Digestive sys. II Flashcards

1
Q

Identify main enzymes, substrates and products in breaking down carbohydrates

A

Mouth: salivary amylase (starch-> polysach/disacch)
Duodenum: -Pancreatic amylase (polysacch-> disacch.)
-Brush border enzymes (maltase, sucrase, lactase) disacch. -> monosach. (fruct, gluc, galac)

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2
Q

Identify main enzymes, substrates and products in breaking down protein

A

Stomach: HCl (denature)
- pepsin (protein-> polypept)
Pancreas: trypsin & chymotrypsin (polypept-> peptide)
-carboxypeptidase (splits AA from carboxyl end)
Bush border enzym: aminopeptidases (splits AA from amino end)
-dipeptidase (dipeptide-> AA)

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3
Q

Identify main enzymes, substrates and products in breaking down fat

A

Baby’s mouth: lingual lipase
Stomach: gastric lipase
SI: emulsification by bile
-pancreatic lipase (split T.G.-> FA + monoglyceride

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4
Q

Describe chemical & mechanical digestion in mouth

A

Mech: mastication (smaller peices), saliva lubricates food & form bolus
Chem: α-amylase (starch-> malt.+ isomaltose)
- Lingual lipase in babies (TG-> FA & glycerol)

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5
Q

Function of saliva

A
  • lubricates food & from bolus
  • dissolve food chem. = taste
  • HCO3- buffers acidic foods
  • Chem. digestion
  • antimicrobial: lysozyme, IgA, defensin
  • rinsing action =protect infection
  • Ca & PO4- = teath enamel
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6
Q

Composition of saliva

A
  1. 5% water

0. 5% solutes: salts, mucin, lysozyme, amylase, lipase, IgA

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7
Q

State cells of stomach and their function

A
  • Surface mucous cells (simple column.): viscous and alkaline mucous (»protection from acid & pepsin)
  • Mucous neck: “
  • parietal cells (oxyntic): HCl (»kill bact., denature protein & enzymes, convert pepsinogen into pepsin)
    Cheif cells (zymogenic): pepsinogen
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8
Q

Describe the process of the cephalic phase

A
  1. Sight, taste, smell, thought of food create tactile sensation in mouth -> stimulate MO
  2. Impulses via vagus nerves (PSNS) to stomach -> enteric plexus activated
  3. Stimulate secretion of HCl &; pepsin from chief and parietal cells, and gastrin &; histamine
  4. Gastrin -> stomach (via circulation) => secrete more HCl & pepsin
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9
Q

Describe the process of the gastric phase

A
  1. distention of stomach -> activate parasym. relfex to MO (vagus)
  2. MO stimulate further stomach secretions
  3. local (enteric reflex) amplify stomach secretions
  4. Gastrin -> stomach (via circulation) & histamine => more secretion
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10
Q

Describe the process of the intestinal phase involving enterogastric reflex

A

Enterogastric reflex inhibits gastric secretions by:

  1. Chemoreceptors stimulated -> vagal sensory input in MO -> inhibit motor input to stomach = stop secreting HCl & pepsin
  2. local reflex inhibit gastrin
  3. Duodenum secrete secretin & cholecystokinin = decrease gastric secretions
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11
Q

What does G cells, Enterochromaffin-like cells and somatostatin-containing cells secrete?

A
  • G: gastrin
  • Enterochromaffin-like: histamine (>HCl secretion)
  • Somatostatin-containing: somatostatin (>inhibit gastrin & insulin secretion)
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12
Q

What releases intrinsic factor (in stomach) and its function?

A

-parietal cells

> binds w/ Vit. B12 (for DNA synthesis) = help absorption across terminal ileum

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13
Q

Describe absorption of carbohydrates in SI

A
  1. Through apical: gluc. & galact. 2º active transport w/ Na+, and fructose by fac. diff.
  2. Basal: fac. diff.
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14
Q

Describe absorption of AA in SI

A
  1. Through apical: di+tripeptides active trans. w/ Na+ or H+

2. Basal: diff.

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15
Q

Describe absorption of lipids in SI

A
  1. Through apical: micelle diffuse in
  2. W/in cell: FFA + glycerol -> T.G. and fat droplets -> chylomicrons
  3. Exit via lacteals twd liver
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16
Q

Describe absorption of vitamins in SI (3 types)

A
  • Fat-soluble (A,D,E,K): micelles absorbed by diff.
  • Water soluble (B1,2,3,5,6, C + biotin): absorbed by diff.
  • Vit B12: receptor mediated endocytosis
17
Q

Describe absorption of electrolytes in SI

A
  • Na & K: active trans. -> fac. diff.
  • Cl-, I- & NO3-: diffuse & follow +ve Na+
  • Ca2+: requires Vit. D & PTH
18
Q

Where is secretin produced into & its effect?

A

Produced: duodenum
Effect: (stomach) Decrease gastric motility & secretions from stomach. (Pancreas and liver) Stimulate pancreatic and bile secretions and relax hepatopancreatic sphincter

19
Q

Where is Cholecytokinin produced into & its effect?

A

Produced: duodenum
Effect: (stomach) Decrease gastric motility

20
Q

WHat is in gastric secretions?

A

HCl, pepsin, intrinsic factor, mucus

21
Q

WHat is brunner’s glands?

A

aka duodenal glands in submucosa sectrete mucus => neutralise acidic chyme & stimulated by vagus nerve and secretin