Ans Flashcards

(69 cards)

1
Q

The autonomic nervous system is activated by centres located in the?

A

Spinal cord brain stern hypothalamus

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2
Q

Post ganglion neurons are

A

Unmyelinated

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3
Q

Give the organisation of autonomic nervous system

A
  1. Paravertebral sympathetic chain of ganglia 2. Prevertebral ganglia 3. Nerves extending from ganglia to viscera
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4
Q

Name the pre vertebral ganglia

A
  1. Celiac 2 superior mesentric 3 aorticorenal 4 inferior mesentric 5.hypogastric
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5
Q
A
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6
Q

What is the autonomic nervous system responsible for?

A

It controls most visceral functions of the body, such as arterial pressure, gastrointestinal motility, and sweating.

The autonomic nervous system operates both entirely and partially in controlling these functions.

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7
Q

How quickly can the autonomic nervous system change visceral functions?

A

It can increase heart rate to twice normal within 3 to 5 seconds and double arterial pressure within 10 to 15 seconds.

It can also decrease arterial pressure low enough to cause fainting within the same time frame.

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8
Q

What are the main centers that activate the autonomic nervous system?

A

Centers located in the spinal cord, brain stem, and hypothalamus.

Portions of the cerebral cortex, especially the limbic cortex, can also influence autonomic control.

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9
Q

What role do visceral reflexes play in the autonomic nervous system?

A

They allow subconscious sensory signals from visceral organs to control their activities through reflex responses.

This involves the autonomic ganglia, brain stem, or hypothalamus.

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10
Q

What are the two major subdivisions of the autonomic nervous system?

A

The sympathetic nervous system and the parasympathetic nervous system.

Each has distinct characteristics and functions.

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11
Q

Where do sympathetic nerve fibers originate?

A

In the spinal cord between segments T1 and L2.

These fibers pass into the sympathetic chain and then to the tissues and organs.

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12
Q

What is the structure of the sympathetic pathway?

A

It is composed of two neurons: a preganglionic neuron and a postganglionic neuron.

This contrasts with the single neuron in the skeletal motor pathway.

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13
Q

What happens to preganglionic sympathetic fibers after they leave the spinal nerve?

A

They pass through a white ramus into a sympathetic chain ganglion.

They can synapse in the ganglion, pass upward or downward, or travel to a peripheral sympathetic ganglion.

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14
Q

What types of fibers are sympathetic nerve fibers that extend back into spinal nerves?

A

They are small type C fibers.

These fibers control blood vessels, sweat glands, and piloerector muscles of the hairs.

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15
Q

What percentage of fibers in the average skeletal nerve are sympathetic fibers?

A

About 8%.

This indicates the importance of sympathetic fibers in controlling various bodily functions.

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16
Q

Give pathway for sympathetic nerve fibers

A

IML to ventral rami to spinal nerve to sympathetic chain to white ramus to post ganglion nerve to spinal nerve

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17
Q
A
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18
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A
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19
Q

What is the segmental distribution of sympathetic nerve fibers?

A

The sympathetic pathways from different spinal cord segments are not distributed to the same body parts as somatic spinal nerve fibers from those segments.

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20
Q

Where do sympathetic fibers from cord segment Il generally terminate?

A

Sympathetic fibers from cord segment T1 generally pass: (1) up the sympathetic chain to terminate in the head; (2) from T2 to terminate in the neck.

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21
Q

What is the termination pattern for sympathetic fibers from T3 to T6?

A

Sympathetic fibers from T3, T4, T5, and T6 terminate in the thorax.

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22
Q

Where do sympathetic fibers from T7 to T11 terminate?

A

Sympathetic fibers from T7, T8, T9, T10, and T11 terminate in the abdomen.

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23
Q

What determines the distribution of sympathetic nerves to each organ?

A

The distribution is determined partly by the locus in the embryo from which the organ originated.

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24
Q

From where does the heart receive sympathetic nerve fibers?

A

The heart receives many sympathetic nerve fibers from the neck portion of the sympathetic chain.

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25
Why do abdominal organs receive sympathetic innervation from the lower thoracic spinal cord?
Because most of the primitive gut originated in this area.
26
What is the pathway of preganglionic sympathetic nerve fibers to the adrenal medullae?
Preganglionic sympathetic nerve fibers pass from the intermediolateral horn cells of the spinal cord, through the sympathetic chains, then through the splanchnic nerves, and finally into the two adrenal medullae.
27
What do the modified neuronal cells in the adrenal medullae secrete?
They secrete epinephrine and norepinephrine into the bloodstream.
28
What type of cells are the secretory cells in the adrenal medullae derived from?
They are embryologically derived from nervous tissue and are actually postganglionic neurons.
29
What cranial nerves do parasympathetic fibers leave the central nervous system through?
Parasympathetic fibers leave through cranial nerves III, VII, IX, and X.
30
Where do additional parasympathetic fibers leave the spinal cord?
They leave through the second and third sacral spinal nerves and occasionally the first and fourth sacral nerves.
31
What percentage of all parasympathetic nerve fibers are in the vagus nerves?
About 75% of all parasympathetic nerve fibers are in the vagus nerves (cranial nerve X).
32
What regions of the body do the vagus nerves supply parasympathetic nerves to?
The entire thoracic and abdominal regions of the body.
33
Which organs are supplied by the vagus nerves?
The heart, lungs, esophagus, stomach, entire small intestine, proximal half of the colon, liver, gallbladder, pancreas, kidneys, and upper portions of the ureters.
34
What do the parasympathetic fibers in the third cranial nerve supply?
The pupillary sphincter and ciliary muscle of the eye.
35
Which glands are supplied by the seventh cranial nerve?
The lacrimal, nasal, and submandibular glands.
36
What gland is supplied by the ninth cranial nerve?
The parotid gland.
37
Where are the sacral parasympathetic fibers located?
In the pelvic nerves, which pass through the spinal nerve sacral plexus at the S2 and S3 levels.
38
What do the sacral parasympathetic fibers distribute to?
The descending colon, rectum, and urinary system, lours portions of ureter and also cause erection
39
How is ganglia arrangement different in sympathetic and parasympathetic?
Only cranial nerves have A ganglia outside the target organ spinal nerves have it in the organ.
40
What are the two main synaptic transmitter substances secreted by the sympathetic and parasympathetic nerve fibers?
The two main synaptic transmitter substances are acetylcholine and norepinephrine.
41
What term is used for fibers that secrete acetylcholine?
Fibers that secrete acetylcholine are said to be cholinergic.
42
What term is used for fibers that secrete norepinephrine?
Fibers that secrete norepinephrine are said to be adrenergic.
43
What is the origin of the term 'adrenergic'?
The term 'adrenergic' is derived from adrenalin, which is an alternate name for epinephrine.
44
What type of neurons are all preganglionic neurons in both the sympathetic and parasympathetic nervous systems?
All preganglionic neurons are cholinergic.
45
What effect does acetylcholine have when applied to ganglia?
Acetylcholine or acetylcholine-like substances will excite both sympathetic and parasympathetic post-ganglionic neurons.
46
What type of neurons are almost all postganglionic neurons of the parasympathetic system?
Almost all of the postganglionic neurons of the parasympathetic system are cholinergic.
47
What type of neurons are most postganglionic sympathetic neurons?
Most of the postganglionic sympathetic neurons are adrenergic.
48
Which postganglionic sympathetic nerve fibers are cholinergic?
The postganglionic sympathetic nerve fibers to the sweat glands and perhaps to a very few blood vessels are cholinergic.
49
What do the terminal nerve endings of the parasympathetic system secrete?
The terminal nerve endings of the parasympathetic system all or virtually all secrete acetylcholine.
50
What do almost all sympathetic nerve endings secrete?
Almost all of the sympathetic nerve endings secrete norepinephrine, but a few secrete acetylcholine.
51
What are acetylcholine and norepinephrine called in terms of their function?
Acetylcholine is called a parasympathetic transmitter and norepinephrine is called a sympathetic transmitter.
52
What are the postganglionic autonomic nerve endings similar to?
They are similar to but much smaller than those of the skeletal neuromuscular junction.
53
How do many parasympathetic and sympathetic nerve fibers interact with effector cells?
They merely touch the effector cells or terminate in connective tissue adjacent to the cells.
54
What are bulbous enlargements on nerve fibers called?
They are called varicosities.
55
What is synthesized and stored in the varicosities?
Transmitter vesicles of acetylcholine or norepinephrine.
56
What do varicosities contain that is essential for transmitter synthesis?
Large numbers of mitochondria that supply adenosine triphosphate.
57
What triggers the secretion of neurotransmitters from nerve terminals?
The influx of calcium ions due to depolarization of the fiber membrane.
58
What happens when calcium ions diffuse into nerve terminals?
They cause the terminals or varicosities to empty their contents to the exterior.
59
What is Acetylcholine synthesized from?
Acetylcholine is synthesized from Acetyl-CoA and Choline by the enzyme choline acetyltransferase.
60
Where is Acetylcholine stored before release?
Acetylcholine is stored in vesicles in the terminal endings and varicosities of cholinergic nerve fibers.
61
What happens to Acetylcholine after it is secreted?
After secretion, Acetylcholine persists in the tissue for a few seconds before being split into acetate ion and choline by acetylcholinesterase.
62
What is the role of acetylcholinesterase?
Acetylcholinesterase catalyzes the breakdown of Acetylcholine into acetate ion and choline.
63
How is choline reused in the synthesis of Acetylcholine?
The choline formed after the breakdown of Acetylcholine is transported back into the terminal nerve ending for the synthesis of new Acetylcholine.
64
Where does the synthesis of Norepinephrine begin?
The synthesis of Norepinephrine begins in the axoplasm of the terminal nerve endings of adrenergic nerve fibers.
65
What are the basic steps in the synthesis of Norepinephrine?
1. Tyrosine is hydroxylated to form Dopa. 2. Dopa is decarboxylated to form Dopamine. 3. Dopamine is transported into the vesicles.
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