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Questions and Answers
What is the primary effect of hyperpolarization on muscle fibers?
What is the primary effect of hyperpolarization on muscle fibers?
- Makes muscle fibers overexcitable
- Decreases muscle excitability (correct)
- Increases muscle excitability
- Has no effect on muscle fibers
Which of the following factors can lead to tonic contraction in smooth muscle?
Which of the following factors can lead to tonic contraction in smooth muscle?
- Continual action potentials
- Continuous repetitive spike potentials (correct)
- Inhibition of calcium ion entry
- Continuous entry of sodium ions
Which statement about the enteric nervous system is correct?
Which statement about the enteric nervous system is correct?
- It solely relies on the central nervous system for operation
- It is referred to as the 'little brain' (correct)
- It is only found in the brain and not in the GI tract
- It contains fewer neurons than the spinal cord
The myenteric plexus is located in which part of the gastrointestinal tract?
The myenteric plexus is located in which part of the gastrointestinal tract?
Which type of nervous supply does the intrinsic nerve supply refer to in the gastrointestinal tract?
Which type of nervous supply does the intrinsic nerve supply refer to in the gastrointestinal tract?
What is a characteristic of tonic contractions in smooth muscle?
What is a characteristic of tonic contractions in smooth muscle?
Which ions are primarily involved in the mechanisms leading to tonic contraction?
Which ions are primarily involved in the mechanisms leading to tonic contraction?
Extrinsic nerve supply to the gastrointestinal tract includes which of the following?
Extrinsic nerve supply to the gastrointestinal tract includes which of the following?
What is the main role of interstitial cells of Cajal in the gastrointestinal tract?
What is the main role of interstitial cells of Cajal in the gastrointestinal tract?
Which type of channels primarily contribute to the action potentials in GIT smooth muscle?
Which type of channels primarily contribute to the action potentials in GIT smooth muscle?
What typically excites muscle contraction in the gastrointestinal tract?
What typically excites muscle contraction in the gastrointestinal tract?
How do spike potentials in GIT smooth muscle differ from those in large nerve fibers?
How do spike potentials in GIT smooth muscle differ from those in large nerve fibers?
What is the primary function of Auerbach plexus?
What is the primary function of Auerbach plexus?
Which factor is NOT mentioned as contributing to depolarization of the GIT membrane?
Which factor is NOT mentioned as contributing to depolarization of the GIT membrane?
Which neurotransmitter is primarily associated with stimulating gastrointestinal activity?
Which neurotransmitter is primarily associated with stimulating gastrointestinal activity?
What type of currents do interstitial cells of Cajal generate that may lead to slow wave activity?
What type of currents do interstitial cells of Cajal generate that may lead to slow wave activity?
Where is the Meissner plexus located?
Where is the Meissner plexus located?
Why do calcium-sodium channels contribute to the long duration of action potentials in GIT smooth muscle?
Why do calcium-sodium channels contribute to the long duration of action potentials in GIT smooth muscle?
Which type of nerve supply primarily increases the activity of intestinal smooth muscle?
Which type of nerve supply primarily increases the activity of intestinal smooth muscle?
Which of the following statements is true about the interaction between slow waves and spike potentials?
Which of the following statements is true about the interaction between slow waves and spike potentials?
Which of the following is an inhibitory neurotransmitter involved in regulating GIT motility?
Which of the following is an inhibitory neurotransmitter involved in regulating GIT motility?
What role does norepinephrine play in gastrointestinal activity?
What role does norepinephrine play in gastrointestinal activity?
Which sphincter is influenced by inhibitory signals from the Auerbach plexus?
Which sphincter is influenced by inhibitory signals from the Auerbach plexus?
What is the role of the Meissner plexus in the gastrointestinal tract?
What is the role of the Meissner plexus in the gastrointestinal tract?
What is the primary role of sympathetic nerve fibers in the GI tract?
What is the primary role of sympathetic nerve fibers in the GI tract?
Which neurotransmitter is released by parasympathetic nerve fibers in the GI tract?
Which neurotransmitter is released by parasympathetic nerve fibers in the GI tract?
From which segments of the spinal cord do the preganglionic sympathetic nerve fibers arise?
From which segments of the spinal cord do the preganglionic sympathetic nerve fibers arise?
Where do the preganglionic parasympathetic nerve fibers for the stomach synapse?
Where do the preganglionic parasympathetic nerve fibers for the stomach synapse?
Which cranial nerve is responsible for conveying parasympathetic signals to the esophagus and stomach?
Which cranial nerve is responsible for conveying parasympathetic signals to the esophagus and stomach?
What causes stimulation of afferent sensory nerve fibers in the gut?
What causes stimulation of afferent sensory nerve fibers in the gut?
What percentage of the nerve fibers in the vagus nerve are afferent?
What percentage of the nerve fibers in the vagus nerve are afferent?
What is primarily affected when sympathetic fibers cause constriction of sphincters?
What is primarily affected when sympathetic fibers cause constriction of sphincters?
What is one of the primary actions of gastrin?
What is one of the primary actions of gastrin?
Which hormone is primarily secreted by 'I' cells in the ileum in response to fatty substances?
Which hormone is primarily secreted by 'I' cells in the ileum in response to fatty substances?
What effect does cholecystokinin have on the stomach?
What effect does cholecystokinin have on the stomach?
What is the role of secretin in the gastrointestinal system?
What is the role of secretin in the gastrointestinal system?
Gastric inhibitory peptide has a mild effect on which of the following?
Gastric inhibitory peptide has a mild effect on which of the following?
Motilin is primarily released during which state?
Motilin is primarily released during which state?
What is the primary function of motilin?
What is the primary function of motilin?
Which hormone helps neutralize acidic gastric juice in the small intestine?
Which hormone helps neutralize acidic gastric juice in the small intestine?
What is the primary function of propulsive movements in the gastrointestinal tract?
What is the primary function of propulsive movements in the gastrointestinal tract?
What initiates peristalsis in the gastrointestinal tract?
What initiates peristalsis in the gastrointestinal tract?
Which component is essential for effective peristalsis to occur in the gastrointestinal tract?
Which component is essential for effective peristalsis to occur in the gastrointestinal tract?
Which of the following factors can stimulate peristalsis?
Which of the following factors can stimulate peristalsis?
In what part of the gastrointestinal system is the movement termed 'mixing movements' primarily responsible for keeping contents mixed?
In what part of the gastrointestinal system is the movement termed 'mixing movements' primarily responsible for keeping contents mixed?
What happens to peristalsis when atropine is administered to a person?
What happens to peristalsis when atropine is administered to a person?
How do mixing movements differ from propulsive movements in the gastrointestinal tract?
How do mixing movements differ from propulsive movements in the gastrointestinal tract?
Which nerve signals can elicit strong peristalsis in the gastrointestinal tract?
Which nerve signals can elicit strong peristalsis in the gastrointestinal tract?
Flashcards
Hyperpolarization
Hyperpolarization
A state where the membrane potential becomes more negative than the resting potential.
Sympathetic Neurotransmitter Effect
Sympathetic Neurotransmitter Effect
Norepinephrine and epinephrine, released by the sympathetic nervous system, can make the muscle membrane more negative, decreasing its excitability.
Tonic Contraction
Tonic Contraction
A type of continuous muscle contraction that can last for minutes or even hours.
Continuous Spike Potentials
Continuous Spike Potentials
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Partial Depolarization
Partial Depolarization
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Enteric Nervous System
Enteric Nervous System
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Myenteric Plexus
Myenteric Plexus
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Submucosal Plexus
Submucosal Plexus
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Auerbach's Plexus (Myenteric Plexus)
Auerbach's Plexus (Myenteric Plexus)
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Meissner's Plexus (Submucosal Plexus)
Meissner's Plexus (Submucosal Plexus)
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Excitatory Neurotransmitters
Excitatory Neurotransmitters
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Examples of Excitatory Neurotransmitters
Examples of Excitatory Neurotransmitters
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Inhibitory Neurotransmitters
Inhibitory Neurotransmitters
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Examples of Inhibitory Neurotransmitters
Examples of Inhibitory Neurotransmitters
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Extrinsic Nerve Supply
Extrinsic Nerve Supply
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What are slow waves?
What are slow waves?
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What are interstitial cells of Cajal?
What are interstitial cells of Cajal?
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What are spike potentials?
What are spike potentials?
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Why are spike potentials longer in the gut compared to nerve fibers?
Why are spike potentials longer in the gut compared to nerve fibers?
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What factors can make the gut muscle more excitable?
What factors can make the gut muscle more excitable?
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What is the role of acetylcholine in the gut?
What is the role of acetylcholine in the gut?
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How do gastrointestinal hormones affect gut motility?
How do gastrointestinal hormones affect gut motility?
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How does stretching the gut muscle affect its activity?
How does stretching the gut muscle affect its activity?
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Sympathetic Nerve Fibers in the GI Tract
Sympathetic Nerve Fibers in the GI Tract
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Parasympathetic Nerve Fibers in the GI Tract
Parasympathetic Nerve Fibers in the GI Tract
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Afferent Sensory Nerve Fibers in the GI Tract
Afferent Sensory Nerve Fibers in the GI Tract
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Triggers for Afferent Sensory Nerve Fibers
Triggers for Afferent Sensory Nerve Fibers
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Afferent Nerve Fiber Effects
Afferent Nerve Fiber Effects
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Propulsive movements
Propulsive movements
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Mixing movements
Mixing movements
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Peristalsis
Peristalsis
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Distention of the gut
Distention of the gut
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Stimulus for peristalsis
Stimulus for peristalsis
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Chemical or physical irritation
Chemical or physical irritation
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Myenteric plexus function
Myenteric plexus function
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Mixing movements variation
Mixing movements variation
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What is the primary function of Gastrin?
What is the primary function of Gastrin?
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What triggers the release of Cholecystokinin (CCK)?
What triggers the release of Cholecystokinin (CCK)?
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What is the primary function of Cholecystokinin (CCK)?
What is the primary function of Cholecystokinin (CCK)?
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What stimulates the release of Secretin?
What stimulates the release of Secretin?
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What is the primary function of Secretin?
What is the primary function of Secretin?
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What triggers the release of Gastric Inhibitory Peptide (GIP)?
What triggers the release of Gastric Inhibitory Peptide (GIP)?
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What is the primary function of Gastric Inhibitory Peptide (GIP)?
What is the primary function of Gastric Inhibitory Peptide (GIP)?
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What is the function of Motilin?
What is the function of Motilin?
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Study Notes
Gastrointestinal Tract (GIT) Physiology
- The GIT is a continuous tube from mouth to anus, serving as a nutrient and water absorption portal.
- It involves:
- Movement of food through the tract
- Secretion of digestive juices and food digestion
- Absorption of water, electrolytes, and digestive products
- Blood circulation through digestive organs to carry absorbed substances
- Control of these functions by nervous and hormonal systems.
Anatomy of the GIT
- The diagram shows the organs (mouth, esophagus, stomach, small intestine, large intestine (colon), liver, gallbladder, pancreas) and their general functions, some for passage, others for storage or digestion/absorption. -The small intestine is adapted for digestion and absorption. -The stomach for storage. -The esophagus for passage.
GIT Motility
- The intestinal wall consists of layers (serosa, longitudinal muscle, circular muscle, submucosa, mucosa).
- The GIT smooth muscle is continuously electrically active.
- Slow waves of electrical activity cause rhythmic contractions.
- Spike potentials, are the true action potentials, which lead to muscle contractions (in some areas). -Factors that increase excitability; stretching, acetylcholine, specific gastrointestinal hormones. -Factors that reduce excitability; norepinephrine, epinephrine.
Nerve Supply to the GIT
-
Intrinsic nerve supply: The enteric nervous system, controls GI secretions and movements.
- Contains myenteric plexus and submucosal plexus, nerve cell bodies, receptors.
-
Extrinsic nerve supply: From the autonomic nervous system (sympathetic and parasympathetic).
- Sympathetic fibers generally decrease GI activity and constrict sphincters.
- Parasympathetic fibers (vagus and sacral nerves) generally increase GI activity.
Gastrointestinal Reflexes
- Reflexes can occur entirely within the gut wall or connect to the brain/spinal cord.
- They control secretions, peristalsis (movement), and mixing contractions.
Hormonal Control of GIT
- Gastrointestinal hormones are released into the portal circulation, acting on target cells via receptors.
- Examples of hormones and their roles: Gastrin: Stimulates gastric acid secretion and growth. Cholecystokinin (CCK): Contracts gallbladder, inhibits stomach motility. Secretin: Stimulates pancreatic secretions and inhibits stomach acid. Gastric inhibitory peptide: Inhibits gastric emptying and motility. Motilin: Increases gastrointestinal motility.
Movement Types
- Propulsive movements (like peristalsis) move food forward.
- Mixing movements blend and churn food content and are important for optimal absorption and digestion.
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