Spine & Back Flashcards

1
Q

Posterior column/Dorsal column/Medial lemniscus pathway carries which sensations?

A

1) 2-point discrimination
2) Fine touch
3) Proprioception
4) Vibration
5) Position sense

Think of playstation controller

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2
Q

What sensation does the Meissner corpuscles sense?

A

superficial light touch and Low Hz vibration

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3
Q

What sensation does the Merkel endings sense?

A

Pressure & position

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4
Q

What sensation does the Ruffini endings sense?

A

Pressure

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5
Q

What sensation does the Pacini corpuscles sense?

A

High Hz vibration

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6
Q

What sensation does the Golgi tendon organs sense?

A

proprioception from muscle spindles

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7
Q

What are the motor pathways in the spinal column?

A

Descending

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8
Q

What are the sensory pathways in the spinal column?

A

Ascending

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9
Q

Posterior column/Dorsal column/Medial lemniscus pathway deccusates at which level?

A

Internal arcuate fibres in the Medulla

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10
Q

How many spinothalamic tracts are there?

A

1) Anterior - crude touch & pressure

2) Lateral - pain & temperature

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11
Q

Where do the spinothalamic tracts deccusate?

A

1 or 2 spinal levels above the spinal entry level

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12
Q

Corticospinal pathways carry which sensations?

A

motor

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13
Q

Corticospinal pathways consist of …

A

1) Anterior - carries 20% of fibres
Carries central axial and girdle muscles

2) Lateral - carries 80% of fibres
Also carries motor sensation for fine movements of limbs

These are the pyramidal tracts

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14
Q

Corticospinal pathway deccusates at which level?

A

Level of pyramids of lower medulla - lateral corticospinal

Level of spinal nerve - anterior corticospinal

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15
Q

Within the dorsal column, what structures carries sensory in lower limb?

A

Gracile Fasciculus

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16
Q

Within the dorsal column, what structures carries sensory in upper limb?

A

Cuneate Fasciculus

17
Q

What do the spinocerebellar tracts carry?

A

Unconscious proprioceptive sensation to ipsilateral cerrebellum