Nervous System: CNS and PNS
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Questions and Answers

Which of the following accurately describes the functional distinction between the central nervous system (CNS) and the peripheral nervous system (PNS)?

  • The CNS primarily regulates endocrine function, unlike the PNS, which focuses on neural signaling.
  • The CNS processes sensory information and initiates commands, while the PNS relays information between the CNS and the body. (correct)
  • The CNS is responsible for involuntary functions, while the PNS controls voluntary movements.
  • The CNS consists of cranial and spinal nerves; the PNS comprises the brain and spinal cord.

A patient exhibits impaired motor control following a stroke. If their symptoms are primarily related to difficulties with balance and spatial orientation, which descending tract is MOST likely affected?

  • Dorsal column
  • Lateral tract
  • Spinothalamic tract
  • Ventromedial tract (correct)

Which of the following cranial nerves originate directly from the central nervous system rather than the peripheral nervous system?

  • Olfactory and optic (correct)
  • Hypoglossal and abducens
  • Facial and auditory
  • Vagus and trigeminal

Damage to the medullary pyramids would MOST directly affect which function?

<p>Voluntary movement of the limbs. (A)</p> Signup and view all the answers

A patient has lost the ability to feel pain and temperature on the left side of their body. Where is the MOST probable location of the lesion?

<p>Right spinothalamic tract (C)</p> Signup and view all the answers

Which of the following BEST describes the arrangement of the meninges from outermost to innermost?

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

What is the functional consequence of a complete transection of the spinal cord at the thoracic level?

<p>Loss of sensation and motor control below the level of the transection. (C)</p> Signup and view all the answers

Which of the following is a key function associated with the inferior colliculus in the midbrain?

<p>Relaying auditory information to the thalamus and sound localization. (D)</p> Signup and view all the answers

Which of the following distinguishes the sympathetic and parasympathetic divisions of the autonomic nervous system (ANS)?

<p>The sympathetic system originates from the thoracolumbar region, while the parasympathetic arises from the craniosacral regions. (B)</p> Signup and view all the answers

Which neurotransmitter and receptor combination is characteristic of the postganglionic sympathetic nervous system?

<p>Norepinephrine acting on adrenergic receptors. (B)</p> Signup and view all the answers

The cauda equina is BEST described as:

<p>A bundle of spinal nerves that descend from the end of the spinal cord. (B)</p> Signup and view all the answers

Which of the following is a primary function of the enteric nervous system (ENS)?

<p>Controlling digestive processes and transport of food. (B)</p> Signup and view all the answers

The dorsal root of a spinal nerve primarily carries what type of information?

<p>Sensory information from the body to the spinal cord. (A)</p> Signup and view all the answers

Where is cerebrospinal fluid (CSF) primarily located in relation to the meninges?

<p>Between the arachnoid membrane and the pia mater. (C)</p> Signup and view all the answers

What is the functional significance of axons from the dorsal column nuclei decussating in the medulla?

<p>It allows sensory information from one side of the body to be processed by the contralateral side of the brain. (D)</p> Signup and view all the answers

A patient presents with difficulty initiating voluntary movements, rigidity, and tremors. Damage to which of the following brain regions is MOST likely contributing to these symptoms?

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

Which of the following scenarios would MOST directly test the function of the spinothalamic tract?

<p>Applying a hot or cold stimulus to a patient's skin and asking them to identify the temperature. (D)</p> Signup and view all the answers

A lesion in the lower medulla oblongata affects the hypoglossal nerve. Which of the following deficits would MOST likely be observed in a patient with this lesion?

<p>Difficulty protruding the tongue straight out. (D)</p> Signup and view all the answers

Following a traumatic brain injury, a patient exhibits significant personality changes, including increased impulsivity and disinhibition. Which area of the brain is MOST likely affected?

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

Which of the listed functions is LEAST associated with the cerebellum?

<p>Conscious perception of pain (C)</p> Signup and view all the answers

A patient presents with a loss of fine touch and proprioception on the right side of their body. Assuming a single lesion, where is the MOST likely location of the damage?

<p>The left dorsal column nuclei in the medulla. (D)</p> Signup and view all the answers

Which combination of neurotransmitters and receptors is characteristic of the sympathetic nervous system's effect on target organs such as the heart?

<p>Preganglionic neurons release acetylcholine, acting on nicotinic receptors on postganglionic neurons; postganglionic neurons release norepinephrine. (B)</p> Signup and view all the answers

Following a traumatic injury, a patient exhibits deficits in maintaining balance and orientation in space. Which descending tract is MOST likely affected?

<p>Ventromedial pathways. (D)</p> Signup and view all the answers

A researcher is studying a newly discovered toxin that selectively disrupts the function of the dorsal root ganglia. Which of the following would be the MOST likely consequence of exposure to this toxin?

<p>Loss of sensory information from the periphery. (C)</p> Signup and view all the answers

During a high-stress situation, the sympathetic nervous system is activated. Which of the following physiological responses is LEAST likely to occur?

<p>Increased digestive activity. (C)</p> Signup and view all the answers

Which of the following BEST describes the functional organization of the spinal cord?

<p>Gray matter forms a butterfly-shaped core, surrounded by white matter. (D)</p> Signup and view all the answers

If a patient has damage to the superior colliculus, which of the following functions would MOST likely be impaired?

<p>Control of eye movements. (C)</p> Signup and view all the answers

Which of the following accurately contrasts the roles of the somatic and autonomic nervous systems?

<p>The somatic nervous system controls voluntary movements, whereas the autonomic nervous system influences the function of internal organs. (B)</p> Signup and view all the answers

Which of the following BEST describes the location and composition of the cauda equina?

<p>A bundle of nerve roots extending from the end of the spinal cord in the lumbar and sacral regions. (C)</p> Signup and view all the answers

Damage to the medullary pyramids would MOST likely result in deficits related to which of the following?

<p>Voluntary movement. (B)</p> Signup and view all the answers

How does the arrangement of spinal nerves relate to the vertebral column?

<p>Spinal nerves are named according to the vertebrae they are near. (D)</p> Signup and view all the answers

What is contained in the dorsal horns of the spinal cord's gray matter?

<p>Sensory neurons that receive information from the periphery. (D)</p> Signup and view all the answers

The red nucleus, located within the midbrain, plays a role in what function?

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

Which protective layer of the brain is a tough, leathery-like inelastic bag?

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

What is one key difference in function between the superior and inferior colliculi?

<p>The superior colliculus controls eye movements, while the inferior colliculus processes auditory information. (D)</p> Signup and view all the answers

Why is the blood supply in the pia mater important for brain function?

<p>It provides oxygen and nutrients directly to the surface of the brain. (D)</p> Signup and view all the answers

What is accurate about the olfactory and optic cranial nerves?

<p>They both connect to the CNS. (D)</p> Signup and view all the answers

What is the relationship between the arachnoid membrane and the dura mater in the meninges?

<p>There is no space between them. (A)</p> Signup and view all the answers

What is the effect of axons from the dorsal column nuclei crossing to the other side (decussate) in the medulla?

<p>Sensory information from one side of the body is processed by the opposite side of the brain. (D)</p> Signup and view all the answers

You perform a spinal tap on a patient and need to collect cerebrospinal fluid (CSF). Which meningeal layer must you access to retrieve a sample?

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

A researcher is investigating the effects of a novel drug on the parasympathetic nervous system. If the drug selectively blocks nicotinic receptors in autonomic ganglia, which of the following physiological responses would be MOST directly affected?

<p>Impaired signal transmission between preganglionic and postganglionic neurons in the parasympathetic pathways. (D)</p> Signup and view all the answers

Following a surgical procedure, a patient experiences difficulty with digestion and nutrient absorption. Damage to which component of the autonomic nervous system is MOST likely contributing to these symptoms?

<p>Enteric nervous system (B)</p> Signup and view all the answers

A patient presents with symptoms suggesting dysfunction of the vagus nerve. Which of the following combinations of symptoms would be MOST consistent with this diagnosis?

<p>Difficulty swallowing, altered heart rate, and impaired digestion. (D)</p> Signup and view all the answers

A researcher is studying the effects of a drug that selectively enhances parasympathetic nervous system activity. Which of the following neurotransmitter-receptor interactions would this drug MOST likely target?

<p>Acetylcholine binding to muscarinic receptors. (A)</p> Signup and view all the answers

A toxin selectively damages the pelvic splanchnic nerves. Which of the following functions would be MOST directly impaired?

<p>Control of bladder function and sexual reflexes. (B)</p> Signup and view all the answers

Flashcards

Central Nervous System (CNS)

Brain and spinal cord; interprets sensory information and issues commands.

Peripheral Nervous System (PNS)

Cranial and spinal nerves; links receptors to the CNS.

Somatic Nervous System

Controls body movements (voluntary).

Autonomic Nervous System

Involuntary control of internal organs.

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Cranial Nerves

Twelve pairs of nerves at the base of the brain.

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Meninges

Three-layered membrane covering the brain.

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Dura Mater

Outermost, tough covering of the brain.

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Arachnoid Membrane

Web-like membrane under the dura mater.

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Pia Mater

Thin membrane near the brain's surface with many blood vessels.

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Brainstem (Midbrain)

Brain region for sensory/motor information transport.

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Medullary Pyramids

Part of the medulla, contains corticospinal tracts for voluntary movement

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Dorsal Column

Sensory axons to the brain for touch appreciation

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Spinothalamic Tract

A tract for pain and temperature stimuli.

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Sympathetic Nervous System

Stimulates fight or flight response.

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Parasympathetic Nervous System

Stimulates rest-and-digest functions.

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What is the CNS?

The brain and spinal cord.

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Spinal Cord Columns

Dorsal, lateral, and ventral divisions of white matter in the spinal cord.

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Dorsal vs. Ventral Roots

Sensory axons enter; motor axons exit.

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Lateral Descending Tract

Controls muscle tone and antigravity muscles.

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Ventromedial Tract

Maintains spatial orientation and balance.

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Sympathetic ANS Signaling

Uses acetylcholine at nicotinic receptors, then norepinephrine.

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Craniosacral Outflow

Nerves originate from the brain and sacral spinal cord.

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Vagus Nerve

A cranial nerve that supplies motor fibers to organs from the neck to the colon, influencing heart rate, sweating, and muscle movements.

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Pelvic Splanchnic Nerves

Provide innervation to the hindgut and regulate bladder, sphincter, and sexual functions.

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Nicotinic Receptors

These receptors are ion channels, and are activated postsynaptically by acetylcholine.

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Enteric Nervous System (ENS)

A division of the ANS located in the digestive system, controlling transport and digestion, using many neurotransmitters.

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Cerebral Aqueduct

Connects the third and fourth ventricle in the midbrain.

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Decussate

Sensory information crosses to the opposite side of the brain.

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Cervical Vertebrae

C1 to C7

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Thoracic Vertebrae

T1 to T12

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Lumbar Vertebrae

L1 to L5

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Sacral Vertebrae

S1 to S5

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Cauda Equina

Bundle of nerves down the lumbar and sacral column.

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Gray Matter (Spinal Cord)

Has dorsal, lateral and ventral horns.

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Dorsal Column Nuclei

The location of sensory information from skin, joints and muscles

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Study Notes

  • The nervous system is divided into the Central Nervous System (CNS) and the Peripheral Nervous System (PNS).

Central Nervous System (CNS)

  • Includes the brain and spinal cord.
  • Interprets sensory input and issues commands based on experience

Peripheral Nervous System (PNS)

  • Includes cranial and spinal nerves.
  • Consists of sensory neurons linking body surface receptors with processing from the CNS

PNS Divisions

  • Somatic: Controls body movements.
  • Autonomic: Manages involuntary internal organ functions.

Cranial Nerves (PNS)

  • There are twelve pairs of cranial nerves located at the base of the brain.
  • Olfactory and optic cranial nerves are part of the CNS, while 10 axons are PNS.
  • A single cranial nerve can have multiple functions.
  • They are essential for identifying neurological disorders.
  • Cranial nerves have nuclei associated with the midbrain, pons, and medulla.

Brain Covering (Meninges)

  • The CNS is encased in bone, which does not make direct contact.
  • The brain is covered by a three-layered membrane called the meninges: dura mater, arachnoid membrane, and pia mater.

Dura Mater

  • Outermost, tough covering of the meninges, described as tough and leather-like.

Arachnoid Membrane

  • Located under the dura mater, it has a spider web-like consistency.
  • There is no space between the dura and arachnoid layers; blood pools there in subdural hematomas.

Pia Mater

  • Thin membrane near the surface of the brain with many blood vessels.
  • The subarea contains cerebrospinal fluid (CSF).

Brainstem (Midbrain)

  • Acts as information transport center between the spinal cord and forebrain Ascending and descending tracts meet in the midbrain.
  • Red nucleus: Associated with motor control.
  • Periaqueductal gray: Relays somatic pain sensations.
  • Superior colliculus: Receives direct input from the eye and controls eye movement.
  • Inferior colliculus: Receives sensory input from the ear and relays auditory information to thalamus and sound localization.
  • The cerebral aqueduct is located in the core of the midbrain.
  • Connects the third and fourth ventricles.

Brainstem (Medulla)

  • Processes sensory information, controls voluntary movement, and regulates the autonomic system.
  • Medullary pyramids: Bundles of axons descending to the spinal cord.
    • Found at the very bottom of the medulla.
    • Named for their shape.
    • Contain corticospinal tracts that control voluntary movement.
  • Nuclear clusters: Associated with hearing, include dorsal and ventral cochlear nuclei, and superior olive.
  • Inferior olive: Plays a role in motor control.
  • Raphe nucleus: Modulates pain, mood, and wakefulness.

Medulla (Spinal Cord)

  • Beginning of the spinal cord where the fourth ventricle disappears.
  • Dorsal column nuclei: relays somatic sensory information.
  • Axons from the dorsal column cross to the other side (decussate) to the thalamus.

Spinal Cord

  • Located within the vertebral column
    • Neck: Cervical region (C1-C7).
    • Ribs: Thoracic region (T1-T12).
    • Lower back: Lumbar region (L1-L5).
    • Pelvic: Sacral region (S1-S5).
  • Major conduit of information from the skin, joints, and muscles.

Transection of the Spinal Cord

  • Results in anesthesia or lack of feeling in the skin.
  • Results in paralysis of muscles caudal to the cut.
  • Results in muscles that can't be controlled by the brain.
  • Spinal nerves communicate with the cord through the somatic PNS.

Spinal Nerves

  • Spinal nerves adopt the related vertebrae names.
  • There are 8 cervical nerves for 7 cervical vertebrae.
  • The spinal cord ends at L3.
  • Does not grow after birth, the vertebral column continues.
  • Cauda equina: Bundle of nerves extending down the lumbar and sacral spinal cord.

Ventral-Lateral Surface

  • Spinal nerves with meninges attach to the spinal cord.
  • Nerves split into two roots at the vertebral notch.
    • Dorsal root carries axons within the dorsal root ganglia.
    • Ventral root carries motor axons from the ventral gray matter.
  • Butterfly-shaped core is gray matter, while the outside is white matter.
  • Outside is highly myelinated.

Gray and White Matter Organization

  • Gray matter is divided into 3 groups: dorsal, lateral, and ventral horns.
  • White matter is divided into 3 columns: dorsal, lateral, and ventral columns.

Cross-Sectional Anatomy

  • Ascending and descending pathways are part of the cross-sectional anatomy of the spinal cord.
    • Dorsal column consists of sensory axons to the brain which allow conscious touch appreciation.
    • Spinothalamic tract transmits painful stimuli and temperature sensations.

Descending Tracts for Control of Movement

  • Tract names describe their origins and terminations.
  • Dorsal column consists of sensory axons to the brain to allow conscious touch appreciation.
  • There are two descending tracts:
    • Lateral: Controls muscle tone and antigravity.
    • Ventromedial: Maintains space and equilibrium.

Autonomic PNS

  • Regulates internal organs, glands, and vasculature automatically.
  • ANS divisions:
    • Sympathetic: Stimulates fight or flight response.
    • Parasympathetic: Stimulates rest-and-digest/feed and breed activities.

Sympathetic ANS

  • Sympathetic Ganglia form a chain.
  • Begins at the thoracic to lumbar regions (thoracolumbar outflow).
  • Runs along the vertebral column with spinal nerves emerging from the column.
  • Chemical signaling: Acetylcholine, nicotinic receptor, and norepinephrine.

Parasympathetic ANS

  • Nerves originate from the CNS (craniosacral outflow).
  • Cranial nerves have preganglionic parasympathetic nerves, including trigeminal branches: ophthalmic, maxillary, and mandibular nerve.
  • Vagus nerve: Paired nerve typically referred to in the singular.
    • Supplies motor fibers to all organs from the neck down to the colon to regulate heart rate, sweating, and muscle movements.
  • Pelvic splanchnic:
    • Innervates the hindgut.
    • Regulates bladder, sphincter, and sexual function.

Parasympathetic ANS Signaling

  • Nicotinic receptors are channels, while muscarinic receptors are G-proteins.
  • The main end-receptor is stimulated from postganglionic fibers.

Enteric Nervous System (ENS)

  • A division of the ANS.
  • Located in the lining of the esophagus, stomach, intestines, pancreas, and gallbladder.
  • Controls the processes associated with the transport and digestion of food.
  • 500 million neurons are part of the ENS.
  • Employs 30 different neurotransmitters.
  • Sequesters 90% of serotonin and 50% of domaine are used in the ENS. </existing_notes>

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Explore the nervous system's central (CNS) and peripheral (PNS) divisions. The CNS includes the brain and spinal cord, interpreting sensory input. The PNS consists of cranial and spinal nerves, divided into somatic and autonomic systems.

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