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ch.13 spine cord
ch.13
| Question | Answer |
|---|---|
| What are the protective coverings of the spinal cord? | The meninges and vertebra, along with cerebrospinal fluid. |
| What are the three layers of the meninges? | The outermost layer is the dura mater, the middle layer is the arachnoid mater, and the innermost layer is the pia mater. |
| What is the function of the subarachnoid space? | It carries cerebrospinal fluid (CSF). |
| What is a spinal tap? | A procedure to withdraw cerebrospinal fluid for diagnostic purposes. |
| Where does the spinal cord begin and terminate in adults? | It begins as a continuation of the medulla oblongata and terminates at about the second lumbar vertebra. |
| What are the cervical and lumbar enlargements? | Regions of the spinal cord that serve as points of origin for nerves to the extremities. |
| What is the conus medullaris? | The tapered portion of the spinal cord from which the cauda equina arises. |
| How is the gray matter of the spinal cord shaped | It is shaped like the letter H or a butterfly. |
| What does the gray matter of the spinal cord consist of? | Cell bodies of neurons, neuroglia, and unmyelinated axons and dendrites of association and motor neurons. |
| What is the function of the white matter in the spinal cord? | It consists of bundles of myelinated axons of motor and sensory neurons. |
| What is the gray commissure? | The cross bar of the H-shaped gray matter that contains the central canal. |
| What is contained within the central canal? | Cerebrospinal fluid. |
| What are the two types of tracts in the spinal cord? | Sensory (ascending) tracts that conduct impulses toward the brain and motor (descending) tracts that conduct impulses down the cord. |
| How many pairs of spinal nerves are there? | 31 pairs. |
| How are spinal nerves named and numbered? | According to the region and level of the spinal cord from which they emerge. |
| What types of spinal nerves are there? | 8 pairs of cervical nerves, 12 pairs of thoracic nerves, 5 pairs of lumbar nerves, 5 pairs of sacral nerves, and 1 pair of coccygeal nerves. |
| What is the role of spinal nerves? | They connect the CNS to sensory receptors, muscles, and glands, and are part of the peripheral nervous system. |
| What are the two roots of spinal nerves? | The posterior (dorsal) root contains sensory nerve fibers, while the anterior (ventral) root contains motor neuron axons. |
| What is the function of the posterior root ganglion? | It contains the cell bodies of sensory neurons from the periphery. |
| What is an endoneurium? | A connective tissue sheath surrounding a single axon. |
| What is a perineurium? | A connective tissue sheath surrounding a bundle of fibers (fascicle). |
| What is an epineurium? | A connective tissue sheath surrounding a bundle of fascicles, forming a nerve. |
| What are the branches of a spinal nerve called? | Rami |
| What are the four branches of a spinal nerve? | Dorsal ramus, ventral ramus, meningeal branch, and rami communicantes. |
| What are the anterior rami of spinal nerves T2-T12 known as? | Intercostal or thoracic nerves. |
| What do the intercostal nerves innervate? | Structures in the intercostal spaces. |
| What do the posterior rami of spinal nerves supply? | Deep back muscles and skin of the posterior thorax. |
| What do the ventral rami of spinal nerves, except T2-T12, form? | Networks of nerves called plexuses. |
| What does the cervical plexus supply? | Skin and muscles of the head, neck, upper part of the shoulders, and the diaphragm. |
| What happens if the spinal cord is damaged above the origin of the phrenic nerves (C3-C5)? | It causes respiratory arrest. |
| What is a clinical consequence of injuries to the phrenic nerves? | Breathing stops due to lack of impulses to the diaphragm. |
| What does the brachial plexus supply? | The upper extremities and several neck and shoulder muscles. |
| What are some nerve disorders resulting from brachial plexus injuries? | Erb-Duchene palsy, ulnar and radial injuries, wrist drop, claw hand, and winged scapula. |
| What does the lumbar plexus supply? | The anterolateral abdominal wall, external genitals, and part of the lower extremities. |
| What is the largest nerve arising from the lumbar plexus? | The femoral nerve. |
| What are the sacral and coccygeal plexuses responsible for? | They supply the lower limbs and pelvic region. |
| What is the function of the rami communicantes? | They connect the spinal nerves to the autonomic nervous system. |
| How do the names of nerves emerging from plexuses typically relate to their function? | They are often descriptive of the regions they supply or their course. |
| Which spinal nerves do not form plexuses? | The anterior rami of spinal nerves T2-T12. |
| What is the role of the meningeal branch of a spinal nerve? | It supplies the meninges and surrounding structures. |
| What is the significance of the cervical plexus in relation to cranial nerves? | It connects with some cranial nerves. |
| What is a common clinical connection associated with the brachial plexus? | Injuries can lead to specific conditions like claw hand or wrist drop. |
| What anatomical structures are involved in the distribution of spinal nerves? | Numerous blood vessels are within the coverings. |
| What areas does the lumbar plexus supply? | The anterolateral abdominal wall, external genitals, and part of the lower extremities. |
| What does the sacral plexus supply? | The buttocks, perineum, and part of the lower extremities. |
| What is the largest nerve arising from the sacral plexus? | The sciatic nerve. |
| What condition can result from injury to the sciatic nerve? | Sciatica, which is pain extending from the buttock down the back of the leg. |
| What are some causes of sciatic nerve injury? | Herniated disc, dislocated hip, osteoarthritis of the lumbosacral spine, pressure from the uterus during pregnancy, or improperly administered gluteal injection. |
| What are the two principal functions of the spinal cord? | 1. White matter tracts conduct nerve impulses to and from the brain. 2. Gray matter integrates incoming and outgoing information for reflexes. |
| What are the two main routes for sensory information traveling to the brain? | The spinothalamic tracts and the posterior column tract. |
| How does motor information travel from the brain to effectors? | Along two types of descending tracts: direct pathways and indirect pathways. |
| What is a reflex? | A fast, predictable, automatic response to changes in the environment that helps maintain homeostasis. |
| What are the two types of reflexes based on location? | Spinal and cranial reflexes. |
| What are the five functional components of a reflex arc? | 1. Sensory receptor 2. Sensory neuron 3. Motor neuron 4. Integrating center 5. Effector. |
| What is the purpose of reflexes in the body? | To maintain homeostasis by allowing rapid adjustments to imbalances. |
| What is the stretch reflex and its significance? | An ipsilateral reflex important for maintaining muscle tone and coordination during exercise. |
| What type of reflex arc is involved in the stretch reflex? | A two-neuron or monosynaptic reflex arc containing one sensory neuron and one motor neuron. |
| What does the tendon reflex prevent? | Damage to muscles and tendons as a result of stretching. |
| How does the flexor (withdrawal) reflex function? | It is an ipsilateral protective reflex that moves a limb to avoid pain. |
| What is the role of the crossed extensor reflex? | To maintain balance by causing synchronized extension of joints in one limb and flexion in the opposite limb. |
| What is the clinical significance of reflexes? | They are used for diagnosing disorders of the nervous system and locating injured tissue. |
| What may indicate damage along a conduction pathway? | An absent or abnormal reflex. |