2.1 Flashcards

1
Q

What are the 2 neurons that carry somatic motor signals from the brain to the effector?

A

Upper motor neuron (UMN): originate in brain and brainstem; form connections with lower motor neurons in the ventral horn of the spinal cord; stays in CNS
Lower motor neuron (LMN): located in ventral horn of SC; starts in CNS, axon carries signal to muscles and glands

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2
Q

Function of the ANS

A

Achieve homeostasis
Communication between body and environment

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3
Q

The 3 parts of the ANS

A

Sympathetic: fight, flight, or freeze
Parasympathetic: rest and digest
Enteric: digestion

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4
Q

Compare autonomic and somatic neurons

A

Autonomic: preganglionic and postganglionic neuron
- Ganglion: group of cell bodies in ANS
Somatic: upper and lower motor neuron

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5
Q

Sympathetic vs parasympathetic motor neurons

A

Sympathetic
- 90% of the preganglionic neurons are located in the lateral cell column, the rest are in the central autonomic nucleus and spinal interacalatus nucleus
- postanglionic neurons are located in the sympathetic chain ganglia
- norepinephrine, epinephrine, acetylcholine

Parasympathetic:
- preganglionic cell bodies are located in parasympathetic nuclei of 4 cranial nerves and lateral horn
- postganglionic cell bodies are located in various ganglia in the head and throughout the body
- acetylcholine is the principal neurotransmiter

Location of ganglia
Length of each neuron
Neurotransmitters

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6
Q

Sensory input to the ANS

A

There are no sensory autonomic neurons
Primary visceral sensory (feeling full; blood pressure) neurons carry signals to the ANS
These fibers travel with other structures to synapse with sensory ganglia of cranial and spinal nerves.

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7
Q

ANS connections in the brain and brainstem

A

The sensory signals travel to various nuclei of the brainstem
Nuclei in the brainstem relay messages to different areas of the thalamus and cerebral cortex, so that ANS motor signals are controlled on multiple levels

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8
Q

Functions of the SNS

A

Release sweat
Contraction of arrector pilli
Dilation
Vasoconstriction
Accelerates heartbeat
Increase force of contraction
Reduce peristalsis in alimentary canal
Dilate pupils
Contract smooth muscles to open eyelids
Increase peristalsis carrying spermatozoa
Relax smooth muscle for easier breathing
Release epinephrine

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9
Q

Neurons in the SNS

A

Short preganglionic neurons originate in the lateral horn of the spinal cord and exit in the thoracolumbar region to the sympathetic ganglia.
- the neurons traveling to the adrenal medulla travel directly to their target
The long postganglionic neurons originating in the ganglion chain then travel outward and terminate on the effector tissues.

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10
Q

SNS preganglionic fibers synapse on…

A

Sympathetic chain (trunk) at level of exit
Sympathetic chain (trunk) at levels higher or lower
A prevertebral ganglion
- Paravertebral: sympathetic trunk

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11
Q

Where do SNS postganglionic fibers travel?

A

Postganglionic fibers travel with other nerves and structures
- Re-enter spinal nerves to travel to muscles on skin structures
- Travel with cranial nerves
- Travel with arteries
- Travel to specific organs
- Travel within a plexus

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12
Q

SNS special fibers

A

All sympathetic nerves to the head and neck have cell bodies in the superior cervical ganglia
- Internal carotid nerves: sympathetic functions in the head
- External carotid nerves: sympathetic functions in the face

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13
Q

Regions of SNS ganglia

A
  • Cervical
  • Thoracic
  • Splanchnic: visceral, GI, genitourinary (GU)
    Ganglia give rise to nerves and plexuses which serve the organs of each region
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14
Q

PSNS functions

A

Constrict pupils
Contract to relax suspensory ligaments
Tear and serous secretion flow
Decrease heartbeat
Bronchioconstriction
Respiratory, pancreas, and alimentary canal gland secretion
Alimentary canal peristalsis
Relax sphinceter muscles
Facilitates bile release
Stimulates erection

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15
Q

Neurons of PSNS

A

Long preganglionic neurons
- Cell bodies in the: brainstem or spinal cord
- Axons exit: cranial or sacral
Short postganglionic neurons
- Cell bodies in ganglia
Synapses
- On the ganglia in or near the target organ

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16
Q

What are the 4 cranial nerve that carry parasympathetic signals?

A

Oculomotor (CN III): constrict pupils, accommodation (allows lens to move as you focus)
Facial (CN VII): glands, salivation and lacrimation
Glossopharyngeal (CN IX) : glands, salivation
Vagus (CN X): heart, GI tract

17
Q

Motor components of the ENS

A

Motor control is largely though two plexuses:
- Meissner’s submucosal plexus
- Auerbach’s myenteric plexus

18
Q

SNS + PSNS effect on the GI system

A

SNS: slows peristalsis and increases sphincter tone
PSNS: enhances peristalsis and relaxes sphincters so that digestive products pass

19
Q

Enteric nervous system

A

submucosal plexus and myenteric plexus: movement and secretion

20
Q

Sensory components of the ENS

A

Sensory neurons reside throughout the digestive system.
Synapse within the ENS resulting in direct stimulation or inhibition

21
Q

Neurotransmitters of the ANS

A

PSNS is considered primarily cholinergic, and SNS is considered primarily adrenergic.
All presynaptic neurons release Ach

22
Q

Main types of receptors of the ANS

A

Cholinergic: respond to acetylcholine; PSNS
Adrenergic - respond norepinephrine and epinephrine; SNS

23
Q

Types of cholinergic receptors

A

Nicotinic receptors are on postsynaptic neurons of both PSNS and SNS
Muscarinic receptors are on target organs of PSNS

24
Q

Types of andrenergic receptors

A

Alpha receptors respond to epinephrine > norepinephrine
- Vascular muscle and pupils of eyes
- Constrict or dilate
Beta receptors respond to norepinephrine > epinephrine
- Also respond to isoproterenol: common drug for asthma treatment
- Cardiac and bronchial cells

25
Q

ANS control of urination

A

SNS: Relaxes bladder wall, contracts the urethral sphincters
PSNS: Contracts bladder wall, relaxes the urethral sphincters
Somatic: Contracts external sphincter

26
Q

Neurogenic bladder

A

A common MS occurrence is a spinal cord white matter lesions above T12.
This results in a spastic bladder and loss of voluntary control of the external sphincter.
A spastic bladder initiates an emptying reflex at lower bladder volumes and is analogous to muscle spasticity and hyper-reflexivity seen in upper motor neuron disease.
This combination leads to urgency (depending on the degree of sensation that is still intact) and incontinence.

27
Q

Horner Syndrome

A

Sympathetic trunk compression→
- Loss of sympathetic pupil dilation
- Loss of SNS tone to superior tarsal m.