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Chapter 13

1.

Cervical

C1-C5

skin and muscles of head, neck, and arrowroot part of shoulder and chest

diaphragm

2.

Brachial

C5-C8 & T1

shoulders

upper limbs

3.

lumbar

L1-L4

anterolateral abdominal wall

external gentials

part of lower limbs

4.

sacral

L4-L5 & S1-S4

buttocks

perineum

lower limbs

5.

Coccygeal

S4-S5

area of skin in coccygeal region

6.

Cranial nerve I

Olafactory

sense of smell

7.

cranial nerve II

optic

sense of sight

8.

cranial nerve III

oculomotor

movement of eye, iris, eyelid

9.

cranial nerve IV(4)

Trochlear

movement of eyeball

superior oblique muscles

10.

cranial nerve V(5)

trigeminal

ophthalmic

maxillary

Mandible

11.

Cranial nerve VI (6)

abducens

movement of eyeball

lateral rectus muscle

12.

Cranial nerve VII (7)

facial

movement of facial muscles

secretion of tears

taste in anterior two-thirds of tongue

13.

Cranial nerve VIII (8)

vestibulocohlear

sense of hearing

sense of equilibrium

14.

Cranial nerve IX (9)

glossopharyngeal

secretion of saliva

taste in posterior one-third of tongue

15.

Cranial nerve X (10)

vagus

sensation and movement of GI tract

cardiovascular system

16.

Cranial nerve XI (11)

Accessory

swallowing and movement of head

17.

Cranial nerve XII (12)

Hypoglossal

movement of change

18.

The spinal cord is located

in vetebral cavity

19.

The spinal cord is protected by

vertebral bones

vertebral ligaments

CSF( spinal fluid)

meninges

20.

The “tough mother” and is the superficial meninx and composed of fibrous connective tissue and is the epidural space

dura mater

21.

Spider like and is the middle meninx and composed of web arrangement of collagen and elastic fibers and is very thin and delicate

arachnoid mater

22.

The “delicate mother” and is this innermost meninx

Pia mater

23.

Neuroglia

supports neurons

24.

Removal of cerebrospinal fluid from the subarachnoid space is called a spinal tap or

lumbar puncture( L3 and L5)

25.

Childbirth is in what space

L4-L5

26.

The cervical enlargement extends from

4th cervical to the 1st thoracic vertebrae and comprises nerves that control upper extremities

27.

The lumbar enlargement extends from

9th to 12th thoracic vertebrae and comprises nerves that control lower extremities

28.

The “horse-tail” and is tail-like collection of nerves at the distal end of the spinal canal

cauda equine

29.

The spinal cord consist of an outer portion of ___ (myelinated axons) and an inner portion of ___(umyelinated axons)

white mater, gray mater

30.

The tracts that conduct sensory information rituals the brain and are also called sensory tracts

Ascending(afferent)

31.

The tracts that conduct motor impulses away from the brain and are also known as motor tracts

descending(efferent)

32.

General characteristics of spinal nerves

Pairs of nerves are connected to the spinal cord by nerve roots

dorsal(posterior)root

ventral(anterior)root

all spinal nerves are mixed

33.

Covering of spinal nerves

epineurium

perineurium

endoneurium

34.

How many cervical nerves

8 pairs

35.

How many thoracic nerves

12 pairs

36.

How many lumbar nerves

5 pairs

37.

How many sacral nerves

5 pairs

38.

How many coccygeal nerves

1 pair

39.

Nerves that arise from C3-C5 and innervate the diaphragm and injury to the phrenic nerves causes respiratory arrest

phrenic nerves

40.

What nerves DO NOT form plexuses

spinal nerves

41.

The largest nerve in the body is

femoral nerve

42.

A reflex is a quick ___ response to stimuli

involuntary

43.

The shortest route that can be taken by an implode from a receptor to an effector (e.g. muscles & glands)

reflex arc

44.

The ___ receptor is a dendrite that senses a change in the internal or external environment

sensory

45.

The ____ center is the gray mater within the CNS where the information is processed

integrating

46.

The __ neurons transmit an impulse to an effector organ for a response

motor

47.

The ___ is a muscle or organ of the body that responds to the motor nerve impulse

effector

48.

A reflex pathway with only ONE synapse in the CNS and the reflex occurs as a result of activation of single sensory neuron forming one synapse in the CNS with a single motor neuron

monosynaptic reflex arc

49.

All monosynaptic reflexes are what

ipsilateral (same side of body)

50.

A reflex that involves more than 2 types of neurons and more than one CNS synpase

polysynaptic

51.

The ___ is also known as the withdrawal reflex

flexor reflex

52.

The spinal cord runs the entire length of the vertebral column

True or false

False

53.

This division of a spinal nerve reenters the vertebral cavity through the intervertebral foramen and serves the vertebrae, vertebral ligaments, blood vessels of the spinal cord, and meninges.

Meningeal branch

54.

This type of descending motor pathway conveys nerve impulses that originate in the cerebral cortex and are destined to cause precise, voluntary movements of skeletal muscles.

Direct pathway

55.

Both the gracile fasciculus and cuneate fasciculus are ________ tracts found in the ______ white column of the spinal cord.

ascending; posterior

56.

The area of the skin that provides sensory input to the CNS via one pair of spinal nerve is called

a dermatome

57.

This type of descending motor pathway originates in the brainstem and governs automatic movements that help regulate muscle tone, posture and balance.

Indirect pathway

58.

The cell bodies of the sensory neurons that carry information from the periphery to the spinal cord are located in the

posterior root ganglion

59.

What type of information is carried in the descending tracts of the spinal cord?
1. Sensory
2. Motor
3. Integration

2 only

60.

Denticulate ligaments are thickenings of

pia mater.

61.

What is the largest nerve arising from the lumbar plexus?

Femoral

62.

An ipsilateral, intersegmental, spinal somatic reflex will most likely control

many flexor and extensor muscles on the same side of the body as the sensor.

63.

The thoracic nerves are also called the

intercostals nerves

64.

What spinal cord feature is the area where the nerves that supply the lower limb emerge?

Lumbar enlargement

65.

This branch of a spinal nerve serves the deep muscles and skin of the posterior surface of the trunk.

Posterior ramus

66.

Spinal nerves
1. Are parts of PNS.
2. connect the CNS to sensors and effectors in all parts of the body.
3. are named according to the region of the cord from which they emerge.

1, 2 & 3

67.

A typical spinal nerve has how many connections to the spinal cord?

2

68.

A severed obturator nerve will lead into paralysis of which region of the body?

Thigh

69.

A man presents with median nerve palsy in his left hand. What is the most likely site of injury?

Median nerve

70.

Another term for the summing of EPSPs and IPSPs in the gray matter of spinal cord is

integration

71.

Injury of which nerve causes footdrop?

Common fibular

72.

A nerve impulse initiated at a muscle spindle has to travel through which of the following structures to get into the spinal column?

Posterior root of spinal nerve

73.

A reflex pathway having only one synapse in the CNS is called a

A)visceral reflex arc.

B)polysynaptic reflex arc.

C)somatic reflex arc.

D)none of these choices

E)autonomic reflex arc.

None of these choices

74.

Intercostal nerves

do not enter into a plexus and directly connect to the structures they supply.

75.

During childbirth, anesthesia is administered into the epidural space of the spinal column between which of the following vertebrae?
1. L4 and L5
2. T3 and T4
3. S4 and S5
4. C3 and C4

1 only

76.

In response to a muscle being stretched, a muscle spindle initiates a somatic spinal reflex that causes
1. contraction of the agonist muscle.
2. relaxation of the antagonist muscle.
3. contraction of the antagonist muscle.
4. relaxation of the agonist muscle.

1 and 2

77.

A somatic spinal reflex that involves one effector muscle being stimulated while the opposing muscle is inhibited is called _______ innervation.

Reciprocal

78.

These white matter tracts of the spinal cord carry sensory information.

Ascending tracts

79.

What types of axons are wrapped in a protective endoneurium?
1. Myelinated
2. Unmyelinated
3. Only dendrites are surrounded by endoneurium

Both 1 and 2

80.

In response to a tendon being stretched excessively, a tendon organ initiates a somatic spinal reflex that causes
1. contraction of the agonist muscle.
2. relaxation of the antagonist muscle.
3. contraction of the antagonist muscle.
4. relaxation of the agonist muscle.

3 and 4

81.

A nerve impulse initiated at a muscle spindle has to travel through which of the following structures to get into the spinal column?

Posterior root of spinal nerve

82.

A typical spinal nerve has how many connections to the spinal cord?

2

83.

This type of descending motor pathway conveys nerve impulses that originate in the cerebral cortex and are destined to cause precise, voluntary movements of skeletal muscles.

Direct pathway