Exam 4: GI 6-10 Flashcards
What are the 2 control systems of the GI tract?
- intrinsic control sys.
2. Extrinsic control sys
Component of the autonomc nervous system, located w/i the GI wall and enables autonomic regulation of GI functions
enteric nervous system
What are the 2 plexuses of the enteric nervous system
- plexus submucosus
2. Plexus myentericus
plexus of the enteric NS located b/t submucosa and circular muscullature.
plexus submucosus
Plexus of the enteric NS located in the muscularis externa, between longitudinal and circular musculature.
Plexus myentericus
Which Plexus of the ENS regulates mucus secretion and food absorption?
Plexus submucosus
Which plexus of the ENS controls the muscular activity
Plexus myentericus
Unlike typical neurons, enteric neurons secrete their neuroT from ______, or bulge like structures located on axonal collaterals or branches
varicosities
What is imortant about enteric neurons varicosities
can spread effect to wide area
What are the 3 types of enteric neurons?
- dogiel type 1
- dogiel type 2
- dogiel type 3
What are dogiel type 1 neurons?
have a small cell body with short dendrites and are motor neurons
what are dogiel type 2 neurons
have large cell bodies with one or two long dendrites and are sensory
what are dogiel type 3 neurons
show multiple shapes and functions
What are the 3 types of neurons based on function?
- sensory nerve cells
- interneurons
- motoneurons
detect changes/stimuli and are used to regulate funtion
Sensory nerve cells
What are the 2 types of sensory nerve cells?
- mechanosensitive cells
2. chemosensitive cells
Sensory nerve cells that recognize stretching of intestinal wall or volume changes
mechanosensitive cells
sensory nerve cells that detect the presence of nutrients in the GI lumen, changes in osmolarity, and changes in Ph
chemosensitive cells
Process signals coming from other cells or from the CNS and propagate them to other neurons
interneurons
induce a change in the GI tract as an answer to stimulus
motor neurons
What are the 3 types of motor neurons?
- muscle MN
- Secreto MN
- Vaso MN
MN primarily located in the plexus myentericus
Muscle MN
MN primarily located in plexus submucosus
Secreto MN
MN in both the mhyentericus and submucosus
Vaso MN
What are 3 examples of NANC substances?
- NO
- VIP
- Substance P
What is NANC?
Non-noradrenergic, non-cholinergic substances
substances, alnong with conventional transmitters, that are released by enteric neurons
Sympathetic nervous system uses noradrenaline which has an stim/inhib effect on the GI tract.
Inhibitory
What are the two basic types of electrical waves in the gI tract
- slow waves
2. spikes
What are the slow waves of the GI tract?
rhythmical GI contractions
electrical pacemakers for smooth muscle cells
Interstitial cells of Cajal (ICC)
True AP of the GI tract that occur automatically when the resting membrane potential of the GI smooth muscle becomes more positive than -40mV
Spike potentials
concerning GI smooth muscle cells which one is true?
a. their contraction cannot be extrinsically influenced
b. spike potential do not conduce to a contraction
c. they show spontaneous undulations in the membrane potential
c.
What are the 3 types of GI reflexes essential to GI control.
- reflexes integrated within the gut wall
- reflexes from the gut to the prevertebral sympathetic canglia and back
- reflexes from the gut to the spinal cord/brain stem and back
What are the 3 types of the Reflexes from the gut to the ganglia and back?
- gastrocolic reflex
- enterogastric reflex
- colonoileal reflex
signal from the stomach that causes evacuation of the colon
Gastrocolic reflex
signal from the colon and SI to inhibit stomach motility and stomach secretion
enterogastric reflex
Signal from the colon to inhibit emptying of ileal contents into colon
colonoileal reflex
Which reflex is responsible for controling GI secretions , peristalsis, mixing contractions, and local inhibitory effects?
reflexes integrated within gut wall
Which reflex is responsible for transmitting signals long distances to other areas of the GI tract
reflexes from the gut to prevertebral sympathetic ganglia and back
Which reflex is responsible for controlling gastric motor and secretory activity
from gut to spinal cord
which reflex is responsible for pain
from gut to spinal cord
which reflex is responsible for defecation reflex?
gut to spinal cord
Stretching of the intestinal wall during the passage of a bolus triggers this reflex to constrict the lumen behind the bolus and dilate in front
peristaltic reflex
In order to move bolus through GI, areas proximal to the bolus are stimulated by _____ causing _____
excitatatory MN, Smooth muscle contraction
In order to move bolus through GI, areas distal to the bolus are stimulated by _____ causing ______.
inhibitory motor neurons, smooth muscle relaxation
Which kinds of sensory neurons will be stimulated during the peristaltic reflex?
a. chemosensitive neurons
b. mechanosensitive neurons
b. mechanosensative neurons
GI tract reflex circuts where afferent and efferent fibers of the vagus n. coordinate responses to gut stimuli via the dorsal vagal complex in the brain
vagovagal reflex
This reflex controls contraction of the GI m. layers in response to distension of the tract by the chyme
vagovagal reflex
the vagovagal reflex is active during _______ of the stomach in response to mastication of food.
Receptive relaxation
What does the vagovagal reflex do to the stomach
active relaxation
What are the 3 parts of the stomach based on function?
- gastric store- tonix relaxation and contraction
- gastric pump- peristaltic wave
- grinder- mixing and breaking down
inflow into the gastric pump happens due to the following sequences:
- tonic contraction of fundus
- peristaltic waave in corpus
- passage into grinder then pylorus
- emptying into duodenum
What are the 3 relaxation signals of the stomach?
- receptive relaxation
b. adaptive relaxation
c. feed-back relaxation
What reflex control receptive relaxation of the stomach?
vagovagal reflex
Which reflex controls adaptive relaxation of the stomach?
gastro-gastric reflexes
What are the 3 purposes of intestinal motility?
- mixing of food with GI juices
- inc. contact b/t food and walls
- peristalsis
What are the 2 distinct phases of SI motility?
- digestive period
2. interdigestive period
Which phase of SI motility occurs when food is present in the stomach?
digestive period
Which phase of SI motility occurs when little food is present in the gut?
interdigestive period
Which phase of SI motility occurs when little food is present in the gut?
interdigestive period