Lecture 8 Secretion in GI Tract Flashcards

1
Q

The cells closer to the surface epithelium of the GI tract that are either mucous or goblet cells are called?

A

Single cell

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2
Q

The next deepest layer of pink cells that have infoldings that show cavernations are called?

A

Oxyntic (or parietal) cells

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3
Q

Deeper to Oxyntic cells are these cells that pump pepsin

A

Peptic (or chief) cells

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4
Q

Describe the composition of saliva. What ions are absorbed, and which are secreted? What is the tonicity of saliva?

A

Saliva: Ptyalin (amylase), Mucus (mucin), ECF (ions)
Absorbs Na & Cl
Secretes K & HCO3
Saliva is hypotonic BUT very close to plasma composition
(lipase present in peds, no use in adults)

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5
Q

Inactive precursor digestive enzymes that live in enteric secretion cells are called?

A

Zymogens

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6
Q

What 3 local influences cause local secretion?

A

Tactile, distention, irritation

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7
Q

What is reflex secretion?

A

Secretion via nervous input through the meissner plexus and parasympathetic loop

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8
Q

What does a hormone like cholecystokinin do in the GI tract?

A

Inhibitis gastric motility, and stimulates gall contraction and bile release

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9
Q

What does secretin do?

A

Tell pancreas to release bicarb (to neutralize stomach HCL)

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10
Q

Typically sympathetic tone IS inhibitory, BUT can w/o any parasympathetic tone at all, can sympathetic stimulation increase rate of secretion?

A

Yes (only a little bit)

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11
Q

What is the role of mucous in the GI tract?

amphoteric: doesnt hold a shape

A

To adhere the secretions to the food, protect mucosa from autodigestion, slide the food along, and buffer (only slightly)

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12
Q

What is the average volume in secretion of

  1. Saliva
  2. Gastric secretion
  3. Pancreas secretion
A
  1. Saliva = 1 liter/day
  2. Gastric = 1.5 liter/day
  3. Pancreas = 1 liter/day
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13
Q

Why would submandibular and sublingual glands respond to aldosterone?

A

As salt is normally reabsorbed in normal flow, when the body has less salt, the presence of aldosterone increases reabsortion, causing water to follow, and dry mouth.

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14
Q

What the the rate of saliva flow have to do with its ionic composition compared to that of plasma?

A

The higher the rate of flow, the less time the tubular cells have to reabsorb, and will therefore be closer in composition to plasma. Slower flow eqals, lower composition (more reabsorbed)

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15
Q

What is the pathway of excitation of appetite?

A

Taste or tactile touch of the bolus in the mouth, travels via tractus solarius (facial nerve and glossopharyngeal nerve) to the superior and inferior salivatory nucleus in the anterior hypothalamus, and excites the amygdala (the limbic center of emotion/memory)

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16
Q

what influences generally inhibit salivation stimulation in the medulla?

A

sleep, fatigue, dehydration, rough objects, fear

17
Q

Whether or not the medulla is stimulated for secretion, it travels to the salivary gland via what two cranial nerves?

A

CN 9: Glossopharyngeal

CN10: Vagus

18
Q

External stimulation of the salivary gland comes parasympathetically via what NT?

A

Acetylcholine

19
Q

Internal stimulation of salivary gland via sympathetics (super cervical ganglion) arrives at the gland via what transmitter?

A

Norepi

20
Q

Describe the changes in the salivary gland during Ach stimulation?

A

Vasodilation, metabolism, myoepithelial contration, secretion, and growth

21
Q

When the salivary gland is stimulated, it releases kallikrien which does what?

A

Causes even more local vasodilation

positive feedback loop

22
Q

At low saliva flow, is saliva hyper or hypotonic compared to the bloodstream?

A

HYPOTONIC!