NERVOUS SYSTEM: CENTRAL CONTROL OF AUTONOMIC FUNCTION Flashcards

1
Q

Define: referred pain?

A

pain felt in one location but the source of the pain may be somewhere else.

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2
Q

Describe the general functions of the autonomic nervous system (ANS) and name its two major divisions.

A
  • Controls cardiac and smooth muscles, endocrine glands, GI system
  • sympathetic and parasympathetic
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3
Q

How do the sympathetic and parasympathetic preganglionic cell bodies differ in terms of
- location
- neurotransmitter

A

sympathetic preganglionic cell body
- thoracolumbar spinal cord
- ACh

Parasympathetic preganglionic cell body
- craniosacral
- ACh

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4
Q

How do the sympathetic and parasympathetic postganglionic cell bodies differ in terms of
- location
- neurotransmitter

A

sympathetic postganglionic cell bodies
- close to vertebrae and far from target
- norepinephrine

parasympathetic post ganglionic cell bodies
- near to or within wall of organ target location
- ACh

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5
Q

How do preganglionic efferents and post ganglionic efferents differ?
- Cell type
- fiber dimeter
- conduction velocity

A

pre ganglionic efferents are type B fibers
- fiber diameter is 0.21 - 33 um
- conduction velocity is 3-15 m/s

post ganglionic efferents are type C fibers
- fiber diameter is 0.2-2um
- conduction velocity is 0.5-2m/s

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6
Q

Explain an autonomic sympathetic reflex from the visceral general afferent to the digestive tube

A
  • Visceral general afferents release excitatory neurotransmitters on preganglionic cells concentrated in the lateral horn.
  • Preganglionic fibres exit the spinal cord via ventral root and enter paravertebral ganglia in the same level.
  • Exit spinal cord via ventral root and enter paravertebral ganglia at the same level
    • Some synapse here
    • Some give off collaterals that travel rostrally or caudally
    • Some pass through the ganglia and enter a splanchnic nerve to travel to a prevertebral ganglia. Splanchnic nerves are mixed nerves that innervate the viscera
  • Splanchnic nerve contains both postganglionic fiber and visceral sensory fiber
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7
Q

How do sympathetic reflexes in the autonomic nervous system differ from the somatic nervous system?

A
  • reflexes involve 2 neuron efferent pathway
  • afferents are known as general visceral afferents
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8
Q

Describe what adrenergic receptor type is located at the ciliary muscle and what response sympathetic stimulation elicits

A

a type

pupil dilation (mydriasis); enhancing far vision

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9
Q

Describe what adrenergic receptor type is located at the heart muscle and what response sympathetic stimulation elicits

A

B1

acts on SA node and ventricles increased heart rate, increased contractility

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10
Q

Describe what adrenergic receptor type is located at the stomach and what response sympathetic stimulation elicits

A

a, and B2

decreased motility, sphincter contraction, reduced secretions

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11
Q

Describe what adrenergic receptor type is located at the small intestine and what response sympathetic stimulation elicits

A

a, B2

decreased motility, sphincter contraction, reduced secretions

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12
Q

Describe what adrenergic receptor type is located at the lungs and what response sympathetic stimulation elicits

A

B2

bronchodilation, increased ventilation

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13
Q

Describe what adrenergic receptor type is located at the abdominal arterioles and what response sympathetic stimulation elicits

A

a, B2

constriction and diversion of blood from GI tract to muscles

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14
Q

What are the key differences between parasympathetic reflexes and sympathetic reflexes

A

parasympathetic reflexes
- cell bodies of presynaptic neurons are in cranial nerves III, VII, IX, X and sacral spinal cord S2, S3, S4

  • post synaptic neurons are located in ganglia near or even in wall of target organ
  • not present in smooth muscles of most blood vessels (primarily sympathetic innervation)
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15
Q

Describe what muscarinic receptor type is located at the ciliary muscles and what response parasympathetic stimulation elicits

A

M3
- contraction for near vision

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16
Q

Describe what muscarinic receptor type is located at the salivary and lacrimal glands and what response parasympathetic stimulation elicits

A

M3 - increased secretions

17
Q

Describe what muscarinic receptor type is located at the heart and what response parasympathetic stimulation elicits

A

M2

decreased heart rate and contractility

18
Q

Describe what muscarinic receptor type is located at the stomach and intestine and what response parasympathetic stimulation elicits

A

M1, M2, M3
Increased secretions, increased motility, sphincter relaxation

19
Q

Describe what muscarinic receptor type is located at the lungs and what response parasympathetic stimulation elicits

A

M3
brochoconstriction

20
Q

Describe what muscarinic receptor type is located at the abdominal arterioles and what response parasympathetic stimulation elicits

A

M3
vasodilation

21
Q

Describe what muscarinic receptor type is located at the bladder and what response parasympathetic stimulation elicits

A

M2, M3
sphincter relaxation

22
Q

What are the components of the pathways that control firing of the autonomic nervous system?

A

Spinal reflex arcs, brainstem reflex pathways, and descending controls from the hypothalamus

23
Q

What 3 regions regulate autonomic function

A

hypothalamus, preoptic and septal regions

24
Q

hypothalamus function

A

regulates body temperature, hunger and thirst, mood, sex drive, blood pressure, and sleep

25
How does the heat loss centre of the hypothalamus respond if we are too warm?
decrease in thyroid activity, sweat vasodilation
26
How does the heat conservation centre respond if we are too cold?
shivering, piloerection, increase in thyroid activity
27
Describe the location of the heat loss centre and what a lesion to these areas would cause
- preoptic center and anterior hypothalamus - prevent sweating and cutaneous vasodilation - leads to hyperthermia
28
Describe the location of the heat conservation centre and what a lesion to these areas would cause
- posterior hypothalamus - hypothermia
29
What happens in the hypothalamus when blood glucose levels drops?
glucoreceptors activate
30
What happens if there is damage to the lateral hypothalamus?
aphagia (suppressed food intake - inability to swallow) can cause starvation and death
31
What happens if there is damage to the ventromedial area of the hypothalamus
it is the satiety centre. results in hyperphagia (insatiable appetite), can lead to obesity
32
What causes syphilis
bacteria called treponema pallidum
33
Describe the primary, secondary, tertiary stages of syphilis
primary (days-weeks): single sore (chancre) secondary (months): body, hands, feet, rash tertiary (years-decades): neurological, cardiovascular, gummas, Argyll Robertson Pupil
34
Define: gummas
soft swelling of brain, liver, testes, heart
35
Define: Argyll Robertson Pupil
Pupil does not react to light but accommodation reflex is still normal; Due to damage of the optic nerves in the pretectal area by bacteria
36
define: micturition
the act of urination
37
Describe the micturition reflex including the neurotransmitters, receptors, and intracellular signalling pathway
- Involves spinal reflex and descending input from a supraspinal centre - sympathetic input: norepinephrine is released onto B adrenergic receptors of detrusor resulting in inhibition and on a adrenergic receptors on internal sphincter resulting in activation - detrusor muscle contracts during urination to push urine out of bladder - the external sphincter which is controlled voluntarily (somatic innervation - pudendal nerve), contracts to pee - parasympathetic input originating from sacral nerve 1, 2, 3: ACh releases onto muscarinic receptors on urinary bladder and internal sphincter. results in urinary bladder contracting and internal sphincter relaxing