#08 Flashcards

1
Q

During gastrulation the embryo converts from a bilaminar disk to a trilaminar embryo
comprised of three germ layers,

A

Endoderm: The innermost of the three primary germ layers of an embryo,
developing into the gastrointestinal tract, the lungs, and associated structures.
* Mesoderm: The middle embryonic germ layer, lying between the ectoderm and the
endoderm, from which connective tissue, muscle, bone, and the urogenital and
circulatory systems develop.
2
* Ectoderm: The outermost of the three primary germ layers of an embryo, from which
the epidermis, nervous tissue, and sense organs develop

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2
Q

The nervous system then develops in stages, some of which overlap in time:

A
  1. Neural induction and patterning: The neural plate forms from surface ectoderm,
    then patterned into dorsoventral and anteroposterior domains
  2. Neurulation: The neural plate folds up and the lateral edges fuse dorsally forming
    the neural tube
  3. Vesicle formation: The neural tube bends and expands to form characteristic
    swellings called vesicles
  4. Neuronal proliferation: Neuroblasts undergo mitosis in an area adjacent to
    ventricles
  5. Neuronal migration: Post-mitotic neurons travel from the subventricular zone to
    their proper position within the maturing brain
  6. Axon outgrowth and pathfinding: Neurons extend axons to innervate targets,
    establishing roles in cell-cell signaling
  7. Neuronal differentiation: Discrete populations of neurons acquire their unique
    characteristics
  8. Myelination
  9. Post-natal development
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3
Q

During the first stage, the neural plate forms from m, and is then
patterned into dorsoventral and anteroposterior domains.

A

m: surface ectoderm

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4
Q

Week 3: On the a side of the embryo, local mesodermal structures (e.g., the
notochord) secrete b which induce overlying c cells to
become d

A

a dorsal
b growth factors
c ectoderm
d neural plate

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5
Q
  • Ectoderm cells secrete a which acts back on these same cells (i.e., in an autocrine fashion) to block neural development.
  • The b, a dorsal mesoderm derivative, secretes noggin and chordin, two molecules which bind a and prevent its action
  • Absent a signaling, ectoderm cells adopt a neural fate and become c.
A

a: Bone Morphogenic Protein 4 (BMP4)
b notochord

c neural plate

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6
Q

Tissues flanking the nervous system secrete growth factors which instill regional pattern
on the nervous system. This process begins at the neural plate stage but continues during
neurulation. The signals are usually a, defined as having dose-dependent
effect on the fate of responding cells; i.e., a higher dose induces one fate, and a lower
dose a different one.

A

a morphogens

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7
Q

Stage 2: neurulation

A

After neural induction, the neural plate folds up and the
lateral edges fuse dorsally forming the neural tube
In the adult, the spinal cord remains a tube while the
brain undergoes several characteristic bends and
swellings resulting from cellular proliferation

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8
Q

The most lateral domain of the neural plate becomes the

A

neural crest, a population of
pluripotent precursor cells.

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9
Q

Anencephaly

A

failure of the anterior neuropore to close, resulting in a major portion
of the brain, skull, and scalp being absent. This defect is generally incompatible with
life and infants delivered with this disorder typically do not live more than a few
hours or days after birth.

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10
Q

Rachischisis

A

failure of the posterior neuropore to close; the neural tube is not fully
“rolled up”. Rachischisis patients have motor and sensory deficits, chronic infections,
and disturbances in bladder function. The defect
often occurs with anencephaly.

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11
Q

Spina bifida:

A

Essentially a less severe form of
rachischisis, spina bifida defects involve
incomplete formation of the vertebrae and
meninges surrounding the spinal cord

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12
Q

Ventral root (motor) fibers of each spinal nerve innervate a group of skeletal muscles
called a

A

myotome.

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13
Q

Upper limb –
elbow flexors a
elbow extensors b
hand muscles c

A

a: C5-6
b: C7
c: C8/T1

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14
Q

Lower limb –
hip flexors a
knee extensors b
ankle dorsiflexors c
ankle plantarflexors d

A

a: L2
b: L3
c: L4
d: S2

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15
Q

Diaphragm – a
Pelvic diaphragm/perineum –
b

A

a C3/4/5
b S2/3/4

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16
Q

Many (not all!) dorsal root ganglion fibers
terminate in different portions of the

A

dorsal horn

17
Q

Alar plate
Basal Plate

A

Dorsal- sensory
ventral-motor

18
Q

Neural crast derivatives

A

-jaw, most of the skull, meninges
- melanocytes (skin, pigment)
-primary sensory neurons
-Shwann cells (myelination in PSN)
-post-ganglionic autonomic neurons

19
Q

mesoderm cells differenciate into

A

somites

20
Q

The neural tube closes at ~28th day of gestation, first at the a then at the b

A

anterior neuropore
posterior neuropore

21
Q

Important dermatomes
fingertips
nipple
umbilicus (belly button)
toes

A

C6-8
T4
T10
L5/S1

22
Q

dorsal pathway in spinal cord is involved in

A

pain and temperature signaling

23
Q

lamina 1 posteromarginal nucleus

A

most pain and temperature signal

24
Q

organization of dorsal horn

A

lamina1: posteromarginal nucleus
lamina 2: substantia gelatinosa
lamina 3-5: nucleus proprius
lamina 6: base of dorsal horn

25
Q

organization of ventral horn

A

lamina 8: reticular core of ventral horn
lamina 9: LMN groups

26
Q

a receives signals from certain muscle proprioceptors and so that we know where our leg, arm is

A

clarke’s nucleus

27
Q

within the ventral horn, flexors are more a and extensors are more b

A

dorsal
ventral

28
Q

Lower motor neurons in ventral horn are divided into two groups

A

Medial group: innervate trunk muscles
Lateral group: innervate limb muscles

29
Q

Micturition pathway and bladder control

A

Visceral afferents follow parasympathetics back to S2-S4
Parasympathetic efferent neurons S2-S4 (via pelvic splanchnic nn.) contract detrusor/rectum wall
Postganglionic parasympathetic GVE neuron in wall of bladder stimulates detrusor muscle contraction…
Somatic control of the external urethral sphincter (via Onuf’s nucleus) lets you
“hold it in”

30
Q

Injury above T12 vertebral level (L1/L2 spinal level) leads to

A

reflex
(spastic) bladder: incontinence
leakage

31
Q

Injury below T12 leads to

A

flaccid (atonic) bladder: retention
hard to urinate

32
Q

Explain how the adult spinal cord is supported and protected during movements of the vertebral column

A
  • Central position of spinal cord prevents compression/stretching during vertebral column movements
  • Epidural fat, CSF, and meninges (including denticulate ligaments and filum terminale) provide support and protection to the cord during movement
    o Meninges includes: dura, arachnoid, and pia
  • Attachment of dural sheaths of spinal roots form the main support for keeping the spinal cord centrally placed and away from intervertebral joints Denticulate Ligaments*
33
Q

A form the main support for keeping the
spinal cord centrally placed and away from
intervertebral joints

A

Attachment of dural sheaths of spinal
roots

34
Q

Clarke’s nucleus (lamina 8) receives
signals from

A

certain muscle
proprioceptors

35
Q

List three important “independent” motor nuclei found in the ventral horn and explain their basic functions

A
  • Spinal accessory nucleus C1-C5 – origin of the spinal accessory nerve (CN XI) for somatomotor control of the Trapezius and Sternocleidomastoid mm.
  • Phrenic nucleus C3-C5 – origin of the phrenic nerve for somatomotor control of the Diaphragm
  • Onuf’s nucleus S1-S4 – origin of the pudendal nerve for somatomotor control of the external (voluntary) urethral and anal sphincters
36
Q

Important neural cell coloumns are:

Clarke’s nucleus
IML
Lateral group LMN

A

C8-L3
T1-L2
C4-T1, L2-S2