ANS Worksheet Flashcards

1
Q

What are the 2 main divisions of the ANS?

A

Sympathetic and Parasympathetic

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2
Q

What is the broad overall function of each division of the ANS?

A

Parasympathetic is rest and digest; Vegetative processes - digestion, absorption, excretion, etc.
Sympathetic is fight and flight; response to environment.

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3
Q

Where do parasympathetic nerve fibres emerge from in the CNS?

A

Cranium (CNIII, CNVII, CNIX, CNX) or Sacrum (S234). Craniosacral.

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4
Q

Where do sympathetic nerve fibres emerge from in the CNS?

A

T1 to L2. Thoracolumbar.

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5
Q

What is meant by a 2 neuron pathway?

A

The autonomic motor pathway (GVE?) is a 2 neuron pathway from the CNS/spinal cord to its target. An initial neuron in the CNS extends its axon into the periphery to synapse with a second neuron in the periphery whose axon travels the remaining distance to its target, the 2 neurons synapsing in a ganglion along the path. The first neuron is a pre-ganglionic neuron and the second neuron after the synapse is the post-ganglionic neuron.
The main difference between the autonomic and somatic pathways is that the autonomic motor pathway is a two neuron pathway and the somatic is a one neuron pathway. A somatic neuron is a single neuron travelling all the way from the CNS/spinal cord to its destination in the periphery.

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6
Q

What is a ganglion in the ANS?

A

A junction box where one neuron synapses (transmits a message) with another neuron.

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7
Q

Where are sympathetic ganglia located?

A

Paravertebral (beside the vertebral column in a Sympathetic chain) or Prevertebral (in front of the vertebral column) on the surface of major blood vessels, also known as Collateral.

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8
Q

Where are parasympathetic ganglia located?

A

In terminal ganglia (aka, intramural ganglia), on the surface of the target organ e.g. bladder, stomach, lungs.

The exceptions are the four paired parasympathetic ganglia of the head and neck; ciliary ganglion, pterygopalatine ganglion, otic ganglion, and submandibular ganglion.

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9
Q

Where is the sympathetic chain?

A

Either side of the spine, on the anterior surface of the transverse process of the vertebra, from C1 to the Coccyx, SCSG to the Ganglion Impar, even though the sympathetic neurons only attach to the spinal cord between T1 and L2.

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10
Q

Where are collateral ganglia located?

A

Groups of ganglia are found in Plexi on the surface of major blood vessels called, and so are also known as Preaortic ganglia.
Cardiac plexus on aortic arch and pulmonary trunk;
Coeliac/Solar plexus on the coeliac trunk of abdominal aorta;
Superior Mesenteric Plexus on the Superior Mesenteric Artery;
Inferior Mesenteric Plexus on the Inferior Mesenteric Artery;
Superior Hypogastric Plexus on bifurcation of the Abdominal Aorta;
Inferior Hypogastric Plexus/Pelvic Plexus on the Internal Iliac Artery.

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11
Q

Where are terminal ganglia located?

A

On the surface of target organs - bladder; lungs; stomach. Synapse on the organ it is targeting.

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12
Q

Do parasympathetic fibres travel with somatic nerves, or separately?

A

With somatic nerves but only a few, CNIII, CNVII, CNIX, CNX, S2, S3, and S4.

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13
Q

Do sympathetic fibres travel with somatic nerves, or separately?

A

There are sympathetic fibres travelling with almost every somatic fibre to every part of the body.
And some sympathetic fibres will travel separately, e.g. thoracic and lumbar splanchnic nerves.

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14
Q

Which peripheral nerves carry parasympathetic fibres?

A

CNIII, CNVII, CNIX, CNX, S2, S3, and S4

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15
Q

Which peripheral nerves carry sympathetic fibres?

A

Nearly all of them!

There are sympathetic fibres travelling with almost every somatic fibre to every part of the body.

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16
Q

Describe the extent of the sympathetic chain?

A

Either side of the spine but only attach to the spinal cord between T1 and L2. Goes up into head via Superior Cervial Sympathetic Ganglion and down to coccyx where sympathetic chain meets at the ganglion impar.

17
Q

Where do sympathetic nerve fibres originate?

A

T1 to L2. Thoracolumbar.

18
Q

Where is the superior cervical sympathetic ganglion?

A

In the neck - C1 to C4

19
Q

Where is the ganglion impar?

A

Where the two sympathetic chains meet at their inferior ends, anterior to the coccyx.

20
Q

Are collateral ganglia sympathetic or parasympathetic?

A

Sympathetic

21
Q

What is the name for an aggregation of sympathetic ganglia?

- name four examples

A
Plexus
Cardiac plexus
Pulmonary plexus
Solar plexus
Superior Hypogastric plexus
Pelvic plexus
page 371
22
Q

Locate the Cardiac Plexus and the Solar Plexus on your partner?

A

The cardiac plexus is just to the left of the sternal angle. The solar plexus is just below the xiphisternum (coeliac) down to belly button (Inf. Messenteric Plexus).

23
Q

What are the specific functions of parasympathetic nerve supply in the?

- eyes
- face
- heart
- digestive system
- genitalia
A

Eyes; Pupil constriction and lens accommodation
Face; increase secretions from the Lacrimal, Nasal, Mucosal, Salivary glands, (sublingual, sub-mandibular, and parotid glands).
Heart; Slows heart rate, Vasoconstriction
Digestive system; Increase peristalsis, sphincter relaxation and digestive secretions
Genitalia; Vasodilation (otherwise known as erection)
ps 371 CSIF

24
Q

What is meant by the fight/flight/fright response? Is it Sympathetic or Parasympathetic?

A

This is summary of the sympathetic response to a percieved threat from the environment. The SNS prepares the body to fight or run in response to a fright.

25
Q

What are the specific functions of sympathetic nerve supply in the:

- eyes
- skin
- somatic muscles
- heart
- lungs
- digestive system
- adrenal glands
A

Eyes; Pupil dilation and superior tarsal muscle/upper eye lid opening, Vasoconstriction.
Skin; Stimulate sweat glands. stimulate pilo erector muscles – raising the hairs on the skin.
Somatic muscles; Vasodilation.
Heart; Increase heart rate, increase heart contractility, vasodilation.
Lungs; Bronchi dilation, vasodilation.
Digestive system; Close sphincters, Vasoconstriction
Adrenal glands; Secrete adrenalin to further stimulate the SNS.

26
Q

What is meant by Dynamic Balance (homeostasis)?

A

The SNS and PNS working in harmony for a healthy person responding appropriately to the environment. E.g. When PsNS is stimulating the digestive function the SNS is working in harmony to close and open sphincters to only allow food to pass thru the GIT when it is ready.

27
Q

Which division of the ANS primarily prepares the body for action?

A

Sympathetic

28
Q

Which division of the ANS primarily builds up resources?

A

Parasympathetic.

29
Q

Why does stress affect the sympathetic nervous system?

A

The SNS treats stress the same way as any other threat physical or otherwise and prepares the body for fight or flight.

30
Q

Why does stimulation of the sympathetic nervous system affect the functioning of the body?

A

It is designed to keep us safe by preparing the body for fight or flight in response to stress from the environment.

31
Q

What physical disturbances could stimulate the sympathetic nervous system?

A

Car accident, Food poisoning, GIT parasites, Back injury, Slipped disk, etc.

32
Q

Identify and locate the spinal origin of the sympathetic supply to:

- the head
- the thoracic viscera
- the abdominal viscera
- the pelvic viscera
A

Head; T1 -T2, Vertebrae prominens is C7 so just below this.
Thoracic viscera; T2 - T6, Between shoulder blades.
Addominal viscera; T6 - T10, Between lower part of shoulder blades and just below.
Pelvic viscera; T10 - L2; in the hollow created by the lumbar lordosis as it transitions to thoracic kyphosis.

33
Q

What vertebral levels would you associate with:

- the eyes									
- the lungs									
- the duodenum								
- the ilio-caecal valve								
- the bladder
A
Eyes; T1, T2
Lungs; T2 - T6
Duodenum; T6 - T11 (The Viscera Handout)
ICV; T10 - T12
Bladder; T10 - L2
pg 393-395
34
Q

What Visceral and Other associations would you associate with the following vertebral levels:

- the thoraco-lumbar junction T12/L1						
- T9										
- T6-10									
- T4
A

T12/L1; Viscera=Pelvic viscera, large intestine. Mechanical=Transition from Thoracic to Lumbar vertebrae including kyphosis to lordosis. So subject to postural stresses and strains.
Emotional=Attachment of the crura of the diaphragm, shallow breathing from stress and emotional holding. Solar plexus emotional centre for shock and SNS overstimulation.

T9; Viscera=abdominal viscera, adrenals. Neurological=Vertebral level most associated with coeliac plexus. Mechanical=Apex of thoracic kyphosis. Emotional=Stress.

T6-T10; Viscera=abdominal viscera. Neurological=Coeliac plexus, Sup mesenteric plexus. Emotional=Stress.

T4; Viscera=heart, lungs, oesophagus, thoracic viscera. Neurological=Cardiac plexus, Pulmonary plexus. Mechanical=root of neck, apex of LJ upper triangle. Apex of LJ lower triangle. This junction attracts strains from above and below. Emotion=Heart Centre. Recognised as T4 sydrome by Physiotherapists.