Part 2: Autonomic Nervous System Flashcards

1
Q

The Autonomic Nervous System (ANS) is responsible for:

A
  • monitoring and regulating visceral functions.
  • ANS carries signals to and from viscera, blood vessels and glands via visceral motor (efferent) and visceral sensory (afferent) neurons.
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2
Q

Two divisions of the ANS:

A

sympathetic and parasympathetic

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3
Q

Sympathetic ANS is primarily responsible for:

A
  • motor innervation of smooth muscle lining blood vessels, cardiac muscle and sweat glands and sensory innervation of viscera.
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4
Q

Sympathetic ANS nerve fibers are distributed with:

A

spinal nerves and blood vessels.

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5
Q

Parasympathetic ANS is primarily responsible for:

A
  • motor innervation of smooth muscle lining digestive tract, cardiac muscle and salivary glands and sensory innervation of viscera.
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6
Q

Parasympathetic nerve fibers are distributed with:

A

cranial nerves and pelvic autonomic nerves.

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7
Q

Somatic Motor (efferent) nervous system:

A
  • single neuron pathway from CNS to skeletal (voluntary) muscle.
  • cell bodies multipolar and located in ventral (motor) horn.
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8
Q

Visceral Motor (efferent) nervous system (ANS):

A
  • two neuron pathway from CNS to smooth muscle, cardiac muscle and glands.
  • preganglionic and postganglionic components
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9
Q

Structure of Visceral Motor (efferent) nervous system (ANS):

A
  • two neuron pathway
  • cell bodies of the first motor neuron (preganglionic) are located in the CNS.
  • cell bodies of the second motor neuron (postganglionic) are located in ganglia in the PNS.

postganglionic neurons directly innervate visceral structures.

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10
Q

Preganglionic neurons only innervate:

A
  • postganglionic neurons.
  • postganglionic neurons directly innervate visceral structures.
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11
Q

The Sympathetic Motor and Parasympathetic Motor Nervous Systems of the ANS both use:

A
  • a two neuron pathway with the first neuron located in the CNS and the second neuron in the PNS.
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12
Q

Location of Preganglionic Cell Bodies in Sympathetic Motor Nervous System:

A
  • Lateral horn of spinal cord segments T1-L2.
  • Referred to as thoracolumbar outflow.
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13
Q

Location of Preganglionic Cell Bodies in Parasympathetic Motor Nervous System:

A
  • Brainstem nuclei and lateral horn of spinal cord segments S2-S4.
  • Referred to as craniosacral outflow.
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14
Q

Location of Postganglionic Cell Bodies in Sympathetic Motor Nervous System:

A

Paravertebral and Prevertebral Ganglia

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15
Q

Location of Postganglionic Cell Bodies in Paraympathetic Motor Nervous System:

A
  • 4 discrete ganglia of the head and enteric ganglia of the gut.
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16
Q

Length of preganglionic and postganglionic axons in sympathetic motor versus parasympathetic motor nervous sytems:

A
  • Sympathetic:
    • short preganglionic, long postganglionic
  • Parasympathetic:
    • long preganglionic, short postganglionic
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17
Q

The preganglionic sympathetic neuronal cell bodies are restricted to:

A
  • lateral horn of spinal cord segments T1-L2
18
Q

Before being distributed, all preganglionic sympathetic fibers enter paravertebral ganglia from T1-L2
via:

A

white rami communicans

19
Q

Lateral Horn:

A
  • Location of sympathetic preganglionic cell bodies found only from T1-L2 spinal cord segments.
20
Q

Ventral Root:

A
  • Carries preganglionic sympathetic axons to spinal nerve.
  • Also carries somatic motor axons.
21
Q

Spinal Nerve:

A
  • All spinal nerves carry somatic motor axons, somatic sensory fibers, and postganglionic sympathetic axons.
  • Spinal nerves from T1-L2 carry all of those fibers plus visceral sensory and preganglionic sympathetic axons.
22
Q

Preganglionic sympathetic axons are only carried through which spinal nerves?

A

spinal nerves T1-L2

23
Q

Ventral Ramus:

A
  • Carries pre- and postganglionic sympathetic axons.
  • Also carries somatic motor and sensory fibers and visceral sensory fibers.
24
Q

White Ramus Communicans:

A
  • Connects ventral rami of spinal nerves T1-L2 with paravertebral ganglia.
  • Carries preganglionic sympathetic axons.
  • Also carries visceral sensory fibers.

“ENTRANCE RAMP TO PARAVERTEBRAL GANGLIA”

25
Q

White Ramus Communicans are only located on and between what spinal nerves?

A

T1-L2

26
Q

Gray Ramus Communicans:

A
  • Connects ventral rami of all spinal nerves with paravertebral ganglia.
  • Carries postganglionic sympathetic axons that are distributed to somatic structures.

“EXIT RAMP FROM PARAVERTEBRAL GANGLIA”

27
Q

Paravertebral Ganglia:

A
  • Sympathetic chain of ganglia located alongside the vertebral column.
  • Contain postganglionic cell bodies.
28
Q

Splanchnic Nerve:

A
  • Connects paravertebral and prevertebral ganglia.
  • Carries preganglionic sympathetic axons.
  • Also carries visceral sensory fibers.
29
Q

Prevertebral Ganglia:

A
  • Contain postganglionic cell bodies whose axons are distributed to abdominopelvic viscera.
30
Q

Spinal nerves T1-L2 provide innervation primarily to:

A
  • the trunk
31
Q

Pathway of how sympathetic motor neurons are distributed to the T2 portion of the trunk from the spinal cord:

A
  1. Preganglionic cell body located in lateral horn of spinal cord segment T2.
  2. Preganglionic axon exits the cord via the T2 ventral root.
  3. Preganglionic axon runs in the T2 spinal nerve to the T2 ventral ramus.
  4. Preganglionic axon passes through the T2 white ramus communicans to enter the T2 paravertebral ganglion.
  5. Preganglionic axon synapses on postganglionic cell bodies located in the paravertebral ganglion.
  6. Postganglionic axon exits T2 paravertebral ganglion via gray ramus communicans.
  7. Postganglionic axon joins the T2 ventral ramus and is distributed to sweat glands supplied by T2 ventral ramus.
32
Q

What spinal nerves supply the upper limb?

A

C5-T1

33
Q

What spinal nerves supply the lower limb?

A

L2-S4

34
Q

Pathway of how sympathetic motor neurons are distributed to the L5 portion of the lower limbs from the spinal cord:

A
  1. Preganglionic cell body located in lateral horn of segment L1.
  2. Preganglionic axon exits the cord via the L1 ventral root.
  3. Preganglionic axon runs in the L1 spinal nerve to the L1 ventral ramus.
  4. Preganglionic axon passes through the L1 white ramus communicans to enter the L1 paravertebral ganglion.
  5. Preganglionic axon does not synapse in L1 ganglion, but descends the chain.
  6. Preganglionic axon synapses on a postganglionic neuron in the paravertebral
  7. ganglion attached to the L5 ventral ramus.
  8. Postganglionic axon exits the L5 paravertebral ganglion via gray ramus communicans.
  9. Postganglionic axon joins the L5 ventral ramus and is distributed to lower limb supplied by L5 ventral ramus.
35
Q

Sensations conveyed by Somatic Sensory Neurons:

A

Pain, Temperature, Touch, Proprioception

36
Q

Location of Somatic Sensory Neuron Cell Bodies:

A

Dorsal Root Ganglia from C2-Coccyx

37
Q

Sensations conveyed by Visceral Sensory Neurons:

A

Distension, Nausea, Hunger

38
Q

Location of Visceral Sensory Neuron Cell Bodies:

A

Dorsal Root Ganglia from T1-L2.

39
Q

How many neurons are involved in both the somatic and visceral sensory pathways?

A
  • one neuron
  • only visceral motor pathways (ANS) require two neurons
40
Q

Pathway of how visceral afferent neurons (ANS sensory) reach the spinal cord from the heart:

A

SAME, BUT OPPOSITE PATH AS SYMPATHETIC MOTOR NEURON

  1. Sensory fiber axons from receptors in heart enter visceral nerve.
  2. Axons enter superior cervical ganglion and descend the chain to T2 paravertebral ganglion.
  3. Axons exit via white ramus communicans to reach the T2 ventral ramus.
  4. Axons travel back to T2 spinal nerve via T2 ventral ramus.
  5. Axons enter T2 dorsal root to their cell body located in the T2 dorsal root ganglion.
  6. Axon continues through the T2 dorsal root to the dorsal horn of the T2 spinal cord segment where it will synapse.
41
Q

Referred pain occurs because:

A
  • visceral afferent fibers synapse on the same neurons in the dorsal horn of spinal cord segments T1-L2 as the somatic afferent fibers.
    • Ex: pain stimulus coming from a visceral organ (i.e. heart) is perceived as having come from the arm and interpreted as coming from that region.