MBBS Year 1 Gastrointestinal Physiology
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Questions and Answers

What is a key function of secretin in gastric activity regulation?

  • Promotes gastric secretion
  • Stimulates gallbladder contraction
  • Inhibits stomach activity (correct)
  • Increases gastric motility
  • Which type of chyme is known to be digested more slowly and causes food to remain in the stomach longer?

  • Fiber-rich chyme
  • Fat-laden chyme (correct)
  • Carbohydrate-rich chyme
  • Protein-rich chyme
  • Which hormonal mechanism is directly involved in inhibiting gastric secretion and duodenal filling?

  • CCK (cholecystokinin) (correct)
  • GIP (gastric inhibitory peptide)
  • Motilin
  • Gastrin
  • What type of reflexes primarily act through the enteric nervous system to influence gastric secretion?

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

    Which substance increases both gastric motility and intestinal motility?

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

    Where does the most vigorous peristalsis and mixing occur in the stomach?

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

    What effect does GIP (gastric inhibitory peptide) have on gastric contractions?

    <p>Inhibits gastric contractions</p> Signup and view all the answers

    Which mechanism primarily regulates gastric emptying?

    <p>Neural enterogastric reflex</p> Signup and view all the answers

    What is the role of pacemaker cells in gastrointestinal smooth muscle contraction?

    <p>They generate slow waves that influence muscle contraction</p> Signup and view all the answers

    What is the primary function of peristalsis in the gastrointestinal tract?

    <p>To propel food along the digestive tract</p> Signup and view all the answers

    Which of the following is NOT a factor influencing gastrointestinal tract motility?

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

    What is the primary neurotransmitter involved in the excitatory function of the parasympathetic nervous system on gastrointestinal motility?

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

    How does the enteric nervous system contribute to gastrointestinal motility?

    <p>It generates its own local reflexes that influence motility</p> Signup and view all the answers

    What is the role of sphincter tone and relaxation in gastrointestinal motility?

    <p>To control the flow of food between different parts of the digestive tract</p> Signup and view all the answers

    Which of the following is NOT a function of motility in the gastrointestinal tract?

    <p>Secretion of digestive enzymes</p> Signup and view all the answers

    What is the primary function of segmentation in the gastrointestinal tract?

    <p>To break down food into smaller particles</p> Signup and view all the answers

    Study Notes

    Overview of the Digestive System

    • The digestive system is responsible for breaking down food, absorbing nutrients, and expelling waste.
    • Major components include salivary glands, stomach, pancreas, and bile system.

    Digestion and Absorption of Nutrients

    • Involves mechanical and chemical processes through enzymes and acids.
    • Nutrients are absorbed primarily in the small intestine.

    Salivary, Gastric, and Pancreatic Secretions

    • Saliva contains enzymes that initiate digestion.
    • Gastric secretions include hydrochloric acid and pepsin for protein breakdown.
    • Pancreatic secretions are rich in enzymes that further digest carbohydrates, fats, and proteins.

    Bile and Biliary System

    • Bile aids in the digestion and absorption of fats.
    • Produced in the liver and stored in the gallbladder.

    Motility of the Gut

    • Gastrointestinal motility includes two key functions: mixing and propulsion.
    • Depends on interactions between smooth muscle, the enteric nervous system, and hormones.

    Smooth Muscle Contractions

    • Gastric contractions are facilitated by the visceral smooth muscle.
    • Interstitial Cells of Cajal act as pacemaker cells, generating rhythmic contractions.

    Patterns of Motility

    • Peristalsis: Coordinated waves that move a bolus through the digestive tract.
    • Segmentation: Local contractions that churn and fragment the bolus for better digestion.

    Neural Control of Gastrointestinal Motility

    • Involves the enteric and autonomic nervous systems.
    • Parasympathetic stimulation (via the vagus nerve) enhances motility.
    • Sympathetic effects tend to inhibit gastrointestinal activity.

    Hormonal Control of Gastrointestinal Motility

    • Key hormones include:
      • Gastrin: Promotes stomach activity.
      • Cholecystokinin (CCK): Stimulates gallbladder contraction and inhibits stomach activity.
      • Gastric Inhibitory Peptide (GIP): Inhibits gastric contraction.
      • Motilin: Stimulates gastric and intestinal motility.

    Regulation of Gastric Emptying

    • Controlled by neural reflexes and hormonal mechanisms.
    • Carbohydrate-rich chyme moves quickly through the duodenum, whereas fatty chyme is digested more slowly.

    Effects of Filling on Stomach Activity

    • Vigorous peristalsis and mixing occur near the pylorus.
    • Chyme is either delivered to the duodenum in small amounts or mixed further in the stomach.

    Local and Central Reflex Pathways

    • Short reflexes (entirely within the ENS) manage local responses.
    • Long reflexes involve the CNS and can modify autonomic activity affecting gastric motility and secretion.

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    Description

    Quiz on lectures covering the digestive system, including digestion, absorption, and physiology of the gut. Topics include salivary, gastric, and pancreatic secretions, bile and biliary system, and motility of the gut.

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