Which of the following releases the neurotransmitter norepinephrine?
terminus of a somatic motor neuron
terminus of a parasympathetic postganglionic neuron
terminus of a sympathetic preganglionic neuron
terminus of a sympathetic postganglionic neuron
answer
Release of norepinephrine at synapses within effector organs is characteristic of the sympathetic division at terminus of sympathetic postganglionic neuron.
question
Which of the following is a way in which the somatic and autonomic nervous systems are similar?
Both systems share common effectors.
Both systems share common efferent pathways.
Both systems have ganglia in their motor pathways.
Both systems elicit the same target organ responses to their neurotransmitters.
None of the listed responses is correct.
answer
Each of the factors is different in the somatic and autonomic efferent pathways, respectively. None of the responses are correct.
question
Where are ganglia of the parasympathetic division located?
near major arteries just as they exit the aorta
within the medullas of endocrine glands
in or near effector organs
in chains on either side the spinal column
answer
in or near effector organs
question
Outflow of the sympathetic division occurs from which regions of the CNS?
cranial and sacral
cranial only
cervical and lumbar
thoracic and lumbar
answer
Preganglionic fibers of the sympathetic division arise from the thoracic and upper lumbar regions (T1 to L2) of the spinal cord.
question
Which organ receives major input from the sympathetic, but not parasympathetic, division?
salivary glands
heart
bladder
skin
answer
skin; The smooth muscle of dermal blood vessels and arrector pili are innervated by the sympathetic, but not parasympathetic, division.
question
Which plexus does NOT receive innervation from the vagus nerve?
inferior hypogastric plexus
cardiac plexuses
abdominal aortic plexus
pulmonary plexuses
answer
The inferior hypogastric plexus receives nerve fibers from the pelvic splanchnic (spinal) nerves, not the vagus (cranial) nerve. As the vagus nerves pass into the thorax, they send branches to the cardiac, pulmonary, and esophageal plexuses. In the abdominal cavity, they send fibers through the large abdominal aortic plexus.
question
Which description is NOT consistent with the sympathetic division?
long postganglionic fibers
most innervation from the vagus nerve
thoracolumbar
ganglia close to the spinal cord
answer
The vagus nerve innervates most of the parasympathetic division.
question
Once a preganglionic axon reaches a trunk ganglion, one of three things can happen to the axon. Which of the following is NOT one of these three things?
The axon can course back into the spinal cord to synapse with preganglionic neurons in a different spinal segment.
The axon can synapse with a ganglionic neuron in the same trunk ganglion.
The axon can ascend or descend the sympathetic trunk to synapse in another trunk ganglion.
The axon can pass through the trunk ganglion and emerge from the sympathetic trunk without synapsing.
answer
The axon can course back into the spinal cord to synapse with preganglionic neurons in a different spinal segment.
Preganglionic axons do not pass back into the spinal cord.
question
Which set of details correctly identifies a series of events in a sympathetic pathway?
thoracolumbar origin, short preganglionic fiber, ACh release at ganglion, long postganglionic fiber, NE release at effector
thoracolumbar origin, long preganglionic fiber, NE release at ganglion, short postganglionic fiber, NE release at effector
craniosacral origin, long preganglionic fiber, ACh release at ganglion, short postganglionic fiber, ACh release at effector
craniosacral origin, short preganglionic fiber, ACh release at ganglion, long postganglionic fiber, ACh release at effector
answer
thoracolumbar origin, short preganglionic fiber, ACh release at ganglion, long postganglionic fiber, NE release at effector
question
Which receptor paring below is correct?
muscarinic: norepinephrine
nicotinic; acetylchline
nicotinic: norepinephrine
alpha 1: acetylcholine
answer
Nicotinic receptors are one of two acetylcholine receptors.
question
Which of the following is an effect of norepinephrine binding to beta 2 adrenergic receptors?
vasoconstriction
vasodilation
an increase in heart rate
lipolysis
answer
The binding of norepinephrine to the beta 2 adrenergic receptors in blood vessels causes vasodilation.
question
Which of the following target organs/systems is affected by the sympathetic nervous system but is NOT affected by the parasympathetic nervous system?
salivary glands
cellular metabolism
gallbladder
lungs
answer
Preganglionic sympathetic fibers stimulate the adrenal medulla to secrete epinephrine into the bloodstream during "fight-or-flight" situations (such as exercise). In turn, epinephrine increases cellular metabolism (metabolic rate).
question
Symptoms of autonomic neuropathy could include any EXCEPT which of the following?
diarrhea
constipation
abnormal stretch reflex responses
hyposecretion by sudoriferous glands
answer
The stretch reflex is controlled by afferent sensory stretch receptors and somatic efferent motor neurons.
question
Which of the following releases the neurotransmitter norepinephrine?
terminus of a parasympathetic postganglionic neuron
terminus of a sympathetic postganglionic neuron
terminus of a sympathetic preganglionic neuron
terminus of a somatic motor neuron
answer
terminus of a sympathetic postganglionic neuron
question
Which of the following is a way in which the somatic and autonomic nervous systems are similar?
Both systems elicit the same target organ responses to their neurotransmitters.
Both systems share common effectors.
Both systems have ganglia in their motor pathways.
Both systems share common efferent pathways.
None of the listed responses is correct.
answer
Each of the factors is different in the somatic and autonomic efferent pathways, respectively.
question
Which division of the nervous system has long preganglionic neurons?
sympathetic
somatic motor
parasympathetic
somatic sensory
answer
The parasympathetic division has long preganglionic fibers and short postganglionic fibers.
question
Which target organ is NOT affected by the parasympathetic division of the autonomic nervous system (ANS)?
liver
lungs
heart
adrenal medulla
answer
The adrenal medulla is not innervated (thus not affected) by the parasympathetic division of the ANS. Preganglionic sympathetic fibers stimulate the adrenal medulla to secrete epinephrine and norepinephrine (hormones that contribute to the overall fight-or-flight response mediated by the sympathetic division of the ANS) into the bloodstream.
question
You are designing a drug to reduce heart rate. Which receptor would you target?
ΓΒ²1 adrenergic receptors
(1 adrenergic receptors
nicotinic receptors
muscarinic receptors
answer
Muscarinic receptors inhibit cardiac cells.
question
The adrenal medulla secretes epinephrine during sympathetic stimulation. Which of the following statements describes why epinephrine would increase the sympathetic response?
Epinephrine increases the action of pre- and postganglionic axons.
The same receptors that respond to norepinephrine also respond to epinephrine, increasing the action of both.
Epinephrine binds to a separate receptor than norepinephrine, which increases the sympathetic response.
Epinephrine has no effect on sympathetic targets.
answer
There is no separate receptor for epinephrine. It enhances the sympathetic pathways because it binds to the same receptors as norepinephrine.
question
Which of the following best demonstrates an example of cooperation of the parasympathetic and sympathetic nervous systems?
Sympathetic stimulation causes vasodilation of blood vessels in the clitoris, leading to erection; parasympathetic stimulation then causes reflex contractions of the vagina.
Sympathetic stimulation causes vasodilation of blood vessels in the penis, leading to erection; parasympathetic stimulation then causes ejaculation.
Parasympathetic stimulation causes copious sweating; sympathetic stimulation causes epidermal pores to dilate.
Parasympathetic stimulation causes vasodilation of blood vessels in the penis, leading to erection; sympathetic stimulation then causes ejaculation.
answer
The best example of cooperative autonomic effects is seen in controls of the external genitalia. Parasympathetic stimulation causes vasodilation of blood vessels in the external genitalia, and is responsible for erection of the male penis or female clitoris during sexual excitement. Sympathetic stimulation then causes the ejaculation of semen by the penis or reflex contractions of the vagina during an orgasm.
question
Which of the following is characteristic of the parasympathetic division?
stimulates secretory activity
inhibited digestion and elimination
dilated airways
increased heart rate
answer
Secretory activity is controlled by the parasympathetic division of the autonomic nervous system
question
Which of the following is responsible for the overall integration of the autonomic nervous system (ANS)?
brain stem
cerebral cortex
hypothalamus
peripheral ganglia
answer
The hypothalamus stands at the top of the control hierarchy as the integrator of ANS activity.
question
Which of the following is NOT a designation for sympathetic ganglia?
trunk ganglia
terminal ganglia
prevertebral ganglia
collateral ganglia
answer
terminal ganglia
question
Which of these effectors is NOT directly controlled by the autonomic nervous system?
cardiac muscle
skeletal muscle
smooth muscle
most glands
answer
skeletal muscle
question
The somatic and autonomic nervous systems differ in all of the following EXCEPT ________.
their effectors
target organ responses to their neurotransmitters
regulation of activity by higher brain centers
their efferent pathways and ganglia
answer
regulation of activity by higher brain centers
question
Preparing the body for the "fight-or-flight" response is the role of the ________.
somatic nervous system
parasympathetic division
cerebrum
sympathetic division
answer
sympathetic division
question
The "resting and digesting" division of the autonomic nervous system is the ________.
somatic division
peripheral division
parasympathetic division
sympathetic division
answer
parasympathetic division
question
The secretions of the adrenal medulla act to supplement the effects of ________.
somatic stimulation
parasympathetic innervation
vagus (X) nerve activity
sympathetic stimulation
answer
sympathetic stimulation
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