Yang (8 questions) Flashcards

1
Q

Contrast the organization and neuron types in the ANS (cholinergic vs adrenergic, pre vs post ganglionic)

A
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2
Q

Identify the major neurotransmitters found in the ANS

A
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3
Q

Differentiate sympathetic control of the sweat glands, kidney, and adrenal glands from other areas of the sympathetic nervous system

A
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4
Q

Use interchangeably the terms describing drugs affecting the ANS (cholinergic vs parasympathomimetic)

A
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5
Q

Autonomic Nervous System

A

-regulation of involuntary muscle, glands
-autonomic tone (active at rest)
-sympathetic and parasympathetic

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6
Q

ANS neuron path

A

-preganglionic (CNS) projects to postganglionic neuron (peripheral)
-projects to target organ

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7
Q

Acetylcholine is a transmitter for:

A

-all PREganglionic neurons
-POSTganglionic in PARAsympathetic NS
-also SWEAT glands

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8
Q

Norepinephrine is a transmitter for:

A

-most SNS POSTganglionic neurons

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9
Q

other neurotransmitters

A

-epinephrine: adrenal medulla
-dopamine: renal vasc

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10
Q

PSNS neuron pathway

A
  1. LONG PREganglionic
    -release ACh
  2. SHORT POSTganglionic
    -release ACh to target
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11
Q

SNS neuron pathway

A
  1. SHORT PREganglionic neurons
    -release ACh
  2. LONG POSTganglionic
    -release NOREPINEPHRINE to target organ

*** think of the S in SNS standing for Short

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12
Q

Sweat glands

A

-stress sweat: norepinephrine
-thermoregulation: ACh

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13
Q

Adrenal Gland

A

-PREganglionic neurons synapse directly on gland
-release EPINEPHRINE into circulation

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14
Q

Kidneys

A

-DOPAMINE

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15
Q

Most POSTganglionic sympathetic neurons release what?

A

-norepinephrine

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16
Q

PSNS agonists are also called

A

-cholinergic
-muscarinic agonist

17
Q

SNS agonists are also called

A

-Adrenergic (agonist)

18
Q

Cholinergic receptor subtypes

A

-Nictotinic
-Muscarinic

19
Q

Muscarinic receptors

A

-cholinergic
-GPCRs
-M1, M3, M5 (Gq)
-M2, M4 (Gi)

20
Q

Adrenergic receptors

A

-a1 (Gq)
-a2 (Gi)
-B1,2,3 (Gs)

**Gq Gi Gs = qis (kiss)

21
Q

a1

A

-vasoCONSTRICT
-Gq
-located on smooth muscle tissues

22
Q

a2

A

-DECREASES neurotransmitter release
=INHIBIT SNS output
-Gi

23
Q

B1, B2, B3 receptors

24
Q

ANS functions

A

-regulate BP
-HR
-bronchoconstriction/dilation

25
Miosis
-pupil CONSTRICTION -circular muscle by M3
26
Mydriasis
-pupil DILATION -radial muscle by a1
27
Glaucoma
-pilocarpine (M3) -brimonidine (a2) -Timolol -dec pressure, inhibit outflow
28
Cholinergic AGONIST effect
-dec HR (bradycardia) -inc secretion of exocrine glands -smooth muscles contract -sphincters relax
29
CNS effects of cholinergics
-tremor -hypothermia -inc locomotor activity -improved cognition
30
Muscarinic agonists (cholinergics)
-ACh -Methacholine -Carbachol -Bethanecol -Muscarine -Pilocarpine
31
Pilocarpine
-M3 -tx cotton mouth -tx glaucoma -inc saliva
32
Cholinesterase inhibitors
-Reversible or irreversible -Edrophonium -carbamates -donepezil
33
Endrophonium
-diagnose MG -reversible -wont cross BBB
34
Pyridostigmine
-tx MG -reverse nondepolarizing blockade -tx pregas exposure
35
Neostigmine
-MG -post-op urinary retention
36
Physostigmine
-tx antimuscarinic poisoning -can cross BBB
37
Organophosphates
-AChE inhibitors -echothiopate for glaucoma but not used
38