Anatomy Chapter 21: Peripheral Nervous System
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Questions and Answers

What is the significance of a positive Babinski reflex in humans older than 1½ years?

  • It indicates normal development
  • It indicates weakness in the legs
  • It indicates destruction of corticospinal fibers (correct)
  • It indicates a healthy nervous system
  • The corneal reflex is mediated by the sixth cranial nerve.

    False

    What is the name of the reflex that involves drawing in of the abdominal wall in response to stroking the side of the abdomen?

    Abdominal reflex

    In infants, the Babinski reflex is present until approximately __________ years of age.

    <p>1½</p> Signup and view all the answers

    Match the reflex with its corresponding cranial nerve(s):

    <p>Babinski reflex = Not applicable (corticospinal fibers) Corneal reflex = A and B Abdominal reflex = T9 through T12</p> Signup and view all the answers

    What is the name of the swelling in the dorsal root of each spinal nerve?

    <p>Dorsal root ganglion</p> Signup and view all the answers

    The lumbar, sacral, and coccygeal nerve roots descend from the point of origin at the lower end of the spinal cord before reaching the intervertebral foramina of the respective vertebrae.

    <p>True</p> Signup and view all the answers

    What is the term for the complex networks formed by the ventral rami of most spinal nerves through subdividing and then joining together to form individual nerves?

    <p>Plexuses</p> Signup and view all the answers

    The region of skin surface area supplied by afferent (sensory) fibers of a given spinal nerve is called a _______________.

    <p>dermatome</p> Signup and view all the answers

    Match the following cranial nerves with their functions:

    <p>CN I = Carries information about sense of smell CN II = Carries visual information from the eyes to the brain CN III = Regulates eye movement and amount of light entering the eye</p> Signup and view all the answers

    How many pairs of spinal nerves are connected to the spinal cord?

    <p>31</p> Signup and view all the answers

    All cranial nerves arise from locations on the cerebrum.

    <p>False</p> Signup and view all the answers

    What is the term for the skeletal muscle or muscles supplied by efferent (motor) fibers of a given spinal nerve?

    <p>myotome</p> Signup and view all the answers

    The sympathetic chain is formed by the splitting and rejoining of autonomic fibers from the _______________.

    <p>ventral ramus</p> Signup and view all the answers

    What is the function of the trochlear nerve (CN IV)?

    <p>To transmit motor impulses to the superior oblique muscles of the eye</p> Signup and view all the answers

    The trigeminal nerve (CN V) has two branches.

    <p>False</p> Signup and view all the answers

    What is the function of the vestibulocochlear nerve (CN VIII)?

    <p>The vestibulocochlear nerve transmits sensory impulses related to equilibrium and hearing.</p> Signup and view all the answers

    The accessory nerve (CN XI) was once thought to be an “accessory” to the _______________________ nerve.

    <p>vagus nerve</p> Signup and view all the answers

    Match the following cranial nerves with their functions:

    <p>Abducens nerve (CN VI) = Motor nerve to lateral rectus muscles of the eye Facial nerve (CN VII) = Motor nerve to superficial muscles of the face and scalp Glossopharyngeal nerve (CN IX) = Composed of sensory, motor, and autonomic nerve fibers supplying tongue, pharynx, and carotid sinus</p> Signup and view all the answers

    The hypoglossal nerve (CN XII) is composed of only motor fibers.

    <p>False</p> Signup and view all the answers

    The Roman numerals I-XII are used to number the cranial nerves in a sequence from _______________________.

    <p>front to back on the brain stem</p> Signup and view all the answers

    What type of reflex is the knee jerk reflex?

    <p>All of the above</p> Signup and view all the answers

    What is the Babinski sign?

    <p>The Babinski sign is an extension of the toes in response to stimulation of the outer edge of the sole, seen in certain neurological disorders.</p> Signup and view all the answers

    The ankle jerk reflex is a spinal cord reflex.

    <p>True</p> Signup and view all the answers

    Study Notes

    Spinal Nerves

    • There are 31 pairs of spinal nerves connected to the spinal cord, numbered by the level of vertebral column at which they emerge from the spinal cavity.
    • The spinal nerves are mixed nerves, carrying both sensory and motor fibers.
    • The nerves are named by their level of emergence:
      • Cervical nerve pairs (C1-C8)
      • Thoracic nerve pairs (T1-T12)
      • Lumbar nerve pairs (L1-L5)
      • Sacral nerve pairs (S1-S5)
      • One coccygeal nerve pair
    • The lumbar, sacral, and coccygeal nerve roots descend from the lower end of the spinal cord before reaching the intervertebral foramina of the respective vertebrae, where they emerge as spinal nerves.

    Structure of Spinal Nerves

    • Each spinal nerve attaches to the spinal cord by a ventral (anterior) root and a dorsal (posterior) root.
    • The dorsal root ganglion is a swelling in the dorsal root of each spinal nerve.
    • Spinal nerves form large branches called rami after emerging from the spinal cavity.
    • The dorsal ramus supplies somatic motor and sensory fibers to smaller nerves that innervate the muscles and skin of the posterior surface of the head, neck, and trunk.
    • The ventral ramus is more complex, with autonomic motor fibers splitting off and heading toward a ganglion of the sympathetic chain.

    Nerve Plexuses

    • Plexuses are complex networks formed by the ventral rami of most spinal nerves.
    • The ventral rami subdivide and then join together to form individual nerves.
    • The individual nerves that emerge contain all the fibers that innervate a particular region of the body.
    • There are four major kinds of plexuses:
      • Cervical plexus
      • Brachial plexus
      • Lumbar plexus
      • Sacral plexus and coccygeal plexus

    Dermatomes and Myotomes

    • A dermatome is the region of skin surface area supplied by afferent (sensory) fibers of a given spinal nerve.
    • A myotome is the skeletal muscle or muscles supplied by efferent (motor) fibers of a given spinal nerve.

    Cranial Nerves

    • There are 12 pairs of cranial nerves arising from locations on the underside of the brain.
    • Cranial nerves primarily serve the head and neck.
    • The first pair of cranial nerves originates in the cerebrum, while the remainder originate from the brainstem.
    • Cranial nerves are numbered in order, usually revealing the structures they control, and are written in Roman numerals.

    Cranial Nerve Functions

    • Olfactory nerve (CN I): carries information about the sense of smell
    • Optic nerve (CN II): carries visual information from the eyes to the brain
    • Oculomotor nerve (CN III): regulates eye movement and light entry
    • Trochlear nerve (CN IV): controls the superior oblique muscles of the eye
    • Trigeminal nerve (CN V): carries sensory information from the skin and mucosa of the head and teeth
    • Abducens nerve (CN VI): controls lateral rectus muscles of the eye
    • Facial nerve (CN VII): regulates facial muscles, salivary glands, and taste buds
    • Vestibulocochlear nerve (CN VIII): transmits equilibrium and hearing information
    • Glossopharyngeal nerve (CN IX): supplies fibers to the tongue, pharynx, and carotid sinus
    • Vagus nerve (CN X): supplies fibers to the pharynx, larynx, trachea, heart, and various organs
    • Accessory nerve (CN XI): innervates muscles of the abdomen, pharynx, and larynx
    • Hypoglossal nerve (CN XII): controls the muscles of the tongue

    Reflexes

    • Reflexes are rapid, automatic responses to stimuli.
    • Knee jerk reflex (patellar reflex): extension of the leg in response to tapping the patellar ligament
    • Ankle jerk reflex (Achilles reflex): extension of the foot in response to tapping the Achilles tendon
    • Plantar reflex: plantar flexion of all toes and a slight turning in and flexion of the anterior part of the foot
    • Corneal reflex: winking in response to the cornea being touched
    • Abdominal reflex: drawing in of the abdominal wall in response to stroking the side of the abdomen

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    Description

    This quiz covers the spinal nerves, their connections to the spinal cord, and their classification. Learn about the different types of nerve pairs and their functions.

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