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Cardiopulmonary 8
Autonomic Nervous System
39
Medical
Graduate
12/09/2012

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Term
true or false, the body can function with only the autonomic nervous system?
Definition
true
Term
what are the different parts of the autonomic nervous system?
Definition
sympathetic and parasympathetic
Term
what division of the nervous system is the autonomic nervous system?
Definition
it belongs to the efferent visceral motor portion of the peripheral nervous system
Term
what components make up the peripheral nervous system?
Definition
the sensory division composed of somatic and visceral sensory, and the motor division composed of somatic and visceral motor
Term
what are the functions of the autonomic nervous system?
Definition
regulate body temp, CV function, respiration, digestion, excretion, reproduction, water balance, electrolytes, nutrient levels in tissues, and gas concentrations in body fluids
Term
what are the differences between autonomic and somatic motor systems?
Definition
somatic exert direct control of skeletal muscle and their axons are heavily myelinated, impulse is rapid

autonomic system neurons have myelinated pre and unmyelinated post ganglionic portions, impulse is slow, and there is heavy divergence in the ANS,
Term
what are the four routes an impulse can take through the ANS?
Definition
from the PNS to the sympathetic chain and then up, down, through, or synapse in the chain
Term
what are the characteristics of the parasympathetic nervous system?
Definition
active when body is at rest, concerned with conserving body energy, rest and repose responses
Term
where do the parasympathetic neurons originate?
Definition
craniosacral regions
Term
what are the characteristics of the sympathetic nervous system?
Definition
it is activated during excitement and vigorous exercise, fight or flight responses
Term
where do the sympathetic neurons originate?
Definition
thoracolumbar regions
Term
what are some anatomical differences between the sympathetic and parasympathetic nervous systems?
Definition
sympathetic system has short pre and long post ganglionic fibers, and has heavy divergence

parasympathetic system has long pre and short post ganglionic fibers, the fibers are more localized and discrete
Term
what are the biochemical differences between the sympathetic and parasympathetic nervous systems?
Definition
the sympathetic pre ganglionic fibers release acetycholine and its post ganglionic fibers release norepinephrine

the parasympathetic nervous system pre and post ganglionic fibers release acetylcholine
Term
which branch of the autonomic nervous system is considered to be more complex and why?
Definition
the sympathetic because it innervates more organs
Term
what are the two types of ganglia in the sympathetic nervous system?
Definition
sympathetic trunk ganglia and prevertebral ganglia
Term
what attaches the sympathetic trunk ganglia to the spinal nerves and what are they attached to?
Definition
white and gray rami attach trunk to ventral rami
Term
how many sympathetic trunk ganglia per spinal nerve?
Definition
one
Term
what are the prevertebral ganglia?
Definition
they are unpaired sympathetic nerves that do not synapse in the sympathetic chain, instead they go directly to the target organs following blood vessels
Term
describe the path of sympathetic nerves.
Definition
from the spinal chord they run through the ventral root into the spinal nerve, then they enter the sympathetic chain via the white ramus, there they either pass through or synapse in the chain, and exit out the gray ramus and on to target organ
Term
what are the sympathetic affects on the skin, head, thoracic organs, abdominal viscera, pelvic organs, and adrenal medulla?
Definition
skin - vasoconstriction and sweating
head - dry mouth, pupil dilation, wide eyed
thorax - increase HR, dilate coronary arteries, dilate lungs, inhibit swallowing
abdo - inhibit digestion
pelvis - inhibit excretion, promote ejaculation
adrenals - excretion of norepi and epinephrine
Term
describe path of nerves to adrenal medulla?
Definition
sympathetic nerves run from spinal chord, through white ramus and sympathetic chain and all the way to target organ (no synapse)
Term
what outflow innervates the organs of the head, neck, thorax, and most of abdomen for the parasympathetic nervous system?
Definition
cranial outflow
Term
preganglionic fibers of the parasympathetic nervous system are contained within which cranial nerves?
Definition
3, 7, 9, and 10
Term
what outflow innervates the organs of the pelvis and lower abdomen for the parasympathetic nervous system?
Definition
sacral outflow
Term
which nerve is responsible for innervating most of the parasympathetic nervous system?
Definition
vagus nerve (cranial nerve 10)
Term
where are post ganglionic neurons located in the parasympathetic nervous system?
Definition
near the target organs
Term
true or false, post ganglionic neurons of the parasympathetic system located in the same ganglion influence the same target organ?
Definition
true
Term
which division of the autonomic nervous system has more specificity?
Definition
the parasympathetic division
Term
what are some characteristics of visceral sensory neurons?
Definition
they monitor stretch, temp, chemical changes, and irritation

sensations are difficult to localize

cuts and scrapes are not felt whereas bloating is
Term
what is referred pain and what causes it?
Definition
pain perceived as originating from the skin or outer body

may be due to reflexive vasoconstriction in vessels supplying corresponding somatic segments
Term
true or false, reflex arcs of the visceral ANS are always monosynaptic?
Definition
false, they are always polysynaptic
Term
what are the components of the visceral reflex arc?
Definition
visceral sensory fiber and pre and post ganglionic axons
Term
what levels of control exist between the CNS and ANS?
Definition
the level of the brain stem and spinal cord, the hypothalamus and amygdala, and the cerebral cortex
Term
define hyperpyrexia.
Definition
extremely high fever
Term
define hyperhydrosis and how is it treated?
Definition
sweaty palms caused by overactive sympathetic nervous system

with a bilateral endoscopic thoracic sympathectomy between T3-4.
Term
define megacolon (hirschsprung's disease).
Definition
birth defect in which parasympathetic innervation of the distal end of the colon fails to develop due to neural crest cells failing to migrate, feces and gas buildup proximal to affected bowel, can be corrected surgically
Term
define reynaud's disease.
Definition
overactive sympathetic response in the extremities which causes vasoconstriction and white fingers and toes
Term
what causes hypertension?
Definition
overactive sympathetic vasoconstriction from continual stress
Term
define achalasia and how is it treated?
Definition
it is a failure of the esophagus to relax (lower esophageal sphincter) preventing food from entering stomach

incision through sphincter muscle or dilation with a balloon
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