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A&P 202 Practical 2
Spinal nerves, plexuses, the ANS, reflexes, general sensation, vision
79
Anatomy
Undergraduate 1
02/06/2012

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Term
Cervical plexus
Definition
Ventral rami C1-C5
Skin and muscles of the neck and shoulder
Contains the phrenic nerve
Term
Brachial plexus
Definition
Ventral rami C4-T1
Skin and muscles of the upper limb
Contains axillary, musculocutaneous, radial, median, ulnar nerves
Term
Thoracic nerves
Definition
T1-T12
No plexuses
Ventral rami form intercostal nerves - supply the muscles of intercostal spaces and skin and muscles of the anterior/lateral trunk
Term
Lumbar plexus
Definition
Ventral rami L1-L4
Skin and muscles of the lower abdominopelvic region and anterior thigh
Contains genitofemoral, femoral, and obturator nerves
Term
Sacral plexus
Definition
Ventral rami L4-S4
Skin and muscles of the buttock, posterior thigh, leg and foot
Contains the sciatic and pudendal nerves
Term
Dorsal rami of spinal nerves
Definition
Smaller than ventral
Serve the skin and muscles of the posterior body trunk at their approximate emergence level
Term
Plexuses
Definition
Formed from ventral rami of all regions except thoracic nerves
Serve the motor and sensory needs of the muscles and skin of the limbs
Ventral rami fibers unite, then diverge to form peripheral nerves
Term
Phrenic nerve
Definition
C3, C4, C5
Peripheral nerve of the cervical plexus
Motor to the diaphragm
Term
Axillary nerve
Definition
Peripheral nerve of the brachial plexus
Deltoid and teres minor muscles
Term
Musculocutaneous nerve
Definition
Peripheral nerve of the brachial plexus
Biceps brachii and brachialis muscles
Term
Radial nerve
Definition
Peripheral nerve of the brachial plexus
Triceps brachii and brachioradialis muscles
Skin of the posterolateral upper limb
Term
Median nerve
Definition
Peripheral nerve of the brachial plexus
Forearm flexor muscle group
Skin of the lateral 2/3 of the hand
Term
Ulnar nerve
Definition
Peripheral nerve of the brachial plexus
Flexor carpi ulnaris
Skin of the medial 1/3 of hand
Term
Genitofemoral nerve
Definition
Peripheral nerve of the lumbar plexus
Skin of external genitalia
Term
Femoral nerve
Definition
Peripheral nerve of the lumbar plexus
Quadriceps and sartorius muscles
Skin of anterior and medial thigh
Term
Obturator nerve
Definition
Peripheral nerve of the lumbar plexus
Medial thigh muscles such as gracilis
Skin of medial thigh for hip and knee joints
Term
Sciatic nerve
Definition
Peripheral nerve of the sacral plexus
Largest nerve of the body
Composed of the common fibular and tibial nerves
Term
Common fibular nerve
Definition
Peripheral nerve of the sacral plexus
Tibialis anterior and short head of biceps femoris muscles
Skin of anterior leg and dorsum of foot
Term
Tibial nerve
Definition
Peripheral nerve of the sacral plexus
Hamstrings, gastrocnemius and soleus muscles
Skin of posterior leg and sole of foot
Term
Pudendal nerve
Definition
Peripheral nerve of the sacral plexus
Skin and muscles of the perineum
Term
The Autonomic Nervous System
Definition
The subdivision of the PNS that regulates body activities that are generally not under conscious control
Involuntary
Term
Parasympathetic division
Definition
Division of the ANS
Also called craniosacral
Preganglionic neurons located in brainstem (cranial nerves III, VII, IX, X) and sacral region (S2-S4) of the spinal cord
Synapse with the ganglionic neuron in a terminal ganglion (within the walls of the organ)
Term
Pelvic splanchnic nerves
Definition
Parasympathetic
Preganglionic axons in the sacral region that travel to the pelvic cavity and synapse with the ganglionic neurons in the organs served
Term
Sympathetic division
Definition
Division of the ANS
Also called thoracolumbar
Preganglionic neurons are in the lateral horns of the gray matter of the thoracic spinal cord (T1-L2)
Sympathetic chain ganglia
Term
Sympathetic chain ganglia
Definition
2 trunks alongside the vertebral column
Axons may synapse at the same level with a neuron traveling to an effector, or synapse at a higher or lower level, or synapse in a distant collateral ganglion anterior to the vertebral column
Term
Splanchnic nerves (thoracic, abdominopelvic)
Definition
Sympathetic
Axon from sympathetic chain ganglia, passes through the ganglion without synapsing and joins the splanchnic nerves, travel to the viscera to synapse with a collateral ganglion
Term
Spinal nerves
Definition
31 pairs
All mixed nerves
Most exit via intervertebral foramina, except C1
Divide into dorsal and ventral rami
8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal
Term
Reflex arc
Definition
1. receptor
2. sensory neuron
3. integration center of CNS (spinal cord usually)
4. motor neuron
5. effector
Term
Somatic reflexes
Definition

Reflexes that involve stimulation of skeletal muscles by the somatic division of the nervous system

Spinal reflexes and cranial nerve reflexes

Term
Autonomic reflexes
Definition
Mediated through the autonomic nervous system without conscious awareness
Pupillary reflexes, ciliospinal reflex, salivary reflex
Term
Spinal reflexes
Definition
Require only spinal cord activity
Fast reflexes
Stretch reflexes, crossed-extensor reflex, superficial cord reflex
Term
Cranial nerve reflexes
Definition
Mediated by cranial nerves
Corneal reflex, gag reflex
Term
Stretch reflexes
Definition
Important in maintaining posture, balance, and locomotion
Initiated by tapping a tendon, which stretches the muscle the tendon is attached to, stimulating muscle spindles and causing reflex contraction of the stretched muscle
-Reciprocal inhibition of antagonist muscles
Patellar and Achilles reflexes
Term
Patellar reflex
Definition
Somatic, spinal, stretch
Reflex hammer used
Response: leg swings forward as quadriceps muscle contracts
FEMORAL NERVE
Term
Achilles reflex
Definition
Somatic, spinal, stretch
Reflex hammer used
Response: contraction of gastrocnemius and soleus (plantar flexion)
SCIATIC NERVE
Term
Crossed-extensor reflex
Definition
Somatic, spinal, stretch
Flexor, withdrawal reflex followed by extension of the opposite limb
Pin, sharp pen or pencil used
Response: withdraws hand, flexion of the elbow - other forearm extends
MUSCULOCUTANEOUS AND RADIAL NERVES
Term
Superficial cord reflexes
Definition

Result from pain and temperature changes

Initiated by stimulation of receptors in the skin and mucosae

Depend both on functional upper-motor pathways and on the cord-level reflex arc

Plantar reflex

Term
Plantar reflex
Definition
Somatic, superficial cord
Reflex hammer used
Response: Downward flexion and adduction of the toes
TIBIAL AND COMMON PERONEAL NERVES
Term
Corneal reflex
Definition
Somatic, cranial
Wisp of cotton used
Response: subject blinks
TRIGEMINAL NERVE (V)
Term
Gag reflex
Definition
Somatic, cranial
Tongue depressor used
Response: pharyngeal muscles contract and subject gags
GLOSSOPHARYNGEAL (IX) AND VAGUS (X) NERVES
Term
Pupillary reflex
Definition
Autonomic
Light shined into left eye
Response: left pupil contracts
OPTIC (II) NERVE (afferent), OCULOMOTOR (III) NERVE (efferent)
Ipsilateral response
Term
Consensual reflex
Definition
Autonomic
Light shined into left eye
Response: right pupil also contracts
OPTIC (II) NERVE (afferent), OCULOMOTOR (III) NERVE (efferent)
Contralateral response
Term
Ciliospinal reflex
Definition
Autonomic
Stroke hairs on back of neck and left side
Response: left pupillary dilation
SYMPATHETIC RESPONSE
Term
Salivary reflex
Definition
Autonomic
Activation of salivary glands with exposure to lemon juice
Response: increased production of saliva
PARASYMPATHETIC STIMULATION
Term
Basic reflexes
Definition
Inborn
Term
Learned reflexes
Definition
Reflexes resulting from practice or repetition
Involve a far larger number of neural pathways and many types of higher intellectual activities
Longer response time
Term
General sensation
Definition
Receptors react to touch, pressure, pain, heat, cold, stretch, vibration, and changes in position
Located throughout the body
Term
Special sensation
Definition
Sight, hearing, equilibrium, smell, and taste
Receptors are large, complex sense organs or small, localized groups of receptors
Term
Exteroceptors
Definition
React to stimuli in the external environment
Typically found close to the body surface
Include simple cutaneous receptors in the skin and the highly specialized receptor structures of the special senses
Term
Interoceptors (visceroceptors)
Definition
Respond to stimuli arising within the body
Include stretch receptors, chemoreceptors
Term
Proprioceptors
Definition
Respond to internal stimuli but are restricted to skeletal muscles, tendons, joints, ligaments, and connective tissue coverings
Provide info on the position and degree of stretch of those structures
Term
General sensory receptors
Definition
Cutaneous receptors and proprioceptors
Term
Meissner's corpuscle
Definition
Also called tactile corpuscles
Respond to light touch
Located in the dermal papillae of hairless skin
Term
Pacinian corpuscle
Definition
Also called lamellated corpuscles
Lie deepest in the dermis
Respond to deep pressure at its first application, and monitor high-frequency vibrations
Term
Two point discrimination test
Definition
Tested for the density of the touch receptors in different areas of the body
Areas that have the greatest density of tactile receptors have a heightened ability to "feel" - areas of fine motor control
The smallest distance at which two points of contact can be felt
Term
Tactile localization
Definition
The ability to determine which portion of the skin has been touched
Term
Adaptation of sensory receptors
Definition
Adaptation - when a stimulus is applied for a prolonged period, the rate of receptor discharge slows and conscious awareness of the stimulus declines or is lost until change occurs
Tested for with coins, seeing how long it took before subject could no longer feel the coin on skin
Term
Adaptation of temperature receptors
Definition
Tested for with hot and cold water baths, after a minute to adapt to the hot and cold both hands were placed in room temperature
Negative afterimages
Term
Negative afterimages
Definition
The sensations that the subject experiences when the adaptation is removed and sensation is normalized
Ex hot water/cold water --> room temperature
Term
Referred pain
Definition
A sensory experience in which pain is perceived as arising in one area of the body when in fact another remote area is receiving the painful stimulus
Term
Projection
Definition
The process by which the brain refers sensations to their usual point of stimulation
Term
Lateral rectus
Definition
Moves eye laterally
VI (ABDUCENS)
Term
Medial rectus
Definition
Medial movement
III (OCULOMOTOR)
Term
Superior rectus
Definition
Elevates eye and turns it medially
III (OCULOMOTOR)
Term
Inferior rectus
Definition
Depresses eye and turns it medially
III (OCULOMOTOR)
Term
Superior oblique
Definition
Depresses eye and turns it laterally
IV (TROCHLEAR)
Term
Inferior oblique
Definition
Elevates eye and turns it laterally
III (OCULOMOTOR)
Term
Blind spot test
Definition
X and dot
When the dot focuses on the blind spot, which lacks photoreceptors, it will disappear
Term
Near point of accommodation
Definition
Tests the elasticity of the lens
Hold a straight pin at arm's length, slowly move it toward that eye until it becomes distorted
Term
Visual acuity
Definition
Snellen eye chart at 20 feet
20/20 vision, etc
Term
Astigmatism
Definition
Tested with wheel chart
Irregularities in the curvatures of the lens and/or the cornea lead to a blurred vision problem
Term
Color blindness
Definition
Tested for with Ishihara's color plates
Deficiencies in the cones or color photoreceptor cells
Term
Binocular vision
Definition
Two-eyed
Both eyes see with slightly different views
There is two-eyed vision in the overlap area
Test for binocular vision with pencils - closing each eye in turn and noticing displacement
Term
Ophthalmoscope
Definition
Instrument used to examine the eyeball interior to determine visually the condition of the retina, optic disc, and internal blood vessels
Term
Emmetropic
Definition
The normal eye
Able to accommodate properly
Term
Myopic
Definition
Individuals in whom the image normally focuses in front of the retina
Near-sightedness: they can see close objects without difficulty, but distant objects are blurred or indistinct
Correction requires a concave lens
Term
Hyperopic
Definition
Individuals in which the image focuses behind the retina
Farsightedness
No problem with distant vision but do have trouble seeing close up
Need convex lenses
Term
Presbyopia
Definition
Decreasing elasticity of the lens, resulting in difficulty in focusing for near vision
"Old vision"
Term
Accommodation
Definition
The ability of the eye to focus differentially for objects of near vision
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