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Autonomic Control
Garetto 3-9-09
20
Health Care
Professional
03/10/2009

Additional Health Care Flashcards

 


 

Cards

Term
What are the three major components of the ANS central control?
Definition

1. Hypothalamus (part of limbic system)

-Coordinates autonomic responses

2. Brain Stem

Sympathetic & Parasympthetic

3. Spinal Cord

Term
How are the peripheral nerves of the ANS organized?
Definition

Parasympathetic

exit in the brain stem (CNs 3, 7, 9, 10)

Sacral part of spine

-Long preganglionic nerve, short postglanglionic

 

Sympathetic

Thorax and Lumbar sections of spine

-short preganlionic fibers, LONG post ganglionic!

Term
What are the difference in length of the pre and post ganglionic fibers for PS and sympathetic systems?
Definition

Parasympathetic system has LONG preganglionic fibers and SHORT postganglionic fibers

 

Sympathetic system has SHORT preganglionic fibers and LONG postganglionic fibers.

Term
What is the term used to describe the battle between sympathetic and PS
Definition
Sympathetic tone
Term
How does the location of ganglia differ between the SNS and ANS?
Definition

SNS has ganglia within the CNS

 

ANS has ganglia outside of CNS

Term
Whats the difference between terminals in the SNS and those found in the ANS?
Definition

Terminals in the SNS are motor end plate (one nerve terminal per muscle fiber)

 

ANS on the other hand has varicosities (spray terminals)

Term

(T/F) The ANS is completely depending on nerves in order to be activated

Definition

False

 

There is spontaneous activity even in the absence of nerves

i.e. the endocrine function of Epi from adrenal medulla.

Term
What happens when you denervate the SNS and ANS?
Definition

Supersensitivity in both cases

-Somatic nervous system USUALLY modulates reflex behavior.

-Cut this out, hypersensitive reflexes

Term
Explain why a heart attack can have referred pain on certain areas of the skin.
Definition

The visceral afferents from the heart synapse on the same neuron as somatic afferents from a certain area of skin.

 

Nociceptor pain from the heart is then percieved as pain in the skin area.

Term
With respect to general organization of neurotransmitters in the ANS (Ach for all PS and Ach and NE for Symp), what are the exceptions?
Definition

Sympathetic innervation of the sweat glands uses Ach for both pre and post ganglionic neurons.

-They are muscarinic receptors

 

Sympathetic innervation of blood vessels in skeletal muscles. Muscarinic receptor.

Term

How is the parasympathetic system down-regulated by the sympathetic system and vice-versa?

Definition

When the sympathetic system secretes NE, some of those molecules bind to alpha 2 receptors on Ach terminals restricting their secretions and thus downregulating the parasympathetic system.

 

On the other hand, when the parasympathetic sytems secretes Ach, some of those molecules bind to a muscarinic receptor found on the NE terminal reducing NE output.  This down regulates the sympathetic system.

Term
Name a regulation of the ANS that occurs in the periphery.
Definition
The regulation of sympathetic tone by alpha 2 receptors and muscarinic receptor binding.
Term
What is the difference between alpha and beta adrenergic receptors?
Definition

Alpha have decreased sensitivity to isoproterol (a synthetic epinephrine) and are blocked by phentolamine.

 

Beta's have a high sensitivity to isoproterenol and are blocked by by propranolol (Sir James Black)

Term
What are the functions of atropine and pilocarpine?
Definition

Atropine BLOCKS muscarinic cholinergic receptors

 

Pilocarpine STIMULATES muscarinic cholinergic receptors.

Term
Explain the different types of adrenergic receptors.
Definition

Alpha

1. Target organ receptor.

2. on synaptic terminals releasing Ach.

 

Beta

1. Equivalent response to NE and E.

2. Greater response to E than NE.

-This means that B2's are going to respond much stronger to endocrine adrenaline (80% Epi)!

Term
What part of the hypothalamus is activated for feeding behavior?
Definition
Dorsomedial Nucleus
Term
What part of the hypothalamus is activated for the defense behavior?
Definition

The ventromedial nucleus.

 

Vent anger in defense

Term
Where is blood pressure fluctuations sensed?
Definition

In the baroreceptors of the carotid sinus

Baroreceptors are stretch receptors

-High BP causes more stretching

Term
How is high blood pressure senses and what process occurs to correct the problem?
Definition

Baroreceptors in the carotid sinus sense the increase in blood pressure (stretched).

 

They send a signal to neurons in the depressor center of the medulla.  The medulla inhibits sympathetic nervous system which decreases force and contractility of the heart.  The depressor center also activates the nucleus of the vagus, which decreases rate and contractility of the hear.  There is also a reduced ammount of vasoconstriction in the arterial system.

Term
What is a common trait of activation of either dorsalmedial nucleus OR ventromedial nucleus?
Definition

Increased blood pressure

 

Dorsomedial (excess BP supplies gut)

 

Ventromedial (high BP supplies skeletal muscles)

 

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