Peripheral Nervous System Overview

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Questions and Answers

Which cranial nerve is responsible for the sense of smell?

  • Facial
  • Optic
  • Abducens
  • Olfactory (correct)

Which layer of connective tissue directly surrounds the individual nerve fibers within a peripheral nerve?

  • Perineurium
  • Fascia
  • Endoneurium (correct)
  • Epineurium

Which of the following cranial nerves is primarily motor in function?

  • Glossopharyngeal
  • Oculomotor (correct)
  • Trigeminal
  • Vestibulocochlear

What is the primary role of spinal nerves?

<p>Enable two-way communication between the spinal cord and the body (D)</p> Signup and view all the answers

Which cranial nerve primarily serves the sense of hearing?

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

What is the outermost layer of connective tissue surrounding a peripheral nerve called?

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

Which cranial nerve is involved in controlling muscles used for speech and swallowing?

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

In which region do spinal nerves not form plexuses?

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

Which cranial nerve controls the muscles that move the tongue?

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

What type of nerve fibers are found in spinal nerves?

<p>Mixed sensory and motor fibers (C)</p> Signup and view all the answers

Which nerve supplies the diaphragm?

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

Which of the following nerves is NOT part of the brachial plexus?

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

What is the primary function of the obturator nerve?

<p>Supplies the thigh adductor muscles (D)</p> Signup and view all the answers

Which nerve is considered the largest and longest nerve in the body?

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

The dermatome for the upper limbs is supplied by which ventral rami?

<p>C5-T1 (D)</p> Signup and view all the answers

Which plexus is associated with supplying the skin and muscles of the face and neck?

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

Which of the following nerves supplies the latissimus dorsi muscle?

<p>Thoracic dorsal nerve (B)</p> Signup and view all the answers

The lumbosacral plexus includes which of the following ranges of spinal nerves?

<p>T12-S5 (C)</p> Signup and view all the answers

Which nerve primarily supplies the muscles of the posterior arm?

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

Which nerve is responsible for innervating the muscles of perineum?

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

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Study Notes

The Peripheral Nervous System (PNS)

  • The PNS is comprised of 12 pairs of cranial nerves and 31 pairs of spinal nerves.
  • The PNS acts as the communication link between the body and the central nervous system.
  • Peripheral nerves have a layered structure, with the outermost layer being the epineurium, followed by the perineurium, and finally the endonerium surrounding individual nerve fibers.

Cranial Nerves

  • Cranial nerves are direct extensions of the brain.
  • Only nerve I (olfactory) originates from the cerebrum, the remaining 11 pairs originate from the brain stem.
  • Nerve I (Olfactory): Sensory, responsible for the sense of smell.
  • Nerve II (Optic): Sensory, responsible for the sense of vision.
  • Nerve III (Oculomotor): Primarily motor, controls muscles and accessory structures of the eyes.
  • Nerve IV (Trochlear): Primarily motor, controls muscles of the eyes.
  • Nerve V (Trigeminal): Mixed, controls muscles of the eyes, upper and lower jaws, and tear glands.
  • Nerve VI (Abducens): Primarily motor, controls muscles that move the eye.
  • Nerve VII (Facial): Mixed, responsible for the sense of taste and controlling facial muscles, tear glands, and salivary glands.
  • Nerve VIII (Vestibulocochlear): Sensory, responsible for the senses of hearing and equilibrium.
  • Nerve IX (Glossopharyngeal): Mixed, controls muscles in the pharynx and salivary glands.
  • Nerve X (Vagus): Mixed, controls muscles used in speech, swallowing, and the digestive tract, and controls cardiac and smooth muscles.
  • Nerve XI (Accessory): Primarily Motor, controls muscles of the soft palate, pharynx, and larynx.
  • Nerve XII (Hypoglossal): Primarily Motor, controls muscles that move the tongue.

Spinal Nerves

  • Spinal nerves are mixed nerves, containing both sensory and motor nerve fibers.
  • They facilitate two-way communication between the spinal cord and the arms, legs, neck, and body trunk.
  • Except in the thoracic region, all spinal nerves form plexuses.
  • Within plexuses, nerve fibers from various spinal nerves are reorganized, resulting in different nerve fibers from various spinal nerves reaching the same body parts.

Plexuses

  • Cervical plexus (C1-C4):

    • Most branches are cutaneous and supply the skin of the face and neck.
    • Other branches supply muscles of the anterior neck.
    • The phrenic nerve, formed by fibers from C3, C4, and C5, supplies the diaphragm.
  • Brachial plexus (C5-T1):

    • Major branches include:
      • Musculocutaneous nerve: Supplies muscles of the anterior arm and skin of the forearm.
      • Ulnar nerve: Supplies muscles of the forearm, hands, and skin of the hands.
      • Median nerve: Supplies muscles of the forearm and hands.
      • Radial nerve: Supplies muscles of the posterior arm and skin of the forearm and hands. It is the largest branch of the brachial plexus.
      • Axillary nerve: Supplies muscles and skin of the superior, lateral, and posterior regions of the arm.
    • Other nerves associated with the brachial plexus:
      • Lateral and medial pectoral nerves: Supply the pectoralis major and minor muscles.
      • Dorsal scapular nerve: Supplies the rhomboideus major and levator scapulae.
      • Lower subscapularis nerve: Supplies the subscapularis and teres major muscles.
      • Thoracic dorsal nerve: Supplies the latissimus dorsi muscle.
      • Suprascapular nerve: Supplies the supraspinatus and infraspinatus muscles.
  • Lumbosacral plexus (T12-S5):

    • Major branches:
      • Obturator nerve: Supplies the adductor muscles of the thigh.
      • Femoral nerve: Supplies the quadriceps muscles. It is the longest nerve of the lumbar plexus.
      • Sciatic nerve: Divides into the tibial and common peroneal nerves, supplying muscles and skin in the thighs, legs, and feet. It is the largest and longest nerve in the body.
    • Other nerves associated with the sacral plexus:
      • Pudendal nerve: Supplies muscles of the perineum.
      • Inferior and superior gluteal nerves: Supply the gluteal muscles and the tensor fascia lata muscle.

Dermatomes

  • A dermatome is an area of skin innervated by the sensory nerve fibers of a particular spinal nerve.
  • All spinal nerves except C1 have dermatomes.
  • Example: The skin of the upper limbs is supplied by the ventral rami of C5-T1.

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