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ANA 113 Study Guidue

central nervous system
brain and spinal cord
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peripheral nervous system
somatic (voluntary) and autonomic (involuntary)
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peripheral nervous system
cranial nerves and the spinal nerves, neurons, ganglia, sensory receptors
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neuron
receive and transmit information
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sensory (afferent)
delivers information to the CNS
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motor (efferent)
carries information to the periphery (muscles, glands)
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associative (interneuron)
located between sensory and motor neurons. modifies responses of other neurons
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multipolar neurons
in brain and spinal cord
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bipolar neurons
in retina of eye and inner ear
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unipolar
in ganglia adjacent to spinal cord
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nissi bodies
clusters of free ribosomes that produce protein and RER
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neurofibrils
cytoskeleton of a neuron (maintains shape)
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dendrites of a neuron
more than one per neuron, transmits info to cell body
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axon of a neuron
one per neuron, transmits info from cell body
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myelin sheath
outside covering of axon. conducts electrical impulse. composed of lipids
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what is myelin sheath produced by?
oligodendrocytes in CNS and schwann cells in PNS
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Neurilemma
call wall of oligodendrocyte or schwann cell
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nodes of ranvier
area of axon not covered by myelin
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synaptic vesicles
terminals
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nerve impulse
changes permeability of membrane. Na moves in and K moves out
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microglia
phagocytic cell of the CNS. ingests dead or damaged tissue
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astrocyte
nourishment of neurons in CNS. Helps form "Blood Brain Barrier"- regulates substances that pass from the blood stream into the CNS
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Blood-Brain Barrier
astrocyte- basement membrane- endothelial wall of capillary
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ependymal cells
line the cavities or ventricles of the brain
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satellite cells
regulate nourishment to neurons in PNS
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nuclei
cluster of neurons in CNS
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ganglia
cluster of neurons in PNS
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nerve
bundle of axons in PNS
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tract
bundle of axons in CNS
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synapse
site of communication between neurons
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continuous conduction
impulse travels in a continuous flow along an axon
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saltatory conduction
impulse jumps or is transmitted from one node of Ranvier to another
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A fibers
most heavily myelinated (sharp, stabbing pain)
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B fibers
intermediate in amount of myelin
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C fibers
least amount of myelin, in some cases: none (dull pain)
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neuromuscular junction/ myoneural junction
terminal part of axon and receptor site on muscle fiber. neurotransmitter is acetylcholine
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acetylcholine (excitatory)
controls skeletal muscle
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norepinephrine (excitatory or inhibitory)
controls autonomic NS
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serotonin (inhibitory)
plays a role in sleep
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dopamine (excitatory or inhibitory)
in autonomic NS
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Gamma Aminobutyric Acid
inhibits cerebellum
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Inhibitory neurotransmitters
hyper polarizes the post-synaptic neuron preventing the transmission of the nerve impulse across the synapse
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dopamine
found in autonomic NS
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where is the nervous system located?
vertebral canal. it starts at the foramen magnum and ends at intervertebral disc between L1 and L2
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conus medullaris
cone-shaped terminal part of spinal cord
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cauda equine
"horses tail" composed of nerve fibers of axons
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filum terminale
from tip of the conus medullaris, a CT fiber extends to the sacrum composed of pia mater
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cervical and lumbar enlargements
thickened regions of spinal cord
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how many pairs of spinal nerves exit the spinal cord?
31
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dura mater
outer covering, tough as parchment
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arachnoid
very thin middle covering: like cellophane
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pia mater
covering touches cord and brain. CT
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Subarachnoid space
deep to arachnoid. contains cerebrospinal fluid
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cerebrospinal fluid
produced in ventricles of brain. clear, colorless, odorless
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epidural space
located external to dura mater; contains fat
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subdural space
located internal to dura; normally nothing is found here
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where should you do a spinal tap?
L4-L5... iliac crest can be used to locate this level
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What is the path of the needle when you pierce the subarachnoid space?
skin- subcutaneous tissue- ligaments- dura mater- arachnoid mater
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What are the spinal segments?
cervical- 8. thoracic-12. lumbar-5. sacral-5. coccygeal-1.
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white matter
composed of fibers (bundles of axons)
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what does white matter contain?
axons, most of which are myelinated
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gray matter
contains cell bodies of neurons (ventral gray horn= motor neuron cell bodies)
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What does gray matter contain?
neuron cell bodies
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dorsal root
contains sensory nerve fibers
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dorsal root ganglion
contains sensory cell bodies
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ventral root
contains motor fibers
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What do we find in spinal nerves?
dorsal (sensory) and ventral (motor) roots
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What is a reflex?
an automatic, unconscious response
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withdrawal reflex
3 neurons are needed
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receptor
picks up stimulus
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sensory neuron
takes stimulus into spinal cord
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motor neuron
brings impulse to muscle
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lower motor neurons
cell body is in the brain stem or spinal cord. its axon synapses on skeletal muscle fibers.
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effector
moves body away from stimulus (muscle)
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stretch reflex arc
2 neurons are needed
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photoreceptors
responsive to light; rods and cones located in the eye
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chemoreceptors
respond to chemical stimuli
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pain receptors
free nerve endings in the skin, respond to pain
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Thermoreceptors
located in the skin; respond to changes in temperature
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pressure receptors
located in the skin; respond to mechanical deformation
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proprioceptors
detect "poison sense" in muscles, tendons; ligaments
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dorsal
posterior- sensory
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ventral
anterior- motor
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dermatomes
strip of skin supplied by a dorsal or ventral primary ramus of a spinal nerve (male- T4- nipples)(female- T10- bellybutton)
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referred pain
pain felt in a particular area of the body that originates from an organ (heart attack= left chest and left arm)
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phrenic nerve
"C3,4,5 keeps you alive" diaphragm is a major muscle of breathing
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brachial plexus
(C5-T1) network of nerves
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axillary
wraps around surgical neck of humorous, innervates deltoid. (lifts arm)
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musculocutaneous
deep to biceps and brachial. (flexes elbow and supinates)
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radial
wraps around shaft of humorous. innervates triceps. ("wrist drop")
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ulnar
"funny bone" posterior of medial epicondyle. innervates felxor carpi ulnaris and half of flexor digitorum profundus. ("claw hand") (hard time moving pinky)
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median
comes down middle of arm. innervates other half of digitorum profundus. ("ape hand")(thumb cannot oppose)("carpal tunnel syndrome")
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femoral
anterior surface of thigh. innervates quads. (extends knee)
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obturator
medial aspect of thigh. innervates adductors
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sciatic
posterior thigh. innervates hamstrings. (flection of knee and extension of thigh)
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tibial sciatic
back of thigh. innervates gastrocnemius and soleous
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common fibular sciatic
lateral and anterior thigh. innervates fibula longus and brevis (dorsiflection)
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pedundal
medial to ischial tuberosity
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What 3 parts make up the brain?
cerebral hemisphere, brain stem, cerebellum
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corpus collosum
a large fiber bundle connecting one cerebral hemisphere with the other. allows for transfer of info from one hemisphere to the other
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Where is the cerebrum?
central solcus. separates the frontal from parietal
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gryi
ridges
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sulci
grooves
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frontal lobe
before central solcus. motor function
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parietal lobe
behind central solcus. sensory function
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temporal lobe
lateral solcus. auditory function
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occipital lobe
visual function
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insula
deep to lateral sulcus. thought to integrate nervous activity
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primary motor area
4. pre central gyrus. controls movement
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primary sensory area
3, 1, 2. post central gyrus. perception of sensory impulses
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area for hearing
41, 42. hearing. perception and identifying sound
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visual area
17, 18, 19. vision. perception and identification of images
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broca's area
44, 45. speech. opposite side of brain that you write with controls speech
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wernicke's area
22. understand and compose written words. dyslexia
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Which two major pairs of blood vessels supply the brain?
internal carotid and vertebral arteries
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middle cerebral artery
supplies lateral surface of cerebrum (upper limb)
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anterior cerebral artery
supplies medial surface of cerebrum (lower limb)
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venous drainage
veins draining the brain empty into folds of dura called dural venous sinuses. blood is then carried to the internal jugular vein. (CSF is also absorbed into the venous sinuses.
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medulla oblongata
located in the foramen magnum. contains cardiovascular and respiratory centers. motor and sensory decussation (cross-over)
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pons
located superior to medulla. contains part of respiratory center
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midbrain
located superior to pons. contains auditory and visual reflex centers
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what does the diencephalon contain?
the thalamus and hypothalamus
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thalamus
located superior to midbrain. contains relay center for all sensations except smell
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hypothalamus
located superior to midbrain. it controls the sleep/wake cycle, eating, and autonomic NS connections with pituitary glands.
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reticular activating center
column of neurons that are located in the middle of the brain stem from the thalamus to the medulla. these neurons maintain a conscious state. when damaged, coma may result.
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cerebellum
coordinates movement (flexor and extensor muscles)
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basal ganglia
initiates movements in an adult and controls movements of newborn babies
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substantia nigra
involved in gross movements. when it is damages, parkinson's disease develops
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limbic system
formed by many parts of the brain. has many functions such as sex drive. major memory center
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