Anatomy - Fellows Flashcards

1
Q

The ANS controls what 3 things?

A

Smooth muscle
Cardiac muscle
Glands

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2
Q

Generally; in the ANS, cell bodies are located where?

A
  1. Preganglionic is in the CNS for both
    - PNS: craniosacral
    - SNS: thoracolumbar T1-L2 spinal segments
  2. Postganglionic outside of the CNS (para or prevertebral) but not on organs for SNS, for PNS they are on organs (terminal)
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3
Q

Nuclei in the brainstem

Associated with vagal nerve

A

Dorsal vagal nuclei

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4
Q

Nuclei in the spinal cord, T1-L2

A

Intermediolateral nuclei

-layers horn

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5
Q

Nuclei in the spinal cord, S2-S4

A

Sacral autonomic nuclei

-lateral horn

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6
Q

Paravertebral SNS ganglia

A
  • Sympathetic trunk ganglia
  • generally lateral to vertebral bodies on the posterior part of the body cavities and on the neck
  • 25 ganglia, 31 spinal nerves
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7
Q

Prevertebral SNS ganglia

A

Named after branches of the ab aorta

-2 celiac, 1 Superior mesenteric, 2 aorticorenal, 1 inferior mesenteric

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8
Q

Motor, efferent pathway

A

Ventral rootlets
Ventral roots
Spinal nerve (trunk)
Dorsal Ramus or Ventral Ramus

  • each Ramus has a gray communication ramus (unmyelinated) , T1-L2 has a white CR (myelinated)
  • S2-S4 has pelvic splanchnic nerve
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9
Q

True or false:

Dorsal rootlets, roots, and ganglion are autonomic structures

A

False

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10
Q

Sympathetic splanchnic nerves we should know

A

Lower thoracic splanchnic nerves

Lumbar splanchnic nerves

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11
Q

Lower thoracic splanchnic nerves and levels

A
Greater splanchnic (T5-T9)
Lesser splanchnic (T10-T11)
Least splanchnic (T12)
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12
Q

Lower thoracic splanchnic nerves innervate ___

A

Abdominal viscera that come from up into the thorax

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13
Q

Lumbar splanchnic nerves innervate

A

Viscera at lumbar levels

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14
Q

T or F:

Abdominal autonomic plexuses contain only postganglionic parasympathetic neurons

A

False:

Preganglionic parasympathetic and sympathetic neurons

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15
Q

Abdominal autonomic plexuses

*mixed sympathetic and parasympathetic

A
  1. Celiac
  2. Superior mesenteric
  3. Intermesenteric
  4. Inferior mesenteric
  5. Superior hypogastric
  6. Inferior hypogastric (actually a pelvic plexus)
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16
Q

Peri-arterial plexuses

  • preganglionic Parasympathetic
  • postganglionic Sympathetic
A

Left and right renal
Left and right colic
Left and right suprarenal
Left and right phrenic

17
Q

Sympathetic trace:

Somatic viscera pathway from brainstem out

A
  • Intermediolateral nucleus
  • ventral rootlets/root
  • spinal n. Trunk
  • ventral ramus
  • white CR
  • sympathetic trunk
  • sympathetic trunk ganglia (synapses)
  • gray CR
  • ventral ramus
  • dorsal ramus (if going to the back)
  • target organ
18
Q

Sympathetic trace:

Cavity viscera pathway from brainstem out

A
  • Intermediolateral nucleus
  • ventral rootlets/root
  • spinal n. Trunk
  • ventral ramus
  • white CR
  • sympathetic trunk
  • sympathetic splanchnic n.
  • abdominal autonomic plexus
  • prevertebral ganglion (synapse)
  • peri-arterial plexus
  • Target organ
19
Q

Sympathetic trace:

Adrenal medulla

A
  • Intermediolateral nucleus
  • ventral rootlets/root
  • spinal n. Trunk
  • ventral ramus
  • white CR
  • sympathetic trunk
  • sympathetic splanchnic n.
  • abdominal autonomic plexus
  • prevertebral ganglion
  • peri-arterial plexus
  • Target organ (synapse)
20
Q

Synapsids occurs where for
Somatic viscera
Cavity viscera
Adrenal medulla

A
  • sympathetic trunk ganglia
  • prevertebral ganglia
  • target organ
21
Q

Parasympathetic trace:
Vagus n.
(Foregut and mid gut)

A
  • dorsal vagal nuclei
  • vagus n.
  • abdominal autonomic plexus
  • prevertebral ganglia
  • peri-arterial plexus
  • terminal plexus (synapse)
22
Q

Parasympathetic trace:
Pelvic splanchnic n.
(Hindgut)

A
  • sacral autonomic nuclei
  • ventral rootlets/root
  • spinal n. Trunk
  • ventral ramus
  • pelvic splanchnic n.
  • pelvic autonomic plexus
  • terminal ganglia (synapse)
23
Q

T or F:

In the pelvic autonomic plexus the nerves do not follow the arteries

A

True

*this is unique

24
Q

GVA (sensory/conscious) pathways

A

Dividing line is halfway through the sigmoid colon

  • Proximal: sympathetic cavity viscera pathway
  • Distal: parasympathetic pathway (pelvic splanchnic n. pathway)
25
Q

GVA (reflex/non-sensory) pathways

A

All parasympathetic pathways

26
Q

When the CNS misinterprets a signal from one location as pain in a different location that is innervates by the same spinal cord level

A

Referred pain