Wk 6 GI Flashcards Preview

N320 Neo Peds Pathophysiology > Wk 6 GI > Flashcards

Flashcards in Wk 6 GI Deck (113)
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1

Except for chewing, swallowing, and defecation, how are the movements of the digestive system (GI motility) controlled?

Autonomic nervous system (sympathetic & parasympathetic) & hormones

2

What are the 4 layers of the GI tract? (inside to outside, include the sublayers)

Mucosa, submucosa, muscularis, & serosa

Mucosa (epithelium, lamina, muscularis mucosae)

Submucosa

Muscularis (Circular muscle layer, longitudinal muscle layer)

Serosa (connective tissue layer, peritoneum)

3

What are the 3 enteric nerve plexuses and their locations? 

Submucosal plexus, myenteric plexus, & subserosal plexus

Submucosal plexus (Meissner plexus) - in the muscularis mucosae

Myenteric plexus (Auerbach plexus) - in btwn circular & longitudinal muscle layers

Subserosal plexus - beneath the serosa

4

How many permanent adult teeth in the mouth?

32

5

What are the 3 salivary glands?

Parotid, submandibular, & sublingual

6

How much saliva is secreted per day?

1 L

7

What is saliva made up of?

Mucus

Electrolytes (sodium, bicarbonate, chloride, potassium)

Ptyalin (salivary alpha-amylase) 

8

What is ptyalin?

Salivary amylase - an enzyme that digests carbohydrates in mouth and stomach

9

What stimulates and inihibits salivary glands?

ANS controls salivation.

Cholinergic parasympathetic fibers & beta-adrenergic sympathetic fibers stimulate

Atropine (anticholinergic agent) inhibits salivation & makes it dry

10

Are salivary glands regulated by hormones?

No

11

How does saliva prevent tooth decay?

Bicarbonate has pH of 7.4 = neutralizes bacterial acids

IgA (immunoglobulin A) prevents infection (also found in saliva)

Exogenous fluoride (fluoride in drinking water) absorbed & excreted in saliva

12

How does swallowed food move from the mouth to the stomach? 

Esophageal peristalsis

13

What is peristalsis?

Coordinated sequential contraction & relaxation of the outer longitudinal & inner circular layers of muscles.

14

Describe the muscles and nerves in the esophagus.

Upper = striated muscle innervated by motor neurons

Middle = mix of striated & smooth muscle

Lower = smooth muscle innervated by preganglionic cholinergic fibers frm the vagus nerve

15

How is peristalsis in the esophagus stimulated?

As food passes & causes stretching of the walls, afferent fibers sense changes in the wall tension.  

The greater the tension, the greater the esophageal contraction.

16

Name & descibe the function of the esophageal sphincters.

Upper esophageal sphincter (cricopharyngeal muscle) & lower esophageal sphincter (cardiac sphincter)

Upper esophageal sphincter (Cricopharyngeal muscle) - prevents entry of air into the esophagus during respiration.

Lower esophageal sphincter (Cardiac sphincter) - prevents regurgitation frm the stomach.  

17

How is swallowing controlled?

Swallowing center in the brainstem

18

Name & describe the 2 phases of swallowing.

Oropharyngeal & esophageal

Oropharyngeal (voluntary) phase - food bolus forced posteriorly by the tongue toward the pharynx. Superior constrictor muscle of the pharynx contracts, preventing movement of food into the nasopharynx.  As respiration is inhibited, the epiglottis slides downard to prevent the bolus frm entering larynx & trachea.

Esophageal (involuntary) phase -  food bolus enters the esophagus.  Primary peristalsis occurs.  If bolus of food b/comes stuck, 2ndary peristalsis occurs.  Peristalsis = wave of relaxation (allows food to pass & reduces resistance), then wave of contraction (pushes food along).  

19

What is partially digested food called?

Chyme

20

Describe the anatomic structure of the stomach.

Boundaries of the stomach: lower esophageal sphincter (cardiac sphincter), greater & lesser curvatures, pyloric sphincter

Functional areas of the stomach: fundus (upper portion), body (middle portion), & antrum (lower portion) 

21

Name the 3 smooth muscle layers of the stomach (inside to outside)

Oblique layer 

Circular layer

Longitudinal layer

22

Which parts of the stomach does the muscle layers  become progressively thicker?

Body & antrum b/c ths is where food is mixed, churned, & pushed out to tthe duodenum

23

What artery supplies blood to the stomach?

Celiac artery

24

Describe the veins of the stomach

Splenic vein drains R side of stomach

Gastric vein drains L side of stomach

25

Describe the innervation of the stomach.  

Extrinsic - originate outside stomach & controlled by vagus nerve & branches of the celiac plexus --> parasympathetic fibers frm vagus nerve & sympathetic fibers frm the celiac plexus

Intrinsic - originate w/in stomach & respond to local stimuli --> myenteric plexus

26

Can the stomach absorb substances?  Give ex. of what the stomach absorbs.

Few substances can be absorbed in stomach - mucosa impermeable to water.  

Can absorb alcohol & aspirin.

27

What action causes the fundus to relax making it more ceptive to receive a bolus of food?

Swallowing

28

What 2 intestinal hormones increase gastric motility/contraction?  How?

Gastrin & motilin - make the threshold potential of muscle fibers less negative

29

Does the vagus nerve increase or inhibit gastric motility?

Increase

30

What inhibits gastric motility by making the threshold potential more negative?

Sympathetic activity & secretin (intestinal hormone)