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

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

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

    What structure restricts reflux of colonic contents into the ileum?

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

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

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

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

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

    Which nerve supplies the external anal sphincter?

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

    What initiates the reflex contractions of the rectum musculature?

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

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

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

    What is the key feature of achalasia?

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

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

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

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

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

    What are the main symptoms associated with gastroesophageal reflux disease?

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

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

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

    How do peristaltic waves in the esophagus function?

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

    Why are edentulous patients generally restricted to soft diets?

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

    Why do small food particles make swallowing difficult?

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

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