Peripheral Nervous System and Lumbar Plexus
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Questions and Answers

Which ganglia are classified under cranial parasympathetic ganglia?

  • Celiac ganglion
  • Superior mesenteric ganglion
  • Otic ganglion (correct)
  • Auerbach plexus
  • What type of fibers leave the spinal cord in the anterior nerve roots of the spinal nerves?

  • Preganglionic fibers (correct)
  • Efferent somatic fibers
  • Postganglionic fibers
  • Unmyelinated fibers
  • Which plexus is associated with the innervation of the heart, lungs, and esophagus?

  • Hypogastric plexus
  • Myenteric plexus
  • Celiac plexus
  • Cardiac plexus (correct)
  • Where do the postganglionic parasympathetic fibers mainly synapse?

    <p>In ganglia near the effector organ</p> Signup and view all the answers

    Which of the following accurately describes the activation of afferent nerve fibers in the autonomic system?

    <p>Activated by stretch or lack of oxygen</p> Signup and view all the answers

    What is a characteristic of the pelvic splanchnic nerves?

    <p>They consist of preganglionic fibers.</p> Signup and view all the answers

    The large autonomic plexuses are found in which of the following areas?

    <p>Thorax, abdomen, and pelvis</p> Signup and view all the answers

    Which of the following best describes the postganglionic fibers in the parasympathetic system?

    <p>Nonmyelinated and of relatively short length</p> Signup and view all the answers

    What function does the genital branch of the genitofemoral nerve serve?

    <p>Enters the spermatic cord and supplies the cremaster muscle</p> Signup and view all the answers

    Which muscles are directly innervated by the obturator nerve?

    <p>Gracilis, adductor brevis, and adductor longus</p> Signup and view all the answers

    Where does the sacral plexus lie anatomically?

    <p>In front of the piriformis muscle on the posterior pelvic wall</p> Signup and view all the answers

    Which statement accurately describes the sciatic nerve's path?

    <p>Emerges from the lower border of the piriformis muscle</p> Signup and view all the answers

    What is the largest branch of the sacral plexus?

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

    Which muscles does the common peroneal nerve supply?

    <p>Biceps femoris (short head) and tibialis anterior</p> Signup and view all the answers

    What constitutes the lumbosacral trunk?

    <p>Union of the anterior rami of L4 and L5</p> Signup and view all the answers

    What is the primary function of the deep peroneal nerve?

    <p>Supplies the muscles of the anterior compartment of the leg</p> Signup and view all the answers

    What types of nerve fibers are involved in the transmission of signals to postganglionic neurons at autonomic ganglia?

    <p>Preganglionic fibers are myelinated B fibers, while postganglionic fibers are unmyelinated C fibers.</p> Signup and view all the answers

    Which of the following correctly describes the location of parasympathetic ganglia?

    <p>Parasympathetic ganglia are located close to or within the walls of the viscera.</p> Signup and view all the answers

    What neurotransmitter is most commonly released by sympathetic postganglionic nerve endings?

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

    Which statement about the autonomic nervous system (ANS) is true?

    <p>The arrector pili muscle is controlled only by sympathetic activity without parasympathetic influence.</p> Signup and view all the answers

    What characterizes small intensely fluorescent (SIF) cells found in autonomic ganglia?

    <p>They are small interneurons within the autonomic ganglia.</p> Signup and view all the answers

    Which nerve supplies the skin of the lower part of the anterior abdominal wall?

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

    From which border of the psoas does the obturator nerve emerge?

    <p>Medial border</p> Signup and view all the answers

    Which of the following muscles does not receive innervation from the femoral nerve?

    <p>Adductor longus</p> Signup and view all the answers

    The lateral cutaneous nerve of the thigh arises from which lumbar nerves?

    <p>L2-L3</p> Signup and view all the answers

    What is the role of the genitofemoral nerve?

    <p>Supplies the skin of the groin and the scrotum or labium majus</p> Signup and view all the answers

    Which nerve is known as the largest branch of the lumbar plexus?

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

    Which of the following nerves passes through the inguinal canal?

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

    What supplies the skin of the medial side of the leg and foot?

    <p>Saphenous branch of the femoral nerve</p> Signup and view all the answers

    Which muscle is NOT supplied by the tibial nerve in the leg?

    <p>Fibularis brevis</p> Signup and view all the answers

    Which branch of the sciatic nerve directly supplies the gluteus maximus muscle?

    <p>Inferior gluteal nerve</p> Signup and view all the answers

    Which nerve supplies the muscles of the lateral compartment of the leg?

    <p>Superficial peroneal nerve</p> Signup and view all the answers

    Where do preganglionic neurons of the autonomic nervous system originate?

    <p>Lateral gray column of the spinal cord</p> Signup and view all the answers

    What muscle does the nerve to the obturator internus supply?

    <p>Superior gemellus</p> Signup and view all the answers

    Which of the following structures does NOT receive innervation from the pudendal nerve?

    <p>Gluteal muscles</p> Signup and view all the answers

    Which nerve is responsible for supplying the skin of the buttock and back of the thigh?

    <p>Posterior cutaneous nerve of the thigh</p> Signup and view all the answers

    Which structure does NOT play a role in the afferent pathways of the autonomic nervous system?

    <p>Efferent pathways</p> Signup and view all the answers

    What type of muscle do postganglionic fibers innervate?

    <p>Smooth muscle in blood vessel walls</p> Signup and view all the answers

    Which nerve is formed from branches of the 5th-9th thoracic ganglia?

    <p>Greater splanchnic nerve</p> Signup and view all the answers

    Which type of fibers do NOT synapse in the paravertebral ganglia?

    <p>Preganglionic fibers</p> Signup and view all the answers

    Which structure is responsible for the secretion of epinephrine and norepinephrine?

    <p>Chromaffin cells of the suprarenal medulla</p> Signup and view all the answers

    What do the lesser and lowest splanchnic nerves synapse with?

    <p>Ganglia in the lower part of the celiac plexus</p> Signup and view all the answers

    Which fibers travel through sympathetic ganglia without synapsing?

    <p>Preganglionic myelinated fibers</p> Signup and view all the answers

    Where do postganglionic fibers of the splanchnic nerves distribute to?

    <p>Smooth muscle and glands of the viscera</p> Signup and view all the answers

    What role do gray rami communicantes play in the sympathetic nervous system?

    <p>They relay preganglionic fibers to postganglionic nerves</p> Signup and view all the answers

    Study Notes

    Peripheral Nervous System

    • The peripheral nervous system (PNS) is a complex network of nerves that extends throughout the body from the central nervous system (CNS).
    • The PNS connects the CNS to the rest of the body, enabling communication between the brain and spinal cord and the muscles, organs, and tissues.
    • The PNS is responsible for processing sensory information from the environment and sending motor commands to muscles and glands.

    Lumbar Plexus

    • The lumbar plexus is formed by the anterior rami of the upper four lumbar nerves (L1-L4).
    • It's located in the psoas major muscle.
    • The branches emerge from the borders of the psoas muscle, primarily from its lateral border.
    • Branches include the iliohypogastric nerve, ilioinguinal nerve, lateral cutaneous nerve of the thigh, and femoral nerve.
    • The obturator nerve emerges from the medial border of the psoas.
    • Some branches, like the iliohypogastric nerve, receive fibers from the subcostal nerve (T12).
    • These nerves supply muscles of the anterior abdominal wall (external oblique, internal oblique, and transversus abdominis).
    • They also provide sensory innervation to the skin of the groin, scrotum (females: labia majora), and parts of the thigh.

    Lateral Cutaneous Nerve of the Thigh

    • Arises from L2-L3 and crosses the iliac fossa.
    • Passes behind the lateral end of the inguinal ligament.
    • Supplies the skin of the lateral surface of the thigh.

    Femoral Nerve

    • Originates from L2-L4.
    • Runs between the psoas and iliacus muscles.
    • Passes behind the inguinal ligament, lateral to the femoral vessels and the femoral sheath.
    • Supplies the iliacus, pectineus, sartorius, and quadriceps femoris muscles.
    • Provides cutaneous branches supplying the anterior thigh, medial leg, and foot.
    • Supplies articular branches to the hip and knee joints.

    Obturator Nerve

    • Originates from L2-L4.
    • Enters the pelvis in front of the sacroiliac joint, behind the common iliac vessels.
    • Passes through the obturator foramen into the thigh.
    • Supplies muscles of the medial thigh compartment (adductors).
    • Supplies skin on the medial thigh surface.

    Sciatic Nerve

    • Formed from L4-S3 nerve roots.
    • Largest nerve in the body.
    • Emerges from the lower border of the piriformis muscle.
    • Divides into the tibial and common peroneal (fibular) nerves.
    • The sciatic nerve provides motor and sensory innervation to the posterior thigh and lower leg.

    Common Peroneal Nerve

    • Supplies muscles of the anterior and lateral compartments of the leg.
    • Provides cutaneous innervation to the skin over the front and lateral aspects of the lower leg and foot.

    Tibial Nerve

    • Supplies hamstring muscles in the posterior thigh.
    • Innervates muscles of the posterior compartment of the leg.
    • Terminates in plantar nerves, providing sensory and motor function to the plantar foot.

    Superior Gluteal Nerve

    • Emerges from the upper border of the piriformis muscle.
    • Innervates gluteus medius, gluteus minimus, and tensor fasciae latae muscles.

    Inferior Gluteal Nerve

    • Arises from the lower border of the piriformis muscle.
    • Supplies the gluteus maximus muscle.

    Posterior Cutaneous Nerve of the Thigh

    • Emerges from the lower border of the piriformis muscle.
    • Provides sensory innervation to the skin of the buttock and back of the thigh.

    Nerves to the Quadratus Femoris and Inferior Gemellus Muscles

    • Supplies the quadratus femoris and inferior gemellus muscles.

    Nerves to the Obturator Internus and Superior Gemellus Muscle

    • Supplies obturator internus and superior gemellus muscles.

    Pudendal Nerve

    • Arises from S2-S4 nerve roots.
    • Leaves the pelvis through the greater sciatic foramen and enters the perineum through the lesser sciatic foramen.
    • Supplies structures within the perineum including the external anal sphincter, the mucous membrane, and the skin of various genital regions.

    Autonomic Nervous System

    • The autonomic nervous system (ANS) is a part of the peripheral nervous system.
    • It regulates involuntary functions such as heart rate, digestion, and blood pressure.
    • Has three types of neurons: preganglionic neurons, postganglionic neurons, and connector neurons .
    • Preganglionic neurons are located in the CNS, and these cells send axons to a ganglion.
    • Postganglionic neurons are located in the ganglion, and these cells extend out to an effector organ.
    • The ANS is divided into two parts: sympathetic and parasympathetic divisions.
    • Usually, these divisions have opposite effects in most organs.
    • The sympathetic division prepares the body for "fight or flight" responses, while the parasympathetic division regulates "rest and digest" functions.

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    Lumbar and Sacral Plexuses PDF

    Description

    Explore the intricate network of the peripheral nervous system and the specific structures of the lumbar plexus. This quiz will test your understanding of how the PNS connects the central nervous system to the body and the details of lumbar nerve branches. Perfect for students studying anatomy and physiology.

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