The Autonomic Nervous System Flashcards

(37 cards)

1
Q

What are the 5 regions of the brain stem/spinal cord, starting superiorly?

A
Medullary
Cranial
Thoracic
Lumbar
Sacral
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2
Q

Which region of the spinal cord do sympathetic nerve fibres stem from?

A

Thoracic region

Lumbar region

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3
Q

What part of the spinal cord do parasympathetic nerve fibres stem from?

A

Medullary

Sacral

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4
Q

Where is the vagus nerve found? What does it control?

A

In the medullary region

Controls heart rate

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5
Q

Where are parasympathetic ganglia located?

A

In the innervated tissues

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6
Q

Where are sympathetic ganglia located?

A

In the paravertebral chain, near the spinal cord

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7
Q

What are the structures of the preganglionic and postganglionic parasympathetic nerve fibres?

A
Preganglionic = long myelinated
Postganglionic = short unmyelinated
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8
Q

What are the structures of the preganglionic and postganglionic nerve fibres in the sympathetic nervous system?

A
Preganglionic = short myelinated
Postganglionic = long unmyelinated
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9
Q

What are the primary neurotransmitters of the ANS?

A

ACh

NA

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10
Q

All preganglionic neurones in the ANS use which neurotransmitter?

A

ACh (cholinergic)

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11
Q

What receptors does ACh work on at preganglionic neurone synapses?

A

Nicotinic ACh receptors

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12
Q

What types of receptors are nicotinic ACh receptors?

A

Ligand gated ion channels

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13
Q

What neurotransmitter and receptors are found at postganglionic parasympathetic neurones?

A

Acetylcholine

Muscarinic ACh receptors

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14
Q

What are the subtypes of muscarinic ACh receptors? What type of receptor is it?

A

m1 to m5

GPCR

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15
Q

What neurotransmitter and receptors are found at postganglionic sympathetic neurones?

A

Noradrenaline

Adrenoceptors

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16
Q

What subtypes of adrenoceptors exist? What type of receptor is it?

A

A1,a2, b1, b2, b3

GPCRs

17
Q

Are all sympathetic postganglionic neurones adrenergic?

A

No some are cholinergic

E.g. Those innervating sweat glands, hair follicles

18
Q

What other neurotransmitters are found in the ANS?

A

NANC transmitters such as NO and ATP are found in the ANS

Usually correlated with ACh or NA

19
Q

What do chromaffin cells release?

20
Q

What results in the release of neurotransmitter at synapses?

A

Depolarisation dependent influx of calcium ions

21
Q

How is ACh synthesised? Which enzyme catalyses the reaction?

A

Acetyl coA + choline —-> Acetycholine + coenzyme A

Choline acetyltransferase

22
Q

How is acetylcholine degraded? Which enzyme catalyses this reaction?

A

Acetylcholine —-> choline + acetate

Acetylcholinesterase

23
Q

What is trimethaphan used for?

A

Used in hypertensive emergencies and in surgery to block nAChRs

24
Q

What is tolterodine?

A

A m3 antagonist –> used to treat an overactive bladder

25
Give an example of an acetylcholinesterase inhibitor?
Donepezil to treat Alzheimer's disease
26
What is SLUDGE a mnemonic for?
The effects of massive discharge of the parasympathetic nervous system - chronic over stimulation of mAChRs
27
What does SLUDGE stand for?
``` Salivation Lacrimation Urination Defecation GI upset Emesis ```
28
What is lacrimation and emesis?
Tearing Vomiting
29
When is SLUDGE encountered?
When there has been; Drug overdose Magic mushroom ingestion Nerve gases Exposure to insecticides
30
What is the treatment for SLUDGE?
Atropine Pralidoxime Both anti-cholinergic agents
31
Give an example of mAChR agonists and what they are used to treat?
Pilocarpine - treat glaucoma Bethanecol - stimulate bladder emptying
32
Give an example of mAChR antagonists and what they are used to treat?
Ipratropium - asthma and COPD Tolterodine - overactive bladder
33
What is the structure of post ganglionic sympathetic neurones?
They are highly branched and consist of bulges called varicosities where NA can be released
34
How is NA synthesised? Which enzymes are used?
Tyrosine --> DOPA ---> Dopamine---> NA 1) tyrosine hydroxylase 2) dopa decarboxylase 3) dopamine b-hydroxylase
35
What happens following calcium-dependent release of NA?
NA diffuses across the synaptic cleft Binds with postsynaptic adrenoceptors initiating the signal Binds with presynaptic adrenoceptors regulating NA release
36
How is NA degraded in the synaptic cleft?
Removed by NA transporter proteins 1) removed by high affinity Na+ dependent transporter 2) remaining NA removed by low affinity neuronal mechanism
37
In the presynaptic terminal, NA not packaged into vesicles is removed by... (2)
Monoamine oxidase | Catechol-O-methyltransferase