autonomic nervous system Flashcards

1
Q

ANS is the – branch of – division of the PNS and it controls the body’s — environment aka – activities in a coordinated manner as:
- internal organs/ visera controlled by ans are:

A
  • involuntary
  • efferent
  • internal
  • visceral
  • hear rate and circulation, digestion , and respiration
  • heart lungs stomach git spleen pancreas bladder and rectum kidney and liver and eye ( pupil )
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2
Q

-A muscle or gland innervated by autonomic fibers is called an —
-If the autonomic nerve fibers to an effector organ are cut, the organ may continue to —-, but will lack the capability of —-to changing conditions.

A
  • effector organ
  • function
  • adjusting
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3
Q
  • CNS has a —
  • the regions regulating ANS are:
    1- — and — in — which control the:
    2- — which has a major role
    3- —– for:
A
  • central control
  • medulla and pons in brain stem for controlling cvs respiratory and digestive fats
  • hypothalamus (-> HPA, Hypothalamus-Pituitary-Adrenal Axis) for heart rate bp , respiration( via medulla)
  • spinal cord for:
    Integrates autonomic reflexes not subject to higher control e.g. urination, defecation
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4
Q

the 2 divisons of ANS are: and these are — activated under most circumstances aka – activity

A
  • symothatic and para
  • partial
  • tonic activity
    ( Technically, the enteric nervous system is a 3rd division: vast network of nerve fibers that innervate the digestive tract
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5
Q

—– is for restoring and maintaining - rest and digest and is not rewired for emergencies which allows us to conserve and unwind energy
—– is activated in emergency situation in fight or flight and involves stress
- advantages of dual system includes :

A
  • para
  • sympthayic
  • Advantage of „dual system“”
    -Rapid and precise control over organ/tissue‘s activity
    -Like having an accelerator and a brake on a car
    e.g. like letting up on accelerator vs applying brake
    -Very rapid transitions from rest state to fight or flight
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6
Q

—- promotes normal maintences and secretion ad mobility of different parts of digestive tract and at involves urination and defecation

A

para

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7
Q

—- emergency situations, body needs sudden burst of energy
1- it increases —- and pulmonary —
2- routes — to —
3- raises — and — digestion
4- kidney —- and other fucntions not needed in emergencies
- the whole —-system tends to go off together but — doesnt

A
  • sympthatic
  • caridac output
  • pulmonary ventilation
  • blood to muscle
  • raise blood glucose
  • slows down digestion
  • filtration
  • sympthatic
  • para
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8
Q

-Each ANS pathway from CNS to organ/effector is —-
from CNS —> —- > —-> —>

A
  • two-neutron chain
  • pre ganglion —> ganglion — > postganglion — > organ
    ( check slide 15 pls)
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9
Q

origins of symothatic and para are from different parts of cns
1- para:
1- pregnaglionic : —– and —- , the preganglionic nerves are — and —-
2- postganglionic nevose are — and —

A
  • cranial ( x-vagus nerve ) and sacral ( lower spinal cord )
    -long and myleinated
  • short and unmylinated
    ( check slide 18 pls)
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10
Q

origins of sympthetic:
- pregangloinc from : —- and — of the spinal cord
- these are — and —
- symothatic postganglioni are — and —-
- sympthatic ganglia lie in — either side of spinal cord and have sympathetic trunk

A
  • thoracic and lumbar ( T1-L3)
  • short and myelinated
  • long and unmylinated
  • chain
    ( check slide 20 )
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11
Q

ANS uses 2 main neurotransmitters which are: — and —-
- all preganglionc ANS release —

A
  • achetcholine ( ACh )
  • noradrenaline ( NA)
    -ACh ( so both pre and postganglionic release ach)
    check slide 22 plsss
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12
Q

1-Each autonomic NT can stimulate activity in some tissues but have lower activity in others
- na — heart rate and — contraction of digestive tract
- repose is property of — not —
- tissue/organ targets possess — receptor by binding of nt induce —

A
  • increases
  • decreases
  • tissue
  • not nt
  • one or more
  • tissue-specific réponse
    check slide 24 soo important
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13
Q

1- in para:
- all are receptors for:
- but ACh receptor is different at — and —
2- in sympathetic:
- AChR at — and NA-R at —

A
  • ACh
  • ganglion and target tissue
  • ganglion
  • target tissue
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14
Q

cholinergic receptor- 2 types that bind to acetylcholine:
1- nicotine:
- found in all —–
- r activated by ach released from —-
- r also activated by — derivative nicotine
- its —- hence 000 responses
2- muscarninc:
- binds ACh released from —-
- found on —-
- r also activated by —
- – types of muscarine ACh receptor
- all G protein-coupled —– receptors
- === acting effect

A
  • post ans cell bodies
  • pre either para or symp
  • tobacco
  • inotropic
  • fast
    ( *NN or N2 – the NM or N1 is at the skeletal neuromuscular junction)
  • post of para nerves
  • effector cell menrvabes as smooth muscle glands or cardiac muscle
  • mushroom poison muscarine
  • 5
  • metabolic
  • slow
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15
Q

muscarinic receptors:
1- M2: has —- response
- located on —
- receptor couples to increase —- and inhibits —
- eg:
2- m3 has — response
- located in —
- G proteins couples to —
- example :

A
  • inhibitory
  • cardiac tissue
  • k+ conductance
  • calcium channels
  • decrease heart contraction
  • excitatory
  • digestive ssutyem
  • ca+2 second messenger system
  • increase granular secretion and increase GIT motility
    ( check slide 35 , 37)
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16
Q

adrenergic receptors are found only at — in —-
- 2 major classes that binds to :
- alpha and beta all couple to — but —- differs

A

-effecor organ in post and after postganglionic sympthatic nerves
- NA and AD
- G proteins
- intracellular coupling ( check slide 41)

17
Q

1- alpha1:
- has – repose
- located on most —-
- G proteins couples to —
- examples:
2- alpha 2:
- has — response
- located on —
- g rrptein couples to inhibits —
- example:
- b1:
- has — response
- located in –
- couples —
- example:
- b2:
- has — repose
- located in —-
- couples via —
- exmaple :

A
  • excretory
  • most sympthatic cells
  • ca+2 second messenger system
  • increase contraction arterioles –> raised blood pressure
  • inhibitory
  • digestive sytem
  • CAMP system
  • decrease smooth muscle contraction – > reduced GIT motility
  • extirtoy
  • heart
  • couples via G protein to cyclic AMP/PKA
  • contraction of cardiac muscle –> increase rate n force
  • inhibitory
  • Skeletal muscle, smooth muscle of some vessels & organs
    -Couples via G protein to cyclic AMP/PKA
    -e.g. relaxation of smooth muscle → bronchiolar dilation
18
Q

t or f:
Effector organs/tissues express receptors for the NT of both types of postganglionic fibres:
as in post para and post sym

A

true

18
Q

termination of NT effect:
1- acetylcholine is destroyed by —- at —
2- noradrenaline reuptake by — then —

A
  • acetylcholinesterase at synpases
  • Re-uptake by pre- and post-synaptic cell then metabolized/re-cycled
19
Q

adrenal medulla :
1- extension of —
2- 2 adrenal glands next to —
3- has —-
4- medulla modified sympthatic ganglion without —-
5- preganglionic fiber directly stimulates hormone release from —

A
  • sympthatic nervous system
  • adrenal next to kidney
  • outer portion , adrenal cortex , inner adrenal medulla
    -postganglinic fiber
  • chromffin cells
    ( 20% nor and 80% adrenaline )
20
Q

-Salivary gland secretion increased via —–
- sweat gland mainly — and –

A
  • via both sympathetic and parasympathetic input
    ((Parasympathetic innervation controls most of the flow of saliva, while
    sympathetic innervation modulates the composition of the saliva)
  • Sweat glands
    Mainly sympathetic innervation and terminal fibre release ACh(!) not NA(!)
21
Q

steps of neurochemical transmission for potential targets of pahrmacolgocial intervention
1- nerve terminal for —
2- post synaptic membrane for —
3- neurotransmitter effect termination for —

A
  • neruotrasmitter release
  • nerotransmiter-receptor reaction
  • neurotransmitter degradation
22
Q

drugs:

A

Drugs can selectively mimic (agonists) or inhibit (antagonists) ANS responses at receptors
Some are therapeutically useful
Muscarinic antagonist (all mAChR): Atropine
Blocks muscarinic R
Blocks parasympathetic actions at effector tissues
Reduces salivary and bronchial secretion (e.g. during surgery

23
Q

1-salbutamol :
- a adreneginc —
- activated inhibitory —
- used for:
- lack of effect at — so no effect in —
2- atenolol :
- is adrenegnic —
- blocks excitory —-
- cvs:

A
  • agonist
  • b2 adrenergic receptor
  • dilated bronchioles for treatment of asthma/COPD
  • b1 so no effect on heart
  • antagonist
  • blocks excitatory b1 adrenergic receptors
  • Lowers blood pressure - treatment of hypertension
24
Q

— is an autonomic dysfunction

A
  • dysautonomia
    Many forms: Orthostatic hypertension, neurocardiogenic syncope, chronic stress disorders (chronic activation of HPA (hypothalamic-pituitary-adrenal) axis)
    Trauma, Inflammation, Drugs, Neurodegenerative disease
    E.g. deficiency of sympathetic activity to lesion /compression (trauma, tumor) in Horner’s syndrome: drooping eyelid (ptosis) + constriction of pupil (miosis) together with anhydrosis (decreased sweating)