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ch 43 nervous system
ch 43 nervous system
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10/25/2013

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Term
what is the pns composed of
Definition
12 cranial nerves and 31 pairs of spinal nerves
Term
what is the ans composed of
Definition
sympathetic and parasympathetic nerves
Term
aferent neurons
Definition
sensory neurons that send impulses to the cns from the pns
Term
effernt neurons
Definition
motor cells that carry signals from the cns to the cells in the pns
Term
grey matter/ white matter
Definition
nonmyleniated/ mylenated
Term
nodes of ranvier
Definition
myelinated axons with gaps in the myelin
Term
what are the two types of synapses
Definition
neuron to neuron and neuron to muscle
Term
outside of the brain and spinal cord are covered with the menigis what is the outer layer
Definition
dura matter
Term
where is the subdural space in the spine
Definition
between dura mater and the middle layer the arachnoid
Term
what is the inner most layer of the spine
Definition
pia mater
Term
subacarchnoid space where is it
Definition
between arachnoid and the pia mater
Term
where does the csf circulate
Definition
arachnoid space
Term
tentorium
Definition
this is the space between the cerebral hemispheres and the cerebellum
Term
supratentorial/ infratentorial
Definition
above the tentorium/ below the tentorium
Term
what are the 3major parts of the brain
Definition
brainstem
cerebellum
foprebraine
Term
what does the brainstem do
Definition
connects the rest of the brain with the cns
Term
cerbellu is concerned with what
Definition
movement and works together with the brainstem to focus on the function of the muscles
Term
forebrain where is it and whats it do
Definition
lies above the brainstem and cerebellum and is the most advanced in evelution
Term
decenphalon/thalamus/hypothalamus where are these located
Definition
dicephalon lies below the cerbrum and include the thalamus, hypothlamus and epithalamus
thlamus- relay stsion for cns
hypothalamus- ans control and intellectual funciton
Term
what is the largest part of the brain and controlls intelligence creativity and memory
Definition
cerebrum
Term
how are the rt and lt hemisphere connected
Definition
corpus collsom
Term
cerbral cortex
Definition
part of the cerbrum and is involved with all higher functions of the brain it communicates with pns and can feel, think
Term
the creebral cortex is divided into four lobes what are they
Definition
grontal
parietal
temporal
occipital
Term
frontal lobe
Definition
front of the head and it processes voluntary muscles movments and thought and speech
Term
what lobe controls mood plannin and setting goals
Definition
frontal lobe
Term
the parietal lobe
Definition
behind frontal lobe- processes awareness and spatial time and recieves info about temp taste touch and movement of the rest of the body
Term
where are reading and arrythmitic processed
Definition
parietal lobe
Term
temporal lobes
Definition
parallel to the ears hearing memorey language
Term
occipital lobes
Definition
visula info
Term
motor cortex where is it located and whats it control
Definition
frontal lobe- it control voluntary movements
Term
where are the pyramidal tracts, what do they do
Definition
begin in the motor cortex and thru the brain before crossing in the medulla which explains why movement in the left side is controlled in the rt side of the brain ectt..
Term
what are the 2 important speech area of the brain and whats their funciton
Definition
brocas area ( speech)and wernicks ( language)
Term
hypophysis what is it and whats it do
Definition
pituitary gland with two lobes that carry hormones into circulation
Term
what are the 4 things that cerebellar function enables a person to do
Definition
keep an extremity from overshooting
skilled movements
predict distance
maintains equillibrium
Term
ipsilateral
Definition
situated on the same side of the body
Term
cerbellar contorl of the body is on what side of the body
Definition
ipsilateral
Term
what is included in the brainstem,
Definition
midbrain
pons
medulla
Term
reticular activating system
Definition
thru the brainstem it controlls awareness and alertness
Term
where does circulation in the brain originate
Definition
from the carotid and vertabral arteries
Term
circle of willis
Definition
arteries joined at the base of the brain
Term
medualla 3 functions and what cranial nerves are here
Definition
cardaic slowing
respiratory center
cranial nerves- IX, X XI, XII,VII
Term
pons what are two functions and whats the four cranial nerves in this area
Definition
cardiac acceleration and vascoconstriction
pneumotaxic center for respiratory rate and rythm
V, VI, VII, and VIII
Term
midbrain whats it do and whats the2 cranial nerves
Definition
cerbral aqueduct and can abolish pain
III
IV
Term
BBB blood brain barrier
Definition
endothiala cells and cerbral cappillaries are joined tightly together to keep substances out
Term
what substances can pass the BBB
Definition
o2
gluclose
co2
alcohol
drugs
hj2o
Term
cerbral spinal fluid
Definition
circulates and cushions the brain and spinal area
Term
gray matter and white matter in the spinal cord
Definition
grey matter jas nuron bodies and white matter has myelinated axons
Term
where do ascednig tract originate and end and what are the three groups
Definition
spinal cord toend in the brain
spinothalamic, spinocerebellar and fasciculi gracilis
Term
what do the spinalthalamic tract do
Definition
carry pain
temp
touch
pressure
Term
spinocerebellar tracts what do the posterior ones transmit
Definition
awarness of position andmovements of body parts (proprioception)
Term
what do the anterior spinocerebellar tracts carry
Definition
proproiceptive responces from lower extremities these fibers cross twice
Term
postieror white columns
Definition
touch
sense of vibratory
from muscle joints and tendons
Term
decending trancts where do they begin and end
Definition
begin in the brain and end in the spoinal cord
Term
extrapyrimidal movements
Definition
abnormal spntaneous movements
Term
what is the pns composed of
Definition
spinal nerves
cranial nerves
ans
Term
expalin the 31 pairs of s[imal cord nerves
Definition
8 cervicl
12 thoracic
5 lumbar
1coccygeal
Term
what does the posterior branch of the spinal nevers carry
Definition
sensation by afferent pathway
Term
what does the anterior part of the spinal cord carry
Definition
motor impulses to the muscles efferent pathways
Term
dermatones
Definition
area where each spinal nerve is reflected
Term
plexus
Definition
cluster of nerves
Term
reflex arch
Definition
closed circuit of spinal and peripheral nerves that do not requir control from the brain
Term
what are the thre things reflexes contian
Definition
muscles tendons organs
small cells in cord
anterior motor neurons withthe muscles they innervate
Term
where do the sns cells originate
Definition
gray matter if tge sopinal cord from t1 thru l2 or l3
Term
where do the parasympathetic cells originate
Definition
in the grey matter of the sacral area in the spinal area from s2 thru s4
Term
what portions fo the cranial nerves are parasympathetic
Definition
III
vII
IX
X
Term
what are the pupil chnages in the elderly
Definition
decrease in size and can restrict the amount of light entering
Term
intellect does not decline with aging however what happnes
Definition
decrease in cognitive function with slower times to solve problems
Term
remote or long term memory can be test by
Definition
asking about birth date
Term
how can you test recall memory or recent memory
Definition
time of admit
how they got to the hospital
Term
immediate memory ( new) memory how can this be tested
Definition
by giving some words and asking them to repeat them later
Term
what is the serial seveln test
Definition
ask the pt to count backwards from 100 by 7
Term
touch discrimination
Definition
close his eyes and the nurse touches them the asks the pt to point to where the nurse has touched
Term
lost proprioception
Definition
when there is involve,ent of only the posterior column
Term
what does a leasion involving only the rt side of the spinothlamic track result in
Definition
loss of pain and temp sensation below the lesion on the left side
Term
where do cerbral leasions affect
Definition
the same side of the body
Term
if there are problems in the brain stem, thalamus or cortex where is the problem in the body
Definition
contralaterla -opposite side of the body
Term
what will hAPPen if there is a cerbral or brainstem injury with the arm
Definition
on the weak side the arm will fall or drift and will turn inward called a pronator drift
Term
romberg sign
Definition
a test to dertermine equilibrium is performed and if the pt sways with eyes closed but not open oit is a romberg sing which means the problem is rpopeioceptive
Term
if a pt sways with both eyes open where is the problemq
Definition
cerebellar
Term
deep tendon reflexes
Definition
can be tested on the biceps
triceps
brachioradilis and quads of the achilles tenodn by striking with the reflex hammer
Term
cutaneous reflexes
Definition
usually tested in the plantar reflexes sometime in the abs- this is done with apointed objectthe normal response is flexion of all toes
Term
dueing the relfex response what happens if the toes are dorsiflexed
Definition
babinskis signs it is abnormal for anyone over 2- it is usually an indication that there is something wrong with the cns
Term
how do you test the abdominal reflex- what happens if it is absent
Definition
strke the abs in all 4 quadrants diagonallt to the umbilicus if it is absent in both upper and lower quads it can indicate motor neuron disease
Term
what happens if there is a hyperactive respons in the abs/ a hypoactive response
Definition
upper motor neuron disease or tentus and hypocalcemia

can be from lower motor diesse dm or hypokalemia or hypothyroidism
Term
clonus
Definition
breif sudden jerking contraction of muscle or groups of muscles most often seen in seizures
Term
what does a score of 15 on the glawscow scale indicate what about a score of 7
Definition
normal functioning
comatose
Term
when is decortications seen
Definition
in a pt withlesions in the corticospinal pathway
Term
when a persons body is in the decerbration position what can this indicate
Definition
damage in the brainstem area
Term
where is pupil constriciton in what cranial nerve
Definition
III
Term
cerbral angiographty
Definition
contrast medium is injected into an artery to see sneuysms tumors blood vessles
Term
olfactory what is the type and whats the job
Definition
sensory/ smell
Term
II nerve
Definition
optic/ sensory/ vision
Term
III nerve
Definition
oculomotor/ motor to eye muslces/movement
Term
IV nerve
Definition
Trochlear/ motor/ eye movemnt with superior obliques
Term
VI nerve
Definition
abducens/ motor/ eye movement wih the lateral rectus
Term
VII nerve
Definition
facial/motor and sensory/ pain and temp from the ear to face- taste in the anterior 2/3 of the tongue
Term
VIII nerve
Definition
vestibulocochlear/ sensory/ hearing equillibrium
Term
IX nerve
Definition
glossopharyngeal/ motor and sensory/ pain and temp from the ear taste and sensation fromposterior third of the tongue
Term
X nerve
Definition
vagus nerve/motor and sensory/ pain and temp from the ear, sensation in the larynx, pharynx,thoracic and abdominal viscera
Term
XI nerve
Definition
accessory/ motor/ muscles of the pharynx larynx sternocleoidmastoid
Term
XIInerve
Definition
hypoglossal/motor/ muscles of the tongue
Term
cranial nerve V
Definition
trimengeminal/ sensory and motor/ masticaiton and sensory of face
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