1. Digestive System Flashcards

Structure and Function of the System Control of GI Motility and Secretion

1
Q

Name the 7 main parts that make up the digestive system

A

Mouth, Pharynx, Oesophagus, Stomach, Small intestine, Large Intestine and Rectum

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2
Q

Name the 4 accessory organs of the digestive system

A

Salivary Gland, Liver, Gall Bladder and Pancreas

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3
Q

Why digest?

A

Fuel cells, break down large molecules to smaller ones which can then diffuse into cells and bloodstream for usage

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4
Q

What are the 4 main phases of gastrointestinal system?

A

Motility, Secretion, Digestion and Absorption

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5
Q

Which of the 4 phases are not controlled?

A

Absorption

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6
Q

What can be secreted into the lumen?

A

Enzymes (for digestion), salt, water, Mucus, HCl, HCO3

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7
Q

What is the inner-most layer of the lumen wall?

A

Mucosa

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8
Q

What is the function of the mucosa?

A

Increase surface area due to folded membrane, protective surface, secretes enzymes, defence against bacteria.

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9
Q

Name the three layers of the mucosa and their function

A

Mucous Membrane (protect surface, contains exocrine and endocrine gland cells), Lamina Propria (lyphoid tissue - important for defence) and Muscularis Mucosa (smooth muscle)

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10
Q

What is the function of the submucosa?

A

Thick layer of connective tissue for distensibility and elasticity. Contains larger blood and lymph vessls and contains nerve network which stimulates contraction and hormonal release.

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11
Q

Name the nerve network of the submucosa and muscularis externa

A

Submucosal plexus and myentric plexus

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12
Q

Name the muscle that makes up the muscularis externa

A

Smooth muscle

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13
Q

What affect do each layer in the muscularis externa have on the lumen when contracted?

A

Circular layer (contraction decreases diameter of lumen) and longitudinal layer (contraction shortens tube).

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14
Q

What does contraction of muscularis externa result in?

A

Produces mixing and propulsive movement

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15
Q

What is the function of the serosa?

A

Secrete serous fluid for lubrication - prevents friction

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16
Q

What is the function of mesentry?

A

Holds lumen to body wall - fIxation in the body and allows movement for mixing.

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17
Q

What does enteric innervation mean?

A

Within tract (involves myentric and submucosal plexus) and is interconnected (motor, secretory and sensory neurones)

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18
Q

What does extrinsic innervation mean?

A

Brain innervation - further away.

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19
Q

What effect does parasympathetic innervation have on the activity of the gut

A

Increases activity - rest and digest

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20
Q

What is the function of villi?

A

Increases surface area due to folded epithelial layer (e.g. Small intestine: 300m2) - shedding (whole new lining every 5 days) - absorption via capillaries (except for fats (lacteal))

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21
Q

What is secreted by the salivary gland and why?

A

Salt, water, mucus, amylase - lubraication and polysaccharide (starch) digestion

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22
Q

Which part of the digstive system secretes lingual lipase?

A

Tongue for lipid digestion

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23
Q

Why is mucus secreted by the oesophagus?

A

Lubrication - prevents friction

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24
Q

Why is HCl secreted by the stomach?

A

Activates Pepsin to pepsinogen which digests proteins.

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25
Q

What is the function of HCO3?

A

Bicarbonate neutralises chyme and adjusts pH after stomach.

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26
Q

Where is bile salts stores?

A

Gall Bladder

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27
Q

What is secreted by the liver?

A

Bile slats, HCO3 and waste

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28
Q

Where is most of digestion taken place?

A

Small Intestine

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29
Q

Where is water reabsorpted to prevent loss?

A

Large Intestine

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30
Q

Is mucus secreted in the large Intestine?

A

Yes for lubrication

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31
Q

What is the function of the rectum?

A

Defecation

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32
Q

What makes up carboydrates?

A

Monosaccharides

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33
Q

Fatty Acids and Glycerol form what?

A

Lipids (fats)

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34
Q

Name a polysaccharide?

A

Glycogen, Cellulos, Amylopectin, amylose (strach)

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35
Q

What does amylase do and where is it secreted?

A

Amylase breaks down strach in the mouth

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36
Q

How is glucose transported into epithelial cells?

A

Via cotransport with Na+ ions

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37
Q

How is fructose transported into epithelial cells?

A

Via protein channel straight into cell

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38
Q

How does pepsinogen digest proteins?

A

Breaks bonds between amino acids

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39
Q

What is the difference between endopeptidases and exopeptidases?

A

Endopeptidases break bonds between AAs, Exopeptidases act on the ends of chains

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40
Q

What type of molecule is moved into epithelial cells via endocytosis

A

Small peptides

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41
Q

How is amino acids transported into epithelial cells?

A

Via co-transport with Na+ ions

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42
Q

Name the 3 lipases and what do they act on?

A

Lingual, gastric and pancreatic lipases and they act on lipids (fats)

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43
Q

Where is most lipids digested?

A

Small intestine

44
Q

What is the problem with large lipid droplets?

A

Small surface area: volume ratio - not many enzymes can act on the lipids at once.

45
Q

What do bile salts do?

A

Increase SA:V ratio by creating several small droplets from one big one creating more sites for enzymes to act upon. They also prevent reaggregation of droplets together.

46
Q

What are micelles?

A

Small droplets which act as reservoir to store FAs and glycerol

47
Q

How are FAs and glycerol secreted out of epithelial cells and where to?

A

Exocytosis (vesicles) into lacteal.

48
Q

How is water absorbed?

A

Osmosis via channel transporters down osmotic graident.

49
Q

How are fat soluble vitamins absorbed?

A

Follow fat absorption

50
Q

How is vitamin B12 absorbed?

A

Bind to intrinsic factor.

51
Q

What does the control of the GI respond to?

A

Distension, osmolarity and acidity and concentration of molecules

52
Q

Name the 3 types of control systems

A

Neural, Hormonal and Local muscle response

53
Q

what does submucosal plexus control?

A

Exocrine and endocrine secretions

54
Q

What does the myenteric plexus control?

A

Control of peristaltic secretions

55
Q

What is the effect of thinking about food?

A

Causes changes in CNS and affect enteric NS so you start to produce hormones and saliva.

56
Q

Do short reflexes involves the brain?

A

No but long reflexes do

57
Q

What stimulates hormonal release?

A

Receptors in contact with the luminal contents detect extremes in distension, osmolarity and acidity etc…

58
Q

How is hormones secreted into blood?

A

Endocrine gland secretion

59
Q

What are the two families of hormones?

A

Gastrin and Secretin

60
Q

Name the 3 phases of GI control

A

Cephalic, Gastric and Intestinal.

61
Q

Which part of the body is the site of cephalic phase

A

Head

62
Q

Name the two phases of GI control which affected by hormonal control

A

Gastric and Intestinal

63
Q

Control of gastric phase happens in response to what?

A

Distension, Acidity and Peptides

64
Q

What influences cephalic phase?

A

Touch, sight, taste, thought

65
Q

What is mastication?

A

Chewing phase

66
Q

Is mastication voluntary?

A

Yes but eventually you swallow due to excess saliva

67
Q

Which parts of the mouth contain receptors that produce a reflex

A

Gums and Hard Palate

68
Q

Saliva in mouth is secreted in response to what?

A

Presence of food in mouth

69
Q

How is food prevented from entering the lungs

A

Glottis closes to prevent food going down trachea, aryno-oesophageal opens to allows food into oeophagus to stomach

70
Q

What is peristalsis?

A

Constriction and shortening of tube, which moves contents though intestinal tract, mixing an propelling food though.

71
Q

What is secondary peristalsis?

A

Oesophageal distension and it occurs when indigested food has been left behind after primary peristalsis.

72
Q

What causes mixing?

A

Reduction in lumen diameter moves some parts forward and other parts in reverse.

73
Q

Name the 3 parts of stomach

A

Fundus, Body and Antrum

74
Q

What is the function of stomach?

A

Acts as a store for food, mixing, breaks down big molecules into smaller ones, more manageable liquid (chyme)

75
Q

What does the pyloric sphincter do?

A

Prevents food coming back from small intestine.

76
Q

What prevents food re-entering oesophagus?

A

Oesphageal sphincter

77
Q

Name the 3 cells in stomach and what do they secrete?

A

Mucous (mucus), parietal (HCl) and chief (pepsinogen)

78
Q

What is receptive relaxation?

A

Take extra volume of food with little rise in stomach pressure stimulated by eating

79
Q

What is the function of the body in the stomach?

A

Storage

80
Q

Where does mixing take place in the stomach?

A

Antrum

81
Q

What controls emptying in the stomach?

A

Factors in the duodenum

82
Q

Why does excess fat slow emptying of stomach?

A

Fat digestion is slow and so to reduce build up of fats in small intestine and less waste emptying is reduced

83
Q

Name two factors that affect gastric emptying.

A

Amount of chyme, Fat, Acid, Hypertonicity and distension.

84
Q

Does intense pain inhibit motility?

A

Yes

85
Q

What membrane potential change causes contraction?

A

Parasympathetic depolarisation.

86
Q

What secretes gastric juice

A

Oxyntic mucosa and pyloric gland areas.

87
Q

What stimulates chief cells?

A

ACh, Gastrin

88
Q

What is the postprandial alkaline tide?

A

They secrete bicarbonate ions into blood causing temporary increase in pH - maintain plasma’s electrical balance. Back optimal pH.

89
Q

Which of the 3 phases causes a decrease in HCl

A

Intestinal Phase

90
Q

How is pepsinogen converted to pepsin

A

Pepsinogen released by chief cells, mixes with HCl, causing pepsinogen activation to become pepsin (change conformation)

91
Q

What is secreted from pancreas?

A

HCO3 and enzymes

92
Q

Where does most digestion take place?

A

Small intestine

93
Q

What is secreted when pH lowers in the small intestine

A

Plasma secretin levels increases, and pancreas increases bicarb concentration and that neutralises acid in small intestine.

94
Q

What does CCK do?

A

Increased levels increases enzymes released by pancreas which increases rate of digestion of fats and proteins.

95
Q

What stimulates the release of HCO3 from epithelial cells of bile duct?

A

Secretin.

96
Q

What is the sphincter of Oddi

A

Smooth muscle which relaxes when we eat to allow bile and pacreatic juice to flow into small intestine.

97
Q

Does contraction of gall bladder release or inhibit the release of bile salts

A

Releases.

98
Q

Does peristalsis occur in the small intestine?

A

Yes

99
Q

What does Gastro-ileal reflex do?

A

Increases segmentation which stimulates colonic peristalsis and provides an urge to defecate.

100
Q

What is the migrating mobility complex?

A

Short peristaltic waves which pushes indigestible foods through the small intestine. (2hrs)

101
Q

What does motilin do?

A

Increase peristaltic mobility.

102
Q

What does relaxation of ileocecal sphincter result in?

A

Chyme moving into large intestine.

103
Q

What is intestinal segmentation?

A

Causes mass movement through large intestine

104
Q

Which part of the anus is voluntarily controlled?

A

External Anal sphincter.

105
Q

Describe renal distension.

A

Internal sphincter relaxes, external contracts, increased peristalsis in sigmoid colon and increases rectal pressure.