Chapter 39 Flashcards

1
Q

What organs make up the lower digestive tract?

A
  • small intestine

- large intestine

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2
Q

What accessory organs help with digestion in the lower digestive tract?

A
  • liver
  • gallbladder
  • pancreas
  • vermiform appendix
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3
Q

What is the function of the small intestine?

A
  • digestion

- absorption

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4
Q

What are the three divisions of the small intestine?

A
  • duodenum
  • jejunum
  • ileum
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5
Q

What are the components of the wall of the small intestine?

A
  • plicae
  • villi
  • microvilli
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6
Q

What are plicae? Function?

A
  • the folds of the small intestine

- increase surface area for absorption

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7
Q

What are villi? Function?

A
  • the folds on the plicae
  • increase surface area
  • contains arteriole, venule, and lacteal
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8
Q

What are microvilli? What cells have them? Function?

A
  • the hairs along the villi along the plicae
  • enterocytes
  • increase the surface area
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9
Q

What are the wall layers of the small intestine?

A
  • mucosa
  • submucosa
  • muscularis
  • serosa
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10
Q

What is the epithelium of the small intestine made of?

A
  • goblet cells
  • enteroendocrine cells
  • tuft cells
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11
Q

What do goblet cells do?

A

-secrete mucus

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12
Q

What do enteroendocrine cells do?

A

-secrete hormones

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13
Q

What do tuft cells do?

A

-secrete prostaglandins and endorphins

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14
Q

What are the valleys between the villi called? What cells are found here?

A
  • intestinal crypts
  • intestinal stem cells
  • paneth cells
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15
Q

What do Paneth cells do?

What do intestinal stem cells do?

A
  • secrete lysozyme to inhibit bacterial growth

- to regrow the epithelium

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16
Q

What is the movement of peristalsis?

A

-weak; lasts 3-5 hours

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17
Q

What is the movement of segmentation?

A
  • local mixing of chyme with intestinal juices

- sloshing back and forth

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18
Q

What are the divisions of the large intestines?

A
  • cecum
  • colon
  • rectum
  • anal canal
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19
Q

What is the ileocecal valve? What does it join?

A

-permits material to pass from the ileum to the cecum of the large intestine

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20
Q

What is the cecum?

A

-blind-ended pouch located in the lower right quadrant

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21
Q

What accessory structures join the cecum?

A

-where the appendix attaches

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22
Q

Where is the ascending colon?

A
  • right side of the abdomen

- extends to the liver

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23
Q

What is the hepatic flexure?

A

-the turn by the liver

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24
Q

Where is the transverse colon?

A
  • passes horizontally across the abdomen

- below liver, stomach, and spleen

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25
Where is the descending colon?
-descend vertically on the left side of the abdomen
26
What is the splenic flexure?
-the turn by the spleen
27
Where is the sigmoid colon?
-courses downward in the shape of an S
28
Where is the rectum?
- joins the sigmoid colon from the left | - that's why patients lie on their left side when giving an enema
29
What are the transverse rectal folds/rectal valves?
-the folds of the rectum that help hold the feces in place
30
What is the anal canal?
- controlled by sphincters | - the terminal inch of the rectum
31
What sphincters are found in the anal canal? Involuntary or Voluntary?
- internal anal sphincter: involuntary | - external anal sphincter: voluntary
32
What is the opening of the anal canal called?
-anus
33
What are the unique properties of the walls of the large intestine?
- contains intestinal mucous glands - no villi - teniae coli - haustra - epiploic appendages
34
What are teniae coli?
-longitudinal muscles grouped into ribbons
35
What are haustra?
-pouches created by the circular muscles
36
What are epiploic appendages?
-fat that sticks off of the large intestine
37
Where is the vermiform appendix located? Function?
- sticks off of the cecum | - may help grow the bacteria in the stomach
38
What type of cells are found in the vermiform appendix?
-lymphoid tissue
39
What is the peritoneum?
-large, continuous sheet of serous membrane
40
Where is the parietal layer? Visceral layer?
- parietal: lines the walls of the entire abdominal cavity | - visceral: forms a serous outer coat on many of the organs
41
What does intraperitoneal mean?
-within the peritoneum
42
What organs are intraperitoneal?
-lots of them
43
What does retroperitoneal mean?
-outside the peritoneum
44
What organs are retroperitoneal?
- suprarenal gland - aorta - duodenum - pancreas - ureters - colon: ascending/descending - kidneys - esophagus - rectum
45
What are the large folds of the peritoneum? Location? Function?
- greater omentum: apron of fat; protection - falciform ligament: by the liver; divides right and left lobe - lesser omentum: attaches liver to lesser curvature of the stomach - mesentery: where fat is stored in males, holds the intestines together - mesocolon: binds transverse colon to sigmoid colon
46
Where is the liver?
-largest gland that lies underneath the diaphragm
47
What connects the liver to the diaphragm?
-coronary ligaments
48
What are the divisions of the liver? What divides it?
- right and left lobe | - falciform ligament
49
What is the functional unit of the liver?
-lobules
50
What macrophages are fixed in the liver?
-stellate macrophages
51
What is the pathway of bile from the liver to the small intestine?
-hepatocytes -> R and L hepatic duct -> common hepatic duct
52
Where is the gallbladder located? Function?
- pear-shaped attachment on the underside of the liver - stored bile and ejects it when food enters the duodenum - DOES NOT make bile
53
Where is the pancreas?
-lies in the arms of the duodenum
54
What is the exocrine function of the pancreas?
-secretes pancreatic juices
55
How do pancreatic juices enter the small intestine?
-pancreatic duct joins with common bile duct which has an accessory duct that enters the duodenum
56
What division of the small intestine do pancreatic juices enter?
-duodenum
57
How are exocrine cells arranged in the pancreas?
-arranged in acini
58
What is the endocrine function of the pancreas?
- pancreatic islets secrete hormones | - glucagon and insulin
59
What are the functions of the liver?
- carbohydrate metabolism: maintaining blood glucose levels - lipid metabolism: synthesize or store fat - protein metabolism - detoxifies drugs and hormones - breaks down and removes olf red blood cells - secretes bile - storage of iron, vitamin B12, and vitamin D - hematopoiesis during fetal development
60
Where in the small intestine does the common bile duct open?
-the duodenum
61
What are the components of a lobule?
- hepatocytes - central vein - portal (hepatic) triad
62
What are hepatocytes?
-liver cells
63
What is the hepatic triad? What makes it up?
- interlobular artery - interlobular portal vein - interlobular bile duct
64
What is the function of each component of the hepatic triad?
- interlobular artery: oxygenates hepatocytes - interlobular portal vein: inspection - interlobular bile duct: bile canaliculi -> bile ductules -> bile duct
65
What is the blood supply from the liver to the heart?
- liver sinusoids - central vein - hepatic vein - inferior vena cava - right atrium
66
What layer of the GI tract is the visceral layer of the peritoneum?
-serosa