Ch 1 - Digestion and Absorption Flashcards

1
Q

What is the most essential component of life?

A

Food

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2
Q

Why is food important for life?

A

The major components of our food are carbohydrates, proteins and fats. Vitamins and minerals are also required in small quantities. Food provides energy and organic materials for growth and repair of tissues.

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3
Q

What are the other two essential components in addition to food? Give reason

A

Roughage(Dietary Fibre) and Water

  • Helps in easy digestion
  • Prevents dehydration, regulates body temperature and helps in metabolic processes.
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4
Q

Define “Digestion”

A

The process of conversion of complex food substances to simple absorbable forms is called digestion

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5
Q

How is digestion carried out?

A

Digestive system through biochemical (enzymes) and mechanical methods(mouth and stomach)

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6
Q

What makes up the digestive system?

A

Alimentary Canal and Associated glands.

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7
Q

Explain about the Alimentary Canal

A
  • Also called GI tract
  • 7 compartments
  • Anterior and Posterior
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8
Q

Explain about the human buccal cavity

A
  • Set of teeth

- Tongue

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9
Q

Define “ Dentition”

A

Arrangement, type of teeth and number of a species set of teeth

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10
Q

What is a human being’s type of dentition?

A

Theocodont
Diphyodont
Heterodont

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11
Q

Define Theocodont

A

Each tooth is embedded in a socket of jaw bone.This type of attachment is called thecodont.

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12
Q

Define Diphyodont

A

Majority of mammals including human being forms two sets of teeth during their life, a set of temporary milk or deciduous teeth replaced by a set of permanent or adult teeth. This type of dentition is called diphyodont.

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13
Q

Define Heterodont

A

An adult human has 32 permanent teeth which are of four different types (Heterodont dentition), namely, incisors (I), canine (C), premolars (PM) and molars
(M).

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14
Q

Number of human teeth

A

32

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15
Q

Define “Dental Formula”

A

Arrangement of teeth in each half of the upper and lower jaw in the order I, C, PM, M is represented by a dental formula which in human is 2123/2123 .

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16
Q

Explain about the tongue

A

The tongue is a freely movable muscular organ

attached to the floor of the oral cavity by the frenulum

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17
Q

What holds the tongue to the floor of the oral cavity?

A

Frenulum

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18
Q

Explain “Pappilae”

A

The upper surface of the tongue has small projections called papillae, some of which bear taste buds.

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19
Q

Elaborate on the oesophagus

A

The oesophagus is a thin, long tube which extends posteriorly passing through the neck, thorax and diaphragm and leads to a ‘J’ shaped bag like structure called stomach. (Peristalsis)

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20
Q

Define Pharynx

A

The oral cavity leads into a short pharynx which serves as a common passage for food and air.

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21
Q

Define “Epiglottis” and “Glottis”

A

A cartilaginous flap called epiglottis prevents the entry of food into the glottis – opening of the wind pipe – during swallowing.

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22
Q

Define and explain the structure and location of stomach

A

The stomach, located in the upper left portion of the abdominal cavity, has four major parts – a cardiac portion into which the oesophagus opens, a fundic region, body
(main central region) and a pyloric portion
which opens into the first part of small intestine.

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23
Q

Which spinchter controls movement of food from oesophagus to stomach?

A

Gastro oesophagul spinchter

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24
Q

Define and explain the structure and location of small intestine

A

Small intestine is distinguishable into three regions, a ‘C’

shaped duodenum, a long coiled middle portion jejunum and a highly coiled ileum.

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25
Which spinchter controls movement of food from stomach to small intestine?
Pyloric Spinchter
26
Define and explain the structure and location of large intestine
Ileum opens into the large intestine. It consists of caecum, colon and rectum. Caecum is a small blind sac which hosts some symbiotic micro-organisms. A narrow finger-like tubular projection, the vermiform appendix which is a vestigial organ, arises from the caecum. The caecum opens into the colon. The colon is divided into four parts – an ascending, a transverse, descending part and a sigmoid colon. The descending part opens into the rectum which opens out through the anus.
27
Why is caecum called "blind sac"?
The caecum is called blind sac because caecum looks like a sac which has sphincter at the ileocaecal junction and it remains closed and is invisible.
28
Which part of the large intestine is called a vestigial organ and why?
Vermiform appendix because it's useless.
29
Who hosts symbiotic microorganisms and why?
Caecum | -helps in indigestion
30
Describe the transverse section of the gut or the alimentary canal.
4m+1m(diagram)
31
_________ epithelium has ___________cells that produce____________ for ____________.
Mucosal goblet mucous lubrication
32
How many salivary glands are there in body?
6 (3p)
33
Name them and where are they located?
Parotid gland - cheeks Submaxilliary/Submandibular - Lower jaw Sublingual - under tongue
34
What do salivary glands secrete ?
saliva...duh 🙄
35
What is the largest gland in the body?
Liver
36
How much does liver weigh?
1.2-1.5kg
37
Where is liver located?
In abdominal cavity under diapghram
38
How many lobes does the liver have?
2
39
Liver Question:- | ----------------is known as the ------------- and ------------------unit of the liver.
Hepatic lobules functional structural
40
Each of the hepatic lobule is covered with --------------.Define ----------.
Glisson's capsule is a thin connective tissue sheath arranged in the form of chords.
41
What does the liver secrete?
Bile juice
42
Who in the liver produces the bile juice?
Hepatic cells
43
Where is the bile stored? And define.
Gall bladder is a muscular bag like structure that stores bile juice.
44
How is bile transported to gall bladder?
Through hepatic duct
45
The------------duct and the ---------duct(also known as------------duct) form the common bile duct.
hepatic bile cystic
46
The bile duct and -------------------duct form the -------------------------and open into the ------------------ and is guarded by--------------spinchter
pancreatic common hepato pancreatic duct duodenum oddi
47
Define pancreas and what are the two parts of pancreas?
The pancreas is a compound elongated | organ situated between the limbs of the ‘U’ shaped duodenum. The parts are exocrine and endocrine parts.
48
What does endocrine and exocrine part secrete?
Endo- Hormones like insulin and glucagon | Exo- pancreatic juices that has enzymes
49
In what medium is pancreatic juice present?
Alkaline medium
50
Through what methods can digestion happen?
1. Mechanical | 2. Biochemical
51
What are two main functions of buccal cavity?
1. Mastication of food | 2. Swallowing of food
52
What does the teeth and tongue do?
mastication of food, churning, mixing it with saliva
53
Function of mucous on saliva
1. Lubrication of food | 2. adhere masticated food particles into bolus
54
What is deglutition?
Swallowing of food into the pharynx from mouth
55
What are the 2 main components in saliva?
1. Electrolytes[Ca+,Cl-,HCO3-] | 2. Enzymes such as Salivary amylase and Lysozyme
56
Function of Salivary Amylase
1.upon hydrolytic action, is a carbohydrate splitting enzyme
57
Function of Lysozyme
prevents bacterial infections in mouth
58
At what pH should salivary amylase be to digest carbohydrates?
6.8
59
What percent of carbohydrates get digested in mouth.?
30%
60
Define Peristalsis
Successive muscular contractions of oesophagus to push food down to stomach
61
Name spinchter controls the passage of food | into the stomach.
Gastro-oesophagul spinchter
62
Which layer forms glands in the stomach?Name the gland.
Mucosal layer | Gastric Glands
63
What are types of cells in gastric glands? Explain.
(i) mucus neck cells which secrete mucus; (ii) peptic or chief cells which secrete the proenzyme pepsinogen (iii) parietal or oxyntic cells which secrete HCl and intrinsic factor.(factor essential for absorption of vitamin B12).
64
Function of Intrinsic Factor
Absorption of Vit-B12 in stomach
65
How many hours does it take for digestion in stomach?
4-5 hours
66
Mechanical method of digestion in stomach
The food mixes thoroughly with the acidic gastric juice of the stomach by the churning movements of its muscular wall and is called the chyme.
67
Define "Chyme"
Food in stomach after mixing with digestive juices.
68
What activates Pepsinogen and into what?
HCl into Pepsin
69
Is pepsin a proteolytic enzyme?
Yes
70
How does pepsin digest proteins?
Pepsin converts proteins into proteoses and peptones (peptides).
71
What do mucuos and bicarbonates do in stomach?
The mucus and bicarbonates present in the gastric juice play an important role in lubrication and protection of the mucosal epithelium from excoriation by the highly concentrated hydrochloric acid.
72
What is the optimum pH for HCl to convert pepsinogen?
1.8
73
Function of Rennin
Rennin is a proteolytic enzyme found in gastric juice | of infants which helps in the digestion of milk proteins.
74
Are lipases present in stomach?
Yes, in small amounts
75
Mechanical method of digestion in small intestine
Various types of movements are generated by the muscularis layer of the small intestine. These movements help in a thorough mixing up of the food with various secretions in the intestine and thereby facilitate digestion.
76
What are the secretions found in small intestine?
The bile, pancreatic juice and the intestinal juice are the | secretions released into the small intestine.
77
How does pancreatic and bile juice go into duodenum?
Common Hepato Pancreatic Duct
78
Constituents of Pancreatic juice
The pancreatic juice contains inactive enzymes – trypsinogen, chymotrypsinogen, procarboxypeptidases, amylases, lipases and nucleases.
79
How does digestion happen with the help of pancreatic juice. Explain
Trypsinogen is activated by an enzyme, enterokinase, secreted by the intestinal mucosa into active trypsin, which in turn activates the other enzymes in the pancreatic juice.
80
Define Entirokinase
enzyme secreted by intestinal mucosa which activate trypsinogen.
81
Constituents of Bile juice
The bile released into the duodenum contains bile | pigments (bilirubin and bili-verdin), bile salts, cholesterol and phospholipids but no enzymes.
82
What are the 2 main functions of bile?
Bile helps in emulsification of fats, i.e., breaking down of the fats into very small micelles. Bile also activates lipases
83
How is intestinal juice formed?
The intestinal mucosal epithelium has goblet cells which secrete mucus. The secretions of the brush border cells of the mucosa along with the secretions of the goblet cells constitute the intestinal juice.
84
What is succus entericus?
intestinal juice
85
Constituents of intestinal juice
This juice contains a variety of enzymes like | disaccharidases (e.g., maltase), dipeptidases, lipases, nucleosidases, etc.
86
What do mucuos and bicarbonates do in small intestine?
The mucus alongwith the bicarbonates from the pancreas protects the intestinal mucosa from acid as well as provide an alkaline medium (pH 7.8) for enzymatic activities.
87
What is the name of the submucosal gland in duodenum that has similar property to mucous and bicarbonates?
Brunner's gland
88
How does Pancreatic juice digest proteins?
Proteins Peptones Proteoses ➡️ Trypsin/Chymotrypsin/Carboxypeptidases ➡️ Dipeptides
89
How does Pancreatic juice digest carboydrates?
Carboydrates[Polysaccharides]➡️Pancreatic Amylase➡️Disaccharides[Maltose]
90
How does Pancreatic juice digest fats?
Fats➡️Lipase[help of bile]➡️Diglycerrides/Monoglycerides
91
How does Pancreatic juice digest nucleic acids?
Nucleic acids➡️nucleases➡️Nucleotides/Nucleosides
92
How does Intestinal juice act on partially digested substances?
Dipeptides➡️Dipeptidases➡️Amino acids Maltose➡️Maltase➡️Glucose+Glucose Sucrose➡️Sucrase➡️Glucose+Fructose Lactose➡️Lactase➡️Glucose+Galactose Di/Monoglycerides➡️Lipase➡️Fatty Acids+Glycerol Nucleosides/Nucleotides➡️Nucleosidases/Nucleotidases➡️Sugars+Bases
93
Where does complete site of digestion happen?
Duodenum
94
Where does complete site of absorption happen?
Jejunum and Ileum
95
Main 2 functions of large intestine
1. Absorption of water,salts,minerals,drugs | 2. Secretion of mucous to adhere into faeces
96
How does the undigested and unabsorbed material go to caecum? Main function
Ileo-caecal valve prevents backflow of faecel matter
97
Note:- The activities of the gastro-intestinal tract are under neural and hormonal control with the help of CNS and Local centres
Note:- | Calorie - Unit of heat energy
98
Define"Absorption". What are the three types of absorption?
Absorption is the process by which the end products of digestion pass through the intestinal mucosa into the blood or lymph. It is carried out by passive, active or facilitated transport mechanisms.
99
Explain Facilitated transport mechanism
Small amounts of monosaccharides like glucose, amino acids and some electrolytes like chloride ions are generally absorbed by simple diffusion. The passage of these substances into the blood depends upon the concentration gradients. However, some substances like glucose and amino acids are absorbed with the help of carrier proteins. This mechanism is called the facilitated transport.
100
Explain Active transport mechanism
Transport of water depends upon the osmotic gradient. Active transport occurs against the concentration gradient and hence requires energy. Various nutrients like amino acids, monosaccharides like glucose, electrolytes like Na+ are absorbed into the blood by this mechanism.
101
Explain Passive transport mechanism
1. Fatty acids and glycerol being insoluble, cannot be absorbed into the blood. 2. They are first incorporated into small droplets called micelles which move into the intestinal mucosa. 3. They are re-formed into very small protein coated fat globules called the chylomicrons. 4. They are transported into the lymph vessels (lacteals) in the villi. 5. Lymph vessels ultimately release the absorbed substances into the blood stream.
102
What all does the stomach and mouth absorb?
Mouth - Certain drugs | Stomach - Alcohol,water,simple sugar, Vit B12
103
Define Assimilation
The absorbed substances finally reach the tissues which utilise them for their activities. This process is called assimilation.
104
Define Egestion
The process of elimination of undigested food out of the body is called egestion.
105
Define Ingestion
The process of taking food, drink, or another substance into the body by swallowing.
106
Note:-✨
The digestive wastes, solidified into coherent faeces in the rectum initiate a ✨neural reflex ✨causing an urge or desire for its removal. The egestion of faeces to the outside through the anal opening (defaecation) is a ✨voluntary process✨ and is carried out by a ✨mass peristaltic movement.✨
107
Inflammation of Alimentary Canal happens due to
Viral and Bacterial infections
108
Other infections happen due to
Parasites in small intestine[tapeworm,roundworm]
109
Jaundice affects which organ and its symptoms. How is it caused?
Liver Yellowing of eyes and skin Deposit of Bile Pigments
110
Define "Vomitting". How is it controlled?Is it a reflex action?
Ejection of stomach contents Controlled by vomit centre in medulla Yes
111
What happens when you get diarrhoea?
Reduced absorption of food Abnormal bowel frequency increased liquidity of faeces
112
What happens when you get constipation?
faeces retained in colon | irregular bowel movement
113
What happens when you get indigestion?
food does not get digested feeling full inadequate secretion of enzyme,spice,overeating
114
PEM
Protein Energy Malnutrition
115
What are two main diseases caused by PEM?
1. Kwashiorkar-only protein deficiency[toddlers] - some fat left/extensive oedema and swelling 2. Marasmus - protein and calorie deficiency[enfants]-no growth and thinning of body