BL S7 Autonomic Nervous System Flashcards

1
Q

Where are sympathetic / parasympathetic, autonomic preganglionic neurone cell bodies found in the CNS?

A

Lateral horn in T1 to L2 cord segments.

Parasympathetic - S2-S4 cord segments and brain stem.

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2
Q

What are the four ways efferent Sympathetic outflow is achieved?

A

Ascend the chain
Descend the chain
Synapse at entry level
Traverse the chain

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3
Q

Sympathetic preganglionics that ascend the chain supply what?

How do they get to their targets?

A

Head and neck

Post ganglionics get to target along blood vessel walls.

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4
Q

Sympathetic preganglionics that synapse at the level of entry supply what?

How do they get to their targets?

A

Supply dermatomes T1-L2 levels.

Post ganglionics get to targets via T1-L2 spinal nerves.

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5
Q

Sympathetic preganglionics that traverse the chain supply what?

How do they get to their targets?

A

Supply abdominal viscera.

Post ganglionics get to their targets along blood vessels.

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6
Q

Sympathetic preganglionics that descend the chain supply what?

How do they get to their targets.

A

Supply lower limbs

Post ganglionics get to their targets through the spinal nerves at levels L3 and below.

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7
Q

Where do PSNS preganglionic neurones typically synapse?

A

In ganglia close to their target organs.

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8
Q

What does the vagus nerve supply?

A

Thoracic and abdominal viscera.

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9
Q

How many specialised PS ganglia does the head have?

A

4

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10
Q

What are the 4 ganglia and what do they recieve and supply from?

A

Ciliary ganglion - receives pre-Gs from occulomotor nerve and distributes post-Gs to the eye.
Pterygopalatine ganglion - receives pre-Gs from the facial nerve - post-Gs to lacrimal gland.
Submandibular - pre-Gs from facial - post-Gs to sublingual salivary glands.
Otic - pre-Gs from glossopharyngeal - post-Gs to parotid gland.

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11
Q

What is referred pain?

A

Pain is perceived at a site distant to the source of the pain.

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12
Q

Differentiate between somatic and visceral pain.

A

Somatic is in bones, joints, muscle and soft tissues whereas visceral is in the internal organs.

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