons on the left side (ipsilateral) of the spinal cord.

4.  The signal then crosses over to the contralateral side of the spine where it travels up the spinothalamic tract.

5.  The signal then travels up to the thalamus where it synapses with tertiary neurons and is routed to the right (contralateral) side of the cerebral cortex!

Term
In the case of proprioception, where are the three neurons located?
Definition

1. primary- dorsal root ganglia

2.  Secondary- medulla

3.  tertiary- thalamus

Term

Without looking, you know your holding up two fingers on your right hand.  What sense is this and trace its path up to the cerebral cortex.

Definition

PROPRIOCEPTION

 

1.  GSA fibers sense the position of the two fingers on your right hand and send a signal towards the spinal cord.

2.  The signal synapses first in the dorsal root ganglia (as always and remember neural crest cells!)

3.  The signal enters the dorsal root of the spinal cord and immediately ascends to the medulla via the ipsilateral dorsal column.

4.  In the medulla, it synapses with its secondary neurons and crosses over to the contralateral side before traveling up to the thalamus via the medial lemniscus!

5.  The signal finally synapses with its tertiary neurons in the thalamus before entering the cerebral cortex on the left (contralateral) side.  (remember signal originated in you right hand)

Term
How many neurons are in the motor pathway?  How about the sensory pathway?
Definition

The motor pathway has Two (2) neurons

 

The sensory has three!

Term
Where are upper motor neurons (UMNs) located?
Definition

UMNs are located in the cerebral cortex, cerebellum, or basal ganglia.

Term
Where is the primary motor area located?
Definition
In the precentral gyrus (Brodmann's area) of the cerebral cortex.
Term
You want to move you right hand, discuss the pathway of that signal starting in the cerebral cortex.
Definition

1. Start in the left primary motor area, known as the precentral gyrus (Brodmann's Area) 

2.  The fibers cross over to the contralateral side at the junction of the brainstem and spinal cord (The Medulla Oblongata), in an area known as the pyramidal decussation.

3.  It then travels down the contralateral side of the spinal cord via the corticospinal tract.

4.  The signal synapses in the lower motor neuron.

Term
Why is the central sulcus such an important landmark on the brain?
Definition
It separates the precentral gyrus (MOTOR) from the postcentral gyrus (SENSORY)
Term
In the postcentral gyrus, what is the somatotopic organization? (humunculus)
Definition

From the top, midline of the brain to the bottom it goes:

 

Toes-->knee-->hip-->trunk

-----------------------------------------------------

Shoulder->arm->elbow->wrist->hand->fingers

-----------------------------------------------------

Neck->brow->eye->face->LIPS->jaw->TONGUE

Term
If there was a lesion in the anterior white comissure at one vertebral level, what would be affected?
Definition
According to Babler, not much would be affected because more than one peripheral nerve makes up a spinal nerve.  If you cut at only one level then other peripheral nerves will make up for it.
Term
Where is pain first perceived?
Definition

The thalamus is the first area to perceive pain.

 

The cerebral cortex is usually the place where senses are perceived, it involved with pain localization.

Term
What is Brodmann's area?
Definition
It is the precentral gyrus (motor) area of the brain
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