Block 2 Lecture 16 Flashcards

1
Q

what are the principle/hollow organs of the GI tract

A

mouth, esophagus, stomach, small intestine, large intestine

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2
Q

what are the accessory organs of the GI tract

A

salivary glands, liver, gallbladder, pancreas

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3
Q

what is the function of the mouth and esophagus

A

mechanical disruption

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4
Q

what is the function of the small intestine

A
  1. absorbs and secretes salt and water (net result is absorption of 9-10 liters a day)
  2. finish digestion of proteins, carbohydrates, and lipids
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5
Q

through what substances does small intestine digest

A

pancreatic enzymes, hepatic bile, luminal disaccharides and luminal peptidases

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6
Q

what is the function of the large intestine

A
  1. final absorption of salt and water (.4-.5 liters/day)
  2. modest role in regulation of K+ homeostasis
  3. compacting and storage of stool before explusion
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7
Q

what is the function of salivary glands

A
  1. initiate digestion of carbohydrates through alpha amylase and fats through lingual lipase
  2. lubrication via mucus (protein) and serous (watery) secretions
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8
Q

what is the function of liver and gallbladder

A

secretion of bile( emulsifies fats; stored in liver, releasing .5 liters a day into duodenum)

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9
Q

what is the function of the pancreas

A

secretion of pancreatic juice (1.5 liters a day) rich in HCO3- and enzymes

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10
Q

what is a zymogen

A

a type of proenzyme which is converted into an enzyme when activated by another enzyme

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11
Q

what are the secretory products of the exocrine pancreas

A
  1. ) pancreatic juice

2. ) 15-100 grams of protein (20 distinct enzymes)

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12
Q

what does pancreatic juice contain

A

water, salts, NaHCO3. (1.2-1.5 liters a day of isotonic pancreatic juice)

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13
Q

what is the purpose of zymogens

A

to prevent the enzymes from digesting proteins in the cells in which they’re synthesized

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14
Q

what are the inactive zymogens of principle pancreatic enzymes

A

trypsinogen-> trypsin
chymotrypsinogen -> chymotrypsin
procarboxypeptidase -> carboxypeptidase
proelastase -> elastase

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15
Q

what are the active enzymes of principle pancreatic enzymes

A

pancreatic alpha amylase, pancreatic lipase, ribonuclease/deoxyribonuclease

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16
Q

what is the purpose of bicarbonate in pancreatic juice

A

neutralizes the acid in gastric juice which facilitates action of pancreatic enzymes

17
Q

what is the mechanism of zymogen activation

A

enteropeptidase cleaves a peptide from trypsinogen forming active digestive enzyme trypsin. trypsin then activates other pancreatic zymogens

18
Q

where is enteropeptidase found

A

brush border of small intestine

19
Q

what is another name for enteropeptidase

A

enterokinase

20
Q

what is the function of endocrine glands

A

secrete their products, hormones, directly into blood

21
Q

what is the function of the endocrine pancreas

A

islets of langerhans are source of insulin (from beta cells) and glucagon (from alpha cells) which are secreted directly into blood

22
Q

what is the function of exocrine glands

A

secrete their products into ducts that lead to external environment

23
Q

what is the function of the exocrine pancreas

A

collection of lobules, each lobule is a collection of ducts each of which beings at an acinus. the watery secretion is delivered to outside of body

24
Q

what is the acinus the site of

A

formation of primary secretion of exocrine gland: salt and water

25
Q

what is the duct of an exocrine gland a site for

A

modification of the primary secretory product of acing cells. (isosmotic secretion)

26
Q

what is the fluid balance in humans per day

A

food and drink-2 liters
GI secretions- 7 liters
1.9 liters excreted as urine and sweat
0.1 excreted in feces

NET RESULT OF 2 LITERS IN 2 LITERS OUT THIS SI STEADY STATE