Oral and Gastric Physiology and Biochemistry Flashcards

1
Q

How much saliva do you produce per day?

A

1 liter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name the three major salivary glands and their innervation.

A

Parotid - Glossopharyngeal IX
Submaxillary - Facial VII
Sublingual - Facial VII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the function of lysozyme in saliva?

A

kills gram positive bacteria (but not gram negative)

Cleaves beta 1,4-linkages between NAM and NAG (in fungi too!)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some other components of saliva that act as bacterial defense?

A

Peroxidase: kills by producing reactive bromide and iodine molecules
Lactoferrin: binds iron and prevents bacteria/fungi growth
IgA: immunoglobulins that bind bacteria and induce immune reactions
Defensins: Antimicrobial polypeptides, form pore complexes on cell membranes
Mucins: modulate bacteria adhesion to oral tissues (teeth)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are mucins?

A

lubricants in saliva
anti-microbial
found throughout GI tract
highly O-glycosylated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some ionic components of saliva?

A

high HCO3- neutralizes bacterial produced acids

low Na+ and Cl-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name some viruses that saliva can carry.

A
Human herpes
Herpes simplex
EBV
Mumps
Rabies
HIV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some conditions that can cause xerostomia?

A

Cystic fibrosis: mutant chloride transporters to plasma

Sjogren’s syndrome: autoantibodies to salivary gland proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Three phases of gastric secretion.

A
  1. cephalic
  2. gastric
  3. intestinal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ACh

A

Stimulates HCl & histamine secretion

Inhibits Somatostatin secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What stimulates the secretion of gastrin?

A

Gastrin related peptide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What stimulates secretion of somatostatin?

A

HCl

Gastrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does somatostatin inhibit?

A

Gastrin
Histamine
HCl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does histamine do?

A

Stimulates parietal cell HCl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What digests fat?

A
lingual lipase (salivary glands) 
gastric lipase (chief cells)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What digest carbohydrates?

A

a-amylase (ptyalin) - salivary glands

17
Q

What digests proteins?

A

Pepsinogens (chief cells)

18
Q

What stimulates pepsinogen secretion from chief cells?

A

ACh
Gastrin
Secretin
CCK

19
Q

What is the reflex that relaxes the stomach wall for storage?

A

Vaso-vagal reflex

20
Q

What does stretching of the stomach wall by food stimulate?

A

Myenteric reflexes to increase activity of pylorus pump

Gastrin also stimulates the pylorus pump