Conical and Brachial Plexus Quiz
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Questions and Answers

What is the main function of tight junctions in the blood-brain barrier?

  • To increase blood flow to the brain
  • To transport antibodies across the barrier
  • To allow free passage of all substances
  • To seal together endothelial cells of capillaries (correct)
  • Which type of substance crosses the blood-brain barrier via active transport?

  • Carbon dioxide
  • Proteins
  • O2
  • Glucose (correct)
  • What do astrocytes secrete to maintain tight junction permeability?

  • Hormones
  • Neurotransmitters
  • Chemicals (correct)
  • Cytokines
  • What can lead to a breakdown of the blood-brain barrier?

    <p>Trauma and inflammation</p> Signup and view all the answers

    What is the approximate total volume of cerebrospinal fluid (CSF) in adults?

    <p>80 – 150 mL</p> Signup and view all the answers

    Which of the following does cerebrospinal fluid (CSF) NOT usually contain?

    <p>High levels of antibodies</p> Signup and view all the answers

    Which substances are most likely to cross the blood-brain barrier slowly?

    <p>Creatinine and urea</p> Signup and view all the answers

    What is one of the protective functions of cerebrospinal fluid?

    <p>Protecting from chemical and physical injuries</p> Signup and view all the answers

    What is the primary function of the denticulate ligaments?

    <p>To anchor the spinal cord and protect against displacement</p> Signup and view all the answers

    Which arteries are primarily responsible for supplying blood to the brain?

    <p>Internal carotid and vertebral arteries</p> Signup and view all the answers

    What percentage of total body weight does the brain represent in adults?

    <p>2%</p> Signup and view all the answers

    What is a consequence of low glucose levels in the blood entering the brain?

    <p>Dizziness and loss of consciousness</p> Signup and view all the answers

    How does the brain produce ATP?

    <p>From glucose and oxygen</p> Signup and view all the answers

    What may happen after a total deprivation of oxygen to the brain for about 4 minutes?

    <p>Permanent neuronal injury</p> Signup and view all the answers

    Which of the following statements about the blood-brain barrier is true?

    <p>It protects the brain from harmful substances.</p> Signup and view all the answers

    What happens if there is a brief slowing of blood flow to the brain?

    <p>Disorientation or lack of consciousness</p> Signup and view all the answers

    What is the primary symptom of Pronator Teres Syndrome?

    <p>Achiness in the anterior forearm</p> Signup and view all the answers

    What typically leads to Anterior Interosseous Syndrome?

    <p>Entrapment of the median nerve</p> Signup and view all the answers

    Which condition is associated with Tardy Ulnar Palsy?

    <p>Late onset nerve palsy after elbow fracture</p> Signup and view all the answers

    Which anatomical structure is primarily involved in Ligament of Struthers syndrome?

    <p>Tiny ligament from the humerus to the medial epicondyle</p> Signup and view all the answers

    What symptom is associated with a positive Froment's sign?

    <p>Weakness in finger adduction</p> Signup and view all the answers

    Which factor is a common etiology for ulnar nerve lesions?

    <p>Resting elbows on hard surfaces</p> Signup and view all the answers

    Which nerve is affected in Meralgia Paresthetica?

    <p>Lateral femoral cutaneous nerve</p> Signup and view all the answers

    What is the major consequence of femoral nerve injury?

    <p>Inability to extend the knee</p> Signup and view all the answers

    What muscle is primarily impaired in Anterior Interosseous Syndrome?

    <p>Flexor pollicis longus</p> Signup and view all the answers

    What is a typical presentation of Ulnar Claw Hand?

    <p>Hyperextension of the little finger and ring finger</p> Signup and view all the answers

    What occurs as a result of repeated trauma leading to thickening of the retinaculum?

    <p>Nerve compression in the wrist</p> Signup and view all the answers

    What indicates a lesion of the Obturator nerve?

    <p>Inability to adduct the thigh</p> Signup and view all the answers

    What is a common cause of compression leading to Handle Bar Palsy?

    <p>Cycling with a tight grip</p> Signup and view all the answers

    Which layer of the meninges is known as the tough mother?

    <p>Dura mater</p> Signup and view all the answers

    What does the subarachnoid space contain?

    <p>Cerebrospinal fluid</p> Signup and view all the answers

    Which structure anchors the spinal cord to the coccyx?

    <p>Filum terminale</p> Signup and view all the answers

    In which anatomical region are the lateral grey horns primarily found?

    <p>Thoracic spine</p> Signup and view all the answers

    What type of axons are found in the anterior (ventral) root of spinal nerves?

    <p>Motor axons</p> Signup and view all the answers

    Which meningeal layer is described as being avascular and contains delicate fibers?

    <p>Arachnoid mater</p> Signup and view all the answers

    What is the function of the denticulate ligaments?

    <p>Protect against sudden displacement of the spinal cord</p> Signup and view all the answers

    Which of the following statements accurately describes the cauda equina?

    <p>It's the bundle of spinal nerves at the end of the spinal cord resembling a horse's tail.</p> Signup and view all the answers

    How are spinal nerves classified?

    <p>Mixed nerves containing both sensory and motor axons</p> Signup and view all the answers

    What are rootlets in the context of spinal nerves?

    <p>Bundles of axons off the root</p> Signup and view all the answers

    Which of the following structures connects the white matter of the left and right sides of the spinal cord?

    <p>Anterior white commissure</p> Signup and view all the answers

    What is the outer covering of an entire spinal nerve called?

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

    Where does the spinal cord typically end in adults?

    <p>Between L1 and L2</p> Signup and view all the answers

    What condition is characterized by pain and paresthesias into the sole of the foot, often misdiagnosed as plantar fasciitis?

    <p>Tarsal tunnel syndrome</p> Signup and view all the answers

    Which virus is responsible for both chickenpox and shingles?

    <p>Varicella zoster virus</p> Signup and view all the answers

    What is often the initial trigger for an outbreak of herpes zoster?

    <p>Weak immune system</p> Signup and view all the answers

    Which symptom is NOT typically associated with neuritis?

    <p>Sudden excruciating pain</p> Signup and view all the answers

    What type of pain is specifically characterized by recurrent attacks triggered by specific stimuli?

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

    Which of the following nerves is commonly affected by intercostal neuralgia?

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

    Which describes the typical skin manifestation of herpes zoster?

    <p>Rash followed by vesicles that crust over</p> Signup and view all the answers

    What is the time frame for skin lesions from herpes zoster to resolve?

    <p>Up to 1 month</p> Signup and view all the answers

    What is a common cause of intercostal neuralgia?

    <p>Herpes Zoster</p> Signup and view all the answers

    Which structure is specifically affected in neuritis?

    <p>Sheath and connective tissue</p> Signup and view all the answers

    What is the typical character of pain associated with chronic inflammation of a nerve?

    <p>Dull and constant</p> Signup and view all the answers

    What is the effect of movement on neuralgia pain?

    <p>Increases the pain</p> Signup and view all the answers

    Which symptoms are most likely to worsen in patients with tarsal tunnel syndrome?

    <p>After prolonged standing or walking</p> Signup and view all the answers

    What aspect of the spinal cord is emphasized in its basic function?

    <p>Transmission of sensory information</p> Signup and view all the answers

    What is the primary function of the posterior (dorsal) ramus?

    <p>Innervate muscles and skin of the posterior trunk</p> Signup and view all the answers

    Which ramus is primarily involved with the autonomic nervous system?

    <p>Rami communicantes</p> Signup and view all the answers

    What is a key feature of Axonotmesis?

    <p>Prolonged, severe compression with Wallerian degeneration</p> Signup and view all the answers

    What symptoms are typically associated with compression syndromes of peripheral nerves?

    <p>Numbness and tingling</p> Signup and view all the answers

    Which structure does the cervical plexus NOT typically supply?

    <p>Forearm flexors</p> Signup and view all the answers

    Erb-Duchenne Palsy results from injury to which spinal nerve roots?

    <p>C5 - C6</p> Signup and view all the answers

    Which of the following statements is true concerning neurotmesis?

    <p>Involves damage to the endoneurium</p> Signup and view all the answers

    Which nerve is NOT part of the brachial plexus?

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

    Which condition would most likely result from prolonged leaning on a hard surface?

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

    What is NOT a potential cause of peripheral nerve lesions?

    <p>Viral infections</p> Signup and view all the answers

    Which nerve is responsible for innervating the diaphragm?

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

    What is a common result of Klumpke's paralysis?

    <p>No sensation in hand and wrist</p> Signup and view all the answers

    Which branch of the cervical plexus innervates the skin over the anterior neck?

    <p>Transverse cervical nerve</p> Signup and view all the answers

    What is the role of the olive in the central nervous system?

    <p>It receives sensory input and helps coordinate motor skills.</p> Signup and view all the answers

    Which function is associated with the gracile nucleus and cuneate nucleus?

    <p>Relaying touch, pressure, and proprioception sensations.</p> Signup and view all the answers

    Which center is responsible for triggering the vomiting reflex?

    <p>Vomiting Center</p> Signup and view all the answers

    What is the primary function of the gustatory nucleus?

    <p>Receiving taste signals from the tongue.</p> Signup and view all the answers

    Where is the medullary rhythmicity area located and what does it adjust?

    <p>In the medulla oblongata; it adjusts the rhythm of breathing.</p> Signup and view all the answers

    Which of the following is a potential cause of compression in the brachial plexus?

    <p>Prolonged poor positioning</p> Signup and view all the answers

    What anatomical structures are involved in Anterior Scalene Syndrome?

    <p>Anterior scalene, middle scalene, rib 1</p> Signup and view all the answers

    Which symptom is commonly associated with brachial plexus compression?

    <p>Tingling in the arm</p> Signup and view all the answers

    What types of changes may indicate trophic effects due to blood vessel compression?

    <p>Swelling, shiny red skin</p> Signup and view all the answers

    Which of the following conditions can lead to compression of the brachial plexus?

    <p>Cervical rib</p> Signup and view all the answers

    How does poor posture contribute to brachial plexus issues?

    <p>It can create external compression.</p> Signup and view all the answers

    Which condition could potentially exacerbate symptoms in the brachial plexus region?

    <p>Diabetes Mellitus</p> Signup and view all the answers

    What anatomical relationship does the brachial plexus have with the subclavian artery?

    <p>It travels in the same sheath as the artery.</p> Signup and view all the answers

    What is the primary function of the pia mater in relation to the brain and spinal cord?

    <p>Adhere to the surface and supply blood</p> Signup and view all the answers

    Which statement accurately describes the denticulate ligaments?

    <p>They extend from the pia mater to anchor the spinal cord.</p> Signup and view all the answers

    What percentage of the body's oxygen and glucose does the brain consume?

    <p>20%</p> Signup and view all the answers

    What condition may occur if blood entering the brain has a low glucose level?

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

    What occurs if there is a brief interruption in blood flow to the brain?

    <p>Disorientation or lack of consciousness</p> Signup and view all the answers

    Which arteries are primarily responsible for draining blood from the brain?

    <p>Dural venous sinuses</p> Signup and view all the answers

    How long can oxygen deprivation to the brain occur before causing permanent injury?

    <p>4 minutes</p> Signup and view all the answers

    Which statement about glucose storage in the brain is correct?

    <p>Glucose must be continuously supplied to the brain.</p> Signup and view all the answers

    What condition is characterized by difficulty in opposition and a wasting of the thenar eminence?

    <p>Ape Hand</p> Signup and view all the answers

    Which symptom is associated with Carpal Tunnel Syndrome?

    <p>Pain that wakes a person at night</p> Signup and view all the answers

    What is the common etiology of median nerve damage?

    <p>Fracture at the elbow</p> Signup and view all the answers

    The 'Oath Hand' presentation is typically seen in which condition?

    <p>Median nerve damage</p> Signup and view all the answers

    Which structure forms the roof of the carpal tunnel?

    <p>Flexor retinaculum</p> Signup and view all the answers

    Which digits are affected by altered sensation due to median nerve lesions?

    <p>1, 2, 3 and half of 4</p> Signup and view all the answers

    How many tendons of the flexor digitorum superficialus pass through the carpal tunnel?

    <p>4</p> Signup and view all the answers

    Which branch of the median nerve is responsible for motor innervation in muscle weakness associated with carpal tunnel syndrome?

    <p>Deep branch</p> Signup and view all the answers

    Which of the following conditions involves compression of the median nerve at the wrist?

    <p>Carpal Tunnel Syndrome</p> Signup and view all the answers

    What is a distinguishing feature of the carpal tunnel?

    <p>Formation by carpal bones</p> Signup and view all the answers

    What is a common characteristic of pain associated with neuritis?

    <p>Constant dull pain</p> Signup and view all the answers

    Which condition is characterized by inflammation of the nerve sheath and connective tissue?

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

    What often triggers an attack in cases of neuralgia?

    <p>Direct stimulation of a trigger zone</p> Signup and view all the answers

    Which virus is responsible for the condition known as herpes zoster?

    <p>Varicella zoster virus</p> Signup and view all the answers

    What is a characteristic symptom of intercostal neuralgia?

    <p>Recurrent excruciating pain along the ribs</p> Signup and view all the answers

    What is the primary symptom that differentiates symptoms of compressive neuropathies from those of plantar fasciitis?

    <p>Numbness and tingling in the foot</p> Signup and view all the answers

    What typically occurs in herpes zoster when the virus reactivates?

    <p>It causes demyelination and degeneration</p> Signup and view all the answers

    Which nerves are most commonly affected by herpes zoster?

    <p>Thoracic and trigeminal nerves</p> Signup and view all the answers

    Which symptom is often reported after long periods of standing or walking in conditions like tarsal tunnel syndrome?

    <p>Pain radiating through the foot and toes</p> Signup and view all the answers

    What is a common initial symptom of shingles that follows the reactivation of the varicella zoster virus?

    <p>Deep, burning pain along specific dermatomes</p> Signup and view all the answers

    Which condition may be misdiagnosed as plantar fasciitis due to similar symptoms?

    <p>Tarsal tunnel syndrome</p> Signup and view all the answers

    Which factor is commonly associated with the development of intercostal neuralgia?

    <p>Chronic illnesses like diabetes</p> Signup and view all the answers

    What is a notable sign of a trigger zone in neuralgia?

    <p>Pain upon light touch</p> Signup and view all the answers

    What can cause a generalized inflammatory response in herpes zoster once the virus reactivates?

    <p>Dysfunction of the immune system</p> Signup and view all the answers

    What is the primary cause of pain in chronic conditions associated with nerve compression?

    <p>Mechanical irritation and inflammation of the nerve</p> Signup and view all the answers

    What type of reflex is the Stretch Reflex classified as?

    <p>Monosynaptic reflex arc</p> Signup and view all the answers

    Which reflex protects a muscle from damage due to excessive tension?

    <p>Tendon reflex</p> Signup and view all the answers

    What initiates the Flexor (withdrawal) Reflex?

    <p>Stepping on a sharp object</p> Signup and view all the answers

    What type of reflex arc does the Crossed Extensor Reflex possess?

    <p>Contralateral reflex arc</p> Signup and view all the answers

    Which part of the brain is continuous with the spinal cord?

    <p>Brain stem</p> Signup and view all the answers

    What is the primary function of muscle spindles?

    <p>Monitor muscle tone</p> Signup and view all the answers

    What type of reflex is characterized by the simultaneous contraction of one muscle and relaxation of its antagonist?

    <p>Reciprocal innervation</p> Signup and view all the answers

    Which structure is located above the brain stem?

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

    What is the main purpose of the Golgi tendon organs (GTO)?

    <p>Detect muscle tension</p> Signup and view all the answers

    What protective coverings surround the brain?

    <p>Cranial meninges and cranium</p> Signup and view all the answers

    Which part of the brain is the largest and sits on the Diencephalon?

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

    What is the main function of the reciprocal innervation during a reflex action?

    <p>To coordinate opposite muscle actions</p> Signup and view all the answers

    What occurs when muscle spindles detect stretching of a muscle?

    <p>Contraction of the same muscle</p> Signup and view all the answers

    Which part of the central nervous system includes the Medulla Oblongata, Pons, and Midbrain?

    <p>Brain Stem</p> Signup and view all the answers

    Study Notes

    Conical and Brachial Plexus

    • Conical and brachial plexuses are complex networks of nerves.
    • These networks are formed by the ventral rami of spinal nerves.
    • The nerves in these plexuses innervate various parts of the body.
    • Specific nerves originate from the brachial plexus, crucial for upper limb movement and sensation.

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    Description

    Test your knowledge on the conical and brachial plexuses, which are vital networks of nerves formed by the ventral rami of spinal nerves. This quiz covers their structure and the body parts they innervate. Understand the complexity of these nerve networks and their importance in human anatomy.

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