Micturition in Medicine: Nerve Supply and Reflexes

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Questions and Answers

Which autonomic nerve supply is responsible for contraction of the detrusor muscle and emptying of the bladder?

  • Sympathetic innervation from T11-L2
  • Parasympathetic innervation from S2, S3, S4 (correct)
  • Sympathetic innervation from S2, S3, S4
  • Somatic motor innervation from the pudendal nerve

Which autonomic nerve supply is involved in preventing sperm reflux during ejaculation?

  • Somatic motor innervation from the pudendal nerve
  • Sympathetic innervation from S2, S3, S4
  • Sympathetic innervation from T11-L2 (correct)
  • Parasympathetic innervation from S2, S3, S4

Which nerve supplies the external sphincter of the bladder, making it voluntary?

  • Dorsal column nerve
  • Parasympathetic nerve
  • Sympathetic nerve
  • Pudendal nerve (correct)

Where does the sensation of bladder distension originate in the spinal cord?

<p>Posterior column (fasciculus gracilis) (D)</p> Signup and view all the answers

Which nerve is responsible for urethral sensations?

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

What triggers the micturition reflex?

<p>Filling of bladder by 300–400 mL of urine (A)</p> Signup and view all the answers

Which nerve is responsible for transmitting afferents from the stretch receptors in the detrusor muscle and urethra?

<p>Pelvic splanchnic nerves (B)</p> Signup and view all the answers

Which segment of the spinal cord do the afferents from the stretch receptors enter to reach the sacral micturition center?

<p>S2, S3, S4 (D)</p> Signup and view all the answers

What is the function of efferents from the sacral detrusor nucleus?

<p>excitotry to the detrusor muscle (D)</p> Signup and view all the answers

What happens once the micturition reflex becomes powerful enough?

<p>Inhibition of external sphincter (A)</p> Signup and view all the answers

Where are the influence of higher centers mainly located in relation to micturition?

<p>Pons and certain areas of cerebral cortex (A)</p> Signup and view all the answers

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