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Spinal Nerves & ANS
Spinal nerves & ANS
| Question | Answer |
|---|---|
| what is a spinal nerve? combination of what? what kind of nerve does this make it? where does each emerge? | combination of ventral and dorsal roots together. it is a mixed nerve containing both sensory and motor fibers, each one comes out of its own level |
| explain spinal nerve distribution in relation to sensory part | with sensory part, each spinal nerve has a specific cutaneous distribution. |
| specific cutaneous distribution of the sensory part of each spinal nerve | dermatome |
| dermatome | specific cutaneous distribution of the sensory part of each spinal nerve |
| dermatomal map | diagram of the cutaneous regions innervated by each spinal nerve. |
| is the dermatomal map exact? | no. there is overlap. |
| when is it known as a spinal nerve, officialy? | at or just before the intervertebral foramen. |
| what three branches does the spinal nerve divide into? | divides into ventral ramus, dorsal ramus and a small meningeal branch |
| dorsal ramus | innervates the muscles and joints in that region of the spine, & skin of the back |
| ventral ramus | innervates the ventral & lateral skin & muscles of the trunk. gives rise to the nerves of the limbs. |
| meningeal branch | small, reenters the vertebral canal & innervates the meninges, the vertebra & spinal ligaments. |
| what do the ventral rami form in the thoracic region? what does this do? | intercostal nerves. these innervate the skin, intercostal muscles and abdominal muscles. |
| what do the ventral rami form in all other regions besides the thoracic region? | form nerve plexuses |
| nerve plexus | when a nerve branches and remerges repeatedly to form web-like braids. |
| what are the 4 main nerve plexuses? which nerve fibers contribute to these plexuses? | cervical plexus (C1-C5), brachial plexus (C5-T1). Lumbar plexus (L1-L4) and sacral plexus (L4-S4) |
| nerve in the cervical plexus? | phrenic nerve |
| phrenic nerve: which plexus is it in?which spinal nerve fibers contribute to it? what happens if damaged | phrenic nerve is in cervical plexus. c3, c4, c5 fibers. if damaged, breathing stops (it goes to diaphragm and can no longer send signals there) |
| three nerves in the brachial plexus? | ulnar nerve, radial nerve, median nerve |
| ulnar nerve: which plexus & what happens if out? | brachial plexus (C5-T1). think "funny bone" if out you can't adduct or abduct the 4 fingers. also lose sensation of little finger |
| radial nerve: which plexus and what happens if out | brachial plexus (C5-T1). think "radial wrist drop". if out, cannot extend wrist (extensor muscles don't work) |
| median nerve: which plexus and what happens if out? | brachial plexus (C5-T1). think "carpal tunnel" if out, numbness and tingling and pain in the palm of hand and fingers. weak thumb movements |
| nerve in the lumbar plexus? | femoral nerve (L1-L4) |
| nerve in the sacral plexus? | sciatic nerve (L4-S4) |
| femoral nerve: which plexus and what happens if out? | in lumbar plexus (L1-L4). innervates quadriceps femoris muscle. if out, cannot extend your knee or flex your thigh |
| sciatic nerve: what is special about it? which plexus and what happens if out? | sacral plexus (l4-S4). longest and largest peripheral nerve in the body. think "foot drop" if out, can't dorsiflex. pain extending from butt down back of leg. |
| efferent neurons belong to either ___ or ___ | somatic motor nervous system (innervates skeletal muscle) or visceral motor division (ANS) |
| ANS regulates what? | activity of smooth muscle, cardiac muscle, and glands |
| ANS operates with conscious control? | no |
| ANS: voluntary or involuntary? | involuntary |
| what is ANS regulated by? | regulated by centers in the brain, hypothalamus and medulla oblongata. |
| compare somatic vs autonomic motor neurons in terms of innervation | somatic innervates skeletal muscle, autonomic innervates smooth muscle, cardiac muscle, glands |
| compare somatic vs autonomic motor neurons in terms of sensation perception | S: all sensations are normally perceived A: all sensations are not normally perceived |
| compare somatic vs autonomic motor neurons in terms of what response they produce? (voluntary or involuntary?) | S: produce voluntary movement. A: produce involuntary response |
| compare somatic vs autonomic motor neurons in terms of the effect | S: effect is always excitation (move skeletal muscle) A: the effect is either excitation (speed up heart) or inhibition (slow down heart) |
| compare somatic vs autonomic motor neurons in terms of how many neurons in the motor pathway? | S: one neuron in motor pathway A: two neurons in motor pathway |
| compare somatic vs autonomic motor neurons in terms of where the cell body is in the motor pathway | S: cell body is in the ventral horn A: the cell body is in the lateral horn |
| specifically, where is the cell body in sympathetic motor pathway? | lateral horn |
| where is the cell body in parasympathetic motor pathway? | sacral lateral gray matter OR certain brainstem nuclei |
| somatic motor neurons innervate what? | skeletal muscle |
| A motor neurons innervate what? | smooth muscle, cardiac muscle, glands |
| S M neurons produce what kind of response? | voluntary movement |
| A M neurons produce what kind of response? | involuntary response |
| effect of the somatic motor neuron? | always excitation (move skeletal muscle) |
| effect of the A M N? | either excitation (speed up heart) or inhibition (slow down heart) |
| how many neurons in S motor pathway? | one |
| how many neurons in A motor pathway? | two |
| where is the cell body of S M pathway? | in ventral horn |
| where is the cell body of sympathetic m pathway? | in lateral horn |
| where is the cell body of parasympathetic M pathway? | either sacral lateral gray matter or in certain brainstem nuclei |
| where is the autonomic ganglion? | it is outside the CNS, either close to or far away from spinal cord/target, depending on which division ANS |
| preganglionic fiber | 1st motor neuron in the pathway. travels from CNS to autonomic ganglion |
| postganglionic fiber | 2nd motor neuron in the pathway. travesl from autonomic ganglion to the effector organ |
| preganglionic, color? | lightly myelinated so kind of white |
| postganglionic color? | not myelinated so kind of gray |
| which neurons are highly myelinated? | skeletal motor neurons! |
| sympathetic division: draw the location of the paravertebral ganglion | draw the ladder, spinal nerve exits between, short preganglionic, long post ganglionic to target. circle the ganglion, very close to spinal cord |
| parasympathetic division :draw the location of the ganglion | draw the ladder, preganglionic is very long exiting between, short post ganglionic to target. circle ganglion/synapse very close to the target. |
| sympathetic division | "fight or flight" involves expenditure of energy, arouses the body for action |
| pre and post ganglionic fibers in sympathetic/ | short pre, long post |
| what does sympathetic division form? | thoracolumbar outflow (T2-L1) |
| how are the sympathetic ganglia arranged and wehre? | arranged in two chains on either side of the vertebral column (paravertebral ganglia) or there are a few in front of the abdominal aorta (prevertebral ganglia). |
| each paravertebral ganglion is connected to a spinal nerve by what? | by two branches; the ramus communicans (white and gray). |
| paravertebral ganglia | sympathetic chain ganglia arranged in two chains on either side of the vertebral column |
| prevertebral ganglia | 3 autonomic ganglia in front of the abdominal aorta. |
| what does sympathetic division of ANS do?specifically to your physiology? | incr heart rate, incr blood pressure, deepen breathing, dilate pupils. decr section and motility of GI tract (digestion and urinary). also skin cools down (cold sweaty palms) |
| what are the 3 options of preganglionic fibers of sympathetic nerves? | 1) synapse w post G F at the same level in the paravertebral chain. 2)synapse w post G F at a different level in the paravertebral chain'3)bypass thru paravertebral ganglion (w out synapsing) and synapse in one of the 3 prevertebral gang. |
| splanchnic nerves: what are they and where do they go? | when preganglionic fibers bypass paravertebral ganglion without synapsing, they are carried by splanchnic nerves to one of 3 prevertebral ganglion. after synapsing they innervate stomach, intestines, pancreas, liver, kidney and bladder |
| parasympathetic division | rest and relaxation: regulates activities that conserve and restore energy |
| parasympathetic: pre vs post ganglionic fibers? | long pre, short post |
| what does parasympathetic division form? | craniosacral outflow (cranial III, VII, IX & X, also S2, S3, S4 |
| how are parasympathetic ganglia arranged? what are they called? | terminal ganglia: located adjacent to or inside the organs they supply |
| what does parasympathetic division of ANS do interms of physiology? | decr heart rate, decr blood pressure, lessen breathing, constrict pupils, incr digestion and urinary (secretion/motility of GI tract) |
| preganglionic fibers synapse with how many post in sympathetic? what is this called? | each preganglionic fiber synapses with many postganglionic fibers= divergence |
| divergence | each preganglionic fiber synapses with many postganglionic fibers in the sympathetic system |
| preganglionic fibers synapse with how many post in parasympathetic? what is this called? | each pre synapses with 4 or 5 post. = localized response |
| localized response | each pre synapses with 4 or 5 post in the parasympathetic division |
| what do pre and post ganglionic fibers release in the sympathetic division? | preganglionic: release ACh most post release: NE |
| what do pre and post ganglionic fibers release in the parasympathetic division? | all fibers release ACh |
| ACh releasing fibers | cholinergic fibers |
| NE releasing fibers | adrenergic fibers |
| cholinergic fibers | ACh releasing fibers |
| adrenergic fibers | NE releasing |