Ch. 14 A&P

24 July 2022
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question
Mrs. Oberhaus needs surgery to correct a severe case of Raynaud's disease, affecting one of her hands. What surgical procedure will be performed? After the surgery, will she be more likely to suffer from anhidrosis (lack of sweating) or hyperhidrosis (profuse sweating) in the affected hand?
answer
The doctor will perform a sympathectomy, and the affected hand will suffer from anhidrosis.
question
Which organ receives major input from the sympathetic, but not parasympathetic, division?
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skin The smooth muscle of dermal blood vessels and arrector pili are innervated by the sympathetic, but not parasympathetic, division.
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The group of fibers indicated by E represents which of the following?
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white rami communicantes The white rami communicantes connect preganglionic fibers from the spinal cord to the sympathetic trunk.
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Which of the following statements is true of the group of fibers indicated by the letter D?
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D indicates fibers that bypass collateral ganglia and terminate within the adrenal gland. Unlike other preganglionic fibers of the sympathetic division, the particular fibers indicated by D pass through the celiac ganglion to the adrenal gland, where they stimulate the release of epinephrine and norepinephrine into the bloodstream.
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Outflow of the sympathetic division occurs from which regions of the CNS?
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thoracic and lumbar Preganglionic fibers of the sympathetic division arise from the thoracic and upper lumbar regions (T1 to L2) of the spinal cord.
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Which of the letters in the figure indicates the vagus nerve?
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A The vagus nerve (cranial nerve X) is a component of the parasympathetic cranial outflow and controls normal function of organs of the thoracic and upper abdominal cavities.
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An elderly patient in a nursing home has recurrent episodes of fainting when he stands. An alert nurse notes that this occurs only when his room is fairly warm; on cold mornings, he has no difficulty. What is the cause of the fainting, and how does it relate to the autonomic nervous system and to room temperature?
answer
The fainting episodes are a result of orthostatic hypotension. The condition is exaggerated when blood supply to the skin is increased, such as when the room is warm.
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Why would smooth muscle associated with lung bronchioles dilate while smooth muscle associated with arterial walls constricts when stimulated by norepinephrine neurotransmitter?
answer
different receptor types
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Nasal decongestants phenylephrine and pseudoephedrine act to shrink dilated blood vessels in the nasal passages to relieve congestion. They are called sympathomimetics because they act similar to sympathetic neurotransmitter norepinephrine. Which of the following would be an undesirable side effect associated with their use?
answer
nervousness
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Where are ganglia of the parasympathetic division located?
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in or near effector organs Note the location shown in the figure of synapses between preganglionic and ganglionic fibers on the left side of the figure that summarizes the outflow of the parasympathetic division.
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All of the following characterize the ANS except two-neuron efferent chain presence of nerve cell bodies in the CNS presence of nerve cell bodies in the ganglia innervation of skeletal muscles
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innervation of skeletal muscles
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Which of the following terms relate to the sympathetic division of the autonomic nervous system? short preganglionic, long postganglionic fibers intramural ganglia craniosacral outflow adrenergic fibers
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short preganglionic, long postganglionic fibers adrenergic fibers
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Which of the following terms relate to the parasympathetic division of the autonomic nervous system? cervical ganglia otic and ciliary ganglia generally short-duration action increases heart rate and blood pressure
answer
otic and ciliary ganglia generally short-duration action
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Which of the following terms relate to the sympathetic division of the autonomic nervous system? increases gastric motility and secretion of lacrimal, salivary, and digestive juices innervates blood vessels most active when you are swinging in a hammock active when you are running in the Boston Marathon
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innervates blood vessels active when you are running in the Boston Marathon
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Preganglionic neurons develop from
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neural tube cells
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The white rami communicantes contain what kind of fibers?
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preganglionic sympathetic
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Collateral sympathetic ganglia are involved with the innervation of the
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abdominal organs
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sweat glands
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increase the production of sweat
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adrenal medula
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releases norepinephrine and epinephrine
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lungs
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bronchodilation
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liver
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glycogenolysis and the release of glucose to the blood
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blood vessels to digestive viscera
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constriction
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What area of the brain is most directly involved in mediating autonomic reflexes?
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reticular formation nuclei in the brain stem
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Name the main integration center that coordinates heart rate, blood presure, and body temperature.
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hypothalamus
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Which neurotransmitter do all preganglionic fibers and postganglionic fibers of the parasympathetic division secrete?
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adrenaline
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Which neurotransmitter do the postganglionic fibers of the sympathetic division release?
answer
acetylcholine
question
The premise of biofeedback training is that we do not routinely exert voluntary controls over our visceral activities because we have little conscious awareness of our internal environment. The training allows subjects to become aware of the body's signals and subsequently make subtle internal changes to help them control such things as migraine headaches and stress.
answer
T
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What manifestation(s) of decreased autonomic nervous system efficiency are seen in elderly individuals? constipation dry eyes loss of appetite loss of muscle tone faintness when they change position, such as standing up abruptly after sitting
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constipation dry eyes ?
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Sympathetic tone
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determines the degree of constriction or dilation throughout the vascular system under resting conditions
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Parasympathetic tone
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is important to determining heart rate and GI function.
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Tone
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Autonomic Nervous System (ANS) refers to the firing rate of sympathetic and parasympathetic neurons.
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Resting tone
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of each system aids in the maintenance of homeostasis under normal conditions.
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Acetylcholine is released by all somatic motor neurons, all preganglionic neurons of the ANS and by the postganglionic parasympathetic nerve fibers.
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T
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The facial (VII), glossopharyngeal (IX), and vagus (X) nerves contain postganglionic fibers of the parasympathetic nervous system.
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F
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Most splanchnic nerves pass through the abdominal aortic plexus.
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T
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The celiac ganglion is primarily associated with the sympathetic division.
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T
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The craniosacral division is another name for the parasympathetic division.
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T
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Most disorders of the autonomic nervous system reflect abnormalities of smooth muscle control.
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T
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The vasomotor tone of blood vessels is mostly under sympathetic control.
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T
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All visceral organs receive dual innervation from both the sympathetic and parasympathetic divisions of the ANS.
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F
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Some sympathetic preganglionic fibers stimulate the adrenal medulla to release norepinephrine and epinephrine into the blood, producing a "surge of adrenaline."
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T
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Rami communicantes are designated white or gray to indicate whether or not the fibers passing through them are myelinated.
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T
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Which of these effectors is NOT directly controlled by the autonomic nervous system? most glands cardiac muscle skeletal muscle smooth muscle
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skeletal muscle
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Cardiovascular effects of the sympathetic division include all of the following EXCEPT ________.
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dilation of the blood vessels serving the skin and digestive viscera
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The "resting and digesting" division of the autonomic nervous system is the ________.
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parasympathetic division
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Control of temperature, endocrine activity, and thirst are functions associated with the ________.
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hypothalamus
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The mushroom poison muscarine can bind to receptors on ________.
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all effector cells stimulated by postganglionic cholinergic fibers
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The route of major parasympathetic outflow from the head is via the ________.
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vagus (X) nerves
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The smooth muscle of the digestive viscera is served largely by the ________.
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vagus (X) nerves
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Parasympathetic functions include ________.
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lens accommodation for close vision
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Raynaud's disease ________.
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is characterized by exaggerated vasoconstriction in the extremities
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Sympathetic nerves may leave the spinal cord at which vertebra?
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first thoracic
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Once a sympathetic preganglionic axon reaches a trunk ganglion, it can do all of the following EXCEPT?
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synapse with a parasympathetic neuron in the same trunk ganglion
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Sympathetic responses generally are widespread because ________.
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NE and epinephrine are secreted into the blood as part of the sympathetic response
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The parasympathetic ganglion that serves the eye is the ________.
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ciliary ganglion
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Autonomic ganglia contain ________.
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the cell bodies of motor neurons
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Emotions influence autonomic reactions primarily through integration in the ________.
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hypothalamus
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Which of the following adrenergic neurotransmitter receptors plays the major role in heart activity?
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beta 1
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Which type of drug would be useful in dilating the pupils for an examination of the retina?
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muscarinic receptor inhibitor
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Which is a uniquely sympathetic function?
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regulation of body temperature
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Which of the following statements is FALSE? Sympathetic has extensive branching of preganglionic fibers; parasympathetic has minimal branching of preganglionic fibers. Sympathetic division has short preganglionic and long postganglionic fibers; parasympathetic has long preganglionic and short postganglionic fibers. Sympathetic ganglia are within a few centimeters of the CNS; parasympathetic ganglia are close to the visceral organs served. Sympathetic origin is craniosacral; parasympathetic is thoracolumbar.
answer
Sympathetic origin is craniosacral; parasympathetic is thoracolumbar.
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Where would you NOT find a cholinergeric nicotinic receptor?
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all parasympathetic target organs
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Erection (vasodilation) of the penis or clitoris ________.
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is primarily under parasympathetic control
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Over 90% of all parasympathetic fibers are derived from cranial nerves ________.
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X (vagus)
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Which of the following does NOT describe the ANS?
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a system of motor neurons that innervates all muscle cells
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Which sympathetic fibers form a splanchnic nerve?
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those that pass through the trunk ganglion to synapse in collateral or prevertebral ganglia
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The parasympathetic tone ________.
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determines normal activity of the urinary tract
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Autonomic dysreflexia ________.
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involves uncontrolled activation of autonomic neurons
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Preparing the body for the "fight-or-flight" response is the role of the ________.
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sympathetic division
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Which of the following is NOT a result of parasympathetic stimulation?
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dilation of the pupils
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Which of the following is mismatched?
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promotes urination; sympathetic
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Fibers that enter and leave the sympathetic trunks without synapsing form structures called ________.
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splanchnic nerves
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Which of the following is NOT a plexus of the vagus (X) nerve?
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inferior hypogastric
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Where would you NOT find autonomic ganglia?
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within spinal cord
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A mugger steals your wallet causing all of the following to happen EXCEPT ________.
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increased glucose uptake to the liver from blood
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Which target organ receives dual innervation?
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small intestines
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Sympathetic division stimulation causes ________.
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increased blood glucose, decreased GI peristalsis, and increased heart rate and blood pressure
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Which of the following appears to exert the most direct influence over autonomic functions?
answer
reticular formation
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Visceral reflex arcs differ from somatic in that ________.
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visceral arcs involve two motor neurons
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The somatic and autonomic nervous systems differ in all of the following EXCEPT ________.
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regulation of activity by higher brain centers
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Drugs called beta-blockers ________.
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decrease heart rate and blood pressure
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The secretions of the adrenal medulla act to supplement the effects of ________.
answer
sympathetic stimulation