Spinal Anatomy Quiz

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Questions and Answers

What function does the spinal cord NOT perform?

  • Transmits oxygen to tissues (correct)
  • Conducts sensory impulses to the brain
  • Processes reflexes
  • Integrates EPSPs and IPSPs

Which of the following layers is NOT part of the meninges?

  • Epidural mater (correct)
  • Arachnoid mater
  • Pia mater
  • Dura mater

Where does the spinal cord begin?

  • At the lumbar enlargement
  • At the level of L1
  • At the foramen magnum (correct)
  • At the level of C2

What is the anatomical structure that anchors the spinal cord to the coccyx?

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

The cervical enlargement of the spinal cord is primarily associated with which region of the body?

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

How many pairs of cervical nerves are there?

<p>8 pairs (B)</p> Signup and view all the answers

Which of the following is a function of the phrenic nerve?

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

What does a lesion of the median nerve typically result in?

<p>Carpal tunnel syndrome (D)</p> Signup and view all the answers

Which plexus is responsible for the nerve supply to the shoulders and upper limbs?

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

What is the role of rami in relation to spinal nerves?

<p>They divide the spinal nerve shortly after it exits. (C)</p> Signup and view all the answers

Which type of nerve fibers are predominantly carried by segmental nerves?

<p>Both sensory and motor fibers (B)</p> Signup and view all the answers

What is the composition of the cervical plexus primarily?

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

How many pairs of sacral nerves are present?

<p>5 pairs (B)</p> Signup and view all the answers

What is the anatomical location of the major nerve plexuses?

<p>Anterior to the spinal cord (B)</p> Signup and view all the answers

What is the primary function of the lumbar enlargement in the spinal cord?

<p>Managing motor outputs and sensory inputs for the legs (C)</p> Signup and view all the answers

In which part of the spinal cord is the gray matter located?

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

What structural feature is present in each posterior root of spinal nerves?

<p>Dorsal root ganglion (D)</p> Signup and view all the answers

What is the primary purpose of epidural anesthesia during labor?

<p>To provide pain relief during childbirth (D)</p> Signup and view all the answers

What type of information is conducted by the anterior (ventral) root?

<p>Motor impulses to muscles and glands (C)</p> Signup and view all the answers

How does the internal anatomy of the spinal cord facilitate sensory and motor processing?

<p>Through organized arrangement of gray and white matter (A)</p> Signup and view all the answers

What does the posterior (dorsal) root contain?

<p>Sensory axons conducting nerve impulses (A)</p> Signup and view all the answers

What is the primary purpose of a lumbar puncture?

<p>To collect cerebrospinal fluid (CSF) for diagnosis or apply therapeutic agents (A)</p> Signup and view all the answers

Which spinal levels are typically the safest locations for performing a lumbar puncture?

<p>Between the 3rd and 4th or 4th and 5th lumbar vertebrae (A)</p> Signup and view all the answers

What is the role of spinal nerves in the nervous system?

<p>They connect the CNS to sensory receptors, muscles, and glands (A)</p> Signup and view all the answers

Which of the following agents can be injected into the subarachnoid space during a lumbar puncture?

<p>Chemotherapeutic agents and contrast media (B)</p> Signup and view all the answers

How are spinal nerves arranged in their anatomical structure?

<p>In fascicles surrounded by a perineurium and sheathed by an epineurium (B)</p> Signup and view all the answers

At which anatomical location do spinal nerves typically exit the vertebral column?

<p>Through the intervertebral foramina between adjoining vertebrae (B)</p> Signup and view all the answers

Which of the following spinal nerves is considered unique in its exit point?

<p>The first cervical nerve pair (D)</p> Signup and view all the answers

What is the difference in anesthetic dosage during a lumbar puncture compared to epidural anesthesia?

<p>Lumbar puncture uses only one-tenth of the dose required for epidural anesthesia (A)</p> Signup and view all the answers

What condition is commonly diagnosed using cerebrospinal fluid collected during a lumbar puncture?

<p>Meningitis and other central nervous system diseases (D)</p> Signup and view all the answers

Flashcards

Spinal Cord

The spinal cord is a long, tubular bundle of nerve tissue that extends from the brain stem down to the lumbar region of the spine.

Functions of Spinal Cord

It plays a vital role in processing reflexes, integrating signals from the brain and body, and conveying sensory information to the brain and motor commands to muscles.

Meninges

The spinal cord is surrounded by three layers of protective membranes.

Dura mater

The outermost layer, the dura mater, is a tough fibrous membrane.

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Arachnoid mater

The arachnoid mater, a delicate web-like middle layer, lies beneath the dura mater.

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Lumbar enlargement

A region of the spinal cord that is thicker than other regions and responsible for sending and receiving signals related to the legs.

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Spinal cord white and gray matter

The white matter in the spinal cord is located on the outside, surrounding the gray matter on the inside.

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Brain white and gray matter

The brain's white matter is found on the inside, while the gray matter forms the outer layer.

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Cerebrospinal fluid (CSF)

A fluid that fills the central canal of the spinal cord, providing cushioning and support.

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Spinal cord internal structure

The spinal cord's internal structure allows organized processing of sensory and motor information.

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Roots and rootlets

Bundle of axons connecting each spinal nerve to a segment of the spinal cord.

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Posterior (dorsal) root ganglion

A swelling on the posterior root containing the cell bodies of sensory neurons.

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What is a lumbar puncture?

A procedure involving inserting a needle into the subarachnoid space (SAS) to withdraw cerebrospinal fluid (CSF) for analysis, administer drugs, or measure CSF pressure.

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What is the cauda equina?

The region of the spinal column where the spinal cord ends and nerve roots extend like a horse's tail.

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Why is the lumbar region used for lumbar punctures?

The space between the 3rd and 4th (or 4th and 5th) lumbar vertebrae is used for most lumbar punctures because the spinal cord ends higher up.

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What are spinal nerves?

They are part of the peripheral nervous system, connecting the CNS to sensory receptors, muscles, and glands.

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How many pairs of spinal nerves are there?

31 pairs of spinal nerves emerge from the spinal cord.

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What are the anterior and posterior roots of a spinal nerve?

Each spinal nerve has an anterior root carrying motor commands and a posterior root carrying sensory information.

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What is a nerve fascicle?

A bundle of nerve fibers within a nerve is called a fascicle.

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What is the epineurium?

A protective sheath of connective tissue that surrounds the entire nerve.

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How are spinal nerves arranged?

They emerge from the spinal cord at regular intervals between vertebrae and connect to specific regions of the body.

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Branches of a spinal nerve?

The 3 major branches of a spinal nerve are the anterior ramus, posterior ramus, and rami communicantes.

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How do anterior rami form plexuses?

The anterior rami of spinal nerves can join together to form large networks of nerves called plexuses, which are located in front of the spine.

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What does the cervical plexus supply?

The cervical plexus supplies nerves to the head, neck, upper shoulders and chest, and diaphragm.

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What does the phrenic nerve control?

The phrenic nerve is responsible for controlling the diaphragm, which is essential for breathing.

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What does the brachial plexus supply?

The brachial plexus provides nerve supply to the shoulders and upper limbs.

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What are dermatomes?

Dermatomes are specific skin areas supplied by a single spinal nerve, meaning a sensory nerve from that area would travel to the brain via that specific spinal nerve.

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What's the primary function of the cervical plexus?

The cervical plexus is responsible for providing nerve supply to the head, neck, and upper shoulders and chest, and diaphragm.

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What's the primary function of the brachial plexus?

The brachial plexus is responsible for providing nerve supply to the shoulders and upper limbs.

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What causes carpal tunnel syndrome?

Carpal tunnel syndrome is caused by compression of the median nerve, which is a nerve in the brachial plexus.

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Study Notes

Chapter 13: The Spinal Cord and Spinal Nerves

  • The purpose of this chapter is to identify and describe the anatomical features of the spinal cord and spinal nerves, discuss their functions in maintaining homeostasis, and understand spinal reflex arcs.
  • The spinal cord is protected by bone (vertebrae), connective tissue (meninges), and fluid (cerebrospinal fluid).
  • The meninges are composed of three layers: dura mater, arachnoid mater, and pia mater.
  • The spinal cord begins as an extension of the medulla oblongata at the level of the foramen magnum and terminates at the level of L2.
  • The spinal cord has two enlargements, one in the cervical area (C4-T1) and another in the lumbar area (between L1-L4), which correlate with sensory input and motor output to the upper and lower extremities, respectively.
  • The spinal cord's external anatomy includes roots and rootlets that connect spinal nerves to segments of the cord, and the cauda equina.
  • Posterior (dorsal) roots and rootlets contain sensory axons, transmitting nerve impulses from sensory receptors to the CNS.
  • Anterior (ventral) roots and rootlets contain motor neuron axons, transmitting nerve impulses from the CNS to effectors (muscles and glands).
  • Spinal nerves connect the CNS to sensory receptors, muscles, and glands, and are part of the peripheral nervous system.
  • There are 31 pairs of spinal nerves.
  • Spinal nerves have connective tissue coverings (epineurium, perineurium, and endoneurium) that encompass blood vessels and nerve fascicles.
  • Spinal nerves divide into rami (anterior ramus, posterior ramus, and rami communicantes) after piercing the dura mater.
  • Major nerve plexuses (cervical, brachial, celiac, lumbar, sacral, and coccygeal plexuses) are formed from anterior rami and are located anterior to the spine.
  • Dermatomes are specific segments of skin supplied by spinal nerves, which carry somatic sensory nerve impulses to the brain.
  • The internal spinal cord anatomy includes white matter (on the outside) and gray matter (on the inside).
  • Spinal cord physiology involves nerve impulses being conducted through white matter tracts to and from the brain and gray matter integrating incoming and outgoing information for spinal reflexes.
  • Reflexes are involuntary and planned responses to stimuli; spinal reflexes are integrated by the spinal cord's gray matter.
  • Reflex arcs have general components: sensory receptor, sensory neuron, integrating center, motor neuron, and effector.
  • Key reflex arcs include the stretch reflex, tendon reflex, withdrawal reflex (flexor), and crossed-extensor reflexes.
  • Important spinal reflexes, such as the patellar, Achilles, Babinski(plantar), also play roles in body function and assessment and can indicate damage in the nervous system.
  • Disorders of the spinal cord include traumatic injuries (monoplegia, paraplegia, hemiplegia, quadriplegia), spinal cord compression (by bone, blood, tumors, etc.), degenerative diseases (multiple sclerosis, Amyotrophic lateral sclerosis, etc.), and infections such as Shingles.
  • Transection of the spinal cord can result in varying degrees of paralysis depending on the location of the injury.

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