Gastric motility and Pancreatic function Flashcards

1
Q

Where does most contraction happen in stomach, why and how

A

Where does most contraction happen in stomach, why and how

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2
Q

what produces gastric peristaltic waves

A

peristaltic rhythm

slow waves

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3
Q

what is peristaltic rhythm generated by

A

pacemaker cells in longitudinal muscle layer, only 3/min

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4
Q

what are slow waves

A

spontaneous depolarisation/repolarisation, slow wave rhythm is basic electrical rhythm, 3/min
depolarisation sub-threshhold - require further depolarisation to induce AP → contraction

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5
Q

what are slow waves conducted through

A

what are slow waves conducted through

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6
Q

What hormone increases contraction

A

gastrin

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7
Q

WHAT CONTROLS GASTRIC EMPTYING

A

CHOLECYSTIKININ

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8
Q

what does distention of stomach cause in relation with contraction

A

long/short reflexes → inc contraction

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9
Q

what inhibits motility

A

Fat/acid/amino acid/hypertonicity in duodenum

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10
Q

what neutralises acid in duodenum

A

bicarbonate secretion from brunners gland duct cells (submucosal glands)

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11
Q

what controls duodenal bicarb secretion

A

acid in d triggers long (vagal) and short (ENS) reflexes → HCO3 secretion

secretin from S cells → HCO3 secretion

secretin → HCO3 secretion from panc and liver

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12
Q

what inhibits secretin release as negative feedback control

A

acid neutralisation in duodenum

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13
Q

function of pancreas

A

exocrine function - helps in digestion

endocrine function that regulates blood sugar

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14
Q

what is the purpose of the exocrine pancreas and what does it do

A

digestive function

secrete bicarbonate by duct cells

secrete digestive enzymes by acinar cells

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15
Q

what are zymogens and their purpose

A

digestive enzymes stored as inactive granules, prevent autodigestion of pancreas

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16
Q

what enzyme converts zymogen to active forms

A

enterokinase converts trypsinogen to trypsin, trypsin converts zymogen to active form

17
Q

what is zymogen secretion stimulated by

A

cholecystokinin (CCK)

18
Q

what is CCK released in response to

A

fat/AA in duodenum

neural control, triggered by arrival of organic nutrients in d