Peripheral Nervous System: Autonomics Review Flashcards

1
Q

What is an afferent neuron?

A

A sensory neuron with information that arrives at the brain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is an efferent neuron?

A

A motor neuron with information that exits the brain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Anything that is part of the body wall is innervated by which type of nervous system?

A

Somatic nervous system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the 2 part relay system of the visceral motor neuron.

A

The preganglionic cell body in the CNS has an autonomic motor impulse. This impulse moves from the CNS, synapses on the autonomic ganglion and then synapses on the motor tissue, via varying pathways.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Where are the pre- and post-ganglionic cell bodies of the sympathetic nervous system located?

A

Preganglionic: In the CNS at thoracolumbar: T1-L2/L3
Postganglionic: Synapse at every level of the spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the motor targets of the sympathetic nervous system?

A

The internal organs and body wall. The body wall consists of hair follicles, sweat glands, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where are the pre- and post-ganglionic cell bodies of the parasympathetic nervous system located?

A

Preganglionic: In the CNS at craniosacral: CNs III, VII, IX, X; spinal cord S2-S4
Postganglionic: At or very close to target organ or gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the target organs of the parasympathetic nervous system?

A

Internal organs only, including the salivary glands. [nothing in the body wall]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What happens if you sever the spinal cord at a level above T1-T4?

A

The person would develop bradycardia. The cardiopulmonary splanchnic nerve is controlled by the sympathetic system at T1-T4. So, if you sever above this level, the only system working is the parasympathetics, which decrease heart rate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In order to stop a sympathetic response in the body wall, does the parasympathetic nervous system take over?

A

No, there is no parasympathetic target in the body wall. So in order to stop a sympathetic response, the sympathetic system must slow down its activity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the nerves of the parasympathetic system?

A

There are the cranial nerves: CN III, CN VII, CN IX, CN X, and the pelvic splanchnic nerves.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is cranial nerve X and what does the nerve innervate?

A

This is the vagus nerve. It innervates all of the GI tract and upper airway. Specifically, it goes to ganglia in the heart, larynx, trachea, stomach, pancreas, etc. The preganglionic neurons in are also in the torso until 2/3 across the transverse colon where the pelvic splanchnic nerves take over.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which nerves innervate the pelvic viscera, like the reproductive organs and erectile muscles?

A

The pelvic splanchnic nerves.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How many neurons are involved in the pathway of the GSE system? Describe the pathway.

A

There is one neuron involved. It leaves the CNS at the ventral horn through the ventral root –> ventral ramus or dorsal ramus –> many places in the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the 2 part relay system of the GVE: describe the first part and the second part in terms of the general options.

A

The first part is that motor neurons leave the CNS at the lateral horn –> ventral horn –> ventral root –> ventral ramus –> sympathetic chain (sympathetic ganglion via white communicans). In the second part, the neurons can either synapse immediately, ascend or descend via paravertebral ganglia, or use prevertebral ganglia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In the 2 part relay system of the GVE, what is the pathway when the neuron synapses immediately?

A
  1. neuron exits through gray ramus communicans –> ventral ramus again –> synapse at any level of T1-T4 of body wall
  2. Exit via cardiopulmonary splanchnic nerve –> thoracic viscera (heart, lungs, etc. - anywhere T1-T4)
17
Q

In the 2 part relay system of the GVE, what is the pathway when the neuron ascends before synapsing?

A

The neuron leaves the sympathetic chain –> synapse at cervical ganglia –> postsynaptic fibers go to head

18
Q

In the 2 part relay system of the GVE, what is the pathway when the neuron descends before synapsing?

A

The neuron leaves the sympathetic chain –> synapse at lumbosacral ganglia –> postsynaptic fibers to to lower limb

19
Q

In the 2 part relay system of the GVE, what is the pathway when the neuron synapses at prevertebral ganglion.

A

The neuron leaves the sympathetic chain –> exits via splanchnic nerve –> synapse at median pre-aortal/prevertebral ganglia –> postsynaptic fibers go to any organ system of foregut or GI tract

20
Q

What are the ganglia of the foregut or GI tract? Which type of neuron would synapse here?

A

Superior mesenteric ganglion, celiac ganglion, inferior mesenteric ganglion. The postsynaptic sympathetic motor neuron would synapse here.

21
Q

The somatic and visceral (or autonomic) systems are part of which system?

A

They are part of the peripheral nervous system.

22
Q

The sympathetic and parasympathetic systems are part of which system?

A

They are part of the visceral or autonomic nervous system.

23
Q

What is the pathway for the GVA for the head and body wall?

A

Head: Head –> CNS via CN V, the trigeminal nerve.

Body wall: Body wall –> CNS via spinal nerves as part of somatic pathway

24
Q

How does sensory information from thoracic viscera arrive at the CNS?

A

The sensory fibers follow the path of the presynaptic cardiopulmonary splanchnic nerves, eventually going back into the dorsal root, and synapsing on the dorsal horn.

25
Q

How does sensory information from the foregut get to the CNS?

A

The fibers follow the path of the presynaptic splanchnic nerve fibers, do not synapse on the sympathetic chain, and go into the dorsal root, and synapse on the dorsal horn of the appropriate spinal cord segment.

26
Q

Why is pain in the thoraco-abdominal or pelvic area typically dull, or hard to localize?

A

These structures in the body wall cavity do not have certain sensory fibers that are associated with CNs or spinal nerves; instead it is an approximation. So pain is poorly localized and corresponds to the spinal cord level of which the presynaptic sympathetic fibers came from.

27
Q

Why is there so much relay for the sympathetic nervous system leaving the CNS?

A

There is too much information that needs to leave the lateral horn and go to the various parts of the body. There is not enough room for all of the presynaptic fibers at the lateral horn.

28
Q

What is the relay system for motor information going to the head?

A

T1 –> superior cervical ganglion –> many fibers to head

29
Q

What is the relay system for motor information going to the heart and lungs?

A

T1-T4 –> synapse at corresponding cord levels –> many fibers to heart and lungs via cardiopulmonary splanchnic plexus

30
Q

What is the relay system for motor information going to the foregut?

A

T5-T9 –> celiac ganglion –> many fibers to foregut via celiac plexus

31
Q

What is the relay system for motor information going to the body wall?

A

T1-L2 –> synapse at corresponding spinal cord levels –> many fibers to body wall (few fibers will synapse after they ascend or descend)

32
Q

What is angina pectoris?

A

Short term chest pain.