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Neurology T3
Topic 8: PNS
57
Other
Not Applicable
12/08/2011

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Cards

Term
What is an aka for dorsal root ganglion?
Definition
spinal ganglion
Term

True or false?

 

Each segment of the spinal cord connects to 4 roots.

Definition

True

 

> ventral, dorsal root + left and right half

*each root is made up of 1-8 rootlets*

*each root consists of bundled nerve fibers*

Term

Complete the sentence

 

The anterior and posterior roots join together at the intervertebral foramen to form a ....

Definition

The anterior and posterior roots join together at the intervertebral foramen to form a spinal nerve.

 

> spinal nerves are mixed nerves

Term

Complete the sentence

The ventral/anterior root contains axon that carry .... signals

 

Definition
The ventral/anterior root contains axon that carry afferent signals
Term
Complete the sentence

The dorsal root contains axon that carry .... signals
Definition
The dorsal root contains axon that carry efferent signals
Term
What does the dorsal root ganglion/spinal ganglion contain?
Definition

DRG/spinal root ganglion contains the cells bodies of unipolar/1st order neuron/1o order neuron

 

> first part of sensory chain

Term
In adults, where does the tip of the spinal cord normally lie? (which level?)
Definition

SC normally lies at level of L1-L2 lumbar vertebrae.

 

*until 3rd month of fetal life, SC is as long as the vertebral canal. Then , the vertebral column elongates faster*

Term

Complete the sentence

 

In the lumbosacral region, the nerve roots descend vertically below the cord to form the ....

Definition
In the lumbosacral region, the nerve roots descend vertically below the cord to form the cauda equina.
Term

True or false?

 

The cord segments are placed downward from their corresponding vertebrae.

Definition

False

 

Cord segments are placed upward from their corresponding vertebrae.

Term
What type of fibres do dorsal & ventral rami contain?
Definition
autonomic fibres
Term
Why are dorsal and ventral rami mixed nn?
Definition
They are branches of the spinal nerve NOT the root
Term
Which nerve re-enters the vertebral canal and supplies the meninges?
Definition
sinuvertebral nerve/small meningeal branch
Term

True or false?

 

The dorsal rami supplie the posterior body trunk and back of the head including the extrinsic back muscles.

Definition

False

 

Including the intrinsic back mm

>ie: sacrospinalis, deep paraspinals/transversospinalis, splenius capitis & cervicis, suboccipital mm

Term

Complete the sentence

 

All dorsal 1o rami travel ... between the TVPs and most are ... nerves.

Definition
All dorsal 1o rami travel posteriorly between the TVPs and most are mixed nerves.
Term
Through most of the trunk, the sensory distribution of dorsal 1o rami appear in regular segmental bands except for one section. Name that section.
Definition
Except where they become the clunial nerves of the buttocks.
Term
What is an aka for intercostal nn?
Definition

intercostal nn aka ventral rami T2-T11

 

*passed T11*

Term

True or false?

 

The ventral rami suppliy the medial and posterior trunk, and the upper and lower extremities.

Definition

False

 

The ventral rami suppliy the lateral and anterior trunk, and the upper and lower extremities.

Term

True or false?

 

Most thoracic ventral rami (T2-T11) arise from a single root segment and appear in regular segmental bands.

Definition

True


*just like the dorsal rami*

Term

Complete the sentence

 

Axons in the ventral rami that serve the upper and lower extremities ... and ... with each other to form nerve networks called ...

Definition
Axons in the ventral rami that serve the upper and lower extremities mix and mingle with each other to form nerve networks called plexuses.
Term

True or false?

 

Ventral and dorsal rami both form plexuses.

Definition

False

 

Only ventral rami form plexuses

 

*eg: lower cervical + upper thoracic = brachial plexus*

*eg: lumbar + sacral region = lumbosacral plexus*

Term
Which ventral rami form the brachial plexus?
Definition

C5-T1 aka roots of brachial plexus

 

>brachial plexus: supplies upper limb and supporting musculature of scapula

Term
Terminal branches are also known as ....
Definition

terminal branches = nerves/peripheral nn/post plexus nn

 

>eg: ulnar nerve

Term

Complete the sentence

 

ventral root (efferent) and dorsal ... (afferent) form ... ... (mixed) which bifurcates into dorsal and ventral ...(mixed), those from C5-T1 are roots of the ... ...

Definition
ventral root (efferent) and dorsal root (afferent) form spinal nerves (mixed) which bifurcates into dorsal and ventral rami (mixed), those from C5-T1 are roots of the brachial plexus.
Term
Which division of a trunk supplies flexor muscles?
Definition
anterior division = flexor mm
Term
Which division of a trunk supply extensor muscles?
Definition
posterior division = extensor mm
Term

Complete the sentence

 

Cords of the brachial plexus are named according to their position relative to the .... ....

Definition
Cords of the brachial plexus are named according to their position relative to the axillary artery.
Term
The trunks of the brachial plexus pass between which muscles?
Definition

Trunks of brachial plexus pass between the anterior and middle scalenes mm

 

> trunks are named for their anatomical relationships to another

Term
Which nerve innervates the mm in the flexor compartment of the upper arm?
Definition

Musculocutaneous nerve

 

> innervation: biceps brachii, brachialis, coracobrachialis

Term
The ulnar nerve innervates most of the intrinsic mm of the hand except one. Which one?
Definition
Ulnar nerve: innervates most intrinsic mm of the hand except the thenar eminence/ pollicis brevis mm
Term
What is innervated by the axillary nerve?
Definition
axillary nerve: motor innervation for deltoid and teres minor
Term
Which nerve innervates the extensor mm of the elbow, wrist and fingers, as well as the anatomical snuff box?
Definition

radial nerve

 

>anatomical snuffbox: extensor pollicis brevis, extensor pollicis longus, abductor pollicis longus

Term
Which nerve innvervates the anatomical snuff box?
Definition

radial nerve

 

>anatomical snuffbox: extensor pollicis brevis, extensor pollicis longus, abductor pollicis longus

Term

Which nerve innervates most of the flexor mm in the forearm and thenar mm?

 

Definition
median nerve
Term
Which nerve innervates the rhomboids and levator scapula?
Definition

Dorsal scapular nerve: rhomboids + lev scapula

 

*upper limb mm (not intrinsic back mm) work shoulder*

Term
Which nerve innervates serratus anterior?
Definition

Long thoracic nerve : innervates serratus anterior

 

* upper limb mm (not intrinsic back mm) work the shoulder*

Term
Which nerve innervates supraspinatus and infraspinatus?
Definition
suprascapular nerve
Term
Which nerve innervates latissimus dorsi?
Definition
thoracodorsal nerve
Term
Which nerve innervates pectoralis major and minor?
Definition

medial and lateral pectoral nerves

 

> often join together

Term

True or false?

 

Nerves that are branches from other portions of the brachial plexus usually contain one type of axon: either sensory or motor.

Definition
True
Term

True or false?

Dermatomes start with C1.

 

 

Definition

False

 

There is no C1 dermatome

 

>dermatome -> spinal nerve (sensory nerve)

Term

Complete the sentence

 

Loss of afferent nerve function by one spinal nerve will not completely lose sensation from the dermatome due to ... from the adjacent spinal nerves. However, there is a reduction in ...

Definition

Loss of afferent nerve function by one spinal nerve will not completely lose sensation from the dermatome due to overlap from the adjacent spinal nerves. However, there is a reduction in sensitivity.

 

Term
Which dermatome innervates the middle finger?
Definition

C7 = middle finger

 

> upper limb dermatome (ventral rami)

Term
Which dermatome goes across the umbillicus?
Definition

T10 dermatome

 

> thoracic dermatome key landmarks

Term
Which dermatome goes across the nipples?
Definition

T4 dermatome

 

> thoracic dermatome key landmarks

Term

Complete the sentence

 

L1 dermatome is immediately below the .....  ligament.

Definition
L1 dermatome is immediately below the inguinal ligament.
Term

Complete the sentence

 

L3 dermatome supplies the anterior thigh immediately proximal to the ...

 

Definition
L3 dermatome supplies the anterior thigh immediately proximal to the patella.
Term
What is supplied by S2 dermatome?
Definition
S2: lateral malleolus and lateral and plantar aspect of the foot
Term
Which dermatome supplies the anus?
Definition
S5 = ANUS
Term

Complete the sentence

 

Radiculopathy is suspected when there is loss of sensation in a ...

Definition

Radiculopathy is suspected when there is loss of sensation in a dermatome.


> radicular pain: specific, localized area of skin

> MOI: herniated disc, entrapment 2o to degenerative change

Term

True or false?

 

shingles and chicken pox are diseases spread unilaterally.

Definition
True
Term

True or false?

 

Cutaneous nerves are mixed nerves.

Definition

False

 

Cutaneous nerves can be mingled spinal nn but are not mixed.

Term
Where does the lateral femoral cutaneous nerve arise?
Definition
arise from L2-L3 intermingled lumbar spinal nn
Term
The lateral femoral cutaneous n usually becomes injured by entrapment/compression that is local specific.  Where is that compression located?
Definition
lateral femoral cutaneous nerve entrapment: between upper front hip, ilium, and inguinal ligament.
Term
Numbness or pain in the outer thigh is known as...
Definition

Meralgia paresthetica

 

> common painful entrapment neuropathies

Term
Feeling a sensation of small insects creeping under the skin is known as...
Definition
formication
Term
A nerve supplying a joint is known as ...
Definition

sclerotome


>spinal n's responsibilty for CT and jts

> nerve supply jt = supply mm that move the jt and/or the skin covering the attachments of those mm from embryo development= Hilton's law

Term

True or false?

 

You have a complete lesion at C4.  This means that dermatomes and myotomes associated with C1 to C4 are fully functioning. All below C4 are affected.

Definition

True

 

>level of SC injury is indicated by the highest level that remains intact

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