Gastrointestinal Tract Physiology Quiz

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Questions and Answers

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?

  • 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?

  • 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?

<p>Between the longitudinal and circular muscle layers (A)</p> Signup and view all the answers

Which type of nervous supply does the intrinsic nerve supply refer to in the gastrointestinal tract?

<p>Enteric nervous system (B)</p> Signup and view all the answers

What is a characteristic of tonic contractions in smooth muscle?

<p>They can last several minutes or hours (C)</p> Signup and view all the answers

Which ions are primarily involved in the mechanisms leading to tonic contraction?

<p>Calcium ions (A)</p> Signup and view all the answers

Extrinsic nerve supply to the gastrointestinal tract includes which of the following?

<p>Peripheral nerve fibers connecting to the CNS (C)</p> Signup and view all the answers

What is the main role of interstitial cells of Cajal in the gastrointestinal tract?

<p>To act as electrical pacemakers for smooth muscle cells (D)</p> Signup and view all the answers

Which type of channels primarily contribute to the action potentials in GIT smooth muscle?

<p>Calcium-sodium channels (C)</p> Signup and view all the answers

What typically excites muscle contraction in the gastrointestinal tract?

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

How do spike potentials in GIT smooth muscle differ from those in large nerve fibers?

<p>They last significantly longer (B)</p> Signup and view all the answers

What is the primary function of Auerbach plexus?

<p>Regulating movements of the gastrointestinal tract (A)</p> Signup and view all the answers

Which factor is NOT mentioned as contributing to depolarization of the GIT membrane?

<p>Innervation by sympathetic nerves (A)</p> Signup and view all the answers

Which neurotransmitter is primarily associated with stimulating gastrointestinal activity?

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

What type of currents do interstitial cells of Cajal generate that may lead to slow wave activity?

<p>Inward (pacemaker) currents (B)</p> Signup and view all the answers

Where is the Meissner plexus located?

<p>Between the muscular layer and the submucosal layer (C)</p> Signup and view all the answers

Why do calcium-sodium channels contribute to the long duration of action potentials in GIT smooth muscle?

<p>They slowly open and close (A)</p> Signup and view all the answers

Which type of nerve supply primarily increases the activity of intestinal smooth muscle?

<p>Parasympathetic nerve supply (A)</p> Signup and view all the answers

Which of the following statements is true about the interaction between slow waves and spike potentials?

<p>Spike potentials result from slow wave activity (C)</p> Signup and view all the answers

Which of the following is an inhibitory neurotransmitter involved in regulating GIT motility?

<p>Vasoactive intestinal polypeptide (VIP) (D)</p> Signup and view all the answers

What role does norepinephrine play in gastrointestinal activity?

<p>Inhibits gastrointestinal activity (D)</p> Signup and view all the answers

Which sphincter is influenced by inhibitory signals from the Auerbach plexus?

<p>Pyloric sphincter (D)</p> Signup and view all the answers

What is the role of the Meissner plexus in the gastrointestinal tract?

<p>Regulates secretory functions (B)</p> Signup and view all the answers

What is the primary role of sympathetic nerve fibers in the GI tract?

<p>Inhibit movements and decrease secretions (D)</p> Signup and view all the answers

Which neurotransmitter is released by parasympathetic nerve fibers in the GI tract?

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

From which segments of the spinal cord do the preganglionic sympathetic nerve fibers arise?

<p>T5 to L2 (A)</p> Signup and view all the answers

Where do the preganglionic parasympathetic nerve fibers for the stomach synapse?

<p>Myenteric plexus (A)</p> Signup and view all the answers

Which cranial nerve is responsible for conveying parasympathetic signals to the esophagus and stomach?

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

What causes stimulation of afferent sensory nerve fibers in the gut?

<p>Gut irritation and distention (D)</p> Signup and view all the answers

What percentage of the nerve fibers in the vagus nerve are afferent?

<p>80% (D)</p> Signup and view all the answers

What is primarily affected when sympathetic fibers cause constriction of sphincters?

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

What is one of the primary actions of gastrin?

<p>Stimulation of growth of the gastric mucosa (D)</p> Signup and view all the answers

Which hormone is primarily secreted by 'I' cells in the ileum in response to fatty substances?

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

What effect does cholecystokinin have on the stomach?

<p>Inhibits gastric contraction (A)</p> Signup and view all the answers

What is the role of secretin in the gastrointestinal system?

<p>Promotes pancreatic secretion of bicarbonate (A)</p> Signup and view all the answers

Gastric inhibitory peptide has a mild effect on which of the following?

<p>Decreasing motor activity of the stomach (A)</p> Signup and view all the answers

Motilin is primarily released during which state?

<p>Fasting state (A)</p> Signup and view all the answers

What is the primary function of motilin?

<p>Increases gastrointestinal motility (D)</p> Signup and view all the answers

Which hormone helps neutralize acidic gastric juice in the small intestine?

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

What is the primary function of propulsive movements in the gastrointestinal tract?

<p>To move food forward along the tract (C)</p> Signup and view all the answers

What initiates peristalsis in the gastrointestinal tract?

<p>Distention of the gut wall (B)</p> Signup and view all the answers

Which component is essential for effective peristalsis to occur in the gastrointestinal tract?

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

Which of the following factors can stimulate peristalsis?

<p>Chemical irritation of the gut lining (C)</p> Signup and view all the answers

In what part of the gastrointestinal system is the movement termed 'mixing movements' primarily responsible for keeping contents mixed?

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

What happens to peristalsis when atropine is administered to a person?

<p>Peristalsis is completely blocked (B)</p> Signup and view all the answers

How do mixing movements differ from propulsive movements in the gastrointestinal tract?

<p>Mixing movements do not involve coordinated muscle contractions like propulsive movements (D)</p> Signup and view all the answers

Which nerve signals can elicit strong peristalsis in the gastrointestinal tract?

<p>Parasympathetic nervous signals (D)</p> Signup and view all the answers

Flashcards

Hyperpolarization

A state where the membrane potential becomes more negative than the resting potential.

Sympathetic Neurotransmitter Effect

Norepinephrine and epinephrine, released by the sympathetic nervous system, can make the muscle membrane more negative, decreasing its excitability.

Tonic Contraction

A type of continuous muscle contraction that can last for minutes or even hours.

Continuous Spike Potentials

One way tonic contraction can occur, where repeated action potentials lead to sustained contraction.

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Partial Depolarization

Another mechanism for tonic contraction, where hormones or other factors cause a persistent change in membrane potential without triggering full action potentials.

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Enteric Nervous System

An independent nervous system within the walls of the digestive tract, regulating its functions.

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Myenteric Plexus

The outer network of nerves in the enteric nervous system, located between muscle layers. Controls muscle contractions.

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Submucosal Plexus

The inner network of nerves in the enteric nervous system, found in the submucosa. Controls secretion and absorption.

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Auerbach's Plexus (Myenteric Plexus)

A nerve plexus located between the circular and longitudinal muscle layers of the GI tract, primarily regulating the motility of the gut.

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Meissner's Plexus (Submucosal Plexus)

A nerve plexus situated between the muscular and submucosal layers of the GI tract, primarily regulating the secretory functions of the gut.

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Excitatory Neurotransmitters

Neurotransmitters released by the enteric nervous system that stimulate muscle contractions, enhancing the movement of food through the GI tract.

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Examples of Excitatory Neurotransmitters

Examples of excitatory neurotransmitters include acetylcholine, which is also used in the central nervous system, and serotonin, a mood regulator.

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Inhibitory Neurotransmitters

Neurotransmitters released by the enteric nervous system that inhibit muscle contractions, slowing down the movement of food through the GI tract.

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Examples of Inhibitory Neurotransmitters

Examples of inhibitory neurotransmitters include vasoactive intestinal peptide (VIP), which is also used in the central nervous system, as well as neurotensin and encephalin.

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Extrinsic Nerve Supply

The part of the nervous system that influences the enteric nervous system, including the sympathetic and parasympathetic branches.

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What are slow waves?

Slow waves are rhythmic, electrical fluctuations in the membrane potential of smooth muscle cells in the gastrointestinal tract. They are not strong enough to cause muscle contraction on their own, but they influence the generation of spike potentials.

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What are interstitial cells of Cajal?

Interstitial cells of Cajal are specialized cells located within the walls of the gastrointestinal tract. They act as electrical pacemakers, generating slow waves that regulate the rhythmic contractions of the gut.

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What are spike potentials?

Spike potentials are true action potentials that occur in the smooth muscle of the gastrointestinal tract. They are triggered by the slow wave activity and directly cause muscle contraction.

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Why are spike potentials longer in the gut compared to nerve fibers?

The duration of spike potentials in the gastrointestinal smooth muscle is significantly longer than in nerve fibers. This is due to the presence of calcium-sodium channels that are slower to open and close.

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What factors can make the gut muscle more excitable?

Factors that depolarize the membrane of the gastrointestinal smooth muscle, making it more excitable, include stretching of the muscle, stimulation by acetylcholine released from the parasympathetic nerves, and stimulation by specific gastrointestinal hormones.

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What is the role of acetylcholine in the gut?

Acetylcholine is a neurotransmitter released from the endings of parasympathetic nerves. It plays a role in stimulating the gastrointestinal smooth muscle, thereby increasing its excitability and promoting contraction.

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How do gastrointestinal hormones affect gut motility?

Several specific gastrointestinal hormones contribute to the regulation of gut motility. They influence the smooth muscle excitability and contraction, often in a specific way depending on their type and location.

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How does stretching the gut muscle affect its activity?

Stretching of the gastrointestinal smooth muscle can depolarize the membrane, making it more excitable. This is a mechanism that helps regulate the gut's response to the presence of food.

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Sympathetic Nerve Fibers in the GI Tract

Nerve fibers that originate in the spinal cord (T5 to L2) and travel to the celiac and mesenteric ganglia without synapsing. They release norepinephrine, which inhibits gut movements and secretions, and constricts sphincters.

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Parasympathetic Nerve Fibers in the GI Tract

Nerve fibers that originate in the brain stem (vagus nerve) and sacral spinal cord (S2-S4). They release acetylcholine, which stimulates gut movements and secretions.

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Afferent Sensory Nerve Fibers in the GI Tract

Nerve fibers that carry sensory information from the gut to the central nervous system (brain and spinal cord).

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Triggers for Afferent Sensory Nerve Fibers

These nerve fibers can be stimulated by various factors, including irritation or distension of the gut, or the presence of specific chemicals.

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Afferent Nerve Fiber Effects

Signals generated by afferent nerve fibers can result in either excitation or inhibition of gut movements and secretions, helping to regulate digestion based on the situation.

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Propulsive movements

Propelling food through the digestive system, similar to squeezing a tube to move its contents forward.

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Mixing movements

Keeping food mixed and thoroughly distributed within the digestive tract.

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Peristalsis

The primary way food is moved through the digestive system. It involves a ring-like contraction that travels down the tube.

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Distention of the gut

Stretching of the gut wall triggered by food or other stimuli.

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Stimulus for peristalsis

The enteric nervous system responds to gut distention by initiating a contraction behind the food.

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Chemical or physical irritation

Chemical or physical irritation of the gut lining can also initiate peristalsis.

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Myenteric plexus function

The myenteric plexus is a network of nerves that plays a crucial role in peristalsis.

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Mixing movements variation

Mixing movements occur differently in various areas of the digestive tract.

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What is the primary function of Gastrin?

A hormone produced in the stomach that stimulates gastric acid secretion and growth of the gastric mucosa.

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What triggers the release of Cholecystokinin (CCK)?

It is secreted by I cells in the duodenum and jejunum in response to fats, fatty acids, and monoglycerides.

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What is the primary function of Cholecystokinin (CCK)?

CCK strongly contracts the gallbladder, releasing bile into the small intestine to help digest fats.

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What stimulates the release of Secretin?

Secretin is secreted by S cells in the duodenum in response to acidic gastric juice entering the small intestine.

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What is the primary function of Secretin?

Secretin promotes pancreatic bicarbonate secretion, which neutralizes acid in the small intestine.

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What triggers the release of Gastric Inhibitory Peptide (GIP)?

Gastric Inhibitory Peptide (GIP) is secreted in the upper small intestine, primarily in response to fatty acids and amino acids.

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What is the primary function of Gastric Inhibitory Peptide (GIP)?

GIP slows the emptying of the stomach to prevent overload in the small intestine.

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What is the function of Motilin?

Motilin is secreted by the upper duodenum during fasting. It stimulates interdigestive myoelectric complexes, waves of gastrointestinal motility.

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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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