Visceral Intro & Parasympathetics Flashcards

1
Q

Typically, what NT is released by parasympathetic neurons? Sympathetic?

A
Parasympathetic = cholinergic
Sympathetic = adrenergic
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2
Q

T/F: The visceral nervous system is concerned with the internal and external environments of the body.

A

False - Internal

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3
Q

What are some examples of structures innervated by the visceral nervous system (he lists 4)?

A

Vasculature
Secretory glands
Abdominopelvic Cavity
Thoracic Cavity

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4
Q

What is the location of Visceral afferent cell bodies?

A

Dorsal root ganglia or cranial nerve ganglion

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5
Q

Where do central processes enter the cord?

A

Through posterior root or specific cranial nerve

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6
Q

Where do peripheral processes carry impulses from?

A

Viscera to cell bodies via autonomic ganglia, plexus, or somatic nerves

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7
Q

T/F: There are no synapses in the PNS.

A

True

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8
Q

What structures do Sympathetic afferents travel through?

A

Sympathetic trunk to spinal ganglia (via anterior primary ramus & posterior rootlets).

Pass through white ramus communicans

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9
Q

What structures do Parasympathetic afferents travel through?

A

Sacral spinal nerves & cranial nerves

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10
Q

What are the associated receptors for visceral afferents (3)?

A
Pressure (baroreceptors)
Chemical concentrations (CO2/O2 in blood)
Muscle Stretching (GI tract)
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11
Q

Which CN carry preganglionic parasympathetic fibers? Which sacral spinal nerves?

A

III, VII, IX, X

S2-S4

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12
Q

Where do pre-ganglionic parasympathetic fibers synapse?

A

On post-ganglionic neurons in peripheral ganglia

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13
Q

Post-ganglionic parasympathetics extend to effector organs to assist in what functions (4)?

A
  1. Decrease CO (HR/SV)
  2. Constrict pupils
  3. Constrict bronchial tree
  4. Stimulate peristalsis
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14
Q

Which cranial nerves supply structures in the head?

A

III, VII, IX

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15
Q

Which nerves supply the distal parts of the digestive system & urogenital system?

A

S2, S3, S4

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16
Q

Which CN supplies respiratory, cardiac, and digestive structures in neck, thorax, and abdomen?

A

Vagus (X)

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17
Q

Where are pre-ganglionic cell bodies located for CN III?

A

Accessory oculomotor nucleus in the periaqueductal gray

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18
Q

Where do pre-ganglionic fibers of CN III synapse?

A

Ciliary ganglion

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19
Q

Which two muscles are supplied by the post-ganglionic axons of CN III? What nerves are they carried in?

A

Carried in short ciliary nerves where they enter the eyeball

Supply:
Ciliary Muscle: contraction makes lens more convex to focus on closer objects

Sphincter Pupillae: contraction decreases the size of the pupil

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20
Q

Where are pre-ganglionic cell bodies located for CN VII?

A

Superior salivary nucleus

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21
Q

How do pre-ganglionic fibers of CN VII exit the CNS?

A

Via the intermediate nerve, carried in Greater Petrosal nerve or Chorda Tympani

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22
Q

Where does the greater petrosal nerve leave the facial nerve? What type of fibers does it carry?

A

Geniculate Ganglion - pre-para fibers carried through hiatus for greater petrosal nerve

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23
Q

What is the path of the greater petrosal nerve after it exits via the greater petrosal hiatus?

A

Re-enters the petrous part of temporal bone via foramen lacerum

Travels in pterygoid canal to join Pterygopalatine ganglion

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24
Q

Where are post-ganglionic fibers distributed to (of the greater petrosal nerve)?

A

Distributed in lacrimal & pterygopalatine nerves to reach lacrimal, nasal, palatine, & pharyngeal glands

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25
Q

Describe the path of preganglionic parasympathetic fibers of the chorda tympani. Do it, lazy bones.

A

Carries fibers through tympanic cavity
Leaves temporal bone through the pterygopalatine fissure
Combines with lingual nerve (branch of V3)
Preganglionic fibers leave lingual nerve to reach submandibular ganglion

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26
Q

Where do postganglionic fibers travel to from the chorda tympani?

A

Submandibular & sublingual glands

ps glands in mucous membranes of oral cavity & lingual glands on ant. part of tongue also receive parasympathetic info from submandibular gland

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27
Q

Where are the preganglionic cell bodies located for the glossopharyngeal nerve?

A

Inferior salivary nucleus

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28
Q

What nerve carries preganglionic fibers for CN IX?

A

Tympanic nerve - carries fibers through tympanic canaliculus into tympanic cavity

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29
Q

What forms the tympanic plexus?

A

Postganglionic sympathetic fibers from the superior cervical ganglion

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30
Q

Which fibers pass through the tympanic plexus? What do they reform as?

A

Preganglionic parasympathetic

Reform as lesser petrosal nerve (to otic ganglion)

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31
Q

Which glands are supplied by postganglionic parasympathetic fibers from the otic ganglion?

A
Parotid gland (via auriculotemporal nerve)
Posterior lingual glands (via lingual branch of CN IX)
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32
Q

Visceral afferents carried in the branch of the carotid sinus from baroreceptors in the carotid sinus and chemoreceptors in the carotid body are associated with which CN?

A

CN IX

33
Q

Where are preganglionic cell bodies located for CN X?

A

Dorsal nucleus of the vagus

34
Q

Where are postganglionic cells usually located for CN X (he lists 3)?

A

In the organs supplied or blood vessels that supply the organs

Myocardium
Submucosal plexus
Myenteric plexus

35
Q

What nerves carry preganglionic fibers to supply the heart?

A

Superior & Inferior cardiac nerves (of CN X)

36
Q

In the pathway to the heart, where do preganglionic fibers of CN X synapse?

A

Cardiac plexus at base & wall of heart

37
Q

In the pathway to the heart, where are postganglionic fibers of CN X carried to (3 places)?

A
  1. Sinoatrial (SA) node
  2. Atrioventricular (AV) node
  3. AV bundle to reach subendocardial branches (Purkinje fibers)
38
Q

How do parasympathetic impulses affect the heart?

A

Inhibit myocardium

Constrict coronary arteries

39
Q

What nerves carry preganglionic fibers to supply the lungs?

A

Anterior & Posterior bronchial branches (of CN X)

40
Q

In the pathway to the lungs, where do preganglionic fibers of CN X synapse?

A

Pulmonary plexuses surrounding bronchial tree

41
Q

In the pathway to the lungs, where are postganglionic fibers of CN X carried to?

A

Bronchial musculature

Bronchial glands

42
Q

What influences parasympathetic impulses in the lungs?

A

Constriction of bronchial tree & increased secretions of bronchial glands

E.g. Asthma Patients

43
Q

In the pathway to the esophagus, what nerves carry preganglionic fibers?

A

Recurrent laryngeal nerves

Anterior/Posterior esophageal branches

44
Q

In the pathway to the esophagus, where do preganglionic fibers of CN X synapse?

A

Wall of esophagus

45
Q

In the pathway to the esophagus, what do postganglionic fibers supply?

A

Smooth muscle fibers of the esophagus

**Upper 1/3 of esophagus is skeletal muscle (recurrent laryngeal n. supply)

46
Q

In the pathway to the stomach, what carries preganglionic fibers?

A

Branches from anterior (4) and posterior (6) vagal trunks

47
Q

In the pathway to the stomach, where do preganglionic fibers of CN X synapse?

A

Submucosal (Meissner’s) & Myenteric (Auerbach’s) Plexuses in the stomach wall

48
Q

In the pathway to the stomach, what do postganglionic axons supply?

A

Smooth muscle fibers from Meissner’s & Auerbach’s plexuses

49
Q

What is the result of parasympathetic stimulation in the stomach?

A

Contraction of smooth muscle and secretion of gastric juices

50
Q

Preganglionic fibers reach the SI, cecum, vermiform appendix, and ascending/transverse colon via which plexuses?

A

All are carried via Posterior Vagal Trunk

Duodenum via Celiac Plexus
Remainder via traveling through Celiac Plexus and Superior Mesenteric Plexus

51
Q

True/False: Preganglionic fibers for the SI, cecum, vermiform appendix, and ascending/descending colon synapse in the submucosal & myenteric plexuses.

A

True! Same as stomach

**Postganglionic fibers reach smooth muscle fibers via the aforementioned plexuses

52
Q

What is the result of parasympathetic stimulation in the SI, cecum, vermiform appendix, and ascending/transverse colon?

A

Contraction of smooth muscle & secretomotor for intestinal glands

53
Q

What is an important feature of the vermiform appendix?

A

Nociceptors (visceral afferents)

54
Q

Which preganglionic fibers reach the gall bladder, pancreas, and biliary tree?

A

Hepatic branch of the right vagal trunk via the hepatic plexus (extension of celiac plexus)

55
Q

Where do synapses occur for the hepatic branch of the right vagal trunk?

A

Muscular walls of the gall bladder and biliary tree and in the glandular tissue of the pancreas

56
Q

Postganglionic fibers supply which structures in the pathway to the gall bladder, pancreas, and biliary tree?

A

Smooth muscle fibers or glands of intended target

57
Q

What is the result of parasympathetic stimulation to the gall bladder, pancreas, and biliary tree?

A

Increases smooth muscle activity in the gall bladder and biliary vessels. It is secretomotor for the pancreatic glands.

58
Q

How do preganglionic fibers supply the spleen?

A

Via the posterior vagal trunk by way of the splenic plexus (extension of celiac plexus)

59
Q

How do fibers reach the kidneys?

A

Through the renal plexus via the posterior vagus

60
Q

T/F: The motor supply to the kidney is strictly sympathetic.

A

True

Parasympathetic fibers reaching the kidney are likely visceral afferents

61
Q

Where do preganglionic fibers to the liver come from?

A

Primarily the anterior vagal trunk (though some come the posterior)

62
Q

T/F: The parasympathetic supply to the liver is likely primarily efferent.

A

False - Afferent, like the kidney and the suprarenal glands

63
Q

Which sacral nerves make up the sacral parasympathetic pathway?

A

S2, S3, S4

64
Q

Where do S2-S4 arise? What are they carried in?

A

Arise in lateral horns of S2-4 cord levels, carried in Pelvic Splanchnic nerves

Descend in cauda equina

65
Q

Where do the pelvic splanchnic nerves travel to?

A

Inferior hypogastric (pelvic) plexus, distributed to pelvic organs.

Rectum, internal genitalia, base of urinary bladder

66
Q

How do sacral parasympathetic fibers reach the distal part of the digestive tract?

A

Through the inferior hypogastric plexus to the superior hypogastric and inferior mesenteric plexuses

67
Q

What is the preganglionic pathway to the distal colon?

A

Travel through the inferior hypogastric plexus to reach the superior hypogastric and inferior mesenteric plexuses via the hypogastric nerve

**Postganglionic also reaches target form inferior mesenteric plexus

68
Q

What makes up the distal colon?

A

Descending & sigmoid colon

69
Q

What are the preganglionic and postganglionic pathways to the rectum & anus, and also the urinary bladder?

A

Pre- to inferior hypogastric plexus
Post - from inferior hypogastric plexus

The target in the urinary bladder is the detrusor muscle

70
Q

What initiates emptying of the urinary bladder?

A

Parasympathetic stimulation

Somatic supply to external urethral sphincter follows a similar pathway, neurons inhibited as bladder empties

71
Q

What is the preganglionic pathway for the prostate gland & seminal vesicle?

A

Fibers reach the prostatic plexus via inferior hypogastric plexus

72
Q

What is the postganglionic pathway for the prostate gland and seminal vesicle?

A

Smooth muscles of the prostatic urethra & seminal vesicle

73
Q

In the pathway to the uterus, the preganglionic fibers travel to the inferior hypogastric plexus. Describe their postganglionic distribution.

A

Distributed throughout the myometrium of the uterus

74
Q

How does parasympathetic stimulation affect the uterus?

A

Most likely inhibits the muscles (hormonal factors may pay a larger role)

75
Q

In the pathway to the vagina, where do preganglionic fibers synapse?

A

Vaginal plexus, which they reach via the inferior hypogastric plexus

76
Q

How does parasympathetic stimulation affect the vagina?

A

Vasodilation and increased secretory activity at the target

77
Q

Fibers reaching the inferior part of the vagina may rely on what nerve to reach the target?

A

Pudendal nerve

78
Q

In the pathway to the penis or clitoris, where do preganglionic fibers synapse?

A

Travel to cavernous plexus via inferior hypogastric plexus

79
Q

How does parasympathetic stimulation affect the penis/clitoris?

A

Vasodilation and the filling of the sinuses of erectile tissue.