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Questions and Answers
What function does the spinal cord NOT perform?
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?
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?
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?
What is the anatomical structure that anchors the spinal cord to the coccyx?
The cervical enlargement of the spinal cord is primarily associated with which region of the body?
The cervical enlargement of the spinal cord is primarily associated with which region of the body?
How many pairs of cervical nerves are there?
How many pairs of cervical nerves are there?
Which of the following is a function of the phrenic nerve?
Which of the following is a function of the phrenic nerve?
What does a lesion of the median nerve typically result in?
What does a lesion of the median nerve typically result in?
Which plexus is responsible for the nerve supply to the shoulders and upper limbs?
Which plexus is responsible for the nerve supply to the shoulders and upper limbs?
What is the role of rami in relation to spinal nerves?
What is the role of rami in relation to spinal nerves?
Which type of nerve fibers are predominantly carried by segmental nerves?
Which type of nerve fibers are predominantly carried by segmental nerves?
What is the composition of the cervical plexus primarily?
What is the composition of the cervical plexus primarily?
How many pairs of sacral nerves are present?
How many pairs of sacral nerves are present?
What is the anatomical location of the major nerve plexuses?
What is the anatomical location of the major nerve plexuses?
What is the primary function of the lumbar enlargement in the spinal cord?
What is the primary function of the lumbar enlargement in the spinal cord?
In which part of the spinal cord is the gray matter located?
In which part of the spinal cord is the gray matter located?
What structural feature is present in each posterior root of spinal nerves?
What structural feature is present in each posterior root of spinal nerves?
What is the primary purpose of epidural anesthesia during labor?
What is the primary purpose of epidural anesthesia during labor?
What type of information is conducted by the anterior (ventral) root?
What type of information is conducted by the anterior (ventral) root?
How does the internal anatomy of the spinal cord facilitate sensory and motor processing?
How does the internal anatomy of the spinal cord facilitate sensory and motor processing?
What does the posterior (dorsal) root contain?
What does the posterior (dorsal) root contain?
What is the primary purpose of a lumbar puncture?
What is the primary purpose of a lumbar puncture?
Which spinal levels are typically the safest locations for performing a lumbar puncture?
Which spinal levels are typically the safest locations for performing a lumbar puncture?
What is the role of spinal nerves in the nervous system?
What is the role of spinal nerves in the nervous system?
Which of the following agents can be injected into the subarachnoid space during a lumbar puncture?
Which of the following agents can be injected into the subarachnoid space during a lumbar puncture?
How are spinal nerves arranged in their anatomical structure?
How are spinal nerves arranged in their anatomical structure?
At which anatomical location do spinal nerves typically exit the vertebral column?
At which anatomical location do spinal nerves typically exit the vertebral column?
Which of the following spinal nerves is considered unique in its exit point?
Which of the following spinal nerves is considered unique in its exit point?
What is the difference in anesthetic dosage during a lumbar puncture compared to epidural anesthesia?
What is the difference in anesthetic dosage during a lumbar puncture compared to epidural anesthesia?
What condition is commonly diagnosed using cerebrospinal fluid collected during a lumbar puncture?
What condition is commonly diagnosed using cerebrospinal fluid collected during a lumbar puncture?
Flashcards
Spinal Cord
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
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
Meninges
The spinal cord is surrounded by three layers of protective membranes.
Dura mater
Dura mater
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Arachnoid mater
Arachnoid mater
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Lumbar enlargement
Lumbar enlargement
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Spinal cord white and gray matter
Spinal cord white and gray matter
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Brain white and gray matter
Brain white and gray matter
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Cerebrospinal fluid (CSF)
Cerebrospinal fluid (CSF)
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Spinal cord internal structure
Spinal cord internal structure
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Roots and rootlets
Roots and rootlets
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Posterior (dorsal) root ganglion
Posterior (dorsal) root ganglion
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What is a lumbar puncture?
What is a lumbar puncture?
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What is the cauda equina?
What is the cauda equina?
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Why is the lumbar region used for lumbar punctures?
Why is the lumbar region used for lumbar punctures?
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What are spinal nerves?
What are spinal nerves?
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How many pairs of spinal nerves are there?
How many pairs of spinal nerves are there?
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What are the anterior and posterior roots of a spinal nerve?
What are the anterior and posterior roots of a spinal nerve?
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What is a nerve fascicle?
What is a nerve fascicle?
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What is the epineurium?
What is the epineurium?
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How are spinal nerves arranged?
How are spinal nerves arranged?
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Branches of a spinal nerve?
Branches of a spinal nerve?
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How do anterior rami form plexuses?
How do anterior rami form plexuses?
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What does the cervical plexus supply?
What does the cervical plexus supply?
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What does the phrenic nerve control?
What does the phrenic nerve control?
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What does the brachial plexus supply?
What does the brachial plexus supply?
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What are dermatomes?
What are dermatomes?
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What's the primary function of the cervical plexus?
What's the primary function of the cervical plexus?
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What's the primary function of the brachial plexus?
What's the primary function of the brachial plexus?
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What causes carpal tunnel syndrome?
What causes carpal tunnel syndrome?
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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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