4C anotomy, physiology and pathology of the large intestine Flashcards

1
Q

the fibers of the colon’s external muscular layer are collected into longitudinal bands called ______ ______

A

teniae coli

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2
Q

what are the outpouches of the colon called

A

haustra (between the teniae)

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3
Q

are there villi in the large intestines

A

No

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4
Q

what does the crypts of lieberkuhn consist of

A

absorptive cells
goblet cells
endocrine cells
regenerative cells

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5
Q

what are the 4 roles of the large intestines

A
  • propulsion and storage of the unabsorbed meterial
  • place of residence for flora
  • aborption of small amounts of water and electrolytes
  • defecation
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6
Q

about how many types bacteria live in the large intestines

A

500 different species

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7
Q

how many bacteria reside in the colon at birth

A

Zero (it is sterile)

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8
Q

fermentation of ______ dietary fiber to generate fatty acids, which are a major nutritional source for the colon and have _______ effects to promote normal mucosal growth and development

A

undigestible, trophic

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9
Q

fermentaion of indigestible sugars lead to ____ ____

A

gas formation

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10
Q

what are the three roles of intestinal flora

A
  • creation of an environment that is inhospitable to pathogenic microorganisms
  • metabolism of various compounds
  • creation of vitamin K, B12, and follic acid
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11
Q

what are the four mechanism that lead to diarrhea

A
  • increased osmotic load
  • increased secretion
  • inflammation
  • decreasd absorption time
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12
Q

what causes secretory diarrhea

A

when the small and large bowel secrete more electrolytes and water then they abbsorb

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13
Q

what causes secretory diarrhea

A

bacterial toxins, interophathogenic viruses, bile acids, unabosrbed dietary fat

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14
Q

what causes exudative diarrhea

A

occrus with several mucosal diseases that cause mucosa inflammation, ulcerations, or tumefaction

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15
Q

_____ ______ ______ occurs wen chyme is not in contact with an adequate absorptive surface of the GI tract for a long enough time so that water remains in the feces

A

Decreased absorption time

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16
Q

what is the main drug that causes constipation

A

opiates

17
Q

what are common causes of constipation

A

failure to resond to urge to deficate

  • inadequate fiber in diet
  • inadequate fluid intake
  • weakness of the abdominal muscle
  • inactivity and bed rest
  • pregnancy
  • hemorrhoids
18
Q

what term is used to describe a functional GI disorder characterized by variable combination of chronic and recurrent intestinal symptoms

A

Irritable bowel syndrom (IBS)

19
Q

what may be the cause of IBS

A

believed to result from the dysregulation of intestinal motor and sensory functions modulated by the CNS