Autonomic Nervous System 1 Flashcards

1
Q

T/F The Autonomic nervous system is an afferent system.

A

F. The ANS is an efferent system.

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2
Q

Draw the organization of the nervous system.

A

pp. 33 of the week 3 notes.

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3
Q

The ANS innervates every organ of the body. Give examples of some of the functions it helps to accomplish.

A
  • control arterial pressure
  • GI motility and secretions
  • urinary bladder emptying
  • sweating
  • body temperature
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4
Q

What are the functions of the hypothalamus, spinal cord and brain stem in activating the ANS?

A

Hypothalamus-highest level of integration

Brain stem-regulate the hypothalamus

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5
Q

What are the 2 main functions of ANS?

A

1) Basic metabolic or vegetative functions
- energy storage and release
- control of endocrine and neuroendocrine release
- control of exocrine secretion
2) Role in behavior

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6
Q

T/F The SNS is largely subject to voluntary control while ANs is subject to involuntary control.

A

T. SNS unless for some reflexes it is mostly under conscious control while ANS functions via reflexes.

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7
Q

Understand Figure 2 and Figure 3.

A

pp. 34 and 35 of Week 3 notes

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8
Q

T/F In general, reflex arcs are not restorative.

A

F. They are restorative and they try to keep things constant. Ex: when our hand touches something hot we withdraw our hands in trying to restore temperature. This is an example of SNS reflex arc.

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9
Q

In ANS, what are the 2 neurons b/n the CNS and innervated effector? Where are the cell bodies of these neurons located?

A

Preganglionic neuron: cell body within the CNS (either in the spinal cord or the cranial nerve nuclei
Postganglionic neuron: cell body within autonomic ganglia

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10
Q

What are the 2 divisions of ANS and what 3 criteria is used to divide them?

A

Sympathetic and Parasympathetic Divisions

1) The origin of the preganglionic neuron is the overriding criteria
2) Length of preganglionic and postganglionic fiber
3) Pharmacology

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11
Q

Describe the origins of preganglionic neurons in sympathetic and parasympathetic divisions.

A

Smpathetic: preganglionic cell bodies located in the thoracic and upper lumbar regions of spinal cord
Parasympathetic: preganglionic cell bodies located in the sacral spinal cord and brain stem. FIGURE 4 pp. 37
NOTE: the afferent limbs of an autonomic reflex arc may lie in any d/f nerve.

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12
Q

Compare and contrast the preganglionic and postganglionic fiber length in sympathetic and parasympathetic divisions.

A

S: preganglionic fibers short and postganglionic fibers long
PS: preganglionic fibers long and postganglionic fibers short.

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13
Q

What is the pharmacological difference b/n S and PS divisions?

A

S: NE secreted from postganglionic fibers stimulating effector organs. E (predominantly secreted by adrenal medula) and ACh (secreted by nerves) in sweat glands and some blood vessels to stimulate effector organs.
NOTE: E/NE are secreted by the adrenal medulla into blood so they are hormones not neurotransmitters.
PS: ACh secreted by postganglionic neurons to activate effector organs.

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14
Q

Understand figure 5 and label it.

A

pp. 38 of week 3 notes.

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15
Q

What is the sympathetic ganglionic chain?

A

In the S division: Short preganglionic fibers terminate and synapse with postganglionic fibers in ganglia close to the spinal cord or within outlying ganglia. In the former case, the ganglia are interconnected forming sympathetic ganglionic chain that runs parallel on each side of the spinal cord from the base of the skull to the sacrum.

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16
Q

Much convergence and divergence occur within the sympathetic chains. Define these two terms.

A

Divergence: relatively small number of preganglionic fibers connects to a large number of postganglionic fibers.
Convergence: postganglionic fiber receives synaptic input from many preganglionic neurons.

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17
Q

Convergence and divergence lead to:

A

Neuronal Integration: which results in global action, safety factor,..

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18
Q

Study FIGURE 6

A

pp. 40 of week 3 notes.

19
Q

Study FIGURE 7.

A

pp 41

20
Q

In the parasympathetic system, what is the neurotransmitter that is released from preganglionic fibers and acts on the postganglionic neuron?

A

Acetylcholine

21
Q

T/F The sympathetic preganglionic fibers are short and myelinated while the sympathetic postganglionic fibers are long and unmyelinated.

A

T. Thus the propagation is 20m/sec compared to 1m/sec.

22
Q

Explain what is meant by the sympathetic division works in a segmental fashion.

A
  • The postganglionic fibers receiving synaptic inputs from the preganglionic fibers originating from thoracic region of the spinal cord innervate the head, thorax, abdomen and upper extremities.
  • And those that receive synaptic inputs from the preganglionic fibers originating from the lumbar region innervate pelvis and lower extremities.
23
Q

What do the sympathetic postganglionic fibers secrete onto the effectors?

A

They usually secrete NE that acts on the effector organ. However, sweat glands and some vessels secrete ACh.

24
Q

About 3/4 of the parasympathetic preganglion nerves are in:______

A

Vagus nerve (CN X)- the vagus nerve runs to organs of the thorax and abdomen.

25
Q

Fibers that leave from the sacral cord run in______

A

Pelvic nerve

26
Q

Where do the parasympathetic preganglionic fibers originate?

A

Cranial and sacral regions of the spinal cord.

27
Q

T/F. The parasympathetic preganglionic fibers are myelinate, long, and terminate in a synaptic connection.

A

T. They are myelinated like the sympathetic preganglionic fibers. Since they are long unlike the sympathetic preganglionic fibers they synapse close to the effector organ or even within the wall of the target organ.

28
Q

In the parasympathetic division, what is the neurotransmitter secreted by preganglionic fibers onto postganglionic fibers? And by the postganglionic fibers onto the organ?

A

ACh in both cases.

29
Q

Where are the parasympathetic ganglia distributed?

A

They are distributed near or in the walls of the effectors and they are short.

30
Q

Learn the comparative summary in FIGURE 9.

A

pp. 44

31
Q

What is Long QT syndrome?

A

characterized by long QT interval (start of QRS complex to the end of T wave in an ECG) resulting in prolonged cardiac action potential.

32
Q

What are the 7 genotypes responsible for LQTS? How do these mutations cause longer plateau in the ventricular AP?

A
  • mutation in voltage dependent Na channel (LQT3)
  • mutation in rapidly activating delayed rectifier channel (IKr, LQT2 and LQT6)
  • mutation in slowly activating delayed rectifier channel (IKs, LQT1 and LQT5)
  • mutation in the inward rectifier channel (IK1, LQT7)
  • note is missing LQT4
33
Q

What are the manifestations (symptoms) associated with LQTS?

A
  • torsade de pointes (ventricular tachycardia)
  • arrhythmia
  • cardiac events during increased sympathetic activity (drugs, stress, and physical activity)
34
Q

Draw how the ECG will look for normal as compared to LQTS?

A

PP 45.

35
Q

A receptor is a transducer and translator. Explain this statement.

A

In ANS, receptor changes stimulus into electrical potential (transducer or generator potential) which will generate AP.

36
Q

Describe the receptor potentials generated by receptors.

A

are local potential that are graded, not all or none, don’t have a threshold, are non-propagates, electronic, and are summing. These are similar to EPSPs.

37
Q

Describe the APs as compared to the receptor potentials.

A

AP: same amplitiude, shape, all or none,…

38
Q

Compare and contrast autonomic and somatic reflex arcs.

A

Both are simple in morphology and the principles governing their action are similar: stimulus lead to receptor potential-AP- propagates-motor neuron-response

39
Q

List 4 types of receptors.

A

1) Mechanoreceptors (baroreceptors)
2) Chemoreceptors (pH, glucoreceptors, aa receptors, PO2 and PCO2)
3) Thermoreceptors
4) Osmoreceptors (in hypothalamus monitor blood osmotic pressure)

40
Q

Define autonomic reflex arc

A

simplest connection b/n afferent and autonomic efferent at the segmental level of the spinal cord.

41
Q

What connects the afferent fiber and pre-ganglionic in autonomic reflex arcs?

A

Interneuron. Interneuron is not present for the simplest reflex arc of the somatic nervous system.

42
Q

Explain the sequence of events for the carotid baroreceptor reflex.

A

1) Stimulus:stretch induced by increased carotid sinus blood pressure
2) Stretch increases frequency of AP in the sinus nerve
3) Neurons in the medulla are excited sending signals to the CV centers of the brain stem (CV center has excitatory and inhibitor which exert their effects via sympathetic and parasympathetic pathways). Increased BP-stimulate inhibitory center-parasympathetic activation-vagus nerve firing increased-decrease HR, contractitlity, peripheral resistance (vasodilation).

43
Q

The baroreceptor ouput depends on both the rate of change and magnitude of change of BP. What are the terms describing these changes?

A

Phasic and Tonic component respectively

44
Q

T/F The phasic component of the baroreceptors responds to both increase and decrease in pressure.

A

F. It just responds to an increase. The tonic component is more prominent as the mean arterial pressure increases.