Digestion Flashcards

1
Q

where does most digestion take place?

A

small intestine

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2
Q

what sphincter controls the common bile duct?

A

sphincter of oddi

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3
Q

In pancreas, what cell produces the primary secretion?
What cell modify the secretion?
What is HCO3- exchanged with? What happens in cystic fibrosis, and what’s the effect of this?

A

Acinar cells
duct cells
CL-

Cl- ion channel is absent in cystic fibrosis - causes malabsorption disorders in CF sufferers

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4
Q

3 functions of bicarbonate activity?

A

digestive enzyme activity
micelle formation (fat absorption)
protecting duodenal mucosa

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5
Q

what enzyme digests carbohydrates in the mouth and small intestine?

A

alpha-amylase

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6
Q

what linkage is broken by the amylase?

A

alpha-1,4-glycosidic linkages

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7
Q

Why is energy needed to absorb glucose?

A

to create a sodium gradient to drag glucose along with Na+ to epithelial cells for breakdown

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8
Q

What are the products of breakdown of lactose, maltose, and sucrose? Enzymes that do the breakdown?

A

lactose-galactose and glucose
maltose- glucose and glucose
sucrose- glucose and fructose
lactase, maltase, sucrase

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9
Q

what are the 2 classes of pepsin and what do they do?

Why is pepsin activity halted?

A

endopeptidases - cleave interior peptide bonds
exopeptidases - cleave external peptide bonds

by alkaline pancreatic scretions

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10
Q

what enzyme converts the zymogens into peptidases?

Where are peptidases also located to assist in digestion of proteins?

A

trypsin

brush border epithelium

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11
Q

Is absorption of di- and tri-peptides passive or active? At what point are they converted into amino acids?

A

passive diffusion or faciliated transport

when broken down by intracellular peptidases

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12
Q

where are bile salts produced and stored? What do they do? What enzyme (produced by what) breaks down fats?

A

liver

congeals it to aid digestion

pancreatic lipase

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13
Q

Explain how bile salts work

A

Bile salts will incorporate the fats – and forms a micelle

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14
Q

For fats to be absorbed, what needs to be formed? How?

A

triglyuceride combined with protein, cholesterol and phospholipids to form a chylomicron which can then pass around the body in a lacteal and into the lymphatic system. Chylomicron too big to pass into capillary. Then goes to blood via the thoracic duct

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15
Q

what is secretin and where is it released from? What does cholecystokinin do?

A

secretin (released in response to acid in duodenum) stimulates HCO3- production - potentiated by ACh

cholycystokinin (CCK) stimulates enzyme rich secretion (released in response to presence of fat and protein in duodenum)

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16
Q

What stimulates secretion of secretin and CCK?

What does Somatostatin do at this point?

A

ACh

inhibits pancreatic secretions

17
Q

what are some symptoms of pancreatitis?

A

steatorrheoa, diabetes

18
Q

Give some reasons for acute and chronic pancreatitis

A

autodigestion of pancreas by secreted enzymes (can be due to blockage of pancreatic duct caused by bile duct stones)

chronic - alcohol abuse