GI tract motility Flashcards

(32 cards)

1
Q

Types of Gi motility

A

peristalsis
segmentation
migrating motility complexes

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2
Q

when nutrient are present and digestive/absorptive process is ongoing.

A

digestive/absorptive period

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3
Q

interdigestive/post-absorptive

A

when digestion and absorption of nutrients are completed

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4
Q

what is the mechanism of GI motility?

A

Basic Electrical Rhythm

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5
Q

Electric membrane potential in GI smooth muscle cells (SMCs)are not stable, they spontaneously fluctuate constantly

A

-80/-40

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6
Q

t/f BER is a fast wave

A

false, is slow

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7
Q

interstitial cells of Cajal

A

pacemaker cells that initiate the slow wave and spreads to adjacent smooth muscle cells

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8
Q

the depolarization caused by the slow wave causes what channels to open

A

Ca

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9
Q

the nerual stimulus is transmited to smooth m. cells by

A

ICC network, pacemaker cells

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10
Q

slow wave causes what type of contraction

A

minor contractions

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11
Q

spike potentials cause what type of contraction of smooth m. cells

A

major contraction of smooth m. cells

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12
Q

3 stimulis causing spike potentials

A

stretch
ACh
PSNS-pilocarpine

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13
Q

in slow wave there is no action potential, what Ca channels are open?

A

transient Ca channels

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14
Q

spike potentials occur action potentials, what type of Ca channel are opened?

A

long lasting calcium channels

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15
Q

From esophagus to rectum:
A circular contraction behind the bolus stretch and an area of circular relaxation in front of it.
A longitudinal contraction for propulsion

A

peristalsis

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16
Q

peristalsis requires an active_____ and _______INTEGRATION

A

myenteric plexus = Auerbach’s plexus and ENS

17
Q

A bolus of chyme stimulates

A

intrinsic afferents (sensory neurons with cell bodies in the myenteric plexus) that activate enteric interneurons, which in turn stimulate enteric motor neurons

18
Q

eneteric motor neurons inn.

A

smooth m. cells and cells of cajal

19
Q

Longitudinal smooth muscle contraction for anterograde direction is stimulated by the neurotransmitters

20
Q

Circular smooth muscle contraction is stimulated by the neurotransmitters
ABOVE THE BOLUS

A

ACh
substance P

21
Q

Circular smooth muscle relaxation is stimulated by
BELOW THE BOLUS

A

nitric oxide (NO) and vasoactive intestinal peptide (VIP)

22
Q

Mostly occurs in small intestine:
Localized contractions of circular smooth muscle only.
No longitudinal contraction for propulsion

23
Q

help mix chyme in intestine

24
Q

These contractions isolate (squeeze) small sections of the intestine, moving their contents back and forth while continuously subdividing, breaking up, and mixing the contents.

25
It is also called a ‘housekeeping wave’, induces peristalsis occurs every 90–120 minutes during fasting
MMC migrating motor complex
26
responsible for stomach growling when hungry
MMC
27
triggers peristalsis waves facilitate removal of indigestible substances past ileocecal sphincter into colon transports bacteria from small to large intestine and inhibit mkigartion of colonic bacteria back into ileum
MMC
28
impairment of MMC causes
bacterial overgrowth
29
t/f MMC is a giant contraction
true
30
No spike potential, no contraction. Lasting 45-120min, a prolonged period of quiescence
PHASE 1 of MMC
31
Irregular (sporadic) spike potential and contraction. Lasting 20-30min
phase 2 of MMC
32
Regular (intense) spike potential and contraction. Lasting 5–10 minutes;
phase 3 of MMC