Ch. 21 Peripheral Nervous System

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simultaneously reciprocal inhibition (turning off) of the antagonist

(nature of a reflex) muscle spindle

the sensory organ in the muscle that sends the message to the spinal cord, triggering protective contraction of agonist (muscle you tapped)

(nature of a reflex) muscle spindle

action that results from a nerve impulse passing over a reflex arc: predictable response to a stimulus

(nature of a reflex) reflex

involve a single motor neuron whose axon stretches from the cell body in the CNS all the way to the effector innervated by that neuron

(basic principles of somatic motor pathways) all the somatic motor pathways for fibers that originate in the spinal cord, this means that the axon extends from the anterior gray horn, through the ventral nerve root, and out to a skeletal muscle

stimulates effector cells by means of the neurotransmitter acetylcholine (ACh)

(basic principles of somatic motor pathways) the last somatic motor neuron

is the extension of the great toe, with or without the fanning of other toes, in response to stimulation of the outer margin of the sole of the foot

(clinically important somatic reflexes) babinski sign

present in normal infants until approximately 1/5 years of age (abnormal for older individuals)

(clinically important somatic reflexes) babinski sign

sensory organ in tendon that senses if muscle is contracted or stretched too much

(nature of a reflex) golgi tendon organ

triggers autogenic inhibition of the agonist (muscle being contracted/stretched)

(nature of a reflex) golgi tendon organ

CN X

Vagus; Phyrynx, Larynx (vocal folds), heart, digestive organs

CN VIII

Vestibulocochlear; vestibular nerve-balance, postural control cochlear nerve-hearing

innervate the muscles and skin of the neck, upper shoulders, and part of the head

individual nerves emerging from the cervical plexus

consists of either muscle contraction or glandular secretion

reflex

formed by intermingling fibers from L4-S4

sacral plexus

located in the pelvic cavity on the anterior surface of the piriformis muscle

sacral plexus

typically contains motor neurons

the ventral root

innervate the lower part of the shoulder and the entire arm

Individual nerves emerging from the brachial plexus

each individual nerve that emerges contains all the fibers that innervate a particular region of the body

plexus

network of nerves (or blood vessels)

plexus

spinal nerve fibers are rearranged according to their ultimate destination, reducing the number of nerves needed to supply each body part

plexus

branches distal to the nerve

ramus

coccygeal nerve pair

1

thoracic nerve pairs

12 (T1 through T12)

connect to the undersurface of the brain, mostly on the brainstem

12 pairs of cranial nerves

___ pairs of spinal nerves are connected to the spinal cord

31

lumbar nerve pairs

5 (L1-L5)

sacral nerve pairs

5 (S1-S5)

cervical nerve pairs

8 (C1 through C8) (7,12, 5 breakfast lunch and dinner pneumonic)

CN VI

Abducens; lateral rectus muscles

CN XI

Accessory; trapezius, sternocleidomastoid

CN XII

Hypoglossal; muscles and sensation (proprioception, touch) of the tongue

made up of ventral rami of C1-C4 and a branch of the ventral ramus of C5

Cervical plexus

CN VII

Facial; all facial muscles, closing of eye lid, taste buds of anterior two thirds of the tongue

CN IX

Glossopharyngeal; taste buds of the posterior third of the tongue, pharynx (part of your throat above vocal folds and below nasal cavity)

formed by intermingling fibers of ___

L1-L4

CN III

Oculomotor; Pupil constriction, opening of eye lid, extrinsic eye muscle

CN I

Olfactory; smell

CN II

Optic; vision

___ emerges between the last cervical vertebra and the first thoracic vertebra

The eight cervical nerve

____ emerges from the cord in the space above the fist cervical vertebra

The first pair of cervical nerves

CN V

Trigeminal; has 3 branches, muscles of mastication, sensation of the face

CN IV

Trochlear; superior oblique muscles of the eye

if the center of the reflex arc is in the brain, the reflex is called

a cranial reflex

is easily recognized by a swelling called the dorsal root ganglion, or spinal ganglion (collection of nerve cell bodies)

a dorsal root

if the center of the reflex arc is in the spinal cord, the reflex is called

a spinal reflex

are mixed nerves (sensory & motor components)

all spinal nerves

pass out of the spinal cavity horizontally through the intervertebral foramina below their respective vertebrae

all the thoracic nerves

what is another name for the last somatic motor neuron

anterior horn neuron or lower motor neuron

are either contractions of smooth or cardiac muscles or secretion by glands

autonomic reflexes

located deep w/in the shoulder

brachial plexus

made up of ventral rami of C5- T1

brachial plexus

located deep within the neck

cervical plexus

formed by the last sacral spinal nerve (S5) and a few fibers from S4, joining w/the coccygeal nerve

coccygeal plexus

are identified by name (which is determined ether by distribution or by function) or they are identified by number ( the order in which they emerge, anterior to posterior); sometimes they are identified by both name and number

craninal nerves

region of the skin surface area supplied by afferent fibers of a given spinal nerve

dermatome

at first glance, the distribution of spinal nerves does not appear to follow an ordered arrangement; however, detailed mapping of the skin surface has revealed a close relationship between the spinal origin of each spinal nerve and the region of the body that is innervates

dermatomes and myotomes

formed by intermingling fiber of L1 through L4

lumbar plexus

located in the lumbar region of the back near the psoas muscle

lumbar plexus

because of their close proximity and overlap of fibers, the lumbar and sacral plexuses are often considered together as the

lumbosacral plexus

contains axons of sensory and motor neurons

mixed cranial nerve

made up of bundles of axons

mixed cranial nerve

skeletal muscle or muscles supplied by efferent fibers of a given spinal nerve

myotome

cervical plexus ventral rami

shows how ventral rami of the first four cervical spinal nerves (C1-C4) exchange fibers in the cervical plexus, fund deep w/in the neck Notice that some fibers from C% also enter this plexus to form a portion of the phrenic nerve

brachial plexus

shows, from the five rami C5 through T1 , the plexus forms three "trunks" the divisional branches reorganize into three "cords" the cords give rise to the individual nerves that exit the brachial plexus

somatic effectors

skeletal muscles

although many of theses nerves are mixed nerves, containing both sensory and motro fibers, it is often convenient to consider the PNS as having 2 functional divisions:

somatic motor nervous system (afferent division, efferent division) & autonomic nervous system

includes all voluntary motor pathways outside the CNS

somatic nervous system

each attaches to the spinal cord by a ventral root and dorsal root (proxical to the nerve)

spinal nerve

includes the fibers present in the cranial nerves, the spinal nerves, and all their individual branches

the entire peripheral nervous system

in the thigh, the tibial and common fibular nerves from the largest nerve in the body, ___

the great sciatic nerve

its many branches suppply nearly all the skin of the leg, the posterior thigh muschles, and the leg and foot muscles

the great sciatic nerve

descend from their point of origin at the lower end of the spinal cord before reaching the intervertebral foramina of their respective vertebrae, through which the nerves emerge

the lumbar, sacral, and coccygeal nerve roots

includes all the nervous path ways outside the brain and spinal cord

the peripheral nervous system

exits the cervical plexus and innervates the diaphragm

the phrenic nerve

is one of several large branches formed after each spinal nerve emerges from the spinal cavity

the ramus

exit the sacral plexus and supply nearly all the skin of the leg, posterior thigh muscles, and leg and foot muscles

the tibial, common peroneal, and sciatic nerves


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