1 Flashcards

1
Q

Purpose of the DCML pathway

A

Touch and proprioception of the limbs

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2
Q

Location of the first order neuron cell body in the DCML pathway

A

Dorsal Root Ganglion

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3
Q

Location of the second order neuron cell body in the DCML pathway

A

dorsal column nuclei

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4
Q

Location of the third order neuron cell body in the DCML pathway

A

Ventral Posterior Lateral nucleus

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5
Q

Location of first order neuron synapse in the DCML pathway

A

Caudal Medulla

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6
Q

Location of the second order neuron synapse in the DCML pathway

A

Thalamus

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7
Q

Location of the third order neuron synapse in the DCLM pathway

A

Primary somatosensory cortex

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8
Q

How does the medial lemniscus change from the medulla to the midbrain

A

Anterior –> Lateral –> Posterior

Posterior –> Medial –> Anterior

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9
Q

Location of the first order neuron cell body in the anterolateral pathway

A

Dorsal Root Ganglion

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10
Q

Location of the second order neuron cell body in the anterolateral pathway

A

Rexed Lamina II - Substantia Gelatinosa

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11
Q

Location of the third order neuron cell bodies in the anterolateral pathway

A

Ventral Posterior Lateral (VPL) nucleus - primary somatosensory cortex
Ventral Medial Posterior (VP) nucleus - insular cortex
Medial Dorsal (MD) nucleus - cingulate gyrus

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12
Q

Location of second order synapse in the Spinoreticular system

A

Caudal Pons - on the reticular formation, response for the subconscious response to pain

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13
Q

Location of the second order neuron synapse in the spinomesencephalic system

A

Rostral Midbrain - superior colliculus (responsible for coordinating head, neck and eye movement) and the periaqueductal grey matter (involved in the descending pathway for turning down pain signal)

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14
Q

Where do the large diameter afferent fibers enter the spinal cord in relation to the small diameter afferent fibers

A

Large diameter afferents = Group I and II (A-alpha and A-beta) (myelinated) sensory afferents enter medially
Small diameter afferents = Group III (A-delta) and IV (C) (some myelinated, most not) sensory afferents enter laterally and pass through Lissauer’s tract

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15
Q

What do the Rexed Lamina I-VI represent

A

Located in the dorsal horn of the spinal grey matter

Area contains sensory relay neurons

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16
Q

What do the Rexed Lamina VII-IX represent

A

Located in the ventral horn of the spinal grey matter
Area contains motor neurons supplying muscles in the limbs, trunks and organs
Size of this area corresponds to the spinal level - larger at limb level (lumbar and cervical), small at trunk (thoracic)

17
Q

What is the function of the lateral corticospinal tract

A

unilateral control of limbs

18
Q

What is the function of of the ventral (anterior) corticospinal tract

A

bilateral control of the trunk

19
Q

What is the function of the rubrospinal tract

A

upper limb control

20
Q

What is the function of the reticulospinal tract

A

muscle tone
reflexes
body posture

21
Q

What is the function of the tectospinal tract

A

controls coordination of head and neck with eye movements

22
Q

What is the function of the vestibulospinal pathways

A

controls antigravity actions - balance

23
Q

What is the origin of the corticospinal tracts

A

primary motor cortex (pre-central gyrus)

24
Q

What is the origin of the rubrospinal tract

A

red nucleus in the tegmental region of the midbrain

25
What is the origin of the reticulospinal tract
pontine reticular formation and medullary reticular formation
26
What is the origin of the tectospinal tract
superior colliculus
27
What is the origin of the vestibulospinal tract
medial and lateral vestibular nuclei
28
Is there decussation in the lateral corticospinal tract
Yes - decussation of the pyramids in the caudal medulla
29
Is there decussation in the ventral corticospinal tract
No - bifurcates at the spinal cord level
30
Is there decussation in the rubrospinal tract
Yes - immediately at midbrain
31
Is there decussation in the reticulospinal tract
No
32
Is there decussation in the tectospinal tract
Yes - immediately at midbrain
33
Is there decussation in the vestibulospinal tract
No
34
What is the destination in the lateral corticospinal tract
Lateral ventral horn
35
What is the destination in the ventral corticospinal tract
Medial ventral horns
36
What is the destination in the rubrospinal tract
Lateral ventral horn
37
What is the destination in the reticulospinal tract
Medial ventral horn
38
What is the destination in the tectospinal tract
Medial ventral horn
39
What is the destination in the vestibulospinal tract
Medial ventral horn