What is the basic efferent chain structure of the autonomic nervous system?
What spinal levels give rise to the sympathetic division?
Where are sympathetic ganglia located?
What are the main neurotransmitters released by sympathetic pre/postganglionic neurons and effectors?
Which cranial nerves and spinal segments comprise the parasympathetic division?
Where are parasympathetic ganglia typically located relative to target organs?
What receptor mediates synaptic transmission at autonomic ganglia?
What receptor mediates parasympathetic effects on target organs?
Name the common pathway options for sympathetic preganglionic fibers after entering the paravertebral chain.
List major organ systems affected by autonomic divisions highlighted in the notes.
Which tissues does autonomic motor (GVE) control?
What are the two divisions of the autonomic nervous system (ANS)?
How many neurons make up each autonomic efferent pathway and what are they called?
Are general visceral afferent (GVA) fibers part of the autonomic nervous system?
GVA fibers can travel with GVE nerves but are not explicitly part of the autonomic nervous system
What does it mean that target tissues may receive input from both autonomic divisions or only one branch?
Some organs get innervation from both sympathetic and parasympathetic divisions (dual control), while others receive input from only one branch (solo control).
What is 'dual control' in autonomic regulation?
Dual control is when a target tissue receives input from both sympathetic and parasympathetic divisions.
What are 'antagonistic effects' in autonomic physiology?
Antagonistic effects occur when the two divisions produce opposite actions on the same physiological function.
What does 'opposing effects on the same cells' describe?
It describes both autonomic divisions acting directly on the same target cells with opposite effects.
What does 'opposing effects on different cells' mean?
It means sympathetic and parasympathetic divisions produce opposite overall effects by acting on different cell populations within a tissue.
What are 'cooperative effects' in autonomic control?
Cooperative effects occur when sympathetic and parasympathetic actions complement each other to achieve a common outcome.
What is 'solo control' in the autonomic nervous system?
Solo control refers to a target tissue being innervated and regulated by only one autonomic division.
What does 'antagonistic effects of dual control' mean in the autonomic nervous system?
It means the sympathetic and parasympathetic systems produce opposite effects on the same organ or related cells.
How do sympathetic and parasympathetic inputs affect the heart when they act on the same effector cells?
Give an example where sympathetic and parasympathetic systems act on different effector cells.
The iris: sympathetic innervates the pupillary dilator muscle, while parasympathetic innervates the constrictor muscles.
Which iris muscle does the sympathetic system innervate?
The pupillary dilator muscle.
In salivation, which gland type is stimulated by the parasympathetic division?
In salivation, which gland type is stimulated by the sympathetic division?
Which physiological variable is listed as 'Control without Dual innervations'?
Blood pressure
What does sympathetic innervation alone cause in the context given?
Opposite effects (when only sympathetic innervation is present)
What is the effect of increased sympathetic firing on blood vessels?
Increase vasoconstriction
What is the effect of decreased sympathetic firing on blood vessels?
Decrease vasoconstriction
What does the label '1* neuron' represent in the diagram of autonomic pathways?
The '1 neuron' is the preganglionic neuron*.
What does the label '2* neuron' indicate in the diagram?
The '2 neuron' is the postganglionic neuron located in a ganglion*.
What structure connects the preganglionic and postganglionic neurons?
A ganglion connects the preganglionic and postganglionic neurons.
What term is used for the bulbous ending of the postganglionic axon that interfaces with the target?
The bulbous ending is called the terminal bulb (axon terminal).
What is the space called between the terminal bulb and the receptor on the target?
That space is the synaptic cleft.
Which elements are shown between a postganglionic axon and its target in the diagram?

Where are sympathetic preganglionic neuron cell bodies located?
Lateral horn, T1–L2
Where are parasympathetic preganglionic neuron cell bodies located?
Cranial nerve nuclei (III, VII, IX, X) and sacral neurons S2–4
What neurotransmitter do all preganglionic autonomic neurons release?
Acetylcholine (ACh)
What receptor type is found on autonomic ganglionic neurons?
Nicotinic ACh receptor
Compare preganglionic axon lengths in sympathetic vs parasympathetic systems.
Compare postganglionic axon lengths in sympathetic vs parasympathetic systems.
What neurotransmitters are released by sympathetic postganglionic neurons?
Epinephrine and Norepinephrine
What neurotransmitter is released by parasympathetic postganglionic neurons?
Acetylcholine (ACh)
What receptor type mediates parasympathetic effects on target organs?
Muscarinic ACh receptor
Where are sympathetic ganglia typically located?
Where are parasympathetic ganglia typically located?
What are the anatomical names for the two autonomic divisions?
State the basic efferent chain organization of the autonomic nervous system.
Name a sympathetic pathway option that connects to prevertebral ganglia.
Splanchnic pathway → prevertebral ganglion
Where are the preganglionic sympathetic cell bodies located?
Which cranial nerves contain parasympathetic nuclei?
Which spinal region provides parasympathetic outflow besides cranial nerves?
Name two types of sympathetic ganglia mentioned.
What is the ganglionic (nicotinic) neurotransmitter receptor type listed?
What neurotransmitter and receptor type act at parasympathetic effector organs?
What neurotransmitters and receptor type act at most sympathetic effector organs?
Which chemical transmitter is associated with the sympathetic division?
ACh
Which chemical transmitter is associated with the parasympathetic division?
ACh
What chemical does the suprarenal gland release according to the diagram?
Epinephrine
Which transmitter is shown at sweat glands in the diagram?
ACh
In the diagram caption, what does 'N. ep.' abbreviate?
Norepinephrine
Where do parasympathetic preganglionic neurons originate?
Which cranial nerves carry parasympathetic preganglionic fibers?
Which nerves provide parasympathetic preganglionic fibers to pelvic organs?
Which ganglion supplies parasympathetic input to intrinsic eye muscles (pupil and lens)?
Which ganglia supply parasympathetic innervation to nasal, tear, and salivary glands?
Which parasympathetic ganglion innervates the parotid salivary gland?
What targets receive parasympathetic fibers from intramural ganglia?

What is the primary role of the sympathetic nervous system ('fight or flight')?
To prepare the body for an emergency and intense muscle activity.
Where is the first (preganglionic) neuron of the sympathetic chain located?
The intermediolateral nucleus in the lateral horn at spinal levels T1–L2.
What term describes the spinal outflow of sympathetic preganglionic axons from T1–L2?
Thoracolumbar outflow.
Through which root do sympathetic preganglionic axons leave the spinal cord at T1–L2?
They project out the ventral root.
After leaving the ventral root, through which structure do preganglionic axons travel to enter the paravertebral ganglia?
They travel in the white rami communicantes to enter the paravertebral (sympathetic chain) ganglia.
What are the three possible continuations of sympathetic fibers after entering a paravertebral ganglion?

What does it mean when sympathetic fibers 'exit above or below' the paravertebral ganglion?
What happens when sympathetic fibers 'exit at the same level' of the paravertebral ganglion?
What does 'exit on a splanchnic nerve' indicate for sympathetic fibers?
What two systems are compared in the figure titled 'Figure 14-1'?
The general arrangement of the somatic part of the nervous system (left) and the autonomic part of the nervous system (right).
In the somatic arrangement shown, which structure contains sensory (afferent) neurons from the skin?
Posterior root contains the afferent neurons from the skin.
In the somatic arrangement shown, where do efferent neurons project to?
Efferent neurons project to muscle.
Name the two spinal roots labeled in the diagram.
Which structure on the autonomic side is labeled as the collection of linked ganglia?
Sympathetic trunk.
Which two rami are shown connecting the sympathetic trunk and spinal nerves?
Which labeled structure lies between the sympathetic connector neuron and the viscus?
Sympathetic ganglion.
What label identifies the neuron that links spinal cord output to the sympathetic ganglion?
Sympathetic connector neuron.
Which splanchnic nerve corresponds to spinal levels T5–T9?
Greater splanchnic nerve
Which splanchnic nerve corresponds to spinal levels T10–T11?
Lesser splanchnic nerve
Which splanchnic nerve corresponds to spinal level T12?
Least splanchnic nerve
Name four major prevertebral ganglia listed for the sympathetic division.
Do some fibers of the greater splanchnic nerve synapse on the adrenal medulla?
Yes, some fibers synapse directly on the adrenal medulla.
What region do the splanchnic nerves supply?
The splanchnic nerves supply the abdominal viscera.
After a sympathetic neuron synapses on a ganglion, where do the postganglionic fibers travel?
To the target cells (effector organs or tissues).
What is the approximate ratio of preganglionic to postganglionic sympathetic fibers and what is its functional consequence?
About 1:10, producing widespread effects.
What is the primary function of the parasympathetic nervous system?
To conserve and store energy; described as 'rest and digest'.
Where are the first neurons (parasympathetic nuclei) located?
In cranial nerve nuclei III, VII, IX, and X and in spinal cord levels S2–S4.
Describe the typical length and synapse location of preganglionic axons in the parasympathetic system.
Preganglionic axons are long and synapse on ganglia in, on, or near the target organ.
What types of ganglia are present in the parasympathetic division?
There are four head ganglia and other intramural visceral ganglia.
Which cranial nerves synapse on the head ganglia?
Cranial nerves III, VII, and IX synapse on the head ganglia.
Which nerves supply the thoracic/abdominal organs and which supply the pelvic organs in the parasympathetic system?
What is the approximate preganglionic:postganglionic fiber ratio in the parasympathetic division?
About 1:3 (or less)
How does the parasympathetic preganglionic:postganglionic ratio affect control compared to the sympathetic system?
A ~1:3 (or less) ratio allows more fine control compared to the sympathetic nervous system
Name the four head ganglia listed.
How many inputs does a head ganglion receive?
3 inputs
Name the three types of inputs to a head ganglion.
What is the nature of the sympathetic fibers that enter a head ganglion?
They are postganglionic fibers from the superior cervical ganglion that pass through the head ganglion without synapsing.
What output does a head ganglion produce?

What is the parasympathetic input to the ciliary ganglion?
Which general sensory nerve contributes input to the ciliary ganglion?
How do sympathetic fibers reach the ciliary region according to the notes?
What is the output pathway from the ciliary ganglion?
What is the target of fibers from the ciliary ganglion?
What is the parasympathetic effect mediated via the ciliary ganglion on the pupil and lens?
What is the sympathetic effect on the pupil mediated in the ciliary region?
List the four main functional categories of input/output described for the ciliary ganglion.
What nerves provide inputs to the ciliary ganglion?
Through which nerves does the ciliary ganglion send outputs to the eye?
Which ocular muscles and structures are listed as targets of the ciliary ganglion outputs?
According to the image transcript, which ganglion is associated with the internal carotid plexus input?
Which gland is explicitly noted as NOT a target of the ciliary ganglion outputs?
What is the parasympathetic input to the sphenopalatine (pterygopalatine) ganglion?
Which nerve provides general sensory input to the sphenopalatine ganglion?
What is the sympathetic input to the sphenopalatine ganglion?
Which nerves carry output fibers from the sphenopalatine ganglion?
Which output nerve from the sphenopalatine ganglion targets the lacrimal gland?
What tissues are targeted by the nasal and palatine output nerves of the sphenopalatine ganglion?
What is the name of the ganglion that receives input from the greater petrosal and deep petrosal nerves?
Pterygopalatine (sphenopalatine) ganglion
Which cranial nerve provides parasympathetic input to the pterygopalatine ganglion via the greater petrosal nerve?
Facial nerve (VII) via the greater petrosal nerve
Which sympathetic source reaches the pterygopalatine ganglion via the deep petrosal nerve?
Internal carotid plexus (from superior cervical ganglion) via the deep petrosal nerve
Name the main sensory/branchial nerve listed that carries fibers associated with the pterygopalatine ganglion.
Maxillary nerve (V2)
What are the primary effector targets of the pterygopalatine ganglion outputs?
What provides the parasympathetic input to the otic ganglion?
Which nerve provides general sensory fibers to the otic ganglion?
Where do the sympathetic fibers to the otic ganglion originate?
Which nerves carry output (postganglionic) fibers from the otic ganglion?
What is the parasympathetic target of the otic ganglion carried by the auriculotemporal nerve?
What target does the mandibular branch of V3 relay from the otic ganglion?
Which cranial nerve provides parasympathetic input to the otic ganglion via the lesser petrosal nerve?
Which branch of the trigeminal nerve provides sensory input to the otic ganglion?
Name two nerve branches that carry outputs from the otic ganglion to the parotid region.
What is a primary target organ of fibers leaving the otic ganglion?
Besides the parotid gland, what tissue is supplied by outputs from the otic ganglion?
Provide the full URL for the diagram image of the otic ganglion used as reference.

What is the parasympathetic input to the submandibular ganglion?
The parasympathetic input is the chorda tympani of the facial nerve via the lingual nerve.
Which nerve provides general sensory input to the submandibular ganglion?
General sensory input is provided by the lingual nerve (V3).
What supplies sympathetic fibers to the submandibular ganglion?
Sympathetic fibers are supplied by the external carotid plexus.
Which nerve carries output fibers from the submandibular ganglion?
Output fibers travel via the lingual nerve (V3).
What are the target structures innervated via the submandibular ganglion?
Which cranial nerve provides parasympathetic input to the submandibular ganglion via the chorda tympani?
Facial nerve (VII) via the chorda tympani (running with the lingual nerve)
Which trigeminal branch carries the chorda tympani fibers to and from the submandibular ganglion?
Lingual nerve (branch of V3)
What sympathetic structure supplies input to the submandibular ganglion region?
External carotid plexus originating from the superior cervical ganglion
What are the main secretomotor targets of fibers leaving the submandibular ganglion?
Where can a diagram of the submandibular ganglion pathways (facial, lingual, external carotid plexus) be seen?
Diagram:
Caption: shows facial (VII)/chorda tympani via lingual, external carotid plexus, and outputs to submandibular/sublingual glands
In the diagram of autonomic efferent pathways, which color represents preganglionic parasympathetic fibers?
Preganglionic parasympathetic fibers are shown in solid blue.
In the diagram of autonomic efferent pathways, which color represents postganglionic parasympathetic fibers?
Postganglionic parasympathetic fibers are shown in interrupted blue.
In the diagram of autonomic efferent pathways, which color represents preganglionic sympathetic fibers?
Preganglionic sympathetic fibers are shown in solid red.
In the diagram of autonomic efferent pathways, which color represents postganglionic sympathetic fibers?
Postganglionic sympathetic fibers are shown in interrupted red.
Name three cranial or peripheral ganglia labeled in the efferent ANS diagram.
List five target organs shown in the efferent ANS diagram.
Which cranial nerve-related structures are listed in the diagram transcript besides ganglia and organs?
Provide the full URL of the diagram image for the efferent autonomic pathways (useful for review).

Trace the parasympathetic pathway from the inferior salivatory nucleus to the parotid gland.
Trace the parasympathetic pathway from the lacrimatory nucleus of the facial nerve to the lacrimal gland.
Which cranial nerves are shown supplying parasympathetic pathways to the parotid and lacrimal glands?
Which ganglion mediates parasympathetic innervation to the parotid gland?
Which ganglion mediates parasympathetic innervation to the lacrimal gland?
Which sympathetic structure is shown associated with head autonomic innervation in the diagram?
Which nerve connects the otic ganglion to the parotid gland?

Which ganglion receives parasympathetic fibers from the oculomotor (III) nucleus to innervate the iris?
Which nucleus in the midbrain supplies parasympathetic output for the oculomotor nerve?
Which sympathetic ganglion is listed as supplying structures of the upper eyelid?
Name the muscle of the upper eyelid mentioned in the diagram.
Which brainstem nucleus provides parasympathetic output for the facial nerve to salivary glands?
Through which branch does the facial nerve convey fibers to the submandibular ganglion?
Which ganglion is associated with parasympathetic innervation of the submandibular salivary gland?
Name one arterial plexus mentioned that connects to salivary gland innervation.
Which salivary glands are shown in the diagram (two names)?
View the diagram illustrating autonomic supply to the eyelid, iris, and salivary glands.

What is the basic two-neuron efferent chain of the autonomic nervous system?
What spinal segments give rise to the sympathetic division?
Which neurotransmitters do sympathetic postganglionic effector neurons primarily use?
Which cranial nerves and spinal segments comprise the parasympathetic (craniosacral) division?
What receptor type is found at autonomic ganglia?
Name three pathway options sympathetic preganglionic fibers can take after entering the sympathetic trunk.
Which nerve carries medullary parasympathetic output to the heart and lungs?

List major organ effects included in the core concepts of autonomic divisions.
What is the basic two‑neuron efferent chain of the autonomic nervous system?
Which spinal segments supply sympathetic outflow?
Which cranial nerves and sacral segments carry parasympathetic outflow?
What types of ganglia do sympathetic preganglionic fibers synapse in for abdominal viscera?
Which receptor mediates transmission at autonomic ganglia?
Which neurotransmitters are the primary effectors for sympathetic and parasympathetic divisions?
Name the major prevertebral ganglia that supply sympathetic innervation to the gastrointestinal tract.

List common pathway options taken by sympathetic fibers to reach target ganglia.
Which pathways provide sympathetic innervation to the kidney in the diagram?
Pathways from the thoracic spinal cord via the sympathetic trunk and splanchnic nerves.
Which cranial nerve provides parasympathetic input to the kidney region shown in the diagram?
The vagus nerve (from the medulla oblongata).
Name three ganglia or plexuses labeled in the autonomic innervation diagram of the kidney and suprarenal gland.
Which structure is shown alongside the kidney as a target of autonomic innervation in the diagram?
The suprarenal gland (adrenal gland).
Which spinal levels provide the sympathetic fibers to the sphincters of the anal canal and urinary bladder?
T11–L2
Which spinal segments supply parasympathetic innervation to the sphincter vesicae via the pelvic splanchnic nerves?
S2–S4 via pelvic splanchnic nerves
Through which plexuses do autonomic fibers travel to reach the urinary bladder and anal canal sphincters?
Hypogastric plexuses
Name the sympathetic structure shown as a conduit for thoracolumbar autonomic fibers to pelvic organs.
Sympathetic trunk
Referencing the diagram, which nerve is explicitly labeled as originating from S2, 3, 4?
Pelvic splanchnic nerve

What effect does the sympathetic nervous system have on the pupil?
It dilates the pupil.
What effect does the parasympathetic nervous system have on the pupil?
It constricts the pupil.
How does the sympathetic system affect the ciliary muscle (eye)?
It relaxes the ciliary muscle.
How does the parasympathetic system affect the ciliary muscle (eye)?
It contracts the ciliary muscle.
What is the sympathetic effect on heart force of contraction?
It increases the force of contraction of cardiac muscle.
What is the parasympathetic effect on heart force of contraction?
It decreases the force of contraction.
How does the sympathetic nervous system affect bronchial smooth muscle?
It relaxes (dilates) the bronchi.
How does the parasympathetic nervous system affect bronchial smooth muscle?
It contracts (constricts) the bronchi.
What effect does the sympathetic system have on gastrointestinal (GI) tract peristalsis?
It decreases peristalsis.
What effect does the parasympathetic system have on gastrointestinal (GI) tract peristalsis?
It increases peristalsis.
What sympathetic action occurs in the liver?
It breaks down glycogen into glucose.
How does the sympathetic system affect the gallbladder?
It relaxes the gallbladder.
How does the parasympathetic system affect the gallbladder?
It contracts the gallbladder.
What is the sympathetic effect on kidney output and why?
It decreases output due to constriction of renal arteries.
What are the sympathetic actions on the urinary bladder wall and sphincter?
Bladder wall (detrusor) relaxes; sphincter vesicae contracts.
What are the parasympathetic actions on the urinary bladder wall and sphincter?
Bladder wall contracts; sphincter vesicae relaxes.
What parasympathetic action occurs in erectile tissue of the penis and clitoris?
It relaxes erectile tissue, causing erection.
What sympathetic action produces ejaculation?
It contracts smooth muscle of the vas deferens, seminal vesicles, and prostate.
How do sympathetic and parasympathetic actions differ regarding glandular secretion?
Sympathetic reduces secretion by vasoconstriction of blood vessels (and increases sweat); parasympathetic increases secretion.
How does parasympathetic activity affect bronchial secretions?
It increases bronchial secretion.
What is the basic efferent chain organization of the autonomic nervous system?
Which spinal segments give rise to the sympathetic division?
Which neurotransmitter do most sympathetic postganglionic neurons release onto effectors?
Which cranial nerves and spinal segments contribute to the parasympathetic division?
What receptor mediates transmission at autonomic ganglia?
Which receptor type mediates parasympathetic effects on target organs?
Name one pathway option for sympathetic preganglionic fibers after entering the sympathetic trunk.
Give three major organ systems affected by autonomic divisions mentioned in the notes.
What is the basic efferent chain structure of the autonomic nervous system?
What are the main neurotransmitters released by sympathetic pre/postganglionic neurons and effectors?
Which cranial nerves and spinal segments comprise the parasympathetic division?
Where are parasympathetic ganglia typically located relative to target organs?
Name the common pathway options for sympathetic preganglionic fibers after entering the paravertebral chain.
List major organ systems affected by autonomic divisions highlighted in the notes.
How many neurons make up each autonomic efferent pathway and what are they called?
Are general visceral afferent (GVA) fibers part of the autonomic nervous system?
GVA fibers can travel with GVE nerves but are not explicitly part of the autonomic nervous system
What does it mean that target tissues may receive input from both autonomic divisions or only one branch?
Some organs get innervation from both sympathetic and parasympathetic divisions (dual control), while others receive input from only one branch (solo control).
What is 'dual control' in autonomic regulation?
Dual control is when a target tissue receives input from both sympathetic and parasympathetic divisions.
What are 'antagonistic effects' in autonomic physiology?
Antagonistic effects occur when the two divisions produce opposite actions on the same physiological function.
What does 'opposing effects on the same cells' describe?
It describes both autonomic divisions acting directly on the same target cells with opposite effects.
What does 'opposing effects on different cells' mean?
It means sympathetic and parasympathetic divisions produce opposite overall effects by acting on different cell populations within a tissue.
What are 'cooperative effects' in autonomic control?
Cooperative effects occur when sympathetic and parasympathetic actions complement each other to achieve a common outcome.
What is 'solo control' in the autonomic nervous system?
Solo control refers to a target tissue being innervated and regulated by only one autonomic division.
What does 'antagonistic effects of dual control' mean in the autonomic nervous system?
It means the sympathetic and parasympathetic systems produce opposite effects on the same organ or related cells.
How do sympathetic and parasympathetic inputs affect the heart when they act on the same effector cells?
Give an example where sympathetic and parasympathetic systems act on different effector cells.
The iris: sympathetic innervates the pupillary dilator muscle, while parasympathetic innervates the constrictor muscles.
In salivation, which gland type is stimulated by the parasympathetic division?
In salivation, which gland type is stimulated by the sympathetic division?
What does sympathetic innervation alone cause in the context given?
Opposite effects (when only sympathetic innervation is present)
What does the label '1* neuron' represent in the diagram of autonomic pathways?
The '1 neuron' is the preganglionic neuron*.
What does the label '2* neuron' indicate in the diagram?
The '2 neuron' is the postganglionic neuron located in a ganglion*.
What structure connects the preganglionic and postganglionic neurons?
A ganglion connects the preganglionic and postganglionic neurons.
What term is used for the bulbous ending of the postganglionic axon that interfaces with the target?
The bulbous ending is called the terminal bulb (axon terminal).
What is the space called between the terminal bulb and the receptor on the target?
That space is the synaptic cleft.
Which elements are shown between a postganglionic axon and its target in the diagram?

Where are parasympathetic preganglionic neuron cell bodies located?
Cranial nerve nuclei (III, VII, IX, X) and sacral neurons S2–4
Compare preganglionic axon lengths in sympathetic vs parasympathetic systems.
Compare postganglionic axon lengths in sympathetic vs parasympathetic systems.
What neurotransmitters are released by sympathetic postganglionic neurons?
Epinephrine and Norepinephrine
Where are parasympathetic ganglia typically located?
What are the anatomical names for the two autonomic divisions?
State the basic efferent chain organization of the autonomic nervous system.
Name a sympathetic pathway option that connects to prevertebral ganglia.
Splanchnic pathway → prevertebral ganglion
Name two types of sympathetic ganglia mentioned.
What neurotransmitter and receptor type act at parasympathetic effector organs?
What neurotransmitters and receptor type act at most sympathetic effector organs?
Where do parasympathetic preganglionic neurons originate?
Which nerves provide parasympathetic preganglionic fibers to pelvic organs?
Which ganglion supplies parasympathetic input to intrinsic eye muscles (pupil and lens)?
Which ganglia supply parasympathetic innervation to nasal, tear, and salivary glands?
What targets receive parasympathetic fibers from intramural ganglia?

What is the primary role of the sympathetic nervous system ('fight or flight')?
To prepare the body for an emergency and intense muscle activity.
Where is the first (preganglionic) neuron of the sympathetic chain located?
The intermediolateral nucleus in the lateral horn at spinal levels T1–L2.
What term describes the spinal outflow of sympathetic preganglionic axons from T1–L2?
Thoracolumbar outflow.
Through which root do sympathetic preganglionic axons leave the spinal cord at T1–L2?
They project out the ventral root.
After leaving the ventral root, through which structure do preganglionic axons travel to enter the paravertebral ganglia?
They travel in the white rami communicantes to enter the paravertebral (sympathetic chain) ganglia.
What are the three possible continuations of sympathetic fibers after entering a paravertebral ganglion?

What does it mean when sympathetic fibers 'exit above or below' the paravertebral ganglion?
What happens when sympathetic fibers 'exit at the same level' of the paravertebral ganglion?
What does 'exit on a splanchnic nerve' indicate for sympathetic fibers?
What two systems are compared in the figure titled 'Figure 14-1'?
The general arrangement of the somatic part of the nervous system (left) and the autonomic part of the nervous system (right).
In the somatic arrangement shown, which structure contains sensory (afferent) neurons from the skin?
Posterior root contains the afferent neurons from the skin.
In the somatic arrangement shown, where do efferent neurons project to?
Efferent neurons project to muscle.
Which structure on the autonomic side is labeled as the collection of linked ganglia?
Sympathetic trunk.
Which labeled structure lies between the sympathetic connector neuron and the viscus?
Sympathetic ganglion.
What label identifies the neuron that links spinal cord output to the sympathetic ganglion?
Sympathetic connector neuron.
Name four major prevertebral ganglia listed for the sympathetic division.
Do some fibers of the greater splanchnic nerve synapse on the adrenal medulla?
Yes, some fibers synapse directly on the adrenal medulla.
After a sympathetic neuron synapses on a ganglion, where do the postganglionic fibers travel?
To the target cells (effector organs or tissues).
What is the approximate ratio of preganglionic to postganglionic sympathetic fibers and what is its functional consequence?
About 1:10, producing widespread effects.
What is the primary function of the parasympathetic nervous system?
To conserve and store energy; described as 'rest and digest'.
Where are the first neurons (parasympathetic nuclei) located?
In cranial nerve nuclei III, VII, IX, and X and in spinal cord levels S2–S4.
Describe the typical length and synapse location of preganglionic axons in the parasympathetic system.
Preganglionic axons are long and synapse on ganglia in, on, or near the target organ.
What types of ganglia are present in the parasympathetic division?
There are four head ganglia and other intramural visceral ganglia.
Which cranial nerves synapse on the head ganglia?
Cranial nerves III, VII, and IX synapse on the head ganglia.
Which nerves supply the thoracic/abdominal organs and which supply the pelvic organs in the parasympathetic system?
What is the approximate preganglionic:postganglionic fiber ratio in the parasympathetic division?
About 1:3 (or less)
How does the parasympathetic preganglionic:postganglionic ratio affect control compared to the sympathetic system?
A ~1:3 (or less) ratio allows more fine control compared to the sympathetic nervous system
Name the four head ganglia listed.
Name the three types of inputs to a head ganglion.
What is the nature of the sympathetic fibers that enter a head ganglion?
They are postganglionic fibers from the superior cervical ganglion that pass through the head ganglion without synapsing.
What output does a head ganglion produce?

Which general sensory nerve contributes input to the ciliary ganglion?
How do sympathetic fibers reach the ciliary region according to the notes?
What is the parasympathetic effect mediated via the ciliary ganglion on the pupil and lens?
What is the sympathetic effect on the pupil mediated in the ciliary region?
List the four main functional categories of input/output described for the ciliary ganglion.
What nerves provide inputs to the ciliary ganglion?
Which ocular muscles and structures are listed as targets of the ciliary ganglion outputs?
According to the image transcript, which ganglion is associated with the internal carotid plexus input?
What is the parasympathetic input to the sphenopalatine (pterygopalatine) ganglion?
What is the sympathetic input to the sphenopalatine ganglion?
Which nerves carry output fibers from the sphenopalatine ganglion?
Which output nerve from the sphenopalatine ganglion targets the lacrimal gland?
What tissues are targeted by the nasal and palatine output nerves of the sphenopalatine ganglion?
What is the name of the ganglion that receives input from the greater petrosal and deep petrosal nerves?
Pterygopalatine (sphenopalatine) ganglion
Which cranial nerve provides parasympathetic input to the pterygopalatine ganglion via the greater petrosal nerve?
Facial nerve (VII) via the greater petrosal nerve
Which sympathetic source reaches the pterygopalatine ganglion via the deep petrosal nerve?
Internal carotid plexus (from superior cervical ganglion) via the deep petrosal nerve
Name the main sensory/branchial nerve listed that carries fibers associated with the pterygopalatine ganglion.
Maxillary nerve (V2)
What are the primary effector targets of the pterygopalatine ganglion outputs?
What provides the parasympathetic input to the otic ganglion?
Which nerves carry output (postganglionic) fibers from the otic ganglion?
What is the parasympathetic target of the otic ganglion carried by the auriculotemporal nerve?
Which cranial nerve provides parasympathetic input to the otic ganglion via the lesser petrosal nerve?
Which branch of the trigeminal nerve provides sensory input to the otic ganglion?
Name two nerve branches that carry outputs from the otic ganglion to the parotid region.
What is the parasympathetic input to the submandibular ganglion?
The parasympathetic input is the chorda tympani of the facial nerve via the lingual nerve.
Which nerve provides general sensory input to the submandibular ganglion?
General sensory input is provided by the lingual nerve (V3).
What supplies sympathetic fibers to the submandibular ganglion?
Sympathetic fibers are supplied by the external carotid plexus.
Which nerve carries output fibers from the submandibular ganglion?
Output fibers travel via the lingual nerve (V3).
What are the target structures innervated via the submandibular ganglion?
Which cranial nerve provides parasympathetic input to the submandibular ganglion via the chorda tympani?
Facial nerve (VII) via the chorda tympani (running with the lingual nerve)
Which trigeminal branch carries the chorda tympani fibers to and from the submandibular ganglion?
Lingual nerve (branch of V3)
What sympathetic structure supplies input to the submandibular ganglion region?
External carotid plexus originating from the superior cervical ganglion
What are the main secretomotor targets of fibers leaving the submandibular ganglion?
Where can a diagram of the submandibular ganglion pathways (facial, lingual, external carotid plexus) be seen?
Diagram:
Caption: shows facial (VII)/chorda tympani via lingual, external carotid plexus, and outputs to submandibular/sublingual glands
In the diagram of autonomic efferent pathways, which color represents preganglionic parasympathetic fibers?
Preganglionic parasympathetic fibers are shown in solid blue.
In the diagram of autonomic efferent pathways, which color represents postganglionic parasympathetic fibers?
Postganglionic parasympathetic fibers are shown in interrupted blue.
In the diagram of autonomic efferent pathways, which color represents preganglionic sympathetic fibers?
Preganglionic sympathetic fibers are shown in solid red.
In the diagram of autonomic efferent pathways, which color represents postganglionic sympathetic fibers?
Postganglionic sympathetic fibers are shown in interrupted red.
Name three cranial or peripheral ganglia labeled in the efferent ANS diagram.
Which cranial nerve-related structures are listed in the diagram transcript besides ganglia and organs?
Trace the parasympathetic pathway from the inferior salivatory nucleus to the parotid gland.
Trace the parasympathetic pathway from the lacrimatory nucleus of the facial nerve to the lacrimal gland.
Which cranial nerves are shown supplying parasympathetic pathways to the parotid and lacrimal glands?
Which sympathetic structure is shown associated with head autonomic innervation in the diagram?
Which ganglion receives parasympathetic fibers from the oculomotor (III) nucleus to innervate the iris?
Which nucleus in the midbrain supplies parasympathetic output for the oculomotor nerve?
Which sympathetic ganglion is listed as supplying structures of the upper eyelid?
Which brainstem nucleus provides parasympathetic output for the facial nerve to salivary glands?
Through which branch does the facial nerve convey fibers to the submandibular ganglion?
Which ganglion is associated with parasympathetic innervation of the submandibular salivary gland?
Name one arterial plexus mentioned that connects to salivary gland innervation.
Which salivary glands are shown in the diagram (two names)?
View the diagram illustrating autonomic supply to the eyelid, iris, and salivary glands.

What is the basic two-neuron efferent chain of the autonomic nervous system?
Which neurotransmitters do sympathetic postganglionic effector neurons primarily use?
Which cranial nerves and spinal segments comprise the parasympathetic (craniosacral) division?
Name three pathway options sympathetic preganglionic fibers can take after entering the sympathetic trunk.
List major organ effects included in the core concepts of autonomic divisions.
What is the basic two‑neuron efferent chain of the autonomic nervous system?
Which cranial nerves and sacral segments carry parasympathetic outflow?
What types of ganglia do sympathetic preganglionic fibers synapse in for abdominal viscera?
Which neurotransmitters are the primary effectors for sympathetic and parasympathetic divisions?
Name the major prevertebral ganglia that supply sympathetic innervation to the gastrointestinal tract.

List common pathway options taken by sympathetic fibers to reach target ganglia.
Which pathways provide sympathetic innervation to the kidney in the diagram?
Pathways from the thoracic spinal cord via the sympathetic trunk and splanchnic nerves.
Which cranial nerve provides parasympathetic input to the kidney region shown in the diagram?
The vagus nerve (from the medulla oblongata).
Name three ganglia or plexuses labeled in the autonomic innervation diagram of the kidney and suprarenal gland.
Which structure is shown alongside the kidney as a target of autonomic innervation in the diagram?
The suprarenal gland (adrenal gland).
Which spinal levels provide the sympathetic fibers to the sphincters of the anal canal and urinary bladder?
T11–L2
Which spinal segments supply parasympathetic innervation to the sphincter vesicae via the pelvic splanchnic nerves?
S2–S4 via pelvic splanchnic nerves
Through which plexuses do autonomic fibers travel to reach the urinary bladder and anal canal sphincters?
Hypogastric plexuses
Name the sympathetic structure shown as a conduit for thoracolumbar autonomic fibers to pelvic organs.
Sympathetic trunk
Referencing the diagram, which nerve is explicitly labeled as originating from S2, 3, 4?
Pelvic splanchnic nerve

How does the parasympathetic system affect the ciliary muscle (eye)?
It contracts the ciliary muscle.
What is the sympathetic effect on heart force of contraction?
It increases the force of contraction of cardiac muscle.
What is the parasympathetic effect on heart force of contraction?
It decreases the force of contraction.
How does the sympathetic nervous system affect bronchial smooth muscle?
It relaxes (dilates) the bronchi.
How does the parasympathetic nervous system affect bronchial smooth muscle?
It contracts (constricts) the bronchi.
What effect does the sympathetic system have on gastrointestinal (GI) tract peristalsis?
It decreases peristalsis.
What effect does the parasympathetic system have on gastrointestinal (GI) tract peristalsis?
It increases peristalsis.
What is the sympathetic effect on kidney output and why?
It decreases output due to constriction of renal arteries.
What are the sympathetic actions on the urinary bladder wall and sphincter?
Bladder wall (detrusor) relaxes; sphincter vesicae contracts.
What are the parasympathetic actions on the urinary bladder wall and sphincter?
Bladder wall contracts; sphincter vesicae relaxes.
What parasympathetic action occurs in erectile tissue of the penis and clitoris?
It relaxes erectile tissue, causing erection.
What sympathetic action produces ejaculation?
It contracts smooth muscle of the vas deferens, seminal vesicles, and prostate.
How do sympathetic and parasympathetic actions differ regarding glandular secretion?
Sympathetic reduces secretion by vasoconstriction of blood vessels (and increases sweat); parasympathetic increases secretion.
What is the basic efferent chain organization of the autonomic nervous system?
Which neurotransmitter do most sympathetic postganglionic neurons release onto effectors?
Which cranial nerves and spinal segments contribute to the parasympathetic division?
Which receptor type mediates parasympathetic effects on target organs?
Name one pathway option for sympathetic preganglionic fibers after entering the sympathetic trunk.
Give three major organ systems affected by autonomic divisions mentioned in the notes.
Objectives - Understand function and control of the ANS. - Compare sympathetic and parasympathetic anatomy and pathways. - Trace autonomic innervation to eyes, heart, lungs, GI, kidneys, adrenal medulla, bladder.
What the ANS does - Controls smooth muscle, cardiac muscle, and glands (autonomic motor = GVE). - Uses a two-neuron efferent chain: preganglionic → ganglion → postganglionic → target. - GVA (sensory) fibers may travel with autonomic nerves but are distinct from GVE.
Alt: Two-neuron chain diagram showing pre- and postganglionic pathways.
Anatomy & origin - Preganglionic cell bodies: intermediolateral nucleus (lateral horn) of spinal cord T1–L2. - Path out: ventral root → white rami communicantes → paravertebral (sympathetic chain) ganglia.
Three possible pathways after entering chain 1. Ascend/descend the chain, synapse in another ganglion, exit via gray ramus to spinal nerve. 2. Synapse at the same level, exit via gray ramus. 3. Leave chain as a splanchnic nerve → synapse in prevertebral ganglion (e.g., celiac, superior/inferior mesenteric, renal).
Alt: Diagram comparing origins, ganglia locations, and transmitters.
Splanchnic nerves (examples) - Greater splanchnic: T5–T9; Lesser: T10–T11; Least: T12. - Some fibers (greater splanchnic) synapse directly on adrenal medulla (chromaffin cells) causing release of epinephrine/norepinephrine into blood.
Neurotransmitters & receptors - Preganglionic: ACh → nicotinic receptors on ganglionic neuron. - Postganglionic: mostly norepinephrine (NE) acting on α/β adrenergic receptors on effectors. - Exceptions: sweat glands (sympathetic cholinergic → ACh on muscarinic receptors) and adrenal medulla (releases epinephrine/NE into circulation).
Physiologic features - Divergence ratio ~ 1:10 (preganglionic:postganglionic) → widespread, coordinated effects. - Functions: increase heart rate/contractility, bronchodilation, vasoconstriction in skin/viscera, pupil dilation, glycogenolysis, ↓GI motility, bladder sphincter contraction, ejaculation.
Anatomy & origin - Preganglionic cell bodies: cranial nerve nuclei III, VII, IX, X and sacral spinal segments S2–S4 (pelvic splanchnics). - Preganglionic fibers are long and synapse in head ganglia or intramural/visceral ganglia near/within target organs. - Divergence ratio ~ 1:3 or less → finer, localized control.
Alt: Parasympathetic pre- and postganglionic fiber distribution.
Ganglia in the head and their main connections
- Ciliary ganglion (CN III): outputs via short ciliary nerves (V1) → sphincter pupillae (pupil constriction) and ciliary muscle (accommodation).
Alt: Ciliary ganglion and short ciliary nerves to eye.
- Pterygopalatine (sphenopalatine) ganglion (CN VII via greater petrosal): lacrimal gland and nasal/palatal mucosa secretions (via V2 branches).
- Otic ganglion (CN IX via lesser petrosal): parotid gland (auriculotemporal, V3).
- Submandibular ganglion (CN VII via chorda tympani + lingual V3): submandibular and sublingual glands.
Neurotransmitters & receptors - Preganglionic: ACh → nicotinic receptors on ganglionic neuron. - Postganglionic: ACh → muscarinic receptors on effectors.
Functions - Reduce heart rate, constrict bronchi, stimulate digestion (↑peristalsis and secretion), contract bladder detrusor and relax internal sphincter (promote urination), pupil constriction, accommodation, stimulate glandular secretions, erection (parasympathetic vasodilation of erectile tissue).
(See embedded diagrams for detailed organ maps and pathways.)
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