Digestive Flashcards

1
Q

Name Relevant parts of digestive system

A

-Mouth
-Pharynx
-Esophagus
-Lower esophageal sphincter
-Stomach
Pyloric sphincter
-Small intestine
-Ileocecal valve (Sphincter)
-Large intestine(colon)
-Rectum
-Anus

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2
Q

Cells in Mouth, Stomach,Small intestine (Duodenum, Jejunum and Ileum), Large intestine

A

-Mouth: Keratinocytes

-Stomach-Mucous, parietal, chief,endocrine

-Small intestine: Enterocytes, goblet,paneth,enteroendocrine,stem

Large intestine:Absorptive cells,goblet, stem

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3
Q

What are the four layers of the GI tract comprised of?

A

-Mucosa( epithelium, lamina propria, muscular mucosal)

-Submucosa

-Muscularis propria( Inner circular muscle layer, inter muscular space, outer longitudinal muscle layer)

-Serosa

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4
Q

Describe the digestive activities that occur in the mouth.

A

-Food broken down(mastication) through mechanical digestion

-Chemical digestion occurs as saliva containing amalase break down carbohydrates

-Bolus forms(mix of food and saliva)

-Swallow from mouth to pharynx to esophagus

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5
Q

Explain how the swallow reflex occurs.

A

Oral phase( voluntary): bolus formed, tongue pushes it toward pharynx

Pharyngeal phase(involuntary):bolus triggers sensory receptors in pharynx, soft palate elevated to seal off nasal cavity, larynx moves upwards and forward, epiglottis folds over glottis to prevent food in trachea

Esophageal phase(involuntary): Esophagus contracts pushing bolus down, LES relaxes, bolus enters stomach

-Controlled by swallowing center located in medulla oblongata

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6
Q

Explain how stomach acid is made and by which cell

A

-Primarily HCl, is secreted by parietal cells located in lining of stomach

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7
Q

Cells that produce HCl, pepsinogen, somatostatin, ghrelin, gastrin

A

-HCl: parietal

-Pepsinogen- Chief cells

-Somatostatin: D cells

Ghrelin:P/D1 cells

Gastrin: G Cells

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8
Q

Roles of HCl, pepsinogen, somatostatin, ghrelin, gastrin

A

HCl- creates acidic environments in stomach, denatures proteins, activates pepsinogen, aids in b12 absorption

Pepsinogen: Inactive precursor of pepsin, digestive enzyme, activated by HCl

Somatostatin: Inhibits release of other hormones and gastric acid secretion, acts as brake on digestion

Ghrelin- Simulates appetite, increases gastric motility and secretion

Gastrin: Stimulates GA secretion by parietal cells, promotes gastric motility and gastric mucosal growth

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9
Q

What roles do the liver, gall bladder and pancreas play in digestion and absorption of food?

A

Liver; makes bile that helps digest fats and vitamins

Pancreas: Makes digestive juice that breaks down carbohydrates, fats and proteins

Gallbladder: Stores bile between meals

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10
Q

Compare and contrast peristalsis and segmentation.

A

Peristalsis: slow movement, propels food and liquids along digestive tract in forward direction

-Contractions of circular and longitudinal muscles,wave like motion

Segmentation: Mixes food with digestive juice and aids in mechanical digestion

-Contracts circular muscles, churning

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11
Q

Describe the three extrinsic phases of GI regulation and what they do.

A

Cephalic: Stimulated by sight, smell, taste; activates vagus, pepsinogen, gastrin, histamine,HCl released

Gastric-Stimulated by food; more polypeptides and AA released

Intestinal- inhibits gastric activity when chyme enters SI; increase in osmolality and distinction

-Inhibits gastric motility and secretion and activity

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12
Q

Explain the importance of Enterohepatic Circulation.

A

-Substances like bile acids are excreted from liver into bile then reabsorbed from small intestine back to liver

-Maintains bile acid homeostasis, fat digestions and absorption, prolonging certain drug effects

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13
Q

Explain the digestive activities associated with the large intestine.

A

-Absorbs H20 and electrolytes, vitamin b and k and folic acid

Secretes h20 via active transport of NaCl into intestinal lumen

H20 absorption is due to osmotic gradient

-Forms feces

-Stores feces

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14
Q

Describe the rectal reflex and the role of the double sphincter of the anus.

A

Involves rectoanal inhibitory reflex( involuntary) relaxation of internal anal sphincter in response to rectal distention

-Double Sphincter allows for both involuntary continence and voluntary control of bowel movements

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