Session 2 Lecture 1 Flashcards

1
Q

What are the different control mechanisms of the gut?

A

Autonomic nervous system
Enteric nervous system
Hormones and paracrine substances

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2
Q

Briefly describe the autonomic nervous system

A
  • Cell bodies reside in the CNS
  • Preganglionic fibre synapse with an autonomic ganglia outside the CNS
  • Postganglionic fibre synapse on peripheral effector organs
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3
Q

What two types of neurones are involved in each pathway in the autonomic nervous system?

A

Preganglioic and postganglionic

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4
Q

What substance do all preganglioic fibres release?

A

Acetylcholine

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5
Q

What substances do all post ganglionic fibres release?

A

Acetylcholine, neuropeptides or norepinephrine

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6
Q

Describe the preganglionic and postganglionic fibres of the parasympathetic nervous system

A

Long preganglioic and short postganglionic

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7
Q

Describe the pathway of sympathetic nerves?

A

Pass through paravertebral sympathetic trunk without synapsing. For abdominopelvic presynaptic splanchnic nerves. These splanchnic nerves synapse with prevertebral ganglia.

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8
Q

What is the function of the parasympathetic nervous system in the GI system?

A

Innervates smooth muscle/endocrine and secretory cells

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9
Q

What is the enteric nervous system?

A

It is one of the divisions of the nervous system that can operate completely independently (second brain)

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10
Q

What are the two main plexuses of the enteric nervous system?

A

Submucosal (meissner’s)

Myenteric (Auerbach’s)

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11
Q

Where submucosal (meissner’s) plexus found?

A

Submucosa

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12
Q

Where is the myenteric (auerbach’s) plexus found?

A

In between the circular and longitudinal muscle

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13
Q

What is the submucosal (meissner’s) plexus function?

A

Secretions and blood flow

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14
Q

What is the myenteric (auerbach’s) plexus function?

A

Motility

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15
Q

What are the two broad categories of gastrointestinal hormones?

A

Gastric family and secretin family

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16
Q

What are the two hormones that are part of the gastric family of GI hormones?

A

Gastrin and cholecystokinin (CCK)

17
Q

What is the function of CCK)

A

Increases pancreatic/gallbladder secretions

  • Stimulated by fat and protein
  • Gall bladder contracts
  • Pancreas stimulated
18
Q

What is the main function of gastrin?

A

Increases gastric acid secretion

19
Q

What are the different hormones in the secretin family of the GI hormones

A

Secretin and gastric inhibitory polypeptide (GIP)

20
Q

What is the function of secretin?

A
  • Stimulated by H+ and fatty acids
  • Increases HCO3 from pancreas/gallbladder
  • Decreases gastric acid secretion
21
Q

What is the function of GIP?

A
  • Cells in the duodenum and jejunum
  • Stimulated by sugars, amino acids and fatty acids
  • Increases insulin
  • Decreased gastric acid secretions