Autonomic Nervous System Anatomy

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Questions and Answers

Which of the following scenarios would most likely result from the activation of the baroreceptor reflex?

  • Increased sympathetic activity leading to increased vascular resistance and increased cardiac output. (correct)
  • Decreased sympathetic activity leading to increased vascular resistance and decreased cardiac output.
  • Increased parasympathetic activity leading to decreased heart rate and vasodilation.
  • Decreased parasympathetic activity leading to decreased vascular resistance and increased cardiac output.

A researcher is studying the effects of a novel compound on autonomic ganglia. If the compound selectively blocked N sub N receptors, which of the following outcomes would be expected?

  • Inhibition of both sympathetic and parasympathetic postganglionic nerve transmission. (correct)
  • Increased skeletal muscle contraction.
  • Selective inhibition of sympathetic postganglionic nerve transmission.
  • Selective inhibition of parasympathetic postganglionic nerve transmission.

A patient is administered a drug that selectively stimulates muscarinic receptors. Which of the following physiological responses would most likely be observed?

  • Decreased heart rate, bronchoconstriction, and increased gastrointestinal motility. (correct)
  • Increased heart rate, bronchodilation, and increased gastrointestinal motility.
  • Decreased heart rate, bronchodilation, and increased gastrointestinal motility.
  • Increased heart rate, bronchodilation, and decreased gastrointestinal motility.

A toxin selectively destroys the preganglionic neurons of the sympathetic nervous system. Which of the following physiological changes would be expected as a direct consequence of this exposure?

<p>Impaired vasoconstriction in skeletal muscle. (A)</p> Signup and view all the answers

A drug is developed that selectively blocks N sub m receptors. Which of the following would be the most likely therapeutic use for this drug?

<p>Induction of muscle relaxation during surgery. (A)</p> Signup and view all the answers

If a researcher applies acetylcholine to a sample of skeletal muscle tissue, what receptor type would mediate the resulting muscle contraction?

<p>Nicotinic receptors. (C)</p> Signup and view all the answers

Which of the following correctly describes the anatomical relationship between preganglionic and postganglionic neurons in the sympathetic and parasympathetic nervous systems?

<p>Sympathetic: short preganglionic, long postganglionic; Parasympathetic: long preganglionic, short postganglionic. (D)</p> Signup and view all the answers

Epinephrine released from the adrenal medulla has a diffuse effect on the body because:

<p>It is transported throughout the body via the bloodstream. (B)</p> Signup and view all the answers

Why is acetylcholine considered the first neurotransmitter in both sympathetic and parasympathetic pathways?

<p>It mediates transmission at the ganglia in both systems. (B)</p> Signup and view all the answers

Which of the following best describes the neurohumoral transmission involving epinephrine?

<p>Release of epinephrine from the adrenal medulla into the bloodstream, affecting distant target organs. (A)</p> Signup and view all the answers

A patient presents with hypotension and decreased renal blood flow. If dopamine is administered to improve renal blood flow, which receptor is primarily responsible for mediating this effect?

<p>Dopamine D1 receptors. (D)</p> Signup and view all the answers

A researcher discovers a new compound that selectively enhances the activity of preganglionic neurons in the parasympathetic nervous system. Which of the following effects would be most likely observed in an experimental animal?

<p>Increased gastrointestinal motility and bladder emptying. (B)</p> Signup and view all the answers

If a drug inhibits acetylcholinesterase (the enzyme that breaks down acetylcholine) at the neuromuscular junction, what would be the most likely direct effect on skeletal muscle?

<p>Increased muscle contraction and potential muscle spasms. (C)</p> Signup and view all the answers

A patient with a pheochromocytoma (a tumor of the adrenal medulla) would likely exhibit which of the following symptoms due to the excessive release of epinephrine?

<p>Tachycardia and hypertension (B)</p> Signup and view all the answers

A surgical error results in damage to the craniosacral outflow of the parasympathetic nervous system. What broad category of physiological functions would be most directly affected?

<p>Regulation of heart rate and digestion (D)</p> Signup and view all the answers

Flashcards

Nervous System

Divisions include: Central Nervous System (CNS) and Peripheral Nervous System (PNS).

Efferent Division

Efferent division includes the autonomic (parasympathetic, sympathetic, enteric) and somatic systems.

Baroreceptor Reflex

Drop in blood pressure leads to reduced baroreceptor stretch, decreasing afferent impulses to the medulla, triggering an autonomic response.

Preganglionic Neurons

Cell bodies are in the CNS and synapse with ganglia.

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Postganglionic Neuron

Starts in the ganglia and goes to the organ cell.

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Sympathetic Fibers

Originate from thoracolumbar spinal cord regions.

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Parasympathetic Fibers

Arise from craniosacral parts of the spinal cord.

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Receptors

The key to understanding autonomic pharmacology.

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Nicotinic N Receptor

Located at ganglia, adrenal medulla, and brain.

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Nicotinic M Receptor

Found on skeletal muscle only, at the neuromuscular junction.

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Muscarinic Receptors

Mediated by the parasympathetic nervous system and is sometimes described as terminal receptors.

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Alpha and Beta Receptors

Found on organs innervated by the sympathetic nervous system.

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Sympathetic Ganglia

Ganglia are close to the spinal cord, with short preganglionic fibers and long postganglionic fibers.

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Somatic Motor Nerves

Influences voluntary control, involving a single myelinated motor neuron originating in the CNS that impulses travel directly to skeletal muscle without ganglionic mediation.

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Neurohumoral Transmission

Acetylcholine is released into adrenal medulla, and then epinephrine is released into the blood.

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Study Notes

Divisions of the Nervous System

  • Central nervous system (CNS)
  • Peripheral nervous system (PNS)
  • Efferent division contains autonomic nervous system, parasympathetic, sympathetic pathways, enteric nervous system and somatic system

Anatomy of the Autonomic Nervous System

  • Afferent neurons play a key role in reflex regulations, exemplified by the baroreceptor reflex
  • Drop in blood pressure leads to reduced stretch of baroreceptors which results in reduced afferent impulses to the medulla
  • Reduced afferent impulses trigger an autonomic response to increase blood pressure by inhibiting parasympathetic and activating sympathetic pathways
  • This increases vascular resistance and cardiac output to elevate blood pressure
  • Afferent neurons include preganglionic and postganglionic neurons, emphasizing ganglia
  • Preganglionic neurons originate in the CNS and synapse in ganglia
  • Postganglionic neurons start in the ganglia and connect to target organs

Sympathetic vs Parasympathetic Fibers

  • Sympathetic fibers originate in the thoracolumbar region of the spinal cord, with ganglia running parallel (paravertebral)
  • Parasympathetic fibers originate in the craniosacral regions of the spinal cord

Autonomic Receptors

  • Receptors are key to understanding autonomic pharmacology
  • Key diagrams include the autonomic pathways and receptor locations

Nicotinic Receptors

  • Two Subtypes: N sub N, and N sub M
  • N sub N are found at ganglia, adrenal medulla and in the brain
  • N sub M are found at neuromuscular junctions on skeletal muscle

Muscarinic Receptors

  • Primarily associated with the parasympathetic nervous system
  • Located on parasympathetic target organs and sweat glands (sympathetic)

Alpha and Beta Adrenergic Receptors

  • Found on organs innervated by the sympathetic nervous system

Ganglia Placement

  • Parasympathetic ganglia are close to target organs, with long preganglionic and short postganglionic fibers
  • Sympathetic ganglia are near the spinal cord, with short preganglionic and long postganglionic fibers

Somatic Motor Nerves

  • Under voluntary control
  • Single myelinated motor neuron travels directly to skeletal muscle without ganglia mediation

Primary Neurotransmitters

  • Acetylcholine
  • Norepinephrine
  • Epinephrine
  • Dopamine plays a smaller role

Rule #1: First Neurotransmitter

  • Acetylcholine is the first neurotransmitter in parasympathetic, sympathetic, and somatic pathways

Rule #2: First Receptor

  • The first receptor is always nicotinic (N sub N or N sub M)

Acetylcholine Function

  • Mediates nerve impulse transmission across autonomic ganglia (sympathetic and parasympathetic)
  • Acts as a transmitter at the adrenal medulla and neuromuscular junction

Norepinephrine (NE)

  • Activates alpha and beta receptors on organs innervated by the sympathetic nervous system

Epinephrine (EPI)

  • Released from adrenal medulla into the bloodstream
  • Binds to and activates adrenergic receptors (alpha and beta)

Neurohumoral Transmission

  • Epinephrine release from the adrenal medulla into the bloodstream
  • Adrenal medulla is nervous tissue, similar to ganglia, receiving acetylcholine signals

Analogy for NE and EPI

  • Norepinephrine acts in a pinpoint-accurate manner at specific locations innervated by sympathetic nerves
  • Epinephrine is released into the bloodstream and affects tissues where the blood goes

Dopamine in the Peripheral Nervous System

  • Acts on D1 receptors on kidney blood vessels, causing vasodilation and increased renal blood flow.

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