GI Mobility: Peristalsis - Chapter 27 Summary
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Questions and Answers

What initiates peristalsis in the GI tract?

  • Circular contraction
  • Stretch of the gut wall (correct)
  • Contraction of longitudinal muscle fibers
  • Stimulation of intestinal villi

During peristalsis, what occurs behind the stimulus?

  • Segmentation
  • Circular contraction (correct)
  • Relaxation
  • Distension

At what speed can peristalsis propel the contents of the GI tract forward?

  • 1-5 cm/s
  • 50-75 cm/s
  • 10-20 cm/s (correct)
  • 100-150 cm/s

How does peristaltic activity respond to autonomic input?

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

What type of motility in the gastrointestinal tract is aimed at retarding the movement of intestinal contents?

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

How does removal and resuturing of a segment of intestine affect peristaltic progression?

<p>Has no effect (D)</p> Signup and view all the answers

What structure restricts reflux of colonic contents into the ileum?

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

What happens to the ileocecal valve under increases in conic pressure?

<p>It is squeezed shut (B)</p> Signup and view all the answers

What type of muscle controls the internal (involuntary) anal sphincter in humans?

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

Which nerve supplies the external anal sphincter?

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

What initiates the reflex contractions of the rectum musculature?

<p>Distention of the rectum with feces (C)</p> Signup and view all the answers

At what rectal pressure does the urge to defecate typically first occur?

<p>18 mmHg (D)</p> Signup and view all the answers

What is the function of the intrinsic smooth muscle at the esophagogastric junction?

<p>To surround the esophagus and apply pinchcock-like action (D)</p> Signup and view all the answers

What is the key feature of achalasia?

<p>Increased resting LES tone (C)</p> Signup and view all the answers

Which condition is associated with reflux of gastric contents into the esophagus?

<p>Gastroesophageal reflux disease (C)</p> Signup and view all the answers

What can severe cases of LES incompetence lead to?

<p>Formation of ulceration and stricture in the esophagus (D)</p> Signup and view all the answers

What contributes to the prevention of regurgitation at the esophagogastric junction?

<p>Flap valve formation (A)</p> Signup and view all the answers

What are the main symptoms associated with gastroesophageal reflux disease?

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

What is the function of migrating motor complexes (MMCs) in the intestine?

<p>Coordinate muscle contractions for movement (C)</p> Signup and view all the answers

How often does the entire cycle of migrating motor complexes (MMCs) under fasting conditions?

<p>Every 90-100 minutes (D)</p> Signup and view all the answers

What happens to migrating motor complexes (MMCs) when a meal is ingested?

<p>They are abolished temporarily (A)</p> Signup and view all the answers

Which part of the digestive system is responsible for breaking up large food particles and mixing the food with saliva?

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

Where are the cells located that are responsible for the pacemaker activity in the stomach and small intestine?

<p>Outer circular muscle layer (B)</p> Signup and view all the answers

How do peristaltic waves in the esophagus function?

<p>Move food into the stomach (C)</p> Signup and view all the answers

What triggers the reflex response of swallowing (deglutition)?

<p>Afferent impulses in the trigeminal, glossopharyngeal, and vagus nerves (B)</p> Signup and view all the answers

Why do large food particles cause strong and often painful contractions of the esophageal musculature?

<p>They don’t form a bolus (D)</p> Signup and view all the answers

What initiates the involuntary contraction in the pharyngeal muscles during swallowing?

<p>Collection of oral contents on the tongue (C)</p> Signup and view all the answers

Why are edentulous patients generally restricted to soft diets?

<p>They have difficulty eating dry food (B)</p> Signup and view all the answers

What nerves carry efferent fibers to the pharyngeal musculature and the tongue during swallowing?

<p>Trigeminal, facial, and hypoglossal nerves (C)</p> Signup and view all the answers

Why do small food particles make swallowing difficult?

<p>They disperse in the absence of saliva (C)</p> Signup and view all the answers

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