Gastrointestinal Physiology Overview
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Questions and Answers

Which of the following are physiological processes that take place in the gastrointestinal (GI) tract?

  • Motility
  • Secretion
  • Digestion
  • Absorption
  • All of the above (correct)
  • What are the functional structures within the gastrointestinal tract?

  • Smooth muscle cells
  • Interstitial cells of Cajal
  • Secretory cells
  • All of the above (correct)
  • What are the two main layers of smooth muscle that form the gastrointestinal tract?

  • Circular and Transverse
  • Longitudinal and Transverse
  • Longitudinal and Circular (correct)
  • The muscularis mucosa is a layer of smooth muscle located between the mucosa and submucosa, and it plays a role in secretion and mucosal fold movements.

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

    What are the two key electrical properties that characterize smooth muscle cells?

    <p>Slow waves (Basic Electrical Rhythm - BER) and Spike Potentials</p> Signup and view all the answers

    Which of these is NOT a source of Calcium (Ca²+) for smooth muscle contraction?

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

    What are the two main types of contractions that occur in smooth muscle cells?

    <p>Tonic and Rhythmic contractions</p> Signup and view all the answers

    How do smooth muscle cells communicate with each other?

    <p>Gap junctions</p> Signup and view all the answers

    What plays a crucial role in coordinating and synchronizing the activity of smooth muscle cells in the GI tract?

    <p>Both A and B</p> Signup and view all the answers

    Interstitial cells of Cajal (ICCs) are characterized by a large number of processes and communicate through gap junctions with other ICCs and smooth muscle cells.

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

    ICCs are responsible for generating slow waves in smooth muscle cells, which are believed to be metabolism-dependent.

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

    ICCs receive inputs only from smooth muscle cells.

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

    Which of these is NOT a type of secretory cell in the digestive system?

    <p>All of the above</p> Signup and view all the answers

    The Enteric Nervous System (ENS). What are the two main plexuses that make up the ENS?

    <p>Both A and B</p> Signup and view all the answers

    The parasympathetic nervous system is divided into two divisions: the cranial division and the sacral division.

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

    What is the primary effect of parasympathetic stimulation on the gastrointestinal tract?

    <p>Increases the activity of the enteric nervous system</p> Signup and view all the answers

    What are some of the hormones that are secreted by the gastrointestinal tract?

    <p>All of the above</p> Signup and view all the answers

    The blood flow to the gut is unrelated to local activities.

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

    Which of the following substances released after mucosal stimulation is NOT a vasodilator?

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

    Kinins, such as kallidin and bradykinin, are released from the gut wall and lumen and can contribute to increased blood flow.

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

    Low oxygen levels in the gut can lead to reduced blood flow.

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

    Which neurotransmitter is NOT known to influence vascular flow in the GI tract?

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

    Sympathetic stimulation causes vasoconstriction in the GI tract, leading to decreased blood flow.

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

    The parasympathetic system directly affects blood vessels.

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

    What are the three main ways that digestive system activities can be controlled?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Physiology Study Notes

    • Gastrointestinal (GI) Physiology: Four main processes occur along the GI tract: motility, secretion, digestion, and absorption.
    • Functional Structures in the GI Tract: Smooth muscle cells, interstitial cells of Cajal, and secretory cells are key components.
    • Related Structures: Control systems for GI functions include neural control (enteric and autonomic nervous systems), hormonal control (GI endocrine), and blood flow to the GI.
    • Smooth Muscle Cells: Two main layers (longitudinal and circular) are usually present in the GI tract, forming a syncytium for coordinated contraction. A third layer, the muscularis mucosae, is between the mucosa and submucosa.
    • Electrical Activity: Smooth muscle cells have slow waves (basic electrical rhythm) and spike potentials; these action potentials trigger calcium influx for contraction.
    • Calcium in Contraction: Extracellular calcium and release from the sarcoplasmic reticulum are essential to smooth muscle contraction. Calcium binds to calmodulin, activating myosin and causing contraction.
    • Chemical Control: Smooth muscle cells respond to neurotransmitters and hormones, activating or inhibiting contractions depending on the type of receptor and signal transduction.
    • Integration of Responses: Smooth muscle responses are integrated by ligand binding, resulting in tonic or rhythmic contractions that regulate GI activity.
    • Interstitial Cells of Cajal (ICCs): These cells are found throughout the GI tract and act as pacemaker cells to generate slow waves, controlling electrical activity in smooth muscle. They communicate with other ICCs and smooth muscle via gap junctions.
    • ICCs Communication: This cell-cell communication, via gap junctions, synchronizes the contractile activity of smooth muscle cells, forming a syncytial response.
    • ICCs Generate Slow Waves: ICCs produce slow waves, electrical activity that regulates and synchronizes rhythmic contractions in the gut. Slow waves are metabolism-dependent.
    • ICCs Receive Inputs from the ENS: ICCs receive inputs from the enteric nervous system (ENS), mediating and regulating smooth muscle activity and promoting coordinated contractions.
    • Secretory Cells: These cells are crucial for GI secretion. Some are solitary, others form glands and secrete substances like enzymes, hormones, and mucus
    • Enteric Nervous System (ENS): The ENS is a network of nerves in the GI tract, controlling GI functions such as movement, secretion, and blood flow. Consists of two plexuses: myenteric and submucosal.
    • Neural Connectivity: Neurons within the plexuses are interconnected; sensory neurons transmit signals from the GI epithelium to enteric plexuses, prevertebral ganglia, spinal cord, and brainstem (via the vagus nerve).
    • Function of Enteric Neurons: Enteric neurons regulate GI functions through neurotransmitters, having inhibitory or excitatory effects on motility, secretion, and vascular flow.
    • Key Neurotransmitters: Acetylcholine (Ach), Substance P (SP), Vasoactive Intestinal Peptide (VIP), Calcitonin Gene-Related Peptide (CGRP), and Gastrin-Releasing Peptide (GRP) are key examples in the ENS.
    • Autonomic Nervous System: The parasympathetic division (cranial and sacral) enhances GI functions (motility, secretion, and blood flow) whereas the sympathetic division (T5-L2) reduces GI activity. Sympathetic stimulation decreases GI activity and constricts blood vessels, while parasympathetic stimulation increases activity and blood flow.
    • Endocrine Cells and Hormones: Different hormones are secreted by GI endocrine cells and influence various aspects of the GI tract such as motility and secretion. Examples include gastrin, cholecystokinin (CCK), secretin, GIP, and others.
    • Blood Flow: Meal-stimulated processes trigger an increase in blood flow to the GI tract, promoting absorption, secretion, and motility. Blood flow is regulated by various substances (vasodilators) and systems (ENS, autonomic nervous system).
    • Summary of Pathways Controlling the Digestive System: Digestive activities are controlled by external influences, intrinsic and extrinsic nerves, the ENS and hormonal pathways working together.

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    Description

    This quiz covers fundamental concepts in gastrointestinal physiology, focusing on processes such as motility, secretion, digestion, and absorption. It also explores the structural and functional components of the GI tract, including smooth muscle cells and control systems. Test your knowledge on how these processes are regulated and coordinated.

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