問題一覧
1
is a cylindrical cord inside the spinal cavity which is about as thick as a pencil.
spinal cord
2
extends from the foramen magnum of the skull downward (caudally) for about 45 cm (18 inches) to the level of the first lumbar vertebra (L1) in adults.
spinal cord
3
The upper end of the organ is continuous with the lowermost part of the brain (
medulla oblongata
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Its lower end tapers off as the cone-shaped which is located in the vicinity of the first lumbar vertebra
conus terminalis or conus medullaris
5
Extending caudally from the conus is a non-neural fiber called the
filum terminale
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filum terminale is attached at?
coccyx
7
filum consists of??
fibrous connective tissue
8
It is slightly flattened dorsally and ventrally with two prominent enlargements known as
cervical and lumbosacral
9
Emerging from these enlargements are
spinal nerves
10
spinal cord is divided into how many segments
31 segments
11
Each pair typically passes through a pair of
invertebral foramen
12
cervical
8
13
thoracic
12
14
lumbar and sacral
5
15
coccygeal
1
16
The roots of all nerves pass caudally below the conus terminalis (below L1 vertebral level) resemble flowing coarse strands of hair. For this reason, the lumbar and sacral roots are collectively called the
cauda equine
17
The spinal cord and the roots of its nerves are protected not only by the
flexible bony vertebral column and its ligaments
18
is a tough, fibrous membrane that emerges with the filum terminale;
dura mater
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a delicate and transparent membrane which runs caudally to the S2 vertebral level, where it joins the filum terminale
arachnoid membrane
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thin highly vascular which is tightly attached to the spinal cord and its roots
pia mater
21
Cross-sectionally, the spinal cord has a tiny___.containing ____ and a dark portion of H-shaped or butterfly-shaped "gray matter
central canal cerebrospinal fluid
22
It is divided into more or less symmetrical left and right halves by a deep groove called the
anterior median fissure and posterior median septum
23
Extending out from the spinal cord are the
ventral and dorsal roots
24
H-shaped gray matter of the spinal cord has two pairs of columns that form the two vertical bars of the H which are called the
horns
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The pairs that form the cross bars of the H is knows as___ which functions in cross reflexes.
gray commissure
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which run dorsally and function in afferent input;
posterior horns
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which run ventrally and function in efferent somatic output
anterior horns
28
At each segment of the spinal cord, a pair of nerves branches and exits the
h shaped gray matter
29
One nerve of the pair exits to the left, entering the
left side of the nody
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Each nerve has a ventral (anterior) and a dorsal (posterior) root which meet shortly after leaving the spinal cord to form a
single mixed nerve
31
spinal nerves are named for their
associated vertebra and number
32
The numbering of each of the spinal nerve other than the cervical nerves corresponds to the
vertebra above
33
A short distance after the dorsal and ventral roots join together to form a
spinal nerve proper
34
the nerve divides into several branches called
rami
35
what branch of ramus innervate the skin of the back, the skin on the back of the head, and the tissues and intrinsic (deep) muscles of the back.
branches of the dorsal ramus
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a ramus innervate the skin tissues, and muscles of the neck, chest, abdominal wall, both pairs of the limbs, and the pelvic area.
branches of the ventral ramus (
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innervates the vertebrae, spinal meninges, and spinal blood vessels
meningeal ramus
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are composed of sensory (general visceral afferent) and motor nerve fibers associated with the autonomic nervous system innervating the visceral structure
rami communicantes (ramus communicans)
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complex networks of nerves formed by the ventral rami of the spinal nerves (except T2 through T12
plexuses
40
complex networks of nerves formed by the ventral rami of the spinal nerves (except T2 through T12
plexuses
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composed of the ventral rami of the spinal nerves C1 through C4. Its branches supply the muscles, skin of the neck, and posterior part of the scalp.
cervical plexus
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is the most important branch of the cervical plexus is formed by the rami of C3, C4 and C5 These nerves descend into the thorax to innervate the diaphragm
phrenic nerve
43
is made up primarily of the ventral rami of C5 to C8 and T1 spinal nerves. This extends downward and laterally, passing behind the clavicle and into the armpit. This plexus give rise to five major nerves that supply a number of neck and shoulder muscles in addition to the entire upper extremity
brachial plexus
44
supplies the anterior arm muscles (biceps brachii) and the skin of the lateral forearm
musculocutaneous branch
45
supplies the deltoid muscle and the skin over the deltoid muscle
axillary branch
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supplies the flexor muscles in the anterolateral aspect of the forearm and the hand and the skin in the radial half of the palm
Median branch
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supplies the flexor muscles in the anteromedial aspect of the forearm and the hand and the skin of the same region
ulnar branch
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is the largest branch of the brachial plexus and supplies the muscle and skin of the posterior aspect of the arm. forearm and hand
radial branch
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composed of fibers of the ventral rami of L1 to L4 nerves. Supplies the motor and sensory fibers to the anterior and lateral abdominal wall, external genitals and the thigh
lumbar branch
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is the largest branch of the plexus and innervates the iliopsoas and the quadriceps femoris muscles and the skin on the anteromedial aspect of thigh, and
femoral branch
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innervates the adductor muscles of thigh and the skin
obturator nerve
52
is composed of fibers of the ventral rami of L4, L5, S1 through S3 spinal nerves. Its branches supply the structures in the buttocks, the perineum and the lower extremity.
sacral plexus
53
the thickest and longest nerve in the body which extends from the pelvic area to the foot and dividing above the knee into the common peroneal and tibial nerves. This nerve supplies the gluteus maximus and the hamstring muscles.
sciatic nerve
54
nerve supplies the posterior calf muscles
tibial nerve
55
supplies the lateral and anterior muscles of the leg
common peroneal nerve
56
innervates the gluteus medius and gluteus minimus, and tensor fascia lata muscles
Superior gluteal nerve
57
innervates the gluteus maximus muscle
Inferior gluteal nerve
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innervates the voluntary muscles of the perineum, especially the sphincters of the urethra and anus.
pudendal nerve
59
formed by the coccygeal nerve (Co1) and sacral nerves S4 and S5. A few nerve filaments supply the skin in the cоссух region.
Coccygeal plexus
60
are the second through twelfth thoracic nerves (T2 to T12). The ventral of the intercostal nerves innervate muscles and skin in the thoracic and abdominal walls.
intercostal nerve
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innervate the intercostalmuscles and the abdominal wall and its overlying skin.
Nerves T7 through T12
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innervate intercostal muscles and the skin on the lateral and anterior thoracic walls.
T2 through T6
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both sensory and motor fibers that together with the cranial nerves form the
peripheral nervous system
64
cervical plexus participating
c1-c4
65
brachial plexus participating
c5 to c8
66
lumbar plexus participating
l1 to l4
67
sacral plexus participating
l4,l5 and s1
68
coccygeal participatint
s4 and s5
69
innervates deltoid
axillary branch
70
innvervates diaphragm
phrenic nerve
71
Hamstring muscles
sciatic nerve
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biceps brachii
musculocutaneos nerve
73
coracobrachialis
musculocutaneos nerve
74
quadriceps femoris muscles
femoral nerve
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gastrocnemius
tibial nerve
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triceps brachii
radial nerve
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external intercostals
thoracic spinal nerve
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gluteus maximus
inferior gluteal nerve
79
two nerve in sacral
tibial and common peroneal nerve
80
involve a series of responses to receptors in the skin and muscles. - These reflexes help us to move and maintain a correct posture.
somatic spinal reflex
81
occur in certain organs, for example, when the urinary bladder becomes distended and evokes the urge to urinate. - these reflexes also help to regulate blood pressure by affecting the smooth muscle in blood vessels, and also influence the action of glands.
Visceral spinal reflexes