Introduction to G.I. tract Flashcards
What is the serosa? It is made up of what kind of epithelium? What is it continuous with?
Outer layer of connective tissue made up of simple squamous epithelium. It is continuous with mesentary (double layer of tissue in posterior abdominal wall and serves as a pathway for blood vessels to gut tube)
What are the layers of the gut tract wall from outside to inside?
Serosa (adventitia)–>Longitudinal smooth muscle layer–>Myenteric plexus (of Auerbach)–>Circular smooth muscle layer–>Meissner’s plexus (submucosal plexus)–>mucosa
In which areas of the gut tube is the mesentary missing? What is it replaced with?
Mesentary is missing in the esophagus in thoracic cavity and ascending and descending colon in abdominal cavity. It is replaced with adventitia connecting to abdominal wall.
The enteric nervous system is made up of what two plexuses?
Myenteric and Meissner’s plexuses
Myenteric and Meissner’s plexuses can operate autonomously via _______ and ______. It works with ______ and _____ systems. _____ generally increases GI activity, ____ generally decreases GI activity. Neurons are supported by _____
intrinsic regulation and sensory reflexes; sympathetic and parasympathetic (vagus nerve); parasympathetic, sympathetic; intrinsic glial cells
- Myeteric (Auerbach’s) plexus is located between _____ and ____ layers.
- It controls ______ and participates in ____ and _____ contractions.
- It consists of a _______chain of ______ neurons
- It extends the ____ length of the G.I. tract
- Its mostly _____(inhibitory/excitatory?) and uses _____ as the NT
- Some inhibitory signals may inhibit _______ muscles like the NT ____
- longitudinal and smooth muscle
- intestinal smooth muscle, tonic and rhythmic
- linear, interconnecting
- entire
- excitatory, Ach/NO
- intestinal sphincter muscles, VIP
- The myenteric (Aurbach’s) plexus increases _______ of gut wall
- It also increases intensity of ________
- It slightly increases the rate of ______ contraction
- It increases velocity of _______
- tonic contraction
- rhythmical contractions
- rhythmical contractions
- excitatory waves
- Meissner’s (Submucosal) plexus controls _____, _____ and _____
- It is mainly concerned with controlling function within ____ of each minute segment of the intestine
- It helps in control of ____, _____, and ______ of submucosal muscle
- GI secretion, absorption, and local blood flow
- inner wall
- local secretion, local absorption, and local contraction
- The submucosa is similar to ____ but ____
2. The submucosa incorporates ______ and ______
- lamina propria, thicker
2. blood vessels and submucosal plexus
- The mucosa is a ____ cell layer
- The mucosa forms a _____ lining the entire G.I tract.
- The mucosa includes the ______ and _____.
- single
- continuous
- lamina propria and muscularis mucosa
What is the lamina propria? What is the muscularis mucosa?
Lamina propria=loose CT with sensory nerves, blood vessels and glands
Muscularis mucosa=thin layer of smooth muscle, creates mucosal ridges and folds
- Propulsive movements are created by ______ at any point in the gut which can cause a ____ to occur.
- Contractile ring moves ____ after it appears
- The usual stimulus that causes contractile ring is ____. But it may also occur due to _____ or _____ irritation or strong ______signals
- Propulsive movements requires the presence of functional _____
- Propulsive movements can occur in ____ direction but dies out when traveling in ____ direction
- stimulation, contractile ring
- forward
- distension, chemical, physical, parasympathetic
- myenteric plexus
- any, oral
- Mixing movements may be caused by ______ (in other words, propulsive movements may result in mixing)
- At other times, ______ contractions occur every few centimeters in the gut wall (so material can’t move forward in oral direction)
- peristaltic contractions
2. local intermittent constrictive
- slow waves within neurons ______(are/are not) action potentials
- Slow waves are ___, undulating changes in ________ potential.
- Intensity of slow waves varies between ___ and ___ mv.
- Frequency ranges from ____ to ___ waves per minute (increases from ____ to ___)
- are not
- slow, resting membrane
- 5, 15
- 3, 12, stomach, duodenum
- Slow waves may be caused by complex interactions among the ____ and the _____ cells of ____ (smooth muscle cell electrical pacemakers).
- ____ undergo cyclic changes that periodically open and produce inward (pacemaker) currents that may generate slow wave activity
- Slow waves excite the appearance of _____ which excite ____
- smooth muscle cells, interstitial cells of Cajal
- Cells of Cajal
- intermittent spike potentials, muscle contraction