Lecture 19: Autonomic Nervous System Flashcards

(60 cards)

1
Q

What can the ANS control in general?

A

Visceral function rapidly and intensely

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2
Q

The ANS pathways typically consists of what two neurons in sequence?

A

Preganglionic neuron and postganglionic neuron

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3
Q

Describe preganglionic neurons

A

Cell bodies are located within CNS
Axons are myelinated
Neurotransmitter is ACH

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4
Q

Describe postganglionic neuron

A

Cell bodies are located in peripheral ganglia
Axons unmyelinated
Neurotransmitter is ACH (parasym) or norepinephrine (symp)

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5
Q

How does the ANS generally transmit its effector functions to the organs they innervate?

A

Its like a cloud of neurotransmitters released to the general area. Dont form complex releationships with effector structures.
Most parasympathetic and almost all sympathetic postganglionic fibers merely touch or pass near to the effector cells. Terminal ends of these fibers usually have enlarged varicosities where neurotransmitter and large numbers of mitochondria are stored.

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6
Q

Where does the cell body of each sympathetic preganglionic neuron lie?

A

In the intermediolateral horn of the spinal cord

Thoracolumbar (T1-L2)

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7
Q

(sympathetics) Preganglionic fibers can synapse with postganglionic neurons upward or downward in what?

A

The paravertebral chain

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8
Q

Preganglionic fibers can pass for variable distances through the paravertebral chain and then through one of the sympathetic nerves to synapse where?

A

in the peripheral sympathetic ganglion

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9
Q

Describe postganglionic sympathetic fibers

A

Pass through the gray rami
Type C fibers
Make up about 8% of the fibers in the average nerve
Control blood vessels, sweat glands, piloerector muscles

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10
Q

Describe secretory cells of the adrenal medulla

A

They are modified postganglionic neurons that have rudimentary fibers that secrete epinephrine and norepinephrine

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11
Q

What stimulates the adrenal medullae?

A

sympathetic system

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12
Q

How much epinephrine and norepinephrine do the adrenal medullae secrete?

A

80% epinephrine

20% norepinephrine

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13
Q

Do hormones or neurotransmitters last longer?

A

Hormones last 5-10 times longer

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14
Q

What does circulating norepinephrine do?

A

Constricts most of the blood vessels of the body
Greater effect on raising arterial pressure
Increases heart activity
Inhibits GI tract
Dilates pupil

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15
Q

What effect does circulating epinephrine have on the body?

A

Raises arterial pressure to a lesser extent than norepinephrine
Increases cardiac output MORE than norepinephrine
has a 5-10 times as great effect on metabolism as norepinephrine
Can increase metabolic rate of whole body by as much as 100% above normal

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16
Q

What occurs during a fright or flight response?

A
Increased arterial pressure
Rerouting of blood flow to active muscles
Increased rates in cellular metabolism
Increased blood glucose concentration
Increased glycolysis in liver and muscle
Increased muscle strength 
Increased mental activity 
Increased blood coagulation rate
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17
Q

About 75% of all parasympathetic fibers are in what?

A

The vagus nerve

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18
Q

Most parasympathetic preganglionic fibers pass all the way to what?

A

To the organ that is to be innervated

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19
Q

Describe postganglionic parasympathetic fibers

A

Located in the wall of the organ

Use Ach as their neurotransmitter

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20
Q

How is acetylcholine made?

A

Acetyl-CoA + Choline -> acetylcholine

choline acetyl-transferase

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21
Q

How is acetylcholine broken down?

A

By acetylcholinesterase

Breaks down into choline + acetate ion

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22
Q

How is norepinephrine synthesized?

A

Hydroxylation of tyrosine to dopa
Decarboxylation of dopa to dopamine
Transport of dopamine into vesicles
Hydroxylation of dopamine to norepinephrine

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23
Q

How does 80% of norepinephrine in the adrenal medulla form epinephrine?

A

It is methylated to form epinephrine

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24
Q

How is norepinephrine removed?

A

Reuptake
Diffusion
Destruction by monamine oxidase (found in nerve endings)
Destruction by catechol-O-methyl transferase (present in all tissues) COMT

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25
How long does norepinephrine/epinephrine active when secreted directly into the tissues?
For only a few seconds
26
How long does norepinephrine/epinephrine active when secreted into the blood via the adrenal medulla?
It remains active until destroyed by COMT in surrounding tissues, especially liver
27
What is muscarinic?
acetylcholine receptors are found on all effector cells stimulated by postganglionic cholinergic neurons
28
Where are nicotinic receptors found?
Acetylcholine receptors found in autonomic ganglia at synapses between preganglionic and postganglionic neurons Present in neuromuscular junctions in skeletal muscels
29
Norepinephrine excites mainly what type of receptors?
Mainly alpha receptors but also beta receptors to a lesser extent
30
Epinephrine excites what types of receptors?
Both alpha and beta equally
31
Are alpha receptors excitatory?
Cetain alpha receptors are excitatory; others inhibitory
32
Alpha receptors are associated with what functions?
``` Vasoconstriction Iris dilation Intestinal relaxation Intestinal sphincter contraction Pilomotor contraction Bladder sphincter contraction Inhibition of neurotransmitter release ```
33
What are beta 1 adrenergic receptors associated with?
Cardioacceleration Increased myocardial strength Lipolysis
34
What are beta 2 adrenergic receptors associated with?
``` Vasodilation INtestinal relaxation Uterus relaxation Bronchodilation Calorigenesis Glycogenolysis Bladder wall relaxation ```
35
What are nicotinic receptors?
``` Cholinergic receptors (acetylcholine receptors) that respond to both ACh and nicotine They are ionotropic receptors - or - ligand-gated ion channels ```
36
What are muscarinic acetylcholine receptors?
Responsive to ACh and muscarine | Metabotropic receptors or G protein-coupled receptors
37
What are beta3 adrenergic receptors associated with?
thermogenesis
38
Phenylephrine drug effects what receptor?
Alpha
39
Isoproterenol drug effects what receptor?
beta receptors
40
Albuterol drug effects what receptor?
beta2
41
What is ephedrine used for
Sympathomimetic amine Used as a stimulant, concentration aid, decongestant, appetite suppressant, and to treat hypotension associated with anaesthesia
42
What is tyramine?
Acts as a catecholamine releasing agent
43
What is amphetamine
Potent CNS stimulant used in the treatment of attention deficit hyperactivity disorder and narcolepsy
44
What does reserpine do?
Blocks synthesis and storage of norepinephrine
45
What does guanethidine do?
Blocks release of norepinephrine
46
What does phenoxybenzamine/phentolamine do?
Blocks sympathetic alpha receptors
47
What does propranolol do?
Blocks sympathetic beta1 and beta2 receptors
48
What does metoprolol do?
Blocks mostly sympathetic beta1 receptors
49
What does hexamethonium do?
Blocks transmission through autonomic ganglia
50
Describe parasympathomimetic drugs
Not rapidly destroyed by cholinesterase Include pilocarpine and methacholine Act directly on muscarinic receptors
51
What are some drugs that inhibit acetylchoninesterase?
Neostimmine Pyridostigmine Ambenonium
52
What are some drugs that block cholinergic activity?
Atropine Homatropine Scopolamine
53
What effects does the ANShave on eyes?
Sym: pupil dilation Para: pupil constriction; lens focusing
54
What effects does Sympathetics have on glands?
Causes secretion of large amounts of sweat: Cholinergic except hands and feet Actually a parasympathetic function distributed via sympathetic fibers
55
What effects does parasympathetics have on glands?
Strongly stimulates lacrimal, nasal, salivary and many GI glands Strongly stimulates GI glands of upper tract
56
What effects does sympathetics have on GI tract?
Strong stimulation inhibits peristalsis | GI tract is normally not dependent on sympathetic stimulation
57
What effects does parasympathetics have on GI tract?
Promotes peristalsis | Relaxes sphincters
58
What effects does parasympathetics have on blood vessels?
Almost no effect
59
What effect does ANS stimulation have on arterial pressure?
Sym: results in acute increase in arterial pressure but little effect long term Para: decreases pumping of heart but little effect on blood pressure
60
Describe ANS effects on endodermal structures
Sym: inhibits Para: excites