Final- Sympathetics Quiz Flashcards

(50 cards)

1
Q

Where are the cell bodies of preganglionic sympathetic located

A

T1-L2 or L3 in the lateral horn

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2
Q

Where do sympathetic neurons exit the cord

A

Anterior rootlets, following the anterior primary rami

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3
Q

How do the rootless exit?

A

Enter the sympathetic trunk via the white ramus communicans

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4
Q

Where do most of the preganglionic sympathetics synapse?

A

Synapse on the postganglionic cells in the ganglia of the sympathetic trunk

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5
Q

What do the other preganglionic sympathetics go if dont synapse in the sympathetic trunk

A

Pass through the sympathetic trunk to be carried in the splanchinic nerves to synapse in prevertebral plexuses associated with the abdomicnopelvic viscera

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6
Q

Preganglionic sympathetics release

A

ACH

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7
Q

What is the sympathetic trunks made of

A

Two paravertebral columns of interconnected ganglia

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8
Q

What kind of fibers does the sympathetic trunk carry

A

Ascending and descending fibers

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9
Q

The sympathetic trunk goes from

A

Superior cervical ganglion inferior to the ganglion impar

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10
Q

The sympathetic trunk only unites

A

Inferiorly

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11
Q

how many ganglia are in the sympathetic trunk

A

21 or 22. Normally 21 because two ganglia fuse to form a stellate ganglia

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12
Q

How are the ganglia broken up

A

Cervical-3
Thoracic-11
Lumbar-4
Sacral-4

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13
Q

What two ganglia normally make up the stellate ganglia

A

Lower cervical and upper thoracic

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14
Q

Where is the trunk located in the cervical area? In the thoracic area? Lumbar and lower thoracic areas

A

Cervical- posterior to carotid shealth
Thoracic- anterior to the necks of ribs
Lumbar- resting on lateral aspect of vertebral bodies
Sacrum- anterior aspect, joining at level of coccyx

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15
Q

Where does the cervical sympathetic trunk located

A

Lies between carotid shealth and the longus colli and capitis muscles on the PREVERTEBRAL FASCIA

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16
Q

Does the cervical trunk have white rami communicans

A

NO

But gray rami communicans to each cervical nerve

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17
Q

What are the three cervical ganglia

A

Superior, middle, INferior

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18
Q

What two ganglia form the stellate ganglia

A

Inferior cervical and first thoracic ganglion fuse

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19
Q

What is the largest cervical ganglia

A

The superior, formed by the union of the upper four cervical ganglia

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20
Q

Where is the superior cervical ganglia located

A

level of C2-C3, between carotid shealth and longus capitis

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21
Q

Where are the postganglionic fibers are distributed in the superior cervical ganglia

A

Anterior, medial, lateral branches

22
Q

Where do the lateral branches in the superior cervical ganglia go

A

Are the gray rami communicans, communicate with anterior primary rami of C1-C4 as well as CN 9,10,12

23
Q

Where do medial branches of superior cervical ganglia go

A

To the larynx, pharynx, and heart.

24
Q

What branches are to the heart via the superior cervical ganglia

A

Superior cardiac nerves, carry EFFERENT info only

25
The anterior branches of superior cervical ganglia follow what and supply what
External carotid arteries, and innervate vessels that supply blood to structures inside and outside the skull
26
What is the smallest cervical ganglia
The middle Located at level C6
27
The middle cervical ganglia communicates with what via what
Anterior primary rami of C5,C6 via gray rami communicans
28
How does the thyroid and parathyroid gland innervated
Via the middle cervical ganglia, it is the primary vasomotor
29
What makes up the middle cardiac nerves
Branches from the middle cervical ganglion, contribute to the deep part of the cardiac plexus
30
What ganglia lies at level C7
Inferior cervical ganglia
31
What communicates with anterior primary rami of C7,C8 also T1 is fused forms stellate via what
Inferior cervical ganglia, via gray rami communicans
32
How does the inferior cervical ganglia communicate with the heart
Via inferior cardiac nerves
33
What forms branches around the subclavian, axillary, and vertebral arteries
Inferior cervical ganglia
34
What types of communicans does the thoracic sympathetic trunk have
Gray and white rami communicans
35
Where are the ganglia located in the superior thorax, and the lower ganglia
Superior- anterior to rib heads | Lower thorax- lateral aspects of vertebral bodies
36
What supply the structures of the thoracic cavity
Upper 5 ganglia, travel medial Carry postganglionic fibers and visceral afferents
37
What nerves are associated with the lower seven thoracic ganglia
Three splanchnic nerves
38
What fibers does the lower 7 thoracic ganglia give
Preganglionic fibers to plexuses in the abdominal and pelvic cavities, also carry visceral afferent info
39
What forms the greater splanchnic nerve
The fifth through ninth ganglia and terminates in the celiac ganglion
40
Where does the greater splanchnic nerve terminate
The celiac ganglion
41
The lesser splanchnic nerve is formed by what fibers
9-10 or 10-11,
42
Where does the lesser splanchnic nerve terminate
Aorticorenal ganglion
43
What is the least splanchnic nerve formed by
Fibers from 12 ganglia
44
Where does the least splanchnic nerve terminate
The renal plexus
45
Where do the lumbar sympathetic trunks lie
In the retroperitoneal space on the lateral aspects of the lumbar vertebral bodies
46
Which lumbars have white rami communicans
1,2 and sometimes 3 Carrying preganglionic axons into the sympathetic trunk
47
Do all five lumbar nerves have gray rami communicans
YES but not all have white rami communicans
48
What supplies the plexus around the abdominal aorta
2-4 lumbar splanchnic nerves carrying preganglionic axons
49
Where is the sacral sympathetic trunk and ganglia located
Lie on anterior aspect of sacrum, medial to the anterior sacral foramina
50
Are grey rami communicans associated with each sacral and coccygeal nerve
YES