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What are the 4 functions of the vertebral column?
protection of the spinal cord
supports the weight of the body
site of muscle attachment
controls and limits torso movement
Name the regions of the vertebral column and the number of vertebrae in each region
7 cervical
12 thoracic
5 lumbar
5 sacral (fused into sacrum)
1-4 coccygeal (fused at coccyx)
What feature separates the individual vertebra in the vertebral column?
intervertebral discs
What is the primary difference between a primary vertebral curvature and a secondary vertebral curvature?
primary-develops during fetal period (3rd-9th month
Secondary-complete development after birth
What regions of the vertebral column are secondary curvatures?
Cervical and Lumbar (concave posteriorly)
lumbar=prominent after child walks
cervical= prominent after child holds head up
What regions of the vertebral column are primary curvatures?
Thoracic and sacral
concave anteriorly
Why is the lumbosacral angle in females smaller than that of a male?
The opening is smaller due to angle of sacral because it makes more space for giving birth and makes child birth easier
Anterior side of a typical vertebra
vertebral body
Posterior side of a typical vertebra
spinous process
Lateral side of a typical vertebra
Transverse process
What features combine to form the vertebral/neural arch?
Lamina and pedicles (both sides of vertebrae)
In a single vertebra, the spinal cord passes through the ____________.
vertebral foramen
An intervertebral foramen is formed by the __________and _______________.
inferior vertebral notch
superior vertebral notch
What passes through the intervertebral foramen?
spinal nerves
Explain the difference between a vertebral foramen and the vertebral canal
Foramen-opening in t he vertebra through which the spinal cord passes
Canal-when 2 or more vertebral foramen are in line with each other
What features are characteristic of a cervical vertebra?
small, kidney bean shaped, costal facets for ribs absent, no transverse foramina, spinous process-slender C2-C6 are often bifid, inferior=anteroinferior, superior=posterosuperior, transverse processes are small (contain foramina)
Describe the appearance and function of the atlas
No body or spinous process; ring like
holds up skull and swivels around axis
creates "yes" motion when C1 articulates with occipital condyles of skull
Describe the appearance and function of the axis
Dens create the "no" motion
Body has vertical projection called the DENS=structure
-strongest of all cervical vertebrae
ligaments support this mechanism of rotation for the cervical spine
What features are characteristic of a thoracic vertebra?
medium sized, heart shaped body, present costal facets for ribs on body and transverse processes, no transverse foramina, spinous process=long most project inferiorly, inferior angle=anteromedial, superior angle=posterolateral, transverse processes=medium sized
What features are characteristic of a lumbar vertebra?
Largest, large/round/oval, costal-none, no foramina, spinous process-short (thick and blunt); project posteriorly, inferior angle=lateral, superior angle=medial, transverse process=large, thick, blunt
How was the ala of the sacrum formed?
ala=wing; fused remnants of transverse processes
What passes through the anterior and posterior sacral foramina?
anterior/posterior rami of spinal nerves
How was the median sacral crest formed?
fused spinous processes of S1-S3
Which bone articulates with the auricular surface of the sacrum?
ilium to form sacroiliac joint
How was the sacral hiatus formed?
opening at the distal end of the vertebral/sacral canal due to failure of S4/S5 spinous process to form
Identify the parts of the intervertebral disc and describe the function of each part
a. Nucleous Pulposus (inner gelatinous material that gives the disc its elasticity and compressibility
b. Annulus Fibrous (acts as a flexible shock absorber due to its composite construction
Describe the functions of the stabilizing ligaments of the vertebral column
a. Posterior longitudinal-reinforces support, resists hyperflexion, drives "herniation" of nucleus pulpusus
b. Anterior longitudinal-reinforces support, resists hyperextension of vertebral column
Describe what happens when an interverebral disc herniates
Annulus fibrosus weakens, nucleus pulposus will herniate (protrude), compression of the spinal nerves exiting the spine (pain/loss of function)
Describe the abnormal curvatures of the vertebral column
a. Scoliosis- crooked/curved back
b. Kyphosis-hunchback
c. Lordosis-swayback
What is the name of cranial nerve VII?
facial nerve
List the muscles innervated by cranial nerve VII
a) occipitofrontalils (frontal belly) (skin of forehead)
b) occipitofrontalils (occipital belly)
c) orbicularis oculi (skin surrounding eyelids)
d. orbicularis oris (encircles mouth)
e. zygomaticus (skin at superolateral edge of mouth)
f. buccinator (orbicularis oris)
g. platysma (skin of cheek and mandible)
What is unique about the insertion for all muscles of facial expression?
all are innervated by CNVII (facial nerve)
and insert into either the skin of the face or blend with another facial muscle
What is the name of cranial nerve V?
trigeminal nerve
What is the name of of the third division of cranial nerve V?
mandibular division
list the muscles innervated by cranial nerve V3
temporalis, masseter, medial pterygoid, lateral pterygoid
Name the insertion and action of occipitofrontalis (frontal belly)
insertion: skin of forehead
action: moves scalp, eyebrows, wrinkles skin of forehead
Name the insertion and action of occipitofrontalis (occipital belly)
insertion: epicranial aponeurosis
action: retracts scalp
Name the insertion and action of orbicularis oculi
insertion: skin surrounding eyelids
action: closes eye (winking, blinking, squinting)
Name the insertion and action of orbicularis oris
insertion: encircles mouth; skin and muscles at angle to mouth
action: compresses and purses lips (kiss muscle)
Name the insertion and action of zygomaticus
insertion: skin at superolateral edge of mouth
action: elevates corner of mouth (smile muscle)
Name the insertion and action of buccinator
insertion: orbicularis oris
action: compresses cheek; holds food between teeth when chewing
Name the insertion and action of platysma
insertion: skin of cheek and mandible
action: pulls lower lip inferiorly, tenses skin of neck
Which muscles elevates the mandible? Which of these muscles acts as the prime mover for jaw closure?
a) medial pterygoid and temporalis
b) masseter
Identify the muscles that allow us to grind our teeth
Lateral pterygoid and medial pterygoid
Name the key anatomical landmarks in the neck
hyoid bone, thyroid and cricoid cartilage, sternocleidomastoid (SCM)
Identify the origin and insertion of the sternocleidomastoid (SCM)
origin: sternum and clavicle
insertion: mastoid process (temporal bone)
Identify the actions of the SCM
Bilateral: flexes neck
Unilateral: lateral flexion, rotation of head to opposite side
Which cranial nerve innervates the SCM?
CN-XI (accessory nerve)
Name the suprahyoid muscles
diagnostic and mylohyoid
The suprahyoid muscles__________the hyoid
elevates
Name the origin and insertion of sternothyroid
origin: sternum
insertion: thyroid cartilage
Name the origin and insertion of thyrohyoid
origin: thyroid cartilage
insertion: hyoid bone
Name the origin and insertion of sternohyoid
origin: sternum
insertion: hyoid bone
Name the origin and insertion of omohyoid
origin: scapula
insertion: hyoid bone
The infrahyoid muscles___________ the hyoid
depress
Which rami innervate the intrinsic back muscles?
posterior rami
Identify the insertions of each superficial intrinsic back muscle
Splenius Capitis: mastoid process
Splenius Cervicis: transverse process of C1-C3 or C4
What are the unilateral and bilateral actions of the superficial intrinsic back muscles?
unilateral: laterally flex and rotate to ipsilateral side
bilateral: extend head and back
Name the three groups of muscle fibers that make up the erector spinae
a) spinalis (most medial)
b) longissimus
c) illiocostalis (most lateral)
What are the unilateral and bilateral actions of the erector spinae (the intermediate intrinsic back muscle)?
unilateral: laterally flex vertebral column
bilateral: extend vertebral column
Define neuron
structural unit of the nervous system
Describe the function of nervous tissue
passes along impulses to different parts of the body
(gray matter = cell bodies processing
white matter= axons moving impulses)
Name the components of the CNS and PNS
CNS= brain and spinal cord
PNS= everything else! (cranial, spinal, peripheral nerves)
Describe the difference between a nucleus and a ganglion
nucleus: collection of cell bodies inside the CNS
ganglion: collection of cell bodies outside the CNS
Describe the difference between a nerve and a tract
nerve= collection of axons
tract= collection of nerve fibers sharing a common function
Describe the difference between the gray and white matter of the brain
gray= location of cell bodies (nuclei) inside the CNS-superficial
white= location of myelinated axons inside the CNS-deep
Association tracts connect
same hemisphere
Commisural tracts connect
opposite hemispheres cross via corpus callosum
Projection tracts project
to lower regions of brain and spinal cord
Name the commisural tract the connects left and right cerebral hemispheres
corpus callosum
Name and describe each of the functional lobes of the cerebrum
a) Frontal-personality, memory, primary motor cortex
b) Parietal-primary sensory cortex
c) Temporal-primary auditory cortex
d) Occipital-primary visual cortex
Define fissure and describe the two examples
fissure is deep grooves (clefts)
2 types: longitudinal (between right and left)
transverse (between cerebrum and cerebellum)
Define gyrus and describe two examples
gyrus means ridge
1) precentral gyrus= primary motor cortex
2) postcentral gyrus= primary sensory cortex
Define sulcus and describe the two examples
sulcus meas shallow groove
1) central sulcus= located between precentral gyrus and postcentral gyrus
2) lateral sulcus= separates temporal lobe from frontal and parietal
Describe the role of the thalamus in the diencephalon
receive, group, relay sensory info to the cerebrum
tells info where to go except of smell (olfactory)
Describe the role of the epithalamus in the diencephalon
pineal gland produces melotonin )regulates sleep/wake cycles)
low production of melotonin can lead to SAD (seasonal affective disorder)
Describe the role of the hyopthalamus in the diencephalon
command center for the endocrine system and tells the pituitary gland what to do
What are the components of the diencephalon?
thalamus, hypothalamus, and epitalamus
Define basal nuclei
Paired, irregular masses of gray matter buried deep within the central white matter in the cerebral hemispheres
Describe the function of the cerebellum
Body posture, balance, fine coordination
(Does not initiate movement, but helps maintain movement)
What are the divisions of the brainstem?
midbrain
pons (lines up with cerebellum)
medulla oblongata
What is the function of the midbrain?
superior portion
relay station for visual and auditory info (via superior/inferior colliculi
What is the function of pons?
directly inferior to midbrain "bridge"
-communication and coordination center for the spinal cord and various portions of brain
What is the function of the medulla oblongata?
directly inferior to pons
-continuation of the medulla is the spinal cord
-controls autonomic (involuntary) functions (breathing, heart rate)
Desbribe the difference between gray and white matter of the spinal cord
gray matter: location of cell bodies INSIDE the CNS
white matter: location of myelinated axons INSIDE the CNS
What feature of the spinal cord is considered the tip of the cord? At what vertebral level is this structure found?
a) conus medullaris
b) Medullary Cone L1-L2
What is the cauda equina?
"horses tail" = collection of rooters inferior to the conus medullaris
Filum terminale is an extension of what layer of the meninges? What is the purpose /function of the filum teminale?
extension of the pia mater that attaches to the spinal cord to the coccyx
-it gives longitudinal support to the spinal cord
List the regions of the spinal cord
thoracic, lumbar, sacral
Define upper motor neuron (UMN)
UMN=from the cerebral cortex to the spinal cord
Define lower motor neuron (LMN)
LMN= from the spinal cord to the target muscle
What makes up a spinal nerve?
anterior root + posterior root
Spinal nerve will divide (split) into __________ and _________________.
posterior ramus and anterior ramus
Posterior rami innervate_______
intrinsic (deep) back muscles and skin above
Anterior rami innervate____________
all other muscles and skin
Plexus=
anterior rami coming together to innervate a region
How many pairs of spinal nerves are there?
31 pairs
In thoracic, lumbar, sacral, and coccygeal regions, the nerve is named for the vertebra _________
above
In the cervical region, the nerve is named for the vertebra __________
below
Cervical region contains _______nerves and ________vertebrae
8 nerves
7 vertebrae