GI Motility Flashcards

1
Q

Which muscles are due to GI motility

A

Smooth and skeletal muscle

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2
Q

How many types of muscle contraction are there, and what are they?

A

Circular, lumen = narrower and larger
Longitudinal, lumen = shorter and fatter
Muscularis, change in absorptive and secretory area of mucosa

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3
Q

Where is the enteric nervous system located?

A

In the ganglia in the myenteric and submucous plexus

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4
Q

Which nuerons are in the enteric nervous system?

A

Sensory
Interneurones
Effector

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5
Q

In the parasympathetic system what do the preganglionic fibres do?

A

Release ACh, and synapse with post-ganglionic neurones within the ENS

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6
Q

What are the excitatory influences of the parasympathetic system?

A

Increased gastric, pancreatic and small intestinal secretion
Increased blood flow
And increased smooth muscle contraction

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7
Q

What are the inhibitory influences of the parasympathetic system ?

A

Relaxation of some sphincters, receptive relaxation of stomach

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8
Q

Where do the preganglionic fibres in the sympathetic nervous system synapse?

A

In the prevertebral ganglia

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9
Q

What inhibitory influence does the sympathetic system have?

A

Decreased motility, secretion and blood flow

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10
Q

Which nerves modulate spontaneous activity in smooth muscle?

A

Intrinsic and extrinsic nerves

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11
Q

Where does spontaneous electrical activity occur at in the smooth muscle?

A

As slow waves in the stomach, small intestine and large intestine

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12
Q

What are interstitial cells of Cajal? (ICCs)

A

Pacemaker cells

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13
Q

Where are ICCs located?

A

Between longitudinal and circular muscle layers in submucos

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14
Q

Why is the slow wave amplitude important?

A

This can trigger an action potential which results in a contraction

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15
Q

What is BER

A

basic electrical rhythm, determined by slow waves

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16
Q

Which of the stomach, small intestine or large intestine has the lowest number of slow waves per minute?

A

The stomach, 3 per minute

17
Q

What is the motility of the GI tract important for?

A

Peristalsis and segmentation

18
Q

What is peristalsis?

A

Wave of contraction, triggered by distension of the but wall, involving the contraction of the longitudinal muscle layers

19
Q

What is segmentation?

A

Mixing or churning movements, mix and divide luminal contents

20
Q

What are tonic contractions ?

A

Sustained contractions found in the sphincters of the GI tract