Physio Pre ICA Flashcards
What does the lower oesophageal sphincter do?
It relaxes to accommodate the bolus.
It protects against gastroesophageal reflux.
What does the fundus of the stomach do?
It produces HCL, pepsinogen, intrinsic factor, and lipase.
What does the antrum of the stomach do?
It produces peptide hormone gastrin and is involved in the mixing and grinding of chyme
What does the parietal cells in the gastric gland secrete?
Acid and intrinsic factor.
What does the ECL cells in the gastric gland secrete?
Histamine.
What does the chief cells in the gastric gland secrete?
Pepsinogen.
After meal stimulation, what is the ionic change that happens in the gastric juice?
Increase in chloride and hydrogen ion. (HCL)
Decrease in potassium, sodium, and bicarbonate.
Hydrochloric acid is hypotonic or isotonic?
Isotonic.
The tubulo-vesicles of the parietal cell are stimulated by which hormones?
Acetylcholine and histamine.
What happens when the tubulo-vesicles fuse into secretory canaliculi?
They pump hydrochloric acid out of the cell and into the gastric gland/lumen of the stomach.
What does carbonic anhydrase release during parietal secretion?
It releases carbonic acid from water and carbon dioxide.
What happens when the carbonic acid dissociates during parietal secretion?
The hydrogen leaves in exchange for potassium.
The bicarbonate leaves, and the urine becomes alkaline because of the bicarbonate.
What does acetylcholine stimulate in motor neurones?
The release of pepsinogen from chief cells.
The release of histamine from ECL cells.
The release of HCL from parietal cells.
What does the cholinergic (GRP) stimulate during vagal outflow?
The release of gastrin from G cells.
What are the three factors that stimulate gastric secretion?
The hormone gastrin, Histamine, and acetylcholine.
From which type of cells is gastrin secreted?
Antral G cells.
When gastrin is secreted, how does it stimulate acid secretion?
Gastrin stimulates the release of histamine from ECL cells. Histamine stimulates acid secretion.
If the body wants to prevent overstimulation of gastric acid, which hormone does it produce?
Somatostatin.
Somatostatin comes from which type of cells?
D cells.
Somatostatin blocks which hormone?
It blocks the secretion of gastrin.
What happens when low antral pH is low?
Somatostatin is released.
What is glycoprotein mucin?
It is the most important part of mucus. It is hydrolysed by pepsin.
How is pepsin formed in the gastric juice?
Low pH causes the cleavage of pepsinogen into pepsin.
What is the importance of intrinsic factor?
It helps absorb vitamin B12.
What does vitamin B12 bind to when ingested?
Haptocorin.
What happens when haptocorin is released from vitamin B12?
Vitamin B12 bind to intrinsic factor.
What happens when parietal cells stop functioning?
Malabsorption of vitamin B12. (also happens in destruction of terminal ileum)
What are the interstitial cells of cajal?
They are the pacemaker cells for generation of slow waves.
Gastric emptying is faster for liquid meals or solid meals?
Liquid meals.
Why must we chew food?
Because some foods have a cellulose membrane.
Chewing muscles are innervated by which nerve?
Trigeminal.
What are the three salivary glands?
Parotid, sublingual and submandibular
What does the parotid gland do?
It is a serous only and is high in amylase.
What does the sublingual and the submandibular glands do?
Secrete both mucus and serous.
What does the von ebner gland do?
Secrete serous and is high in lipase.
What does the buccal gland do?
Secretes mucus only.
Saliva is hypotonic or isotonic?
Hypotonic.
Which ions are high in saliva?
Potassium and Bicarbonate.
What ions are low in saliva?
Chloride and Sodium.
What is another name of pancreatic islets?
Islets of langerhans.
What are ions that are high in plasma?
Chloride and Sodium.
What are ions that are low in plasma?
Potassium and Bicarbonate.
Why does tonicity of saliva increase with flow rate?
It becomes hypotonic because chloride gets reabsorbed from the saliva and into the duct.
What ions are high and low in the acini?
High - Chloride and Sodium.
Low - Potassium and bicarbonate.
What makes the saliva alkaline?
Bicarbonate.