click below
click below
Normal Size Small Size show me how
WVSOM GI
Nueral/Hormonal Control, Motility I and Motility II
Question | Answer |
---|---|
The parasympathetic system usually has what effect on the GI system | stimulatory |
The sympathetic system usually has what effect on the GI system | inhibitory |
The enteric nervous system is also known as what | intrinsic |
Name the layers if the duodenum from the lumen out | Lumen - mucosa - muscularis mucosa - submucosa - muscluaris externa - serosa |
What is another name for the myenteric plexus | Auerbachs |
What is another name for the Submucosal plexus | Meissners |
Sympathetic usually enter the enteric nervous system via what type of fibers | Post-ganglionic |
Parasympathetics enter the enteric nervous system via what type of fibers | Preganglionic |
Which plexus, meissners or auerbachs deals more with movement | Auerbachs |
Any fiber that leaves the enteric nervous systme is what type of fiber | postganglionic |
What are the classic excitatory nuerotransmitters | ACh and Substance P |
What are the classic inhibitory nuerotranmitters | VIP and NO |
What is a long relfex | A reflex that travels back to the CNS on an afferent nerve fiber, and then back to the gut on an efferent nerve fiber |
What is a short reflex | This is a reflex that takes place in the gut wall |
What is a short relfex also known as | Intramural or local |
What nerve are the afferent and efferent signals carried on | Vagus!!!! |
Can post ganglionic sympathetic nerves fire directly on effector cells | YES |
Do preganglionic parasympatheic nerves ever fire directly onto the effector cells | NO |
What is the sole hormone released in the antrum of the stomach | Gastrin |
What hormone is released all the way through the Duodenum and Jejunum and tappers off in the illeum | CCK |
What two hormones are only released in the duodenum and jejunum | GIP and Motilin |
Eating a meal will inhibit the action/release of what hormone | Motilin |
Nerves, chemicals, distention and/or stretch will release which two hormores | Gastrin and Motilin |
What is the most powerful releaser of CCK | FAT! |
Protein releases which two hormones | Gastrin and CCK |
Which hormone becomes inhibited by acid | Gastrin |
Which hormone is stimulated by the release of acid | Secretin |
The vagus fires ganglia which release ACh onto which 4 cell types | G-cells, ECL's, Chief Cells, and Parietal Cells |
G-cells secrete Gastrin which stiulates which two cells | ECL and Parietal |
Cheif cells release what | Pepsinogen |
Pariental cells release what | Intrisic Factor (IF and H+) |
What is zolinger elasin | the development of a gastric secreting tumor in the pancreas |
Which hormone is relased cyclic every 90 min | motilin |
CCK acts to contract which organ | Gall bladder |
Secretin has a negative/inhibitory effect on which two cells | G-cells and Parietal cells |
What does secretin trigger the release of | HCO3- (Bi-carb) |
CCK causes the release of what | BILE from the gallbaldder and Bi-carb and pancreatic enzymes from the pancreas |
Somatostatin does what | Stops all secretions! |
GIP inhibtis which two cell types | G-cells and Parietal cells |
What does GIP cause the release of | Insulin from the pancreas |
Pancreatic Polypeptide cuases a decrease in the secretion of what | Pancreatic Bicarb and enzymes |
Peptide YY does what | Decreases Gastric secretion and emptying |
What peptide does the same thing as peptide YY but also causes insulin release | enterglucagon |
Where are all the patterns for motility programmed | Enteric nervous system |
Can the programmed patterns of motility be effected by nerves and hormones | YES |
What is physiological ileus | The absence of motility along the intestine in which the quiescene of motor funtion neurally programmed |
What would happen if you got a had a block of the enteric nervous system | Disorganized and nonpropulsive contractile behavior occuring CONTINUOUSLY! |
Do inhibitory neurons need to be turned on or off in order for the circular muscle outside of the sphinters to contract | OFF |
Lack of contraction is caused by the inhibitory neurons being active or inactive | active |
What happens to protect the nasopharynx during swallowing | Soft palate moves close off opening |
What needs to happen in order to seal off he trachea during swallowing | Upward movement of the glottis and downward movement of the epiglottis |
Pressures in the body of the espohgus reflect what | intrathoracic or intrabdominal |
Between swallows the pressures of what structures lie above atmospheric pressure | Upper esophogeal sphincter, lower esophogel sphincter |
The pressure at the sphincters during a swallow goes up, down or stays the same | down |
The pressure in the espohpgus during a swallow goes up, down or stays the same | up |
Which esophogeal sphicter is associated with the myenteric plexus | Lower |
What would ultimatley send an inhibitory signal to the lower esophogeal sphincter | Distention and/or vagus firing |
Does the myenteric plexus exist in striated muscle | NO |
In which region (upper or lower) of the esophogus do you have the vagus firing DIRECTLY onto muscle | Upper (lower uses myenteric) |
What occurs in the stomach in order to move food toward the sphincter, but eventually overtakes the bolus and sends some of it back towards the orad portion | low amplitude waves (3-5/min) |
What are the interstital cells of Cajal | pacemakers |
Can slow waves cause contracion | YES, if a spike potential exist to make the wave big enough |
Where do slow waves begin and end | mid stomch to the colon |
What influences have an effect on the slow wave frequncey | tempurature and metabolic activity |
what infuences have only MINIMAL effects on the slow waves, but can cause changes in the plateau | hormones and nerves |
Would firing from the sympathetics cause an increase, decrease or have no effect on the slow waves | decrease |
Is the MMC (migrating motor complex) a fed or fasted state occurance | fasted (2-3 hours post-meal) |
ncreasing which three hormones will increase contractility | Gastrin, CCK, and motilin |
What is the intestino-intestinal relfex | If a area of the bowel is really distended, conractal activity of the rest of the bowel is inhibited |
Illieal distention will have what effect on the ileo-colic sphincter | relaxation |
Colic distention will cause what effect on the ileo-colic sphincter | contraction |
Relaxation of what structure allows for recpetors to be able to tell the nature of the contents in the the canal | internal anal sphincter |
Increase in food amount will cause an increased or decrease response at the internal and external anal sphincters | increase |