More Revision Questions Flashcards

1
Q

List 2 functions of storage in reference to the alimentary tract

A

Helps to store the food for enzymatic action

Helps to store indigestible material in the large intestine

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2
Q

Which part of the stomach is endowed with thick muscles and principally responsible for the grinding of the food?

A

Antrum

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3
Q

Name a paracrine secretion of the alimentary tract that inhibits gastrin-mediated acid secretion and name the cell type that secretes it

A

Somatostatin

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4
Q

Name 2 endocrine secretions of the alimentary tract and the organs that secrete them

A

Secretin (small intestine)

Gastrin (stomach)

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5
Q

The alimentary system is described as having its own nervous system. What is the name of this nervous system?

A

Enteric nervous system

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6
Q

Name an example of a nerve that sends impulses from the gut muscle and mucosa to the spinal cord and signals back to the gut via the enteric nervous system

A

Splanchnic nerve

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7
Q

Name 2 neurotransmitters that reciprocally the vago-vagal reflex which mediates the motility/secretion and relaxation of the gastric contents

A

Acetylcholine/SP and VIP

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8
Q

Name the 2 nerve fibres that are intrinsic to the gut and their functions

A

Auerbach’s (myenteric) plexus: mediate contractions (motor function – innervated by both sympathetic and parasympathetic systems
Meissner’s (submucosal) plexus: intestinal secretions – innervated; receives only parasympathetic input

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9
Q

Name 2 mediators that modulate the reciprocal control of gastric motility

A

Ach and VIP

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10
Q

The relaxation of the stomach to accommodate food can be mediated by reflexes and 3 types of relaxation can be identified. Name 2 of these

A

Receptive relaxation– stimulation of pharynx
Adaptive relaxation – presence of food in the stomach (tension; vagal inhibitory fibres: presynaptic release of ACh, followed by VIP/NO, etc. release which help to relax the muscle
Feedback relaxation – CCK (nutrients)

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11
Q

Name one food type that inhibits gastric motor activity

A

Fats

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12
Q

Name the exocrine secretions of the gut which help in the digestion of:

Starch (carbohydrates)
Fats (dietary lipids)

A

Starch (carbohydrates): salivary amylase

Fats (dietary lipids): pancreatic lipase

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13
Q

What are the effects of these secretions?

A

Starch: salivary amylase converts starch to maltose; maltase converts maltose to glucose; sucrase converts to sucrose to fructose and glucose
Lipase converts triglycerides to monoglycerides (glycerol) and fatty acids

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14
Q

Name the secretion and the organ it is secreted from that helps in the emulsification of fats

A

Bile, gallbladder

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15
Q

Define steatorrhoea

A

excretion of high amounts of fatty stool, due to lack of fat absorption in small intestine; usually as a consequence of lack of or insufficient release of pancreatic lipase; it is smelly with fat globules in it.

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16
Q

Name 2 conditions/diseases that can lead to the malabsorption of fats

A

Gallstones, pancreatitis, Crohn’s disease, liver disease