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Autonomics and Integrative Neuromuscular Functioning
Exam 1
173
Physiology
Graduate
06/20/2011

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Term
The basic neuronal unit containing specialized elements
Definition
Neuron
Term
What 2 parts of a neuron receive information
Definition
Cell Body
Dendrites
Term
What part of a neuron transmits information
Definition
Axon
Term
What is it that separates the sections of myelin on axons?
Definition
Nodes of Ranvier
Term
Can an axon be myelinated or non-myelinated?
Definition
Both
Term
Maintains axon structure and function
Definition
Axonal Transport
Term
Support cells
Definition
Glia
Term
Form myelin in the CNS
Definition
Oligodendrocytes
Term
Form myelin in the PNS
Definition
Schwann Cells
Term
Helps regulate ECF composition, sustain neurons metabolically, form the blood brain barrier, and serve as guides for developing neurons
Definition
Astrocytes
Term
Provides immune functions
Definition
Microglia
Term
Regulates CSF production and flow
Definition
Ependymal Cells (non-glia)
Term
Neural growth and development primarily occurs where?
Definition
In the embryo
Term
__ __ molecules on neurons and glial cells along with soluble neurotrophic factors guide the growing axons to their appropriate targets
Definition
Cell adhesion
Term
Damaged __ axons may regenerate if the cell body is not also damaged
Definition
Peripheral
Term
Damaged __ nervous system neurons do not experience significant regeneration
Definition
central
Term
What are the concentrations of Na+ inside and outside of the cell.
Definition
Inside = 15
Outside = 145
Term
What are the concentrations of Cl- inside and outside of the cell?
Definition
Inside = 7
Outside = 100
Term
What are the concentrations of K+ inside and outside the cell?
Definition
Inside = 150
Outside = 5
Term
Resting membrane potential is based upon 2 principles.
Definition
1. Membrane is permeable
2. Na/K pump
Term
Most of the body's K+ is located inside or outside the cell?
Definition
Inside
Term
The intracellular concentration of K+ is more than __ times that of extracellular K+
Definition
20 times
Term
The asymmetrical distribution of K+ is maintained by what?
Definition
Na+/K+ pump
Term
Is the Na/K pump present in all membranes?
Definition
yes
Term
What is the Na/K pump's energy source?
Definition
ATP
Term
This actively transports K+ from ECF to ICF against the electrochemical gradients - thus maintaining the high intracellular K+ concentration
Definition
Na/K pump
Term
_ K+ in, _ Na+ out
Definition
2
3
Term
What happens when you move a charged particle across a membrane?
Definition
it effects the electrochemical potential of that membrane
Term
At rest, nerve and skeletal muscle membranes have a high permeability to what?
Definition
K+
Term
At rest, is the electrochemical gradient large or small?
Definition
Large
Term
Is the Na+/K+ pump always pumping?
Definition
Yes
Term
K+ diffuses from ICF to ECF at rest, which generates an inside negative potential difference, this is the basis for what?
Definition
RMP
Term
What is the RMP value?
Definition
-70 mV
Term
What is the K+ equilibrium potential?
Definition
-85 mV
Term
Is there a greater net movement of K+ out or Na+ into the cell?
Definition
K+ out
Term
The Na/K pump is always pumping 2 K in and 3 Na out. But K has leak channels which allow K to leak back out of the cell and make the cell more negative. This is why the net movement of K out is greater than Na in
Definition
Summary
Term
At steady negative RMP, ion fluxes through the channels and the pumps do what?
Definition
Balance each other
Term
When you __ a membrane, you are making it less negative
Definition
Depolarize
Term
To generate an action potential, you must depolarize to what value?
Definition
-55 mV
Term
Changes in serum K+ concentration alter the K+ equilibrium potential, and consequently what?
Definition
the RMP
Term
The lower the serum K+, the __ the K+ concentration gradient across the membrane
Definition
Greater
Term
The lower the serum K+, the more or less negative the K+ equilibrium potential is?
Definition
More negative
Term
If the K+ equilibrium potential is more negative, this is said to be a ___ membrane
Definition
Hyperpolarized
Term
The higher the serum K+, the ___ the K+ concentration gradient across the membrane
Definition
Smaller
Term
The higher the serum K+, the more or less negative the K+ equilibrium potential and RMP
Definition
Less negative
Term
If the K+ equilibrium potential is less negative (more positive), then this is said to be a __ membrane
Definition
Depolarized
Term
Name the 6 main factors that can cause K+ to shift into cells (from ECF to ICF)
Definition
1. Presence of insulin
2. Beta-adrenergic agonists (epi/norepi)
3. Alkalemia
4. Diuretics
5. GI excretions
6. Sweating/Vomiting
Term
Increased Blood pH
Definition
Alkalemia
Term
___ mechanisms usually work to correct the increased ECF K+ concentration by various means
Definition
Homeostatic
Term
Prolonged K+ shifting into the cells can lead to ___ serum K+ concentration
Definition
decreased
Term
A decreased serum K+ concentration
Definition
Hypokalemia
Term
Name 6 symptoms of Hypokalemia
Definition
1. Abnormal heart rhythms
2. Breakdown of muscle fibers
3. Constipation
4. Fatigue
5. Muscle weakness or spasms
6. Paralysis (can include lungs)
Term
Breakdown of muscle fibers
Definition
Rhabdomyolysis
Term
Abnormal heart rhythms
Definition
Dysrhythmias
Term
What are 3 common treatments for hypokalemia?
Definition
1. K+ supplements
2. IV therapy
3. Diets rich in K+ (bananas)
Term
Name 7 major factors that can cause K+ to shift out of cells (from ICF to ECF)
Definition
1. Lack of insulin
2. Beta-adrenergic antagonists
3. Extreme exercise
4. Hyperosmolarity
5. Cell lysis (burns, sx, tumors)
6. Lack of aldosterone
7. Acidemia
Term
Decreased blood pH
Definition
Acidemia
Term
What is the primary function of aldosterone?
Definition
Regulate K+
Term
___ mechanisms usually work to correct the increased ECF K+ concentration by various means
Definition
Homeostatic
Term
Excess K+ can be excreted by the kidneys in the ___
Definition
Urine
Term
Some metabolic disorders or renal problems can lead to prolonged __ serum K+
Definition
Increased
Term
Increased serum K+
Definition
Hyperkalemia
Term
Nam 3 symptoms of hyperkalemia
Definition
1. Irregular heartbeat
2. Nausea
3. Slow, weak, or absent pulse
Term
At rest, is intracellular Na+ low or high?
Definition
Low
Term
At rest is the conductance of Na+ low or high?
Definition
Low
Term
At rest, the RMP for Na+ is close or far from equilibrium potential?
Definition
Far
Term
Local potentials whose magnitude vary and die out within a few mm of the site of origin
Definition
Graded potentials
Term
The depolarization or hyperpolarization of a membrane. Usually occurs in a very local area within a membrane region. Does not propogate or produce an action potential. It is an oscillation of membrane potential.
Definition
Graded Potential
Term
Rapid changes in the membrane potential in which the membrane depolarizes then repolarizes
Definition
Action Potential
Term
How does myelin effect the propogation of action potentials?
Definition
Speeds them up
Term
A very rapid event (1 msec) that is composed of a depolarization (upstroke) and repolarization
Definition
Action potential
Term
Initiated when an inward current (positive charge entering muscle cell) depolarizes the muscle cell membrane. This inward current is usually the result of a current spread from action potentials at neighboring sites.
Definition
Action potential
Term
If there is a sufficient inward current to depolarize the muscle membrane to the threshold potential of __mV, then activation gates and voltage-gated __ channels rapidly open.
Definition
-55
Na+
Term
Once threshold is reached and Na+ channels open, Na+ conductance increases and becomes even higher than K+ conductance. The rapid increase in Na+ produces and inward Na+ current that further depolarizes the membrane potential toward the Na+ equilibrium potential. This constitutes the ___ of the action potential.
Definition
Upstroke
Term
The __ is followed by a repolarization to the RMP.
Definition
Upstroke
Term
Repolarization is caused by 2 slower events:
Definition
1. Closure of activation gates on the Na+ channels (leading to closure of the voltage gated Na+ channels and decreased Na+ conductance)
2. Increased K+ conductance, which drives the membrane potential back toward the K+ equilibrium potential
Term
Decreased serum K+ concentration will __ the negativity of both the K+ equilibirum potential and the RMP
Definition
Increase
Term
When K+ serum is decreased, what does this do to RMP in relation to threshold?
Definition
Moves it further from threshold and more difficult to get an action potential
Term
__ serum K+ concentration requires more inward current to depolarize the membrane to threshold and initiate the upstroke of the action potential
Definition
Decreased
Term
Increased serum K+ concentration will __ the negativity of the K+ equilibrium and RMP
Definition
Decrease
Term
When K+ serum is increased what does this do to RMP in relation to threshold?
Definition
Moves it closer to threshold and easier to generate an action potential
Term
Less inward current is required to initiate the upstroke of an action potential when K+ serum is ___
Definition
Increased
Term
___ serum K+ levels initially results in very quick, easily generated action potentials
Definition
Increased
Term
During periods of ____, there is prolonged depolarization which causes inactivation gates to close and remain closed, and Na+ channels are closed regardless of the position of the activation gates.
Definition
Hyperkalemia
Term
Does activation and inactivation gates both have to be open to generate an action potential?
Definition
yes
Term
These type of gates keep action potentials from firing no matter what when they are closed.
Definition
Inactivation gates
Term
Occurs by the spread of local currents from the active depolarized regions to adjacent inactive regions. These local depolarizing currents are caused by the inward Na+ current of the upstroke of the action potential.
Definition
Propogation of action potential
Term
Some drugs can prevent the upstrok of AP or block the propogation of APs along the nerve fibers by binding specific ion channels. Name 2.
Definition
1. Lidocaine
2. Tetrodotoxin
Term
A voltage-gated Na+ antagonist
Definition
Lidocaine
Term
Binds voltage gated Na+ channels. Found in the ovaries of puffer fish.
Definition
Tetrodotoxin
Term
Name the 2 types of synapses
Definition
Chemical
Electrical
Term
A junction between 2 neurons
Definition
Synapse
Term
Depolarization to threshold in a neuron due to a graded potential generated by synaptic input to a neuron
Definition
Synaptic potentials
Term
In electrical synapses, pre and post synaptic cells are connected by what?
Definition
gap junctions
Term
This type of synapse allows a local current to flow in the presynaptic cell to flow directly across the junction into the postsynaptic cell.
Definition
Electrical synapse
Term
Are electrical synapses fast or slow?
Definition
Very rapid
Term
Thought to play a role in the synchronization of electrical activity within neuronal networks
Definition
Electrical synapse
Term
In this type of synapse, the synaptic cleft prevents direct propogation of an electrical current from the pre to post synaptic cell
Definition
Chemical synapse
Term
In a chemical synapse, the __synaptic membrane releases a chemical messenger (neurotransmitter) from their axon terminals into the synaptic cleft
Definition
Pre-synaptic
Term
In a chemical synapse, the neurotransmitter bidns to the receptors on the __synaptic neurons
Definition
post
Term
In a chemical synapse, what steps must be taken for the neurotransmitter to be released?
Definition
Action potential voltage gated Ca++ opens in the presynaptic terminal. Ca++ influx initiate membrane vesicle fusion and neurotransmitter release
Term
In a chemical synapse, how is the postsynaptic cell activated?
Definition
A portion of the released neurotransmitter binds either ionotropic or metabotropic ligand gated receptors
Term
In a chemical synapse, an unbound transmitter is removed from the synaptic cleft by 1 of 3 ways:
Definition
1. reuptake by the presynaptic cell or glia
2. diffuse away from the site
3. enzymatically inactivated
Term
A major neurotransmitter of PNS at NMJ and the brain
Definition
ACh
Term
ACh is synthesized from __ and __ in the cytoplasm of synaptic terminals
Definition
Choline
Acetyl coA
Term
The enzyme that breaks down ACh in the synaptic cleft
Definition
Acetylcholinesterase
Term
Name 2 receptors for ACh
Definition
Nicotinic
Muscarinic
Term
What 2 things stimulate nicotinic receptors?
Definition
ACh and nicotine
Term
What 2 things stimulate muscarinic receptors?
Definition
ACh and muscarine
Term
This ACh receptor is permeable to Na+ and K+ with net effect of depolarization. It is present at the NMJ
Definition
Nicotinic receptor
Term
This ACh receptor is a g-protein coupled receptor, it has a large role in the PSNS.
Definition
Muscarinic
Term
An antagonist to the muscarinic receptor?
Definition
Atropine
Term
This disease involves a degeneration of cholinergic neurons
Definition
Alzheimer's disease
Term
Are nicotinic or muscarinic receptors present at the NMJ?
Definition
Nicotinic
Term
Biogenic Amines are small or large charged particles?
Definition
Small
Term
Name 2 main biogenic amines
Definition
Catecholamines
Serotonin
Term
Name 3 catecholamines
Definition
Dopamine
Norepinephrine
Epineprine
Term
Synthesis of this begins with the conversion of tyrosine to L-dopa by tyrosine hydroxylase.
Definition
Catecholamine
Term
What are catecholamines broken down by?
Definition
monoamine oxidase (MAO)
Term
Neurons that secrete norepi and epi are said to be what?
Definition
Adrenergic
Term
Name 2 main classes of receptors for epi and norepi
Definition
Alpha-adrenergic: a1 and 2
Beta-adrenergic: b1, 2, and 3
Term
Serotonin is produced by what?
Definition
tryptophan
Term
Serotonin has at least __ different receptor types
Definition
16
Term
This biogenic amine has an excitatory effect on muscles and an inhibitory effect on sensory
Definition
Serotonin
Term
All of these share a very similar molecular structure
Definition
Catecholamines
Term
Amino acids are most prevalent in the __ and affect most neurons
Definition
CNS
Term
Name 3 amines
Definition
Glutamate
GABA
Glycine
Term
The most common excitatory amino acid
Definition
Glutamate
Term
Name the 2 types of receptors for Glutamate
Definition
Ionotropic (AMPA and NMDA)
Metabotropic
Term
This type of receptor is associated with excitotoxicity
Definition
NMDA
Term
The major inhibitory neurotransmitter of the brain
Definition
GABA
Term
Injury or death to cells that rapidly spreads to adjacent regions
Definition
excitotoxicity
Term
Excessive glutamate release over-stimulates ___ receptors causing an excess accumulation of __ (toxic to a cell), which causes it to rupture and continure the process.
Definition
NMDA
Ca++
Term
A modified form of glutamate
Definition
GABA
Term
Most GABA receptors increase Cl- influx into the cell leading to what?
Definition
hyperpolarization
Term
GABA has several binding sites which are sensitive to what?
Definition
Bensodiazepines (Xanax and Valium)
Term
A major inhibitory neurotransmitter of the brainstem and spinal cord
Definition
Glycine
Term
Some neuropeptide receptors bind to what?
Definition
opioids
Term
Name 2 purines
Definition
ATP
Adenosine
Term
The efferent portion of the PNS that includes all nerve fibers traveling from the CNS to skeletal muscle cells.
Definition
Somatic nervous system
Term
Where are the cell bodies of the somatic nervous system located?
Definition
brainstem of ventral horn of the spinal cord
Term
Every motor neuron is ___
Definition
Cholinergic
Term
Somatic nervous system typically has large diameter, __ axons
Definition
myelinated
Term
All neurons in the somatic nervous system are __ and ___
Definition
Cholinergic and excitatory
Term
Are their somatic neurons that inhibit skeletal muscle?
Definition
No
Term
Relaxation involved __ of the motor neurons in the spinal cord
Definition
inhibition
Term
The "push-pull" system
Definition
Autonomic nervous system
Term
2 division of the autonomic nervous system
Definition
sympathetic
parasympathetic
Term
Innervates smooth and cardiac muscle cells, glands, neurons in the GI tract. Can be excitatory or inhibitory
Definition
ANS
Term
The autonomic nervous system has what type of neurons?
Definition
Pre and post ganglionic
Term
All ___ neurons are cholinergic and activate nicotinic receptors at the postsynaptic site
Definition
Preganglionic
Term
__ neurons can either be cholinergic or adrenergic
Definition
Postganglionic
Term
Organized to mobilize the body for activity. Effects are widespread.
Definition
Sympathetic nervous system
Term
Organized for energy conservation. Effects tend to be local
Definition
parasympathetic nervous system
Term
ALL ___ are nicotinic cholinergic
Definition
preganglionics
Term
The SNS has primarily __ preganglionics
Definition
adrenergic
Term
Most adrenergic preganglionics release __, and some __
Definition
NE (80%)
epi (20%)
Term
Name the main targets of the SNS
Definition
Smooth muscle
Cardiac muscle
Gland cells
some CNS
Term
The adrenal medulla is a collection of __ neurons
Definition
SNS
Term
Upon activation by preganglionics, the adrenal medulla releases what 2 things into the bloodstream?
Definition
Epi (80%)
NE (20%)
Term
The parasympathetic nervous system is primarily ___ postganglionics that activate mostly muscarinic cholinergic receptors at the postsynaptic site
Definition
Cholinergic
Term
Name the main targets of the parasympathetic nervous system
Definition
Smooth muscle
Cardiac muscle
Gland cells
Some CNS
Some ganglia
Term
Does the SNS and PSNS function independently of one another?
Definition
Rarely
Term
Name 2 ways to slow heart beat by the autonomic nervous system.
Definition
1. Increase parasympathetic stimulation
2. Decrease sympathetic stimulation
Term
Contains the junction of a motor neuron axon terminal with a motor end plate
Definition
NMJ
Term
The region of the muscle fiber plasma membrane that lies directly beneath the axon terminal
Definition
Motor end plate
Term
Contains one motor neuron and all the motor fibers innervated by that neuron. All fibers are located within the same muscle, but not necessarily adjacent to each other
Definition
Single motor unit
Term
Contains the junction of a motor neuron axon terminal with a motor end plate
Definition
NMJ
Term
Analogous to EPSP in neuron-neuron synapses in that they involve depolarization of a "postsynaptic" membrane via Na/K ion channels
Definition
End Plate Potential (EPP)
Term
Magnitude of __ is much larger than EPSP
Definition
EPP
Term
Every action potential in a motor neuron produces an action potential in the motor fiber of its motor unit. This is very different than neuronal __
Definition
EPSP
Term
All NMJs are __
Definition
excitatory
Term
IPSP in neurons are usually __
Definition
inhibitory
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