Digestion and Absorption GI Tract Flashcards

1
Q

what are the layers solutes have to move through from lumen to blood

A

1) unstirred layer
2) glycocalyx
3) apical membrane
4) cytoplasm of cell
5) basolateral membrane
6) basement membrane
7) wall of blood capillary/ wall of lymphatic vessel

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2
Q

what does terminal ileum resection abolish?

A

bile salt and vit B12 absorption

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3
Q

what enzymes digest carbs?

A

1) salivary amylase
2) pancreatic amylase
3) brush border enterocytes (maltase, lactase, sucrase)

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4
Q

what test would you use to check for carb absorption and what do results mean

A

D-xylose test

less than 4 g in urine= problem with absorption

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5
Q

lactose intolerance

A
  • brush border lactase enzyme deficient or absent

- causes osmotic diarrhea

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6
Q

what enzymes digest proteins?

A

1) pepsin (in stomach)- not essentail
2) trypsin/chymotrypsin (pancreas)
3) carboxypeptidase (pancreas)
4) aminopolypeptidase, dipeptidase, carboxypeptidase, endopeptidase (small intestine)

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7
Q

what activates pancreatic enzymes?

A
  • trypsin

- enterokinase

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8
Q

what transporters, transport amino acids/peptides into epithelial cell of small intestine

A

1) Na cotransporter
2) H di or tripeptide cotransporter
* separate one for each a.a type

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9
Q

what transports amino acids from epithelial cell into blood?

A
  • facilitated diffusion
  • separate mech for each a.a type
  • Na/K+ ATPase establishes gradient
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10
Q

what emulsfies fats into micelles?

A

bile salts and lecithin

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11
Q

what enzymes digests fats in the stomach?

A

-lingual and gastric lipase act on TAG

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12
Q

what enzymes digest fasts in small intestine?

A
  • bile salts

- pancreatic enzymes

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13
Q

where does digestion of most fats take place?

A

small intestine

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14
Q

what are the pancreatic enzymes that digest fats in S.I?

A
  • pancreatic lipase (activated by colipase)
  • cholesterol ester hydrolase
  • phospholipase A2
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15
Q

what transporters fats in circulation?

A

chylomicrons

*requires Apo B or wont get lipid absorption

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16
Q

what can cause problems with fat absorption

A

1) pancreatic insuffienciency
2) ZES
3) pancreatitis
4) bile salt defiency
5) tropical sprue
6) celica sprue
7) small intestine bacterial overgrowth (SIBO)

17
Q

what does vitamin B12 deficiency cause?

A

1) pernicious anemia
2) macrocytic and megaloblastic anemia
3) demyelination of large nerve fibers of spinal cord

18
Q

what is required for calcium absorption?

A

vit D

19
Q

how are water soluble vitamins absorbed?

A

sodium cotransporters

20
Q

how is iron absorbed

A
  • reduced from Fe3+ to Fe2+ using ferric reductase (requires vit C)
  • binds to apoferritin in intestinal cells and transferrin in blood