GI Flashcards
Name the Major Layers of the Gastrointestinal Tract in order from deep to superficial.
Mucosa, Submucosa, Muscularis, Serosa
Not a layer of the GI tract but recently classified (2016) as a new organ, the _________ attaches your intestines to the wall of the abdomen. It keeps the intestines in place, preventing them from collapsing down into the pelvic area and provides a structure for important circulation pathways.
Mesentery
The Mesentery is Attached superiorly to the posterior ________ _____ along an oblique line running from the left side of the body of the second lumbar vertebra to the right sacroiliac joint.
Abdominal wall
The ________ ______ _______, is a quasi-autonomous part of the nervous system and includes a number of neural circuits that control motor functions, local blood flow, mucosal transport and secretions, and modulates immune and endocrine functions.
Enteric/Intrinsic Nervous System
The _____ nerve, which is responsible for most of the parasympathetic innervation of the digestive system, travels through the diaphragm as part of the esophageal tract.
Vagus
Activation of the vagus nerve indirectly causes the stomach’s parietal cells to secrete ________________________.
Gastric acid
Which phase of gastric function is regulated by the vagus nerve and lasts approximately 30 minutes?
The Cephalic Phase
The goal of the ______ phase of gastric function is to release HCl and proteolytic enzymes into the stomach.
Gastric Phase
The _________ Phase causes inhibition of gastric activity due to:
- Neural reflex: stretch of the duodenum inhibits gastric motility and secretion.
- Hormonal: fat in the chyme stimulates an inhibitory hormone (it is not clear what this hormone is).
Intestinal Phase
________ in duodenum stimulates:
- Gastric inhibition
- Pancreatic secretion – neutralizes HCl in duodenum
- Bile secretion – aids in digestion of lipids in small intestine
Chyme
________: stimulated by a drop in duodenal pH; results in HCO3 (bicarbonate) secretion by pancreas and bile secretion from gall bladder
Secretin
____________: stimulated by fats and proteins in duodenum; results in pancreatic secretion of enzymes and bile secretion from gall bladder
Cholecystokinin
T/F: Cold sores are highly contagious
True
T/F: A cold sore indicates a compromised immune system.
True
T/F: Canker sores are not typically considered clinically significant.
True
The __________________ is an area of smooth muscle in the esophagus.
Muscularis mucosa
The proximal 1/3 of the esophagus is striated muscle and features the ______ __________ _______.
Upper esophageal sphincter (UES)
The distal 2/3 of the esophagus is _______ muscle.
Smooth Muscle
As the thoracic esophagus enters the abdomen through the _________ ______ of the diaphragm, it becomes the abdominal esophagus.
Esophageal hiatus
The mastication process involves taste, temperature, touch, and proprioceptive senses to form a _____ of the right size and consistency.
Bolus
Relaxation of the _________ muscle allows the bolus to pass into the esophagus. When this muscle closes, the LES will open.
Cricopharyngeus
The final phase of the swallowing process is under the control of the brainstem and the ________ _______. A peristaltic wave beginning in the pharynx pushes the bolus sequentially from the cervical esophagus down through the LES and into the stomach.
Myenteric plexus
________ refers to difficulty swallowing (painful swallowing is referred to as odynophagia)
Dysphagia
Protrusion of a portion of the stomach through the diaphragmatic esophageal hiatus into thoracic cavity.
Hiatal Hernia