Physiology Quiz 5 (1/2) (Autonomic Nervous System) Flashcards

(52 cards)

0
Q

What is the Autonomic nervous system?

A

Efferent outflow controlled by higher centers in the CNS as well as by spinal reflexes

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1
Q

The autonomic nervous system is a subsection of what system?

A

CNS

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2
Q

Every one of the efferent pathways of the ANS is comprised of what two neurons?

A

Preganglionic

Postganglionic

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3
Q

Thoracolumbar outflow

A

Sympathetic division of of efferent outflow from spinal cord

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4
Q

Sympathetic preganglionic fibers are (long/short)

A

Short

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5
Q

Sympathetic postganglionic fibers are (long/short)

A

Long

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6
Q

Craniosacral outflow

A

Parasympathetic division of efferent pathways from spinal cord

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7
Q

Where do preganglionic fibers originate in parasympathetic nervous system?

A

Brain

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8
Q

The preganglionic fibers in the parasympathetic nervous system are (short/long)

A

Long

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9
Q

The postganglionic fibers in the parasympathetic nervous system are (short/long)

A

Short

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10
Q

In the sympathetic system, how many postganglionic fibers are innervated by a single preganglionic fiber?

A

11-15

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11
Q

In the parasympathetic system, how many postganglionics are innervated by a single preganglionic?

A

1-3

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12
Q

Divergence

A

The way a single sympathetic preganglionic fiber innervates 11-15 postganglionic fibers

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13
Q

Point to point control

A

The way a single parasympathetic preganglionic fiber innervates 1-3 postganglionics; lack of divergence

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14
Q

What is the neurotransmitter at the preganglionic to post ganglionic synapse in both divisions of the ANS

A

Acetylcholine

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15
Q

What is the receptor type at the preganglionic to postganglionic post synaptic membrane in both divisions of the ANS

A

Nicotinic cholinergic

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16
Q

Neurotransmitter at the postganglionic to end organ synapse in the parasympathetic nervous system

A

Acetylcholine

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17
Q

Receptor on the postganglionic post synaptic membrane to end organ in parasympathetic

A

Muscarinic cholinergic

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18
Q

Neurotransmitter at the postganglionic to end organ synapse in the sympathetic nervous system

A

Norepinephrine

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19
Q

Catecholamines

A
Class of compounds produced from tyrosine
Eg:
Norepinephrine
Epinephrine
dopamine
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20
Q

Adrenergic receptors

A

Type of post synaptic receptors for sympathetic system

21
Q

General classes of adrenergic receptors

A

Beta (beta 1and beta 2)

Alpha (alpha 1 and alpha 2)

22
Q

Where are beta 1 receptors found

A

Surface of cardiac cells and JGA in kidney

23
Q

Beta 1 receptors are (excitatory/inhibitory)

24
What happens when beta 1 receptors are stimulated?
Increase heart rate Increase inotropic state ...therefore increases demand for oxygen
25
Inotropic state
Contractile force of muscle
26
Are beta 1 receptors innervated?
Yes
27
Where are beta 2 receptors found?
Everywhere beta 1 receptors are not found
28
Beta 2 receptors are (excitatory/inhibitory)
Usually inhibitory
29
Are beta 2 receptors innervated?
They may or may not be innervated
30
Myocardial infarction
Inability of system to supply enough oxygen to cardiac tissue
31
Effects of cocaine
Increases heart rate Increases inotropic state Increases catecholamines Therefore: increases oxygen demand, can cause myocardial infarction
32
Where are alpha 1 receptors found?
Everywhere
33
Alpha 1 receptors are (excitatory/inhibitory)
Usually excitatory
34
Where are alpha 2 receptors found?
Only on the presynaptic membrane of the sympathetic postganglionic fibers
35
Alpha 2 receptors are (excitatory/inhibitory)
Inhibitory
36
At all synapses in the parasympathetic system, what is activity terminated by?
Activity of cholinesterases and acetylcholinesterases
37
JGA
Stands for juxtaglomerular apparatus Found in kidney Chain of reactions with this results in increased blood pressure
38
What do alpha 2 receptors do?
Inhibits release of norepinephrine (does not completely shut down) at presynaptic membrane to prevent overstimulation of synapse
39
COMT
Enzyme that breaks down catecholamines
40
Where is COMT found?
Postsynaptic sympathetic membrane and in extracellular fluid
41
Two things that can happen to norepinephrine as it diffuses across the sympathetic synapse
COMT or Attach to receptor on postsynaptic membrane
42
Three things that can happen to norepinephrine after it releases from receptor
Attach to another receptor Encounter COMT undergo active transport into nerve terminal
43
What can happen to norepinephrine that is actively transported back into the cell?
1. Can be repackaged and used again | 2. Encounter MAO
44
MAO
Monoamine oxidase | Chemically alters catecholamines so they are no longer active (breaks down)
45
What does cocaine do at the synapse
Inhibits active reuptake of norepinephrine at synaptic nerve terminals; increases stimulation at synapse
46
Clinical use of cocaine
In ophthalmology to dilate pupils
47
Norepinephrine effect on CNS
Elevates mood
48
MAO inhibitors
``` Drug class of depression meds Increases norepinephrine in brain ```
49
How pain activates sympathetic response
Pain fibers converge with sympathetic fibers in spinal cord
50
Spastic bladder
The stretch receptors in bladder wall advise higher centers of need to urinate. When there is damage to spinal cord, you lose this ability and you lose the ability to relax urinary sphincter. "Holding it" can cause increased heart rate, blood pressure, nausea, sweating, headache due to this pathway stimulating sympathetic nervous system. This is an emergency situation
51
Intermediolateral column
Little bulge off of dorsal horn where nerve cell bodies for sympathetic preganglionic are found (T1-L3) Where pain fibers stimulate sympathetic system