Monogastric pt 3 Flashcards

1
Q

What are the GI pacemaker cells?

A

Modified muscle cells between smooth muscle layers called ICC

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2
Q

The resting membrane of ICC cells fluctuate as a function of what?

A

Ca

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3
Q

What sets basic electrical rhythm?

A

Partial depolarization

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4
Q

Smooth muscle slow wave frequency, amplitude and kinetics differ btw..

A

Species and vary depending on the segment of GI tract

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5
Q

What gives rise to smooth muscle contraction?

A

Action potentials that travel through gap junctions

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6
Q

When do action potential occurs?

A

Threshold potential is more positive than -40mV due to parasympathetic input

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7
Q

What happens when there is no parasympathetic input?

A

Only get slow myogenic waves which is rarely enough to reach action potential and you do not get contraction or change in muscle tension

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8
Q

What effect does excitatory neurohormonal substances have on action potentials?

A

Depolarize the resting membrane potential to increase likelihood for contraction and increase contraction/motility

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9
Q

Sympathetic input has what effect on action potentials?

A

Inhibitory neurohormonal substances hyperpolarize the resting membrane potential and decrease the likelihood for contraction and decrease contraction/motility

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10
Q

Triggering local sensory nerve endings from food bolus at the back of the pharynx does what?

A

Trigger the involuntary phase of swallowing reflex

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11
Q

What muscle must relax in order for the epiglottis to close and esophagus open enough for food?

A

Cricopharyngeal muscle

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12
Q

What type of muscles are in the esophagus?

A
  • Striated: Somatic control (vagus)

- Smooth muscle: IX and X maybe myenteric plexus

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13
Q

Are the sphincters of the esophagus normally open or closed?

A

Closed

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14
Q

Describe food through the esophagus?

A

Upper esophageal sphincter relaxes and food is prepulsed through peristaltic down to stomach, lower esophageal sphincter opens and it goes into stomach

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15
Q

What is the storage region of the stomach?

A

The proximal part, fundus

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16
Q

What activates the fundus to accommodate ingesta?

A

Adaptive relaxation through PS not through Ach but through vasoactive intestinal peptide

17
Q

What part of the stomach grinds ingesta?

A

Antrum

18
Q

What increases muscular activity of the antrum?

A

PS (Ach)

19
Q

Describe the grinding of ingesta in the antrum?

A

Peristaltic waves at the proximal part moves towards the pylorus causing the pylorus to constrict. ingesta gets crushed in the peristaltic ring and propelled backwards. as the wave reaches the pylorus finely ground material sieve into the duodenum and the rest moves back to the antrum

20
Q

Describe the stomach during the cephalic phase of digestion.

A

Anticipation of food causes the vagus to prime the stomach. once food is in the stomach you get a positive sensory feedback further priming stomach and increases motility

21
Q

What hormones stimulate gastric motility?

A
  • Gastrin

- Motilin

22
Q

What hormones inhibit gastric motility?

A
  • CCK
  • Secretin
  • GIP
23
Q

What wipes the stomach of indigestible material?

A

Interdigestive migrating motility complex does this 1x/hr or constantly in herbivores