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Cheatography

Peripheral Nervous System (PNS) Cheat Sheet (DRAFT) by

A+P study sheet mid term

This is a draft cheat sheet. It is a work in progress and is not finished yet.

spinal nerve pairs

Numbered by level of vertebral column at which they emerge
8 Cervical nerve pairs (C1-C8)
12 Thoracic nerve pairs (T1-T12)
5 Lumbar nerve pairs (L1-L5)
5 Sacral nerve pairs (S1-S5)
1 Coccygeal nerve pair

4 major nerve plexuses

cervical plexus
located in neck (C1-C4); individual nerves that come out from cervical plexus they supply muscles and skin of neck, upper shoulders and part of head with nerves; phrenic nerve exit plexus to innervate diaphragm
brachial plexus
located deep in shoulder; ventral rami C5 to T1; individual nerves from bracihal plexus innervate lower part of shoulder and entire arm
lumbar plexus
located in lumbar region of back; L1 to L4; femoral nerve exits; divides into branches and innervates thigh and leg
sacral plexus
located in pelvic cavity; L4 to S4; innervates skin of leg, posterior thigh muscles leg and foot muscles
coccygeal plexus
(S4-S5) skin of coccyx bone

Motor Autonomic Pathways

pregan­glionic neuron
impulses from CNS to autonomic ganglion
postga­ngl­ionic neuron
lies outside CNS, synapses with a pregan­glionic neuron, terminates in a visceral effector

AUTONOMIC NERVOUS SYSTEM

Sympat­hetic Effects (fight or flight)
structure
Parasy­mpa­thetic Effects (rest and repair)
Dilation of pupil
eye
constr­iction of pupil
Stop secretion
salivaryy glands
secrete saliva
speed up heartbeat
heart rate
Slow down heartbeat
secrete adrenaline
suprarenal glands
None – not innervated
dilate bronch­ioles
respir­atory system
constrict bronch­ioles
increase force of breakdown
skeletal muscles
non not innervated
lipid breakdown
adipose tissue
none not innervated
delay emptying
urinary system
empty bladder
decrease motility
digestive system
increase motility

Intera­ction of ANS Divisions

Sympat­hetic and parasy­mpa­thetic divisions work together to keep many body functions within homeos­tatic range
Both divisions innervate many same organs where actions antago­nizeone anothe­r--dual innerv­ation
Allows sympat­hetic division to dominate during physically demanding periods
Parasy­mpa­thetic division preserves homeos­tasis in same organs between periods of increased physical activity
AUTONOMIC TONE: neither division ever completely shut down • Constant amount of activity from each division

Autonomic NTs: Acetyl­choline

Axon terminal of autonomic neurons release one of two NTs
1 Acetyl­choline (Ach)
Acetyl­choline (Ach) cholin­ergic fibres
 
a. Released by pregan­glionic sympat­hetic neurons (excit­atory)
 
b Released by pre- & postga­ngl­ionic parasy­mpa­thetic neurons
Termin­ation of Ach action is by acetyl­cho­lin­est­erase (AChE)
Two types of cholin­ergic receptors:
1 Nicotinic receptors – excita­tory, found in ganglia (on postga­ngl­ionic neuron)
 
2 Muscarinic receptors – excitatory or inhibi­tory, found in synapses with effector organs and sweat glands
2 Norepi­nep­hrine
released by adrenergic fibres; Released by most postga­ngl­ionic sympat­hetic neurons
Termin­ation of actions of NE:
 
1Monoamine oxidase (MAO): enzyme breaks up NT for reuptake
 
2 Catech­ol-­O-m­ethyl transf­erase (COMT): enzyme metabo­lizes remaining NT
 

spinal nerve attaches to spinal cord 2 short roots

1 a ventral motor root
2 a dorsal sensory root
dorsal root ganglion
swelling in dorsal root of each spinal nerve
all spinal nerves are mixed nerves carrying sensory and motor fibers

dermatomes vs myotomes

dermatome
region of skin surface area supplied by sensory fibers pf a spinal nerve
myotome
skeletal muscle supplied by motor fibers of a spinal nerve

cranial nerves

name = function ; number = order of emergence
sensory cranial nerve
axons of sensory neurons
motor cranial nerve
mostly axons of motor neurons little amt of sensory fibers
mixed cranial nerve
axons of sensory and motors neurons

divisions of PNS

reflexes

Occurs over pathways- reflex arcs
Cranial reflex
center of reflex arc is in brain
Spinal reflex
center of reflex arc is in spinal cord
Results in
Somatic reflex
contra­ction of skeletal muscles
autonomic (visceral) reflex
contra­ction of smooth or cardiac muscle or secretion by glands

somatic reflexes

knee jerk (patellar reflex)
extension of lower leg in response to tapping patellar tendon
ankle jerk (achilles reflex)
extension of foot in response to tapping Achilles tendon; muscle relaxation
plantar reflex
plantar flexion of all toes, slight turning in and flexion of anterior part of the foot;R­esponse to stimul­ation of outer edge of the sole
Babinski sign
extension of great toe, possible fanning of toes, in response to stimul­ation of outer margin of sole of foot; Present in normal infants until ~18 mo. then becomes suppressed when cortic­ospinal fibers become fully myelin­ated; In adults, a positive Babinski sign indicates upper motor neuron disorder
Abdominal reflex
drawing in of abdominal wall in response to stroking side of abdomen; Decreased or absent reflex may involve lesions of upper motor neurons
Corneal reflex
Winking in response to cornea being touched; Mediated by reflex arcs with cranial nerve V fibres, centers in pons, and motor fibres in cranial nerve VII
Gag reflex
triggered when visceral sensory nerve endings cranial nerve IX in posterior throat are stimulated
 

spinal nerves

ramus
large branches that form after spinal nerve emerges from spinal canal
dorsal ramus
interc­ostal and thoracic nerves
ventral ramus
form networks of nerves called plexuses

spinal nerves

classify CNs

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olfactory nerve CN I
sense of smell; in nasal mucosa terminate in olfactory bulbs
Optic Nerve CN II
carries info from eyes to top of brain
Oculomotor nerve CN III
motor fibres mid brain to eye muscles; nerves of superior medial and inferior rectus and inferior oblique; control amt of light entering eye (up, down, medial, roll eyes)
Trochlear Nerve CN IV
smallest cranial nerve; motor fibers from midbrain to superior oblique muscles of eye (down and in)
trigeminal nerve CN V
3 branches: 1 opthalmic, maxillary, mandible; sensory neurons impulses from skin and mucosa of head and teeth; motor fibers extend to muscles of mastic­ation through mandibular nerve (close jaw for chewing and swallo­wing)
abducens nerve CN VI
motor nerve lateral rectus muscle in eye; side to side movement
facial nerve CN VII
motor fibres originate from pons to superf­icial muscles of face and scalp; sensory taste buds to anterior 2/3 of the tongue
vestib­ulo­coc­hlear nerve CN VIII
vestibular nerve fibres originate in semici­rcular canals in inner ear and transmit impulses that result in sensations of equili­brium (Balance)/ cochlear nerve fibres originate in organ of corti in cochlea of inner ear and transmit impulses resulting in sensation of hearing
glosso­pha­ryngeal nerve CN IX
sensory fibres to taste buds in posterior 1/3 of tongue // motor fibres to the pharynx for swallowing
vagus nerve CN X
innervates most thoracic and abdominal viscera / swallowing and speaking
accessory nerve CN XI
motor nerve that is an "­acc­ess­ory­" tp the vagus nerve; innervates muscles of speech, head and shoulders
hypogl­ossal nerve CN XII
motor fibres innervate muscles of tongue and provide voluntary control

Autonomic NTs: Acetyl­choline

Axon terminal of autonomic neurons release one of two NTs
1 Acetyl­choline (Ach)
Acetyl­choline (Ach) cholin­ergic fibres
 
a. Released by pregan­glionic sympat­hetic neurons (excit­atory)
 
b Released by pre- & postga­ngl­ionic parasy­mpa­thetic neurons
Termin­ation of Ach action is by acetyl­cho­lin­est­erase (AChE)
Two types of cholin­ergic receptors:
1 Nicotinic receptors – excita­tory, found in ganglia (on postga­ngl­ionic neuron)
 
2 Muscarinic receptors – excitatory or inhibi­tory, found in synapses with effector organs and sweat glands
2 Norepi­nep­hrine
released by adrenergic fibres; Released by most postga­ngl­ionic sympat­hetic neurons
Termin­ation of actions of NE:
 
1Monoamine oxidase (MAO): enzyme breaks up NT for reuptake
 
2 Catech­ol-­O-m­ethyl transf­erase (COMT): enzyme metabo­lizes remaining NT