autonomic nervous system Flashcards

(26 cards)

1
Q

autonomic pregangilionic neurons are

A

myelinated

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2
Q

post ganglionic neurons in autonomic system are

A

unmyelinated

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3
Q

SNS innervagion is from

A

T1-L2: thoracolumbar cell bodies

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4
Q

parasympathetic innervation is

A

craniosacral: cranial nerve nuclei and sacral region of the spinal cord

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5
Q

no PNS trunk instead—

A

its ganglia all exist in the periphery, close to the organs they innervate

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6
Q

PNS does not go to

A

uterus, cardiac muscle, uterus, sweat glands and goosebumps skeletal muscle and only a few BV

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7
Q

sympathetic preganglionic fibers

A

NT: acetylcholine
receptor: cholinergic

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8
Q

sympathetic postganglionic

A

NT: norepinephrine
Receptor: adrenergic

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9
Q

parasympatethic pre and post ganglionic

A

NT: acetylcholine
receptor: adrenergic

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10
Q

___ is a modified sympathetic ganglion

A

adrenal medulla

hit by ACH pumps out E, NE into blood

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11
Q

a-adrenergic receptors

A

a1: excitiation : squeeze things, BV, urethral sphincter
a2: relaxation/ inhibition

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12
Q

b-adrenergic receptors

A

B1: increase HR and contracitility, renin release
B2: facilitates all the rest: relaxes muscles of bronchi and bladder
B3: mediates lipolysis and thermogeneisi

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13
Q

nicotinic receptors

A

PNS
all ACH receptors on postganglionic cells are nicotinic
all at NMJ

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14
Q

muscarinic locations

A

cardiac, exocrine glands, CNS, GI and smooth muscle

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15
Q

MSG is a ___ dz

A

nicotinic receptor dz

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16
Q

how treat MSG?

A

neostigmine: ACHE inhibitor
steroids
plasmaphoresis

17
Q

most common location for primary spinal cord injury

18
Q

primary spinal injury

A

crush, torsion, severing

19
Q

Secondary spinal cord injury

A

swelling, delayed tissue destruction

20
Q

spinal cord swelling in __ region = life threatening

A

cervical spinal region

21
Q

spinal shock

A

complete loss of reflex function, flaccid paralysis, sensory deficit and loss of bladder and rectal control in all segments below the level of the lesion

22
Q

complications of spinal shock

A

poor venous circulation

23
Q

excitotoxicity

A

when damage to CNS release glutamate and aspartate which leads to cellular damage - depends on many factors

24
Q

neurogenic shock

A

due to loss of sympathetic outflow - presynaptic neurons cannot get to SNS truknk

occurs with cervical or upper thoracic spinal cord injury

25
autonomic dysfunction
occurs with lesions above T7 | sudden massive reflex SNS discharge with no opposing PSNS
26
sx seen with autonomic dysfucntion
HTN up to 300 mg brady cardia pounding HA, blurred vision, sweating above the lesion with flushing of the skin, piloerection