physio 5 last minute Flashcards

(83 cards)

1
Q

function of Ach

A

vasodilation
increased secretion
smooth muscle contraction

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2
Q

upper esophageal spincter

A

closed during inspiration

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3
Q

pyloric sphicter

A

regulates gastric emptying

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4
Q

what is the source of CCK

A

duodenum

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5
Q

what is the target of CCK

A

pancreas, gallbladder, stomach, spincter of oddi

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6
Q

What is the function of CCK

A

incrase enzyme secrtion, incrase contraction, decrease gastric emptying, incrase relxation

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7
Q

what is the target of gastrin

A

parietal cells, ECL, D cell

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8
Q

what is the source of motilin

A

upper GI

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9
Q

what is the target of motilin

A

stomach, doumon

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10
Q

what is the source of peptide YY

A

ileum, colon

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11
Q

what is the target of peptide YY

A

pancreas

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12
Q

what is the action of peptide YY

A

decrease enzyme and fluid secretion

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13
Q

what is the source of secretin

A

duodenum

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14
Q

what is the target of secretin

A

pancreas, stomach

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15
Q

what is the action of secretin

A

incrase bicarb secretion
decrease acid secretion
delay gastric emptying

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16
Q

what is the source of somatostatin

A

stomach, duodenum, pancreatic cells

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17
Q

what are the targets of somatostatin

A

stomach, intestine, pancreas, liver

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18
Q

what is the action of somatostatin in stomach and intestine

A

decrease acid secretion, increase fluid absorption

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19
Q

what is the action of somatostatin in pancreas, liver

A

decrease secretions

decrease bile flow

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20
Q

what is the source of prostagland

A

stoamch, intestine/immune cells

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21
Q

what is teh target of prostaglandin

A

stomach intestin

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22
Q

what is the action of prostglandin on the stomach

A

inrease blood flow
decrease acid secretion
incrase mucus/bicarb secretion

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23
Q

what is the action of prostaglandin on intestin

A

increas motility

increase fluid secretion

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24
Q

what is the source of histamine

A

stomach,

intestine/immune cells

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25
what is the target of histamine
stomach | intestine
26
what is the action of histamine on the stomach
increase acid secretion
27
what is the action of histamine on the insteine
increase fluid secretion
28
what is the source of somatostatine
stomach | duodenum, pancraestic cells
29
what is the target of somatostatin
stomach, intestine
30
what is the actino of somatostatin on the stomach
decrease acid secretion | incrase fluid absorption
31
what is the action of somatostatin on the intestine
decrease smooth muscle contraction
32
what is the receptive relxation mediated by
NO
33
what is gastric accomination regulated by
ENS
34
what hormones impair gastric emptying
secretin, CCK, gastrin
35
what neurotransmitters impair gastric emptying
Ach, 5-HT
36
what neurotransmitters promote gastric emptying
NO, VIP
37
what are the key neurotransmitters of the emetic response
serotonin, dopamine, ach, histamine
38
action of ach on stomach
promote HCL, mucus, bicarb secretion
39
what does superfirical epithelial cell release
mucus, bicarb
40
functions of gastric acid
``` protein digestion sterilization prevent bacterial and fungal growth facilitate absorption promote bile and pancreatic enzyme flow ```
41
what does gastrin act on
parietal cell
42
what does ach act on
parietal cell
43
what does histamine act on
neighboring parietal cell
44
what does somatostatin act on
g cells
45
what are regulators of interdigestive phase of gastric acid secretion
of partieal cells body weight presence of food in stomach
46
regulators of cephalic phase of gastric acid secretion
sight/smell of food
47
regulators of gastric phase of gastric acid secretion
distension of stomach | neg feedback if really low pH
48
regulators of intestinal phase of gastric acid secretion
peptides in duodenum | absorption of amino acid in duodenum
49
what are the 2 key stimuli for mucus secretion by epithelial and neck cells of the stomach
ach, prostatgland
50
what is the role of secretin in the stomach
decrease acid realease increases pepsinogen release delay gastric emptyin
51
zollinger-ellison syndrome
high serum gastrin levels | causes tumor in duodenum/pancrea
52
what are the 2 primary stimuli for fluid and enzyme secretion by pancreatic acinar cells
CCK | Ach
53
what is the primary stimulus for secretion of bicarb from pancreatic duct cells
secretin
54
what is the stimulis for cephalic phase of pancreatic secretion
sight, smell, taste, mastication
55
what is the stimulius for gastric phase of pancreatic secretion
distension, gastrin, peptides/peptones
56
what is the stimulis for intestintal phase of pancreatic secretion
amino acid fatty acid H_
57
how does somatostatine affect bile secretion
inhibits
58
how does CCK affect bile secretion
promote
59
what do brunners glands in duodenum secrete
mucus, bicarb
60
what cells does cryptos of liberkuhn in small intestine have
goblet, secretory enterocytes, absorptive entrocytes
61
what do secretory enterocytes secrete
electrolytes, water
62
what do absoptive enterocytes secrete
peptidase, sucrase, maltase, lactase, lipase, transpoters
63
where is folic acid absorbed
duodnum
64
what is important about folic acid
DNA synthesis and cell division
65
what happens when you have impaired folic acid uptake
anemia
66
stimulation of CFTR results in what
fluid secretion
67
what stimulates CFTR
Ach, VIP, 5HT, prostatgland, histamine, cholera, e coli
68
what does inhibition of Na-H exchanger cause
fluid secretion
69
what inhibits Na-H exhacnger
Ach, VIP, 5HT, prostalgandin, histamin, cholera, e coli
70
what does uptake of Na channels and Na/K ATPase cause
fluid absorption
71
what does icnrease of Na-H exchanger cause
fluid aborption
72
what causes uptake of Na channels and Na K ATPase
mineralocorticoid glucocorticoid
73
what causes incrase of Na-H exchanger
somatostatin enkephalin NE
74
defiiceny in what neurotransmitter could cause the problem of vomiting 3 year old
lack of Ach causing release of NO
75
what action does CCK have on gallbladder
contraction
76
what action does CCK have on pancreas
acinar secretion
77
what action does CCK have on stomach
reduce emptying
78
what action does CCK have on sphicter of oddi
relaxation
79
what does the pancreas help digest?
protein, carbs, lipids, nucleotides
80
what can obstruction in pancreatic duct cause
acute pancitis, elevated pancreatic enzymes, digestice impairment, weight loss, white stool
81
what can obstruction in common bile duct cause
elevation of bilirubin (jaundice) emuslifation of fat, elevated lipase
82
what postively regulates cryptos of liekerkun throughtout the large intestine
mechanical PNS ENS
83
how do you treat DKA
restoring plasma volume, reduce blood glucose, correct acidosis, replenish electrolite