Autonomic Nervous System (ANS)
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Questions and Answers

What is the primary function of the autonomic nervous system (ANS)?

  • To consciously control skeletal muscle movement.
  • To regulate involuntary bodily functions and maintain homeostasis. (correct)
  • To process sensory information from the external environment.
  • To facilitate rapid communication between the brain and spinal cord.

Which of the following physiological responses is most likely associated with the sympathetic nervous system?

  • Increased digestive activity.
  • Pupil constriction.
  • Decreased heart rate.
  • Elevated blood pressure and alertness. (correct)

In a visceral reflex arc, what is the role of the afferent neuron?

  • To transmit sensory information from the receptor to the central nervous system. (correct)
  • To carry motor commands to the effector organ.
  • To directly stimulate the target tissue.
  • To integrate sensory information within the spinal cord.

What does 'autonomic tone' refer to in the context of the autonomic nervous system?

<p>The baseline level of activity in both the sympathetic and parasympathetic divisions. (D)</p> Signup and view all the answers

Which of the following best illustrates a function primarily controlled by the parasympathetic nervous system?

<p>Promotion of digestion and waste elimination. (A)</p> Signup and view all the answers

Which characteristic is associated with the preganglionic fibers of the sympathetic nervous system?

<p>Their soma is located within the central nervous system (CNS). (A)</p> Signup and view all the answers

What anatomical feature facilitates the wide distribution of neurotransmitters in the autonomic nervous system?

<p>Varicosities (C)</p> Signup and view all the answers

Which route do postganglionic sympathetic fibers take to reach sweat glands in the skin?

<p>Spinal nerve route through the gray ramus. (A)</p> Signup and view all the answers

How does the splanchnic nerve route differ from the spinal nerve route in the sympathetic nervous system?

<p>It bypasses the paravertebral ganglia for synapse. (A)</p> Signup and view all the answers

Which ganglia are part of the splanchnic nerve route?

<p>Celiac, superior mesenteric, and inferior mesenteric ganglia (A)</p> Signup and view all the answers

What is the primary function of the adrenal medulla in the sympathetic nervous system?

<p>Secreting hormones, such as epinephrine and norepinephrine, directly into the bloodstream. (A)</p> Signup and view all the answers

How does the parasympathetic nervous system (PSNS) achieve more specific control compared to the sympathetic nervous system (SNS)?

<p>By having ganglia located near target organs and fewer postganglionic fibers. (C)</p> Signup and view all the answers

What is a key feature of the enteric nervous system (ENS) that distinguishes it from other parts of the peripheral nervous system?

<p>It can operate independently of the CNS, possessing its own ganglia and reflex arcs. (B)</p> Signup and view all the answers

The peristaltic reflex involves a coordinated response in the gastrointestinal tract. Which component is responsible for the secretomotor and vasodilator reflexes?

<p>Neurons located in the submucosal plexus (D)</p> Signup and view all the answers

In Hirschsprung's disease, the absence of the enteric plexus in the sigmoid colon and rectum leads to specific functional consequences. What is the primary physiological result of this absence?

<p>Permanent constriction preventing the passage of feces. (B)</p> Signup and view all the answers

A patient is diagnosed with Hirschsprung's disease. Upon examination, what anatomical changes in the colon would be expected proximal to the affected segment?

<p>Megacolon, characterized by massive dilation. (B)</p> Signup and view all the answers

Adult Zonal Hirschsprung's Disease presents a diagnostic challenge often involving a specific region of the colon. Which areas are typically observed as grossly dilated during emergency exploration in these cases?

<p>Transverse colon and caecum (D)</p> Signup and view all the answers

The contrasting effects of the sympathetic (SNS) and parasympathetic (PSNS) nervous systems are mediated by different neurotransmitters and receptor types. What is the primary reason for these differing effects?

<p>Each system uses different neurotransmitters and expresses different receptor subtypes. (C)</p> Signup and view all the answers

Acetylcholine (ACh) acts on two main classes of receptors: muscarinic and nicotinic. Which of the following accurately describes the signaling mechanism of muscarinic receptors?

<p>Direct activation of G proteins and second messenger systems. (A)</p> Signup and view all the answers

Nicotinic receptors are a class of acetylcholine receptors found at various locations in the body. Which of the following is the correct mechanism of action for nicotinic receptors?

<p>They are ligand-gated ion channels, causing direct ion flux. (B)</p> Signup and view all the answers

Norepinephrine (NE) primarily acts on adrenergic receptors, which are divided into α and β types. How do α-adrenergic receptors typically mediate their effects?

<p>Via G proteins and second messenger systems, often involving calcium or cAMP. (C)</p> Signup and view all the answers

Flashcards

Autonomic Nervous System (ANS)

Involuntary motor system that modulates the activity of glands, cardiac muscle, and smooth muscle to regulate homeostasis.

Visceral Reflex Arc

Sensory receptor, afferent neuron, interneuron, efferent neuron and effector, but slower than somatic reflexes.

Sympathetic Division

Increases alertness, heart rate, and blood pressure; prepares the body for 'fight or flight'.

Parasympathetic Division

Reduces energy usage and promotes body maintenance activities like digestion and waste removal; creates a 'resting and digesting' state.

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Autonomic Tone

Normal background rate of activity, where both sympathetic and parasympathetic divisions are active to varying degrees. Maintains muscle tone and heart rate.

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Sympathetic Nervous System

Part of the autonomic nervous system; blood vessels partially constricted.

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Preganglionic Fiber

In the sympathetic nervous system, this myelinated fiber has its soma in the CNS and releases acetylcholine (ACh).

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Postganglionic Fiber

In the sympathetic nervous system, this unmyelinated fiber extends to the effector and releases ACh or norepinephrine (NE).

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Varicosities

Terminal portions of the autonomic nerve where neurotransmitters are released along the axon's length.

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Sympathetic Ganglion Chains

Longitudinal ganglia running from cervical to coccygeal levels, receiving input from short, myelinated preganglionic fibers (White Rami) and sending out long, unmyelinated postganglionic fibers (Gray Rami). Found in the thoracic and lumbar regions (T1 to L2).

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White Rami

Carry myelinated preganglionic fibers from the spinal cord to the sympathetic ganglia (input).

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Gray Rami

Carry unmyelinated postganglionic fibers from the sympathetic ganglia to the spinal nerve (output).

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Parasympathetic Nervous System

Part of the autonomic nervous system; Fibers originate from the brain & sacral region, with ganglia located near target organs.

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Peristalsis

Wave-like muscle contractions that move food through the digestive tract.

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Peristaltic Reflex

Local stimulation that triggers secretomotor and vasodilator reflexes, mediated by neurons in the submucosal plexus.

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IPANs

Intrinsic primary afferent neurons involved in ascending excitatory and descending inhibitory reflexes in the intestines.

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Hirschsprung Disease

Hereditary disease where the enteric plexus is absent, leading to colon constriction and blockage.

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Megacolon

Massive dilation of the colon due to chronic constipation caused by Hirschsprung's disease.

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ANS Effect Differences

Uses different neurotransmitters (ACh, NE) and receptor types to produce contrasting effects in the sympathetic and parasympathetic nervous systems.

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Acetylcholine (ACh)

A neurotransmitter used preganglionically in both ANS divisions, postganglionically in the parasympathetic system, and in a few sympathetic postganglionic neurons.

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α-adrenergic Receptors

Receptors that bind norepinephrine, utilizing a second messenger system, with subclasses that usually have excitatory effects but can also be inhibitory.

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Study Notes

Autonomic Nervous System (ANS)

  • Involuntary motor (visceral) system that modulates activity
  • Adjusts glands and cardiac and smooth muscle
  • Regulates homeostasis - heart rate, blood pressure, respiration, digestion, pupil diameter, and metabolism

Visceral Reflexes

  • Similar to Somatic reflexes
  • Slower responses
  • Components including the receptor, afferent sensory neurons, integration center (interneurons), efferent motor neurons, and effector

Divisions of ANS

  • Sympathetic division promotes alertness, increased heart rate, and elevated blood pressure
  • Active during exercise, competition, stress, anger, and fear promoting a fight-or-flight response
  • Parasympathetic division reduces energy usage and maintains body functions like digestion and waste removal, promoting a resting and digesting state
  • Neither division has universally excitatory or inhibitory effects
  • Autonomic tone is a normal background rate, in which the Parasympathetic controls smooth muscles in intestines and slows heart rate and maintains muscle tone and heart rate ~70-80 bpm
  • Sympathetic division partially constricts blood vessels, maintaining blood pressure

ANS Components

  • Central nervous system - control nuclei in the hypothallus and other brainstem regions and motor neurons in the spinal cord
  • Peripheral nervous system - ganglion and two fibers to target organ
  • Preganglionic fibers are myelinated fibers that release ACh in Soma in CNS
  • Postganglionic fibers are unmyelinated fibers that extends to effector and releases Ach or NE

Varicosities

  • Terminal portions of autonomic nerve fibers
  • Neurotransmitters are released along a significant length of the axon to a large surface area of effector tissue, in a "looser", more easily diffused manner

Sympathetic Division (SNS)

  • Originates in thoracic and lumbar regions (T1 to L2) of the spinal cord
  • Fibers extend to every level of the body
  • Ganglion chains (paravertebral) with longitudinal ganglia, Cervical to coccygeal levels
  • Has short preganglionic fibers (myelinated via White Rami)
  • Has long postganglionic fibers (unmyelinated via Gray Rami)

White and Grey rami

  • Contains myelinated fibers (White rami) and unmyelinated fibers (Grey rami)

Leaving Sympathetic Ganglia

  • Spinal Nerves route which includes Gray ramus that returns signal to spinal nerve and target organ
  • Sympathetic Nerve route through Sympathetic nerves carotid or cardiac plexus that target organs
  • Splanchnic nerve route with no ganglia synapse that continue as splanchnic nerves collateral

Collateral Ganglia

  • Splanchnic nerve route with Celiac, Superior mesenteric, and Inferior mesenteric ganglia
  • Fibers are located at points where arteries with the same names branch off aorta
  • Postganglionic fibers accompany these arteries and their branches to the target

Adrenal Gland

  • Medulla acts as a sympathetic ganglion, forming a "Sympathoadrenal system" - which has postganglionic neurons and is neuroendocrine
  • Stimulated by preganglionic sympathetic fibers to secrete epinephrine

Parasympathetic Division (PSNS)

  • Fibers originate from brain and sacral region with ganglia near target organs
  • Long preganglionic fibers, with divergence of neurons closer to organ
  • Fewer postganglionic fibers with more specific stimulation control

Enteric Nervous System

  • Digestive tract with ~500 million neurons, that communicates and coordinates smooth muscle and glands
  • Independent from CNS, with its own ganglia and reflex arcs
  • Regulated by PSNS and SNS
  • Involved in movement in the Esophagus, Stomach and Intestines

Peristaltic Reflex

  • Local stimulation which includes Ascending excitatory reflex and Descending inhibitory reflex

Hirschsprung Disease

  • Hereditary absence of enteric plexus, specifically no innervation in sigmoid colon and rectum
  • Constricts permanently and does not allow passage of feces, which becomes impacted above the constriction
  • Leads to a shrunken rectum, Megacolon, and massive colon dilation with chronic constipation

Neurotransmitters & Receptors

  • Divisions & Contrasting effects which has distinctions between & within SNS & PSNS
  • There are different neurotransmitters (NTs) including Acetylcholine and Norepinephrine
  • Different receptor types include two classes for each type of neurotransmitter

Acetylcholine (ACh)

  • Found preganglionic in both ANS divisions and Postganglionic in parasympathetic
  • Found in some Sympathetic (blood vessels, some glands)
  • Muscarine receptors create second messenger systems in Cardiac and smooth muscle
  • Muscarine receptor subclasses excites intestinal muscle and inhibits cardiac muscle
  • Nicotinic receptors are Ligand-gated channels in Ganglia synapses and the Adrenal medulla

Norepinephrine (NE)

  • Found postganglionic in Sympathetic
  • α-adrenergic receptors trigger second messenger systems, which can have different subclasses
  • Usually produces excitatory effects (e.g., labor contractions)
  • Can be inhibitory (e.g., lowers intestinal motility) which prevents cAMP production
  • β-adrenergic receptors usually act on inhibitory effects (e.g., dilating bronchioles, relaxes), and various subclasses can be excitatory (e.g., excites cardiac)

Dual Innervation

  • Nerve fibers from both divisions with is Antagonistic in same effector cells - e.g., heart muscle cells and different cells - e.g., eye muscles
  • Cooperative action includes different effectors that have unified response, e.g., saliva production

Single Innervation

  • Nerve fibers from one division that can also produce opposite effects when needed
  • During emergency/stress, blood routes during emergency/stress, sympathetic fibers decrease firing rate
  • Smooth muscles relax (blood vessels) and blood pressure pushes on walls dilation
  • Vessels leading to vital organs (brain, heart,) can dilate

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The autonomic nervous system is an involuntary motor system that modulates activity and adjusts glands along with cardiac and smooth muscle. It regulates homeostasis, including heart rate, blood pressure, respiration, digestion, pupil diameter, and metabolism.The sympathetic division promotes alertness, increased heart rate, and elevated blood pressure promoting a fight-or-flight response.

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