3B physiology of the liver P3 Flashcards

1
Q

what is the most common phospholipid found in bile

A

Lecithin

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2
Q

recall the phopholipids are also ________

A

amphipathic

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3
Q

what amount of cholesterol are converted to bile acids and eliminated in bile every day

A

500mg

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4
Q

some cholesterol is also eliminated in the bile as ____ ____-

A

waste products

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5
Q

what is bilirubin

A

waste product of hemoglobin degradation

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6
Q

what are the two types of bilirubin

A

free bilirubin or unconjugated bilirubin or indirect bilirubin
and
conjugated bilirubin or direct bilirubin

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7
Q

how is free bilirubin transported in the blood

A

attached to albumin, conjugated bilirubin or direct bilirubin

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8
Q

as free bilirubin passes through the liver, it is released from albumin and moved into hepatocytes which perform the following functions

A

1) uptake of bilirubin from the circulation
2) conjugatioin of bilirubin
3) excretion of bilirubin into the bile

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9
Q

conjugation involved attaching _____ _____ to bilirubin in a reaction catalyzed by the enzyme _____ ______

A

glucoronic acid, glucoronyl transferase

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10
Q

______ bilirubin is much more water soluble then free or _____ bilirubin

A

conjugated, unconjugated

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11
Q

how are Ions and water secreted

A

by epithelial cells lining the bile ducts

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12
Q

list misc. bile constituants

A

lipothilic drugs
metabolites
antigen-antibody complexes

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13
Q

review bile synthesis on slides 37-39

A

do it now

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14
Q

the first two steps of bile synthesis produces how much hepatic bile per day

A

900ml

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15
Q

during meals, the bile that reaches the duodenum is a mixture of relatively ________ hepatic bile and ________ gall bladder bile

A

dilute, concentreted

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16
Q

what two function does bile play

A
  • Provides the sole excretory route for many solutes that are not excreted by the kidneys
  • secreted bile salts and lecithin are required for normal lipid digestion and absorption in the small intestins