Digestion and absorption of foodstuffs Flashcards

1
Q

What cells in the pancreas secrete things and what do they secrete

A

Acinar cells release non-active enzymes

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2
Q

What do duct cells release from the pancreas and what does this mean

A

Bicarbonate ions so the pancreas releases and aqueous alkaline secretion

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3
Q

How is the HCO3-/Cl- exchange affected in cystic fibrosis sufferers

A

Cl- ion channel is absent in cystic fibrosis which can cause malabsorption in CF sufferers

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4
Q

What is the function of the bicarbonate ions

A

Neutralise acid chyme which is necessary for:

  • Digestive enzyme activity
  • Micelle formation (fat absorption)
  • Protecting duodenal mucosa
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5
Q

What is needed for disaccharides to get turned into monosaccharides

A

Sodium because it is a sodium dependent process (and therefore energy dependent)

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6
Q

How are disaccharides turned into monosaccharides

A

Sodium is driven out of cells in the epithelial cells of the villus into the capillaries. This creates a conc gradient

Therefore the sodium in the brush border is driven through co transport carriers into the cells. As it does this, the disaccharides come into contact with the disaccharidases. Therefore it aids the absorption of the newly formed monosaccharides into the epithelial cells

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7
Q

Why are enzymes from the pancreas released in a non active form

A

Because they would have an auto digestive function if they did

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8
Q

What are peptidases activated by

A

action of trypsin

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9
Q

How does absorption of amino acids and di and tri-peptides occur

A

By passive diffusion or facilitated transport

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10
Q

How are di and tri-peptides broken down into amino acids

A

BY intracellular peptidases

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11
Q

What does emulsification involve and where is this derived from

A

Bile acids- from liver and released from stores in the gall bladder

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12
Q

What is formed from the action of pancreatic lipase and how are they absorbed

A

Monoglycerides and free fatty acids (and some glycerol)

-They’re not water soluble so absorbed by forming a micelles

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13
Q

How are fats reformed in the cell and how are they then transported to the rest of the body

A

Intracellular reformation of triglycerides

-They combine with phospholipids, cholesterol and protein to form a chylomicron and then are transported via the lymphatic system

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14
Q

What controls pancreatic secretions

A

Vagus nerve
Conditioned stimuli (cephalic phase)
Presence of food in the stomach (gastric phase)

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15
Q

How does Ach help control pancreatic secretions

A

It potentiates the actions of secretin and cholecystokinin

secretin- released in response to acid in duodenum and stimulates bicarbonate production

Cholecystokinin- stimulates enzyme rich secretion. It is released in response to presence of fat and protein in duodenum

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16
Q

What inhibits pancreatic secretions

A

Somatostatin

17
Q

What is coeliac disease

A

Intolerance to gluten
-GLuten causes damage to mucosa. It decreases villi surface area for absorption

Increased delivery of nutrients to large intestine produces diarrhoea and flatulence

18
Q

What is acute pancreatitis

A

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

19
Q

What Is chronic pancreatitis usually associated with

A

Alcohol abuse

20
Q

What are symptoms of pancreatitis

A

Steatorrhoea due to fat malabsorption (lack of pancreatic lipase) and diabetes (lack of insulin)

21
Q

Why is there no major effect on carbohydrate and protein digestion in pancreatitis

A

Because of the presence of additional digestive enzymes in small intestine