Overview GI Lecture 15 Flashcards

1
Q

Example of intrinsic and extrinsic signalling mechanisms working together

A

Vago-vagal reflex, afferent up vagus nerve, efferent down vagus to intrinsic signalling system

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2
Q

Locations of sympathetic signalling hubs

A

Celiac, sup. mesenteric and inf. mesenteric ganglia

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3
Q

List hormonal peptides to know for GI

A

CCK, gastrin, secretin, motilin, GIP

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4
Q

Gastrin, source, target, mechanism, action

A
Source- G cells of antrum
Targets - parietal cells; ECL cells
Mech. - endocrine
Action - parietal - incr. H secretion
ECL cells - incr. histamine
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5
Q

CCK, source, target, mechanism, action

A
Source - I cells in small intestine
Targets - pancreatic acinar cells; gallbladder smooth muscle
Mech. - endocrine
Action - acinar cells - incr. secretion
muscle - contraction
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6
Q

Secretin, source, target, mechanism, action

A

Source - S cells in small intestine
Targets - pancreatic ductile cells; multiple cell types in stomach
Mechanism - endocrine
Action - ductile cells - incr. H2O and bicarb. secretion;
stomach cells - decrease H secretion

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7
Q

Somatostatin, source, target, mechanism, action

A

Source - D cells of stomach
Targets - Parietal, ECL cells and G cells
Mech. - paracrine
Action - decreased H, histamine and gastrin secretion

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8
Q

Motilin, source, target, mechanism, action

A

Source - endocrine cells in stomach and duodenum
Targets - smooth muscle in those areas
Mech - endocrine
Action - incr. contraction

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9
Q

Gastrin releasing peptide (GRP) - source, target, mech. action

A

Source - enteric neurons in antrum/pancreas
Target - G cells; duct cells
Mech. - neurocrine
Action - incr. gastrin/incr. H20 and bicarb

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10
Q

VIP - source, target, mechanism, action

A

Source - enteric neurons
Targets - pancreas acinar cells; LES smooth muscle; intestinal epithelium
Mech. - neurocrine
Action - incr. enzyme secretion; relaxation; incr. H2O secretion

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11
Q

Movement through tight junctions is called…

and is dependent on the gradients in the…

A

paracellular - lumenal and serosal sides

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12
Q

Four processes of food motility

A

propulsion, separation, storage, mixing/mechanical disruption

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13
Q

slow waves in GI smooth muscle are…

A

the basic electrical rhythm of the cells and carry the cells closer to AP’s

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14
Q

pacemaker cells in the intestine are called…

and use what two types of channels?

A

Interstitial Cells of Cajal

DHP-insensitive Ca channels and Ca sensitive IRK channels

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15
Q

Resting state for GI tract is called?

is altered by?

A

ileus

inhibiting the inhibitors thereby causing contraction of smooth muscles

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16
Q

two segments of peristalsis

A

1) propulsive segment

2) receiving segment