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mixed
all spinal nerves are __________ because they are formed from the fusion of an anterior and posterior root
posterior ramus and anterior ramus
a spinal nerve is quite short (1-2 cm)
after it forms and leaves the vertebral cavity, it splits into what two nerves?
posterior ramus
the division/branch of a spinal nerve that travels to the posterior side of the body
anterior ramus
the division/branch of a spinal nerve that travels to the anterior side of the body and/or the upper and lower limbs
true
true or false: Both the anterior and posterior rami are mixed nerves, as they contain sensory and somatic motor axons
rami communicantes (singular: ramus communicans)
another small branch stems from the anterior ramus. These small branches are called _________ ________________________ and they contain visceral motor or autonomic neurons of the sympathetic nervous system.
31
How many pairs of spinal nerves are there?
nerve plexuses
The anterior rami of the cervical, lumbar, and sacral spinal nerves come together and merge to form complicated networks of nerves called what?
spinal nerves
The axons of each spinal nerve cross over one another to enter different plexus branches. For this reason, the muscles supplied by a single branch of a nerve plexus are often served by two or more different ___________ ______________
cervical plexus
a group of nerves consisting of the anterior rami from C1 to C4 that innervates primarily structures around the head and the neck
Located deep in the neck lateral to the 1st-4th cervical vertebrae
Where is the cervical plexus located?
phrenic nerve
The major named motor branch that arises from the cervical plexus is the ______________ __________, which contains axons from C3 to C5, although its main contributor is C4.
diaphragm
The phrenic nerve supplies the _____________ muscle and is the main nerve that drives ventilation
a good mnemonic to remember the roots of the phrenic nerve is "3, 4, 5 to stay alive"
brachial plexus
a group of nerves consisting of the anterior rami from C5 to T1 that innervates structures within and around the upper limb; provides sensory and motor innervation to the upper limb
axillary nerve, radial nerve, musculocutaneous nerve, ulnar nerve, median nerve
What are the five major nerves that arise from the brachial plexus?
thoracic
Except for T1, the nerves coming from the ___________ spinal cord do not form plexuses.
intercostal nerve
Instead, each posterior ramus serves the deep back muscles, and each anterior ramus travels between two ribs as an _______________ __________.
lumbar plexus
a group of nerves consisting of the anterior rami from L1 to L4 that innervates structures within the pelvis and lower limb
psoas major
the lumbar plexus is located anterior to the vertebrae, embedded within the posterior part of the _________________ muscle
femoral nerve
The largest nerve from the posterior division, and of the lumbar plexus as a whole, is the _____________ _______________
sacral plexus
a group of nerves consisting of the anterior rami from L4-S4 that mostly innervates structures of the pelvis and lower limb
sciatic nerve
The largest nerve of the sacral plexus—indeed, the largest and longest nerve in the body—is the __________ ___________
receptors
the basic pathway for sensory information
(1) Stimulus is detected by sensory ______________ of the PNS
(2) Transmitted by PNS sensory neurons to the CNS
(3) Integrated and interpreted by CNS neurons
sensory transduction
the conversion of a sensory stimulus to an electrical signal
nerve endings
sensory transduction occurs at __________ ____________ of somatic sensory neurons; begins at a region of the nerve ending called a sensory receptor, which can be of several types
encapsulated nerve endings, free nerve endings
what are 2 types of sensory receptors?
specialized supportive cells
sensory receptors
encapsulated nerve endings = sensory receptors are surrounded by what?
free nerve endings
sensory receptors
Others are _______ _________ __________ that lack specialized supportive cells and are "naked"
receptor potential
how pressure → AP in a somatic sensory neuron
(1) the stimulus, pressure, opens mechanically gated sodium ion channels
(2) sodium enters the axoplasm, generating a temporary depolarization (_____________ _________________)
spinal cord
how pressure → AP in a somatic sensory neuron
(3) If enough sodium ions enter that the membrane potential reaches threshold, voltage-gated sodium ion channels open
(4) This triggers an AP, which will be propagated along the axon to the _________ _______
adaptation
Different types of sensory receptors respond to stimuli with different speed, intensity, and duration. Some receptors respond rapidly and with high intensity but stop sending the stimuli after a certain period, a phenomenon known as ______________
rapidly adapting receptors
what type of receptor is described below?
- important for detecting the initiation of stimuli, but they ignore ongoing stimuli.
- the reason why you can walk around your home in search of your sunglasses only to find out that they were on top of your head the whole time
slowly adapting receptors
what type of receptor is described below?
- respond to stimuli with constant action potentials that do not diminish with time.
- the reason for the dull, throbbing pain you feel for a week after spraining your ankle
exteroceptors
a sensory receptor that responds to a stimulus exterior to the body
light
exteroceptors
- typically close to the surface of the body
- stimuli such as texture, temperature, and color of an object, chemical odors in the air, and the level of __________
interoceptors
a sensory receptor that responds to a stimulus originating within the body
temperature
interoceptors
- stimuli such as BP, the stretch of an organ such as a skeletal muscle or the urinary bladder, the concentration of certain chemicals in body fluids, and body __________________
mechanoreceptors
sensory receptor that responds to a mechanical deformation of the cell
encapsulated exteroceptors or interoceptors found in the skin, the musculoskeletal system, and many different organs
thermoreceptors
sensory receptor that responds to thermal stimuli; exteroceptors that respond to thermal stimuli, depolarizing in response to temperature changes
chemoreceptors
a sensory receptor that responds to a change in the concentration of a specific chemical in the air or the body's fluids
exteroceptor or interoceptor that depolarizes in response to certain chemicals in body fluids or in the air
photoreceptors
a sensory receptor that responds to a change in light stimuli; special sensory exteroceptors whose membrane potentials change in response to light
nociceptors
a sensory receptor that responds to painful stimuli; generally exteroceptors
proprioceptors
a type of mechanoreceptor that responds to a change in position of a body part, particularly a ligament or tendon
musculoskeletal
proprioceptors are found in the _____________________ system, where they detect the movement and position of a joint or body part
proprioceptors are critical to the integration of sensory and motor functions
mechanically gated ion channels
When a stimuli mechanically deforms the tissue, what type of channel would open?
pseudounipolar
Most sensory neurons are first-order neurons because they are the first neurons to detect and transmit sensory stimuli along the way to the primary somatosensory cortex in the CNS
First-order somatic sensory neurons are ______________________ neurons with 3 main components - a cell body and 2 axons
posterior root ganglion (found lateral to the spinal cord)
Where are the cell bodies of sensory neurons located?
cell body
The peripheral process of the pseudounipolar sensory neuron is a long axon. At one end, it splits into nerve endings; associated with each nerve ending is a sensory receptor. At the other end, the peripheral process terminates near the neuron's _______ ________.
posterior horn
The central process of the pseudounipolar sensory neuron exits the cell body and travels through the posterior root of the spinal cord to enter the ___________ _________ of the spinal cord (or into the brainstem for cranial nerves).
central process
Note that an AP which begins at the sensory receptors located on nerve endings will be propagated to the end of the ____________ ____________.
axon diameter, thickness of myelin sheath
What two factors determine the speed of transmission of axons?
proprioceptive
The axons with the largest diameter and the thickest myelin sheaths conduct impulses the fastest.
Such axons include those that convey __________________ stimuli to the CNS.
It's critical for these stimuli to travel quickly because the CNS needs them to make adjustments during movement to maintain posture and balance
pain, temperature
The smallest-diameter axons with the least amount of myelin transmit action potentials the slowest.
Both _______ and __________________ stimuli are conveyed to the CNS by such axons.
Indeed, conduction through these axons is so slow that a noticeable delay occurs between the initiation of the stimulus and its interpretation by the CNS.
throbbing
pain and temperature stimuli being conveyed to the CNS by small diameter axons with the least amount of myelin is responsible for
(1) after you touch an object, it may take a moment to determine whether it is hot or cold.
(2) the "________________" nature of pain—each "wave" of pain you feel is actually one continuous stimulus.
fingertips
The skin of the (forearm/fingertips) is richly innervated with sensory neurons, and each of these neurons has a relatively small receptive field
larger
the skin of the forearm is innervated by a much smaller number of neurons, so each neuron has a somewhat (smaller/larger) receptive field
forearm sensory neurons
Which has a larger sensory field, sensory neurons on the fingertip or on the forearm?
small
The relative sizes of receptive fields can be measured by the two-point discrimination threshold.
In this test, two stimuli (usually a pair of calipers or applicator sticks) are placed closely together on the skin. The stimuli are then moved apart until the subject can feel two distinct points. The two-point discrimination threshold for the fingertips is quite (small, large) (about 3 mm) compared to that of the forearm (about 40 mm).
dermatome
A _________________ is a segment of the skin. Each is determined by the spinal nerve that serves it with somatic sensation.
referred pain
painful stimuli that are perceived as cutaneous pain along a specific dermatome
dermatome
referred pain
- pain that originates in an organ is perceived as cutaneous pain
- the pain is generally located along the _______________ for that nerve
- example: pain caused by a heart attack is often perceived as pain in the anterior chest wall and left arm
- this is because the first-order visceral sensory neurons from the heart travel with the first-order somatic sensory neurons of the T1-T5 dermatomes, which map to the anterior chest wall and arm
refraction
bending of light rays when they pass through a translucent object
cornea
The greatest degree of refraction—about two-thirds of the eye's refractive power—occurs as light passes from air through the ____________, which has a refractive index similar to that of water.
emmetropic (or emmetropia)
When the eye is relaxed and focusing on a distant object, this is known as the ______________ state of the eye
accommodation
the rounding of the lens to focus light from near objects on the retina
contracts, closer to, decreases
accommodation
- ciliary muscle (contracts/relaxes)
- ciliary body moves (closer to/away from) the lens
- this (increases, decreases) tension on the suspensory ligament
photoreceptors
the retina consists of two layers, an outer pigmented epithelium and an inner layer that contains ____________________ and other cell types arranged in layers
rods, cones
What are the two types of photoreceptor?
pigmented
the photoreceptors (rods and cons) are located adjacent/deep to the ___________________ layer of the retina
bipolar cells
The photoreceptors synapse with neurons called __________ _________, which communicate with retinal ganglion cells, the most anterior cells in the retina
optic nerve (CN II)
The axons of the retinal ganglion cells course across the retinal surface and form the what?
retinal ganglion cells, bipolar cells
What layers does the light have to pass through before encountering the photoreceptors?
color
Cones = photoreceptors that have a cone-shaped outer segment and respond to wavelengths of light that we perceive as ________; responsible for high-acuity color vision
in bright light (cannot respond at all in the dark)
cones function best in what type of light?
rods
Cones are nonfunctional at night, so only the ______ can produce the images you see, resulting in low-acuity, grayscale images
fovea centralis
cones are highly concentrated in the _________ ____________ → allows us to focus on an object
No cones found at the very edge of the retina
dim
Rods = photoreceptors that have a rod-shaped outer segment and that are sensitive to low-light conditions; responsible for low-acuity, black and white vision in ______ light
night vision
rods
- cannot detect color
- cannot function in bright light
- extremely sensitive to dim light
- reason for ________ _______
no
rods are more concentrated away from the fovea centralis
are there any rods in the fovea centralis?
Concentration of rods in the outer retina makes them important for peripheral vision, or detecting images at the edge of our vision
synaptic terminals
basic parts of a rod and cone
(1) ___________ _______________, which are the most anterior portion that contact bipolar cells
(2) cell bodies with nuclei
(3) inner segments that contain mitochondria and the typical cellular organelles
(4) outer segments that are on the side closer to the pigmented layer.
flattened discs
The outer segments of the photoreceptors house stacks of ____________ ________ that absorb light and are formed from segments of the plasma membrane. They have a lifespan of only 10-12 days, and then they are shed by the photoreceptor and phagocytosed by the cells of the pigmented layer.
rhodopsin
Each disc membrane of a rod contains the pigment _____________
opsin (protein), retinal (pigment)
What are the two components of rhodopsin (the pigment found in each disc membrane of a rod)?
wavelengths
cones are named because of the shape of their outer segment, which contains discs composed of infoldings of the plasma membrane.
The discs contain the pigment iodopsin, which is made of two components: retinal and the protein photopsin.
Photopsin is similar to opsin but has a slightly altered structure that allows it to absorb different _______________ of light.
blue, green, or red
Three forms of photopsin respond to wavelengths we perceive as what 3 cone pigments?
The color pigments react to slightly overlapping ranges of wavelengths, so that our perception of each color is generated by stimulation of varying combinations of cone populations
For example, red light stimulates primarily red cones, but orange light stimulates red cones and some green cones as well
cone pigments
When a person has a defective gene for one or more ______ _____________, color blindness results.
grayish-brown
The most common form of color blindness causes the red or green cone to absorb the wrong wavelength of light, resulting in red-green color blindness.
Affected people have difficulty in distinguishing red from green; both colors appear _______________
sex-linked disorder
color blindness is more common in males, which indicates that color blindness is a what?
retina
There is a fundamental difference between transduction in the ________ and that in other special senses.
depolarizing
differences in signal transduction between visual system and other special senses
1) Recall that olfactory neurons and gustatory cells detect smell and taste stimuli and respond by ___________________ and signaling another cell; in other words, the olfactory neurons and gustatory cells are "off" until they are turned "on" by a stimulus.
hyperpolarizes
differences in signal transduction between visual system and other special senses
2) In the visual system, the process is reversed.
- In the dark (the absence of a stimulus), the photoreceptor cells are depolarized ("on") and continually release neurotransmitters onto adjacent neurons.
- The presence of light ________________ the photoreceptor (turns it "off") and reduces the release of neurotransmitters, which alters the activity of other cells in the retina and sends that information to the brain.
- The end result is the same: The nervous system detects a change in the environment and transduces it into an action potential.
more
there are (more/less) photoreceptors than retinal ganglion cells in the retina
photoreceptor
despite there being more photoreceptors than retinal ganglion cells, vision is sharpest when a ganglion cell receives input from only a single ____________________.
This is the case in the fovea, where one cone may synapse with only two bipolar cells, which in turn contact only one retinal ganglion cell.
For this reason, sharp vision is possible here, because when a specific ganglion cell is stimulated, the brain knows exactly which tiny part of the retina (and the visual field) has been stimulated.
edges
peripheral vision
Toward the __________ of the retina, however, hundreds or thousands of photoreceptors contact a small number of bipolar cells, which then synapse with one retinal ganglion cell.
The retinal ganglion cell cannot determine exactly which one of the photoreceptors has been stimulated, so the brain does not receive precise visual information.
less
So, peripheral vision is (more/less) detailed than central vision, which explains why you can clearly read the menu at a restaurant but not immediately recognize a friend who walks up beside you.
visual field
the area one can observe with one or both eyes when focusing on a central point
optic nerve
What is the name of the structure that carries visual information out of the back of the eye?
optic chiasm
an X-shaped structure formed by the meeting of the optic nerves at the midline; location where some of the axons of the optic nerve cross to the other side of the brain
optic tracts
After passing through the optic chiasma, the retinal ganglion axons are called the ________ _________
thalamus
Most of the axons of the optic tracts end in the _____________; visual stimuli travel from the thalamus to the primary visual cortex in the medial portion of the occipital lobe.