Deck 12: The Spinal Cord, spinal Nerves, and Spinal Reflexes
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Deck 12: The Spinal Cord, spinal Nerves, and Spinal Reflexes
1
The epidural space contains
A)cerebrospinal fluid.
B)lymph.
C)blood.
D)connective tissue and blood vessels.
E)denticulate ligaments.
A)cerebrospinal fluid.
B)lymph.
C)blood.
D)connective tissue and blood vessels.
E)denticulate ligaments.
D
2
Blood vessels that supply the spinal cord are protected by the
A)spinal meninges.
B)spinal nerve.
C)white matter.
D)spinal columns.
E)gray matter.
A)spinal meninges.
B)spinal nerve.
C)white matter.
D)spinal columns.
E)gray matter.
A
3
The spinal cord consists of five regions and ________ segments.
A)5
B)12
C)25
D)31
E)The number varies widely among individuals.
A)5
B)12
C)25
D)31
E)The number varies widely among individuals.
D
4
After age ________ the vertebral column continues to elongate,but the spinal cord itself does not.
A)8
B)12
C)18
D)4
E)20
A)8
B)12
C)18
D)4
E)20
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5
Enlargements of the spinal cord occur
A)near the posterior median sulcus.
B)adjacent to the anterior median fissure.
C)in those spinal segments that control the limbs.
D)in the thoracic region.
E)in the sacral region.
A)near the posterior median sulcus.
B)adjacent to the anterior median fissure.
C)in those spinal segments that control the limbs.
D)in the thoracic region.
E)in the sacral region.
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6
Which of the following associations is incorrect?
A)8 cervical spinal nerves
B)11 thoracic spinal nerves
C)5 lumbar spinal nerves
D)5 sacral spinal nerves
E)1 coccygeal spinal nerve
A)8 cervical spinal nerves
B)11 thoracic spinal nerves
C)5 lumbar spinal nerves
D)5 sacral spinal nerves
E)1 coccygeal spinal nerve
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7
The posterior root ganglia mainly contain
A)axons of motor neurons.
B)axons of sensory neurons.
C)cell bodies of motor neurons.
D)cell bodies of sensory neurons.
E)synapses.
A)axons of motor neurons.
B)axons of sensory neurons.
C)cell bodies of motor neurons.
D)cell bodies of sensory neurons.
E)synapses.
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8
In an adult,the conus medullaris is found at about
A)T6.
B)T10.
C)L1.
D)L5.
E)Co1.
A)T6.
B)T10.
C)L1.
D)L5.
E)Co1.
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9
The specialized membranes that surround the spinal cord are termed the
A)cranial meninges.
B)cranial mater.
C)spinal meninges.
D)spinal mater.
E)epidural membranes.
A)cranial meninges.
B)cranial mater.
C)spinal meninges.
D)spinal mater.
E)epidural membranes.
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10
The subdural space lies between the
A)arachnoid mater and the pia mater.
B)pia mater and the dura mater.
C)dura mater and the arachnoid mater.
D)pia mater and the subarachnoid space.
E)endosteum and the periosteum.
A)arachnoid mater and the pia mater.
B)pia mater and the dura mater.
C)dura mater and the arachnoid mater.
D)pia mater and the subarachnoid space.
E)endosteum and the periosteum.
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11
The layer of the meninges in direct contact with the spinal cord is the
A)dura mater.
B)subarachnoid space.
C)arachnoid mater.
D)pia mater.
E)choroid plexus.
A)dura mater.
B)subarachnoid space.
C)arachnoid mater.
D)pia mater.
E)choroid plexus.
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12
The spinal cord continues to elongate until about age
A)20 years.
B)10 years.
C)4 years.
D)6 months.
E)2 months.
A)20 years.
B)10 years.
C)4 years.
D)6 months.
E)2 months.
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13
Samples of CSF for diagnostic purposes are normally obtained by placing the tip of a needle in the
A)dura mater.
B)arachnoid mater.
C)epidural space.
D)subarachnoid space.
E)cerebral ventricles.
A)dura mater.
B)arachnoid mater.
C)epidural space.
D)subarachnoid space.
E)cerebral ventricles.
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14
The ________ is a strand of fibrous tissue that provides longitudinal support as a component of the coccygeal ligament.
A)conus medullaris
B)filum terminale
C)cauda equina
D)dorsal root
E)ventral root
A)conus medullaris
B)filum terminale
C)cauda equina
D)dorsal root
E)ventral root
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15
The ________ space separates the dura mater from the walls of the vertebral canal.
A)subpial
B)subarachnoid
C)epidural
D)epiarachnoid
E)subdural
A)subpial
B)subarachnoid
C)epidural
D)epiarachnoid
E)subdural
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16
Reflexes,controlled by the spinal cord,act by
A)sensory output over cranial nerves to effectors.
B)motor input to reflex centers in the spinal cord.
C)sensory input to reflex centers in the brain.
D)motor output over spinal nerves to effectors.
E)sensory input over cranial nerves to the spinal cord.
A)sensory output over cranial nerves to effectors.
B)motor input to reflex centers in the spinal cord.
C)sensory input to reflex centers in the brain.
D)motor output over spinal nerves to effectors.
E)sensory input over cranial nerves to the spinal cord.
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17
Compared to the vertebral column,the spinal cord is
A)longer.
B)shorter.
C)the same length.
A)longer.
B)shorter.
C)the same length.
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18
Cerebrospinal fluid flows within the
A)filum terminale.
B)subarachnoid space.
C)dura mater.
D)pia mater.
E)arachnoid mater.
A)filum terminale.
B)subarachnoid space.
C)dura mater.
D)pia mater.
E)arachnoid mater.
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19
Spinal nerves
A)contain only sensory fibers.
B)contain only motor fibers.
C)contain both sensory and motor.
D)contain interneurons.
E)only carry information unidirectionally.
A)contain only sensory fibers.
B)contain only motor fibers.
C)contain both sensory and motor.
D)contain interneurons.
E)only carry information unidirectionally.
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20
The tough,fibrous,outermost covering of the spinal cord is the
A)arachnoid mater.
B)pia mater.
C)dura mater.
D)epidural space.
E)periosteum.
A)arachnoid mater.
B)pia mater.
C)dura mater.
D)epidural space.
E)periosteum.
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21
Blood vessels traveling within ________ deliver oxygen and nutrients to the spinal cord.
A)the pia mater
B)the arachnoid mater
C)the dura mater
D)all three cranial meninges
E)all three spinal meninges
A)the pia mater
B)the arachnoid mater
C)the dura mater
D)all three cranial meninges
E)all three spinal meninges
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22

-What is the function of the structure labeled "12"?
A)control of skeletal muscle
B)somatic sensory receiving
C)visceral sensory receiving
D)control of visceral effectors
E)ascending pathway
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23
The white matter of the spinal cord contains
A)bundles of axons with common origins,destinations,and functions.
B)bundles of dendrites with common origins,destinations,and functions.
C)sensory and motor nuclei.
D)both axons and dendrites.
E)interneurons.
A)bundles of axons with common origins,destinations,and functions.
B)bundles of dendrites with common origins,destinations,and functions.
C)sensory and motor nuclei.
D)both axons and dendrites.
E)interneurons.
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24
The anterior horns of the spinal cord contain mainly
A)sensory nuclei.
B)somatic motor nuclei.
C)autonomic motor nuclei.
D)nerve tracts.
E)sympathetic nuclei.
A)sensory nuclei.
B)somatic motor nuclei.
C)autonomic motor nuclei.
D)nerve tracts.
E)sympathetic nuclei.
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25
The posterior horns of the spinal cord contain mainly
A)sensory nuclei.
B)somatic motor nuclei.
C)autonomic motor nuclei.
D)nerve tracts.
E)sympathetic nuclei.
A)sensory nuclei.
B)somatic motor nuclei.
C)autonomic motor nuclei.
D)nerve tracts.
E)sympathetic nuclei.
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26
Bill contracts a viral disease that destroys cells in the posterior gray horns in his spinal cord.As a result,which of the following would you expect?
A)loss of sensation in his torso
B)inability to breathe
C)problems with moving his arms
D)uncontrollable sweating of his feet
E)problems with moving his legs
A)loss of sensation in his torso
B)inability to breathe
C)problems with moving his arms
D)uncontrollable sweating of his feet
E)problems with moving his legs
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27
A viral disease that destroys the neuronal cell bodies of the anterior gray horn will
A)lead to muscle weakness or paralysis.
B)interfere with position sense.
C)mainly interfere with crude touch and temperature sense.
D)block autonomic regulation.
E)interfere with communication from one side of the spinal cord to the other.
A)lead to muscle weakness or paralysis.
B)interfere with position sense.
C)mainly interfere with crude touch and temperature sense.
D)block autonomic regulation.
E)interfere with communication from one side of the spinal cord to the other.
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28
Nerve tracts or fasciculi make up the
A)central canal.
B)posterior gray horns.
C)gray commissures.
D)anterior white columns.
E)all of the above.
A)central canal.
B)posterior gray horns.
C)gray commissures.
D)anterior white columns.
E)all of the above.
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29
The outward projections from the central gray matter of the spinal cord are called
A)wings.
B)horns.
C)pyramids.
D)fibers.
E)tracts.
A)wings.
B)horns.
C)pyramids.
D)fibers.
E)tracts.
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30

-What is the function of the structure labeled "14"?
A)control of skeletal muscle
B)somatic sensory processing
C)control of autonomic effectors
D)somatic motor control
E)visceral sensory processing
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31
In the spinal cord,white matter is separated into ascending and descending tracts organized as
A)nuclei.
B)ganglia.
C)columns.
D)nerves.
E)horns.
A)nuclei.
B)ganglia.
C)columns.
D)nerves.
E)horns.
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32
Axons crossing from one side of the spinal cord to the other within the gray matter are found in the
A)anterior gray horns.
B)lateral gray horns.
C)posterior gray horns.
D)gray commissures.
E)white commissures.
A)anterior gray horns.
B)lateral gray horns.
C)posterior gray horns.
D)gray commissures.
E)white commissures.
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33

-Where do somatic motor neurons reside?
A)10
B)12
C)13
D)14
E)15
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34
The white matter of the spinal cord is mainly
A)unmyelinated axons.
B)neuroglia.
C)Schwann cells.
D)myelinated axons.
E)nodes of Ranvier.
A)unmyelinated axons.
B)neuroglia.
C)Schwann cells.
D)myelinated axons.
E)nodes of Ranvier.
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35
During the procedure known as a spinal tap,a needle is inserted into the ________ in the inferior ________ region.
A)epidural space; thoracic
B)epidural space; lumbar
C)epidural space; sacral
D)subarachnoid space; thoracic
E)subarachnoid space; lumbar
A)epidural space; thoracic
B)epidural space; lumbar
C)epidural space; sacral
D)subarachnoid space; thoracic
E)subarachnoid space; lumbar
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36
The gray horns of the spinal cord contain mainly
A)nerve tracts.
B)columns.
C)meninges.
D)neuron cell bodies.
E)cerebrospinal fluid.
A)nerve tracts.
B)columns.
C)meninges.
D)neuron cell bodies.
E)cerebrospinal fluid.
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37
Of the spinal meninges,the middle one is the ________ mater.
A)epidural
B)pia
C)subdural
D)arachnoid
E)dura
A)epidural
B)pia
C)subdural
D)arachnoid
E)dura
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38

-What is the function of the structure labeled "15"?
A)control of skeletal muscle
B)somatic sensory processing
C)control of autonomic effectors
D)somatic motor control
E)visceral sensory processing
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39

Identify the structure labeled "1."
A)anterior white column
B)lateral white column
C)lateral white horn
D)median commissure
E)posterior white column
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40

Identify the structure labeled "10."
A)anterior white commissure
B)anterior median fissure
C)anterior white column
D)anterior gray commissure
E)anterior white horn
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41
The outermost connective-tissue covering of nerves is the
A)endoneurium.
B)endomysium.
C)perineurium.
D)epineurium.
E)epimysium.
A)endoneurium.
B)endomysium.
C)perineurium.
D)epineurium.
E)epimysium.
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42
The ________ of each spinal nerve innervates the skin and muscles of the back.
A)white ramus communicans
B)gray ramus communicans
C)posterior ramus
D)anterior ramus
E)dermatome
A)white ramus communicans
B)gray ramus communicans
C)posterior ramus
D)anterior ramus
E)dermatome
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43
Each peripheral nerve provides ________ innervation to peripheral structures.
A)only motor
B)only sensory
C)both motor and sensory
D)either motor or sensory
E)motor and/or sensory
A)only motor
B)only sensory
C)both motor and sensory
D)either motor or sensory
E)motor and/or sensory
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44
The postganglionic fibers that connect an sympathetic ganglion and carry fibers that innervate glands and smooth muscle of the body wall or limbs are the
A)white rami communicans.
B)gray rami communicans.
C)posterior ramus.
D)anterior ramus.
E)dermatomes.
A)white rami communicans.
B)gray rami communicans.
C)posterior ramus.
D)anterior ramus.
E)dermatomes.
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45
Sensory input from interoceptors of the body walls and limbs is carried to the spinal nerve via the
A)posterior rami.
B)anterior rami.
C)anterior horn.
D)gray rami.
E)sympathetic nerves.
A)posterior rami.
B)anterior rami.
C)anterior horn.
D)gray rami.
E)sympathetic nerves.
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46

Identify the structure labeled "5."
A)autonomic nerve
B)autonomic ganglion
C)rami communicantes
D)posterior root ganglion
E)anterior root
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47

Identify the structure labeled "8."
A)peripheral nerve
B)posterior ramus
C)spinal nerve
D)anterior root
E)posterior root
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48
Which of the following describes the posterior root ganglion?
A)contains axons of motor neurons
B)contains axons of sensory neurons
C)contains cell bodies of motor neurons
D)contains cell bodies of sensory neurons
E)contains interneurons
A)contains axons of motor neurons
B)contains axons of sensory neurons
C)contains cell bodies of motor neurons
D)contains cell bodies of sensory neurons
E)contains interneurons
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49

-In which structure are sensory cell bodies located?
A)4
B)6
C)5
D)10
E)12
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50
The preganglionic fibers that carry visceral motor fibers and connect a spinal nerve with an sympathetic ganglion form the
A)white rami communicans.
B)gray rami communicans.
C)posterior ramus.
D)anterior ramus.
E)dermatomes.
A)white rami communicans.
B)gray rami communicans.
C)posterior ramus.
D)anterior ramus.
E)dermatomes.
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51
The anterior root of a spinal nerve contains
A)axons of motor neurons.
B)axons of sensory neurons.
C)cell bodies of motor neurons.
D)cell bodies of sensory neurons.
E)interneurons.
A)axons of motor neurons.
B)axons of sensory neurons.
C)cell bodies of motor neurons.
D)cell bodies of sensory neurons.
E)interneurons.
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52
The layer of connective tissue that surrounds individual axons within a peripheral nerve is termed the
A)endoneurium.
B)perineurium.
C)epineurium.
D)metaneurium.
E)subneurium.
A)endoneurium.
B)perineurium.
C)epineurium.
D)metaneurium.
E)subneurium.
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53
A posterior and anterior root of each spinal segment unite to form a
A)cervical enlargement.
B)lumbar enlargement.
C)spinal nerve.
D)spinal meninx.
E)spinal ganglion.
A)cervical enlargement.
B)lumbar enlargement.
C)spinal nerve.
D)spinal meninx.
E)spinal ganglion.
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54
The ________ innervate(s)the ventrolateral body surface,structures in the body wall,and the limbs.
A)white rami communicans
B)gray rami communicans
C)posterior ramus
D)anterior ramus
E)dermatomes
A)white rami communicans
B)gray rami communicans
C)posterior ramus
D)anterior ramus
E)dermatomes
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55
The layer of connective tissue that surrounds a fascicle within a peripheral nerve is the
A)perineurium.
B)epineurium.
C)endoneurium.
D)epimysium.
E)endosteum.
A)perineurium.
B)epineurium.
C)endoneurium.
D)epimysium.
E)endosteum.
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56
Mary is in an automobile accident and suffers a spinal cord injury.She has lost feeling in her lower body.Her doctor tells her that swelling is compressing a portion of her spinal cord.Which part of her cord is likely to be compressed?
A)ascending tracts in the cervical region of her spinal cord.
B)descending tracts in the cervical region of her spinal cord.
C)ascending tracts in the lumbar region of her spinal cord.
D)descending tracts in the lumbar region of her spinal cord.
E)the anterior white commissures.
A)ascending tracts in the cervical region of her spinal cord.
B)descending tracts in the cervical region of her spinal cord.
C)ascending tracts in the lumbar region of her spinal cord.
D)descending tracts in the lumbar region of her spinal cord.
E)the anterior white commissures.
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57

Identify the structure labeled "6."
A)autonomic nerve
B)sympathetic ganglion
C)posterior root ganglion
D)rami communicantes
E)ventral root
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58

Identify the structure labeled "2."
A)anterior root
B)posterior ramus
C)spinal nerve
D)anterior ramus
E)white ramus
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59
The face,head,and cheeks are located in a dermatome supplied by nerves from what spinal cord region?
A)sacral
B)thoracic
C)cervical
D)lumbar
E)No spinal nerves innervate the dermatome containing the face.
A)sacral
B)thoracic
C)cervical
D)lumbar
E)No spinal nerves innervate the dermatome containing the face.
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60
In the condition ________,a virus infects posterior root ganglia,causing a painful rash whose distribution corresponds to that of the affected sensory nerves as seen in their dermatomes.
A)myasthenia gravis
B)mumps
C)shingles
D)polio
E)rubella
A)myasthenia gravis
B)mumps
C)shingles
D)polio
E)rubella
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61
The ventral rami of spinal nerves C4 to T1 contribute fibers to the ________ plexus.
A)cervical
B)brachial
C)lumbar
D)sacral
E)thoracic
A)cervical
B)brachial
C)lumbar
D)sacral
E)thoracic
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62
A complex,interwoven network of nerves is called a
A)nerve ganglion.
B)nerve plexus.
C)spinal cord.
D)spinal plexus.
E)ramus.
A)nerve ganglion.
B)nerve plexus.
C)spinal cord.
D)spinal plexus.
E)ramus.
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63
Spinal nerves from the sacral region of the cord innervate the ________ muscles.
A)shoulder
B)intercostal
C)abdominal
D)leg
E)facial
A)shoulder
B)intercostal
C)abdominal
D)leg
E)facial
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64
The complex,interwoven network formed by contributions from the anterior rami of neighboring spinal nerves is termed a(n)
A)dermatome.
B)autonomic nerve.
C)lateral nerve.
D)tract.
E)plexus.
A)dermatome.
B)autonomic nerve.
C)lateral nerve.
D)tract.
E)plexus.
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65
In ________,axon collaterals extend back toward the source of the impulse and further stimulate the earlier neurons.
A)parallel processing
B)reverberation
C)convergence
D)divergence
E)serial processing
A)parallel processing
B)reverberation
C)convergence
D)divergence
E)serial processing
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66
As the ________ nerve approaches the knee,it divides into two branches,the fibular nerve and the tibial nerve.
A)perineal
B)femoral
C)brachial
D)pudendal
E)sciatic
A)perineal
B)femoral
C)brachial
D)pudendal
E)sciatic
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67
In a ________ neuronal pool,one neuron synapses on several postsynaptic neurons.
A)parallel processing
B)reverberating
C)converging
D)diverging
E)serial processing
A)parallel processing
B)reverberating
C)converging
D)diverging
E)serial processing
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68
Recognized neuronal circuit patterns include all of the following except
A)convergent.
B)divergent.
C)multipolar.
D)reverberating.
E)parallel processing.
A)convergent.
B)divergent.
C)multipolar.
D)reverberating.
E)parallel processing.
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69
If the posterior root of a spinal nerve is severed,
A)output to skeletal muscles would be blocked.
B)output to visceral organs would be blocked.
C)the spinal cord would not be able to process information at that level.
D)the brain would not be able to communicate with that level of the spinal cord.
E)sensory input would be blocked.
A)output to skeletal muscles would be blocked.
B)output to visceral organs would be blocked.
C)the spinal cord would not be able to process information at that level.
D)the brain would not be able to communicate with that level of the spinal cord.
E)sensory input would be blocked.
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70
The ________ nerve,which arises in the cervical plexus,innervates the diaphragm.
A)ansa cervicalis
B)lesser occipital
C)radial
D)phrenic
E)sciatic
A)ansa cervicalis
B)lesser occipital
C)radial
D)phrenic
E)sciatic
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71
The ________ plexus supplies innervation to the diaphragm.
A)spinal
B)cervical
C)thoracic
D)lumbar
E)sacral
A)spinal
B)cervical
C)thoracic
D)lumbar
E)sacral
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72
Suppose that you feel something brushing against your abdomen.The sensory information would be carried to the spinal cord over a ________ ramus.
A)white ramus communicans
B)gray ramus communicans
C)posterior
D)anterior
E)rami communicantes
A)white ramus communicans
B)gray ramus communicans
C)posterior
D)anterior
E)rami communicantes
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73
Somatic motor neurons in the spinal cord control all of the following muscles except those that
A)position the pectoral girdle.
B)move the arm.
C)move the hand and fingers.
D)move the face.
E)move the forearm and hand.
A)position the pectoral girdle.
B)move the arm.
C)move the hand and fingers.
D)move the face.
E)move the forearm and hand.
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74
Each of the following nerves originates in the lumbar plexus except the ________ nerve.
A)saphenous
B)sciatic
C)femoral
D)obturator
E)genitofemoral
A)saphenous
B)sciatic
C)femoral
D)obturator
E)genitofemoral
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75
The brachial plexus gives rise to all of the following nerves except the
A)radial.
B)median.
C)ulnar.
D)musculocutaneous.
E)phrenic.
A)radial.
B)median.
C)ulnar.
D)musculocutaneous.
E)phrenic.
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76
The nerve crucial for breathing that originates within the cervical plexus is called the ________ nerve.
A)ansa cervicalis
B)great auricular
C)transverse cervical
D)phrenic
E)supraclavicular
A)ansa cervicalis
B)great auricular
C)transverse cervical
D)phrenic
E)supraclavicular
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77
In which plexus does the ulnar nerve arise?
A)cranial
B)cervical
C)brachial
D)lumbar
E)sacral
A)cranial
B)cervical
C)brachial
D)lumbar
E)sacral
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78
The obturator nerve is distributed to the
A)adductors of the hip.
B)skin over the perineum.
C)extensors of the hip.
D)skin over buttocks.
E)biceps femoris.
A)adductors of the hip.
B)skin over the perineum.
C)extensors of the hip.
D)skin over buttocks.
E)biceps femoris.
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79
If a person has a crush injury to the C3-C5 spinal segments,you would expect that he
A)might be unable to breathe on his own.
B)could walk without difficulty.
C)would have full range of motion in all extremities.
D)would be in a coma.
E)would exhibit none of the above.
A)might be unable to breathe on his own.
B)could walk without difficulty.
C)would have full range of motion in all extremities.
D)would be in a coma.
E)would exhibit none of the above.
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80
The anterior rami form four major plexuses,including all of the following except the ________ plexus.
A)brachial
B)lumbar
C)sacral
D)nuchal
E)cervical
A)brachial
B)lumbar
C)sacral
D)nuchal
E)cervical
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