4. Anatomy Flashcards

1
Q

What are the 4 layers of the GI tract, from innermost to outermost?

A

Mucosa, submucosa, external muscle layers, serosa.

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2
Q

What 3 layers does the mucosa of the GI tract contain? Give 2 functions of each layer.

A

Epithelial layer - selectively permeable barrier, facilitated transport and digestion of food, promotes absorption, produces hormones, produces mucus.
Lamina propria - contains lymphoid nodules and macrophages, produces antibodies (mainly IgA which is resistant to proteases) to protect against bacterial and viral invasion.
Muscularis mucosae - layers of smooth muscle orientated in different directions keeps epithelium in contact with gut contents and helps keep crypt contents dynamic..

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3
Q

What does the submucosal layer of the GI tract contain?

A

Dense connective tissue, blood vessels, glands, lymphoid tissue, submucosal (Meissner’s) plexus.

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4
Q

What does the external muscular layer of the GI tract contain?

A

Inner circular muscle, myenteric (Auerbach’s) plexus, outer longitudinal muscle.

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5
Q

What does the serosal layer of the GI tract contain?

A

Blood and lymphoid vessels and adipose tissue.

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6
Q

What is the serosal layer of the GI tract continuous with?

A

Mesenteries.

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7
Q

What type of epithelium is found in the oesophagus and distal anus?

A

Stratified squamous epithelium.

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8
Q

What type of epithelium is found lining the whole GI tract except the oesophagus and distal anus?

A

Simple columnar.

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9
Q

What is an enterocyte?

A

A simple columnar cell.

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10
Q

Where in the GI tract are enterocyte the predominant cell?

A

Small intestine and colon.

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11
Q

What two layers do enterocytes need to transport nutrients through? Therefore what lies immediately below the enterocyte?

A

Apical membrane and basolateral membrane.

Blood vessels and lymphatics.

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12
Q

What is found on the surface of enterocytes?

A

Microvilli.

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13
Q

Where are goblet cells found?

A

Scattered in between enterocytes, increasing in number from the duodenum to the colon.

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14
Q

Give 2 reasons why goblet cells secrete mucus into the GI tract.

A

Act as a lubricant to reduce friction.
To protect against chemical damage due to acidity.
To form a physical barrier to protect against bacterial inflammation.

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15
Q

What cells are found lining the gastric mucosa and gastric pits? What do they secrete?

A

Gastric surface mucous cells (foveolar cells).

Secrete mucus/HCO3 that forms a barrier to stomach acid.

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16
Q

Where in the GI tract are villi found?

A

Small intestine.

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17
Q

Where in the GI tract are crypts found?

A

Small intestine and colon.

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18
Q

Crypts contain specialised cells including stem cells. Where in the crypt are they located and what is their function?

A

Base of crypts.

Constantly divide to replace epithelia every 2-4 days.

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19
Q

Crypts contain specialised cells including paneth cells. Where in the crypt are they located and what is their function?

A

Base of crypts.

Secrete antibacterial proteins to protect the stem cells.

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20
Q

Crypts and gastric glands contain specialised cells including enertoendocrine cells. Where in the crypts are they found and what is their function?

A

Between enterocytes deeper in the crypts and gastric glands.

Secrete hormones such as gastrin, cholecystokinin and secretin, that control the function of the gut.

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21
Q

What is the role of gastrin?

A

Peptide hormone that stimulates secretion of gastric acid.

22
Q

What is the role of cholecystokinin?

A

Causes the release of digestive enzymes from the pancreas and bile from the gallbladder.

23
Q

What is the role of secretin?

A

Secretin helps regulate the pH of the duodenum by inhibiting the secretion of gastric acid from the stomach and stimulating the production of bicarbonate from the pancreas.

24
Q

What disease causes crypt alteration, cryptitis and crypt abscesses (neutrophils in lumen)?

A

Inflammatory bowel disease

25
What cells does the glandular tissue in the gut contain?
Acini
26
Where are Brunner's gland found in the GI tract and what do they secrete?
Section of duodenum above the sphincter of Oddi. | Secrete mucus and HCO3.
27
What type of secretions tend to be produced by acini?
Serous (and enzyme) secretions.
28
What do tubules tend to secrete?
Mucous.
29
What happens pathologically in ulceration of the GI tract?
Failure of protective mechanisms such as mucus production leads to erosion through the muscularis mucosae.
30
What happens pathologically in coeliac disease?
An inability to tolerate gliadin (protein found in wheat) damages the mucosa, leading to poor digestions and malabsorption.
31
What are the layers of the abdominal wall from superficial to deep, including all the muscles (although not all found in the same area)?
Skin, fascia/fat (superficial and deep), external oblique, internal oblique, transverse abdominis (3 anterolateral muscles), rectus abdominis, transversalis fascia, peritoneum.
32
What is an aponeurosis? What abdominal muscles have them?
Thin, sheet like tendon. | External oblique, internal oblique, transverse abdominis.
33
What is the rectus sheath?
The aponeurosis of the anterolateral abdominal muscles that envelope the midline rectus abdominus muscles.
34
Where is the rectus sheath found above the arcuate line?
Surrounding the rectus abdominis.
35
Where is the rectus sheath found below the arcuate line?
Anterior to the rectus abdominis. Rectus abdominis rests on the transversalis fascia.
36
Where do the inferior epigastric vessels pierce rectus abdominus?
Arcuate line.
37
Where anatomically is the arcuate line found?
Roughly half way between umbilicus and pubic crest.
38
What does the mesentery contain?
Blood vessels, lymph vessels, nerves, fat.
39
What is a peritoneal ligament?
Double fold of peritoneum that connect two viscera together, or a double fold of the peritoneum that connects a viscera to the abdominal wall.
40
What peritoneal ligament connects the stomach to the transverse colon?
Gastrocolic ligament
41
What peritoneal ligament connects the stomach to the spleen?
Gastrosplenic ligament
42
What peritoneal ligament connects the liver to the anterior abdominal wall?
Falciform ligament.
43
What peritoneal ligament connects the liver to the diaphragm?
Triangular ligaments.
44
What is the greater omentum?
A double fold of peritoneum that hangs down off the greater curve of the stomach
45
What is the lesser omentum?
Double fold of peritoneum that connects the lesser curve of the stomach to the liver.
46
What are the 3 main purposes of sphincters?
Divide the GI tract into sections. Control movement along the GI tract. Prevent reflux of material.
47
What are the 7 sphincters of the GI tract, from mouth to anus?
``` Upper oesophageal. Lower oesophageal. Pyloric sphincter. Sphincter of Oddi. Ileo-caecal valve. Internal anal sphincter. External anal sphincter. ```
48
Which sphincter in the GI tract is voluntary?
External anal sphincter.
49
Where does venous drainage from the GI tract go?
To the liver via the hepatic portal vein.
50
What is the venous drainage of foregut, midgut and hindgut structures?
Foregut - portal vein. Midgut - superior mesenteric vein. Hindgut - inferior mesenteric vein.