11. ANS Flashcards

1
Q

Fiber connections of autonomic pathway involved in limbic system

A
  1. hypothalamus (centrally)
  2. via the fornix
  3. to temporal lobe
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2
Q

key functions of hypothalamus related to autonomic fibers

A
  1. via fornix to temporal lobe (limbic system)
  2. receive inputs from frontal lobe
  3. pituitary regulation (endocrine function)
  4. descending autonomics (via brainstem and spinal cord)
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3
Q

purpose of hypothalamus connecting descending pathway

A

Hypothalamus HAS to anatomically connect w/ the preganglionic neurons (sympathetic and parasympathetic system) in brainstem and spinal cord (via descending pathway (aka descending autonomics)

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4
Q

differences between somatic and autonomic efferents?

A
  • somatic efferent:
    • CNS is lower (alpha) motor neuron
    • single synapse
    • voluntary muscle
  • autonomic efferent:
    • CNS is preganglionic neuron
    • two-synapse
    • involuntary muscle and glands
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5
Q

autonomic nervous system: definition

A

network of neurons that regulates target organs in response to perturbation of homeostasis

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6
Q

ANS responses: key characteristics

A
  • automatic
  • involuntary
  • unconscious
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7
Q

2 divisions of ANS, and the differences

A
  • sympathetic
    • short-term mobilization during crisis
    • short preganglionic, long postganglionic fiber
    • ACh is key PREganglionic NT; Norepi is key POSTganglionic NT
  • parasympathetic
    • long-term maintenance of body health
    • long preganglionic, short postganlgionic fiber
    • ACh is key pre- and post-ganglionics
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8
Q

although sympathetic division NT is usually ACh (preganglionic), and Norepi (postganglionic); what is a pathway that is an exception?

A

ACh can act on adrenal medulla, sending Epi (or NE, DA, peptides) via bloodstream –> to effector organ

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9
Q

IRIS:

Sympathetics/ parasympathetics?

A
  • SNS: dilation of pupil
    • Preganglionic: C8-T3
    • Postganglionic: superior cervical ganglion
  • PNS: constriction of pupil
    • Preganglionic: Edinger-Westphal nucleus
    • Postganglionic: ciliary ganglion (pupil constrictor)
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10
Q

Parotid gland:

Sympathetics/ parasympathetics?

A
  • SNS: secretion is reduced and viscid
    • preganglionic: T1-T3
    • post-gang: superior cervical ganglion
  • PNS: secretion increased and watery
    • pre-gang: inferior salivatory nucleus
    • post-gang: otic ganglion
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11
Q

heart & coronary vessels:

SNS & PNS

A
  • SNS: increased HR; dilation or constriction of vessels
    • pregang: T1-T5
    • postgang: cervical and upper thoracic ganglia
  • PNS: decreased HR; constriction of vessels
    • pregang: dorsal vagal nucleus
    • postgang: intracardiac ganglia
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12
Q

bronchi:

SNS and PNS

A
  • SNS: dilation
    • pregang: T2-T5
    • postgang: upper thoracic ganglia
  • PNS: constriction
    • pregang: dorsal vagal nucleus
    • postgang: pulmonary ganglia
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13
Q

stomach:

SNS and PNS

A
  • SNS: inhibition of peristalisis & secretion
    • pregang: T6-T10
    • postgang: celiac ganglion
  • PNS: inc. peristalsis & secretion
    • pregang: dorsal vagal
    • postgang: myenteric & submucosal ganglia
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14
Q

which sympathetic preganglionic fibers involve:

T1-T5?

A

heart and coronary vessels

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15
Q

which sympathetic POSTganglionic fibers involve:

superior cervical ganglion?

A

iris &

parotid gland

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16
Q

which sympathetic POSTganglionic fibers involve:

cervical and upper thoracic ganglia

A

heart and coronary vessels

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17
Q

which parasympathetic PREganglionic fibers involve:

dorsal vagal nucleus?

A
  • heart
  • coronary vessels
  • bronchi
  • stomach
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18
Q

portions of spinal cord associated wih parasympathetics?

A

cranial and sacral

19
Q

portions of spinal cord associated wih SYMPATHETICS?

and pathway

A
  1. thoracic and lumbar (~T1-L2) –> preganglionics emerge
  2. pregang synapse in SYMPATHETIC TRUNK –>
  3. postganglionics travel –>
  4. to target organs & syanpse there
20
Q

which ganglia/targets do the VAGUS nerve synapse with?

A
  1. cardiac ganglion –> heart
  2. bronchial ganglion –> lungs
  3. pulmonary ganglion –> lungs
  4. enteric ganglion –> stomach
21
Q

sympathetic flow from CNS to target organ

A
  1. from lateral horn of spinal cord –>
  2. via visceral efferent fibers –>
  3. peripheral nerve –>
  4. white communicating ramus –>
  5. to sympathetic trunk –> a few possible paths
    1. @ spinal cord level: via gray communicating ramus to blood vessels/skin
    2. @ spinal cord level: to prevertebral ganglion –> viscera
    3. ascending thru sympathetic trunk
    4. descending thru sympathetic trunk
22
Q

preganglionic spinal outflow to parasympathetic ganglia:

for ocular constrictor, glands, and vagus

A
  1. Edinger-westphal nucleus –> oculomotor nerve (CN III) –> pupil constrictor
  2. salivatory nuclei –> facial nerve (VII) and glossopharyngeal (IX) –> innervates glands
  3. doesal motor nucleus of vagus (X) & nucleus ambiguous –> vagus nerve –> outputs of vagus
23
Q

sympathetic division effects, via descending autonomics

A
  1. ascends sympathetic chain –> stellate ganglion –> superior cervical ganglion –>
    • eye –> dilates pupils
    • lacrimal & salivary glands –> decreases salivation
  2. sympathetic chain –> heart & lungs –> inc respiratory & heart rate, & constricts BVs
  3. sympathetic chain –> celiac ganglion –> stomach –> inhibits digestive processes
24
Q

parasympathetic division effects, via descending autonomics

A

from descending autonomics –>

  1. oculomotor nerve (CN 3) –> eye –> constricts pupil
  2. facial nerve (CN 7) & glossopharyngeal (9) –> parotid gland –> increases salivation
  3. vagus nerve (CN 10) –> lung –> decreases respiratory rate
  4. vagus nerve (CN 10) –> heart –> decreases HR
  5. vagus nerve (CN 10) –> stomach –> stimulates digestive processes
25
Q

which parasympathetic nerve originates in :

MIDBRAIN

A

OCULOMOTOR (CN III) –> eye –> pupil constriction

26
Q

which parasympathetic nerve(s) originates in :

PONS

A
  1. facial nerve (CN 7) –> parotid gland –> inc. salivation
  2. glossopharyngeal nerve (CN 9) –> parotid gland –> inc. salivation
27
Q

which parasympathetic nerve originates in :

MEDULLA

A

vagus nerve --> dec. HR & resp rate, vasoDILATION, stimulates digestive processes

  • cardiac g.
  • bronchial g.
  • pulmonary g.
  • enteric g.
28
Q

vasoDILATION / dilation of coronary vessels is a

(SNS or PNS) process

A

vasodilation is PARASYMPATHETIC; to decrease HR

(acts via vagus nerve)

29
Q

hypothalamic input & output

A
  • visceral sensory information from the body –> indicating perturbation in homeostasis
  • issues a command (visceral motor command) thru descending autonomics to restore homeostasis
30
Q

central and peripheral components of descending autonomics?

A

3 neurons in pathway from hypothalamus

  • central = 1st order neuron of the descending autonomic pathway (hypothalamus, brainstem, spinal cord)
  • peripheral = pre- and postganglionic autonomic neurons (2nd and 3rd order neurons)
31
Q

CC: horner’s syndrome

cause and sxs

A
  1. lesion in descending SYMPATHETIC pathway –> dominance of parasympathetic
  2. sxs: loss of sympathetic tone to IPSILATERAL side
    • pupil dilator: miosis (constricted pupil)
    • tarsal: pstosis (drooping eyelid)
    • sweat gland: anhidrois (lack of sweating)
32
Q

CC: central horner’s VS preganglionic horner’s

A
  • central horners: anhidrosis on ipsilateral body
  • preganglionic horners: anhidrosis on ipsilateral face
33
Q

visceral motor component(s) of the vagus nerve

A
  1. motor components - located in reticular formation; dorsal position in brainstem
    • dorsal motor nucleus of vagus nerve
    • nucleus ambiguous
34
Q

actions of visceral motor component of vagus nerve

A

very important pathway – induces rest & digest in the following structures:

  • innervate vessels to lung and heart
  • cardiac muscle
  • bronchial muscles
  • smooth muscle of GI tract
  • gastric secretions
35
Q

autonomic reflex arcs:

define and key characteristics

A
  • elicited by perturbations to fxn of ANS targets –>
  • SNS and PNS are reciprocally engaged to restore homeostasis
  • automatic and unconscious
36
Q

list the autonomic reflex arcs

A
  • ocular
  • cardiovascular
  • glandular
  • GI system
  • urogenital
37
Q

pupillary light reflex pathway:

AFFerent limb

A
  • afferent limb - sensory inputs
    1. retina, where light input is received
    2. optic nerve
    3. optic chiasm
    4. optic tract
    5. synapses in pretectal region of midbrain
38
Q

pupillary light reflex pathway:

EFFERENT LIMB

A

efferent limb - motor inputs

  1. syanpse in pretectal nucleus of midbrain –> projects to
  2. Edinger-westphal component (PNS) of CN3/ oculomotor nuclear complex
  3. oculomotor nerve (CN 3)
  4. ciliary ganglion
  5. contriction of pupil
39
Q

autonomic centers cardiac:

location, output, function

A
  1. medullary reticular formation –> sympathetic nucleus in spinal cord
    • vasomotor cardioaccelerator and pressor
  2. medullary reticular formation –> neurons in dorsal vagal nucleus and reticular formation of medulla
    • depressor and cardiodecelerator
40
Q

principal autonomic centers: respiration

location, output, function

A

Autonomic centers in both medulla and pons:

  • medullary reticular formation –> phrenic, intercostal & abdominal motor neurons
    • fxn: inspiration and expiration
  • pontine reticular formation –> medullary respiratory centers
    • fxn: apneusis (prolonged inspiration) and pneumotaxis (control of expiration)
41
Q

principal autonomic centers: emesis (vomiting)

location, output, fxn

A
  • medullary centers –> emetic center, vagal & parasympathetic preganglionic neurons
    • fxn: vomiting
42
Q

possible triggers of the vomiting reflex

A

Reticular formation of medulla (vomiting center):

  1. blood borne toxins, etc –> acting on chemoreceptor trigger zone
  2. higher cerebral cortex (sensory input or memory/fear/anticipation) –> vomition center
  3. stomach and other viscera vagal and sympathetic afferents –> vomition center
43
Q

principal autonomic centers: micturition

location, output, fxn

A

Controlled by pons –> fxn is micturition

  • pontine reticular formation –> sacral parasympathetic neurons for detrusor contraction and inhibition of somatic motor efferent neurons and supplying sphincter
44
Q

micturition reflex

A
  1. visceral afferents from stretch receptors (bladder) –> to spinal cord –>
  2. ascending tracts of spinal cord –> pontine micturition center (PMC)
  3. integration in PMC –> initiates micturition response –>
  4. descending pathways carry impulses to motor neurons of spinal cord
  5. MOTOR
    • *PNS efferents stim contraction of detrusor muscle/ open urethral sphincter
    • *sympathetic EFFERENTS to bladder are inhibited
  6. somatic motor efferents to external urethral sphincter are inhibited; sphincter muscle relaxes –>
  7. urine passes thru urethra adn bladder is emptied