Final Exam Flashcards
Describe how Claude Bernard’s notion of “internal milieu” and Walter Cannon’s notion of “homeostasis” may relate to a notion of “stress”.
Claude Bernard’s “internal milieu” means “world within the body”. Physiology acts to buffer the internal world from the external world. Walter Cannon’s notion of homeostasis suggests that physiology acts to maintain balance/constancy in internal milieu.
Why is the stress response considered to be “non specific”?
The general stress response is adaptive for dealing with a wide range of physical stressors.
What is the Sympathetic Nervous System (SNS) in terms of: a) a key historical proponent, b) their key function, c) their effector hormone(s), d) their speed of onset and duration of action.
The SNS was proposed by Walter Cannon and functions to support a fight or flight response. Its effector hormone is epinephrine and norepinephrine, the onset is rapid with a short duration of action.
What is the Hypothalamic Pituitary Adrenal axis (HPA) in terms of: a) a key historical proponent, b) their key function, c) their effector hormone(s), d) their speed of onset and duration of action.
The HPA axis was suggested by Hans Selye and functions as a “General Adaptation Syndrome”. Its effector hormone is cortisol and there is a slow onset with a long duration.
Compare and contrast the SNS and the parasympathetic nervous system (PSNS) in terms of the location of the cell bodies, location of the axon terminals, and relative length of the axons of the preganglionic and postganglionic neurons.
In the SNS preganglionic neurons:
In the SNS preganglionic neurons:
-cell bodies in thoracic and lumbar & spinal cord
-short axon length
-axon terminal in ganglia close to spinal cord
Compare and contrast the SNS and the parasympathetic nervous system (PSNS) in terms of the location of the cell bodies, location of the axon terminals, and relative length of the axons of the preganglionic and postganglionic neurons.
In the SNS postganglionic neurons:
In the SNS postganglionic neurons:
-cell bodies in ganglia close to spinal cord
-long axon length
-axon terminal near target organ
Compare and contrast the SNS and the parasympathetic nervous system (PSNS) in terms of the location of the cell bodies, location of the axon terminals, and relative length of the axons of the preganglionic and postganglionic neurons.
In the PSNS preganglionic neuron:
In the PSNS preganglionic neuron:
-cell bodies located in brain-stem and sacral spinal cord
-long axon length
-axon terminals near target organ
Compare and contrast the SNS and the parasympathetic nervous system (PSNS) in terms of the location of the cell bodies, location of the axon terminals, and relative length of the axons of the preganglionic and postganglionic neurons.
In the PSNS postganglionic neuron:
In the PSNS postganglionic neuron:
-cell bodies near target organ
-short axon length
-axon terminals near target organ
What neurotransmitters are released by preganglionic and postganglionic neurons of the PSNS and SNS?
All of the preganglionic and postganglionic neurons from the PSNS and SNS release acetylcholine, except for the postganglionic neuron of the SNS which releases norepinephrine.
What are two different types of cholinergic receptors?
The two types of cholinergic receptors are nicotinic and muscarinic.
What are four different types of adrenergic receptors?
The types of adrenergic receptors are Alpha-1, Alpha-2, Beta-1, and Beta-2.
Which type of cholinergic receptor is located on the dendrites and cell body of postganglionic neurons?
Nicotinic cholinergic receptors are located on the dendrites and cell bodies of postganglionic neurons.
Which type of cholinergic receptor is located on PSNS target organs?
Muscarinic Cholinergic receptors are located on PSNS target organs.
Where are adrenergic receptors located?
Adrenergic receptors are located on the target organs of the SNS.
Describe how the effects of the SNS on the following target organs may be beneficial during times of emergency (“fight or flight”): eye, heart, arterioles, bronchial muscle, piloerection, G.I. tract.
Eye: The pupils dilate with let in more light
Heart: Heart rate increases which increases oxygen delivery to muscles
Arterioles: Shunt blood from skin and GI system to skeletal muscles
Bronchial Muscle: Relax, allows us to breathe deeper
Piloerection: Hair stands up which increases thermal-insulation
What is the dual effect of the SNS and the PSNS on male erection and ejaculation?
Activation of the PSNS leads to erection and activation of the SNS leads to ejaculation.
What are chromaffin cells?
Chromaffin cells are endocrine cells that mainly secrete adrenaline inside the adrenal medulla.
Why is Primatene mist effective in treating asthma?
Primatene Mist has an active ingredient of epinephrine and acts as an effective bronchodilator.
Why is a beta-2 selective agonist (e.g. Albuterol) better than Primatene mist for treating asthma?
Albuterol would produce less side effects because it only engages with beta-2 receptors which are found in the lungs, as opposed to epinephrine which can interact with receptors in the heart to also increase heart rate.
What does the James-Lange theory of emotion say about the relationship between the physiological stress response and conscious awareness of “stress”?
The James-Lange theory of emotion suggests that we “feel” stressed because of the physiological changes in our body, therefore our physiological response to stress can increase our “emotional stress response”.
What were the 3 hallmark symptoms of the General Adaptation Syndrome described by Hans Selye?
- Adrenal hypertrophy, 2. Shrinkage of the thymus “gland, 3. Ulcers
How does chronic stress lead to adrenal hypertrophy?
Chronic activation of the HPA axis leads to increased CRH and ACTH secretion which are trophic factors for the adrenal cortex.
How does chronic stress lead to thymic involution?
Thymus is an organ where T-lymphocytes mature. With chronic stress, there is a higher than normal level of cortisol which can kill T cells.
What are the two types of receptors for cortisol that are members of the nuclear hormone receptor encoding gene family?
The two subtypes of receptors for cortisol are MR and glucocorticoid receptor (GR).
Compare the two cortisol receptors types in terms of distribution in the brain, mechanism of action and relative affinity for cortisol.
MR: high affinity for cortisol, very concentrated in the hippocampus, and is important for the survival of granule neurons
GR: lower affinity for cortisol, widely distributed throughout the body
What is the relative time course and magnitude of glucocorticoid negative feedback effects?
There is very fast feedback, glucocorticoids can rapidly attenuate the HPA axis response to stress. It is too fast to require changes in gene transcription.
What is the relative time course and magnitude of glucocorticoid negative feedback effects?
There is very fast feedback, glucocorticoids can rapidly attenuate the HPA axis response to stress. It is too fast to require changes in gene transcription.
Describe the circadian influence on HPA axis activity.
HPA axis activity is lowest during behavioral inactivity (night time for humans) and has a peak right at the time of awakening in anticipation not a reaction.
What is Cushing’s syndrome?
Cushing’s syndrome is the result of excessive chronic glucocorticoid levels. It causes “moon face”.
Distinguish between a “trait marker” and a “state marker” for a psychiatric disorder.
-Trait marker: (genetics) life-long “symptom” of someone predisposed to a particular disorder
-State marker: symptom that is present only during the expression of the disorder (ex: levels of hormones in the blood)
What are 2 signs of HPA axis dysregulation present in a large number of depressed individuals?
- Hypercortisolemia - elevated basal cortisol. 2. Impaired DST result.
What is dexamethasone?
A potent synthetic glucocorticoid receptor agonist.
What is the dexamethasone suppression test (DST)?
The subject takes 1 mg dexamethasone tablet at bedtime and then the following morning and afternoon blood samples are taken to measure cortisol levels.
What is the “normal” response to a DST, and what is the hormonal mechanism for that response?
The normal response to DST is a suppressed basal cortisol level due to increased negative feedback.
What is the abnormal response to a DST present in many depressed individuals?
The abnormal response in many depressed individuals is only partial or no suppression of cortisol levels.
What is a “free running” rhythm?
Expression of an endogenous rhythm in the absence of entraining cues.
What is entrainment?
Environmental periodic cue that synchronizes endogenous rhythm.
What were 2 key results pertaining to circadian rhythms illustrated by Michael Siffre living for two months in a cave?
- Humans might have a free running endogenous period greater than 24 hours. 2. There is a desynchronization of endogenous rhythms.