07_Digestive System 1 Flashcards

1
Q

Complete the phrase: ‘You are what you _______.’

A

digest

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2
Q

Name the components of the digestive system.

A
  • Mouth
  • Pharynx
  • Oesophagus
  • Stomach
  • Small intestine
  • Large intestine (incl. rectum and anal canal)
  • Accessory organs (salivary glands, pancreas, liver, gall bladder and biliary tract)
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3
Q

What are accessory organs?

A

Organs that support the functions of the digestive system.

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4
Q

List the processes of digestion.

A
  • Ingestion
  • Secretion
  • Mixing
  • Propulsion
  • Digestion
  • Absorption
  • Elimination
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5
Q

What is the mucosa?

A

The innermost layer of the gastrointestinal tract (GIT).

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6
Q

What are the three layers of the mucosa?

A
  • Epithelium
  • Lamina propria
  • Muscularis mucosa
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7
Q

What type of epithelium is found in the stomach and intestines?

A

Columnar epithelium.

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8
Q

What is the function of goblet cells in the mucosa?

A

Secretion of mucus to lubricate food and protect against digestive juice erosion.

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9
Q

What does GALT stand for?

A

Gut-Associated Lymphoid Tissue.

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10
Q

What percentage of the body’s immune cells are contained in GALT?

A

70%.

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11
Q

What is the function of the muscularis mucosa?

A

Creates villi to increase surface area for absorption and digestion.

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12
Q

What is contained in the submucosa?

A
  • Blood and lymph vessels
  • Submucosal plexus (neurons)
  • Glands and lymphatic tissue
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13
Q

What are the two muscle layers in the muscularis externa?

A
  • Inner circular muscle
  • Outer longitudinal muscle
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14
Q

What is the role of the myenteric plexus?

A

Controls strength and frequency of muscle contractions for gut motility.

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15
Q

What is the peritoneum?

A

The largest serous membrane in the body, providing a physical barrier to the spread of infection.

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16
Q

What are the two layers of the peritoneum?

A
  • Parietal
  • Visceral
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17
Q

What is ascites?

A

The accumulation of fluid in the peritoneal cavity.

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18
Q

What is the greater omentum?

A

The largest fold of the peritoneum that drapes over the transverse colon and small intestine.

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19
Q

What is the function of the lesser omentum?

A

Suspends the stomach and duodenum from the liver; serves as a pathway for blood vessels.

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20
Q

What is the enteric nervous system?

A

The brain of the gut, extending from the oesophagus to the anus.

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21
Q

How many neurons does the enteric nervous system contain?

A

100 million.

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22
Q

What are the two types of plexuses in the enteric nervous system?

A
  • Myenteric plexus
  • Submucosal plexus
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23
Q

What is the function of the submucosal plexus?

A

Controls digestive secretions and detects sensory information.

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24
Q

What supplies arterial blood to the GIT?

A

Branches of the abdominal aorta, including the mesenteric arteries.

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25
Q

What is the role of the liver in relation to the GIT?

A

Filters blood and processes nutrients before they enter systemic circulation.

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26
Q

What does the term ‘peristalsis’ refer to?

A

Involuntary muscle contractions that propel food through the digestive tract.

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27
Q

What are the functions of saliva?

A
  • Digestion
  • Lubrication
  • Cleansing of oral cavity and teeth
  • Defence
  • Taste
  • Buffer
  • Waste removal
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28
Q

What is contained in saliva?

A
  • Water (99.5%)
  • Mineral salts
  • Enzymes
  • Mucus
  • Immunoglobulins
  • Blood clotting factors
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29
Q

What is the function of the oesophagus?

A

A muscular tube that transports food to the stomach via peristalsis.

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30
Q

What is the role of the lower oesophageal sphincter?

A

Prevents reflux of stomach contents into the oesophagus.

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31
Q

What are the four main regions of the stomach?

A
  • Cardia
  • Fundus
  • Body
  • Pyloric
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32
Q

What is peristalsis?

A

Muscular contractions that move food through the digestive tract

Peristalsis is essential for the movement of food along the gastrointestinal tract.

33
Q

What is the function of the epiglottis?

A

Prevents food from entering the trachea

The epiglottis is a flap of elastic cartilage that plays a crucial role in swallowing.

34
Q

What does the lower oesophageal sphincter do?

A

Acts as a seal on the stomach to prevent reflux of stomach contents into the oesophagus

This sphincter is also known as the cardiac sphincter.

35
Q

What are the four main regions of the stomach?

A

Cardia, fundus, body, pyloric

These regions have specific roles in the digestive process.

36
Q

How many layers of muscle does the stomach have?

A

Three layers of muscle

This is more than the two layers found in the rest of the gastrointestinal tract.

37
Q

What does gastric juice consist of?

A

Hydrochloric acid (HCl) and mucus

The stomach secretes 2–3L of gastric juice daily, which is highly acidic.

38
Q

What is the role of parietal cells in the stomach?

A

Secrete intrinsic factor and hydrochloric acid

Intrinsic factor is essential for vitamin B12 absorption.

39
Q

What is the function of chief cells in the stomach?

A

Secrete pepsinogen and gastric lipase

Pepsinogen is converted to pepsin by HCl for protein digestion.

40
Q

What does the stomach use to protect against acid?

A

Mucus produced by goblet cells

This mucus acts as a barrier to the acidic environment.

41
Q

What hormone stimulates hunger?

A

Ghrelin

Ghrelin is produced in the stomach and signals the brain to stimulate appetite.

42
Q

What is the pancreas’s exocrine function?

A

Secretes pancreatic juice into the small intestine

This juice contains enzymes and bicarbonate to aid digestion.

43
Q

What are the primary enzymes secreted by the pancreas?

A
  • Trypsin
  • Chymotrypsin
  • Pancreatic lipase
  • Pancreatic amylase

These enzymes are crucial for digesting proteins, fats, and carbohydrates.

44
Q

What is the gallbladder’s primary function?

A

Stores and ejects bile to emulsify fats

Bile is essential for the digestion and absorption of dietary fats.

45
Q

What is the pH range of bile?

A

7.6–8.6 (mildly basic)

This pH helps in the emulsification of fats.

46
Q

What are the three regions of the small intestine?

A
  • Duodenum
  • Jejunum
  • Ileum

Each region has distinct roles in digestion and absorption.

47
Q

What is the primary function of villi in the small intestine?

A

Increase surface area for absorption

Villi contain blood capillaries and lacteals for nutrient absorption.

48
Q

What role do brush border enzymes play in the small intestine?

A

Facilitate the final stages of digestion on the intestinal lining

These enzymes are essential for breaking down carbohydrates and proteins.

49
Q

What hormone is released in response to high fat or protein chyme in the duodenum?

A

Cholecystokinin (CCK)

CCK stimulates bile release and pancreatic enzyme secretion.

50
Q

What is the primary role of the large intestine?

A

Final stages of digestion, absorption, and stool formation

It also plays a role in vitamin synthesis through bacterial activity.

51
Q

What are the four regions of the large intestine?

A
  • Caecum
  • Colon
  • Rectum
  • Anal canal

Each region contributes to different functions in the digestive process.

52
Q

What is the role of microbes in the large intestine?

A

Aid in nutrient extraction and produce short-chain fatty acids

These microbes support gut health and contribute to metabolism.

53
Q

What triggers the defecation reflex?

A

Distension of the rectal wall

This triggers sensory impulses that lead to muscle contractions for stool expulsion.

54
Q

What is the primary function of the liver?

A

Cleansing blood of microbes and detoxification

The liver has over 500 functions, including metabolism and nutrient storage.

55
Q

What is the hepatic first pass?

A

Transport of nutrient-rich blood from the GIT to the liver for filtration

This process is essential for detoxifying substances before they enter systemic circulation.

56
Q

What is the hepatic first pass?

A

All blood from the GIT is transported to the liver via the portal vein to be filtered/metabolised before entering systemic circulation.

57
Q

What are the two main sources of blood that mix in the liver?

A

Portal vein and hepatic artery.

58
Q

What is the primary function of Kupffer cells in the liver?

A

Haemolysis.

59
Q

List three functions of the liver.

A
  • Cleansing blood of microbes
  • Detoxification of drugs and toxins
  • Bile production and secretion
60
Q

What is the role of the liver in hormone homeostasis?

A

Deactivating all hormones.

61
Q

What is the liver’s role in metabolism?

A
  • Metabolism of glucose (glycogen)
  • Fats (hepatocytes store triglycerides)
  • Amino acids.
62
Q

What is thermogenesis in the context of liver function?

A

Heat production.

63
Q

What is stored in the liver?

A
  • Vitamins (A, D, E, K, B12)
  • Iron
  • Copper
  • Glycogen.
64
Q

What happens to excess glucose in the liver?

A

Converted to glycogen for storage.

65
Q

What is the function of hepatocytes in detoxification?

A

Convert toxins into non-toxic metabolites for excretion.

66
Q

True or False: The liver is highly energy dependent for detoxification.

67
Q

What are the two major classifications of chemical compounds regarding detoxification?

A
  • Hydrophilic
  • Lipophilic.
68
Q

Fill in the blank: Phase I of detoxification involves _______ enzymes.

A

[CYP450 family of]

69
Q

What is the purpose of Phase II in detoxification?

A

Conjugation reactions to neutralize toxins and make them water-soluble.

70
Q

What is cellulose and its function in the human digestive system?

A

Indigestible fibre that assists with the movement of materials through the intestines.

71
Q

What is the primary short-term energy storage molecule in the body?

72
Q

What are triglycerides composed of?

A
  • Glycerol
  • Three fatty acid chains.
73
Q

What is the role of cholesterol in the body?

A

Vital for cell membrane integrity, vitamin D synthesis, and sex hormone synthesis.

74
Q

What distinguishes cis and trans fatty acids?

A

Cis configuration has H atoms on the same side of the double bond; trans has them on opposite sides.

75
Q

What is the percentage of body mass that proteins constitute?

76
Q

What must happen to proteins before protease enzymes can cleave amino acids?

A

Proteins must be denatured.

77
Q

What are enzymes?

A

Biological catalysts that speed up chemical reactions.

78
Q

How are enzyme names typically formed?

A

Based on the substrate they react with, usually ending in –ase.

79
Q

Fill in the blank: Proteins are easily denatured by _______ and changes.