chapter 15 . quiz 4. Gastrointestinal System Nociception and Innervation

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Questions and Answers

Which nerves are responsible for innervating the parietal peritoneum, abdominal wall muscles, and skin?

  • Ventral rami of thoracoabdominal nerves (correct)
  • Sympathetic fibers
  • Parasympathetic fibers
  • Splanchnic nerves

Which part of the colon receives sympathetic innervation from T5-L2?

  • Descending colon
  • Sigmoid colon
  • Rectum
  • Proximal part of the colon (correct)

What is the function of sympathetic efferent nerves in the gastrointestinal system?

  • Stimulate peristalsis and gastric distension
  • Regulate digestive enzyme secretion
  • Inhibit peristalsis and gastric distension and cause GI vasoconstriction (correct)
  • Transmit visceral pain

Where do preganglionic sympathetic fibers exit the spinal cord?

<p>As gray rami communicants (A)</p> Signup and view all the answers

What is the function of sympathetic afferent fibers in the gastrointestinal system?

<p>Transmit visceral pain (C)</p> Signup and view all the answers

Which ganglia and plexus are formed by the sympathetic fibers in the upper abdomen?

<p>Celiac plexus (D)</p> Signup and view all the answers

Which nerves are responsible for innervating the liver, stomach, pancreas, and small bowel?

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

What is the origin of sympathetic fibers innervating the descending colon, sigmoid, and rectum?

<p>T9-L3 (B)</p> Signup and view all the answers

Where do the preganglionic sympathetic fibers synapse with postganglionic fibers?

<p>Celiac plexus (D)</p> Signup and view all the answers

What is the function of the ventral rami of thoracoabdominal nerves in the gastrointestinal system?

<p>Innervation of parietal peritoneum, abdominal wall muscles, and skin (A)</p> Signup and view all the answers

What is the primary function of afferent parasympathetic nerves in the gastrointestinal system?

<p>Transmitting sensations of satiety, nausea, and distension (D)</p> Signup and view all the answers

Where are parasympathetic postganglionic neurons located in the gastrointestinal system?

<p>Myenteric and submucosal plexuses (D)</p> Signup and view all the answers

Which spinal cord segments are responsible for innervating the colon, rectum, and internal and external genitalia?

<p>S2-S4 (C)</p> Signup and view all the answers

What is the function of efferent parasympathetic nerves in the gastrointestinal system?

<p>Increasing secretion, sphincter relaxation, and peristalsis (D)</p> Signup and view all the answers

What is the pathway of some vagal fibers that supply the abdominal viscera?

<p>Through the prevertebral fibers (celiac plexus) (A)</p> Signup and view all the answers

Which part of the colon receives parasympathetic innervation via the vagus nerve?

<p>Proximal to the splenic flexure (C)</p> Signup and view all the answers

Which spinal cord segments are responsible for innervating the internal and external genitalia?

<p>S2-S4 (D)</p> Signup and view all the answers

Where do some vagal fibers pass through to supply the abdominal viscera?

<p>Prevertebral fibers (celiac plexus) (A)</p> Signup and view all the answers

What is a characteristic of abdominal visceral innervation?

<p>It has a diffuse and capable of amplification distribution (D)</p> Signup and view all the answers

What is the function of the 'dual-function' properties of abdominal visceral innervation?

<p>To carry sensory evoked potentials and regulate autonomic flow (C)</p> Signup and view all the answers

Which plexus is responsible for the innervation of the GI organs up to the proximal transverse colon?

<p>Celiac plexus (B)</p> Signup and view all the answers

What is a result of the stimulation of abdominal visceral innervation?

<p>Difficult to stop due to self-aggravation (C)</p> Signup and view all the answers

What is a characteristic of the connections between nerves, ganglia, and plexuses in abdominal visceral innervation?

<p>There are an abundance of connections (A)</p> Signup and view all the answers

What is a characteristic of the fibers in abdominal visceral innervation?

<p>They have 'dual-function' properties (D)</p> Signup and view all the answers

What is the effect of intraabdominal pathology on visceral innervation anatomy?

<p>It affects the anatomy (C)</p> Signup and view all the answers

What is the relationship between the fibers in abdominal visceral innervation?

<p>They frequently communicate with each other (C)</p> Signup and view all the answers

What is a characteristic of the fibers in abdominal visceral innervation?

<p>they are almost exclusively myelinated A-delta and unmyelinated C fibers (D)</p> Signup and view all the answers

What is the usual location of the greater splanchnic nerve in relation to the T12 vertebral body?

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

From which spinal cord segments do the fibers of the lesser splanchnic nerve arise?

<p>T9-T11 (D)</p> Signup and view all the answers

What is the shape of the celiac ganglia?

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

What is the approximate width of the celiac ganglia?

<p>0.5-4.5 cm (C)</p> Signup and view all the answers

What structures are contained in the prevertebral retroperitoneal space?

<p>Aorta, IVC, lymph nodes, veins of azygos system, cisterna chyli, and diaphragmatic crura (D)</p> Signup and view all the answers

What is the approximate level of the inferior border of the celiac plexus?

<p>T12-L2 (B)</p> Signup and view all the answers

What is the typical origin of the greater splanchnic nerve?

<p>T5 to T9 (C)</p> Signup and view all the answers

What is the location of the celiac ganglia in relation to the aorta?

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

What is the percentage of cases where the lesser splanchnic nerve is not present?

<p>30% (C)</p> Signup and view all the answers

What is the location of the fusion of the celiac ganglia?

<p>Lower border of the L2 vertebra (B)</p> Signup and view all the answers

What is the path taken by the greater splanchnic nerve after originating from the spinal cord?

<p>It passes through the crura of the diaphragm and enters the retroperitoneal space (B)</p> Signup and view all the answers

normally, of how many splanchnic nerves the celiac plexus is composed?

<p>2 or 3 splanchnic nerves (B)</p> Signup and view all the answers

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