Cholinergic and Adrenergic Part II Flashcards

1
Q

what are visceral afferents

A

monitors either nociceptive (painful) input or sensitive to mechanical and chemical stimuli (stretch of the heart, blood vessels, and hollow viscera, and changes in PCO2, PO2, pH, blood glucose, temperature of skin and internal organs)

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2
Q

what are the internal organs densely innervated by?

A

visceral afferents.

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3
Q

what do the visceral nociceptive fibers travel with? what about the axons from the physiological receptors?

A

sympathetic nerves; parasympathetic fibers

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4
Q

where are the visceral afferents mainly concentrated, in what nerve? what does this nerve carry?

A

in the vagus nerve; carries non-nociceptive afferent input from the viscera of thorax and abdomen to the CNS.

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5
Q

where are the cell bodies of the vagal afferents located?

A

in the nodose ganglion of medulla.

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6
Q

In the CNS, how is the visceral input mapped? why?

A

viscerotopically at the level of the spinal cord because most visceral nociceptive fibers travel with the sympathetic fibers and enter the spinal cord along with a spinal nerve.

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7
Q

Where is the CNS mapping also present?

A

in the brain stem but not the at the level of the cerebral cortex

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8
Q

what does the cerebral cortex do once awareness of pain is detected?

A

it is not localized to a specific organ but is instead referred to the dermatome that is innervated by the same spinal nerve.

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9
Q

how does referred pain work in terms of function for the visceral afferents?

A

Afferent fibers traveling in autonomic nerves may converge upon sensory neurons in the spinal cord that also synapse with somatic afferents.

The convergence “confuses” the brain, which “feels” pain in the region supplied by the somatic nerve, even though it is the autonomic fiber that has been activated by pain.

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10
Q

afferent fibers travel through both sympathetic and parasympathetic nerves, T/F?

A

True

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11
Q

what is the sensory cell body of the visceral afferents contained in?

A

ganglion, and its also one neuron that connects the visceral organ with the CNS

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12
Q

*what is the function of the myenteric plexus or Auerbach’s plexus?

A

it is involved in the control of motility

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13
Q

where does the myenteric plexus or Auerbach’s plexus lie?

A

between the external longitudinal and the deeper circular smooth-muscle layers.

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14
Q

deeper than the myenteric plexus lies another plexus, what is this plexus called?

A

Submucosal (Meissner’s) plexus

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15
Q

where does the meissner’s plexus lie?

A

lies between the circular muscle and the most internal layer of smooth muscle, the muscularis mucosae. (closer to the lumen)

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16
Q

*what is the function of the Submucosal (Meissner’s) plexus?

A

it is involved in the control of ion and fluid transport

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17
Q

T/F, the myenteric plexus overlies the deeper meissner plexus and have separate functions?

A

T

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18
Q

what is unique about the enteric nervous system?

A

its intrinsic to the wall of the gut and though it can function independently, it is governed closely by sympathetic and parasympathetic systems.

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19
Q

Which of the following is correct for the myenteric (Auerbach’s ) plexus?

lies between the circular muscle and the most internal layer of smooth muscle

lies between the external longitudinal and the deeper circular smooth-muscle layers.

is involved in the control of ion and fluid transport

receives preganglionic sympathetic innervation from the glossopharyngeal nerve

A

lies between the external longitudinal and the deeper circular smooth-muscle layers.

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20
Q

what causes the release of epinephrine?

A

acetylcholine, it stimulates the chromaffin cell in the adrenal medulla and then it is going to release the epinephrine so that the cell can go through the process of making dopa, dopamine, norepinephrine then epinephrine. Ach is what releases the epinephrine because it is the primary nt between the pre and post ganglion in the sympathetic nervous system

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21
Q

Cells of the adrenal medulla receive synaptic input from which of the following type of neurons?

preganglionic parasympathetic neurons

postganglionic sympathetic neurons

preganglionic sympathetic neurons.

postsynaptic parasympathetic neurons

A

preganglionic sympathetic neurons.

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22
Q

acetate and choline is catalyzed by what enzyme to produce Ach?

A

choline acethyltransferase

23
Q

how is the Ach released from the presynaptic terminal?

A

nerve stimulation results in calcium influx releasing the Ach into the synaptic cleft

24
Q

what degrades the Ach and where?

A

acetylcholine esterase and in the synapse

25
Q

what does Acetylcholinesterase break Ach down into?

A

choline and acetate and so this is the termination of the signal

26
Q

T/F, Ach can only bind to nicotinic (ionic) receptors or muscurinic (metabotropic) receptors?

A

F, Ach can bind to both

27
Q

Organophosphates, such as malathion, used in agriculture and in public health pest control programs. These chemicals bind to acetylcholinesterase at the neuromuscular junction. Which of the following best describes subsequent events following exposure to malathion?

Acetylcholine will not be released from the neuronal synapses

Choline concentration within the presynaptic nerve terminals will increase

Acetylcholine induces hyperpolarization which is directly sensed by ryanodine receptors

Acetylcholine concentrations within the synaptic cleft would remain at a high level.

A

Acetylcholine concentrations within the synaptic cleft would remain at a high level.

remember that organophosphates bind to acetylcholinesterases irreversibly leading to the buildup of Ach leading to possible death if not treated within outside of 6-8 hour window

2-PAM can treat this to prevent malathion binding

Eyes are constricted, overactive parasympathetic activity with constricted pupils, uncontrollable bowel movements, throwing up

28
Q

in adrenergic neurotransmission, what nt is released?

A

norepinephrine

29
Q

when adrenergic neurotransmission is stopped, norepinephrine is broken down? T/F?

A

false, norepinephrine is taken back up as is back into the presynaptic cleft and broken down by MAO, so norepinephrine is broken down in the pre synaptic cleft not in the synaptic cleft

30
Q

what happens if MAO is inhibited?

A

concentration gradient of norepinephrine builds up and reuptake process is slowed down and norepinephrine is left in the cleft leaving sustained effect on the patient as a result

31
Q

The degradative enzymes COMT (catechol-o-methyl-transferase) and MAO (monoamine oxidase) are mainly involved in the inactivation of which of the following neurotransmitter?

Acetylcholine
Norepinephrine
Substance P
Histamine

A

Norepinephrine

32
Q

what receptors does norepinephrine bind too?

A

alpha1, alpha2, Beta1-2, D1

33
Q

what cholinergic receptor, M1-M3, do you find in the heart?

A

M2 which remember is G-protein coupled secondary messengers in the cholinergic receptors

34
Q

are nicotinic receptors G-protein coupled? is a second messenger involved?

A

No; No

35
Q

what are the two cholinergic receptors we talked about in class?

A

Muscurinic and Nicotinic receptors

36
Q

what is the affect of cAMP if M2 receptors are stimulated?

A

decrease in cAMP, slowing down the heart rate (bradycardia), this Gi coupled

37
Q

what is the result if the adrenergic receptor, alpha 1 is stimulated?

A

overall increase in calcium, Gq coupled

38
Q

what is the effect of epinephrine binding to the B2 receptors?

A

vasodilation

39
Q

bronchioles have what type of receptor?

A

B2 receptors, remember B1 is for heart and B2 is for lungs since we have two

40
Q

A drug is given to decrease the heart rate of a patient will primarily act on which of the following receptor type?

alpha 1-adrenergic
beta 1-adrenergic
beta 2-cholinergic
M2-cholinergic

A

M2-cholinergic

41
Q

Which of the following adrenergic receptor is primarily involved in arterial vasoconstriction?

alpha 1
alpha 2
beta 1
beta 2

A

alpha 1

42
Q

alpha adrenergic receptors are more responsive to which nt, norepinephrine or epinephrine?

A

norepinephrine

43
Q

beta adrenergic receptors are more response to which nt, norepinephrine or epinephrine?

A

epinephrine

44
Q

Administration of bethanecol, a parasympathomimetic drug that selectively stimulates muscarinic receptors, would be expected to

Decrease the secretion of glucagon

Decrease the rate of epinephrine secretion from the adrenal medulla

Increase the secretion of gastric juice

Increase the rate of epinephrine secretion from the inferior mesenteric ganglion

A

Increase the secretion of gastric juice

45
Q

nicotinic and muscurinic receptors are responsive to what nt?

A

Ach

46
Q

what is happening to the eye when circular (constrictor) muscle runs circularly? what nervous system is active? how are the lens affected?

A

pupillary constriction; parasympathetic stimulation; flattened weak lens and so the suspensory ligaments become taut and ciliary muscle is relaxed

47
Q

what is happening to the eye when the radial (dilator) muscle runs radially? how are the lens affected?

A

pupillary dilation; sympathetic stimulation; rounded strong lens and so the suspensory ligaments are slackened and the ciliary muscle is contracted

48
Q

what is the effect of the Cotransmission with ATP, norepinephrine, and neuropeptide Y in the ANS?

A

So ATP binds first then calcium which stimulates the binding of epinephrine, since its G-protein coupled it takes a little time for signaling to take effect, which eventually leads to release of stores of calcium which is further increased with the binding of neuropeptide Y. Everything started with ATP, tension generated and is further continued with norepinephrine

49
Q

what is the action of nitric oxide in the ANS?

A

NO does not need any receptor because it is gaseous, so it can passively diffuse across the membrane with ultimate result being relaxation by the smooth muscle cell cytosol; Vasoactive intestinal peptide binds to receptor on smooth muscle to decrease intracellular calcium levels to further sustain relaxation

50
Q

for coordinating autonomic output, what is the most important brain region?

A

the hypothalamus, then it projects to the parabrachial nucleus, medullary raphe, NTS (nucleus tractus solitarius), central gray matter, locus coeruleus, dorsal motor nucleus of the vagus, nucleus ambiguous, and intermediolateral cell column (location of cell bodies of the autonomic nervous system) of the spinal cord.

51
Q

what brain region plays a dominant role in the integration of higher cortical and limbic systems with autonomic control

A

the hypothalamus, important for feeding, thermoregulation, circadian rhythms, water balance, emotions, sexual drive, reproduction, motivation

52
Q

T/F, visceral afferents overwhelm cortical functions? if so name some examples

A

hunger, nausea, dyspnea, visceral pain, bladder and bowel distension, hypothermia, hypothermia; any ANS function will override cerebral cortex (higher level functions) when it comes to survival for the human body

53
Q

how is salivation increased?

A

through nerve signals down the dorsal longitudinal fasciculus