ANS/Nervous System Flashcards

(36 cards)

1
Q

Three things sympathetic nervous system do to heart/cardiovasc system

A

Increase HR, Increase BP, Increase force of contraction

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2
Q

Which areas of the spinal chord are sympathetic preganglionic nerves

A

T&L

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3
Q

Which areas of the spinal chord are parasympathetic preganglionic nerves from? Whats the exception?

A

From M&S

Vagus (X) from brain

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4
Q

Are para and sympathetic nerves myelinated or unmyelinated?

A

Pre- myelin

Post - unmyelin

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5
Q

Where in the spinal chord (dorsal or lateral) do the parasympathetic and sympathetic nerves arise from?

A

Para- lateral of M&S

Sympa - dorsal of T&L

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6
Q

Two principal neurotanmitters in ANS?

A

Ach and NA

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7
Q

What is the exception to sympathetic post ganglionic neurotransmitter being NA?

A

Ach - sweat glands and hair follicles

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8
Q

What are NANCss? name 5

A
NO
Substance P
VIP
Serotonin
ATP
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9
Q

How is the adrenal medulla different post ganglionically?

A

It’s post ganglionic modified neurones are chromaffin cells that release adrenaline and NA in response to sympathetic pre ganglionic stimulation

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10
Q

What is the neurotransmitter causing somatic muscle contraction? What is the anatomy of the nerve from where it arises from to muscle?

A

It is one nerve fibre no pre/post ganglionic and NT is Ach

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11
Q

Which out of heart, lungs, vessels, GI/GU, Saliva/lacrimentation/sweat lacks parasympathetic innervation?

A

Vessels

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12
Q

What are the two GPCRs seen postganglionically in the heart

A

beta 1, M2

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13
Q

What are the two GPCRs seen postganglionically in the lungs (bronchioles)

A

beta 2, M3

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14
Q

What are the two GPCRs seen postganglionically in GI/GU?

A

beta 2, M3

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15
Q

What are the two GPCRs seen postganglionically in salivary glands/lacrimental/sweat?

A

M1 M3

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16
Q

Penile erection is modulated by which NANC?

A

NO - parasympathetic

17
Q

Renin release is stimulated by 3 things what are they?

A

Decrease BP
Decrease Na in distal tubule
Sympathetic NS on beta 1 receptors

18
Q

Whats disautonomia

A

ANS disorders

19
Q

What happens in pheochromocytoma?

A

Tumour of adrenal medulla causing increased catecholamine release = symptoms of fight or flight and emergency if BP increases too high.

20
Q

5 common sites of drug action

A

1) Interaction with presynaptic receptors
2) Interaction with post synaptic receptors
3) Inactivation
4) Reuptake
5) Degradation

21
Q

Basic steps on NT release?

A

1) Precursor
2) Synthesis
3) Packaging
4) Degradation of excess
5) Depol by AP
6) VOCC Ca2+ influx
7) Exocytosis NT
8) Diffusion NT
9) Post-Synaptic receptors
10) Inactivation NT
11) Reuptake of NT
12) Interaction with pre-syn receptors feedback

22
Q

Are nAchRs at autonomic ganglia and skeletal muscle different in structure? Whats the pharmacological relevance of this?

A

Yes can target drugs

23
Q

Are nAchRs at autonomic ganglia and skeletal muscle different in structure? Whats the pharmacological relevance of this?

A

Yes can target drugs

24
Q

Are muscaranic receptor subtypes easy to target pharmacologically? What is a way round this?

A

No - target allosterically - e.g. for M3 in bronchioles (asthma) target B2 instead.

25
What is a common mACHR drug side effect?
Dry mouth
26
What are some side effects of muscarinic agonists? How could you overcome this when designing a drug?
Parasympathetic - decrease HR, BP, increased bronchochonstriction, decrease saliva, GI problems = basically SLUDGE Make the drug act locally rather than systemically
27
When might you see SLUDGE? How can you treat sludge?
Drug overdose Magic mushrooms Insecticides Treat with atropine
28
What does pilocarpine treat and how
Glaucoma, mAChR agonist
29
name a few mACh antagonists and how they work
Ipratropium - relaxes airway COPD Tolterodine - overactive bladder - prevent contraction of bladder
30
Can you target adrenergic drugs to specific receptors?
Yes easier than muscarinic
31
What is different about NA neurones post ganglionically? What is this specialised for?
Have varicosities to release NT - can get close to the smooth muscle. Specialised for Ca2+ dependant NT release
32
How is NA made (4)? NA reuptake is ___ dependent. Uptake 2 then does what?
Tyrosine - DOPA - Dopamine - NA Na+ symport - high affinity transporter NA not recapture is non neuronal - low affinity
33
How is NA released ? Which two places can NA act at the synapse?
Ca2+ dependent exocytosis Pre (own) or post synaptic receptors
34
How is NA converted to Adrenaline and how?
In adrenal medulla by extra enzyme phylethanolamine N-methyl transferase
35
How is NA metabolised?
Within pre synaptic terminal NA not taken into vesicles susceptible to degradation: MAO - monoaminooxidase COMT - catechol-o-methyltrasnferase
36
How does beta-2 specific salbutamol limit side effects on heart?
As specific to beta 2 so won't affect beta 1 in heart.