ch 24 digestive system Flashcards
List the regions of the digestive tract from beginning to end and name the accessory organs (if any).
- Oral Cavity, incl. tongue and teeth. Accessory organs are saliva glands.
- Pharynx. Accessory organs are tonsils.
- Esophagus
- Stomach
- Small Intestine Accessory organs are liver, gallbladder, and pancreas
- Large intestine
- Anus
- What parts does the small intestine consist of?
2. What parts does the large intestine consist of?
- duodenum, jejunum, and ileum. Accessory organs are liver, gallbladder, and pancreas
- cecum, colon, rectum, and anal canal
What are the 8 functions of the digestive system?
- Ingestion
- Mastication
- Propulsion
- Mixing
- Secretion
- Digestion
- Absorption
- Elimination
What digestive functions occur in the stomach as opposed to the small intestine?
Stomach: protein digestion begins. Chyme is made from food and stomach secretions.
Small intestine: pancreatic enzymes complete food breakdown. Bile from liver emulsifies lipids
What are the 4 major tunics of the digestive tract wall (from inside to out)
- Mucosa
- Submucosa
- Muscularis
- Serosa/Adventitia
- What tissues is the mucosa made of and where is it?
- What parts of the mucosa have a different type of epithelium? What type is it?
- What else does the mucosa line?
- What type of receptors are in the mucosa?
- It faces the gut contents. Made of simple columnar epithelium, lamina propria (areolar connective tissue), the muscularis mucosa (smooth muscle to change mucosa’s shape, not motility).
- mouth, oropharynx, laryngopharynx, esophagus, and anal canal where it’s stratified squamous.
- any deep glands in the digestive tract.
- stretch receptors and chemoreceptors
- Where is the submucosa?
- What is the submucosa made of?
- What is the submucosal plexus and what does it control?
- Next layer out from the mucosa.
- It is a thick layer of connective tissue and contains glands. (no smooth muscle)
- It is a layer of neurons in the submucosa that controls submucosal secretions.
- Where is the muscularis?
- What is it made of?
- How is the muscularis different in the mouth, pharynx, and upper half of esophagus?
- How is the muscularis different in the stomach?
- Where is the myenteric plexus, and what is its job?
- What 2 parts comprise the enteric nervous system (ENS)?
- The layer just out from the submucosa
- 2 layers of smooth muscle. Inner layer is circular and outer layer is longitudinal. Antagonistic.
- They have a layer of skeletal muscle.
- It has 3 layers of smooth muscle
- Between the 2 layers of smooth muscle. It controls the motility in the digestive tract.
- The submucosal amnd myenteric plexuses
- What is the outermost layer of the digestive tract, and how do we differentiate between its two names?
- What is the serosa made of? What is adventitia made of?
- The serosa or adventitia. If parts of the digestive tract protrude into the peritoneal cavity, it’s called serosa (think serous membrane aka visceral peritoneum). All remaining structures have a connective tissue adventitia.
- Serosa is thin layer of connective tissue and simple squamous epithelium. Adventitia is connective tissue that blends with surrounding connective tissue.
- Both the ………… …………… …………. and the ………….. ………… ………… regulate the digestive system.
- The ……… has more neurons than the spinal cord and is part of the ………. .
- The ………. innervates the ENS mainly by ………………….. stimulation.
- The ENS receives sensory input from the gut and controls …………. and ……………. in the gut.
- The ENS controls the gut with ………….. ANS input by using …………… …………… that regulate small regions of the gut.
- The parasympathetic division ………………… gut activity and the sympathetic division ……………… gut activity.
- Enteric nervous system (ENS) and the Auntonomic Nervous System (ANS).
- ENS, ANS
- ANS, parasympathetic
- motility and secretion
- little. Local reflexes.
- Increases, decreases
- In addition to nervous system control of the gut, the digestive system is also controlled by what 2 things?
- More than ………. transmitters are associated with the ENS.
- What two neurotransmitters stimulate gut activity, and what neurotransmitter inhibits gut activity?
- Name a few key hormones that regulate the secretion and motility of the digestive system.
- In addition to hormones, what is a paracrine chemical released into the digestive tract that influences nearby cells?
- Neurotransmitters and hormones.
- 30
- ACh and serotonin stimulate, and Norepinephrine inhibits.
- gastrin, secretin, CCK, ect.
- histamine
- Where does the parietal peritoneum line?
- T or F the visceral peritoneum covers most abdominal cavity organs.
- Where does the greater omentum cover?
- Which 2 structures support the liver and stomach?
- What suspends most of the small intestine?
- What 3 things do the folds of the peritoneum do?
- The body wall and the surface of the pelvic organs.
- T
- Anterior surface of the viscera
- the coronary ligament and lesser omentum
- mesentery proper
- Connect visceral organs to posterior body wall, keep organs in place, and provide a route for blood vessels, lymphatics and nerves.
- What 2 structures separate the oral and nasal cavities and forms the roof of the mouth?
- The tongue does what 3 things?
- Extrinsic muscles of the tongue do what? Intrinsic muscles of the tongue do what?
- What do lingual glands secrete? What does it do?
- The hard and soft palate.
- aids in mastication, speech, and deglutition (swallow)
- Extrinsic: move the tongue. Intrinsic: change its shape.
- Lingual lipase. lipid digestion
- What 2 things do the teeth do?
- Dentin is …………. than bone and enamel is ……………. than dentin.
- How many teeth does primary dentition form?
How many teeth does secondary dentition form? - The basic movements of mastication are controlled how?
- mastication and speech
- Harder, harder
- 20 deciduous teeth. 32 permanent teeth
- Reflexively
- How many pairs of salivary glands do we have and how much saliva do they secrete per day?
- What do the parotid salivary glands secrete? What does it break down?
- What do submandibular glands secrete?
- The sublingual glands secrete mostly ……………. .
- 3 pairs. 1-1.5 L per day
- serous solution with salivary amylase. Starch. 35-40% of saliva produced here
- serous solution, salivary amylase, and mucus. Most saliva is produced here
- mucous
- How many pharyngeal constrictors does the pharynx have? What do they do?
- The esophagus has both ……………. and ……………….. esophageal sphincters to control the movement of material into and out of the esophagus.
- What are the 3 phases of swallowing?
- They aid in swallowing.
- upper and lower
- the voluntary phase, involuntary pharyngeal phase, and the esophageal phase.
- What happens in the voluntary phase of swallowing?
- What happens in the involuntary pharyngeal phase?
- What happens in the esophageal phase?
- bolus is moved by the tongue to the oropharynx
- soft palate raises, epiglottis closes, and pharyngeal constrictors push bolus towards esophagus. Upper esophageal sphincter relaxes.
- muscularis of esophagus moves the bolus to the stomach by peristalsis. Specifically:
circular layer of muscularis above bolus contracts and longitudinal layer below bolus relaxes.
What are the 2 primary functions of the stomach?
- storage of food
2. mixing of food with gastric secretions
- What is the outermost layer of the stomach?
- What is special about the stomach’s muscularis?
- What are rugae?
- What is the epithelium of the mucosa?
- the serosa aka visceral peritoneum
- It has 3 muscular layers. From in to out: the oblique layer, the middle circular layer, and outer longitudnal layer.
- folds of the mucosa and submucosa when stomach is empty.
- simple columnar epithelium
What are the 5 types of stomach secretory cells and what do they secrete? Where are the gastric pits and what do they lead to?
- surface mucous cells: alkaline mucus. This is the only one that isn’t in the gastric glands.
- mucous neck cells: mucus
- Parietal cells: hydrochloric acid and intrinsic factor (absorbs B12)
- Chief cells: enzyme pepsinogen (inactivated)
- Endocrine cells: Various types that release hormones (gastrin and somatostatin) and paracrine factors (histamine).
- In the mucosa and lead to gastric glands
- How much gastric juice does the stomach secrete each day?
- Ingested food is mixed with gastric juice to form ………….. .
- What are 3 functions of HCl?
- What effect does HCl have on carbohydrate digestion?
- 2-3 Liters
- Chyme
- kills bacteria, denatures proteins, and activates pepsinogen to form pepsin.
- It stops carbohydrate digestion by inactivating salivary amylase.
Go thru the steps of Hydrochloric acid production by the parietal cells in the gastric glands of the stomach. Which step is the alkaline tide?
- CO2 diffuses into the parietal cell.
- CO2 + H2O combine (and are catalyzed by carbonic anhydrase) to make H2CO3 carbonic acid.
- H2CO3 splits to become HCO3 (bicarbonate ions) and H+
- HCO3 goes back to blood as Cl- comes in (swap positions). This step is known as the ALKALINE TIDE
- An H+ K+ proton pump moves H+ into duct of gastric gland and K+ into parietal cell
- The Cl- ions also move into the gastric gland duct