L12: Motility Flashcards

1
Q

What happens to the fold of the stomach when you eat

A

Flatten out

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2
Q

What happens to the intraluminal pressure of the stomach as you eat

A

Increases

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3
Q

What is receptive relaxation

A

Relaxation of the fungus

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4
Q

Why does gastric motility occur

A

To sieve the particles into small particles and increase the surface area

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5
Q

What are the phases of gastric motility

A

Propulsion
Grinding
Retro propulsion

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6
Q

What is the function of the pylorus of the stomach

A

Allow emptying of gastric contents
Prevents regurigitation of duodenal contents into the stomach
Prevent bile from entering the stomach

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7
Q

What are the 3 phases of gastric emptying

A

Cephallic
Gastric
Intestinal

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8
Q

What is the cephallic phase in gastric emptying

A

Inhibitory phase to store when it receives food

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9
Q

What is the gastric phase in gastric emptying

A

Excitatory phase which the stomach empties

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10
Q

What is the intestinal phase of gastric emptying

A

Inhibitory phase to allow time for digestion

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11
Q

What is the function of the motor activity of the GIT

A

Segmental contractions
Peristaltic contraction
Act as reservoirs

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12
Q

What are the types of motility in the small intestine in the fed state

A

Segmentation

Peristalsis

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13
Q

What is segmentation

A

Rings of circular muscle that contract and relax to mix

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14
Q

What is peristalsis

A

Contraction of circular and longitudinal muscle to propel chyme along

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15
Q

What is the motility in the fasted state

A

Migrating motor complex

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16
Q

What is the migrating motor complex

A

Large sweeps of motor activity that start in the stomach

17
Q

What happens to the migrating motor complex as you go down the gut

A

Diminishes

18
Q

What happens to the migrating motor complex when you eat

A

Does not occur

19
Q

Why does the motor migrating complex occur

A

Keeps the bowel healthy by cleansing the bowel
Dead enterocytes are cleaned
Prevents bacterial overgrowth

20
Q

What is the ileocaecal sphincter

A

Separates the ileum from the colon

21
Q

How does he ileocaecal sphincter relax to open

A

Pressure that is proximal to the spinchter causes it to open
Pressure that is distal to the spinchter causes it to remain shut

22
Q

Does the colon have vili

23
Q

Does the colon have crypts axis

24
Q

What are the functions of the colon

A

Absorb liquid
Provided environment for beneficial bacteria which synthesise vitamin k and b complex
Absorb short chain fatty acids
Secrete mucus and ions

25
What is the main function of the proximal colon
Site of absorption and bacteria fermentation
26
What is the main function of the distal colon
Storage
27
What are the types of motility in the colon
Colonic rhythmic phasic contractions | Giant migrating contractions
28
What is the colonic rhythmic phasic contractions
Equivalent to segmentation that allow mixing with long and short duration contractions
29
What is the giant migrating contraction of the colon
Equivalent to propulsion | Large sweeps of activity that propel faecal matter downwards like the motor migrating complex
30
How can you stimulate motility in the colon
Bulk | Myenteric plexus
31
What are the classification of laxatives
Stimulant laxatives Osmotic laxatives Emollient laxatives Bulk forming laxatives
32
Which nervous system is involved in the extrinsic innervation of the colon
Sympathetic and parasympathetic
33
What is the defamation reflex
Distension of the rectum when faceal matter comes in
34
Which plexus of the enteric nervous system controls the defamation reflex
Myenteric plexus
35
Which other nervous system reinforces the defecation reflex
Parasympathetic motor neurones in the sacral spine | Somatic motor neurones