Digestive Hormones and Regulation
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Questions and Answers

Which of the following physiological responses would most likely occur if somatostatin secretion were completely inhibited?

  • Inhibition of hydrochloric acid secretion in the stomach.
  • Increased rate of nutrient absorption in the small intestine. (correct)
  • Reduced vasodilation in the gastrointestinal tract.
  • Decreased bicarbonate release from the pancreas.
  • A patient presents with a condition causing excessive gastrin secretion. Which of the following symptoms would be the most likely consequence?

  • Decreased pepsinogen production.
  • Increased gastric acid production. (correct)
  • Reduced gastric motility.
  • Inhibition of duodenal bicarbonate release.
  • If the vagus nerve (a major component of the parasympathetic nervous system) is severed, what effect would this have on GI function during digestion?

  • Increased somatostatin secretion
  • Decreased blood flow to the GI tract (correct)
  • Potentiation of the sympathetic nervous system
  • Increased VIP production
  • A researcher is investigating the effects of a novel drug on digestive processes. The drug selectively inhibits the submucosal (Meissner’s) plexus. Which of the following would be the expected outcome?

    <p>Decreased regulation of blood flow and secretions in the digestive tract. (A)</p> Signup and view all the answers

    What is the most likely effect of increased sympathetic nervous system activity on gastrointestinal function?

    <p>Inhibition of peristalsis (D)</p> Signup and view all the answers

    A patient with a history of gallstones experiences severe abdominal pain after consuming a high-fat meal. Which of the following hormones is most likely involved in this patient's discomfort?

    <p>Cholecystokinin (CCK) (C)</p> Signup and view all the answers

    Following gastric bypass surgery, patients often experience a rapid emptying of gastric contents into the small intestine. Which hormone's function is most directly compromised by this surgical alteration?

    <p>Cholecystokinin (CCK) (B)</p> Signup and view all the answers

    A pharmaceutical company is developing a drug that mimics the action of secretin. What potential therapeutic effects could be expected from this medication?

    <p>Decreased gastric acid secretion and increased pancreatic bicarbonate secretion. (D)</p> Signup and view all the answers

    Which of the following stimuli primarily activates sensory receptors along afferent fibers of the vagus nerve, influencing digestive processes?

    <p>Mechanical distension and chemical composition changes within the gastrointestinal tract. (D)</p> Signup and view all the answers

    Damage to the superior cervical ganglion would most likely disrupt which digestive function?

    <p>Sympathetic innervation to the salivary glands. (B)</p> Signup and view all the answers

    Which scenario is the BEST example of a gastrocolic reflex?

    <p>Increased colonic motility in response to the presence of food in the stomach. (C)</p> Signup and view all the answers

    A patient with xerostomia (dry mouth) is MOST likely to experience difficulty with which of the following digestive processes?

    <p>Initial breakdown of carbohydrates via salivary amylase. (B)</p> Signup and view all the answers

    If the lower esophageal sphincter malfunctions, allowing stomach acid to reflux into the esophagus, which secretion is MOST critical for protecting the esophageal lining?

    <p>Bicarbonate-rich mucous (C)</p> Signup and view all the answers

    Following a partial gastrectomy (removal of part of the stomach), a patient might develop pernicious anemia due to the reduced secretion of which substance?

    <p>Intrinsic factor (A)</p> Signup and view all the answers

    Which of the following exemplifies the exocrine function of the pancreas during digestion?

    <p>Secretion of pancreatic lipase, amylase, and inactive protease precursors into the small intestinal lumen. (D)</p> Signup and view all the answers

    A patient with liver cirrhosis experiences impaired synthesis of bile. This would MOST directly affect the digestion and absorption of which nutrient?

    <p>Lipids (C)</p> Signup and view all the answers

    Flashcards

    Gastrin

    A hormone secreted by G cells that stimulates gastric acid secretion.

    CCK

    Cholecystokinin, a hormone that triggers gallbladder contraction and stimulates the pancreas.

    Secretin

    A hormone released from the duodenum in response to low pH that stimulates bicarbonate release.

    Somatostatin

    A hormone that inhibits gastric and pancreatic secretions, slowing digestion.

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    Enteric Nervous System

    A network of neurons that governs the function of the gastrointestinal system.

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    Myenteric Plexus

    Part of the Enteric Nervous System that regulates gut motility.

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    Submucosal Plexus

    Part of the Enteric Nervous System that regulates secretions and blood flow.

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    Chyme

    The semi-fluid mass of food that enters the duodenum from the stomach.

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    Sensory information transmission

    Conveyed to the CNS via afferent fibers of the Vagus nerve.

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    Parasympathetic nerves to the gut

    Glossopharyngeal (IX) and Facial (VII) innervate salivary glands; Vagus innervates the digestive tract.

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    Sympathetic innervation to salivary glands

    Travels through the superior cervical ganglion.

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    Digestive reflexes

    Reflex loop sending sensory information to the CNS and receiving motor information.

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    Main secretion of the mouth

    Saliva, essential for digestion.

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    Function of mucus in the esophagus

    Lubricates and protects against excoriation and acidic erosion.

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    Liver secretion into the lumen

    Bile, aids in lipid emulsification.

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    Pancreatic secretions into the lumen

    Includes enzymes like pancreatic lipase and bicarbonate-rich fluid.

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    Study Notes

    Digestive Hormones and Regulation

    • Types of Digestive Hormones: Polypeptides are the most likely type.

    Major Digestive Hormones

    • Gastrin: Released by G cells in the stomach and duodenum, stimulated by food in the stomach or duodenum. Stimulates gastric release of hydrochloric acid and pepsinogen.

    • Secretin: Secreted by the duodenum. Released in response to low pH (chyme entering the duodenum). Affects the pancreas (bicarbonate release, acid inhibition), and slows peristalsis.

    • CCK: Secreted by cells in the duodenum and jejunum in response to lipids and their catabolites. Stimulates gallbladder contraction, pancreas, slowing gastric emptying, and the satiety center.

    Other Digestive Hormones

    • Somatostatin: Released by cells in gastric glands and the pancreas (and some hypothalamic cells). Functions to inhibit secretions of the stomach, duodenum, and pancreas, reducing nutrient absorption.

    • VIP: Produces vasodilation in GI tract blood vessels during digestion in response to parasympathetic input.

    Nutrient Absorption and Blood Flow

    • Increased blood flow to the GI tract: Ensures adequate oxygen to working cells and nutrient absorption, facilitating plasma precursor for mucus secretions.

    Regulation by Nervous Systems

    • CNS and Autonomic Outflow: GI secretions are regulated via the CNS (autonomic outflow). Parasympathetic activity is generally more prominent than sympathetic during digestion.

    • Enteric Nervous System (ENS): Moderates GI secretions and directly influences GI cells, extending along the length of the digestive tract composed of the Myenteric and Submucosal plexuses.

    • Myenteric Plexus: Regulates smooth muscle contraction, causing peristalsis and sphincter control.

    • Submucosal Plexus: Regulates secretions and blood flow throughout the digestive tract.

    • Sensory Inputs: The plexuses detect mechanical (stretch, tension), thermal, osmotic, and chemical stimuli, transmitted to the CNS along afferent vagal fibers.

    • Parasympathetic Nerves: The vagus nerve (and IX, VII) innervate most of the digestive tract. IX and VII innervate salivary glands, with sacral nerves innervating the colon.

    • Sympathetic Innervation: Splanchnic nerves conduct sympathetic innervation to most of the GI tract, while superior cervical ganglion nerves innervate salivary glands.

    • Digestive Reflexes: Digestive reflexes involve sensory input relayed to the CNS, which triggers motor responses.

    Secretion from Various Digestive Organs

    • Mouth: Saliva is the major secretion.

    • Esophagus: Mucous (bicarbonate rich) lubricates and protects against acid erosion.

    • Stomach: Secretes gastrin into the blood; hydrochloric acid, pepsinogen, mucous, gastroferrin, and intrinsic factor into the digestive tract.

    • Small Intestine: Secretes secretin and CCK into the blood; mucous, lysozyme, defensins into the lumen.

    • Colon: Secretes mucous rich in mucin.

    • Pancreas: Secretes insulin, glucagon, somatostatin into the blood, pancreatic enzymes (lipase, amylase, ribonucleases) and inactive enzymes (trypsinogen, chymotrypsinogen, procarboxypeptidases A & B, pro-elastase) into the lumen, and bicarbonate-rich fluid (up to 2 liters/day).

    • Liver: Synthesizes plasma proteins, VLDLs, and HDLs, releasing them into the blood, and secretes bile into the lumen. Bile contains bile salts/acids for lipid emulsification, and bilirubin from heme breakdown.

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    Description

    Explore the key digestive hormones including Gastrin, Secretin, CCK, Somatostatin, and VIP. This quiz covers their functions, secretion sites, and physiological roles in digestion. Test your knowledge and understanding of how these hormones influence digestive processes.

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