ANS Flashcards

1
Q

What are catacholamines

A

Class of agents secreted in response to stress that include epinephrine nor epinephrine and dopamine involved in neurotransmission

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2
Q

What is the sequence of events for elevated blood pressure through the ANS system

A
  1. Visceral sensory output is elevated BP causing excessive stretching to baroreceptors. 2. The stretch receptor signal is transmitted via the sensory division to the CNS where information is processed. 3. A response is effected through motor division of the peripheral NS Ari the ANS and then to the arteries veins and heart to regulate BP
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3
Q

What pathway does ANS follow for organ innervation

A

The ANS nerve fibers leave the spinal cord to meet a ganglion where they will synapse with a second nerve fiber

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4
Q

SNS pre ganglion’s fibers are relatively _____ as most ganglia are in the paravertebral region and the post ganglion fibers are _____ by comparison

A

Short and long

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5
Q

Which organs are innervated by both SNS and PNS

A

Urinary bladder and heart

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6
Q

In the SNS system which part of the fiber actually innervates the target organ or tissue

A

The postganglionic fibers

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7
Q

What are the different terms for the SNS and the PNS?

A

SNS is fight flight or fright or the adrenaline rush response and PNS is rest and digest or repair and renew

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8
Q

What is a adrenergic nerve ending?

A

A nerve ending that releases nor epinephrine as the primary neurotransmitter, this term is also used for a synapse in which norepinephrine is the primary transmitter

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9
Q

What is an adrenergic receptor?

A

A receptor that binds and is activated by one of the adrenergic transmitters nor epinephrine, epinephrine or dopamine also called an adrenoreceptor

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10
Q

What are autonomic effector cells/tissues

A

Cells or tissues that have adrenoreceptors or cholioceptors like smooth muscle, cardiac muscle and glands

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11
Q

What is the baroreceptor reflex?

A

The homeostatic mechanism that maintains a constant arterial blood pressure there are also low pressure venous pressure receptors

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12
Q

What is a cholinergic receptor?

A

A receptor that binds and is activated by acetylcholine

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13
Q

What is a cholinergic ending?

A

A nerve ending that releases acetylcholine this term also used for a synapse in which acetylcholine is primary transmitter

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14
Q

What is a dopaminergic nerve ending?

A

A nerve ending that releases dopamine as the primary neurotransmitter

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15
Q

What are ganglion?

A

The location where terminals from the first neuron make contact with cell bodies and extensions of the second neuron. these synapses are located in the ganglia

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16
Q

What is the parasympathetic nervous system?

A

The part of the ANS that originates in the cranial nerves and sacral part of the spinal cord

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17
Q

What is post synaptic receptor?

A

A receptor located on the distal side of a synapse on the postganglionic neuron or an autonomic effector cell

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18
Q

What is a pre-synaptic receptor

A

A receptor located on the nerve ending from which the neurotransmitter is released into the synapse this receptor modulates the release of the neurotransmitter

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19
Q

What is the sympathetic nervous system

A

The part of the ANS that originates in the thoracic and lumbar parts of the spinal cord

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20
Q

What are the primary neurotransmitters in the ANS

A

Nor epinephrine and acetylcholine

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21
Q

Which neurotransmitter hits preganglionic fibers and postganglionic fibers from the parasympathetic nervous system

A

Acetylcholine

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22
Q

Which neurotransmitter hits most postganglionic fibers from the SNS

A

Nor epinephrine

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23
Q

What is the other name for preganglionic fibers?

A

Efferent fibers

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24
Q

On occasion, which neurotransmitter may be in the SNS but primarily active in the CNS

A

Dopamine

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25
Q

How is acetylcholine synthesized?

A

In the cytoplasm from acetyl – COA and choline

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26
Q

Release of acetylcholine is dependent on what?

A

Extra cellular calcium

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27
Q

When acetylcholine reaches the terminal, what does it trigger?

A

Sufficient influx of calcium ions

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28
Q

What happens after acetylcholine is released from the pre-synaptic terminal

A

Acetylcholine molecules bind and activate an acetylcholine receptor. Eventually, all of the acetylcholine released will diffuse within range of an acetylcholinesterase molecule. The acetylcholine esterase molecule very efficiently, splits acetylcholine into Choline and acetate, neither of which has significant transmitter effects and thereby terminates the action of the transmitter.

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29
Q

Why is the half-life of acetylcholine in the synapse very short?

A

The AChE molecules split acetylcholine and terminates the action

30
Q

In the adrenal medulla in certain areas of the brain, what is nor epinephrine converted to

A

Epinephrine

31
Q

What neurotransmitter terminates synthesis in the CNS

32
Q

Which two types of receptors are in the postsynaptic neuron

A

Alpha and beta adrenoreceptors

33
Q

Where is nor epinephrine stored?

A

Vesicles in the pre-synaptic neuron

34
Q

What happened in nor epinephrine termination?

A

Diffuses away from the receptor and re-uptakes into the pre-synaptic neuron

35
Q

What kind of drugs block action potential propagation?

A

Non-selective drugs, such as local anesthetics

36
Q

What kind of drugs block, neurotransmitter synthesis, and storage?

A

Highly selective drugs

37
Q

What kind of drug is sympathomimetic

A

Adrenergic agonist

38
Q

What kind of drug is sympatholytic?

A

Adrenergic antagonist

39
Q

What kind of drug is para sympathomimetic

A

Cholinomimetic or cholinergic agonist

40
Q

What kind of drug is parasympatholytic

A

Cholinergic antagonist

41
Q

What catecholamine is released during stress by the adrenal medulla

A

Epinephrine

42
Q

What do sympathomimetic drugs mimic?

A

Epinephrine and nor epinephrine

43
Q

What do sympatholytic drugs block?

A

Nor epinephrine and epinephrine

44
Q

What kind of drugs mimic acetylcholine?

A

Parasympathomimetic

45
Q

What do parasympatholytic drugs block or antagonize?

A

Acetylcholine

46
Q

What are two examples of alpha one agonist

A

Phenylaphrine and midodrine

47
Q

What are two examples of alpha two agonists

A

Clonidine and methyldopa

48
Q

What are two examples of alpha one antagonists

A

Prazosin and labetalol

49
Q

What is one example of alpha two antagonists

50
Q

What are four examples of beta agonists that work on beta one and or two?

A

Nor epinephrine, dobutamine, epinephrine, and isoproterenol

51
Q

What are two examples of beta two agonist

A

Albuterol and terbutaline

52
Q

what is a example of a nonselective beta one and two antagonist

A

Propranolol

53
Q

What is an example of a selective beta one antagonist?

A

Atenolol and metoprolol

54
Q

What are three dopamine agonist?

A

Bromocriptine, pramipexole, and ropinirole

55
Q

What are three dopamine antagonists?

A

Zyprexa risperidone and Thorazine

56
Q

What are the types of adrenergic adrenoreceptors

A

Alpha one and two agonist alpha one and two antagonist, beta one and two agonist beta, one and two antagonist and dopamine, agonist and antagonist.

57
Q

What are the types of cholinoreceptors

A

Acetylcholine receptors and cholinesterase esterase receptors

58
Q

What are the acetylcholine receptors?

A

Muscarinic, agonists, muscarinic, antagonist and nicotinic, agonist and nicotinic and antagonist

59
Q

What are two examples of muscarinic agonist?

A

Bethanechol and pilocarpine

60
Q

What are two examples of muscarinic antagonist?

A

Atropine and hyoscyamine

61
Q

What is an example of a nicotinic agonist?

62
Q

What is an example of a nicotine antagonist?

A

Ganglionic blockers used in anesthesia

63
Q

What are four examples of cholinesterase and inhibitors

A

Neostigmine, donepezil, rivastigmine, and Organophosphates like insecticides and nerve gases

64
Q

Which cholinesterase inhibitors are used in the treatment of Alzheimer’s disease

A

Donepezil and rivastigmine

65
Q

Which cholinesterase inhibitor is used to treat myasthenia gravis

A

Neostigmine

66
Q

What are potent cholinesterase inhibitors that enhanced transmission at all colonic sites, both nicotinic and muscarinic

A

The oregano-phosphates parathion and malathion which makes them effective poisons

67
Q

What cholinesterase inhibitor has been used as a chemical weapon for over 50 years

A

Sarin but it is only effective when it is composed of two components

68
Q

Which drug causes vasodilation that can be blocked by atropine

A

Bethanechol

69
Q

What does the autonomic nervous system regulate?

A

Contraction and relaxation of smooth muscles, secretion of exocrine and certain endocrine glands, cardiac rate and contractility and certain steps of intermediary metabolism.

70
Q

Beta 2selective Agonists are often effective in what?