Peripheral Nervous System Flashcards

1
Q

Common diseases in which drugs function by mimicking or blocking actions of the nervous system

A

Diseases of the eye
Cardiovascular diseases
Lung diseases
Skeletal muscle paralysis

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2
Q

Central nervous system

A

Brain and Spinal Cord

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3
Q

Peripheral Nervous System

A

Sensory pathways (Afferent)
Motor Pathways (Efferent)
Autonomic Nervous System (Sympathetic and Parasympathetic)
Somatic Nervous System

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4
Q

How many neurons are there between the CNS and a skeletal muscle in the Somatic Nervous System

A

1 (ends at neuromuscular junction)

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5
Q

How many neurons are there between the CNS and visceral organs in the ANS

A

2 (there is one autonomic ganglia)

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6
Q

How are autonomic nerves characterized as either sympathetic or parasympathetic

A

Parasympathetic nerves have cell bodies in the cranial and sacral regions while sympathetic nerves originate in the thoracic and lumbar regions

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7
Q

Function of Sympathetic system

A

Respond to stress

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8
Q

Function of parasympathetic system

A

Regulates homeostasis of internal mileu

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9
Q

Which system is continuously active and which is organized for discrete local discharge

A

Sympathetic; parasympathetic

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10
Q

The vagus nerve ________ the heart rate

A

slows

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11
Q

Which types of potentials use summation in their response to neurotransmitters

A

EPSPs and IPSPs

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12
Q

Somatic Motor nerves use which neurotransmitter?

A

Acetylcholine

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13
Q

Preganglionic fibers for parasympathetic and sympathetic systems use which neurotransmitter?

A

Acetylcholine (Also with postganglionic parasympathetic fibers)

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14
Q

Post ganglionic Sympathetic nerves usually use which neurotransmitters (what is the exception)?

A

Norepinephrine

Some sweat glands use Ach as the neurotransmitter (Sympathetic cholinergic fiber)

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15
Q

Stimulation of the adrenal medulla causes release of ________ and ______ into the blood stream

A

Epinephrine and Norepinephrine

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16
Q

Synthesis of Norepinephrine (What is the rate limiting step)?

A

Tyrosine → 3,4 dihydroxy-phenylalanine (DOPA) → Dopamine → Norepinephrine

Enzymes:

1) Tyrosine hydroxylase (RATE LIMITING STEP)
2) L-aromatic amino acid decarboxylase
3) Dopamine - β-hydroxylase

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17
Q

What additional step to norepinephrine synthesis can create epinephrine?

A

Norepinephrine → Epinephrine with phenethanolamine-N-methyltransferase

18
Q

What transports Dopamine into vesicles (storage granules)

A

VMAT2 (Vesicular monoamine transporter 2)

19
Q

Reserpine

A

Inhibits VMAT2

Treats patient with hypertension (Decreases sympathetic system)

20
Q

How is norepinephrine taken back up into presynaptic terminal

A
Norepinephrine transporter (NET)
Returned to storage granules
21
Q

What happens to norepinpehrine in the cleft (transporters and percent transported)

A

90% taken back up into presynaptic terminal (NET)
8% diffuses
2% brought into postsynaptic terminal (Extraneuronal transporter)

22
Q

Cocaine in NE pathway

A

Blocks NET and enhances norepinephrine signal

23
Q

Which receptor on the presynaptic terminal works as an Gαi receptor and causes negative feedback on the NE release system?

A

α2-adrenoceptor

24
Q

What two enzymes are involved in the metabolism of norepinephrine (and epinephrine)

A
Monamine oxidase (MAO-A and MAO-B) - Deamination
Catechol-O-methyltransferase (COMT) - Methylation
25
What is the transporter that moves Ach into vesicles?
ACh Co-transporter
26
Two postsynaptic receptors for Ach (Cholinergic receptors)
Nicotinic receptors | Muscarinic receptor
27
How is Ach removed from the cleft
Acetylocholinesterase | Acetylcholine → Choline → Acetic Acid
28
What mediates fission and fusion of Ach into cleft (what drug blocks this effect)
SNAPS (Botulinum toxin) | - Produces skeletal muscle paralysis
29
Where are nicotinic receptors found?
Ganglia Skeletal muscles Neuronal CNS
30
How many different types of muscarinic receptors are there?
5 (all G-protein coupled receptors)
31
Which system is most associated with muscarinic receptors
Parasympathetic Nervous System (Smooth muscle, cardiac tissue, secretory glands)
32
3 types of Nicotinic receptors
1) Nm (Neuromuscular junction) 2) Nn (Autonomic ganglia/adrenal medulla) - chromaffin cells secrete catecholamines 3) CNS (Brain and spinal cord)
33
G proteins associated with each Muscarinic receptor type
``` M1: Gq (peripheral and central nerves) M2: Gi (Heart, nerves, smooth muscle) M3: Gq (Glands, smooth muscle, endothelium) M4: Gi (CNS) M5: Gq (CNS) ```
34
Adrenergic Receptors (GCPRs)
α (α1A, α1B, α1C and α2A, α2B, α2C) | β (β1, β2 and β3)
35
Adrenergic agonists usually give a __________ response
sympathetic
36
α-Adrenergic receptors
α1: Gq (Contraction and secretion from glands) | α2: Gi (Decrease NE release, Decrease insulin, contraction)
37
β-Adrenergic Receptors (all increase cAMP)
β1: Gs (In the heart and kidneys - regulate renin release) β2: Gs (Relaxation of smooth muscle in the lungs, glucose production in liver) β3: Gs (Receptor in adipose tissue - mediate lypolysis)
38
What is the effect of sympathetic stimulation on blood vessels
Constrict arteries (except relax skeletal muscle arteries) and constrict veins
39
What is the effect of parasympathetic stimulation on blood vessels
No effect
40
Activation of muscarinic receptors on endothelial cells of blood vessels cause ________
dilation of blood vessels - release NO
41
What is the effect of sympathetic stimulation on the lungs
Relax bronchiolar smooth muscle
42
What is the general effect of sympathetic stimulation on the urinary tract
Decreased activity of muscles involved in voiding and increased tone of sphincters