GI Innervation Flashcards

0
Q

How do GI neurons release their neurotransmitters?

A

Neurotransmitters are released from varicosities along the length of the axon

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1
Q

Do neurons make “true synapses” on GI smooth muscle fibers?

A

No

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2
Q

Where is the myenteric plexus located?

A

In between the circular and longitudinal muscle (remember: “my-“ means muscle)

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3
Q

Where is the submucosal plexus located?

A

In between the submucosal layer and the circular muscle

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4
Q

What is an alternative name for the submucosal plexus?

A

Meissner’s plexus

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5
Q

Where is the enteric nervous system “wholly contained”?

A

Within the myenteric and submucosal plexuses, in the wall of the GI tract

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6
Q

The intrinsic component of the ANS is also called the…

A

Enteric nervous system (ENS)

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7
Q

The extrinsic component of the autonomic nervous system can also be thought of as…

A

The sympathetic and parasympathetic nervous systems

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8
Q

Parasympathetic innervation of the gastrointestinal tract is supplied by which two nerves?

A
  1. Vagus nerve (CN X)

2. Pelvic nerve

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9
Q

What GI structures receive parasympathetic innervation from the vagus nerve?

A

The upper GI tract: striated muscle of the upper 1/3 of the esophagus, wall of the stomach, small intestine, and the ascending colon

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10
Q

Which gastrointestinal structures receive parasympathetic innervation via the pelvic nerve?

A

The lower GI tract: striated muscle of the external anal canal and the walls of the transverse, descending and sigmoid colon

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11
Q

Describe the preganglionic fibers of the parasympathetic nervous system.

A

Long, synapse in or near the target organs

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12
Q

What are the two classifications for postganglionic neurons of the parasympathetic nervous system?

A
Cholinergic neurons (release ACh)
Peptidergic neurons (release substance P, VIP and unknown neuropeptides)
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13
Q

Describe a vasovagal reflex.

A

Reflexes where both the afferent an efferent limb are contained in the vagus nerve.

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14
Q

Describe the preganglionic fibers of the sympathetic nervous system that innervate the GI tract.

A

Short, and synapse outside of the gastrointestinal tract.

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15
Q

What are the four sympathetic chain ganglia that serve the gastrointestinal tract?

A
  1. Celiac
  2. Superior mesenteric
  3. Inferior mesenteric
  4. Hypogastric
16
Q

Are postganglionic nerve fibers of the sympathetic nervous system adrenergic or cholinergic?

A

Adrenergic, they release norepinephrine

17
Q

If a patient loss all extrinsic (parasympathetic and sympathetic) innervation of the gastrointestinal tract, what would happen to the GI functions?

A

Gastrointestinal function would be maintained because the enteric nervous system (ENS) can direct all GI functions.

18
Q

The ganglia in the myenteric and submucosal plexus receive sensory information directly from what 4 places?

A
  1. Mechanoreceptors
  2. Chemoreceptors
  3. Parasympathetic nervous system
  4. Sympathetic nervous system
19
Q

The ganglia in the myenteric and submucosal plexuses send motor innervation directly to what 3 structures?

A
  1. Smooth muscle cells
  2. Secretory cells
  3. Endocrine cells