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PBDII Exam 5
Dr.Ellis GI Motility
27
Other
Professional
04/21/2011

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Cards

Term
What coordinates peristaltic and other motor activities?
Definition
Basic electrical rhythm (BER)
Term
What increases the number of spikes and the tension of smooth muscle? What decreases it?
Definition

AcH

NE

Term
Define Peristalsis
Definition
Rhythmic contraction of smooth muscle that forces food thru the GI tract, bile thru the bile duct.
Term
During peristalsis, contraction occurs _______________ the stimuli.
Definition
Behind
Term
Where does gastric segmentation and mixing occur?
Definition
In the Antrum of the stomach
Term
What occurs with gastric segmentation and mixing?
Definition
Unlike peristalsis which flows in one direction, during segmentation chyme moves in both directions to allow for greater mixing of chyme.  The more mixing allows for big substances to become small enough to pass in the SI. 
Term
What occurs during periods of fasting and ends when meal is ingested?
Definition
The process of clearing the GI tract of food remnants via the migrating motor complex (wave activity that stimulate peristalstic waves)
Term
What initiates the migrating motor complex?
Definition
Motilin
Term
What are the 3 phases of the Migrating Motor complex?
Definition

1. Quiescent

2. Irregular electrical and mechanical activity

3. Regular activity

Term
Mastication is aka ____________.
Definition
Chewing
Term
What is the function of mastication?
Definition

1. Breaks up large food particles

2. Mixes the food w/ salivary secretion

3. Aids in swallowing and digestion

 

(In the mouth it is a bolus)

(In the SI it is chyme)

Term
What is essential to the reservoir function of the stomach?
Definition
Receptive relaxation
Term
What is receptive relaxation?
Definition
When food enters the stomach, send signal to the brain. The brain mediates a vagal response to release AcH.  The AcH cause the smooth muscle of the stomach relax. 
Term
Swallowing is aka _____________-
Definition
Deglutition
Term
Describe the act of swallowing
Definition

1. The tongue moves upward and backward against the hard palate, forcing the bolus to the back of the throat.

2. The epiglottis covers the glottis and inhibits food to enter the trachea.

3. Upper esophageal sphincter relax and allow the entry of food into the esophagus.

4. Peristalsis moves the food into the stomach 

Term
Gastric emptying varies with the kind of content in the stomach.  Why do solid meals take longer than liquids?
Definition
Solid meals must remain in the stomach long enough for the enzymes to work on the food and break them down.  They require more mixing and grinding.  Also it is emptied slowly as to not overload the SI.
Term
What types of movement occur in the intestines?
Definition

1. Segmentation

2. Peristalsis

3. Tonic contractions

Term
What is the function of the colon?
Definition

1. Serves as a reservoir

2. Absorbs water, Na+ and other minerals

Term
What links the ileum to the colon?
Definition
Ileocecal valve
Term
What types of movement occur in the colon?
Definition

1. Segmentation

2. Peristalsis

3. Mass action contraction

Term
What is the gastroileal reflex?
Definition
The relaxation of the cecum to allow the passage of food thru the ileocecal valve into the colon.
Term
What is Mass Action Contraction.
Definition
A simultaneous contraction of the smooth muscles over a large area that pushes the contents in the colon into the rectum to be eliminated.
Term
T/F: The transit time is slower in the small intestine.
Definition
True; it needs a slower time to allow for absorption of material
Term
What does the distention of the rectum with feces initiate?
Definition

A reflex contraction of its musculature. 

Desire to deficate

Term
What changes occur in the body that signal for defication?
Definition
The pressure is normally 18mmHg, the distention of the rectum increases it to 55mmHg. This relaxes both the internal and external sphincters.
Term
In humans, the ______________ supply to the internal (involuntary) anal sphincter is _______________, whereas the _______________supply is _____________.
Definition

SNS

Excitatory

PNS

Inhibitory

Term
What is the Gastrocolic reflex?
Definition
When distention of the stomach by food signals for defecation
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