Unit 6 A Flashcards

1
Q

what are the 3 wordy functions of the GI system

A
  1. be able to digest macromolecules but not itself
  2. allow entry for nutrients but not pathogens
  3. maintain water balance
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2
Q

what are 5 protection methods the Gi tract uses to prevent pathogens from getting in

A
  1. epithelial barrier
  2. mucus
  3. digestive enzymes
  4. acid
  5. Gut Associated Lymphoid Tissue (GALT)
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3
Q

what are peptic and duodenal ulcers?

A

no barrier or sores on GI lining

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4
Q

what 4 things make up the GI and what is the order for the intestines

A

stomach
small intestine: duodenum -> jejunum -> ileum (the most digestion occurs here)
large intestine- colon -> rectum
esophagus

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5
Q

what are the four layers in the GI tract wall ?

A
  1. Mucosa
  2. Submucosa
  3. Smooth muscle layers
  4. Serosa
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6
Q

what is the serosa and what is it made up of ?

A

its the outermost covering of the GI tract wall made up of epithelium

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7
Q

what is the smooth muscle layer of the GI tract and what is it made up of ?

A

its the 2nd outer wall of the GI made up of the circular and longitudinal muscle and auerbach plexus nerve

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8
Q

what is the submucosa and what is it made up of ?

A

is it the middle layer of the wall and it is made up of connective tissue and contains the meissner plexus nerve (yellow) and large blood vessels

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9
Q

what is the mucosa and what is it made up of ?

A

the mucosa is the most inner lining of the GI and it is made up of the epithelium, lamina propria which holds the epithelium in place and muscularis mucosa

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10
Q

what are 4 main functions of the GI tract ?

A
  1. motility
  2. secretion
  3. digestion
  4. absorption
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11
Q

what are 3 patterns of gut motility contraction and explanation?

A
  1. peristalsis- moving food from mouth to anus
  2. segmental- mixing/churning
  3. migrating motor complexes-sweeps tract
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12
Q

what is the mechanisms for peristaltic contraction ?

A

continuous pinching and relaxation of the muscle that pushes the bolus fowards to the anus

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13
Q

what is the mechanisms for segmental contraction ?

A

alternate segment of contraction that has little or net forward movement that allows for mixing of the intestinal content

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14
Q

what type of muscles mainly makes up the GI tract and what are the two types of controls over the muscle

A

single unit smooth muscle has tonic and phasic contraction

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15
Q

what is the tonic controls and affect of the single unit muscles and where it occure

A

it is contracted for minutes to hours and occur in smooth muscle sphincters and keeps food from moving backwards

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16
Q

what is the phasic control and affect on the single unit muscles and where it occurs

A

it is for a few seconds and happens in the posterior stomach and small intestines

17
Q

what happens between meals ?

A

migrating motor complexes sweep down the tract when it is largely empty with a series of contraction for 90 minutes from stomach to large intestine

18
Q

what happens during/after meals ?

A

peristaltic and segmental contractions

19
Q

what attaches smooth muscles to becomes single unit muscles ?

A

they are coupled by gap junction

20
Q

what are slow wave potentials ?

A

its depolarization and repolarization controls the cycles of smooth muscles contraction as it fires APs

21
Q

what happens to slow waves below and above threshold

A

blow threshold there is no contraction
above threshold voltage ca channels open and Aps are fired and contraction occurs

22
Q

how is the amount of contraction determined ?

A

it is dependant on the amount of Ca that enters which is a longer wave larger contraction

23
Q

what are the 3 things the influences calcium volume?

A
  1. neurotransmitters
  2. hormones
  3. paracrine factors
24
Q

what 4 things are secreted ?

A
  1. water and ions -secreted in lumen and reabsorbed
    2.enzymes
  2. mucus
  3. saliva
25
Q

how acid secreted and where is it done ?

A

acid (H+) is secreted in into the lumen of the stomach whilst biocarb is moved to the interstital fluid and this all occurs in parital cells

26
Q

what the difference of pH between the lumen and parietal cells ?

A

the lumen is low as pH1 and parietal is approx 7.2 ph

27
Q

what is the 4 step pathway for NACL secretion ?

28
Q

where does NaCl secretion occur ?

A

small intestine,colon,salivary glang