S2.B1 Meninges

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1. Bacterial meningitis spreads through the subarachnoid space because it's an ideal place for bacteria to live.

Explanation

As a result, CSF is usually cloudy with many white blood cells, increased protein, and bacteria.

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About This Quiz
Human Anatomy Quizzes & Trivia

Explore the structure and function of meninges in the human brain. This quiz assesses knowledge on meningeal septa, formation timelines, congenital issues, and layers of the cranial cavity. Essential for students in medicine and related fields.

2. Another word for dura mater is leptomeninx

Explanation

Dura mater is also called the pachymeninx. The arachnoid and pia mater are collectively called the leptomeninges

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3. The dura of the posterior fossa recieves sensory branches from C2 and C3

Explanation

It may also have some sensation through the vagus nerve.
*Irritation of the dura here will have referred pain to the back of the head.

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4. A subdural hematoma is between the skull and the dura mater

Explanation

A subdural hematoma is between the dura and arachnoid planes. More specifically, it is in the dural border layer.

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5. The arterial supply for the dura runs between the periosteum and the periosteal dura

Explanation

The arterial supply to the cranial dura mater, particularly from the middle meningeal artery, runs between the periosteum of the skull and the periosteal layer of the dura mater. This space is known as the epidural space (potential space in the cranium). Damage to these arteries, especially in trauma, can lead to epidural hematomas, which are medical emergencies. So, the statement is true.

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6. The ____ are connective tissue membranes surrounding the central nervous system

Explanation

The correct answer is meninges. The meninges are connective tissue membranes that surround and protect the central nervous system, which includes the brain and spinal cord. These membranes consist of three layers: the dura mater, arachnoid mater, and pia mater. The meninges provide a barrier against infection and physical damage, as well as help to regulate the circulation of cerebrospinal fluid.

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7. The falx cerebri lies in the transverse fissure and separates the anterior portion of the brain from the posterior half.

Explanation

The falx cerebri lies in the longitudinal fissure and separates the hemispheres.
It is the tentorium cerebelli that lies in the transverse fissure but it separates the cerebrum from the cerebellum.

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8. What is most responsible for forming compartments in the cranial cavity?

Explanation

Meningeal septa are thin partitions that divide the cranial cavity into compartments. These septa help to provide structural support and organization within the cranial cavity. They separate different regions of the brain and help to prevent the spread of infection or injury from one area to another. Therefore, meningeal septa are most responsible for forming compartments in the cranial cavity.

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9. The brain is sensitive to pain

Explanation

The brain is insensitive to pain, but the dural coverings are sensitive.

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10. List the order from outside in

Explanation

The correct answer lists the layers of the meninges in the correct order from outside to inside. The meninges are the protective membranes that surround the brain and spinal cord. Starting from the outside, the order is as follows: Skull, periosteal dura, meningeal dura, dural border cells, arachnoid barrier cells, subarachnoid space, and pia mater. This order represents the layers of the meninges, with the pia mater being the innermost layer that directly covers the brain and spinal cord.

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11. Dural sinuses...

Explanation

they are venous structures

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12. The periosteal layer of dura attaches to both the vertebral column and the skull

Explanation

The periosteal layer of dura is attached to the skull, but not to the vertebral column.

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13. Kernig and Brudzinski signs test for what?

Explanation

Kernig sign is where the thigh is lifted at a 90 degree angle, an attempt is made to straighten the leg. Inability to straighten, due to tight hamstrings is an indication of meningitis.
Brudzinksi sign is where the head it pulled upward and the knees bend in reaction to stretching the dura.

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14. If a patient is complaining of a headache that affects the back of their head, irritation of what part of the dura is likely to be involved?

Explanation

The infratentorial dura is innervated by cervical spinal nerves 2 and 3. As such, irritation of this dura will refer pain to the back of the neck.

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15. Viral meningitis is almost always fatal, usually causing death in 1-2 days

Explanation

Viral meningitis can be caused by a variety of viral agents and is usually seen in younger patients. Few antiviral agents are effective in treatment, therefore treatment in mild cases is generally only supportive, with conditions improving in 1-2 weeks.

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16. What is the primary enlargement of the subarachnoid space associated with the spinal cord meninges?

Explanation

It is the extension of the spinal meninges after the end of the spinal cord, usually around L1-L2. It contains the cauda equina and it is the space commonly accessed in spinal taps

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17. The pia mater forms specialized attachments in the spinal cord called the denticulate ligament as well as the filium terminale externum which connects the end of the dura to the coccyx.

Explanation

The pia mater forms the filum terminale internum, while the dura has a specialized projection called the filum terminale externum

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18. The anterior and middle cranial fossa are innervated by branches of which nerve?

Explanation

The irritation of nerves in the dura can produce referred pain (usually a headache) that appears to originate in the area of the afferent nerve innervation.
In this case, where dura above the tentorium cerebelli is innervated by the trigeminal nerve, a headache in this region will be referred to the face.

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19. The meninges start to form during the ____ month and by the end of the ___ trimester they have an adult pattern (3 layers)

Explanation

During the first month of development, the meninges begin to form. By the end of the first trimester, which is also the end of the first month, they have already developed into three layers, which is the adult pattern. Therefore, the correct answer is 1st, 1st.

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20. Collections of arachnoid villi are called....

Explanation

The arachnoid villi are specializations of the dura arachnoid interface in dural sinuses that allow the drainage of CSF into the venous system. It is essential in order to maintain intracranial pressure.

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21. With regards to the arachnoid mater....

Explanation

The arachnoid mater has two primary parts, the arachnoid barrier layer and the arachnoid trabeculae. The arachnoid trabeculae play a crucial role in suspending the brain in the subarachnoid space. Additionally, the trabeculae help to reduce the weight of the brain by about 97%.

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22. Regarding the ectomeninx...

Explanation

The ectomeninx around the brain stays attached to the periosteal connective tissue layer. But in the spinal cord, it is initially continuous with the vertebral periosteum during development but later separates forming epidural space

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23. Dura mater is divided into what portions?

Explanation

The dura mater is divided into periosteal, meningeal, and border cell portions. The most distinct boundary is between dural border cells and meningeal dura.
The periosteal and meningeal layers contain a large amount of collagen and are very strong.
*Meanwhile, the border cell layer lacks dense CT, forming weakness between the arachnoid and dura...this can allow for blood to flow into these layers creating a subdural hematoma.

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24. A congenital dermal sinus

Explanation

Is where the ectoderm fails to completely dissociate from neuroectoderm, leaving an epithelium lined channel to the surface of the skin

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25. Dural infoldings...

Explanation

consist of areas in which the meningeal portion of the dura folds inward to separate the cranial cavity into compartments.
Although the diaphragma sella is a dural septa, it is the smallest septum forming the roof of the hypophyseal fossa encircling the infundibulum.

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26. With regards to meningiomas...

Explanation

They may invade the adjacent skull but rarely penetrate brain tissue. Neurological signs are generally due to compression or edema.

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Bacterial meningitis spreads through the subarachnoid space because...
Another word for dura mater is leptomeninx
The dura of the posterior fossa recieves sensory branches from C2 and...
A subdural hematoma is between the skull and the dura mater
The arterial supply for the dura runs between the periosteum and the...
The ____ are connective tissue membranes surrounding the central...
The falx cerebri lies in the transverse fissure and separates the...
What is most responsible for forming compartments in the cranial...
The brain is sensitive to pain
List the order from outside in
Dural sinuses...
The periosteal layer of dura attaches to both the vertebral column and...
Kernig and Brudzinski signs test for what?
If a patient is complaining of a headache that affects the back of...
Viral meningitis is almost always fatal, usually causing death in 1-2...
What is the primary enlargement of the subarachnoid space associated...
The pia mater forms specialized attachments in the spinal cord called...
The anterior and middle cranial fossa are innervated by branches of...
The meninges start to form during the ____ month and by the end of the...
Collections of arachnoid villi are called....
With regards to the arachnoid mater....
Regarding the ectomeninx...
Dura mater is divided into what portions?
A congenital dermal sinus
Dural infoldings...
With regards to meningiomas...
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