15. Autonomic Nervous System Flashcards

1
Q

What does the ANS do?

A

Controls all involuntary functions
E.g. heart rate, blood pressure, GI motility, iris diameter
Entirely efferent but is regulated by afferent inputs

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2
Q

What are the anatomical divisions of the brain stem and spinal cord?

A
Medullary
Cranial
Thoracic
Lumbar
Sacral
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3
Q

Which divisions control the parasympathetic nervous system?

A

Medullary and sacral

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4
Q

Describe parasympathetic nerves

A

Originate in lateral horn of medulla and sacral spinal cord
Have long myelinated postganglionic fibres
Have short unmyelinated postganglionic fibres
Ganglia are located within innervated tissues
Have actions that oppose sympathetic nervous system

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5
Q

Describe sympathetic nerves

A

Originate in lateral horn of lumbar and thoracic spinal cord
Have short myelinated preganglionic fibres
Have long unmyelinated postganglionic fibres
Ganglia are located in paravertebral chain close to spinal cord
Have actions that oppose the parasympathetic nervous system

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6
Q

What are the principal neurotransmitters in the ANS?

A

Acetylcholine

Noradrenaline

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7
Q

Which neurotransmitter is used in pre-ganglionic neurons?

A

ACh

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8
Q

Which neurotransmitter is used in parasympathetic post-ganglion is neurons?

A

ACh - acts on muscarinic ACh receptors in target tissue

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9
Q

What type of receptors are mACh receptors?

A

G-protein coupled receptors

M1, M2, M3, M4, M5

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10
Q

What is the neurotransmitter of most sympathetic post-ganglionic neurons?

A

Noradrenaline

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11
Q

What neurotransmitter do some specialised sympathetic post-ganglionic neurons use?
E.g. sweat glands, hair follicles

A

ACh (not noradrenaline like others)

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12
Q

What is the third division of the ANS?

A

Enteric nervous system - controls GI system

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13
Q

How are sympathetic postganglionic neurons in the adrenal glands different?

A

They differentiate to form neurosecretory chromaffin cells

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14
Q

What are chromaffin cells?

A

Can be considered as postganglionic sympathetic neurons that do not project to a target tissue
They release adrenaline into the blood stream
Present in adrenal medulla

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15
Q

What is the M2 ACh receptor function?

A

Bradycardia - SAN

Reduced cardiac conduction velocity - AVN

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16
Q

What is the M3 receptor function?

A

Bronchial contraction - lungs
Increased intestinal mobility/secretion - GI tract
Bladder contraction and relaxation - GU tract

17
Q

What is NO (nitrous oxide) generation function?

A

Penile erection - GU tract

Ciliary muscles and iris sphincter contraction - eye

18
Q

What is the M1/M3 receptor function?

A

Increased sweat/salivary/lacrimal secretion

19
Q

What is the beta-1 receptor function?

A

Tachycardia - SA node

Positive inotropy - ventricles

20
Q

What is the alpha-1 an beta-2 receptor function?

A

Arteriolar/venous contraction - vasculature

21
Q

What is the beta-2 receptor function?

A

Bronchiole/intestinal/uterine relaxation

Bladder sphincter contraction

22
Q

What is the alpha-2 receptor function?

A

Radial muscle contraction - eye
Increased secretion in salivary gland
Renin release in kidney