Lodge 1 Flashcards

1
Q
  • INVOLUNTARY
  • Transmits information from the CNS to smooth muscle, cardiac muscle, and glands.
  • Two neurons connect the central nervous system to organ (preganglionic and postganglionic neurons)
A

Autonomic nervous system

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2
Q
  • VOLUNTARY
  • Transmits information from the CNS to skeletal muscles
  • Controls both voluntary and reflex muscle movements
  • Only one neuron connects the central nervous system to muscle
A

Somatic nervous system

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3
Q

The ______ maintains the internal environment of the body (homeostasis)

A

autonomic nervous system

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4
Q

ANS regulates critical involuntary functions including…

A
  • respiration
  • circulation
  • GI
  • temperature
  • endocrine & exocrine glands
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5
Q

Two divisions of ANS

A
  • Parasympathetic system (rest and digest)

* Sympathetic system (fight or flight)

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6
Q

• Craniosacral
• Primary responsibility is conserving &
replenishing energy
• Active during rest or digestion hence “rest-and-digest”
• Works dynamically with the sympathetic system to maintain homeostasis

A

The Parasympathetic System

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7
Q
  • Thoracolumbar (T1-L2)
  • Primary responsibility is action
  • Active during vigorous exercise, excitement (stress), or emergencies “fight or flight”
A

The Sympathetic System

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8
Q

Autonomic innervation of sweat gland is _____ (origin T2-L2).

A

Sympathetic

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9
Q

Many (most) visceral organs are innervated by ____ ANS division(s).

A

both

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10
Q

Dual innervation can be ____ or _____.

A
  • Antagonistic

- Synergistic/co-operative

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11
Q

Some organs that receive ONLY sympathetic innervation:

A
  • Piloerector Muscles
  • Sweat Glands
  • Blood Vessels*
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12
Q

Examples of antogonistic innervation

A
  • The eye (radial fibers-sympathetic; circular fibers-parasympathetic)
  • The heart (parasympathetic decrease heart rate and force, sympathetic increase)
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13
Q

Examples of synergistic innervation

A
  • Reproductive system (parasympathetic-erection; sympathetic-ejaculation)
  • Salivation (parasympathetic-increase gland secretion; sympathetic-vasoconstriction=more viscous saliva)
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14
Q

Post-ganglionic neurons utilize different ______.

A

neurotransmitters

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15
Q

Neurons classified as either cholinergic (contain ______) or adrenergic (contain ______).

A
  • Acetylcholine

- Norepinephrine

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16
Q

Norepinephrine is released from _______ sympathetic neurons only.

A

Postganglionic

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17
Q

Catecholamine synthesis

A
  • Phenylalanine
  • Tyrosine
  • L-DOPA
  • Dopamine
  • Norepinephrine
  • Epinephrine
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18
Q

Catecholamine transmission activity dependent on release from vesicles, inactivation is caused by…

A
  • Re-uptake (most important)

- Enzymatic degradation

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19
Q

responses to adrenergic agonists is similar to sympathetic nervous system activation

A

Sympathomimetics

20
Q

Ways that andrenergic agonists act

A

– Direct receptor activation
– Promotion of NE release
– Inhibition of NE Reuptake
– Inhibition of NE Inactivation

21
Q

Does NE excite or inhibit organs?

A

It can do both depending on the receptor

22
Q

Receptors are all _____ and are divided into ______.

A
  • GPCRs (7-TM receptors)

- alpha and beta

23
Q

a1 and B1 receptors produce _____, white a2 and B2 produce ______.

A
  • Excitation

- Inhibition

24
Q
  • 7-TM receptor
  • GPCR (coupled to Gq)
  • Increases [Ca2+]i
  • Excitatory
A

a1 Adrenergic Receptors

25
a1 Adrenergic Receptor localization
primarily in smooth muscle (blood vessels, eye, bladder, urinary tract, male sex organs, uterus,)
26
* Vasoconstriction of blood vessels * Contraction of the radial muscles of the eye (dilation of pupil) • Contraction of bladder * Increase tone in urinary tract * Contraction of uterus (pregnancy) * Male ejaculation
a1 Adrenergic Receptors functions
27
* 7-TM receptor * GPCR (coupled to Gi) * Decreases cAMP * Inhibitory
a2 Adrenergic Receptors
28
a2 Adrenergic Receptors localization
primarily located on presynaptic nerve terminals (CNS and PNS)
29
* Inhibitory autoreceptor | * Regulate (decrease) neurotransmitter release
a2 Adrenergic Receptors functions
30
* 7-TM receptor * GPCR (coupled to Gs) * Increases cAMP * Excitatory
B1 Adrenergic Receptors
31
B1 Adrenergic Receptors localization
primarily located in the heart
32
* 7-TM receptor * GPCR (coupled to Gs) * Increases cAMP * Inhibitory
B2 Adrenergic Receptors
33
B2 Adrenergic Receptors localization
lungs, gastrointestinal tract, uterus, vascular smooth muscle (heart, lung and skeletal muscle), liver
34
* Lungs: bronchial dilation * GI tract: decreased motility * Uterus: relaxation of uterine smooth muscle * Blood vessels: Selective vasodilation (c.f. a1) * Liver: promotes glycogenlysis (glycogen --> glucose) and gluconeogenesis (generation of glucose)
B2 Adrenergic Receptors function
35
Norepinephrine is devoid of ____ activity at low doses
B2
36
Cardiovascular effects of epinephrine
``` • ↑ heart rate & force (β1) • ↓ TPR (β2) (although some α1 vasoconstriction) • ↑ systolic due effects on heart • ↓ diastolic due to vasodilation ```
37
Cardiovascular effects of norepinephrine
•↑↑ TPR (α1) (noβ2 vasodilation) •↑ systolic & diastolic due to vasoconstriction •Reflex ↓ in heart rate
38
- Drug of Choice (DOC) for anaphylactic reactions (reverses bronchoconstriction) - tx of asthma & COPD (bronchodilator b2) - tx of cardiac arrest (1/3 saved with EPI & 2/3 with DC countershock) - vasoconstrictor (a1) agent with local anesthetic drugs. - DOC for priapism – injected into the corpus cavernosa (vasoconstrictor a1)
Epinephrine (Adrenalin)
39
Side effects of Epinephrine (Adrenalin)
- Angina, arrhythmias (b1) - Hypertension -> cerebral hemorrhage (a1) - Pale skin (a1) - Acute renal failure (a1)
40
- tx asthma & COPD | - Potent bronchodilators
Albuterol – b2 agonist
41
Side effects of Albuterol – b2 agonist
- Mainly tremor | - Tachycardia etc (systemic not inhalation)
42
a1 agonist mediated vasoconstriction in dentistry
* Epi/NE are widely utilized as a potent vasoconstrictor agents * Selectivity provided by topical application * Epinephrine is often used to prolong the duration of anesthetic action * Epinephrine is also used in gingival retraction cords
43
– Cardiac arrhythmia (any agent with b-activity) – Angina (any agent with b-activity) – Hypertension (a1) – Cerebral hemorrhage (anything that increases BP) – Pulmonary Edema (increased DBP)
Cardiovascular effects of sympathomimetics
44
– Anxiety, Headache, hyperactivity, insomnia
CNS effects of sympathomimetics
45
– Nausea, tremors (b2)
Other effects of sympathomimetics