Innervation of the Urinary System Flashcards

1
Q

How does information get from the bladder to the brain?

A

Mechanoreceptors

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2
Q

Stretch in the urethra is transmitted through which nerve?

A

Pudendal nerve

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3
Q

Which nerve controls the external urethral sphincter?

A

Pudendal nerve

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4
Q

Somatic innervation of the external urethral sphincter is controlled by which nerve?

A

Pudendal nerve

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5
Q

Voluntary motor system

A

Somatic

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6
Q

Which nerve controls the sympathetic nervous portion of the bladder?

A

Hypogastric nerve

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7
Q

Where do axons from the hypogastric nerve synapse?

A

Pelvic plexus, detrusor muscle, internal urethral sphincter

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8
Q

Does relaxation or contraction of the detrusor muscle encourage urinary retention?

A

Relaxation

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9
Q

Where do parasympathetic preganglionic nerve cells live?

A

End of spinal cord in the sacral segments

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10
Q

Where do axons from the pelvic nerve synapse?

A

Pelvic plexus ganglion or bladder wall glanglion

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11
Q

Which nerve controls parasympathetic innervation of the bladder?

A

Pelvic nerve

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12
Q

Which nerve causes contraction of the detrusor muscle?

A

Pelvic nerve (parasymathetic)

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13
Q

Which nerve causes relaxation of the detrusor muscle?

A

Hypogastric nerve (sympathetic)

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14
Q

Which system help to retain urine?

A

Sympathetic

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15
Q

Which systems help with micturition?

A

Parasympathetic

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16
Q

Inability of the body to control the evacuative functions

A

Incontinence

17
Q

What are common forms of incontinence?

A

UMN, LMN, hormone sensitive, and congenital

18
Q

What happens when you lose UMN input to the bladder (UMN disease/UMN bladder)?

A

Paralysis, incr. tone, full bladder difficult to express

19
Q

Animal cannot voluntarily open external urethral sphincter

A

UMN bladder

20
Q

Squirts of urine

A

UMN bladder

21
Q

How do you relax somatic/voluntary muscles (external urethral sphincter)?

A

Sedatives (like valium)

22
Q

How do you relax autonomic/involuntary muscles (internal urethral sphincter)?

A

Block alpha receptors in urethra (phenoxybenzamine, prazosin)

23
Q

What is a common side effect of phenoxybenzamine and prazosin?

A

Hypotension

24
Q

What happens when you lose LMN input to the bladder (LMN disease/LMN bladder)?

A

Paralysis w/decr tone, flaccid sphincter, prone to UTI b/c urine never completely clears the bladder

25
Q

Dribbling urine

A

LMN bladder

26
Q

How can you treat LMN somatic problems?

A

None

27
Q

How can you treat UMN autonomic problems?

A

Parasympathomimetics (incr. cholinergic activity)

28
Q

What are parasympathomimetics that we use for LMN bladder treatment?

A

Bethanechol chloride

29
Q

What are side effects of bethanechol chloride?

A

V+/D+, salivation