Final Exam Flashcards
Which nervous system is cholinergic?
Adrenegeric?
Parasympathetic
Sympathetic
Visceral afferent cell bodies are located where?
Posterior root ganglia or CN ganglion
Where do visceral afferent axons enter cord through?
Dendrites carrie impulses from viscera to cell bodies via what?
Travels to what by passing through white rams commnuicans?
Posterior root or CN
Sympathetic trunk,
Spinal ganglia
Parasympathetic afferents travel in which type of nerves?
Sacral spinal nerves and cranial nerves
Which nerves are parasympathetic?
Where do they generally synapse at?
CN 3, 7, 9, and 10
S 2, 3, and 4
Peripheral ganglia
Which parasympathetics generally supply structures in the head?
Cardiac, respiratory, digestive in neck thorax and abdomen?
Digestive distal and urogenital?
3 7 9
10
S234
Where are preganglionic cell bodies of the occulomotor nerve located?
Where do they synapse?
Postganglionic axons are carried in short ciliary nerves that enter eyeball to supply which two muscles?
In accessory oculomotor nucleus
Ciliary ganglion
Ciliary muscle
Sphincter pupillae
Pregang cell bodies of facial nerve located where?
Exit CNS in intermediate nerve and carried in which two branches?
Salivary nucleus
Greater Petrosal nerve
Chorda Tympani
What does the greater petrosal nerve ultimately join?
Its postganglionic fibers are then distributed in which two nerves to reach lacrimal, nasal, palatine, and pharyngeal glands?
Ptergopalatine ganglion
Lacrimal and ptergopalatine nerves
Which ganglion does the chord tympani eventually reach?
Postganglinic fibers travel to submandibular and sublingual glands?
Submandibular ganglion
Yep
Where are pre gang cell bodies of Glossopharyngeal nerve located?
Which ganglion do they travel to?
Postgang parasymp fibers from this ganglion are carried to which two glands?
Salivary nucleus
Otic
Parotid - auricolutemporal
Posterior Lingual - lingual branch
Pregang cells of vagus nerve are located where?
What do the descending fibers supply?
Where are post gang cells usually located?
Dorsal nucleus of Vagus
Smooth muscles of bronchial tree, GI tract, gall bladder, myocardium, pancreas liver spleen
In the organs or vessels of organs that supplied
Describe the vagus pathway to heart
Pregang in superior and inferior cardiac nerves
Synapse in cardiac plexus
Postgang to SA, AV, Bundle, and purkinge
Describe pathway of vagus to lungs
Pregang carried in anterior and posterior bronchial branches
Synapse in pulmonary plexuses
Postgang reach bronchial musculature and glands
Describe pathway of vagus to esophagus
Pregang in recurrent laryngeal nerve and A/P esophageal branches
Synapse in wall of esophagus
Postgang supply smooth muscle of esophagus
Vagus pathway to stomach describe
Pregang fibers reach stomach via branches from anterior and posterior vagal trunks
Synapse in submucosal and myenteric plexuses of stomach
Postgang axons reach smooth muscle from plexuses above
Vagas nerve pathway to SI, cecum, appendix, asending/transverse colon pregang fibers travel via what?
Fibers reach duodenum via what plexus?
Remaining pre gang fibers reach destination via same plexus as above and continue through which other plexus to synapse in submucosal and myenteric plexuses?
Postgang axons reach smooth muscle fibers how?
Posterior vagal trunk
Celiac
Mesenteric plexus
Plexuses mentioned above
Vagus pathway to gall bladder, pancreas, and biliary tree.
Pregang fibers from primarily where?
Via what plexus that is a extension of celiac plexus?
Synapse in muscular walls of items where post gang fibers reach what?
Right Vagal trunk
Hepatic plexus
Smooth muscle or glands of targets
Vagal pathway to spleen pregang fibers from what?
Via what?
Posterior vagal trunk
Splenic plexus
Vagal pathway to kidney via what plexus?
Motor supply to kidneys is strictly what?
Fibers reaching the kidney that are parasymp are likely what?
Hepatic
Sympathetic
Visceral afferents
Vagus pathway to the liver pre gang fibers are from where?
Reach liver via what plexus that is extension of celiac?
Parasympathetic supply to liver is primarily afferent or efferent?
Anterior vagal trunk
Hepatic plexus
Afferent
Vagus pathway to suprarenal glands is similar to what?
Afferent or efferent?
Fibers carried through what?
Kidneys and liver
Afferent
Posterior vagal trunk
Where do the sacral parasymp pathways arise from?
Carried inferior in what structure?
Exit via what?
Carried in what nerves?
Travel to what plexus to be distributed to pelvic organs?
Lateral horns of S2-S4
Cauda equina
Sacral foramina
Pelvic splanchnic
Inferior hypogastric
Sacral parasympathetic pathways to the distal colon pre gang fibers via inferior hypogastric plexus go to what other plexuses?
Via what nerve?
Postgang fibers reach target from what plexus?
Superior hypogastric and inferior mesenteric plexuses
Hypogastric nerve
Inferior mesenteric plexus
Sacral parasymp pathway to the rectum and anus pre gang fibers travel to what plexus?
Postgang fibers reach target
Inferior hypogastric
Cool
Sacral parasymp pathway to urinary bladder pre gang travel to what plexus?
Postgang fibers reach what primary target?
Parasymp stimulation does what to bladder?
Somatic supply to external urethral sphincter follows what pathway?
What happens to neurons as bladder empties?
Inferior hypogastric
Detrusor muscle
Empties
Same
Inhibited
Sacral parasymp pathway to prostate and seminal vesicle pregang fibers reach prostatic plexus via what plexus?
Post gang fibers reach smooth muscles of what two things?
Inferior hypogastric plexus
Prostatic urethra and seminle vesicle
Sacral parasymp pathway to uterus pregang fibers travel to what plexus?
Postgang fibers to ____ of uterus?
Parasympt inhibits these muscles but what plays a larger role esp during pregnancy?
Inferior hypogastric
Myometrium
Hormones
Sacral parasymp pathway to vagina pregang fibers synapse in what plexus?
Reached via what other plexus?
Parasymp activity does what?
Vaginal plexus
Inferior hypogastric
Vasodilation and increased secretory activity
Sacral parasymp pathway to penis or clitoris pregang fibers travel to what plexus via the inferior hypogastric plexus?
Parasymp activity dos what?
Cavernous plexus
Vasodilation and filling of sinuses of erectile tissue
Where are cell bodies of sympathetics located?
Exit cord via what?
Follow VPR and exit to enter sympathetic trunk via what?
Most synapse on what?
Some pre gang fibers pass through symp trunk to be carried in what nerves?
Lateral horn of T1-L2/3
Anterior rootlets
White rams communicants
Postgang cells in ganglia of symp trunk
Splanchnic nerves
Preganglionic sympathetic fibers release what?
DUNNO!?
How many paravertebral columns of interconnected ganglia make up symp trunk?
Carry ascending or descending fibers?
Extends from what to what?
How many ganglia in each trunk?
Located ____ to carotid sheath in cervical area
_____ to neck of ribs in upper thoracic area
2
Both
Superior cervical ganglion down to ganglion impar
21 or 22
3Cervical, 11thoracic, 4 lumbar, 4 sacral
Posterior
Anterior
The cervical sympathetic trunk is located between longs collie, capitis muscle and what structure?
White rams communicants present?
Gray ramus communians present?
How many cervical ganglia?
May fuse with first thoracic ganglion to make what?
Carotid sheath
None
At each cervical nerve
3, sup mid and inf
Stellate ganglion
Which cervical ganglion is the largest?
It is a union of how many of the upper cervical ganglia?
Which level is it found at?
Located between longus capitis and what structure?
Superior Cervical ganglion
4
C2 - C3
Carotid Sheath
Postgang fibers of superior cervical ganglion are distributed in what three branches?
Which branch has GRC, communicates with VPR of C1-C4
Which one travels to larynx, pharynx and heart by superior cardiac nerves and carries Efferent fibers only?
Which follows common and external carotid arteries and innervates vessels supplying structures INSIDE AND OUTSIDE skull?
Lateral, medial and anterior
Lateral]
Medial
Anterior
Which cervical ganglion is the smallest?
Level located?
Communicates with VPR of which nerves via GRC?
What two branches?
Which branches make up middle cardiac nerves and contribute to deep part of cardiac plexus?
Which branches go to thyroid and parathyroid glands and are primarily vasomotor?
Middle cerviacal ganglion
C6
C5 and C6
Thyroid and Cardiaac
Cardiac
Thyroid
How often does the inferior cervical ganglion form stllate ganglion?
Which level is inferior cervical ganglion located at?
Communicates with VPR of which levels?
Which branches are there?
80%
C7 TP and neck of Rib 1
C7, C8 maybe T1
Cardiac and Branches to subclavian artery
How many thoracic ganglia are there in the thoracic trunk?
Which ones have GRC and WC?
Which are located anterior to rib heads
Which are located on lateral aspects of Vertebral bodies?
11 maybe 12
All of them
Superior thorax ones
Lower thorax ones
Branches from the upper 5 ganglia of the thoracic trunk travel which direction?
Supply structures of the what?
Carier which type of fibers?
Medially
Thoracic cavity
Postgang visceral afferent
Branches for lower 7 ganglia of thoracic trunk are associated with how many splanchnic nerves?
Carrier what type of fibers to plexuses in which cavities?
Three
Pregang visceral afferent to plexuses in abdominal and pelvic cavities
Where does the lumbar sympathetic trunk lie?
How many ganglia?
Which nerves have WRC?
Which ones have GRC?
Retroperitoneal space on lateral aspects of lumbar bodies
4
First two maybe three
All of them
Sacral sympathetic trunk is located where?
How many ganglia?
Which nerves have GRC?
Both trunks (sacral and lumbar?) meet to form what on the anterior suface of coccyx?
Anterior aspect of sacrum medial to anterior sacral foramina
4 or 5
All sacral nerves and coccygeal nerves
Ganglion impar
Which pre gang axons of sympathetic trunk ascend?
Descend?
Associated with head and neck?
Assoicated with heart?
Lungs?
Upper extremities?
Abdominal viscera?
Pelvic viscera?
Lower extremities?
T1 - T5
T5 - L2
T1 and T2
T1 - T4
T2 - T4
T3 - T7
T5 - T12
T10 - L2
T10 - L2
Pregang head and neck axons of symp trunk synapse in which ganglion?
Heart ones?
Lungs?
Upper extrem
Abdominal viscera
Pelvic viscera
Lower extrem
Superior cervical
A cervical or direct to heart
2nd to 4th thoracic ganglia
Middle and inferior/stellate
Lower thoracic ganglia
Ganglia in lower T, L and P areas
L2 - S4 ganglia
What three ways are fibers carried from the sympathetic trunk?
Virtually all nerves carry which type of fibers?
These fibers will be what three things?
Nerves, Vessels, Direct branches
Postganglionic Sympathetic
Vasoconstrictor, Sudomotor, Motor to arrector pili
The internal carotid nerve is a branch from which ganglion?
Enters cranial cavity with what artery?
Divides into what?
Superior cervical ganglion
Internal carotid artery
Medial and lateral branchesq
Lateral internal carotid nerve forms what plexus?
Many of its branches terminate on blood vessels where?
Communicate with which ganglion?
Postgang fibers form deep petrosal nerve which combines with greater petrosal nerve to form what?
Fibers reach?
Internal carotid
Inside skull
Trigeminal
Nerve of the pterygoid canal
Lacramal, nasal, palatine, and some pharyngeal glands