Week 1: PNS Flashcards

1
Q

What is the basic schema of the PNS?

A

Input –> CNS –> Output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the term for the signal receptor nerves that come in from the body?

A

Sensory/afferent, which have both conscious (somatic) and unconscious (visceral)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where do somatic afferent nerves send signals from?

A

Skin and skeletal muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where do visceral afferent nerves sense signals from?

A

Internal organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the term for output signals from the CNS?

A

Motor/efferent nerves, can be voluntary (somatic, skeletal muscles) and involuntary (visceral, ANS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does the somatic sensory system detect?

A

Temperature

Pain

Touch

Proprioception (position in space)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does the visceral sensory system detect?

A

Change of internal environment of viscera, including stretch, temperature, pain, hunger, nausea, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does the visceral motor system act on? What is another term for this system? What are it’s main components?

A

The Autonomic Nervous System (ANS) acts on smooth muscle, cardiac muscle and glands, and has sympathetic and parasympathetic components.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the two different types of nerves?

A

Spinal nerves (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccyx)

and

Cranial nerves 1 - 12

Oh Oh Oh To Touch And Feel A Virgin Girl’s V Ah Bliss!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Identify A - J

A

A - somatic motor nerve

B - somatic sensory nerve

C - posterior root

D - spinal ganglion

E - spinal nerve

F - posterior ramus

G - anterior root

H - anterior ramus

I - anterior rootlets

J - posterior rootlets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The ventral/anterior root carries ____________ signals

A

motor/efferent (somatic and visceeral)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The dorsal/posterior root carries _____________ information

A

sensory/afferent (somatic and visceral)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The spinal nerve carries ____________ information

A

BOTH motor efferent AND sensory afferent (somatic and visceral)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The ventral/anterior ramus carries information to _____________

A

body walls and limbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The dorsal/posterior ramus carries information to ____________

A

The deep back muscles and skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the main difference between somatic and visceral motor outflow?

A

The somatic motor outflow is a single motor neuron connection between CNS and the target organ (skeletal muscle)

The visceral motor outflowm (ANS) is a two neuron connection (pre- and post-ganglionic) between the CNS and target organ (a gland, or cardiac/smooth muscle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the two kinds of nerves of the ANS?

A

Preganglionic - originate in CNS and travel to ganglion to form a synapse

Postganglionic - originate in PNS and travel away from a ganglion at the point of a synapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the principal differences between sympathetic and parasympathetic preganglionic and postganglionic nerves?

A

Sympathetic nerves have short pre- and long postganglionic fibers (T1 - L2)

Parasympathetic nerves have long pre and short postganglionic fibers (cranial nerves and S2 - S4)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the activities that are involved with sympathetic activation of the ANS?

A

Heart rate and contractility increase

GI inhibition (decreased digestion/defecation)

Bronchodilation

Bladder muscle inhibition

Pupil dilation

Blood vessel tone increase (higher BP)

Genitalia (ejaculation)

Skin (sweating and piloerection)

20
Q

What are the activities that are involved with parasympathetic activation of the ANS?

A

Heart rate decrease

GI movement, digestion, defecation

Bronchiolar constriction

Bladder contraction/urination

Pupil constriction for near vision

Genitalia (erection)

21
Q

What actions do the para/sympathetic systems activate in regards to sexual activity? How do we remember this?

A

Erection = Parasympathetic = “Point”

Ejaculation = Sympathetic = “Shoot”

22
Q

What pathway is “mandatory” in the sympathetic system? What pathway is “optional”?

A

All outgoing sympathetic signals exit through the ventral/efferent nerve, move through the spinal ganglia and spinal nerve, then circle “forwards” around to the white ramus communicans. All sympathetic preganglionic nerves must go through the white ramus.

However, not all postganglionic fibers behave the same–they have optional pathways. Some synapse at the ganglia there, and pass through the gray ramus communicans to the anterior or posterior perpiphery. Some pass through the ganglia and synapse elsewhere.

23
Q

Why are there more gray rami communicans than white?

A

White rami communicans only exist in the T1 - L2 segment of the spine, where sympathetic nerves are connecting and passing through. There are many more “exit points” along the ENTIRE spinal cord, even outside of T1 - L2, where postganglionic sympathetic nerves are exiting to do their job.

24
Q

How do sympathetic signals travel superiorly and inferiorly from a given thoracolumbar segment?

A

They pass through the ganglia of the sympathetic trunk, which extends farther than the thoracolumbar region of exiting sympathetic neurons.

25
Q

What three pathways can sympathetic nerves follow at junctions of the sympathetic trunk?

A

1) Nerve can exit at the same segment as it originated in via the gray ramus and go to periphery
2) Travel up/down sympathetic trunk to a different spinal segment than it originated in and exit via a gray ramus there to the periphery
3) Travel up or down the sympathetic trunk or leave the same segement, passing through sympathetic chain (PARAVERTEBRAL) ganglia to visceral organs via the splanchnic nerves or cardiopulmonary nerves (synapse at PREVERTEBRAL ganglia)

26
Q

How are visceral organs innervated?

A

1) Head - signals travel up the sympathetic chain, synapsing at the uppermost ganglia (above T1 - L2) and sending postganglionic neurons out into the salivary and lacrimal glands, nasal mucosa, and blood vessels/skin
2) Thoracic - nerves travel up the sympathetic chain to the cardiopulmonary region, synapsing at the uppermost T1 - L2 chain ganglia and sending postganglionic neurons out to the heart an lungs
3) Abdominal/pelvic cavity - preganglionic neurons travel through the sympathetic chain WITHOUT SYNAPSING, synapsing instead at the prevertebral ganglia with the postganglionic neuron

27
Q

Splanchnic nerves are ____________ (pre/postganglionic) and cardiopulmonary nerves are ______________ (pre/postganglionic)

A

Splanchnic = preganglionic

Cardiopulmonary = postganglionic

28
Q

Where do most, if not all, thoracic, sacral and lumbar splanchnic nerves form synapses?

A

Preverteral ganglia at target organs such as the aorta

29
Q

What do the thoracic, lumbar, and sacral splanchnics innervate?

A

Thoracic - foregut/midgut, adrenal gland, kidneys

Lumbar - hindgut, a little bit of pelvis

Sacral - majority of pelvis

30
Q

Where are most prevertebral plexuses and ganglia located?

A

They are located on the anterior portion of the aorta, and are primarily located at the major branches, including:

celiac ganglia - foregut

superior mesenteric ganglia - midgut

inferior mesenteric ganglia - hindgut

31
Q

Of all sympathetic nerves, which is the “special” nerve that doesn’t synapse anwhere except for at the target organ?

A

The sympathetic nerve that innervates the adrenal medulla is unique because it is one long preganglionic nerve that passes through the paravertebral chain, directly to the adrenal medulla and exerts actions within the organ itself. The medulla acts like a postganglionic fiber, secreting hormone (epinephrine)

32
Q

How do parasympathetic nerves travel? What are the two major regions and what kinds of nerves are present?

A

Pelvic splanchnic nerves have long preganglionic nerves that DO NOT go through the para/prevertebral ganglia, and synapse with short postganglionic neurons within ganglia at target organs (CNs are slightly different)

Cranial - most signals come from the vagus nerve (CN X), and travel to the thoracic cavity or abdomen (nerves of the head are slightly different)

Sacral - major parasymp innervation is carried out by pelvic splanchnics (symp innervation by sacral splanchnics)

33
Q

What is the difference between sympathetic and parasympathetic innervation of the pelvic region?

A

Sympathetic = sacral splanchnics

Parasympathetic = pelvic splanchnics

34
Q

What are the three main regions of innervation, and what are their subdivisions? How do we remember the nerves in each category?

A

Thoracic Cavity - Cardiopulmonary (symp) + Vagus (para)

Abdominal Cavity - Thoracic (fore/midgut symp)/Lumbar splanchnics (hindgut symp) + Vagus (fore/midgut para)/Pelvic splanchnics (hindgut para)

Pelvic Cavity - Sacral splanchnics + Pelvic splanchnics

Sympathetic: Create The Last Scene

Parasympathetic: VVPP

35
Q

What para/sympathetic nerves innervate the thoracic cavity?

A

Symp = cardiopulmonary

Parasymp = Vagus (CNX)

36
Q

What para/sympathetic nerves innervate the abdominal cavity sections?

A

Fore/Midgut:

Symp = thoracic splanchnics

Parasymp = vagus (CNX)

Hindgut:

Symp = lumbar splanchnics

Parasymp = pelvic splanchnics

37
Q

What para/sympathetic nerves innervate the pelvic cavity?

A

Symp = sacral splanchnics

Parasymp = pelvic splanchnics

38
Q

What are the four main sympathetic prevertebral ganglia?

A

Celiac ganglia

Superior mesenteric ganglia

Inferior mesenteric ganglia

Hypogastric plexus (less focused on)

39
Q

What are the main parasympathetic ganglia regions?

A

Head - glands of the mouth, the eyes, intracranial vessels

Thorax - lungs, heart

Abdomen (foregut) - stomach, liver, spleen, pancreas, small intest.

Abdomen (midgut) - kidney, distal small intest., large intest., asc. and transverse colon

Abdomen (hindgut) - transverse colon, distal colon, rectum

Pelvis + perineum - bladder, sex organs

40
Q

___________ nerves innervate the periphery

A

Sympathetic spinal (T1 - L2)

41
Q

What pathway do pain/irritation signals follow in the visceral sensory pathway?

A

These signals travel through

1) visceral afferent nerves
2) through the white rami
3) through the posterior root and
4) into the CNS

42
Q

What is referred pain? Why does it occur?

A

Pain perceived at a location that is not the site of injury/stimulus.

It occurs because incoming signals from visceral and somatic afferents come into the same spinal segment, and “confuse” the brain into thinking that the visceral pain is coming from elsewhere.

This occurs because visceral regions are “mapped” more generally, and visceral pain is not well localized. Somatic pain, however, is VERY well localized.

43
Q

What is a nerve plexus?

A

It is a collection of nerves in the PNS from different segments with specific targets, either somatic or visceral

44
Q

What are the three main somatic plexuses? What areas do they take in information from?

A

Cervical

Brachial (upper limb)

Lumbosacral (lower limbs and pelvis)

45
Q

What are the visceral plexuses?

A

There are many. They target specific visceral organs and receive contributions from both sympathetic and parasympathetic nerves.

The heart, for example, receives sympathetic input from the upper T1-area postganglionic nerurons of the sympathetic chain, and receives parasympathetic input from the vagus nerve (CNX)