W14 Physiological systems Flashcards

1
Q

what are 4 main receptors

A

enzymes
transporters
ion channels
receptors

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2
Q

What does pns stand for

A

peripheral nervous system

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3
Q

what does the PNS represent

A

output of the CNS and acting independently to regulate the body’s internal environment

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4
Q

what are the 2 parts of the PNS

A

autonomic nervous system

Somatic (motor) nervous system

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5
Q

what do efferent nerves control

A

movement by innervating skeletal muscle

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6
Q

what do afferent nerves respon to

A

external stimuli e.g. pain sensing fibres

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7
Q

what are the 3 parts of the autonomic nervous system

A

Parasympathetic nervous system

Sympathetic nervous system

Enteric nervous system

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8
Q

what is the parasympathetic nervous system

A

cranial sacral output

synapse at ganglia close to innervated tissue.

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9
Q

what is sympathetic nervous system

A

thoracic lumbar output synapse at ganglia either side of vertebral column

ganglia distal to innervated tissue

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10
Q

what is enteric nervous system

A

neurones with cell bodies in the wall of the intestine that innervates GI tract, pancreas and gall bladder.

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11
Q

what are the main processes that the ANS regulate

A

heart beat

smooth muscle contraction and relaxation

all exocrine function

some endocrine secretions

some steps in intermediate metabolism

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12
Q

in general what does the sympathetic system do

A

evokes a flight and fight response whilst the parasympathetic system mediates a rest and digest state.

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13
Q

what is cholinergic transmission

A

all motor nerves releases acetyl choline which act on nicotinic acetylcholine receptors

all postganglionic parasympathetic nerves release acetyl choline which act on muscarinic acetylcholine receptors

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14
Q

What is acetyl choline regulated by

A

inhibitory presynaptic m2 muscarinic acetylcholine receptors

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15
Q

where are the m1 receptors located

A

Ganglia

CNS

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16
Q

where are the m2 receptors located

A

Cardiac

CNS

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17
Q

where are the m3 receptors located

A

Glands
Smooth Muscle
Blood Vessels

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18
Q

where are the m4 receptors located

A

CNS

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19
Q

where are the m5 receptors located

20
Q

why is it important to know about different receptor types

A

selectivity

21
Q

what are the parasympathetic effects

A
Bradycardia 
Vasodilation
Increases secretion
Bronchoconstriction
Increased gut motility
Reduction of itraocular pressure
22
Q

what actions of atropine

A
block secretion
Tachycardia
Pupillary dilation and cillary muscle paralysis
inhibits gut motility
paralysis of bladder
smooth muscle relaxation
CNS effects: excitatory
23
Q

what are the three types of ACh receptors

A

muscle
ganglion
cns

24
Q

What are depolarizing blockers

A

Agonists which cause a depolarizing block of the muscle fibre endplate = depolarizing blockers.

25
what are some uses of competitive blockers
Widely used as muscle relaxants as an adjunct to anaethesia
26
what are some uses of depolarizing blockers
continually stimulation of the NMJ by agonists causes muscle paralysis muscle contracts due to maintained depolarization but cannot repolarize causing loss of excitability.
27
what do the vast majority of postganglionic sympathetic fibres release
noradrenaline to act either on alpha or beta adrenoreceptors
28
what is adrenergic transmission
working on adrenaline or noradrenaline (or on their receptors). When not further qualified, it is usually used in the sense of enhancing or mimicking the effects of epinephrine and norepinephrine in the body.
29
what is nor adrenaline release in presynaptic receptors regulated by
inhibitory presynaptic alpha adrenoceptors
30
what is noradrenaline released by
post ganglionic sympathetic nerves
31
what is adrenaline secreted by
adrenal gland
32
what is dopamine
it is a central nervous system transmitter and precursor of noradrenaline and adrenaline
33
what is isoproterenol
synthetic catecholamine
34
what is the mechanism by which tyrosine is converted to adrenaline (4 Steps) TDNA
tyrosine + tyrosine hydroxylase = DOPA DOPA + Dopa decarboxylase = Dopamine Dopamine + Dopamine B hydroxylase = Noradrenaline Noradrenaline + phenylethanolamine N Methyltransferase = adrenaline
35
What does adrenaline do the arterial pressure
causes systolic + mean to rise (low) diastolic drops (low)
36
what does adrenaline do to heart rate
increases moderatly
37
what does adrenal do to peripheral resistance
decrease low
38
what does nor adrenaline do to arterial pressure
overall increase in systolic mean and diastolic
39
what does noradrenaline do to heart rate
decreases low
40
what does noradrenaline do to peripheral resistance
high increase
41
what does isoprenaline do to arterial pressure
systolic increases low diastolic decreases high overall drop
42
what does isoprenaline have on heart rate
moderate increase
43
what does isoprenaline do to peripheral resistance
decreases
44
how does sodium cause an overall increase in blood pressure
causes vasoconstriction which causes reflex bradycardia due to baroreceptor response due to acetyl choline action at vagal nerve causing higher bp
45
what is an example of indirect sympathomimetics
systemic pseudophedrine is used as a nasal decongestant acts as substrate uptake system leading to noradrenaline and thus vasoconstriction of the mucosal blood vessels which in turn reduces oedema of the nasal mucosa