15. GI Tract Introduction Flashcards Preview

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Flashcards in 15. GI Tract Introduction Deck (42)
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1

What are the layers of the gut tract wall from outer to inner?

1. serosa
2. longitudinal smooth muscle
3. myenteric plexus
4. circular smooth muscles
5. meissner's corpuscle
6. submucosa
7. mucosa

2

What is the serosa layer?

1. outer layer of connective tissue and simple squamous epithelium
2. continuous with the mesentery (pathway for blood to gut tube)

3

Where is the serosa layer missing in the GI tract?

1. esophagus, where it is replaced with adventitia to connect to abd wall

4

What is the submucosa?

1. lamina propria but thicker
2. incorporates the blood vessels and submucosal plexus

5

What layers does the mucosa include in order to form a continuous sheet that lines the entire GI tract?

1. lamina propria: loose CT with nerve, blood vessel, glands
2. muscularis mucosa: thin smooth muscles, form mucosal ridge

6

What type of cells help form the mucosa layer of gut?

1. simple columnar epithelium with goblet cells
2. line entire gut tract

7

What forms the enteric nervous system?

1. myenteric and meissners plexuses
2. neurons are supported by intrinsic glial cells

8

How does the enteric nervous system operate?

1. intrinsic regulation and sensory reflexes
2. parasympathetic increase GI activity
3. sympathetic decrease GI activity

9

Where are myenteric plexus and what does it control?

1. in between longitudinal and smooth muscles
2. tonic and rhythmic contraction of smooth intestinal muscles
3. excitatory (Ach, NO)
4. inhibitory (VIP)

10

Activation of the myenteric plexus will lead to what effects?

1. increased tonic contraction of gut wall
2. more intense rhythmic contractions
3. increased rate of contractions
4. increased velocity

11

What does the Meissner's plexus mostly control?

1. GI secretion, absorption, and local blood flow
2. mostly local effects not long distant.

12

What is peristalsis?

1. propulsion of food along the gut tract forcing bolus from one direction to the other

13

How does peristalsis work?

1. circular muscles contract to prevent backflow
2. longitudinal muscle will propel the bolus forward, causing distension of the tube
3. distension will cause contraction of next circular ring, and the next segment of longitudinal muscle

14

What is receptive relaxation?

1. vagovagal reflex, which activated by food and casues distension of the proximal region of stomach
2. CCK is then released causing distal distention of stomach

15

What is the role of the distal stomach with mixing food and beginning digestion?

1. contraction of distal region mixes food with gastric secretions
2. contraction seals off distal end and propels food back into the "body" of stomach for mixing

16

What will increase gastric contractions, to improve mixing?

1. stimulation of vagus nerve (parasympathetic)

17

Stimulation of what nervous system leads to decreased gastric mixing?

1. stimulation of sympathetic nervous system, and inhibition of signals to vagus nerve

18

When is gastric emptying the fastest?

with isotonic solutions, occur with contraction of distal end of stomach to duodenum

19

What will slow the emptying of the stomach contents into the duodenum?

1. hypo-/hypertonic solutions
2. fat (increases CCK that slows emptying)

20

Why would acid in the duodenum slow gastric emptying?

1. the duodenum is a basic environment, that can be damaged by too low a pH, therefore gastric secretions will be reduced to protect the duodenal lining

21

What does food in the stomach continue to activate?

1. the gastroileal reflex
2. mediated by extrinsic ANS and gastrin

22

What increases mixing and digestion in the small intestine?

1. vagus nerve (parasympathetic) increases digestion
2. sympathetic NS, inhibits vagus nerve signaling. decreasing digestion

23

What is the role of enterochromaffin cells?

1. sense food in intestine
2. release serotonin
3. serotonin activate primary afferent neurons for peristalsis

24

What system is in control of the peristalsis in the small intestine?

1. enteric nervous system

25

What causes the ileocecal sphincter to close, and prevent fecal backflow into the small intestine?

1. distension of the proximal colon
2. site of mass colonic water absorption

26

What creates haustra?

segmented contraction in proximal colon

27

What occurs in the distal colon?

1. semisolid, slow moving fecal material
2. fecal material propelled into rectum in mass movement

28

Defecation

1. internal anal sphincter must relax allowing movement into rectum, and urge begins with 25% filling of rectum

29

What prevents defecation?

external anal sphincter under voluntary control

30

What maneuver will increase the ability to defecate?

1. valsalva maneuver which increase intra-abdominal pressure