Geneeskunde H3
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Questions and Answers

Where do the cell bodies of preganglionic parasympathetic neurons originate?

  • Thoracic and lumbar spinal cord
  • Lumbar and sacral spinal cord
  • Brainstem and sacral spinal cord (correct)
  • Cranial nerves only
  • Which cranial nerves carry preganglionic parasympathetic fibers?

  • CN I, CN III, CN IX
  • CN IV, CN V, CN VI, CN VII
  • CN I, CN II, CN VIII
  • CN III, CN VII, CN IX, CN X (correct)
  • What is the primary location of postganglionic parasympathetic neurons?

  • Cranial ganglia
  • Terminal ganglia near target organs (correct)
  • Spinal ganglia
  • Thoracic ganglia
  • Which nucleus is associated with the oculomotor nerve?

    <p>Edinger-Westphal nucleus</p> Signup and view all the answers

    How are the postganglionic fibers of the parasympathetic division described?

    <p>Short and often found in isolation</p> Signup and view all the answers

    Which muscle is NOT influenced by postganglionic fibers from the Edinger-Westphal nucleus?

    <p>Iris dilator muscle</p> Signup and view all the answers

    Which division is referred to as craniosacral?

    <p>Parasympathetic division</p> Signup and view all the answers

    Which of the following best describes terminal ganglia?

    <p>Often lie within the walls of target organs</p> Signup and view all the answers

    What is referred pain and how is it typically experienced?

    <p>Pain that is experienced in a different area than its source, often vague and confusing.</p> Signup and view all the answers

    Which spinal nerves are associated with referred pain from the left ventricle of the heart?

    <p>T1 to T5</p> Signup and view all the answers

    Which characteristic is true about the enteric nervous system (ENS)?

    <p>It is a self-contained system with over 100 million neurons.</p> Signup and view all the answers

    What role does the enteric nervous system play in the body?

    <p>It controls gastrointestinal function and receives autonomic input.</p> Signup and view all the answers

    What type of neurons are found within the enteric nervous system?

    <p>A mix of afferent, interneurons, and postganglionic parasympathetic neurons.</p> Signup and view all the answers

    Which of the following best describes how the enteric nervous system communicates with the central nervous system?

    <p>It has a neurochemical complexity similar to that of the CNS.</p> Signup and view all the answers

    In which anatomical location does the enteric nervous system primarily function?

    <p>Surrounding the GI tract and related organs.</p> Signup and view all the answers

    What type of sensations can visceral pain from the diaphragm lead to?

    <p>Vague burning or pressure sensation in the shoulder.</p> Signup and view all the answers

    Which cranial nerve is associated with the Edinger-Westphal nucleus for parasympathetic output?

    <p>CN III</p> Signup and view all the answers

    What type of neurons are located in the superior salivatory nucleus?

    <p>Preganglionic parasympathetic neurons</p> Signup and view all the answers

    Which ganglion receives preganglionic fibers from the inferior salivatory nucleus?

    <p>Otic ganglion</p> Signup and view all the answers

    Which salivary gland is innervated by the postganglionic fibers from the inferior salivatory nucleus?

    <p>Parotid gland</p> Signup and view all the answers

    Which cranial nerve carries parasympathetic fibers from the superior salivatory nucleus to the submandibular ganglion?

    <p>CN VII</p> Signup and view all the answers

    Which of the following cranial nerves is primarily responsible for parasympathetic output in the thorax and abdomen?

    <p>CN X</p> Signup and view all the answers

    What specific type of fibers travel with CN VII to the pterygopalatine ganglion?

    <p>Preganglionic parasympathetic fibers</p> Signup and view all the answers

    What is the role of the nucleus ambiguus in the parasympathetic system?

    <p>It contains preganglionic cell bodies for parasympathetic outputs.</p> Signup and view all the answers

    What is the primary function of the myenteric plexus?

    <p>Control of motility</p> Signup and view all the answers

    Where is the submucosal plexus located in relation to the muscularis mucosae?

    <p>Between the inner circular layer and the muscularis mucosae</p> Signup and view all the answers

    Which type of nerve innervates both the myenteric and submucosal plexuses?

    <p>Preganglionic parasympathetic fibers</p> Signup and view all the answers

    What occurs in the enteric nervous system without extrinsic input?

    <p>Adaptive responses to local stimuli</p> Signup and view all the answers

    What is the role of the submucosal plexus in the gastrointestinal system?

    <p>Controlling secretory and absorptive functions</p> Signup and view all the answers

    What is true regarding the enteric nervous system's ability to function independently?

    <p>It can initiate peristaltic activity in response to local stimuli.</p> Signup and view all the answers

    How does the ENS relate to the sympathetic nervous system?

    <p>It acts as a postganglionic structure for the sympathetic division.</p> Signup and view all the answers

    What structural features differentiate the myenteric plexus from the submucosal plexus?

    <p>Myenteric plexus is positioned between muscular layers, while submucosal plexus is beneath the mucosa.</p> Signup and view all the answers

    Which of the following factors are visceral nociceptive fibers sensitive to?

    <p>PCO2 and blood glucose levels</p> Signup and view all the answers

    Where are the cell bodies of visceral afferent fibers primarily located?

    <p>In the dorsal root ganglia or cranial nerve ganglia</p> Signup and view all the answers

    What is the primary role of the vagus nerve concerning visceral afferents?

    <p>Carrying non-nociceptive afferent input from thoracic and abdominal viscera</p> Signup and view all the answers

    What type of fibers travel primarily with sympathetic nerves?

    <p>Visceral nociceptive fibers</p> Signup and view all the answers

    Which statement about vagal afferents is true?

    <p>They transmit information about blood gases and stomach distention</p> Signup and view all the answers

    How is visceral pain input organized in the central nervous system?

    <p>It is mapped viscerotopically</p> Signup and view all the answers

    What characteristic is true of most visceral afferent fibers?

    <p>They are mostly unmyelinated</p> Signup and view all the answers

    What sensory functions are carried by vagal afferents?

    <p>Information about organ distention and body chemistry</p> Signup and view all the answers

    Where are the cell bodies of vagal preganglionic parasympathetic neurons located?

    <p>Nucleus ambiguus and dorsal motor nucleus of the vagus</p> Signup and view all the answers

    What is one of the effects of electrical stimulation of the nucleus ambiguus?

    <p>Contraction of striated muscle in the pharynx and larynx</p> Signup and view all the answers

    What do the preganglionic parasympathetic fibers of the vagus nerve join?

    <p>Esophageal, pulmonary, and cardiac plexuses</p> Signup and view all the answers

    Where are the cell bodies of the preganglionic parasympathetic neurons in the sacral spinal cord located?

    <p>Similar position as sympathetic neurons but without a distinct column</p> Signup and view all the answers

    What structures do the axons of preganglionic parasympathetic neurons in the sacral spinal cord travel with?

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

    What is one major role of the afferent limb in the visceral control system?

    <p>Monitoring nociceptive input</p> Signup and view all the answers

    What initiates the secretion of gastric acid, insulin, and glucagon in the visceral control system?

    <p>Activation of the dorsal motor nucleus of the vagus</p> Signup and view all the answers

    Which organs receive parasympathetic innervation from the sacral nerves?

    <p>Descending colon and rectum</p> Signup and view all the answers

    Study Notes

    Parasympathetic Preganglionic Neurons

    • Cell bodies located in the medulla, pons, midbrain, and S2-S4 spinal cord levels.
    • Cranial division (originating in the brain) connects with oculomotor (CN III), facial (CN VII), glossopharyngeal (CN IX), and vagus (CN X) nerves.
    • Sacral division (originating in the sacral spinal cord) connects through pelvic splanchnic nerves.
    • Postganglionic neurons located in terminal ganglia near target organs.
    • Terminal ganglia often within organ walls, postganglionic fibers short.

    Cranial Nerves III, VII, and IX

    • Preganglionic parasympathetic neurons originate in three nuclei:
      • Edinger-Westphal nucleus (subnucleus of oculomotor complex): travels with CN III, synapses at ciliary ganglion.
      • Superior salivatory nucleus: travels with CN VII, synapses at pterygopalatine and submandibular ganglia.
      • Inferior salivatory nucleus: travels with CN IX, synapses at otic ganglion.

    Cranial Nerve X

    • Major parasympathetic output via vagus nerve (CN X).
    • Cell bodies in the dorsal motor nucleus of vagus and nucleus ambiguus in the medulla.
    • Supplies parasympathetic innervation to thoracic and abdominal viscera.
    • Stimulation can affect gastric acid, insulin, and glucagon secretion.
    • Preganglionic fibers connect with ganglia within the target organs.

    Sacral Nerves

    • Preganglionic parasympathetic cell bodies located in S2-S4 spinal cord.
    • Connect with pelvic splanchnic nerves.
    • Innervate descending colon, rectum, bladder, and reproductive organs (male and female).

    Visceral Control System Afferent Limb

    • Internal organs densely innervated by visceral afferents.
    • Some monitor nociceptive (painful) input, while others respond to stretch, chemical stimuli (e.g., PCO2, PO2, pH, glucose), and temperature.
    • Many visceral nociceptive fibers travel with sympathetic nerves, while most physiological receptor axons travel with parasympathetic fibers.
    • Cell bodies of visceral afferent fibers within dorsal root ganglia and cranial nerve ganglia (e.g., nodose, petrosal).

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    Description

    This quiz covers the structure and function of parasympathetic preganglionic neurons, focusing on their origins and connections in the cranial and sacral divisions. It will also touch upon the role and pathways of cranial nerves III, VII, IX, and X in the parasympathetic nervous system. Test your knowledge and understanding of these crucial elements of the autonomic nervous system.

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