Autonomic Nervous System Quiz

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Questions and Answers

What is the main characteristic of collateral ganglia compared to sympathetic trunk ganglia?

  • They occur only in the abdomen and pelvis. (correct)
  • They have myelinated neurons.
  • They synapse in the spinal cord.
  • They are paired and segmentally arranged.

Which type of rami are associated only with the sympathetic division?

  • Dorsal rami
  • White rami (correct)
  • Ventral rami
  • Gray rami

Which spinal cord segments contain white rami?

  • T1 – L2 cord segments (correct)
  • All of the spinal cord segments
  • Sacral region only
  • Cervical region only

What type of fibers are pilomotor fibers associated with?

<p>Smooth muscle tissue (B)</p> Signup and view all the answers

What is the function of vasomotor fibers?

<p>Promote vasoconstriction of blood vessels (D)</p> Signup and view all the answers

Which neurotransmitter do sudor-motor fibers primarily release?

<p>Acetylcholine (A)</p> Signup and view all the answers

Where do preganglionic fibers synapse in the case of impulse transmission at the same level?

<p>In the gray matter of the spinal cord (B)</p> Signup and view all the answers

What is NOT a type of tissue involved in impulse transmission?

<p>Epithelial tissue (A)</p> Signup and view all the answers

Where do all preganglionic fibers of the sympathetic division arise from?

<p>Thoracolumbar spinal cord segments T1 – L2 (B)</p> Signup and view all the answers

Which of the following structures is NOT innervated by the sympathetic nervous system (SNS)?

<p>Skeletal muscle of the arm (D)</p> Signup and view all the answers

What is the function of the Ganglion Impar?

<p>Convergence of two pelvic sympathetic trunks at the coccyx (D)</p> Signup and view all the answers

What physiological processes does the autonomic nervous system regulate?

<p>Heart rate and blood pressure (D)</p> Signup and view all the answers

Which neurotransmitter is predominantly released by most postganglionic fibers in the autonomic nervous system?

<p>Norepinephrine (A)</p> Signup and view all the answers

Which type of rami communicants is associated with spinal nerves T1 to L2 only?

<p>White rami communicants (C)</p> Signup and view all the answers

How does the efferent pathway in the autonomic nervous system differ from that in the somatic nervous system?

<p>The autonomic pathway consists of two neurons in a chain. (C)</p> Signup and view all the answers

During vigorous physical activity, which of the following adjustments does the sympathetic nervous system NOT typically initiate?

<p>Reduced air flow in lungs (C)</p> Signup and view all the answers

Which of the following is NOT activated by the sympathetic division of the autonomic nervous system?

<p>Decreases heart rate (A)</p> Signup and view all the answers

In which way can preganglionic neurons synapse?

<p>At the same level or a distant collateral ganglion (A)</p> Signup and view all the answers

What is the primary difference between the effectors of the somatic nervous system and the autonomic nervous system?

<p>Somatic nervous system targets skeletal muscles, while autonomic targets smooth muscles, cardiac muscles, and glands. (C)</p> Signup and view all the answers

Which of the following best describes the structure of the paravertebral sympathetic trunk?

<p>A series of interconnected ganglia extending from the neck to pelvis (A)</p> Signup and view all the answers

Where are the paravertebral ganglia located in relation to the spinal cord?

<p>Alongside the spinal cord in a chain (D)</p> Signup and view all the answers

How many ganglia are found in each sympathetic trunk?

<p>23 (A)</p> Signup and view all the answers

Which structures are considered the primary target organs of the autonomic nervous system?

<p>Cutaneous blood vessels and sweat glands (D)</p> Signup and view all the answers

Which of the following best describes the activation of the sympathetic division?

<p>Heightens mental alertness and increases blood flow to muscles (C)</p> Signup and view all the answers

What is the primary function of the middle cervical cardiac nerve?

<p>Vasomotor effect (D)</p> Signup and view all the answers

At which spinal level is the inferior cervical ganglion located?

<p>C7 (B)</p> Signup and view all the answers

Which plexus is responsible for increasing heart rate and cardiac output?

<p>Cardiac plexus (B)</p> Signup and view all the answers

What action is associated with the thoracic cardiac nerves?

<p>Increased heart rate (D)</p> Signup and view all the answers

Which ganglion is primarily involved with innervating the stomach and liver?

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

What effect do the preganglionic fibers of the greater splanchnic nerves have?

<p>Influence gastrointestinal motility (D)</p> Signup and view all the answers

Which of the following is a function of the pulmonary plexus?

<p>Bronchodilation (B), Vasoconstriction of bronchial arteries (C)</p> Signup and view all the answers

What is the main function of the esophageal plexus in the autonomic nervous system?

<p>Decrease peristalsis (B)</p> Signup and view all the answers

What is the function of the splanchnic nerve in the context of collateral ganglia?

<p>To synapse in the collateral ganglion (B)</p> Signup and view all the answers

Which cervical sympathetic ganglion is located at the C1-C2 level?

<p>Superior cervical ganglion (C)</p> Signup and view all the answers

Which of the following structures is associated with the middle cervical ganglion?

<p>Plexuses around the inferior thyroid artery (A)</p> Signup and view all the answers

How does the superior cervical ganglion affect the lacrimal glands?

<p>It constricts blood supply, reducing lacrimation. (C)</p> Signup and view all the answers

What types of rami communicants are present in the cervical part of the sympathetic trunk?

<p>Only gray rami communicants (B)</p> Signup and view all the answers

Which spinal nerves contribute to the formation of the superior cervical ganglion?

<p>C1-C4 spinal nerves (B)</p> Signup and view all the answers

Which of the following is NOT innervated by the superior cervical ganglion?

<p>Larynx (D)</p> Signup and view all the answers

What is the primary role of the internal carotid plexus as it relates to the superior cervical ganglion?

<p>To innervate the ciliary ganglion (B)</p> Signup and view all the answers

What effect does the stimulation of the lesser splanchnic nerve have on gastrointestinal function?

<p>Inhibits absorption (B)</p> Signup and view all the answers

Which of the following statements regarding the adrenal gland is correct?

<p>The adrenal medullary cells act as postganglionic neurons. (D)</p> Signup and view all the answers

Which structure is primarily responsible for decreasing urine production when stimulated?

<p>Kidneys (A)</p> Signup and view all the answers

What is the major function of the lumbar splanchnic nerves?

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

What does the stimulation of the sympathetic nervous system generally lead to in terms of gastrointestinal activity?

<p>Decreased blood flow (B)</p> Signup and view all the answers

Which statement correctly describes the function of visceral sensory neurons?

<p>They send information about various internal states. (A)</p> Signup and view all the answers

Which component is associated with the superior mesenteric ganglion?

<p>Lesser splanchnic nerve (C)</p> Signup and view all the answers

During sympathetic activation, what happens to insulin production?

<p>It decreases. (A)</p> Signup and view all the answers

Which of the following is NOT regulated by the sympathetic innervation of the inferior mesenteric ganglion?

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

What neurotransmitters are released by the adrenal medullary cells during sympathetic stimulation?

<p>Norepinephrine and epinephrine (D)</p> Signup and view all the answers

Flashcards

Sympathetic Nervous System

A branch of the autonomic nervous system responsible for 'fight or flight' responses, preparing the body for action and stress.

Preganglionic Neuron

A type of neuron whose cell body is located in the CNS and whose axon extends to the periphery.

Postganglionic Neuron

A type of neuron whose cell body is located in an autonomic ganglion and whose axon extends to a target organ.

Autonomic Ganglia

Specialized structures in the peripheral nervous system that contain cell bodies of postganglionic neurons.

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Sympathetic Trunks

A series of interconnected ganglia located along the vertebral column, playing a crucial role in the sympathetic nervous system.

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Acetylcholine (ACh)

The neurotransmitter released by preganglionic neurons of both the sympathetic and parasympathetic nervous systems.

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Norepinephrine (NE)

The neurotransmitter primarily released by postganglionic neurons of the sympathetic nervous system.

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Homeostasis

The body's ability to maintain a stable internal environment despite external fluctuations. The autonomic nervous system contributes to this.

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Prevertebral Ganglia

Collections of nerve cell bodies (ganglia) located in front of the vertebral column, near the abdominal aorta. They are interconnected by nerve fibers forming plexuses.

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Preganglionic Fibers of Sympathetic Division

These fibers originate from neurons in the spinal cord segments T1 to L2.

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Sympathetic Part Exits with Somatic Fibers

The sympathetic nervous system leaves the spinal cord along with the somatic fibers of spinal nerves, exiting from the thoracic and lumbar segments.

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White Rami Communicants

In the sympathetic trunk, 'white rami communicants' are found only in association with the spinal nerves T1 to L2. Their absence from other levels indicates that fibers from those levels don't directly contribute to the sympathetic trunk.

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Gray Rami Communicants

Gray rami communicants are associated with all spinal nerves, carrying post-ganglionic fibers to the spinal nerves for distribution to various tissues.

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Fiber Directions in the Sympathetic Trunk

The fibers from T1 to T5 travel mainly upwards, while those from T5 to L2 travel mainly downwards in the sympathetic trunk.

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Ganglion Impar

This is the final, unpaired ganglion in the two pelvic sympathetic trunks, located near the coccyx (tailbone). It marks the end of the trunk.

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Superior Cervical Ganglion

A sympathetic ganglion located in the cervical region, close to the first and second cervical vertebrae. It innervates the head and neck.

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Middle Cervical Ganglion

Located at the C6 level, this ganglion has a vital role in innervating the larynx, trachea, pharynx, and upper esophagus.

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What are splanchnic nerves?

Preganglionic fibers of the sympathetic nervous system that leave the spinal cord and form several splanchnic nerves, eventually synapsing in collateral ganglia located anterior to the vertebral column.

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Inferior Cervical Ganglion

Also known as the stellate ganglion, it's found at the C7-T1 level and innervates the heart, lungs, and upper limbs.

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What are sympathetic trunk ganglia?

Paired clusters of nerve cell bodies located along the vertebral column, serving as relay points for sympathetic nerve signals.

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Sympathetic Trunk Path

The pathway leading from the spinal cord to the sympathetic trunk. It contains white rami communicantes.

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What are gray rami communicants?

Unmyelinated nerve fibers that carry postganglionic nerve impulses from sympathetic trunk ganglia to the spinal nerves, connecting the sympathetic system to target organs.

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What are white rami communicants?

Myelinated nerve fibers carrying preganglionic nerve impulses from the spinal cord to sympathetic trunk ganglia.

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Ciliary Ganglion

A small autonomic ganglion located near the internal carotid artery. It receives signals from the superior cervical ganglion and is involved in controlling pupillary dilation and lens accommodation.

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Describe the process of impulse transmission at the same level.

This type of nerve transmission occurs when a preganglionic neuron from the T1-L2 spinal cord segments synapses directly in a ganglion located at the same level, and postganglionic fibers then leave via a gray ramus communicant to reach target tissues like smooth muscles, blood vessels, and glands.

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Deep Petrosal Nerve

A branch of the superior cervical ganglion, it delivers signals to the lacrimal gland, regulating tear production.

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Synapse in Collateral Ganglion

The point at which the preganglionic neuron from the spinal cord synapses with the postganglionic neuron in a sympathetic ganglion.

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Describe the process of impulse transmission at a higher or lower level.

This type of nerve transmission involves preganglionic neurons from the T1-L2 spinal cord segments traveling upwards or downwards to synapse in a ganglion at a different level, and postganglionic fibers then leave via a gray ramus comunicant to reach target tissues.

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What are pilomotor fibers?

These smooth muscle fibers control the contraction and relaxation of hair erector muscles attached to hair follicles.

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What are vasomotor fibers?

These nerve fibers regulate the diameter of blood vessels, primarily causing vasoconstriction (narrowing of blood vessels).

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Inferior Cervical Ganglion (Stellate Ganglion)

A cluster of cell bodies found at the C7 level, formed by the gray rami of C7, C8, and T1 spinal nerves.

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Cardiac Plexus

The sympathetic pathway that primarily controls the heart's rhythm (heart rate) and force of contraction.

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Esophageal Plexus

The sympathetic branch that influences the smooth muscles of the digestive tract, primarily resulting in decreased peristaltic movements (muscle contractions that propel food along).

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Pulmonary Plexus

The sympathetic network targeting the lungs, influencing bronchodilation, vasoconstriction of bronchial arteries, and decreased secretion of fluids.

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Greater Splanchnic Nerves

This group of sympathetic fibers (T5-T9) originates from the spinal cord and connects to the celiac ganglion, a key nerve center for controlling various abdominal organs like the stomach, liver, and pancreas.

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Sympathetic Preganglionic Fibers (T5-L1)

These sympathetic fibers from the thoracic and lumbar segments of the spinal cord influence a wide range of organs and functions, contributing to the 'fight or flight' response.

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Thoracic Cardiac Nerves

These sympathetic fibers from T2-T5 join the cardiac plexus and ultimately influence myocardial contractility (strength of contraction), heart rate, and blood pressure.

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Sympathetic Innervation of Stomach & Duodenum

The sympathetic nervous system's effect on the stomach and upper part of the duodenum involves inhibiting peristalsis, decreasing blood supply, reducing absorption and secretion, and contracting the pyloric sphincter.

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Sympathetic Innervation of Liver

The liver responds to sympathetic stimulation by increasing glycogenolysis (breaking down glycogen into glucose) and decreasing biliary flow.

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Sympathetic Innervation of Pancreas

Sympathetic stimulation of the pancreas leads to decreased insulin production and increased glucagon production.

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Sympathetic Innervation of Adrenal Gland

Sympathetic innervation of the adrenal gland (intramural ganglia) involves the release of norepinephrine and epinephrine directly into the bloodstream by the adrenal medulla.

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Lesser Splanchnic Nerve: Function

The lesser splanchnic nerve (T10-T11) connects to the superior mesenteric ganglion and innervates the intestines (ascending colon, cecum, proximal 2/3 of transverse colon, small intestine, distal duodenum, jejunum, ileum), inhibiting GI activity by decreasing secretion, absorption, and peristalsis.

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Least Splanchnic Nerve: Function

The least splanchnic nerve (T12) leads to the aorticorenal ganglion and influences the kidneys (vasoconstriction, decreasing urine production), bladder, and uterus.

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Lumbar Splanchnic Nerves: Function

The lumbar splanchnic nerves (L1, L2, L3) connect to the inferior mesenteric ganglion and innervate the distal 1/3 of the transverse colon, descending colon, sigmoid colon, and upper rectum. These nerves also inhibit peristalsis in these areas.

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Superior Hypogastric Ganglion: Function

The superior hypogastric ganglion, supplied by spinal nerves L1-L4, controls internal urethral sphincter, detrusor muscle, and the intermesenteric plexus, affecting gonads (ejaculation/uterine contraction).

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Sacral Splanchnic Nerves: Function

The sacral splanchnic nerves (S1-S2) reach the inferior hypogastric plexus and innervate various structures including the urinary bladder, prostate gland, uterus/vagina, rectum/anal canal, and pelvic organs through the intermesenteric plexus.

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Visceral Sensory Neurons: Function

Visceral sensory neurons relay information from internal organs about chemical changes, stretching, temperature, and irritation.

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Study Notes

Autonomic Nervous System (ANS)

  • The autonomic nervous system functions independently, regulating smooth muscles, cardiac muscle, glands, and adipose tissue.
  • It controls involuntary processes crucial for homeostasis, including heart rate, blood pressure, temperature, digestion, metabolism, excretion, sexual function, and fluid composition.
  • Primary target organs include thoracic and abdominopelvic viscera, as well as some structures of the body wall, like blood vessels, sweat glands, and piloerector muscles.

Sympathetic Nervous System

  • Sympathetic efferent fibers (sympathetic outflow) control the body's responses to stressful situations (fight or flight).

  • Sympathetic afferent nerve fibers relay sensory information.

  • Sympathetic trunks and ganglia are key components controlling this system's functions.

  • The sympathetic division has preganglionic and postganglionic fibers.

  • The sympathetic trunk generally runs alongside the spinal column.

  • There are three cervical, eleven thoracic, four lumbar, and four sacral ganglia.

  •  Paravertebral ganglia (sympathetic trunks) are important relay points.

  • Prevertebral ganglia (collateral ganglia) are associated with the abdominal aorta and form prevertebral plexuses.

  •  Preganglionic fibers originate in the spinal cord from T1 to L2.

  • Postganglionic nerve fibers are typically longer, extending to various organs.

  • The sympathetic nervous system is responsible for numerous changes in the body during stress response.

  • Specific actions include heightened mental alertness, elevated metabolic rate, and decreased digestive functions.

  • Increased respiratory rate and dilating respiratory passageways to improve oxygen intake.

  • Increasing heart rate and blood pressure.

  • Activates sweat glands.

  • Blood is shunted from viscera (internal organs) to skeletal muscles and to the heart.

Somatic vs. Autonomic NS

  • Somatic nervous system does not have ganglia. It has only one neuron extending from CNS to skeletal muscle.
  • Autonomic NS involves two neurons: preganglionic and postganglionic.
  • Its effectors are smooth muscles, cardiac muscles, and glands.
  • The preganglionic and postganglionic fibers generally have different neurotransmitters; most preganglionic fibers use acetylcholine (Ach), whereas most postganglionic fibers use norepinephrine (NE).

Impulse Transmission

  • Rami communicants are associated with spinal nerves T1-L2.
  • White rami communicants are myelinated and connect to the paravertebral ganglia, whereas gray rami communicants are un-myelinated, and they connect to all spinal ganglia.
  • Rami communicants convey postganglionic fibers between spinal nerves and trunk.
  • Sympathetic division involves a chain or trunk of ganglia.
  • Rami communicants may travel to the same, higher, or lower level through the sympathetic trunk.

Postganglionic Neurons

  • The synapse level of postganglionic neurons may occur at the same, higher, or lower level.
  • Preganglionic axons can ascend or descend through the sympathetic trunk to reach different ganglia.
  • Synapses may occur in distant collateral or prevertebral ganglia, forming splanchnic nerves.
  • Collateral ganglia are located in the abdomen and pelvis and are neither paired nor segmentally arranged; whereas sympathetic trunk ganglia are both.

Splanchnic Nerves and Ganglia

  • Splanchnic nerves are important for visceral functions.
  • Greater, lesser and least splanchnic nerves are found in the abdomen.
  • Preganglionic fibers travel to prevertebral/collateral ganglia.

Superior, Middle and Inferior Cervical Ganglia

  • Superior Cervical Ganglion - Innervates eyes, salivary glands, & head blood vessels.
  • Middle Cervical Ganglion - Innervates trachea, esophagus, and pharynx.
  • Inferior Cervical Ganglion - Innervates thoracic region and heart. This ganglion often fuses with the first thoracic ganglion, forming the stellate ganglion.
  • Note also the Cervical part - only gray rami communicants. No white rami communicants.

Prevertebral Ganglia

  • They're found in the abdomen.
  • Preganglionic fibers pass through the white and gray rami, eventually projecting to collateral ganglia.
  • Celiac ganglia control most abdominal organs; other ganglia connect to the superior and inferior mesenteric arteries.

Visceral Sensory Neurons

  • These neurons relay information about chemical changes, stretch, temperature, and irritation of the viscera to the brain.
  • The brain then interprets them as sensations like hunger, fullness, pain, or nausea.
  • Visceral sensory neurons are situated in the dorsal root ganglia and sensory ganglia of cranial nerves.

Visceral Reflexes

  • Visceral reflexes involve steps such as a receptor in the viscera, visceral sensory neuron, integration center, motor neuron (two-neuron chain), visceral effector that may be located within the walls of the GI tract, or in preganglionic neurons.

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