Micturition Reflex Flashcards

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1
Q

What is the definition of the micturition reflex?

A

The micturition reflex is the neural mechanism by which the urinary bladder empties.

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2
Q

What role does the detrusor muscle play in micturition?

A

The detrusor muscle contracts to expel urine from the bladder during micturition.

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3
Q

How is the internal urethral sphincter involved in the micturition reflex?

A

The internal urethral sphincter relaxes to allow urine to pass from the bladder into the urethra.

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4
Q

What is the function of the external urethral sphincter during micturition?

A

The external urethral sphincter provides voluntary control over the initiation of micturition.

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5
Q

Which part of the nervous system controls the micturition reflex?

A

The autonomic nervous system controls the micturition reflex.

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6
Q

How do stretch receptors in the bladder wall contribute to micturition?

A

Stretch receptors in the bladder wall detect filling and send signals to the spinal cord and brain.

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7
Q

What role does the pontine micturition center play in the micturition reflex?

A

The pontine micturition center coordinates the activities of the bladder and urethral sphincters.

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8
Q

How is the parasympathetic nervous system involved in the micturition reflex?

A

The parasympathetic nervous system stimulates bladder contraction and sphincter relaxation.

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9
Q

What is the function of the sympathetic nervous system in micturition?

A

The sympathetic nervous system inhibits bladder contraction and keeps the internal urethral sphincter closed.

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10
Q

How does voluntary control of micturition occur?

A

Voluntary control of micturition occurs through the external urethral sphincter, controlled by the somatic nervous system.

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11
Q

What is the sequence of events in the initiation of the micturition reflex?

A

The sequence begins with bladder filling, activation of stretch receptors, signals to the brain, and coordinated muscle contractions and sphincter relaxations.

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12
Q

How does the bladder signal the brain that it is full?

A

The bladder signals the brain via sensory neurons that respond to stretch as the bladder fills.

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13
Q

What neurotransmitters are involved in the micturition reflex?

A

Acetylcholine is a key neurotransmitter in the parasympathetic activation of the detrusor muscle.

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14
Q

How does the process of micturition differ between infants and adults?

A

Infants have an involuntary micturition reflex, while adults develop voluntary control over time.

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15
Q

What role do higher brain centers play in the control of micturition?

A

Higher brain centers in the frontal lobe can facilitate or inhibit the micturition reflex.

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16
Q

How does the micturition reflex prevent involuntary urination?

A

The micturition reflex prevents involuntary urination by maintaining the internal and external sphincters closed until appropriate.

17
Q

What is the effect of spinal cord injuries on the micturition reflex?

A

Spinal cord injuries can disrupt the coordination and control of the micturition reflex.

18
Q

How does aging affect the micturition reflex?

A

Aging can lead to decreased bladder capacity, increased frequency, and potential incontinence.

19
Q

What are common disorders associated with the micturition reflex?

A

Common disorders include overactive bladder, urinary retention, and incontinence.

20
Q

How does the detrusor muscle respond to acetylcholine?

A

Acetylcholine stimulates the detrusor muscle to contract during micturition.

21
Q

What role does the pelvic nerve play in the micturition reflex?

A

The pelvic nerve carries parasympathetic signals to the bladder, initiating contraction.

22
Q

How do the hypogastric nerves influence micturition?

A

Hypogastric nerves carry sympathetic signals that inhibit bladder contraction and maintain continence.

23
Q

What is the function of the pudendal nerve in micturition?

A

The pudendal nerve controls the external urethral sphincter, allowing voluntary control of urination.

24
Q

How does the micturition reflex change with a full bladder versus a partially full bladder?

A

A full bladder triggers a stronger and more urgent micturition reflex compared to a partially full bladder.

25
Q

What is the effect of anticholinergic drugs on micturition?

A

Anticholinergic drugs inhibit the action of acetylcholine, reducing bladder contractions and increasing storage capacity.

26
Q

How does the voluntary relaxation of the external urethral sphincter occur?

A

Voluntary relaxation of the external urethral sphincter is achieved by inhibiting motor neurons that innervate it.

27
Q

What are the phases of the micturition cycle?

A

The phases of the micturition cycle include the storage phase and the voiding phase.

28
Q

How does urinary incontinence relate to the micturition reflex?

A

Urinary incontinence occurs when the micturition reflex fails to properly coordinate sphincter and bladder activity.

29
Q

What is the role of mechanoreceptors in the bladder wall?

A

Mechanoreceptors in the bladder wall respond to stretching and initiate the micturition reflex.

30
Q

How does the voiding phase of micturition occur?

A

The voiding phase occurs when the detrusor muscle contracts, and both the internal and external urethral sphincters relax, allowing urine to be expelled.