PTA 150 Neurology – Flashcards

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3 parts of the neurological system
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central nervous system; peripheral nervous system; autonomic nervous system
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central nervous system
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brain and spinal cord (with the exception of anterial horns) ((the power plant))
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peripheral nervous system
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anterial horns and beyond (power lines)
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neuron is aka
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nerve cell
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neurons contain
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cell body and fiber branches going to and from it
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dendrites
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fiber branches that receive inpulses from other parts of nervous system and brings them back to the cell
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myelin
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fatty sheath that surrounds inner part of axon
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nodes of ranvier
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breaks in myelin sheath
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myelin sheath is found in
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CNS and PNS
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function of myelin sheath
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increase speed of impulse
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myelinated fibers
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white matter; major tracts of spinal cord
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unmyelinated fibers
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grey matter; cerebral cortex; central part of spinal cord
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synapse
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ransmission of impulse from one neuron to another
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tract
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groups of nylenated nerve fibers w/I the CNS that carries specific info from one area to another
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2 major types of nerve fibers in peripheral nerves
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motor neuron; sensory neuron
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motor neuron
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conducts efferent impulses from the spinal cord to the periphery
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sensory neuron
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sends afferent impulses from the periphery to the spinal cord
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Central nervous system is composed of
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cerebrum, brain stem, cerebellum
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cerebrum
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largest main portion of the brain. has highest mental function
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2 hemispheres of the cerebrum are joined together by the
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corpus callosum
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brainstem is composed of
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midbrain, pons, medulla oblongata
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midbrain is the center for
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visual reflexes
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medulla oblongata is the center for automatic control of
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respiration and heartrate
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the cerebellum controls
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muscel coordination, tone, posture
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brain protection levels
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skull, meninges, cerebral spinal fluid
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meninges has 3 layers
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duramater (thickest outter layer) arachoid (middle layer) piamater (inner thinnest layer)
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caudal equina
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L2-S5
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the caudal equina is composed of
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gray matter and the anterior horn
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gray matter is
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butterfly shaped; posterior horn
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the posterior horn transmits
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sensory nerves (afferent)
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the anterior horn transmits
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motor nerves (efferent)
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motor neurons synapse in anterior horn just prior to leaving
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the spinal cord
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motor neurons that synapse above the spinal cord are called
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upper motor neurons (brain and most of the spinal cord)
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motor neurons that synapse below the spinal cord are
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lower motor neurons
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significance of injury in the brain to the spinal cord are called
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upper motor neuron lesions
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examples of upper motor neuron lesions
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spinal cord injuries; MS, parkinsons, CVA, head injuries
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significance of injury beyond anterior horn of spinal cord is called
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lower motor neuron
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examples of lower motor neuron injuries
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muscular dystrophy; peripheral nerve injury
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peripheral nervous system begins at
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anterior horn of spinal cord
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the peripheral nervous system has
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spinal nerves and 12 pairs of cranial nerves and
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cranial nerves include
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trigeminal (5) facial (7) spinal accessory (11) hypoglossal (12)
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spinal nerves have how many segments
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31. they correspond with each vertebral layer
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spinal nerves
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cervical (8) thoracic (12) lumbar (5) sacral (5)
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dorsal root
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spinal nerve attached to the spinal cord. sensory nerve
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ventral root is what type of nerve
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motor
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dermatomes
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sensory fibers of a spinal nerve
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myotome
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groups of muscles innervated by a single spinal segment
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rami
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nerve branch that is outside of the spinal cord
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3 major plexuses
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cervical, brachial, lumbrosacral
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cervical plexus is the
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anterior first degree rami of te first 4 cervical nerves
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the cervical plexus supplies the
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anterior neck muscles; diaphram
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most important nerve
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phrenic
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cervical plexus supplies sensation
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above and behind ears; anterior neck; chest and shoulders
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brachial plexus is the
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anterior primary divisions of C5-T1
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brachial plexus has 5 terminal branches
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axillary; musculocutaneous; radial; ulnar; median
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brachial plexus supplies
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upper extremity
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if the muscle extends elbow, wrist, fingers or thumb, it is innervated by
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the radial nerve
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axillary nerve spinal cord segment
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C5-C6
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axillary nerve innervates what muscles
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deltoid; teres minor
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axillary nerve paralysis includes
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loss of shoulder rotation and weak shoulder external rotation
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musculocutaneous nerve spinal cord segment
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C5-C6
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musculocutaneous nerve innervates what muscles
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coracobrachialis; biceps; brachialis
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paralysis of musculocutaneous serve includes
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loss of forearm flexion when supinated; weak supination.
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radial nerve spinal cord segment
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C6-T1
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radial nerve innervates
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triceps; anconeus; brachioradialis; supinator; wrist, finger and thumb extensors
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If the muscle originates on/near the latteral epicondyle portion of the humerus, it is innervated by
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the radial nerve
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paralysis of radial nerves include
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loss of elbow, wrist, finger and thumb extension
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flexor muscles are
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anterior
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extensor muscles are
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posterior
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median nerve spinal cord segment
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C6-T1
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median nerve muscle innervation
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forearm pronators; wrist and finger flexors on radial side; most thumb muscles
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if it is on/near the medial epicondyle of humerus it is innervated by
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median or ulnar nerve (when in doubt go with median)
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median nerve paralysis includes loss of
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forearm pronation; thumb opposition; thumb flexion and abduction
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ulnar nerve spinal cord segment
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C8-T1
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ulnar nerve muscle innervation
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FCU (flexor carpi ulnaris) FDP (flexor digitorum profundus - medial 1/2) interossei (DAB/PAD); lumbricals
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paralysis of ulnar nerve includes
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weak wrist and finger (4-5) flexion and lossof thumb adduction
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lumbosacral plexus is formed by
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anterior first degree of L1-S3
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lumbosacral plexus has 8 roots
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femoral nerve (front of thigh); tibial nerve (behind tibial) obturator (hip abductors;inside of thigh); sciatic nerve (behind thigh; hamstrings) commonperoneal nerve (fibular; outside front of leg)
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femoral nerve spinal cord segment
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L2-L4
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femoral nerve muscle innervation
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iliopsoas; sartorius; pectineus; quadriceps
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femoral nerve paralysis includes
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weakened hip flexion and loss of knee extension
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tibial nerve divides into
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medial and lateral plantar nerves
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tibial nerve spinal cord segment
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L4-S3
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tibial nerve muscle innervation
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popliteus; ankle plantar flexors; tibialis posterior; foot intrinsics
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tibial nerve paralysis includes
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loss of ankle plantar flexion; toe flexion; and weakened ankle inversion
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obturator nerve spinal cord segment
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L2-L4
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obturator nerve muscle innervation
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hip abductors
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paralysis of the obturator nerve includes
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weakened hip external rotation
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sciatic nerve spinal segment
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L4-S3
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sciatic nerve muscle innervation
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hamstrings
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paralysis of sciatic nerve includes
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weakened hip extension; loss of knee flexion
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common peroneal (fibular) nerve divides into
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superficial and deep peroneal/fibular nerves
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common peroneal (fibular) nerve spinal segment
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L4-S2
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common peroneal (fibular) nerve muscle innervation
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peroneals; tibialis anterior; toe extensors
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paralysis of common peroneal (fibular) nerve includes
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loss of ankle dorsiflexion; toe extension; ankle eversion
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autonomic nervous sysem controls activities of
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smooth muscle; cardiac muscle; certain glands
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autonomic nervous system is part of the
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peripheral nervous system
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autonomic nervous system is dependent on
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activities of CNS
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autonomic nervous system is divided into 2 parts
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sympathetic system; parasympathetic system
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the sympathetic and parasympathetic systems control
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involuntary structures and conduct impulses from the CNS
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