Lecture 6 - Autonomic Nervous System Flashcards

1
Q

The autonomic nervous system (ANS) controls _____ activity. Some of the systems it regulates are involuntary (ex: heartbeat). It is subdivided into 3 systems:

  • “fight or flight” = ___________ division
  • “rest and digest” = _________ + _________ divisions
A
  • visceral
  • sympathetic (SNS)
  • parasympathetic (PNS)
  • enteric nervous system (ENS)
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2
Q

Both somatic and autonomic nervous systems use _____ and ______ pathways, have ______ fibers, and mediate ______.

A
  • ascending
  • descending
  • sensory (visceral)
  • reflexes
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3
Q

The autonomic nervous system differs from the somatic nervous system because SNS and PNS efferents use a __-______ chain; they do not reach targets directly.

This is a _____ cell body in CNS, and _____ neuron in a ganglion.

A
  • 2-neuron
  • preganglionic
  • postganglionic
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4
Q

Preganglionic fibers have _____ myelin. Postganglionic fibers have _____ myelin.

A
  • thin

- no

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5
Q

Sympathetic ganglia are located near the ______. Parasympathetic ganglia are located near their _____ _____.

A
  • CNS

- innervated organ

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6
Q

The neurotransmitter mainly associated with the PNS is ________. The SNS also uses ________ at the first synapse, but uses ________ or ________ at the 2nd synapse.

A
  • acetylcholine (ACh)
  • ACh
  • norepinephrine (NorEpi)
  • epinephrine (Epi)
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7
Q

In the SNS, preganglionic fibers travel from ___-___ in the spinal nerve to the _______ chain, _______ ganglia, and the ______ gland.

A
  • T1 - L2
  • sympathetic
  • prevertebral
  • adrenal
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8
Q

PNS preganglionic neurons are located in the ______ and ______ cord, and travel in respective nerves to those structures. They outflow to the gut _____, but not to any limbs.

A
  • brainstem
  • sacral
  • viscera
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9
Q

The SNS usually causes muscular contraction and blood vessel constriction. The PNS works opposite of this, causing relaxation. An exception is the ______ muscles and _____, where the PNS is excitatory.

A
  • bronchial

- lungs

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10
Q

List 5 more exceptions where the PNS is excitatory.

A
  • GI motility
  • bladder detrusor muscles
  • pupillary sphincter
  • ciliary muscle
  • glands
  • basically, just think that most of these are involuntary, as opposed to the SNS usually exciting voluntary things
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11
Q

Which 4 cranial nerves are controlled by the PNS?

A
  • oculomotor (CN III) = pupillary sphincter, ciliary muscle
  • facial (CN VII) = pterygopalatine ganglion
  • glossopharyngeal (CN IX) = otic ganglion
  • vagus (CN X) = organs
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12
Q

The oculomotor nerve’s (CN III) parasympathetic nucleus is called the _____-____ nucleus. It is located in the _____, and controls the _____ ganglion. It _____ the pupil, and uses adjusts the lens of the eye for near vision with the _____ muscle.

A
  • Edinger-Westphal
  • midbrain
  • ciliary
  • constricts
  • ciliary
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13
Q

The facial nerve’s (CN VII) parasympathetic nucleus is called the ______ ______ nucleus. It is located in the _______ of the _______, and controls _______ _______ cell bodies.

A
  • superior salivatory
  • tegmentum
  • pons
  • parasympathetic preganglionic
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14
Q

The facial nerve (CN VII) parasympathetic division controls 2 ganglia:

  1. ________ ganglion postganglionic fibers terminate in the nasal and lacrimal glands
  2. ________ ganglion postganglionic fibers terminate in submandibular and sublingual salivary glands
A
  1. pterygopalatine

2. submandibular

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15
Q

The glossopharyngeal nerve’s (CN IX) parasympathetic nucleus is called the ______ _______ nucleus, located in the _______. Preganglionic fibers lead to the _____ ganglion, which sends out parasympathetic postganglionic fibers terminating in the ______ gland.

A
  • inferior salivatory
  • medulla
  • otic
  • salivary
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16
Q

The vagus nerve (CN X) has 2 parasympathetic nuclei located in the ______. The preganglionic cell bodies serving the GI tract are from the ____ _____ nucleus, while those serving the heart are from the ______ ______.

A
  • medulla
  • dorsal motor
  • nucleus ambiguus
17
Q

From the vagus (CN X) parasympathetic nuclei, axons exit with other vagal nerve fibers and terminate in the _____ of the target organ, where _______ nerve cell bodies are located.

A
  • wall

- postganglionic

18
Q

The sacral preganglionic parasympathetic cell bodies are located at the _____ cord, ___-___ level, region of ____ horn.

A
  • sacral
  • S2 - S4
  • lateral
19
Q

Sacral preganglionic parasympathetic cell bodies exit the ____ root and course within ______ nerves. The axons terminate at postganglionic cell bodies in the walls of the _____, _____, and other urogenital structures.

A
  • ventral
  • splanchnic
  • colon
  • bladder
20
Q

Sympathetic preganglionic fibers have 4 possible destinations:

  1. Synapse in _____ ganglion
  2. Ascend and synapse in the _____ ______ ganglion or _____ _____ ganglion
  3. Descend and synapse in the _____/_____ ganglia
  4. Traverse the chain, emerge as ______ nerves
A
  • nearest
  • superior cervical (SCG)
  • middle cervical (MCG)
  • lumbar/sacral
  • splanchnic
21
Q

After exiting the spinal cord using the ventral roots, preganglionic sympathetic fibers use _____ ______ ______ to join the sympathetic chain (AKA, paravertebral chain ganglia). Postganglionic fibers then rejoin the spinal nerves using ______ ______ ______.

A
  • white communicating rami
  • gray communicating rami
  • remember preganglionic fibers are thinly myelinated, postganglionic fibers are unmyelinated
22
Q

Postganglionic sympathetic fibers reach the head via the _______ ganglia and _____ plexus.

A
  • cervical

- carotid

23
Q

List the 3 possible preganglionic sympathetic cell bodies.

A
  • paravertebral ganglia
  • prevertebral ganglia
  • adrenal medulla
24
Q

Loss of sympathetic innervation of the face leading to ptosis, miosis, endophthalmosis, anhydrosis, and heterochromia is known as _______ syndrome.

A

Horner

25
Q

Pain from viscera that is perceived as surface level pain is called _______ pain. This occurs when the viscera is innervated at the _____ cord level as the surface structure. Signals for are mixed at the spinal cord and ______.

A
  • referred
  • same
  • brainstem
26
Q

The ______ nervous system innervates the intestines, pancreas, and gall bladder.

A

enteric

27
Q

What are the 2 enteric neural plexi of the intestinal tract?

A
  • myenteric plexus (of Auerbach)

- submucous plexus (of Meissner)

28
Q

The enteric nervous system provides primary control of ______ and ______ for its innervated organs.

A
  • motility

- secretion