Block 3 Flashcards
Sumatripan
Serotonin agonist for vomiting
Lingual nerve
Branch of mandibular nerve which provides sensory innervation to anterior 2/3
Which structure lies close to the parotid gland?
Facial nerve
What is the blood supply to the salivary glands?
External carotid artery and retromandibular vein
Where does IVC exit?
T8
What is normal gastirc ph?
2
What is released with gastrin?
Pepsin
When is gastric inhibitory peptide released?
In response to fatty acids
What is the effect of vasointestinal polypeptide?
Produced by small intestines and pancreas, Inhibits gastric acid secretion by stimulating somatostatin release.
Inguinal ligament origin
Arises from the external oblique aponeurosis
Which vessel lies behind the clavicle?
Subclavian vein
Level of hyoid bone
C3
Angle of Louis
Manubriosternal angle which is important indicator for the aortic arch
What lies medial to the dorsalis pedis artery?
Extensor hallucis longus tendon
Where does the inferior thyroid artery originate?
Thyrocervical trunk
Location of chemoreceptor trigger zone
Medulla in the floor of 4th ventricle outside the blood brain barrier
Where does aorta bifurcation occur into left and right common iliac arteries?
L4
Glossopharyngeal nerve
Sensation to posterior 1/3 of tongue
Carotid sheath components
Common carotid artery, Internal carotid artery, Internal jugular vein, Vagus nerve
Carotid sheath
Lies between sternocleoidomastoid and vertebrae. Anteriorly- pretracheal fasica, ansa cervicalis, vagus and hypoglossal nerves. Posteriorly formed-prevertebral fascia.Internal jugular vein, common carotid artery
Vocal folds
Innervated by recurrent laryngeal nerve
Innervation of stylohyoid
Facial nerve
What is the blood brain barrier not hghly permeable to?
Hydrogen ions
Which cahnnels are open during depolarisation?
Voltage gated na+
Which channles are open in repolarisation?
Voltage gated K+ channels
Which channels are open in hyperpolarisation?
Voltage gated Na+ channels that will close
What is the effect of cholecystokinin?
Increases gall bladder contraction and relaxation of sphincter of Oddi espeically after eating fatty food that can cause vomiting. It is produced by pancreatic and small intestine I cells and can cause pain in right abdominal region. It reduces gastric emptying
What is the effect of cholecystokinin?
Increases gall bladder contraction and relaxation of sphincter of Oddi espeically after eating fatty food that can cause vomiting. It is produced by pancreatic and small intestine I cells and can cause pain in right abdominal region. It reduces gastric emptying
S cells
Found in the duodenum and jejunum and roduce secretin to increase bicarbonate, water and electroyltes in pancreatic secretionspancreatic fluid
Effect of somatostatin
Inhibits histamine for gastric acid secretion, glucagon and insulin release, glucose in blood, lipolysis and bicarbonate. It inhibits gall bladder emptying and growth hromones. It decreases volume of secretion and inhibits release of TSH
Where is secretin released?
S cells in duodenum and jejunum
What forms the external spermatic fascia?
External oblique aponeurosis
What is the effect of prostaglandin?
Decrease gastric acid secretion
Pain in right upper oquadrant and intolerance to fatty foods
Gallstone. cholestasis
What reduces iron absorption?
Wholegrains, tea, coffee and wine.
What increases iron absorption?
Gastric acid secretion, vitamin C
What increases pancreatic enzyme secretion?
Cholecystokinin
What increases secretion of water and electroyltes in pancreatic secretions?
Secretin
Gastrin
Prodcued by G cells in stomach antrum. Binds to parietal cells CCK2 receptors to free Ca2+ storesCauses increase in acid secretion, gastric motility, pepsinogen and parietal cell maturation. M3 receptors on parietal cells are stimualted by acetylcholine
Which hormone is an indicator for pancreatic insufficiency?
Secretin
Which cells are in fundus?
Parietal cells and chief cells
What inhibits gastirc acid secretion?
Nausea and stympathetic innervation, somatostaitn, cholecystokinin and secretin
What increases gastric acid secretion?
Vagus nerve, histamine release.
What causes Na+.K+ exchange in salivary ducts?
Aldosterone
Where are bile salts absorbed?
Terminal ileum which is malabsorbed in Crohn’s disease