16_Spinal Cord and Nerves and ANS

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Questions and Answers

Which spinal nerve plexus innervates the head and neck?

  • Sacral plexus
  • Cervical plexus (correct)
  • Brachial plexus
  • Lumbar plexus

Which spinal nerve plexus innervates the arms?

  • Cervical plexus
  • Lumbar plexus
  • Brachial plexus (correct)
  • Sacral plexus

Which spinal nerve plexus innervates the pelvic region and anterior leg?

  • Brachial plexus
  • Lumbar plexus (correct)
  • Cervical plexus
  • Sacral plexus

Which spinal nerve plexus innervates the posterior leg?

<p>Sacral plexus (C)</p> Signup and view all the answers

Which nerve innervates the diaphragm and is responsible for breathing?

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

What is the largest nerve in the body that extends from the sacral plexus?

<p>Sciatic nerve (A)</p> Signup and view all the answers

What are dermatomes?

<p>Sensory fibers with endings in the skin (B)</p> Signup and view all the answers

Which of the following is NOT a function of the spinal cord?

<p>Protection of the spinal cord (A)</p> Signup and view all the answers

Which of the following is the correct order of the spinal meninges from outermost to innermost?

<p>Dura mater, arachnoid mater, pia mater (A)</p> Signup and view all the answers

Where is the epidural space located?

<p>Between the bone and dura mater (D)</p> Signup and view all the answers

What is the function of the subarachnoid space?

<p>Filling with cerebrospinal fluid (CSF) (A)</p> Signup and view all the answers

Where does the spinal cord end?

<p>At the beginning of the lumbar vertebrae (C)</p> Signup and view all the answers

Which cranial nerve(s) control(s) the facial organs in the parasympathetic nervous system?

<p>Facial nerve (CN VII) (D)</p> Signup and view all the answers

Where are the parasympathetic ganglia located in relation to the target effector organ?

<p>Near the target effector organ (B)</p> Signup and view all the answers

What is the term used to describe the balanced input from the sympathetic and parasympathetic divisions in organ systems?

<p>Autonomic tone (C)</p> Signup and view all the answers

Which division of the autonomic nervous system is responsible for vasodilation in blood vessels to skeletal muscles?

<p>Sympathetic division (A)</p> Signup and view all the answers

What effect does the parasympathetic division have on the bronchi of the lungs?

<p>Constriction (C)</p> Signup and view all the answers

Which part of the spinal cord contains the cell bodies of somatic motor neurons?

<p>Anterior horn (D)</p> Signup and view all the answers

What is the function of the dorsal (posterior) root ganglion?

<p>Contains unipolar neurons surrounded by satellite cells (C)</p> Signup and view all the answers

Which part of the spinal cord innervates the upper limbs?

<p>Cervical enlargement (D)</p> Signup and view all the answers

What is the function of the gray commissure in the spinal cord?

<p>Contains unmyelinated axons for communication between the left and right sides of the spinal cord (C)</p> Signup and view all the answers

What is the function of the ventral (anterior) root of a spinal nerve?

<p>Emerges as the motor fibers (A)</p> Signup and view all the answers

Which motor neurons degenerate or die in ALS?

<p>Both upper and lower motor neurons (A)</p> Signup and view all the answers

What is the most common cause of SMA?

<p>Defects in the survival motor neuron 1 gene (SMN1) (A)</p> Signup and view all the answers

Which muscles are more severely affected in SMA?

<p>Trunk and upper leg and arm muscles (A)</p> Signup and view all the answers

Which division of the autonomic nervous system prepares for emergencies?

<p>Sympathetic division (D)</p> Signup and view all the answers

Where are the preganglionic neurons of the parasympathetic division located?

<p>Nuclei of brainstem and lateral horn of sacral spinal cord (B)</p> Signup and view all the answers

True or false: The spinal cord carries motor information to the brain.

<p>False (B)</p> Signup and view all the answers

True or false: The spinal cord is housed within the spinal meninges.

<p>True (A)</p> Signup and view all the answers

True or false: The spinal dura mater is composed of multiple layers of connective tissue.

<p>False (B)</p> Signup and view all the answers

True or false: The epidural space around the spinal cord contains adipose tissue.

<p>True (A)</p> Signup and view all the answers

True or false: The conus medullaris is located at the end of the thoracic region of the spinal cord.

<p>False (B)</p> Signup and view all the answers

True or false: The spinal cord is longer than the vertebral canal that houses it?

<p>False (B)</p> Signup and view all the answers

True or false: The long bundle of nerves inferior to the conus medullaris is called cauda equina?

<p>True (A)</p> Signup and view all the answers

True or false: The gray matter is external and white matter is internal in the spinal cord?

<p>False (B)</p> Signup and view all the answers

True or false: The anterior horn contains the cell bodies of autonomic motor neurons?

<p>False (B)</p> Signup and view all the answers

True or false: The lumbosacral enlargement of the spinal cord innervates the upper limbs?

<p>False (B)</p> Signup and view all the answers

True or false: The spinal nerves split into two branches called rami.

<p>True (A)</p> Signup and view all the answers

True or false: The ventral ramus innervates the deep muscle and skin of the back.

<p>False (B)</p> Signup and view all the answers

True or false: The spinal nerves carry both sensory and motor information.

<p>True (A)</p> Signup and view all the answers

True or false: The cervical plexus innervates the head and neck.

<p>True (A)</p> Signup and view all the answers

True or false: The brachial plexus is formed by spinal nerves T5 - T12.

<p>False (B)</p> Signup and view all the answers

True or false: ALS is a condition where only the upper motor neurons degenerate or die?

<p>False (B)</p> Signup and view all the answers

True or false: SMA is caused by defects in the survival motor neuron 1 gene?

<p>True (A)</p> Signup and view all the answers

True or false: The somatic nervous system is responsible for involuntary motor orders to cardiac and smooth muscles?

<p>False (B)</p> Signup and view all the answers

True or false: The sympathetic division of the autonomic nervous system prepares the body for emergencies?

<p>True (A)</p> Signup and view all the answers

True or false: Parasympathetic ganglia are located in the nuclei of the brainstem and lateral horn of the sacral spinal cord?

<p>True (A)</p> Signup and view all the answers

True or false: Dermatomes are important in a clinical setting as they can help identify potential damage to spinal nerves.

<p>True (A)</p> Signup and view all the answers

True or false: Monosynaptic reflexes involve at least two synapses.

<p>False (B)</p> Signup and view all the answers

True or false: Preganglionic neurons can connect to intramural ganglia located within the target organ.

<p>True (A)</p> Signup and view all the answers

True or false: The parasympathetic ganglia are located close to the target effector organ, resulting in long preganglionic fibers and short postganglionic fibers.

<p>True (A)</p> Signup and view all the answers

True or false: Autonomic tone refers to the balance between input from the sympathetic and parasympathetic divisions in organ systems.

<p>True (A)</p> Signup and view all the answers

True or false: Many effector organs of the autonomic nervous system have dual innervation, receiving inputs from both the sympathetic and parasympathetic divisions.

<p>True (A)</p> Signup and view all the answers

True or false: In some cases, the sympathetic and parasympathetic divisions of the autonomic nervous system can have cooperative effects.

<p>True (A)</p> Signup and view all the answers

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Study Notes

Spinal Nerve Plexuses and Innervation

  • Cervical plexus innervates the head and neck.
  • Brachial plexus innervates the arms.
  • Lumbosacral plexus innervates the pelvic region and anterior leg.
  • Sacral plexus innervates the posterior leg.

Nervous System Functions and Anatomy

  • Phrenic nerve innervates the diaphragm, essential for breathing.
  • Sciatic nerve is the largest nerve in the body, extending from the sacral plexus.
  • Dermatomes are areas of skin supplied by specific spinal nerves, important for diagnosing nerve-related damage.

Spinal Cord Functions and Structure

  • Spinal cord does not perform higher brain functions like reasoning or emotions.
  • The correct order of spinal meninges from outermost to innermost: dura mater, arachnoid mater, pia mater.
  • Epidural space is located between the dura mater and vertebral canal, containing adipose tissue and blood vessels.
  • Subarachnoid space contains cerebrospinal fluid, providing cushioning and nutrient transport.
  • Spinal cord ends at the conus medullaris, typically around the L1-L2 vertebrae.

Autonomic Nervous System

  • Cranial nerves III, VII, IX, and X control facial organs in the parasympathetic nervous system.
  • Parasympathetic ganglia are located near or within the target effector organ.
  • Autonomic tone reflects balanced inputs from sympathetic and parasympathetic divisions affecting organ systems.
  • Sympathetic division causes vasodilation in blood vessels of skeletal muscles.
  • Parasympathetic division constricts the bronchi of the lungs.

Spinal Cord Components

  • Anterior horn contains cell bodies of somatic motor neurons.
  • Dorsal root ganglion functions as a sensory nerve cell body storage.
  • Cervical enlargement innervates the upper limbs.
  • Gray commissure facilitates communication between sides of the spinal cord.
  • Ventral root carries motor commands away from the spinal cord.

Pathologies and Motor Neurons

  • In Amyotrophic Lateral Sclerosis (ALS), both upper and lower motor neurons degenerate.
  • Spinal muscular atrophy (SMA) is most commonly caused by defects in the survival motor neuron 1 gene.
  • In SMA, proximal muscles are usually more severely affected.

Autonomic Nervous System Characteristics

  • Sympathetic division prepares the body for emergencies (fight-or-flight response).
  • Preganglionic neurons of the parasympathetic division are located in the brainstem and sacral spinal cord.
  • Spinal cord carries motor and sensory information to and from the brain.
  • The spinal cord is housed within the spinal meninges, providing protection and support.

True/False Statements

  • The spinal dura mater consists of multiple layers of connective tissue: True.
  • Epidural space contains adipose tissue: True.
  • The conus medullaris is located at the end of the thoracic region: False.
  • Spinal cord is longer than the vertebral canal: False.
  • Cauda equina refers to the bundle of nerves below the conus medullaris: True.
  • Gray matter is located internally with white matter externally in the spinal cord: False.
  • Anterior horn contains cell bodies of autonomic motor neurons: False.
  • Lumbosacral enlargement innervates the upper limbs: False.
  • Spinal nerves split into rami: True.
  • Ventral ramus innervates deeper muscles and skin of the back: False.
  • Spinal nerves carry both sensory and motor information: True.
  • Cervical plexus indeed innervates the head and neck: True.
  • Brachial plexus is formed by spinal nerves C5 - T1, not T5 - T12: False.
  • ALS affects only upper motor neurons: False.
  • SMA is caused by defects in the survival motor neuron 1 gene: True.
  • Somatic nervous system controls involuntary motor actions: False.
  • Sympathetic division prepares the body for emergencies: True.
  • Parasympathetic ganglia are close to target organs leading to long preganglionic and short postganglionic fibers: True.
  • Autonomic tone refers to the balance between sympathetic and parasympathetic inputs: True.
  • Many organs have dual innervation from both divisions of autonomic nervous system: True.
  • Sympathetic and parasympathetic divisions can work cooperatively: True.

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