Deck 19: The Autonomic Nervous System
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Deck 19: The Autonomic Nervous System
1
The neurotransmitter acetylcholine binds with which of the following types of receptors? 1. alpha
2) beta
3) nicotinic
4) muscarinic
A) 1, 2, 3, 4
B) 1, 2 only
C) 3, 4 only
D) 3 only
2) beta
3) nicotinic
4) muscarinic
A) 1, 2, 3, 4
B) 1, 2 only
C) 3, 4 only
D) 3 only
C
2
Vasoconstriction of peripheral blood vessels is a(n) _____ response.
A) cholinergic
B) parasympathetic
C) adrenergic
D) voluntary
A) cholinergic
B) parasympathetic
C) adrenergic
D) voluntary
C
3
Which of the following responses is a result of sympathetic stimulation?
A) decreased heart rate
B) decreased diameter (constriction) of the pupils
C) increased digestive secretions
D) increased rate and depth of breathing
A) decreased heart rate
B) decreased diameter (constriction) of the pupils
C) increased digestive secretions
D) increased rate and depth of breathing
D
4
Arrange the following components of an autonomic reflex arc in the proper order: 1. preganglionic motor neuron
2) receptor
3) integrating center (interneurons)
4) postganglionic motor neuron
5) visceral effector
6) autonomic ganglion
7) sensory neuron
A) 7, 2, 1, 3, 4, 6, 5
B) 1, 2, 7, 3, 6, 5, 4
C) 2, 1, 3, 7, 4, 6, 5
D) 2, 7, 3, 1, 6, 4, 5
2) receptor
3) integrating center (interneurons)
4) postganglionic motor neuron
5) visceral effector
6) autonomic ganglion
7) sensory neuron
A) 7, 2, 1, 3, 4, 6, 5
B) 1, 2, 7, 3, 6, 5, 4
C) 2, 1, 3, 7, 4, 6, 5
D) 2, 7, 3, 1, 6, 4, 5
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5
Autonomic plexuses in the thorax, abdomen and pelvis may contain
A) sympathetic ganglia.
B) axons of sympathetic and parasympathetic neurons.
C) axons of autonomic sensory neurons.
D) All of these choices.
A) sympathetic ganglia.
B) axons of sympathetic and parasympathetic neurons.
C) axons of autonomic sensory neurons.
D) All of these choices.
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6
Somatic motor neurons synapse with which of the following?
A) an autonomic ganglion
B) the adrenal medulla
C) directly with a visceral effector
D) directly with skeletal muscle cells
A) an autonomic ganglion
B) the adrenal medulla
C) directly with a visceral effector
D) directly with skeletal muscle cells
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7
Activation of nicotinic receptors by acetylcholine (ACh) triggers which response in a postsynaptic cell?
A) always excitatory
B) always inhibitory
C) can be excitatory or inhibitory
D) no response as ACh does not activate nicotinic receptors
A) always excitatory
B) always inhibitory
C) can be excitatory or inhibitory
D) no response as ACh does not activate nicotinic receptors
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8
Spinal nerve C4 receives postganglionic sympathetic axons (fibers) from:
A) terminal ganglia
B) gray rami communicantes
C) white rami communicantes
D) dorsal root ganglia
A) terminal ganglia
B) gray rami communicantes
C) white rami communicantes
D) dorsal root ganglia
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9
Autonomic neurons that secrete the neurotransmitter acetylcholine:
A) are called adrenergic.
B) include all postganglionic neurons.
C) include all preganglionic neurons.
D) all sympathetic postganglionic neurons.
A) are called adrenergic.
B) include all postganglionic neurons.
C) include all preganglionic neurons.
D) all sympathetic postganglionic neurons.
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10
Bronchoconstriction brought on by various allergens is a _____ response.
A) sympathetic
B) parasympathetic
C) visceral afferent
D) somatic
A) sympathetic
B) parasympathetic
C) visceral afferent
D) somatic
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11
Select the best description of the middle cervical ganglion:
A) contains sympathetic preganglionic axons
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
A) contains sympathetic preganglionic axons
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
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12
Acetylcholine in the autonomic nervous system:
A) is found only in the parasympathetic division.
B) is not rapidly broken down by acetylcholinesterase (AChE) as it is in the somatic nervous system.
C) has effects for a very brief time, compared to the effects of other autonomic neurotransmitters.
D) always has excitatory effects.
A) is found only in the parasympathetic division.
B) is not rapidly broken down by acetylcholinesterase (AChE) as it is in the somatic nervous system.
C) has effects for a very brief time, compared to the effects of other autonomic neurotransmitters.
D) always has excitatory effects.
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13
White rami are associated only with thoracic spinal nerves and the first two or three lumbar spinal nerves. Gray rami are associated with all 31 pairs of spinal nerves.
A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The second statement is true; the first is false.
A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The second statement is true; the first is false.
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14
Alpha and beta receptors are found in the sympathetic division. They exist on postganglionic neurons and on visceral effectors.
A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The second statement is true; the first is false.
A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The second statement is true; the first is false.
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15
Which of the following is NOT part of the sympathetic division?
A) gray rami
B) splanchnic nerves
C) celiac ganglion
D) submandibular ganglion
A) gray rami
B) splanchnic nerves
C) celiac ganglion
D) submandibular ganglion
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16
Which of the following statements about the autonomic nervous system is FALSE?
A) Structurally, the autonomic nervous system consists of two main components: a sensory (input) component and a motor (output) component.
B) Autonomic nervous system motor (output) pathways typically contain two motor neurons in series.
C) The motor (output) division of the autonomic nervous system has three divisions: parasympathetic, sympathetic, and somatic.
D) Autonomic nervous system stimulation may result in excitation or inhibition of smooth muscle or cardiac muscle, or a change in secretory activity in glands.
A) Structurally, the autonomic nervous system consists of two main components: a sensory (input) component and a motor (output) component.
B) Autonomic nervous system motor (output) pathways typically contain two motor neurons in series.
C) The motor (output) division of the autonomic nervous system has three divisions: parasympathetic, sympathetic, and somatic.
D) Autonomic nervous system stimulation may result in excitation or inhibition of smooth muscle or cardiac muscle, or a change in secretory activity in glands.
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17
Which of the following is/are innervated ONLY by the sympathetic division? 1. arrector pili muscles
2) kidney arterioles
3) sweat glands
4) adipose tissue
5) skeletal muscle arterioles
6) brain arterioles
7) adrenal medulla
A) 1, 2, 3, 4, 5, 6, 7
B) 2, 3, 5, 6, 7 only
C) 1, 3, 4, 7 only
D) 2, 4, 5, 6 only
2) kidney arterioles
3) sweat glands
4) adipose tissue
5) skeletal muscle arterioles
6) brain arterioles
7) adrenal medulla
A) 1, 2, 3, 4, 5, 6, 7
B) 2, 3, 5, 6, 7 only
C) 1, 3, 4, 7 only
D) 2, 4, 5, 6 only
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18
Which of the following statements is TRUE for the autonomic nervous system?
A) Sensory signals are usually consciously perceived.
B) The effect of motor neurons is always excitatory.
C) Autonomic motor neurons only secrete Acetylcholine (ACh).
D) None of these choices.
A) Sensory signals are usually consciously perceived.
B) The effect of motor neurons is always excitatory.
C) Autonomic motor neurons only secrete Acetylcholine (ACh).
D) None of these choices.
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19
The motor neurons of a sympathetic autonomic motor pathway have the following route: 1.gray ramus
2)anterior root of spinal nerve
3)axon collaterals
4)white ramus
5)nerve to a visceral effector
6)sympathetic trunk ganglion
A) 2, 4, 6, 3, 1, 5
B) 2, 1, 6, 3, 4, 5
C) 2, 3, 1, 6, 4, 5
D) 2, 3, 4, 6, 1, 5
2)anterior root of spinal nerve
3)axon collaterals
4)white ramus
5)nerve to a visceral effector
6)sympathetic trunk ganglion
A) 2, 4, 6, 3, 1, 5
B) 2, 1, 6, 3, 4, 5
C) 2, 3, 1, 6, 4, 5
D) 2, 3, 4, 6, 1, 5
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20
Which of the following is NOT a parasympathetic terminal ganglion?
A) pterygopalatine
B) otic
C) celiac
D) submandibular
A) pterygopalatine
B) otic
C) celiac
D) submandibular
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21
Select the best description of the pterygopalatine ganglia:
A) carry parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) send impulses via parasympathetic postganglionic axons to the parotid glands
C) receive sympathetic preganglionic axons via thoracic splanchnic nerves
D) innervate the smooth muscle of the eyeball via parasympathetic axons
E) send postganglionic parasympathetic axons to the lacrimal glands
A) carry parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) send impulses via parasympathetic postganglionic axons to the parotid glands
C) receive sympathetic preganglionic axons via thoracic splanchnic nerves
D) innervate the smooth muscle of the eyeball via parasympathetic axons
E) send postganglionic parasympathetic axons to the lacrimal glands
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22
Select the best description of a white ramus:
A) contains sympathetic preganglionic axons
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
A) contains sympathetic preganglionic axons
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
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23
Dual innervation means that an organ is innervated (stimulated) by both the somatic and the autonomic nervous systems.
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24
Select the best description of the sympathetic preganglionic neurons:
A) cell bodies are in the lateral gray horns of all thoracic and first two or three lumbar spinal segments
B) axons are unmyelinated
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons tend to be long
A) cell bodies are in the lateral gray horns of all thoracic and first two or three lumbar spinal segments
B) axons are unmyelinated
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons tend to be long
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25
Select the best description of the thoracic and lumbar lateral gray horns:
A) contains sympathetic preganglionic axons
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
A) contains sympathetic preganglionic axons
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
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26
Select the best description of the ciliary ganglia:
A) carry parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) send impulses via parasympathetic postganglionic axons to the parotid glands
C) receive sympathetic preganglionic axons via thoracic splanchnic nerves
D) innervate the smooth muscle of the eyeball via parasympathetic axons
E) send postganglionic parasympathetic axons to the lacrimal glands
A) carry parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) send impulses via parasympathetic postganglionic axons to the parotid glands
C) receive sympathetic preganglionic axons via thoracic splanchnic nerves
D) innervate the smooth muscle of the eyeball via parasympathetic axons
E) send postganglionic parasympathetic axons to the lacrimal glands
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27
Select the best description of the otic ganglia:
A) carry parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) send impulses via parasympathetic postganglionic axons to the parotid salivary glands
C) receive sympathetic preganglionic axons via thoracic splanchnic nerves
D) innervate the smooth muscle of the eyeball via parasympathetic axons
E) send postganglionic parasympathetic axons to the lacrimal glands
A) carry parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) send impulses via parasympathetic postganglionic axons to the parotid salivary glands
C) receive sympathetic preganglionic axons via thoracic splanchnic nerves
D) innervate the smooth muscle of the eyeball via parasympathetic axons
E) send postganglionic parasympathetic axons to the lacrimal glands
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28
Select the best description of the sympathetic preganglionic neurons:
A) cell bodies are in the lateral gray horns of all thoracic and all lumbar spinal segments
B) axons tend to be short
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons tend to be long
A) cell bodies are in the lateral gray horns of all thoracic and all lumbar spinal segments
B) axons tend to be short
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons tend to be long
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29
Select the best description of the celiac ganglion:
A) contains sympathetic preganglionic axons
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
A) contains sympathetic preganglionic axons
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
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30
Select the best description of the parasympathetic preganglionic neurons:
A) cell bodies are in the lateral gray horns of all thoracic and first two or three lumbar spinal segments
B) axons tend to be short
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons are unmyelinated
A) cell bodies are in the lateral gray horns of all thoracic and first two or three lumbar spinal segments
B) axons tend to be short
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons are unmyelinated
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31
Select the best description of the nuclei in the brain stem:
A) carries parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
A) carries parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
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32
The superior, middle and inferior cervical ganglia are examples of prevertebral ganglia that innervate the heart and structures of the head.
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33
Preganglionic sympathetic axons (fibers) enter the sympathetic trunk ganglia via white rami communicantes.
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34
The sympathetic division of the autonomic nervous system has craniosacral outflow; the parasympathetic division has thoracolumbar outflow.
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35
Select the best description of the parasympathetic postganglionic neurons:
A) cell bodies are in terminal ganglia
B) axons are myelinated
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons tend to be long
A) cell bodies are in terminal ganglia
B) axons are myelinated
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons tend to be long
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36
Select the best description of the sympathetic postganglionic neurons:
A) cell bodies are in the lateral gray horns of all thoracic and first two or three lumbar spinal segments
B) axons tend to be short
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons are myelinated
A) cell bodies are in the lateral gray horns of all thoracic and first two or three lumbar spinal segments
B) axons tend to be short
C) cell bodies are in sympathetic trunk ganglia (vertebral chain ganglia) or prevertebral ganglia
D) cell bodies are in the brain stem nuclei of the oculomotor (III), facial (VII), glossopharyngeal (IX), and vagus (X) nerves
E) axons are myelinated
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37
Select the best description of the axons that leave the brain as part of the vagus (X) nerves:
A) carry parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
A) carry parasympathetic impulses to terminal ganglia in most organs of the ventral cavity
B) sympathetic; sends impulses along postganglionic axons to heart
C) receives sympathetic preganglionic axons via thoracic splanchnic nerves
D) contain sympathetic preganglionic cell bodies
E) contain parasympathetic preganglionic cell bodies
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38
A lateral gray horn could be found in the S2 (second sacral) spinal cord segment.
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39
The cell bodies of all autonomic nervous system postganglionic axons (fibers) are located in autonomic ganglia.
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40
Sympathetic preganglionic axons (fibers) are, in general, longer than parasympathetic preganglionic axons (fibers).
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41
Two major plexuses of the enteric system are the myenteric plexus and the submucosal plexus.
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42
A single sympathetic preganglionic axon has many axon collaterals (branches) that can synapse with 20 or more postganglionic neurons. This divergence helps explain how sympathetic responses can affect most body parts simultaneously.
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43
In almost all cases, synapses between preganglionic and postganglionic neurons of the sympathetic division occur either in _____ ganglia or in _____ ganglia.
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44
The major autonomic plexuses of the thorax are the _____ plexus and the ______ plexus.
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45
The _____ portion of the sympathetic trunk innervates (stimulates) the heart, sweat glands of the head, the smooth muscle of the eye, and blood vessels in the head.
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46
Compare and contrast the anatomy of the motor pathways of the sympathetic and parasympathetic divisions of the autonomic nervous system and list the neurotransmitters released at each synapse in each pathway.
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47
The celiac ganglion and a mesenteric ganglion are examples of prevertebral ganglia.
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48
There are two main types of receptors for both acetylcholine (ACh) and for norepinephrine (NE). Give the names of the receptors, the general location of each, and the expected effect of stimulation of each receptor type.
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49
In general, the postganglionic axons (fibers) of prevertebral ganglia of the sympathetic division innervate (stimulate) effectors above the diaphragm.
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50
List the four cranial nerves that carry parasympathetic motor impulses. Three pairs of these nerves lead to four pairs of ganglia. Name the ganglia and state which cranial nerves connect to them.
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51
An organ that is served by both divisions of the autonomic nervous system is said to have _____ innervation.
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52
The hypothalamus is the major control and integration center of the autonomic nervous system.
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53
All adrenergic alpha receptors are ALWAYS excitatory.
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54
Which division of the autonomic nervous system is responsible for preparing the body for an emergency situation? Describe the responses of the body that collectively are referred to as the fight-or-flight response.
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55
Nicotinic receptors and muscarinic receptors both interact with acetylcholine (ACh).
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56
The largest autonomic plexus is the _____ plexus in the abdomen.
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57
Parasympathetic preganglionic neuron cell bodies are located in the brain stem and in the lateral gray horns of the second through fourth sacral segments of the spinal cord.
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58
The motor output component of the autonomic nervous system has two divisions: _____ and _____.
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59
The lacrimal glands only receive parasympathetic innervation (stimulation).
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60
Parasympathetic postganglionic axons (fibers) are very short because the terminal ganglia are very close to the structures they innervate (stimulate).
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61
This leader line points to the greater splanchnic nerve which synapses with postganglionic cell bodies in the celiac ganglion. 
A) A
B) B
C) C
D) D

A) A
B) B
C) C
D) D
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62
The posterior and lateral portions of the hypothalamus control the _____ division of the autonomic nervous system.
A) sympathetic
B) parasympathetic
C) somatic
A) sympathetic
B) parasympathetic
C) somatic
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63
This leader line points to right vagus (X) nerve which supplies parasympathetic fibers to most of the trunk viscera. 
A) A
B) B
C) C
D) D

A) A
B) B
C) C
D) D
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64
The facial (VII) cranial nerves carry parasympathetic preganglionic axons (fibers) to two pairs of terminal ganglia: the _____ and the _____ ganglia.
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65
Splanchnic nerves carry sympathetic axons (fibers) from a/an _____ ganglion to a/an _____ ganglion.
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66
The anterior and medial portions of the hypothalamus control the _____ division of the autonomic nervous system.
A) sympathetic
B) parasympathetic
C) somatic
A) sympathetic
B) parasympathetic
C) somatic
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67
In the figure below, which letter represents the celiac ganglion (one of the four major prevertebral ganglia)? 
A) A
B) B
C) C
D) D

A) A
B) B
C) C
D) D
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68
Autonomic innervation (stimulation) from the _____ division results in vasoconstriction of blood vessels in the dermis of the skin.
A) sympathetic
B) parasympathetic
C) somatic
D) None of these choices
A) sympathetic
B) parasympathetic
C) somatic
D) None of these choices
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69
The _____ is the major control and integration center of the autonomic nervous system.
A) thalamus
B) cerebrum
C) hypothalamus
D) cerebellum
A) thalamus
B) cerebrum
C) hypothalamus
D) cerebellum
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70
Which division of the autonomic nervous system is the specialized network of nerves and ganglia forming a complex, integrated neuronal network within the wall of the gastrointestinal tract, pancreas, and gallbladder ?
A) sympathetic
B) parasympathetic
C) enteric
D) somatic
A) sympathetic
B) parasympathetic
C) enteric
D) somatic
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71
The lateral gray horns of the thoracic region contain cell bodies of _____ (sympathetic or parasympathetic) preganglionic neurons.
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72
This leader line points to the right sympathetic trunk ganglion which receives preganglionic axons from thoracic and lumbar spinal cord segments. 
A) A
B) B
C) C
D) D

A) A
B) B
C) C
D) D
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73
Autonomic neurons that release the neurotransmitter norepinephrine are called _____ neurons.
A) cholinergic
B) dopaminergic
C) seratonergic
D) adrenergic
A) cholinergic
B) dopaminergic
C) seratonergic
D) adrenergic
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74
The cranial nerve that carries most of the parasympathetic outflow is the _____.
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75
The _____ division of the autonomic nervous system is mostly responsible for regulating restorative, energy-conserving body activities.
A) sympathetic
B) parasympathetic
C) somatic
A) sympathetic
B) parasympathetic
C) somatic
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