Lab_GIT Flashcards

1
Q

stimulate acid
secretion

A
  • Acetylcholine * Histamine * Gastrin
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2
Q

inhibits acid secretion

A

somatostatin

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3
Q

Physical barrier between the lumen and
epithelium

A

Mucous neck cell (Mucus)

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4
Q

Buffers gastric acid to prevent epithelial
damage

A

Bicarbonate

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5
Q

Activates pepsin; Kills bacteria

A

Parietal cell [Gastric acid (HCl)]

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6
Q

Vitamin B12 absorption

A

Intrinsic factor

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7
Q

Stimulates gastric acid secretion

A

Enterochromaffin-like cell (ECL)
[Histamine]

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8
Q

Protein digestion

A

Chief cell (Pepsin)

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9
Q

Stimulates gastric acid secretion

A

Antral G cells (Gastrin)

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9
Q

Fat digestion

A

Gastric lipase

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10
Q

Inhibits gastric acid secretion

A

Antral D cells (Somatostatin)

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11
Q

Tertiary amine belladonna alkaloid

A

ATROPINE

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12
Q

cholinergic antagonist

A

ATROPINE

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13
Q

Atropine competes with ________ at the muscarinic
receptors causing blockade of cholinergic
effects → ________ GI motility

A

Ach ; decrease

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14
Q

T/F: Atropine is reversible

A

T

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15
Q

Therapeutic use of atropine

A

Antispasmodic

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16
Q

indirectly acting cholinergic agonist
(acetylcholinesterase inhibitor)

A

NEOSTIGMINE

17
Q

Neostigmine MOA: : carbamate esters by binding
with ______________ →
increases Ach at the synaptic cleft →
________ cholinergic effects → increase GI motility

A

acetylcholinesterase; increase

18
Q

Selective anticholinergic with antispasmodic
activity

A

DICYCLOMINE

19
Q

Inhibit muscarinic cholinergic receptors

A

DICYCLOMINE, N-HYOSCINE-BUTYLBROMIDE

20
Q

Direct smooth muscle relaxant

A

DICYCLOMINE

21
Q

No effect on gastric acid secretion

A

DICYCLOMINE

22
Q

Use of DICYCLOMINE

A

Antispasmodics

23
Q

Synonyms of DICYCLOMINE

A

Dicycloverine

24
T/F: N-HYOSCINE-BUTYLBROMIDE also Inhibit muscarinic cholinergic receptors
T
25
Use of N-HYOSCINE-BUTYLBROMIDE
Antispasmodics
26
Synonym of N-HYOSCINE-BUTYLBROMIDE
Scopolamine butylbromide
27
ANTIDIARRHEAL AGENTS
Opioid agonist – Loperamide, Diphenoxylate Kaolin & Pectin (Kaopectate
28
inhibition of presynaptic cholinergic nerves
Loperamide, Diphenoxylate
28
Loperamide, Diphenoxylate are used as
treatment of diarrhea
29
Kaolin (hydrated magnesium silicate or attapulgite) + pectin (indigestible carbohydrate derived from apples)
Kaopectate
30
adsorbent of bacteria, toxins and fluid → decreasing stool liquidity
Kaopectate
31
Kaopectate is used as
Antidiarrheal
32
Bile salt binding resins adsorb bile salt (which cause secretory diarrhea and __________
C. difficile toxin
32
Bile salt binding resins (e.g. cholestyramine, colestipol) use
treat diarrhea caused by C. difficile and bile salts
33
regulatory peptide slows GI motility and intestinal fluid secretion
Somatostatin, Octreotide
34
effective for diarrhea due to vagotomy, short bowel syndrome
Somatostatin, Octreotide
35
Agents that Reduce Gastric Acidity
Antacids * H2-receptor antagonist * Proton pump inhibitor
36
Mucosal protective agents
* Sucralfate * Prostaglandin analog (Misoprostol)
37
Laxatives
* Bulk * Osmotic * Stool softener * cathartic