NMS 2001 Gastrointestinal p553-558 Flashcards

0
Q

The major stimulus for primary peristalsis in the esophagus is

A

swallowing

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1
Q

What secretion is most dependent on vagal stimulation?

A

Saliva. (salivary flow is entirely dependent on the autonomic nervous system. vagal stimulation produces a large volume of watery fluid, while sympathetic stimulation causes the secretion of proteins i.e. mucous and some enzymes)

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2
Q

What will inhibit stomach contractions?

A

Secretin

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3
Q

Gastric acid secretion increases when food enters the stomach because

A

protein digestion products directly stimulate the parietal cells to release HCl and food raises the pH of the stomach, allowing more acid to be released.

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4
Q

Gastric parietal cells secrete

A

intrinsic factor

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5
Q

What can occur without brain stem coordination?

A

gastric emptying

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6
Q

The major stimulus for gastric acid (HCl) secretion during the cephalic phase is

A

acetylcholine (ACh)

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7
Q

The major stimulus for the release of secretin is

A

HCl

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8
Q

Fats are transported from intestinal cells to blood plasma primarily in the form of

A

chylomicrons

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9
Q

Acetylcholine (ACh) is required for the contraction of

A

the upper esophageal sphincter

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10
Q

The major stimulus for receptive relaxation of the stomach is

A

food in the stomach

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11
Q

The motility pattern primarily responsible for the propulsion of chyme along the small intestine is

A

segmentation

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12
Q

Gastric acid (HCl) secretion is inhibited by

A

somatostatin

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13
Q

The major factor controlling the secretion of bile salts from the liver is the amount of

A

Bile reabsorbed from the intestine. (the amount of bile synthesized each day is not sufficient to absorb all of the fat digested. However, because the bile salts are absorbed by the intestine and returned to the liver, they can be used over and over again. The amount of bile secreted each day is thus proportional to the amount absorbed from the intestine.)

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14
Q

Micelle formation is necessary for absorption of

A

cholesterol

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15
Q

Na+ dependent transport is responsible for the absorption of; amino acids, glucose, and bile salts, but is not responsible for the absorption of

A

vitamin E

16
Q

Intestinal motility is increased by; cholecystokinin (CCK), gastrin, insulin, and motilin however, it is not increased by

A

secretin

17
Q

Cholecystokinin (CCK) secretion is stimulated by

A

amino acids, fatty acids, and bile salts. HCl does not stimulate the secretion of CCK.

18
Q

List three effects that are caused by secretin

A

stimulation of pancreatic bicarbonate (HCO3-) secretion, potentiation of pancreatic enzyme secretion by cholecystokinin (CCK), and inhibition of gastric muscle contraction. the enhancement of bile acid secretion is NOT an effect caused by secretin.

19
Q

A Na+ dependent active transport system is necessary for the intestinal absorption of

A

dipeptides, bile salts, vitamin C, and glucose. the intestinal absorption of fructose is NOT dependent on a Na+ active transport system.

20
Q

What stimulus is most important for the regulation of gastric acid (HCl) secretion?

A

histamine

21
Q

What stimulus is most important for the regulation of gastrin secretion?

A

bombesin.

22
Q

What stimulus is most important for the regulation of pancreatic enzyme ssecretion?

A

CCK

23
Q

What stimulus is most important for the regulation of gallbladder emptying?

A

CCK

24
Q

What stimulus is most important for the regulation of emptying of the intestine during the inter-digestive period?

A

Motilin

25
Q

Where does the absorption of bile acids occur?

A

ileum of the intestine

26
Q

Where does the secretion of gastrin occur?

A

Antrum of the stomach

27
Q

Where does the secretion of intrinsic factor occur?

A

Fundus of the stomach

28
Q

Where does the secretion of K+ occur?

A

colon

29
Q

Where does the absorption of iron occur?

A

duodenum