Digestion 112 Final Wilson Flashcards

1
Q

ingestion,

A

taking food into the mouth (eating)

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2
Q

mechanical digestion

A

consists of movements of the GI tract that aid in chemical digestion

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3
Q

chemical digestion,

A

series of catabolic (hydrolysis) reactions that break down large carbohydrate, lipid, and protein food molecules into smaller molecules that are usable by body cells

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4
Q

propulsion,

A

result from the alternating contraction and relaxation of the smooth muscle

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5
Q

secretion,

A

the release, by cells within the walls of the GI tract and accessory organs, of water, acid, buffers, and enzymes into the lumen of the tract

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6
Q

defecation,

A

emptying of the rectum, eliminating indigestible substances from the GI

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7
Q

peritoneum,

A

membranes of the digestive system

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8
Q

mesentery,

A

double layer of membrane; back to back

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9
Q

omentum,

A

tethers stomach to other digestive organs

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10
Q

adventitia,

A

ordinary fibrous CT that is found in esophagus and retroperitoneal organs

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11
Q

amylase,

A

begins starch digestion at pH 6.5 or 7.0 found in mouth

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12
Q

lipase,

A
  • Secreted by glands in tongue

* Begins breakdown of triglycerides into fatty acids and glycerol

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13
Q

protease,

A

digestive enzyme that breaks down protein

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14
Q

nucleases,

A

breaks down nucleic acids

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15
Q

deglutition,

A

the bolus is swallowed

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16
Q

peristalsis,

A

propels chyme onward through the intestinal tract

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17
Q

bolus

A

Mass of food prepared by the mouth for swallowing

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18
Q

chime,

A

creamy paste that food is converted into

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19
Q

rugae,

A

Folds that flatten when filled with bolus

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20
Q

emesis,

A

reflexive emptying of stomach thru the esophagus and pharynx (vomiting)

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21
Q

plicae circularis,

A

Permanent ½ inch tall folds that contain part of submucosal layer

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22
Q

villi,

A

1 mm tall on surface of plicae circolarus that contains vascular capillaries and lacteals (lymphatic capillaries)

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23
Q

microvilli,

A

Tiny projections on the surface of each cell of villus

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24
Q

hepatocytes

A

liver cells

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25
Q

bile,

A

greenish-yellow or brownish fluid produced in and secreted by the liver, stored in the gallbladder, and released into the small intestine

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26
Q

bile canaliculi,

A

Tiny canals

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27
Q

hepatic portal vein,

A

carries nutrient rich venous blood, from the small intestine, to the liver

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28
Q

pancreatic acini,

A

produces the enzyme-rich component of pancreatic juice

29
Q

segmentation,

A

the major movement of the small intestine; a localized contraction in areas containing food

30
Q

teniae coli,

A

Smooth muscle (3 cords)

31
Q

haustra,

A

pocket-like sacs in large intestine

32
Q

haustral churning,

A

relaxed pouches are filled from below by muscular contractions (elevator)

33
Q

gastroilial reflex,

A

when stomach is full, gastrin hormone relaxes ileocecal sphincter so small intestine will empty and make room

34
Q

gastrocolic reflex,

A

when stomach fills, a strong peristaltic wave moves contents of transverse colon into rectum

35
Q

feces,

A

dead epithelial cells, undigested food such as cellulose, bacteria (live & dead)

36
Q

defecation

A

The elimination of feces from the rectum

37
Q

Mumps,

A

Myxovirus that attackes the parotid gland

38
Q

hiatal hernia,

A

stomach pierces the diaphragm at hiatus

39
Q

gastroesophageal reflux disease (GERD),

A

stomach acids enter esophagus & cause heartburn

40
Q

appendicitis,

A

inflammation of the appendix

41
Q

diarrhea,

A

not enough water absorbed from chyme

42
Q

constipation,

A

too much water absorbed from chyme

43
Q

dental caries,

A

tooth decay

44
Q

diverticulitis,

A

inflammation of the diverticula

45
Q

hepatitis

A

inflammation of the liver

46
Q

What are the functional segments of the GI tract?

A
  1. mouth
  2. pharynx
  3. esophagus
  4. stomach
  5. small intestine
  6. large intestine
47
Q

What are the accessory structures of the GI tract?

A
  1. teeth
  2. tongue
  3. salivary glands
  4. liver
  5. gallbladder
  6. pancreas
48
Q

What are the features and role of the mouth?

A

features:
• Lips (labia) and cheeks—–contains buccinator muscle that keeps food between upper & lower teeth;
• Vestibule—area between cheeks and teeth;
• Oral cavity proper—the roof = hard, soft palate and uvula (floor = the tongue )
Role: bite, chew, swallow, limited lipid & carb digestion

49
Q

What are the features and role of the pharynx?

A

Features:
• Funnel-shaped tube extending from internal nares to the esophagus (posteriorly) and larynx (anteriorly)
Roles: transport

50
Q

What are the features and role of the esophagus?

A

Features:
• Collapsed muscular tube
Role: Secrete mucus and transport food to stomach

51
Q

What are the features and role of the stomach?

A

Features:
• J-shaped enlargement of the GI tract that begins at the bottom of the esophagus and ends at the pyloric sphincter
Role: mixing and holding area for food; begins the digestion of proteins, and continues the digestion of triglycerides, converting a bolus to a liquid called chyme. It can also absorb some substances.

52
Q

What are the features and role of the small intestine?

A

Features:
• The small intestine extends from the pyloric sphincter to the ileocecal sphincter.
• The small intestine is divided into the duodenum, jejunum, and ileum.
Role: The major events of digestion and absorption occur in the small intestine

53
Q

What are the features and role of the large intestine?

A

Features:
• extends from the ileocecal sphincter to the anus.
• Its subdivisions include the cecum, appendix, colon, rectum, and anal canal.
• Teniae Coli
• Haustra
• Epiploic appendages: small fat-filled pouches of visceral peritoneum
Role:
– Metabolize some host-derived molecules (heparine, mucin, hyaluronic acid)
– Ferment indigestible carbohydrates
– Release irritating acids and a mixture of gases
– Makes Vitamin K and B

54
Q

What are the features and role of the teeth?

A
Features:
•	Crown
•	Neck
•	Roots
•	Pulp cavity
•	Enamel
•	Dentin
•	Cementum
Role:  adapted for mechanical digestion
55
Q

What are the features and role of the tongue?

A

Features:
• Muscle of tongue is attached to hyoid, mandible, hard palate and styloid process
• Papillae (protects taste buds)
Role: pushes food to back of oral cavity

56
Q

What are the features and role of the salivary glands?

A
Features:
•	99.5% water and .5% solutes
•	Under parasympathetic NS
Role:  
•	Lubricates & dissolves food
•	Starts chemical digestion of carbohydrates
•	Keeps mucous membranes of mouth moist
57
Q

What are the features and role of the liver?

A

Features:
• Heaviest gland
• Second largest organ (after skin)
• Divisible into left and right lobes, separated by falciform ligament
• Associated with right lobe are the caudate and quadrate lobes
Role:
• Carbohydrate, lipid, and protein metabolism
• Removal of drugs and hormones from the blood
• Excretion of bilirubin
• Synthesis of bile salts (made by liver cells)
• Storage of vitamins and minerals
• Phagocytosis
• Activation of vitamin D

58
Q

What are the features and role of the gallbladder?

A

Features:
• sac located in a depression on the posterior surface of the liver.
Role: storage of bile

59
Q

What are the features and role of the pancreas?

A

Features:
• 5” long by 1” thick
• Head close to curve in C-shaped duodenum
• Main duct for pancreatic juices joins common bile duct from liver
• Sphincter of Oddi on major duodenal papilla
Role: produce pancreatic juice (acini cells); islets of Langerhans produce hormones.

60
Q

What are the main sphincters that separate different areas of digestive system?

A
  • Esophageal sphincter:
  • Cardiac sphincter: between stomach and esophagus
  • Pyloric sphincter: between stomach and duodenum
  • Ileocecal sphincter: between ilium and cecum
  • Sphincter of Oddi: between duodenum and hpatopancreatic ampulla
  • Internal anal sphincter: at anus: most inner
  • External anal sphincter: at anus; lying outside internal sphincter
61
Q

how the histological features of the lining of the digestive tract changes (what are main epithelial types in different areas),

A

• Stratified squamous in mouth, esophagus, and anus; rest is simple columnar

62
Q

Four layers of digestive system wall,

A
  • Mucosa
  • Submucosa
  • Muscularis externa
  • Serosa
63
Q

role of saliva (what enzymes?),

A

lubricates and dissolves food and starts the chemical digestion of carbohydrates. –keeps the mucous membranes of the mouth and throat moist.(salivary amylase and lingual lipase)

64
Q

four types of stomach cells and their secretions,

A
  • Mucus neck cells: secrete acidic mucus
  • Chief cells: secrete pepsinogen
  • Parietal cells: secrete HCl and intrinsic factor
  • Enteroendocrine cells; secrete several paracrines and hormones (includes G cell)
65
Q

Four cells in small intestine & their roles,

A
  • Enteroendocrine cells: secrete several paracrines and hormones (includes G cell)
  • T cells: represent important immunological defensive component
  • Paneth cells: secrete antibacterial enzymes
  • Intestinal crypt cells: secrete intestinal juices
66
Q

role of bicarbonate in small intestine,

A

to neutralize acidic contents coming into it from the stomach

67
Q

role of cholecystokinin & gastrin,

A
  • Cholecystokinin: controls the quantity of pancreatic juice and bile
  • stimulates the secretion of hydrochloric acid, increase motility, and stomach emptying
68
Q

role of bacteria flora in large intestine

A

• Bacteria ferment
– undigested carbohydrates into carbon dioxide & methane gas
– undigested proteins into simpler substances (indoles)—-odor
– turn bilirubin into simpler substances that produce color
• Bacteria produce vitamin K and B in colon