Spinal Cord and Meninges Quiz

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Questions and Answers

What is the primary function of the spinal cord?

  • Regulate body temperature
  • Process reflexes (correct)
  • Store sensory information
  • Control voluntary movements

The spinal cord is protected by skin and muscle.

False (B)

Which three layers make up the meninges?

Dura mater, Arachnoid mater, Pia mater

The spinal cord begins as an extension of the __________ at the level of the foramen magnum.

<p>medulla oblongata</p> Signup and view all the answers

What does the filum terminale do?

<p>Anchors the spinal cord to the coccyx (A)</p> Signup and view all the answers

The cervical enlargement of the spinal cord is related to the upper extremities.

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

What are the roots of the lower spinal nerves that angle down alongside the filum terminale called?

<p>Cauda equina</p> Signup and view all the answers

Match the spinal cord parts with their respective descriptions:

<p>Dura mater = Outermost layer of the meninges Arachnoid mater = Middle layer of the meninges Pia mater = Innermost layer adhering to the spinal cord Conus medullaris = Terminal end of the spinal cord</p> Signup and view all the answers

What is the main purpose of a lumbar puncture?

<p>Withdraw cerebrospinal fluid (CSF) (D)</p> Signup and view all the answers

Lumbar punctures are typically performed at the level of the 1st and 2nd lumbar vertebrae.

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

What are some substances that can be injected into the subarachnoid space during a lumbar puncture?

<p>Antibiotics, chemotherapeutic agents, analgesics, or contrast media</p> Signup and view all the answers

The lumbar puncture is performed below the termination of the spinal cord in the region of the ________.

<p>cauda equina</p> Signup and view all the answers

Match the following components with their descriptions:

<p>Anterior roots = Attach a spinal nerve to the spinal cord Posterior roots = Carry sensory information to the spinal cord CNS = Central nervous system PNS = Peripheral nervous system</p> Signup and view all the answers

How many pairs of spinal nerves are there in the human body?

<p>31 pairs (B)</p> Signup and view all the answers

Spinal nerves are part of the central nervous system (CNS).

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

What surrounds the fascicles of spinal nerves?

<p>Perineurium</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

The sacral region contains 12 pairs of spinal nerves.

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

What is the primary function of the phrenic nerve?

<p>To supply the diaphragm</p> Signup and view all the answers

The __________ plexus provides nearly all the nerve supply to the shoulders and upper limbs.

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

Match the following spinal regions with the number of nerve pairs:

<p>Cervical = 8 pairs Thoracic = 12 pairs Lumbar = 5 pairs Sacral = 5 pairs</p> Signup and view all the answers

What condition can result from a lesion of the median nerve?

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

Dermatomes are areas of skin supplied by the motor nerves.

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

What branches are formed shortly after a spinal nerve passes through the intervertebral foramen?

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

What condition is often referred to as 'winged scapula'?

<p>Long thoracic nerve injury (D)</p> Signup and view all the answers

The ulnar nerve is protected by muscle and bone throughout its entire course.

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

What injury is characterized by numbness and tingling in the palm and fingers due to median nerve damage?

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

The __________ nerve supplies the medial half of the hand.

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

Match the nerve injury with its associated symptoms:

<p>Erb's palsy = Paralysis of the arm typically in infants Long thoracic nerve injury = Winged scapula Median nerve injury = Numbness and pain in palm Ulnar nerve injury = Abnormal sensations in the 4th and 5th fingers</p> Signup and view all the answers

Which scenario is most likely to cause brachial plexus injury in adults?

<p>Traumatic fall resulting in violent stretching (A)</p> Signup and view all the answers

Damage to the long thoracic nerve only occurs from direct trauma.

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

Which nerve is the largest arising from the lumbar plexus?

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

What is commonly referred to as bumping one’s 'funny bone'?

<p>Striking the medial epicondyle of the humerus</p> Signup and view all the answers

The sciatic nerve is composed of three nerves.

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

What is the role of white matter tracts in the spinal cord?

<p>They conduct nerve impulses to and from the brain.</p> Signup and view all the answers

The obturator nerve is responsible for innervating the adductor muscles of the hip joint and skin over the __________ aspect of the thigh.

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

Match the following nerves with their primary functions:

<p>Femoral nerve = Extensor muscles of the knee joint Sciatic nerve = Hamstring muscles Obturator nerve = Adductor muscles of the hip joint Tibial nerve = Posterior leg muscles</p> Signup and view all the answers

Which of the following is NOT a part of the lumbar plexus?

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

Gray matter in the spinal cord integrates incoming and outgoing information.

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

Which two nerves make up the sciatic nerve?

<p>Tibial nerve and common fibular nerve.</p> Signup and view all the answers

What results from transection of the spinal cord at the upper cervical area?

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

Shingles is caused by the same virus that causes chickenpox.

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

Name one degenerative disease mentioned that affects muscle control.

<p>Amyotropic Lateral Sclerosis (ALS)</p> Signup and view all the answers

The extent of paralysis from a traumatic injury depends on its _______ and _______.

<p>location, degree of injury</p> Signup and view all the answers

Match the type of paralysis with its description:

<p>Monoplegia = Paralysis of one limb Paraplegia = Paralysis of the lower half of the body Hemiplegia = Paralysis of one side of the body Quadriplegia = Paralysis of all four limbs</p> Signup and view all the answers

Which of the following is NOT a cause of spinal cord compression?

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

The Babinski reflex is an indicator of abnormal brain functioning in infants.

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

What is referred to as 'transection' of the spinal cord?

<p>Partial or complete severing of ascending and descending tracts.</p> Signup and view all the answers

Flashcards

What are the functions of the spinal cord?

The spinal cord processes reflexes, integrates excitatory and inhibitory postsynaptic potentials (EPSPs and IPSPs), and conducts sensory impulses to the brain and motor impulses to effectors.

How is the spinal cord protected?

The spinal cord is protected by bone (vertebrae), connective tissue (meninges), and fluid (cerebrospinal fluid).

What are the meninges?

The meninges are three layers of protective membranes surrounding the spinal cord: Dura mater, Arachnoid mater, and Pia mater.

Where does the spinal cord begin and end?

The spinal cord begins at the foramen magnum and terminates at the level of L2.

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What is the filum terminale?

The filum terminale is an extension of the pia mater that anchors the spinal cord to the coccyx.

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What is the cauda equina?

The cauda equina are the roots of the lower spinal nerves that angle down alongside the filum terminale.

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What are the enlargements of the spinal cord?

The spinal cord has two enlargements: the cervical enlargement (C4-T1) and the lumbar enlargement (T9-T12).

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What is the function of the cervical enlargement?

The cervical enlargement corresponds to the sensory input and motor output to the upper extremities.

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What is a lumbar puncture?

A procedure involving the insertion of a needle into the subarachnoid space, primarily used to withdraw cerebrospinal fluid (CSF) for diagnosis or to reduce pressure, or to introduce medications or contrast agents.

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What is the subarachnoid space?

The space between the arachnoid mater and the pia mater, containing cerebrospinal fluid (CSF).

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Where is the typical site for a lumbar puncture?

The site most commonly used for lumbar punctures is located between the third and fourth (or fourth and fifth) lumbar vertebrae, where the spinal cord ends and the cauda equina begins.

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What is a nerve fascicle?

A bundle of nerve fibers surrounded by a connective tissue sheath called the perineurium.

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What is the epineurium?

A connective tissue covering that surrounds an entire nerve.

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What are spinal nerves?

The 31 pairs of spinal nerves, which connect the central nervous system (CNS) to sensory receptors, muscles, and glands.

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How are spinal nerves attached to the spinal cord?

Each spinal nerve is attached to a segment of the spinal cord via two roots: the anterior (ventral) root, which carries motor information, and the posterior (dorsal) root, which carries sensory information.

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What are nerve plexuses?

The anterior rami of the segmental nerves may travel alone (such as the intercostal nerves which run underneath each of the 12 ribs), or they can join together to form large "braided ropes" – a plexus of nerves.

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Name some examples of nerve plexuses.

Large groups of nerves that are formed from anterior rami of spinal nerves, all located anterior to the spine. Examples include the cervical plexus, brachial plexus, celiac (solar) plexus, lumbar plexus, sacral plexus, and coccygeal plexus.

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What are rami?

Branches of a spinal nerve, arising shortly after passing through its intervertebral foramen.

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What are dermatomes?

Specific segments of the skin supplied by spinal nerves that carry somatic sensory nerve impulses to the brain.

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What is the phrenic nerve responsible for?

The phrenic nerve, originating from C3-C5, supplies the diaphragm.

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What does the cervical plexus supply?

Supplies the skin and muscles of the head, neck, superior portion of the shoulders and chest, and diaphragm.

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What does the brachial plexus supply?

Provides almost the entire nerve supply to the shoulders and upper limbs. Lesion of the median nerve results in carpal tunnel syndrome.

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What are anterior rami of spinal nerves responsible for?

The anterior rami of spinal nerves are responsible for forming nerve plexuses.

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What is the Femoral nerve?

The largest nerve arising from the lumbar plexus, it innervates the flexor muscles of the hip and the extensor muscles of the knee, as well as the skin on the anterior and medial thigh and medial side of the leg and foot.

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What is the Obturator nerve?

The Obturator nerve innervates the adductor muscles of the hip and the skin on the medial aspect of the thigh.

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What is the Sciatic nerve and how does it function?

The Sciatic nerve is actually two nerves (tibial and common fibular) bound together. It travels down the thigh and splits at the knee, innervating the hamstring muscles and adductor magnus on the way.

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What is the main function of the Spinal Cord?

The spinal cord functions as a pathway to carry information between the brain and the body, as well as processing reflexes and integrating information.

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What role do white matter tracts play in the spinal cord?

White matter tracts in the spinal cord carry nerve impulses to and from the brain, conveying information.

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What role does gray matter play in the spinal cord?

Gray matter in the spinal cord receives and integrates information to perform spinal reflexes.

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How does sensory information travel to the brain?

Sensory information is carried up the spinal cord to the brain via sensory tracts.

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How do motor commands travel to muscles?

Motor commands from the brain travel down the spinal cord via motor tracts to stimulate muscle movement.

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Quadriplegia

Paralysis involving all four limbs, caused by damage to the spinal cord in the upper cervical area.

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Paraplegia

Paralysis of both legs and the lower part of the body, caused by damage to the spinal cord below the cervical enlargement.

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Transection of the spinal cord

Damage or severance of the spinal cord, interrupting communication between the brain and body.

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Spinal cord compression

Compression of the spinal cord by bone, blood, pus, tumors, or a herniated disk.

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Amyotrophic Lateral Sclerosis (ALS)

A progressive nervous system disease that affects nerve cells in the brain and spinal cord, leading to loss of muscle control. Famous example: Stephen Hawking.

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Shingles

An acute infection of the peripheral nervous system (PNS) caused by the herpes zoster virus. It causes pain, skin discoloration and blisters.

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Multiple Sclerosis (MS)

A progressive disease that affects the central nervous system, specifically the myelin sheath of oligodendrocytes. It causes a wide range of symptoms due to disrupted nerve communication.

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Degenerative diseases

A chronic disease affecting the central nervous system that causes muscle weakness, stiffness, and difficulty swallowing.

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Brachial Plexus

A network of nerves that arise from the ventral rami of spinal nerves C5-T1, responsible for innervating the shoulder, arm, and hand.

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Erb's Palsy

A common brachial plexus injury affecting infants during childbirth, characterized by weakness in the shoulder and arm.

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Long Thoracic Nerve

The nerve responsible for supplying the serratus anterior muscle, which helps to protract the scapula (move it forward).

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Winged Scapula

Injury to the long thoracic nerve, resulting in weakness of the serratus anterior muscle, causing the scapula to protrude out from the back.

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Ulnar Nerve

The largest unprotected nerve in the human body, supplying the medial half of the hand, and running along the medial epicondyle of the humerus, causing tingling sensations when struck.

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Carpal Tunnel Syndrome

A condition affecting the median nerve, typically caused by repetitive hand and wrist motions, leading to numbness, tingling, and pain in the hand.

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Lumbar Plexus

A network of nerves emanating from the lumbar spinal nerves (L1-L4), supplying the anterior and medial thigh.

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Femoral Nerve

A nerve that travels through the lumbar plexus and supplies the anterior thigh muscles.

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Study Notes

Introduction

  • The chapter focuses on the spinal cord and spinal nerves.
  • It aims to identify and describe anatomical features.
  • It discusses the functions and how they maintain homeostasis.
  • It explains spinal reflex arcs.

Functions of the Spinal Cord

  • Processes reflexes.
  • Integrates EPSPs and IPSPs.
  • Conducts sensory impulses to the brain and motor impulses to effectors.

Spinal Cord Anatomy

  • The spinal cord is protected by bone (vertebrae), connective tissue (meninges), and fluid (cerebrospinal fluid).

Meninges

  • The meninges consist of three layers: dura mater, arachnoid mater, and pia mater.

External Anatomy of the Spinal Cord

  • The spinal cord originates at the foramen magnum and ends at the level of L2.
  • It has cervical and lumbar enlargements for upper and lower limbs respectively.
  • It has a spinal cord that continues caudally as the filum terminale.
  • The cauda equina are nerve roots that angle downwards along the filum terminale.

Internal Anatomy of the Spinal Cord

  • White matter is on the outside, gray matter is on the inside
  • Sensory and motor tracts are within the white matter.

Sensory and Motor Processing

  • The spinal cord's internal arrangement efficiently processes sensory and motor information.

Comparison of Various Spinal Cord Segments

  • Different segments of the spinal cord show variations in size and characteristics of gray and white matter.
  • Cervical, thoracic, lumbar, sacral, and coccygeal segments are discussed.

Spinal Nerves

  • Spinal nerves connect the central nervous system to sensory receptors, muscles, and glands.
  • 31 pairs of spinal nerves are present.
  • Anterior and posterior roots connect spinal nerves to the spinal cord.
  • Spinal nerves have connective tissue coverings like the epineurium, perineurium, and endoneurium.

Peripheral Nerves

  • Spinal nerves emerge from the spinal cord at regular intervals.
  • Cervical, thoracic, lumbar, sacral, and coccygeal nerves are categorized.
  • Spinal nerves have several branches (rami).

Nerve Plexuses

  • Brachial, lumbar, and sacral plexuses are major nerve groupings.
  • They supply specific regions of the body.
  • Includes nerves such as the long thoracic (serratus anterior), ulnar, median, etc.
  • Common injuries may include Erb's or carpal tunnel syndrome.

Reflex Arcs

  • Reflexes are quick, unintentional responses to stimuli.
  • Crucial for homeostasis.
  • Spinal reflexes integrate sensory input and motor responses within the spinal cord.

Reflexes

  • Basic spinal reflexes involve sensory and motor neurons.
  • Included are the stretch reflex, tendon reflex, flexor reflex, and crossed-extensor reflex.
  • Key stimuli-responses are noted.
  • The patellar, achilles, Babinski reflexes are important responses.

Disorders

  • Traumatic injuries (monoplegia, paraplegia) can cause varying degrees of paralysis.
  • Spinal cord compression can result from various factors.
  • Degenerative diseases, shingles, and poliomyelitis can impact nerve function.

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