GI Phys Flashcards

1
Q

Potent stimulators of the hormone that controls gastric motility.

A

Gastrin. Phenylalanine and tryptophan

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2
Q

cells located here control the growth of the gastric mucosa?

A

G cells. Antrum of stomach

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3
Q

Hormone released by these cells act on neural muscarine pathways in response to fatty acids?

A

I cells in duodenum/jejunum release CCK to cause pancreatic and gallbladder secretion

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4
Q

The duodenal cells a hormone in response to acid and fatty acids. MoA?

A

S-cell. Secretin triggers bile and pancreatic HCO3 secretion to neutralize acid.

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5
Q

Without this hormone, pancreatic enzymes would be denatured to a greater degree.

A

Secretin triggers bile and pancreatic HCO3 secretion to neutralize acid.

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6
Q

Name and Location of cell bodies of Inhibitory hormone that prevents absorption of nutrients?

A

D-cells in pancreatic islets and GI mucosa release Somatostatin

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7
Q

Hormone that decreases insulin and glucagon release controlled by?

A

Somatostatin. Increased with acid. Decreased by vegal stimulation

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8
Q

Oral intake of glucose induces more rapid insulin release than IV glucose because of this hormone that is released by these cells located where?

A

K cells in duodenum/jejunum release GIP that increases insulin release

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9
Q

This GI hormone has exocrine and endocrine function

A

GIP:

exocrine: decreass gastric H secretion
endocrine: increases release

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10
Q

Distention and vegal input causes the release of this hormone from this location that causes relaxation of intestinal SMC and sphincters

A

Vasoactive intestinal polypeptide from PSNS ganglia in sphincters, gallbladder, small intestine.

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11
Q

Non-alpha and non-beta cell pancreatic tumor?

A

VIPoma

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12
Q

Pt with Watery diarrhea, hypoK and achlorhydria?

A

VIPoma

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13
Q

NO - decreased secretion results in?

A

alchalasia - Increased LES tone

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14
Q

Name the agonist this receptor that leads to migrating motor complexes?

A

Erythromycin - motilin agonist

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15
Q

Cells that are attacked in pernicious anemia produce less of this factor, leading to this?

A

parietal cells of stomach. Damage decreases intrinsic factor leading to B12 deficiency

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16
Q

Cells that release intrinsic factors also release another substance and is stimulated by?

A

Parietal cells - acid. Stimulated by histamine, ACh, gastrin

17
Q

These decrease acid secretion?

A

Somatostatin, GIP, prostaglandin, secretin

18
Q

Protein digestion initiated by a cell that releases this?

A

Chief cell. Pepsin

19
Q

Source of HCO3 for acid neutralization?

A

Mucosal cells and Brunner’s glands

20
Q

Location of mucosal cells?

A

Stomach, duodenum, salivary glands, pancreas

21
Q

Normally hypotonic fluid is released by these glands?

A

Saliva - parotid, submandibular and sublingual glands

22
Q

3 componets of saliva?

A

Amylase - starch
HCO3 - neutralize bacterial acids
mucins - lubricate food

23
Q

decrease cAMP in parietal cells? Effect?

A

Prostaglandins and Somatostain. Decrease ATPase/proton pumps.

24
Q

Gastin- cellular MoA on parietal cells?

A

Bind to CCKb Receptor -> Gq -> IP3 -> increase ATPase activity

25
Q

These glands hypertrophy in peptic ulcer dz?

A

Brunner’s glands. Secrete alkaline mucus

26
Q

Activates gastic proenzymes? Activated by.

A

Trypsin. Enterokinase

27
Q

MoA of amylase? End product?

A

hydrolyzes a-1,4 linkages to leave disacchrides

28
Q

Rate-limiting step in carb digestion carried out by?

A

Oligosaccharide hydrolases. Convert disaccharides to monosaccharides

29
Q

IgA released by cells in this gut layer?

A

Lamina Propria

30
Q

Substance created by Cholesterol 7a-hydroxylase has antimicrobial activity by?

A

Bile acids. Can disrupt membranes.