Final Exam GI Physiology Questions Flashcards
What hypothalamic neurotransmitters help control hunger and satiety centers?
CCK, CRH, Neuropeptide Y, and Leptin
What control mechanisms help to achieve INTRINSIC control of the GI Tract?
Enteric Nervous System
Endocrine Cells in the gut wall
Cells that secrete paracrine substances
Local tissue factors
Where would you find interneurons of the enteric nervous system and what are they commonly known as? What do they do?
Submucosa (Meissner’s) plexi
Myenteric (Auerbach’s) plexi
They synapse onto muscles, glands, and secretory and absorptive epithelium.
What do endocrine cells in the gut wall respond to?
Directly to GI tract luminal contents
NTs
Paracrine substances
Histamine, somatostatin, prostaglandins, and serotonin are examples of what kind of substance?
Paracrine substances
What are the MOST important sites of hormone production in the GI Tract?
Stomach and Small Intestine
What is a local tissue factor?
Simple products of metabolism whose concentrations affect neighboring blood vessels.
Increased concentration of tissue factors (CO2, H+, and K+) result in ____________ of neighboring blood vessels.
Vasodilation
What control mechanisms help to achieve EXTRINSIC control of the GI Tract?
Afferent neurons projecting from GI Tract to either extramural plexi or CNS
Afferent neurons that convey sensory info to the CNS
SNS and PSNS EFFerent neurons
Somatic nervous system EFFerent neurons
Endocrine cells outside the gut wall
What control mechanisms help to achieve DIRECT control of the GI Tract?
The direct interaction of NTs, hormones and paracrine substances with gut wall muscles, glandular tissue, and secretory or absorptive epithelium
How is INDIRECT control of the GI Tract achieved?
Through regulation of perfusion
The GI system can receive up to what percent of cardiac output when active?
30%
What is the overall effect of SNS stimulation?
Vasoconstriction and decreased blood flow
What do SNS postganglionic neurons secrete?
NE
What receptors predominate at GI vasculature?
alpha-1 adrenergic receptors
What do PSNS postganglionic neurons secrete?
VIP and ACh
What does VIP do?
Inhibits actin-myosin interaction in muscle
Promotes production of NO which leads to vasodilation
What does ACh do?
Promotes production of NO which leads to vasodilation
What does Epinephrine from the adrenal medulla do when stimulating alpha-1 adrenergic receptors?
Vasoconstriction
What does Epinephrine do when stimulating beta-2 adrenergic receptors?
Vasodilation
The effects of epinephrine stimulation prevail on which receptors?
alpha-1
What does gastrin and other peptide hormones of the GIT do?
Vasodilation
Which two substances have a powerful vasoconstrictive effect resulting from a decreased ECV (effective circulating volume)?
Angiotensin II and ADH
Histamine and Prostaglandins (paracrine secretions) are _______ in effect.
Histamine and prostaglandins are vasodilatory
Local tissue factors like CO2, H+ and K+ are __________.
CO2, H+, and K+ are vasodilatory
At rest, the kidneys require what percent of cardiac output?
22%