Salivation Flashcards

1
Q

Approx how much saliva is produced a day and what’s the flow rate?

A

1L
resting = 0.5ml/min
maximal = 7ml/min

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2
Q

which gland makes the most fluid?

Which gland makes what secretion?

A

submandibular

parotid (20) - serous
submandibular (70) - mainly serous
sublingual (5) - mainly mucous
simple (5) - mucous

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3
Q

Acinar cells – what kind of secretion do they make relative to plasma? Are salivary proteins made?

A

isotonic

salivary proteins are made

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4
Q

Duct cells – What ions are reabsorbed, what ions are secreted? What’s it impermeable to? What does saliva become after passing this area relative to plasma?

A

Na and Cl reabsorbed

K and HCO3 are excreted

impermeable to water

hypotonic to plasma

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5
Q

What are the 3 types of ducts?

A

intercalated
striated
lobar/excretory

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6
Q

Why do Na+ and Cl- levels in the saliva have a lower concentration than K+ and HCO3- at a low flow rate? Why do they go up with flow rate?

A

because they get reabsorbed
reabsorption>secretion

as secretion>reabsorption with faster flow rate

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7
Q

What is K+ trend to flow rate, and why? Why doesn’t HCO3- follow the same trend as K+?

A

duct cells secrete more bicarbonate

bicarbonate is an active process, everything else is passive

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8
Q

Other than ions, what else is secreted?

A

mucous
proteins (IgA)
enzymes (amylase, lysozyme)

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9
Q

Is salivary production controlled mainly by hormones or nerves?
Where is the salivary centre?

A

neural

medulla

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10
Q

If the sympathetic NS is activated, what saliva is produced? What about PS?

A

SNS-mucous saliva

PNS-serous saliva

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11
Q

What’s the difference between simple and conditioned reflex?

A

simple:
Stimulation of receptors- found in the medulla – in the salivary centre.
Response is to increase activity of ANS

conditioned:
take place from higher centres. Activation without the sensory inputs

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12
Q

PS activation – makes serous saliva rich in what?
Describe how Kallikrien and bradykinin fit into the picture
Why do you get dry mouth in stage fright?

A

enzymes

Activation of PS stimulate release of kallikrein to create a peptide called bradykinin = vasodilation and capillary permeability increases so more blood escapes to pass between acinar cells to form the secretion

– Activated sympathetic leads to vasoconstriction – shuts off production via this mechanism – not enough fluid in the blood

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13
Q

Some functions of saliva?** 7 total

A
amylase - breakdown or polysaccharides 
produces mucous - swallowing 
protective - lysozyme, IgA
solvent for taste
moisturiser - speech
oral hygiene 
contain bicarbonate - neutralises acids
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14
Q

What are the 2 phases of swallowing? Describe them.

A

Oropharyngeal
Food bolus is directed into eosophagus (requires sealing off nasal passages (by uvula) and the trachea (by the glottis)

Eosophageal
Eosophagus is protected from damage caused by passing food bolus by mucous secretion
Movement by peristalsis (gravity assisted)

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15
Q

why doesn’t food move up the oesophagus

A

peristalsis

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16
Q

Some functions of stomach?** 4

A

storage of food
initiation of protein digestion
kill ingested bacteria
form chyme, before small intestines

17
Q

why doesn’t intragastric pressure increase in the stomach?

A

Intragastric pressure does not increase much due to distention of the stomach wall and reflex (vagal) inhibition of smooth muscle tone