Somatic and Autonomic Nervous System Flashcards

1
Q

What structurally composes nervous system?

A

CNS- brain and spinal cord

PNS- peripheral nervous system- nerve fibers and cell bodies outside CNS that conduct impulses to or away from CNS

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2
Q

What funcitonally composes nervous system

A
  • Somatic nervous system (SNS)- voluntary system
    • carries sensation from skin and joints
    • supplies innervation to skeletal muscle
  • Autonomic nervous system (ANS)-involuntary/visceral nervous system
    • innervates smooth muscle, glands, viscera
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3
Q

What is the structure and function of neurons??

A
  • Dendrites carry impulses to cell body
  • Axons carry impulses away from cell body
  • Some have layers of lipid and protein (myelin sheath) that increase velocity and impulse conduction
  • Communicate with eachother via synapses via release of NT
    • excite/inhibit another neuron to continue/terminate impulse
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4
Q

What are the various types of neuron cells

A
  1. Bipolar neurons
  2. Unipolar neurons
  3. Multipolar neurons
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5
Q

What are bipolar neurons?

A
  • “Special” sensory: found in olfactory epithelium, retina, inner ear
  • interneurons of spinal cord
  • one dendrite and one axon
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6
Q

What are unipolar (psudounipolar) neurons?

A

“General” sensory neurons of PNS

Found in spinal and cranial nerve ganglia

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7
Q

What are multipolar neurons?

A

Most common in CNS

Motor cells in anterior and lateral horns of spinal cord and autonomic ganglion cells

Multiple dendrites and only one axon (motoneuron)

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8
Q

What are neuroglia?

A

Glial cells

More abundant than neurons

Nonneuronal, nonexcitable scaffolding of nervous tissue

  • Support, insulate and nourish neurons
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9
Q

What is structure of peripheral nervous system?

A
  • Consists of nerve fibers/axons and nerve cell bodies that connect CNS with peripheral structures
  • Axons either myelinated (schwann cells) or unmyelinated (schwann cells that do not produce myelin)
  • Collection of nerve bodies outside of CNS is called ganglia
    • Ganglia can be either motor or sensory
  • Contains cranial (12 pairs) or spinal nerves (31 pairs)
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10
Q

What is structure of CNS? Difference in gray/white matter? Difference in gray/white matter in brian v spinal cord?

A
  • Collection of nerve cell bodies called a NUCLEUS
    • ​GRAY MATTER
  • Bundle of nerve fibers/axons connecting neighboring or distanc nuclei is called a TRACT
    • FORMS WHITE MATTER
  • Spinal cord: gray matter internal H (butterfly) with dorsal/posterior and ventral/anterior gray horns, surrounded by white matter
  • Brain: gray matter surrounds white matter
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11
Q

Where is gray matter in spinal cord? White matter?

A

Gray matter (nucleus/cellbodies) is internal H with dorsal/posterior and ventral/anterior gray horns

Surrounded by white matter (tracts)

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12
Q

Where is gray/white matter in brain?

A

Gray matter surrounds white matter

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13
Q

A tract is ___ ___

A

white matter

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14
Q

A collection of nerve cell bodies inside CNS is called a ____ and it is ___ ___

A

nucleus; gray matter

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15
Q

What is the somatic nervous system

A
  • Voluntary nervous system
  • Composed somatic parts CNS and PNS
  • Provides general sensory and motor innervation to all parts of body
    • excpet: viscera in body cavities, smooth muscle and glands
      *
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16
Q

What do the general somatic sensory fibers transmit? Another name for them?

A

Afferent fibers that transmit sensations of touch, pain, temperature and position FROM sensory receptors

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17
Q

What do general somatic motor fibers do? Another name for them

A

Efferent fibers that stimulate skeletal (voluntary) muscle exclusively

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18
Q

How are laminae of spinal cord divided?

A

10 laminae

I-VI= dorasal gray matter= somatic sensory fibers

VII-IX ventral gray matter= somatic motor fibers

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19
Q

What are the somatic sensory fibers located in the spinal cord (which laminae)?

A

I-VI laminae, dorsal gray matter= somatic sensory fibers

  • Dorsal root of spinal nerve carries afferent sensory signals
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20
Q

What are somatic motor fibers located?

A

VII-IX laminae, ventral gray matter= somatic motor fibers

  • Ventral root of spinal nerve carries EFFERENT motor signals
  • Laminae X surrounds central canal and contains neuroglial cells and does nto play role in relay of info
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21
Q

What are the tracts of the spinal cord?

A
  • White matter contains axons of ascending and descending tracts
    • Ascending contains sensory
    • Descending contains motor
  • Divided into dorsal, lateral and ventral column
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22
Q

Which tracts are senosry/afferent tracts?

A
  • Dorsal column: Gracilis and Cuneatus
  • Lateral spinothalamic tract
  • ventral spinothalamic tract
  • tract lissaeur
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23
Q

What is the dorsal column tract?

A

Gracilis and Cuneatus

  • Sensory/Afferent
  • Fine touch and proprioception (vibration)
  • Huge and myelinated
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24
Q

What is lateral spinothalamic tract?

A
  • Sensory/afferent tract
  • pain (nocioceptive) and temperature (why you feel “burning” sensation first when you cut your finger)
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25
Q

What is ventral spinothalamic tract?

A
  • Sensory/afferent
  • Crude touch and pressure
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26
Q

What is tract lissauer?

A

Part of spinothalamic tract

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27
Q

What makes up the anterolateral spinothalamic tract?

A

Ventral and Lateral spinothalamic tracts

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28
Q

What is the lateral corticospinal tract?

A

Motor/efferent

Control limb motor

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29
Q

What is ventral corticospinal tract?

A

Motor/efferent

Posture motor

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30
Q

How are tracts named?

A

Name of tract vies clue to function

  • 1st half tell where tract begins
  • 2nd half tells hwere tract ends
    • Corticospinal (cortex–> spine= motor)
    • Spinothalamic –> spine to thalamus= sensory
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31
Q

Each sensory pathway consists of ___ neurons

A

three

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32
Q

What does 1st order sensory neuron do?

A

Links peripheral nerve to spinal cord/brainstem

33
Q

What does 2nd order sensory neuron do?

A

Links spinal cord or brainstem to subcortical structure in brain

34
Q

What does 3rd order neuron do (sensory)

A

LInks subcoritcal structure to cerebral cortex of brain

35
Q

How many neurons compose motor pathways?

36
Q

What are the 2 neurons in motor pathway?

A

Cerebral cortex to VENTRAL horn of spinal cord

Ventral horn of spinal cord to NMJ

descending neuron

37
Q

3 Details of dorsal column- medial lemniscal system

A
  • Tranmits fine touch, proprioception, vibration, pressure
  • High levle of localization (detecting fly on finger), discrimination
  • Large, myelinated, very fast conducting fibers
38
Q

1st order neuron for dorsal column?

A

Enters spinal cord via dorsal root ganglion; relays sensory from dorsal column to medulla. Ascends spinal cord on IPSILATERAL side. Synapses on medulla

39
Q

Pathway of 2nd order neuron for dorsal column?

A

Crosses to contralateral side medulla then ascends to thalamus via medial lemniscus. Synapses in thalamus

40
Q

Pathway of 3rd order neuron for dorsal column?

A

Continues ot somatosensory cortex; postcentral gyrus in parietal lobe in brain

41
Q

3 facts for anterolateral spinothalamic tract?

A
  • Transmits pain and temperature (lateral portion); crude touch and pressure (ventral portion)
  • Smaller myelinated, slower conducting fibers
  • Not able to localize as well, poor discrimination (itch on back)
42
Q

Pathway of 1st order neuron for anterolateral spinothalamic tract?

A

Enters spinal cord via dorsal root ganglion. May then ascend or descend 1-3 levels on ipsilateral side via Lissauer tract vefore synpase with 2nd order neuron in dorsal laminae 1, IV, V, VI. Pain neurons synapse in substantia gelatinosa- lamina II and III

43
Q

Pathway of 2nd order neuron for anterolateral spinothalamic tract?

A
  • Crosses to contralateral side spinal cord, ascends toward brian via either anterior or lateral spinothalamic tracts
  • Synapses in thalamus (skips medulla)
44
Q

Pathway for 3rd order neuron anterolateral spinothalamic tract?

A

Thalmus to somatosensory cortex, postcentral gyrus, or parietal lobe

45
Q

What is the postcentral gyrus?

A

Primary somatosensory cortex

46
Q

What is organization of somatosensory cortex?

A
  • Sensory input of areas of body closer to the core are located more lateral in somatosensory cortex (nose/tongue/lip)
  • Sensory input of areas of body that are far away from core are located more midline in somatosensory cortex (limbs/foot/hand/knee)
  • Relative size of neurons dedicated to area is shown by size

picture of homunculus

48
Q

What are other motor pathways outside of corticospinal tract known as?

A

Extrapyramidal tracts (think of extrapyramidal movmeents seen in ALS or Cerebral palsy)

49
Q

Pathway of motor neurons in corticospinal tract?

A

Motor neurons exit precentral gyrus of frontal lobe, tavel through the pyramids of the medulla

  • Lateral corticospinal tract- cross over to contralateral side in medulla, then descend the spinal cord via lateral corticospinal tract. Fibers innervate limbs
  • Ventral corticospinal tract- remain on ipsilateral side as descends ventral corticospinal tract. Must cross over to contralateral side in spinal cord in cervial/upper thoracic area. Fibers innervate the axial muscles
50
Q

What is the upper motor neuron of corticospinal tract?

A

Cerebral cortex to ventral horn of spinal cord

51
Q

Injury above the level of medulla in corticospinal tract results in paralysis on which side of body?

A

paralysis on opposite side of body

52
Q

Injury below level of decussation in uper motor neuron of corticospinal tract results in?

A

Paralysis on same side of body

53
Q

When the subset of neurons in upper motor neuron of corticospinal tract (that inhibit lower motor nuerons form firing too frequently), become injured, then what results?

A

Spastic paralysis and positive babinski sign from loss of inhibitory neurons

54
Q

What is location of lower motor neurons in corticospinal tract?

A

Ventral horn to NMJ

55
Q

Injury to lower motor neuron on corticospinal tract causes?

A

Injury results in paralysis on SAME side of body

Flaccid paralysis and negative babinski sign because inhibitory neurons are intact.

56
Q

What is primary motor center of brain?

A

Primary motor cortex

57
Q

What is the organization of primary motor cortex?

A
  • Motor input to areas of body that are far from core are more midline in motor cortex
  • Motor input to areas of the body closer to the core are located more laterally in motor cortex
58
Q

What types of fibers compose autonomic nervous system?

A
  • Visceral efferent (motor) fibers that stimulate smooth (involuntary) muscle in walls of blood vessels and organs, conducting system of heart and glands
    • sympathetic(thoracolumbar) divison
    • parasympathetic (craniosacral) division
  • Visceral afferent (sensory) fibers that conduct pain impulses from internal organs and help regulate viscerla functions
59
Q

Visercal efferent (sympathetic/parasympathetic division) contain a ___ neuron system

A

two

pre and post synaptic neuron

60
Q

Cell body of presynaptic neuron of visceral efferent is located in ?

A

gray matter of CNS

61
Q

Cell bodies of second neuron of visceral efferent (parasym/sympathetic) reside in autonomic ganglia _____

A

outside the CNS

Postsynaptic axons terminate on effector organ

62
Q

Cell bodies of presynaptic neurons of sympathetic visceral motor innervation is located in ______ ____ in gray matter of spinal cord

A

intermediolateral cell columns

63
Q

Location of sympathetic visceral motor innervation on spinal cord?

A

Thoracolumbar region- 1st thoracic and 2/3rd lumbar segments of spinal cord

64
Q

Cell bodies of postsynaptic neurons of sympatethic visceral motor innervation are located on _____ or _____ ganglia

A

prevertebral ; paravertebral

65
Q

Paravetebral ganglia in SNS are linked to form what?

A

Right and left sympathetic trunks/chain on each side of vertebral column

66
Q

What are prevertebral ganglia?

A

Plexuses that surround main branches of abdominal aorta

67
Q

Relative length of SNS neurons?

A

Short pre, long post

68
Q

Sympathetic stimulation results in wide range of responses- not well _____

69
Q

The adrenal (suprarenal) gland contains medullary cells that act as what?

A

Postsynaptic neuron

70
Q

What are some effects of sympathetic visceral motor innervation?

A
  • Fight or flight
  • Skin: vasoconstriction, increases sweat gland activity, hair stands on ends, effects quick
  • Head: inhibit lacrimal, nasal, salivary glands (dry mouth), stimulates eye muscle to dilate
  • Thoracic organs: incrase HR, dilate BV that supply heart, dilate respiratory air tracts, inhibits muscles and glands of esophagus
  • Gut: inhibits activity of muscles nad glands in viscera
  • Pelvis: inhibits urination, defaction, promotes ejaculation
  • Adrenal medulla: secrete great quantities of excitatory hormones into blood
71
Q

Where are parasympathetic cell bodies located?

A

2 areas in CNS:

  1. CNS: cranial gray matter of brainstem
  2. Sacral: gray matter of spinal cord

craniosacral division

72
Q

What is cranial parasympathetic outflow?

A

Cell bodies located in gray matter of brainstem, fibers exit CNS within cranial nerves (III, VII, IX, X)

  • Provides paraympathetic innervation to head
  • vagus nerve (X) provides main innervation to thoracic and abdominal viscera to left colonic flexure
73
Q

What is the sacral parasympathetic outflow?

A

Cell bodies in gray matter of sacral segments of spinal cord (S2-S4), exit via anterior roots

  • provides parasympathetic innervation to pelvic viscera, sigmoid colon and rectum
74
Q

Relative size of neurons in parasympathetic system

A

Presynaptic long, post synaptic short

75
Q

Effects of parasympathetic stimulation are very ____ and more ____ than sympathetic

A

specific; localized

76
Q

What are some effects of parasympaethtic visceral motor innervation

A
  • Gastric and intestin: smooth muscle contraction for peristalsis, increased secretion for digestion, allows for defacation and urination, vomiting and swallowing reflexes
  • Eye: constriction of pupils
  • Respiratory: coughing reflex
  • Cardiac: decreases in HR and force of contraction
77
Q

What is visceral afferent:

A
  • Sensory fibers that conduct pain impulses from internal organs to help regulate visceral functions
  • Responsible for autonomic reflexes
    • changes in BP, HR and RR
78
Q

What do visceral afferent fibers monitor for?

A
  • Stretch
  • Temperature
  • Chemical changes/irritation

Interpreted as hunger, fullness, pain, nausea, weel-being

Referred pain- visceral pain ID’ed/perceived as originating form skin or outer body

79
Q

Where do visceral afferent pathways travel?

A

Centrally along sympathetic fibers