VSR and Autonomics Flashcards

(58 cards)

1
Q

What vertebral levels are the sympathetic outflow for the head and neck

A

T1 - T4

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

What vertebral levels are the sympathetic outflow for the heart

A

T1 - T5

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

What vertebral levels are the sympathetic outflow for the lungs and upper extremities

A

T2 - T7

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

What vertebral levels are the sympathetic outflow for the esophagus, stomach, duodenum, pancreas, liver, gallbladder, and spleen

A

T5 - T9

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

What vertebral levels are the sympathetic outflow for the adrenals, kidneys, upper ureters, ovaries/testes, jejunum to mid-transverse, colon, and appendix

A

T10 - T11

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

What vertebral levels are the sympathetic outflow for the distal transverse colon, anus, lower ureters, bladder, uterus and cervix/prostate, and lower extremities

A

T12 - L2

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

What vertebral level is the major VSR levels for the heart

A

T3

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

What vertebral level is the major VSR levels for the lungs

A

T2 Left (asthma reflex)

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

What vertebral levels are the major VSR levels for the esophagus

A

T3 - T6

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

What vertebral levels are the major VSR levels for the stomach

A

T5 Left

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

What vertebral level is the major VSR levels for the liver

A

T9 Right

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

What vertebral levels are the major VSR levels for the gallbladder

A

T10 Right

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

What vertebral levels are the major VSR levels for the kidneys

A

T10 - L1

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

What vertebral levels are the major VSR levels for the lower ureters

A

T12 - L1

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

What vertebral levels are the major VSR levels for the bladder

A

T11 - L2

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

What vertebral levels are the major VSR levels for the ureters and cervix/prostate

A

T11 - L2 (cervix/penis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What vertebral levels are the major VSR levels for the lower extremities

A

T10 - T12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the main splanchnic nerves for T5 - T9

A

Greater splanchnic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the main splanchnic nerves for T10 - T11

A

Lesser splanchnic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the main splanchnic nerves for T12 - L2

A

Least splanchnic (T12)
Lumbar splanchnic (L1 - L2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the main ganglion for T1 - T4

A

Superior, medial, and inferior cervical/stellate (sympathetic chain)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the main ganglion for T1 - T5

A

Superior, medial, and inferior cervical/stellate (sympathetic chain)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the main ganglion for T5 - T9

A

Celiac (prevertebral ganglia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the main ganglion for T10 - T11

A

Superior mesenteric (prevertebral ganglia)

25
What are the main ganglion for T12 - L2
Inferior mesenteric (prevertebral ganglia) (Some lesser splanchnic synapse onto IMG as well)
26
What cranial nerves are the parasympathetic outflow for the eye (pupil constriction)
CN III (oculomotor)
27
What cranial nerves are the parasympathetic outflow for the lacrimal and mucus glands of the nasal cavity
CN VII (Facial)
28
What cranial nerves are the parasympathetic outflow for the parotid glands
CN IX (glossopharyngeal)
29
What cranial nerves are the parasympathetic outflow for above the diaphragm and the "upper RUG"
CN X (vagus)
30
What nerves are the parasympathetic outflow for the "lower RUG"
S2 - S4
31
What is the main parasympathetic ganglion for CN III (oculomotor)
Ciliary
32
What is the main parasympathetic ganglion for CN VII (facial)
Pterygopalatine/sphenopalatine Submandibular
33
What is the main parasympathetic ganglion for CN IX (glossopharyngeal)
Otic
34
What is the main parasympathetic ganglion for CN X (vagus)
Intramural ganglion of the innervated organ
35
What is the main parasympathetic ganglion for S2 - S4
Intramural ganglion of the innervated organ
36
What is the "upper RUG"
Reproductive (testes/ovaries) Urinary (proximal ureter) GI (everything to the proximal colon)
37
What is the "lower RUG"
Reproductive (erection of penis/ovaries) Urinary (distal ureter and voiding) GI (distal colon to anus)
38
What is the somatic nerve cell system
One long axon with acetylcholine to muscle
39
What is the PNS nerve cell system
Long preganglionic axon with acetylcholine to short postganglionic axon with acetylcholine to organs
40
What is the SNS nerve cell system
Short preganglionic axon with acetylcholine to long postganglionic axon with norepinephrine to organs
41
What is the SNS sweat gland nerve cell system
Short preganglionic axon with acetylcholine to long postganglionic axon with acetylcholine to sweat glands
42
What is the SNS adrenal gland nerve cell system
Long axon with acetylcholine to adrenal glands to produce epinephrine
43
Pathway of the SNS
T vertebra White rami Sympathetic chain ganglion Splanchnic nerves Plexuses Ganglion Effector organs
44
What are the cervical ganglion
Superior cervical (C2 - C3) Middle cervical (C6) Inferior/*stellate (if fused with thoracic)* (C7 - 1st rib)
45
Function of superior cervical ganglion
Dilate iris, lacrimal glands, salivary glands, erector pili muscles Innervates heart (superior cardiac nerve)
46
Function of middle cervical ganglion
Innervates thyroid, esophagus, trachea, lower neck, arm, posterior cranial arteries Innervates heart (middle cardiac nerve to cardiac plexus)
47
Function of inferior cervical ganglion
Innervates heart, lower neck, arm, radial artery, posterior cranial arteries
48
3 Borders of the GI SNS
T5 - T9 *ligament of Treitz (jejunum)* (celiac ganglia) T10 *(Treitz)* - T11 *(splenic flexure)* (superior mesenteric) T12 *(splenic flexure)*- L2 *(rectum/ genitourinary, and pelvis)* (inferior mesenteric)
49
Pathway of PNS
Craniosacral Vertebrae (vagus or S2 - S4) Vagus or pelvic splanchnic nerves Plexus Organ ganglion Effector organ
50
What splanchnics exit S2 - S4
Sacral (SNS) Pelvic (PNS)
51
Reflexes related to spinal fascilitation
Somatosomatic Viscerosomatic and Chapman points Viscerovisceral Somatovisceral
52
Example of somatosomatic reflex
Hot stove
53
Example of viscerosomatic reflex
Heart pain deferred to arm
54
When might you use dorsal inhibition
To balance autonomics To affect VSRs or visceral pathology
55
When might you use rib raising
To balance the autonomics To affect VSRs or visceral pathology, i.e., an asthma attack
56
When might you use ventral inhibitory release
To affect digestion, absorption, elimination
57
When might you use sacral inhibition
To affect predominately the PNS sacral division To affect pelvic organs
58
When might you use sacral rocking
To affect predominately the PNS sacral division To affect pelvic organs