Autonomic Nervous System Overview
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Questions and Answers

What are the two main subdivisions of the autonomic nervous system?

  • Cerebral cortex and spinal cord
  • Sensory nervous system and motor nervous system
  • Central nervous system and peripheral nervous system
  • Sympathetic nervous system and parasympathetic nervous system (correct)
  • What is the enteric nervous system commonly abbreviated as?

  • ENS (correct)
  • ANS
  • CSN
  • PNS
  • Which part of the autonomic nervous system is primarily responsible for the fight-or-flight response?

  • Enteric nervous system
  • Parasympathetic nervous system
  • Somatic nervous system
  • Sympathetic nervous system (correct)
  • Which statement about the parasympathetic nervous system is accurate?

    <p>It controls involuntary functions such as digestion.</p> Signup and view all the answers

    What is a primary function of the enteric nervous system?

    <p>Managing gastrointestinal functions</p> Signup and view all the answers

    What is the primary effect of norepinephrine (NE) secretion on gastrointestinal (GIT) smooth muscle?

    <p>Inhibition of smooth muscle activity</p> Signup and view all the answers

    Which of the following is NOT a consequence of norepinephrine's action on the GIT?

    <p>Increased motility of the gut</p> Signup and view all the answers

    What type of nerve fibers innervate the gut according to the content?

    <p>Afferent sensory nerve fibers</p> Signup and view all the answers

    What components make up the enteric nervous system (ENS)?

    <p>Intrinsic and extrinsic components</p> Signup and view all the answers

    What is the role of the parasympathetic nervous system in gastrointestinal motility?

    <p>Increases motility</p> Signup and view all the answers

    In which part of the digestive system do these types of contraction primarily occur?

    <p>Esophagus</p> Signup and view all the answers

    What is a key characteristic of the voluntary stage of swallowing?

    <p>Tongue pushes food toward the pharynx</p> Signup and view all the answers

    Which of the following best describes the mechanics of the pharyngeal stage of swallowing?

    <p>The bolus is propelled into the esophagus</p> Signup and view all the answers

    What distinguishes primary peristalsis from secondary peristalsis?

    <p>Primary occurs after swallowing while secondary is reflexive</p> Signup and view all the answers

    Which of the following is NOT a function of the stomach?

    <p>Digestion of carbohydrates</p> Signup and view all the answers

    What primarily triggers an increase in peristaltic activity after a meal?

    <p>Stretching of the duodenal wall</p> Signup and view all the answers

    Which hormone is primarily associated with increasing gastrointestinal motility during fasting?

    <p>Motilin</p> Signup and view all the answers

    What is the role of the gastroileal reflex in gastrointestinal motility?

    <p>Intensifies peristalsis in the ileum</p> Signup and view all the answers

    How does motilin affect gastric and intestinal motility?

    <p>It stimulates gastric and intestinal motility</p> Signup and view all the answers

    Which of the following hormones inhibits intestinal motility?

    <p>Secretin</p> Signup and view all the answers

    What initiates the voluntary stage of swallowing?

    <p>Pressure from the tongue against the palate</p> Signup and view all the answers

    What happens to swallowing after the pharyngeal stage begins?

    <p>It is completely automatic and cannot be stopped</p> Signup and view all the answers

    Which type of contractions occur at the sphincters during digestion?

    <p>Peristaltic contractions</p> Signup and view all the answers

    What is the role of local intermittent constrictive contractions in the gastrointestinal tract?

    <p>They assist in mixing and movement of food</p> Signup and view all the answers

    Which statement best describes the voluntary stage of swallowing?

    <p>It is the only stage that can be consciously controlled</p> Signup and view all the answers

    What triggers a constrictive ring in the colon during mass movements?

    <p>Distended or irritated point in the colon</p> Signup and view all the answers

    How frequently do mass movements occur in the colon?

    <p>1 to 3 times per day</p> Signup and view all the answers

    What happens to the portion of the colon distal to the constrictive ring during mass movements?

    <p>It loses haustrations and contracts as a unit</p> Signup and view all the answers

    What reflexes facilitate mass movements in the colon?

    <p>Gastrocolic and duodenocolic reflexes</p> Signup and view all the answers

    What condition is associated with persistent mass movements in the colon?

    <p>Ulcerative colitis</p> Signup and view all the answers

    Study Notes

    Gastrointestinal Tract (GIT) Motility

    • The GIT's motility is controlled by the Central Nervous System (CNS), Autonomic Nervous System (ANS), and the Enteric Nervous System (ENS)
    • Phasic and tonic contractions are two types of contractions with different functions
    • Phasic contractions occur rhythmically and are determined by slow waves, followed by relaxation
      • Occur in the esophagus and small intestine
    • Tonic contractions are maintained contractions, not associated with slow waves
      • Occur in sphincters
      • Intensity can increase or decrease

    Learning Objectives

    • Describe the composition of the CNS, ANS & ENS, and their relationship.
    • Differentiate between phasic and tonic contractions in the GIT, and where they occur.
    • Explain the voluntary and pharyngeal stages of swallowing.
    • Compare and contrast primary and secondary peristaltic movements.
    • Detail the functions of the stomach, including the causes of retropulsion and pyloric spasm.
    • Explain the motility of the small intestine, including segmentation and peristalsis, and the roles of hormones in regulating motility.
    • Describe the main functions of the large intestine, and how mass movements occur.
    • Discuss the roles of hormones in regulating gastrointestinal motility.

    Neural Control of GIT Functions

    • The ENS, a component of the intrinsic system, consists of two plexuses:
      • The myenteric plexus (Auerbach's plexus) which controls GIT movements.
      • The submucosal plexus (Meissner's plexus) which controls GIT secretions and local blood flow.
    • The extrinsic component, the ANS, influences GIT function:
      • The parasympathetic nervous system increases motility and secretions (stimulates GIT functions)
      • The sympathetic nervous system inhibits motility and secretions.
    • The ENS functions independently.

    Sensory Nerve Endings

    • Many sensory nerve fibers in the gut respond to stimuli like irritation, distension, and chemicals
    • These stimuli may cause excitation or inhibition of intestinal movements or secretions.

    Swallowing (Deglutition)

    • Swallowing involves three stages:
      • Voluntary (mouth)
      • Pharyngeal
      • Esophageal
    • The voluntary stage involves the tongue squeezing food posteriorly toward the pharynx.
    • The pharyngeal stage involves the stimulation of swallowing receptor areas, resulting in impulses traveling to the brain stem swallowing center.
      • The palate, palatopharyngeal folds and epiglottis are involved to prevent food from entering the nasal cavities, trachea and lungs.
    • The esophageal stage involves primary peristalsis initiated in the pharynx, to propel the food to the stomach via the esophagus.

    Esophageal Stage

    • Primary peristalsis is a continuation of the pharyngeal stage peristaltic wave that moves food from the pharynx to the stomach.
    • Secondary peristalsis occurs in response to food stuck in the esophagus
    • The process continues until all food that entered the esophagus is emptied into the stomach

    Motor Functions of the Stomach

    • The stomach stores large quantities of food.
    • Mixes the food with gastric secretions to form chyme.
    • Empties chyme into the small intestine.

    Retropulsion

    • Weak peristaltic constrictor waves (mixing waves) in the stomach
    • Constrictor waves in the mid-upper stomach that move towards the antrum
    • Propel food under higher pressure towards the pylorus

    Pylorus

    • The pylorus opening is small and only a limited amount of antral contents is expelled per peristaltic wave.
    • Peristaltic wave contracts the pyloric muscle which impedes contents from emptying into the duodenum (important in the mixing process).

    Motility of the Small Intestine

    • The small intestine utilizes mixing contractions (segmentations) and propulsive movements (peristalsis).
      • Segmentation involves localized concentric contractions that mix chyme to increase its contact with digestive enzymes.
    • Peristalsis propels chyme through the intestines.
      • The gastro-enteric and gastro-ileal reflexes enhance peristaltic activity.

    Hormones and Intestinal Motility

    • Certain hormones increase intestinal motility, while others inhibit it.
      • Gastrin, CCK, insulin, motilin, and serotonin increase intestinal motility
      • Secretin, Glucagon inhibit intestinal motility.

    Large Intestine

    • Absorption of water and electrolytes from chyme into solid feces
    • Storing fecal matter until expulsion.
      • Mixing through haustrations, and
    • Propulsive movements (mass movements).

    Defecation

    • The reflexes are transmitted by the autonomic nervous system.
    • Irritation can initiate intense mass movements (e.g., in ulcerative colitis).

    Pyloric Spasm

    • Pyloric spasm is a condition where the pylorus becomes more constricted than normal.
      • This leads to food staying in the stomach longer than normal, which increases stomach acidity
      • This can cause vomiting and pain

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    Description

    Test your knowledge about the autonomic nervous system with this quiz covering key concepts such as the enteric nervous system, fight-or-flight response, and gastrointestinal functions. Answer questions on the roles of sympathetic and parasympathetic divisions in the body. Perfect for students studying physiology or neuroscience!

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