Lecture 29 Unit 4 Flashcards

1
Q

what are the three phases in regulation of digestion

A
  • cephalic phase
  • gastric phase
  • intestinal phase
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2
Q

what happens in the cephalic phase

A
  • anticipation

- prepares the mouth and stomach for food

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3
Q

what is stimulated in the cephalic phase

A

the cerebral cortex

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4
Q

what happens in the cerebral cortex in the cephalic phase

A

sight, smell, taste, and thoughts of food stimulate the parasympathetic nervous system to stimulation salivation and gastric glands to secrete gastric juices

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5
Q

what nerves increase salivation

A

facial and glossopharyngeal nerves

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6
Q

what nerve stimulates gastric gland to secrete gastric juice

A

vagus nerve

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7
Q

what happens in the gastric phase

A

breakdown of material

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8
Q

in the gastric phase what are the neural influences over stomach activity

A
  • stretch receptors and chemoreceptors signal bolus entry
  • vigorous peristalsis and gastric gland secretions
  • chyme periodically released into the duodenum
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9
Q

in the gastric phase what are the endocrine influences over stomach activity

A

-distension and presence of food in stomach cause G cells to secrete gastrin into bloodstream; gastrin increases gastric gland secretions and motility and causes pyloric sphincter relaxation

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10
Q

what happens in neural and hormonal regulation in gastric emptying

A
  • distention of the stomach and presence of undigested contents increase the secretion of gastrin hormone and vagal nerve impulses
  • stimulates contraction of the lower esophageal sphincter and the stomach as well as relaxation of the pyloric sphincter for emptying
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11
Q

what happens in the intestinal phase

A

controlled release of chyme

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12
Q

what happens when chyme enters duodenum

A

slows gastric activity and increases intestinal activity

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13
Q

what are the neural influences in the intestinal phase

A

distension of the duodenum and chemical contents of the chyme activate sympathetic nerves which slow gastric activity (enterogastric reflex)

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14
Q

what are the endocrine influences in the intestinal phase

A

distention of duodenum and contents of chyme trigger hormonal release from enteroendorcrine cells in the duodenum

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15
Q

what are the hormones secreted in the intestinal phase and what do they do

A
  • secretin-hormone decreases stomach secretions

- cholecystokinin (CCK)- decreases stomach emptying

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16
Q

what does the enterogastric reflex do

A

regulates the amount of chyme released into the duodenum

17
Q

what is the entrogastric reflex initiated by

A

distension of duodenum and contents of the chyme

18
Q

how does the enterogastric reflex work

A

sensory impulses sent to the medulla inhibit parasympathetic stimulation of the stomach

19
Q

what are the hormones released by the enterogastric reflex and what do they do

A

cholecystokinin and secretin stimulate sympathetic impulses both inhibiting gastric emptying

20
Q

what does secretin do

A

acidity in intestine causes increased sodium bicarbonate release

21
Q

what does CCK do

A

fats and proteins cause increased digestive enzyme releasee

22
Q

what are the steps in regulation of pancreatic secretions by enteroendocrine cells

A
  1. parasympathetic impulses along vagus nerves stimulate secretion of pancreatic enzymes
  2. acidic chyme containing partially digested fats and proteins
  3. CCK and secretin are released
  4. stimulates secretion of pancreatic juices rich in bicarbonate ions and digestive enzymes
23
Q

what are the steps in the regulation of bile secretion by enteroendocrine cells

A
  1. parasympathetic impulses along vagus nerves stimulate bile production in the liver
  2. fatty acids and amino acids in chyme entering the duodenum stimulate secretion of CCK and secretin into blood
  3. CCK causes contraction of gallbladder
  4. secretin enhances flow of bile rile HCO3- from liver