Autonomic Physiology Flashcards

1
Q

Where do parasympathetic fibers exit the CNS?

A

Cranial and Sacral

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2
Q

Where do sympathetic fibers exit the CNS?

A

Thoracic and Lumbar

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3
Q

What is the location of ganglia for Sympathetic and Parasympathetic fibers, respectively?

A

Sympathetic Chain (sympathetic)

On/near the target organ (parasympathetic)

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4
Q

Parasympathetic presynaptic axons are (LONG/SHORT) and the postsynaptic axons are (LONG/SHORT).

A

Long (must travel to ganglion on target organ)

Short

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5
Q

Sympathetic presynaptic axons are (LONG/SHORT) and the postsynaptic axons are (LONG/SHORT).

A

Short (must travel to sympathetic chain, just outside spine)

Long

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6
Q

Explain a reflex arc involving skeletal muscle.

A

Sensory (afferent) information is received, especially from pain fibers (i.e., burning your hand). The sensory information is then relayed to the CNS, in this case the Spinal Cord. The sensory fibers will synapse at a NMJ with the motor neuron that innervates the skeletal muscles (in this case, the hand) to move that particular body part.

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7
Q

In an autonomic reflex arc, the afferent (sensory) neuron and its information can be the same as things that elicit other reflexes. However, instead of relaying its information to the Spinal Cord, it is sent to…

A

Brain – particularly the Hypothalamus

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8
Q

What type of neuron will relay the signal to skeletal muscle?

A

Alpha Motor Neuron

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9
Q

For autonomic reflexes, this takes the place of the Alpha Motor Neuron.

A

Autonomic Nervous System

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10
Q

In the somatic motor system, there is ______ neuron(s) between the CNS and the target organ. In the autonomic nervous system, there is ______ neuron(s) between the CNS and the target organ.

A

One

Two

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11
Q

In the ANS, the pre-synaptic neuron (cell body in the CNS) will terminate in a _________ in the periphery. From here, the post-synaptic neuron will go to the target organ.

A

Ganglion

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12
Q

In the ANS, where do the cell bodies of the pre-synaptic and post-synaptic neurons lie?

A

Pre-synaptic – Cell body in CNS

Post-synaptic – Cell body in ganglion

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13
Q

In the ANS, how many synapses are there between the CNS and the target organ?

A

Two synapses –

1) In the ganglion
2) At the target organ

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14
Q

T/F. In the ANS, the synapse in the ganglion varies greatly between the sympathetic and parasympathetic systems.

A

False. The synapse is essentially the same between sympathetic and parasympathetic systems. Both use ACh and nAChR.

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15
Q

The pre-ganglionic axon (from CNS) releases __________ at its synapse between the pre- and post-ganglionic neurons (in the ganglia).

A

Acetylcholine (ACh)

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16
Q

In the ganglia, the post-ganglionic cell expresses what kind of receptor at its post-synaptic membrane?

A

Nicotinic Cholinergic Receptors (nAChR)

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17
Q

T/F. The second synapse, at the end organ, is different in the sympathetic and parasympathetic systems.

A

True

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18
Q

Explain the histology of the pre-synaptic component of the second synapse in the ANS.

A

Varicosities contain all the components of the pre-synaptic terminal (vesicles of neurotransmitters, mitochondria, etc.) and work exactly the same way as the pre-synaptic terminal of the NMJ.

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19
Q

Explain the histology of the post-synaptic component of the second synapse in the ANS.

A

The post-synaptic side has ligand-gated receptors that are not concentrated opposite the pre-synaptic terminal like in the NMJ. Instead, they are more spread out all over for the neurotransmitter to diffuse.

  • **NMJ – mail in mailbox (SPECIFIC)
  • **Varicosities – mail thrown in yard (NOT SPECIFIC)
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20
Q

What is the neurotransmitter released from the post-ganglionic axon (from ganglionic synapse) to the target organ?

A

ACh

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21
Q

The ACh from the post-synaptic axon binds to what kind of receptors on the target organ?

A

Muscarinic Cholinergic Receptors (mAChR)

***Parasympathetic ONLY

22
Q

For mAChR receptors, _______ that is within the body binds to and activates them. The exogenous (not found in the body) chemical ________ can bind to these receptors and activate them as well.

A

ACh

Muscarine

23
Q

T/F. Nicotine and Muscarine can activate both nAChR and mAChR.

A

False. Nicotine can only activate nAChR, and Muscarine can only activate mAChR. Acetylcholine can activate both.

24
Q

Muscarinic receptors are part of the __________ (Serpentine) Super-Family of receptors. This means they are second messenger systems (aka GPCR). There are 5 subtypes.

A

Metabotropic

25
Q

This subtype of muscarinic receptor can be found in the following locations:

    • Found in CNS (not autonomic, role in memory)
    • Salivary glands - increase secretion
    • Acid secreting cells of stomach - increase secretion
A

M1R

26
Q

This subtype of muscarinic receptor can be found in the following locations:

    • Smooth muscle cells (contraction)
    • Exocrine glands (secretion)
A

M3R

27
Q

M1R and M3R are what type of GPCRs? What is the function of this type of GPCR?

A

Gq/11 – Increased intracellular Calcium (causes contraction)

28
Q

This subtype of muscarinic receptor can be found in the following locations:

– Cardiac - Slow heart rate (on SA node)

A

M2R

29
Q

M2R are what type of GPCRs? What is the function of this type of GPCR?

A

Gi/o – Decreased cAMP (also directly interacts at K+ channels)

30
Q

What effect must M2R have on K+ channels in order to slow the heart rate?

A

Causes K+ to go out of the cell, which results in repolarization or hyperpolarization. This slows the heart rate.

31
Q

In the second synapse of sympathetic fibers, the neurotransmitter released from the post-ganglionic axon is…

A

Norepinephrine

***Remember, parasympathetic is ACh!

32
Q

In the second synapse, the norepinephrine released from the sympathetic post-ganglionic axon binds to what kind of receptor?

A

Adrenergic receptor

33
Q

Like the muscarinic receptors, adrenergic receptors are members of the Serpentine Superfamily of receptors. They are connected to a second-messenger system that are activated when norepinephrine or epinephrine bind to them. The two major classes of adrenergic receptors are…

A

Alpha-Adrenergic receptors

Beta-Adrenergic receptors

34
Q

This type of adrenergic receptor is a Gq/11 coupled receptor and can lead to increased Calcium intracellularly. It can cause vascular smooth muscle contraction, which will increase blood pressure.

A

Alpha-1 receptors

35
Q

What type of adrenergic receptor is located in the following places:

  • Smooth muscle of blood vessels (contraction)
  • Smooth muscle of urinary and reproductive tracts
  • Liver (glycogenolysis; gluconeogenesis) – Energy
  • Adipose tissue (Lipolysis) – Energy
  • Lacrimal glands (reduced watery secretion)
  • Radial muscle of iris (contraction of muscle dilates pupil)
A

Alpha-1 receptors

36
Q

This type of adrenergic receptor is a Gi/o coupled receptor and can lead to decreased adenylate cyclase/cAMP.

A

Alpha-2 receptors

37
Q

What type of adrenergic receptor is located in the following places:

  • GI sphincters (contraction)
  • Pancreas (increased glucagon; decreased insulin)
  • Smooth muscle of blood vessels (dilation)
  • Platelets (increase clotting)
A

Alpha-2 receptors

38
Q

This type of adrenergic receptor is a Gs coupled receptor and can lead to increased adenylate cyclase activity and cAMP production.

A

Beta1-adrenergic receptors
Beta2-adrenergic receptors
Beta3-adrenergic receptors

39
Q

What type of adrenergic receptor is located in the following places:

  • Cardiac tissue: SA node - Increased heart rate; Ventricular muscle - Increased strength of contraction
  • Salivary glands - viscous secretion (Dry-mouth when speaking)
  • Adipose tissue (Lipolysis) - Energy
A

Beta1-adrenergic receptors

40
Q

What type of adrenergic receptor is located in the following places:

  • Bronchiole smooth muscle (relaxation)
  • GI smooth muscle (relaxation)
  • Urinary/Reproductive smooth muscle (relaxation)
  • Vascular smooth muscle (relaxation)
  • Liver (glycogenolysis)
  • Eye (relaxation of ciliary muscle - flattens lens)
A

Beta2-adrenergic receptors

41
Q

This is an agonist of Beta2-adrenergic receptors that helps to stop an asthma attack.

A

Albuterol

42
Q

What type of adrenergic receptor is located in the following places:

  • White adipose tissue (lipolysis) - Energy
  • Brown adipose tissue (heat production) - Thermogenesis
A

Beta3-adrenergic receptors

43
Q

The Adrenal Medulla contains _________ cells that make and release epinephrine (adrenaline) as part of the sympathetic response.

A

Chromaffin

44
Q

Instead of synapsing in the paravertebral ganglion, some sympathetic axons go through the ganglion and synapse in the…

A

Adrenal Medulla

45
Q

In the sympathetic system and adrenal medulla, the pre-ganglionic axon releases ACh, which binds to nicotinic receptors on the…

A

Chromaffin cells

***Remember, the pre-ganglionic axon does NOT synapse in the paravertebral ganglion, it just passes through and goes straight to the Chromaffin cells in the Adrenal Medulla.

46
Q

In the sympathetic system and adrenal medulla, the activation of the nicotinic receptors on the Chromaffin cells leads to the release of…

A

Epinephrine into the blood

47
Q

Describe the rest and digest (parasympathetic) response.

A
    • Have plenty of oxygen
    • Heart beating slowly
    • BP is low
    • Digesting food (intestines getting blood)
    • Getting fuel from GI tract
48
Q

Describe the fight or flight (sympathetic) response.

A
    • Need lots of oxygen (goes to muscles)
    • Heart pumping fast and hard
    • BP is higher
    • Not worried about digestion
    • Need the fuel to run with
49
Q

If you are being attacked, what happens to the pupils?

A

Dilate

50
Q

If you are being attacked, what happens to the lens?

A

Flattens