Digestive System Flashcards

1
Q

Its purpose is to break down or digest the food into particles that are small and simple enough to be absorbed.

A

Digestive system

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2
Q

Ingests food, digests it, absorbs the end products, and eliminates the waste.

A

Digestive system

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3
Q

The study of the digestive tract.

A

Gastroenterology (gastr/o, stomach; enter/o, intestines).

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4
Q

The digestive ___ and the accessory ___ of digestion make up the digestive system.

A

tract

organs

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5
Q

Also called the alimentary canal or the gastrointestinal (GI) tract.

A

Digestive tract

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6
Q

A hollow tube extending from the mouth to the anus.

A

Digestive tract

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7
Q

The structures of the ___ ___ include the mouth, pharynx, esophagus, stomach, small intestine, large intestine, rectum, and anus.

A

Digestive tract

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8
Q

The ___ ___ of digestion include the salivary glands, teeth, liver, gallbladder, and pancreas.

A

accessory organs

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9
Q

Empty their secretions into the mouth.

A

Salivary glands

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10
Q

The liver, gallbladder, and pancreas empty their secretions into the ___ ___.

A

small intestine

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11
Q

The process by which food is broken down into smaller particles suitable for absorption.

A

Disgestion

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12
Q

Takes place within the digestive tract.

A

Disgestion

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13
Q

The process whereby the end products of digestion move across the walls of the digestive tract into the blood and lymph for distribution throughout the body.

A

Absorption

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14
Q

The two forms of digestion are ___ and ___.

A

mechanical

chemical

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15
Q

There are ___ forms of digestion.

A

2

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16
Q

The breakdown of large food particles into smaller pieces by physical means.

A

Mechanical digestion

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17
Q

This process is usually achieved by chewing and by the mashing actions of the muscles in the digestive tract.

A

Mechanical digestion

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18
Q

The chemical alteration of food.

A

Chemical digestion

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19
Q

A protein is chemically digested into amino acids.

A

Chemical digestion

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20
Q

Digestive enzymes, stomach acid, and bile accomplish ___ digestion.

A

chemical

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21
Q

The end products of digestion are absorbed as they move across the lining of the digestive tract into the ___ and ___ and eventually reach every cell in the body.

A

blood

lymph

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22
Q

Food that cannot be digested and absorbed is eliminated from the body as ___.

A

feces

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23
Q

The last stage of the digestive process.

A

Elimination of waste

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24
Q

The Digestive System.( A) Hollow tube from mouth to anus. (B) Anatomical arrangement of organs of the digestive system.

A
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25
Q

True or false: although modified for specific functions in different organs, the wall of the digestive tract has a similar structure throughout its length.

A

True

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26
Q

The wall of the digestive tract has ___ layers.

A

4

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27
Q

The wall of the digestive tract has four layers: the ___, the ___, the ___ layer, and the ___.

A

mucosa

submucosa

muscle

serosa

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28
Q

The innermost layer of the digestive tract.

A

Mucosa

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29
Q

Consists of the mucous membrane, a small amount of connective tissue, and smooth muscle.

A

Mucosa

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30
Q

In parts of the digestive tract, especially the small intestine, the ___ is folded to increase the surface area for absorption.

A

mucosa

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31
Q

Glands of the ___ secrete mucus, digestive enzymes, and hormones.

A

mucosa

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32
Q

In general, the ___ is concerned with digestion and absorption.

A

mucosa

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33
Q

A thick layer of loose connective tissue.

A

Submucosa

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34
Q

Lies beneath the mucosa.

A

Submucosa

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35
Q

Contains blood vessels, nerves, glands, and lymphatic vessels.

A

Submucosa

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36
Q

The third layer of the digestive tract.

A

Muscle layer

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37
Q

___ layers of ___ muscles make up the muscle layer of the digestive tract.

A

2

smooth

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38
Q

Two layers of smooth muscles are an ___ ___ layer and an ___ ___ layer.

A

inner circular

outer longitudinal

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39
Q

True or false: the muscle layer is responsible for several types of movements in the digestive tract.

A

True

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40
Q

An activity where the stomach muscles alternate between contraction and relaxation so that digestion of food occurs mechanically, mixing the particles with digestive juices.

A

Segmentation

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41
Q

A rhythmic alternating contraction and relaxation of the muscles that pushes the food in a forward direction through the digestive tract.

A

Peristalsis (pair-i-stal-sis)

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42
Q

The two muscle movements are:

A

peristalsis and segmentation.

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43
Q

Moves food in the same way that toothpaste squirts from a tube.

A

Peristalsis

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44
Q

Peristaltic ___ squeeze the food from behind and push it forward. Peristaltic ___ are stimulated by the presence of food.

A

waves x2

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45
Q

The outermost lining of the digestive tract.

A

Serosa

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46
Q

It extends as peritoneal membranes: the mesentery, mesocolon, and omentum.

A

Serosa

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47
Q

These three form large, flat, folded structures that perform several important functions. They help anchor the digestive organs in place; carry blood vessels, lymph vessels, and nerves to the abdominal organs; and help restrict the spread of infection in the abdominal cavity.

A

Mesentery, mesocolon, and omentum

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48
Q

The peritoneal membranes, located behind the digestive organs, are called the ___ and ___. When they are located in front of the organs, they are called the greater and lesser ___.

A

mesentery

mesocolon

omentum

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49
Q

The greater ___ is a double layer of peritoneum that contains a considerable amount of fat and resembles an apron draped over the abdominal organs.

A

omentum

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50
Q

The digestive tract has a unique nervous network called the ___ nervous system (___NS).

A

enteric

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51
Q

Regulates GI (gut) motility and secretion; its activity is modulated by autonomic nerves, especially the parasympathetic (vagal) fibers.

A

Enteric nervous system (ENS)

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52
Q

The enteric nervous system (ENS) regulates GI (gut) motility and secretion; its activity is modulated by autonomic nerves, especially the ___ (___) fibres.

A

parasympathetic (vagal)

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53
Q

Layers of the Digestive Tract.

A
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54
Q

Also known as the oral cavity.

A

Mouth

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55
Q

The digestive tract begins with this.

A

Mouth

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56
Q

Food is ingested into the this, where digestion begins immediately.

A

mouth

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57
Q

Lined with mucous membrane and contains structures that assist in the digestive process. These include the teeth, tongue, salivary glands, and several other structures.

A

Mouth

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58
Q

Part of the oral cavity and refers to the area between the gums and the cheek or lips.

A

Buccal cavity

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59
Q

Their purpose is to chew food and begin mechanical digestion.

A

Teeth

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60
Q

The teeth breaking down large pieces of food into smaller pieces.

A

Mastication (mass-ti-kay-shun) / chewing

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61
Q

Chewing =

A

mastication (mass-ti-kay-shun).

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62
Q

Once moistened by the ___ in the mouth, the small pieces of food are easily swallowed.

A

secretions

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63
Q

True or false: the shape and location of each tooth determine its function.

A

True

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64
Q

The sharp, chisel-shaped teeth.

A

Incisors

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65
Q

Cone-shaped teeth used to tear or grasp food.

A

Cuspids

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66
Q

The larger, flatter teeth suited for grinding food.

A

Molars

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67
Q

Note the positions and names of the teeth: the incisors, cuspids (___), premolars (___), and molars, including the wisdom teeth.

A

canines

bicuspids

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68
Q

Baby teeth =

A

deciduous (deh-sid-yoo-us)

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69
Q

A tooth has ___ parts.

A

3

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70
Q

A tooth has 3 parts: the ___, the ___, and the ___.

A

crown

neck

root

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71
Q

Above the level of the gum or gingiva (jin-ji-vah) and is covered with hard, brittle enamel.

A

Crown

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72
Q

Connects the crown with the root of the tooth.

A

Neck

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73
Q

The part of the tooth embedded in the jawbone.

A

Root

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74
Q

The outer surface of this is anchored to the periodontal membrane by cementum.

A

Root

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75
Q

The bulk of the tooth consists of this bone-like material.

A

Dentin

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76
Q

Nerves, blood vessels, and connective tissue, called pulp, penetrate this.

A

Detin

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77
Q

Supplies the tooth with sensation and nutrients.

A

Pulp cavity

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78
Q

As the pulp cavity extends into the root, it is called the ___ ___.

A

root canal

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79
Q

The ___ is the name given to the tissues that surround the teeth; it includes the gums, soft tissue, and bone.

A

periodontium (perio-daunt-tee-um)

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80
Q

A muscular organ that occupies the floor of the mouth and serves two major roles in the digestive process.

A

Tongue

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81
Q

Facilitates chewing and swallowing by continuously repositioning the food in the mouth.

A

Tongue

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82
Q

The tongue serves ___ major roles in the digestive process.

A

2

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83
Q

As swallowing begins, the tongue pushes the food, which it has molded into a ball-like mass called a ___, toward the ___.

A

bolus (boh-luss)

pharynx

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84
Q

Contains the taste buds and allows you to taste food.

A

Tongue

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85
Q

Small piece of mucous membrane which anchors the tongue to the floor of the mouth.

A

Frenulum

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86
Q

An extensive ___ network that provides the sublingual (under the tongue) area with a rich supply of blood.

A

capillary

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87
Q

True or false: the blood supply under the tongue is so good that medications that are administered sublingually are absorbed rapidly.

A

True

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88
Q

___ pairs of salivary glands secrete their contents into the mouth.

A

3

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89
Q

Three pairs of salivary glands secrete their contents into the mouth: the ___, ___, and ___ glands.

A

parotid

submandibular

sublingual

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90
Q

The largest of the three glands that lies below and anterior to the ears.

A

Parotid glands

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91
Q

Parotid, submandibular, and sublingual glands.

A

Salivary glands

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92
Q

These are the glands that may be infected by the mumps virus, which results in a chipmunk-like appearance.

A

Parotid glands

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93
Q

Located on the floor of the mouth. They are located under the tongue and are the smallest of the salivary glands.

A

Submandibular glands

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94
Q

The salivary glands are exocrine glands that secrete ___ (from a Greek word meaning “spittle”), a watery fluid that contains mucus and a digestive enzyme called salivary amylase or ptyalin.

A

saliva

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95
Q

True or false: approximately 1 L of saliva is secreted each day.

A

True

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96
Q

Saliva reaches the mouth by way of tiny ___.

A

ducts

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97
Q

True or false: the most important function of saliva is to soften and moisten food and thereby facilitate swallowing.

A

True

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98
Q

The ___ and ___ palates form the roof of the mouth.

A

hard

soft

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99
Q

The anterior hard palate separates the ___ cavity from the ___ passages and the posterior soft palate separates the ___ cavity from the ___.

A

oral

nasal

oral

nasopharynx

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100
Q

The ___ palate extends toward the back of the oral cavity as the uvula (yoo-vyoo-lah).

A

soft

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101
Q

The V-shaped piece of soft tissue that hangs down from the upper back region of the mouth.

A

Uvula (yoo-vyoo-lah)

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102
Q

Prevents food and water from entering the nasal passages during the act of swallowing.

A

Uvula

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103
Q

Masses of lymphatic tissue located along the sides of the posterior oral cavity.

A

Palatine tonsils

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104
Q

Oral Cavity. (A) Structures in the mouth. (B) Longitudinal view of a tooth. (C) Location of the salivary glands.

A
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105
Q

The tongue pushes the food from the mouth into this.

A

Pharynx (throat)

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106
Q

Involved in swallowing and has three parts.

A

Pharynx

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107
Q

Swallowing =

A

deglutition (dee-gloo-tih-shin)

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108
Q

The three parts of the pharynx are the ___, ___, and ___.

A

nasopharynx

oropharynx

laryngopharynx

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109
Q

True or false: only the oropharynx and laryngopharynx are part of the digestive tract.

A

True

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110
Q

Eating and Swallowing Structures From Mouth to Pharynx to Esophagus.

A
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111
Q

The act of swallowing normally directs food from the pharynx (throat) into the ___, a long tube that empties into the stomach.

A

esophagus

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112
Q

Food does not normally enter the nasal or respiratory passages because swallowing temporarily closes off the openings to both. For example, during swallowing, the soft palate moves toward the opening to the ___. Similarly, the laryngeal opening is closed when the trachea moves upward and allows the ___ to cover the entrance to the respiratory passages. You can see this process as the up-and-down movement of the Adam’s apple, part of the larynx or voicebox.

A

nasopharynx

epiglottis

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113
Q

The food tube that carries food from the pharynx to the stomach.

A

Esophagus (eh-sof-ah-gus)

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114
Q

Approximately 10 inches (25 cm) long, descends through the chest cavity, and penetrates the diaphragm.

A

Esophagus

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115
Q

The act of swallowing pushes the ___ of food into the esophagus.

A

bolus

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116
Q

The presence of food in the esophagus stimulates ___ activity and causes the food to move through the esophagus into the stomach.

A

peristaltic

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117
Q

Glands within the ___ of the esophagus secrete mucus, which lubricates the bolus and facilitates its passage along the esophagus.

A

mucosa

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118
Q

There are ___ esophageal sphincters.

A

2

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119
Q

The two esophageal sphincters are the ___ sphincter, located at the top of the esophagus, and the ___ or ___ ___ ___ (___), located at the base of the esophagus.

A

pharyngoesophageal

gastroesophageal / lower esophageal sphincter (LES)

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120
Q

Swallowing pushes food past the ___ sphincter into the esophagus.

A

pharyngoesophageal

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121
Q

Relaxation of the ___ ___ ___ (___) keeps the base of the esophagus open, thereby allowing the passage of food into the stomach.

A

lower esophageal sphincter (LES) / gastroesophageal

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122
Q

When it is contracted, it closes the base of the esophagus, thereby preventing reflux or regurgitation of acidic stomach contents back into the esophagus.

A

lower esophageal sphincter (LES) / gastroesophageal

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123
Q

A pouchlike organ that lies in the upper left part of the abdominal cavity under the diaphragm and receives food from the esophagus.

A

Stomach

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124
Q

It performs five important digestive functions.

A

Stomach

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125
Q

Regulates the rate at which the partially digested food is delivered to the small intestine (this is the most important function).

A

Stomach

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126
Q

Secretes gastric juice, which includes digestive enzymes, hydrochloric acid (HCl), and intrinsic factor.

A

Stomach

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127
Q

Plays an important role in the mechanical digestion (mixing and mashing) of food.

A

Stomach

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128
Q

Limited to the stomach.

A

Chemical digestion

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129
Q

Absorbs small quantities of water and dissolved substances.

A

Stomach

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130
Q

True or false: the stomach is not well suited for an absorptive role, so absorption is limited. It can, however, absorb alcohol efficiently.

A

True

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131
Q

Secretes gastric hormones.

A

Stomach

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132
Q

The major regions of the stomach include the ___, the ___, and the ___.

A

fundus

body

pylorus

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133
Q

There are ___ major regions of the stomach.

A

3

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134
Q

Literally means “gatekeeper” and continues as the pyloric canal.

A

Pylorus

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135
Q

Located at the end of the pyloric canal and performs two functions.

A

Pyloric sphincter

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136
Q

A pyloric sphincter is located at the end of the pyloric canal and performs ___ functions.

A

2

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137
Q

Remains closed most of the time and therefore holds the food in the stomach long enough to allow the stomach to mix and mash its contents into a paste.

A

Pyloric sphincter

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138
Q

Helps regulate the rate at which the gastric contents are delivered to the small intestine.

A

Pyloric sphincter

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139
Q

Other landmarks of the stomach include the greater and lesser ___.

A

curvatures

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140
Q

The empty stomach lies in thick accordion-like folds called ___.

A

rugae (roo-gay)

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141
Q

Allows the stomach to expand.

A

Rugae

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142
Q

The stomach has ___ layers of muscles that lie in three directions.

A

3

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143
Q

The stomach has three layers of muscles that lie in three directions: ___, ___, and ___.

A

longitudinal

oblique

circular

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144
Q

This arrangement allows the stomach to churn and mix the food with gastric juice to create a thick, pastelike mixture called chyme (kime).

A

Stomach muscle layers

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145
Q

Food and gastric juices mixed to create this thick, paste-like mixture.

A

Chyme (kime)

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146
Q

The muscles of the stomach also generate peristaltic waves that squeeze the food toward the ___.

A

pylorus

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147
Q

The mucous membranes of the stomach contain ___ types of glands.

A

2

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148
Q

The mucous membranes of the stomach contain two types of glands: ___ and ___.

A

exocrine

neuroendocrine

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149
Q

The exocrine glands contain ___ types of secretory cells.

A

3

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150
Q

The exocrine glands contain three types of secretory cells: (1) the ___ cells, which secrete mucus; (2) the ___ cells, which secrete digestive ___; and (3) the parietal cells, which secrete HCl and ___ factor.

A

mucous

chief

enzymes

intrinsic

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151
Q

The secretions of the gastric glands.

A

Gastric juice

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152
Q

True or false: in addition to the gastric juice, other cells secrete thicker mucus and bicarbonate that adheres closely to the stomach lining. This secretion forms a protective coating for the stomach lining and prevents the acidic gastric juices from digesting the stomach itself.

A

True

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153
Q

One of the ___ glands, comprising the G cells, secretes gastrin, which is released in response to stimulation from the ___ nerve and the presence of amino acids and small peptides in the stomach.

A

neuroendocrine

vagus

154
Q

Stimulates the secretion of gastric juice by the gastric glands.

A

Gastrin

155
Q

Vomiting =

A

emesis

156
Q

Vomiting is part of the ___ reflex controlled by the ___ ___. In response to stimuli sent to the ___ vomiting center, the (___) relaxes and the ___ and abdominal muscles contract, thereby compressing the stomach and ejecting its contents.

A

emetic

medulla oblongata

medullary

LES

diaphragm

157
Q

Stomach. (A) Regions of the stomach: fundus, body, and pylorus; landmarks: greater curvature, lesser curvature. (B) Three muscle layers of the stomach. (C) Mucosa of the stomach, showing the mucous, parietal, and chief cells.

A
158
Q

True or false: an acidic chyme is ejected by the stomach into the small intestine.

A

True

159
Q

The small intestine is called “small” because its ___ is smaller than the ___ of the large intestine. However, the word small does not refer to the length of the small intestine; it is considerably longer (about 20 feet [6 m]) than the large intestine (5 feet [1.5 m]).

A

diameter x2

160
Q

Located in the central and lower abdominal cavity and is held in place by the mesentery.

A

Small intestine

161
Q

The small intestine performs ___ functions.

A

3

162
Q

Receives chyme from the stomach and digestive juices from the liver (bile) and pancreas (digestive enzymes); the process of digestion is completed within this.

A

Small intestine

163
Q

Absorbs the end products of digestion and key substances such as iron and vitamins.

A

Small intestine

164
Q

Moves the unabsorbed content into the large intestine.

A

Small intestine

165
Q

The small intestine consists of ___ parts.

A

3

166
Q

The small intestine consists of three parts: the ___, the ___, and the ___.

A

duodenum

jejunum

ileum

167
Q

The first segment of the small intestine.

A

Duodenum (doo-oh-dee-num)

168
Q

True or false: the word duodenum literally means “twelve” (duo means “two”; denum means “ten”). In this case, the reference is to the width of 12 fingers. Thus the length of the duodenum is 12 fingerbreadths or approximately 10 inches (25 cm).

A

True

169
Q

Considered the meeting point for digestion.

A

Duodenum

170
Q

In addition to receiving chyme from the stomach, this segment of the small intestine also receives secretions from several accessory organs of digestion, such as the liver, gallbladder, and pancreas.

A

Duodenem

171
Q

In addition to those from the mouth, stomach, and duodenum, they are responsible for the digestion of all food.

A

Secretions

172
Q

Most digestion and absorption occur in the ___ and the first third of the ___.

A

duodenum

jejunum

173
Q

The second segment of the small intestine at approximately 8 feet (2.4 m) long.

A

Jejunum (jeh-joo-num)

174
Q

The digestion and absorption of food occur in the first ___ of the jejunum.

A

third

175
Q

The third segment of the small intestine at approximately 12 feet (3.6 m) long.

A

Ileum (il-ee-um)

176
Q

The ileum extends from the jejunum distally to the ___ ___, which prevents the reflux of contents from the cecum (first part of the large intestine) back into the ileum.

A

ileocecal sphincter

177
Q

Its function is to complete the process of absorption of digestive end products, vitamin B12, and bile salts.

A

Ileum

178
Q

The lining of the ileum contains numerous patches of lymphatic tissue called ___ ___, which participate in the immune response to a heavy bacterial load.

A

Peyer’s patches

179
Q

A reflex mechanism: the presence of fatty acids in the ileum causes it to slow gut motility.

A

‘Ileal brake’

180
Q

True or false: what you eat affects the gut’s motility and secretions.

A

True

181
Q

It forms circular folds with finger-like projections called villi (sing., villus).

A

Wall of the small intestine

182
Q

The epithelial cells of each villus form these extensions.

A

Microvilli

183
Q

True or false: the absorptive surfaces of the large number of villi and microvilli increase the amount of digested food and water that can be absorbed.

A

True

184
Q

Consists of a layer of epithelial tissue that surrounds a network of blood capillaries and a lymphatic capillary called a lacteal.

A

Villus

185
Q

Absorbs the end products of digestion from the small intestine into the blood capillaries or the lacteal.

A

Villus

186
Q

The capillary blood within the villus drains into the hepatic portal system and then into the ___. Thus the end products of carbohydrate and protein digestion first go to the ___ for processing before being distributed throughout the body.

A

liver x2

187
Q

The end products of fat digestion enter the ___, forming a milky-white lymph called chyle (pronounced kile).

A

lacteal

188
Q

A milky-white lymph.

A

Chyle (kile)

189
Q

Empties directly into the lymphatic system and eventually into the general circulation.

A

Chyle

190
Q

In addition to forming a site for absorption, the cells of the intestinal wall also secrete several digestive ___ and two important hormones: ___ and ___ (___).

A

enzymes

secretin

cholecystokinin (CCK)

191
Q

The cells of the intestinal wall also secrete several digestive enzymes and ___ important hormones.

A

2

192
Q

Small Intestine. (A) Folds of the intestinal wall. (B) Single villus showing the blood capillaries and the lacteal.

A
193
Q

The ___ in the ___ intestine is unique. Instead of merely pushing the digestive contents forward, the muscle activity also generates a swishing and swaying motion. This motion continually washes the nutrient-rich digestive contents across the ___, thereby increasing absorption. That which is not absorbed is moved forward by ___ waves toward the large intestine.

A

peristalsis

small

villi

peristaltic

194
Q

Approximately 5 feet (1.5 m) long and extends from the ileocecal sphincter to the anus.

A

Large intestine

195
Q

The cecum, colon, rectum, and anal canal are parts of this.

A

Large intestine

196
Q

The first part of the large intestine.

A

Cecum

197
Q

It is located in the right lower quadrant (RLQ) and ascends on the right side as the ascending colon.

A

Cecum

198
Q

Attached to the cecum.

A

Appendix

199
Q

A worm-like structure that contains lymphatic tissue and is a source of immune cells.

A

Appendix

200
Q

Ascends on the right side and curves acutely near the liver at the hepatic flexure.

A

Ascending colon

201
Q

As the ascending colon crosses the upper abdomen it is known as this.

A

Transverse colon

202
Q

The transverse colon bends near the spleen at the ___ ___ to become the ___ ___, which descends on the left side of the abdomen into an S-shaped segment called the ___ ___.

A

splenic flexure

descending colon

sigmoid colon

203
Q

Structures distal to the ___ colon include the rectum, anal canal, and anus.

A

sigmoid

204
Q

Ends at the anus.

A

Anal canal

205
Q

Anal sphincters are closed except during the expulsion of the ___.

A

feces

206
Q

A structure composed primarily of two sphincter muscles (an involuntary internal sphincter and a voluntary external sphincter).

A

Anus

207
Q

Waste composed primarily of nondigestible food residue, shed intestinal cells, and a host of microorganisms; it forms the stool or bowel movement (BM).

A

Feces (fee-seez)

208
Q

The anus is composed primarily of ___ sphincter muscles.

A

2

209
Q

The anus is composed primarily of two sphincter muscles : an ___ ___ sphincter and a ___ ___ sphincter.

A

involuntary internal

voluntary external

210
Q

Expulsion of feces.

A

Defecation

211
Q

The band of connective tissue running lengthwise along the large intestine.

A

Tenia coli

212
Q

The tenia coli causes the large intestine to pucker, thereby forming pouches called ___.

A

haustra

213
Q

Large Intestine: Cecum with Appendix; Ascending Colon, Transverse Colon, Descending Colon, and Sigmoid Colon; Rectum and Anal Canal.

A
214
Q

There are ____ functions of the large intestine.

A

4

215
Q

Absorbs water and electrolytes.

A

Large intestine

216
Q

Synthesizes certain vitamins by the intestinal bacteria (especially vitamin K and some B vitamins).

A

Large intestine

217
Q

Temporary storage site of waste (feces).

A

Large intestine

218
Q

Eliminates waste from the body (defecation).

A

Large intestine

219
Q

Intermittent and well-spaced muscle movements slowly move the fecal material from the ___ through the colon. Forceful peristaltic waves occur only two to three times per ___, producing mass movements that finally push the feces into the ___ for expulsion.

A

cecum

day

rectum

220
Q

As the fecal material moves through the ___, water is continuously reabsorbed from the feces, across the ___ wall, into the capillaries. Consequently, as the feces enters the ___, it has changed from a ___ consistency to a semisolid mass.

A

colon

intestinal

rectum

watery

221
Q

True or false: feces that remains in the large intestine for an extended period loses excess water and the person experiences constipation.

A

True

222
Q

True or false: rapid movement through the large intestine allows insufficient time for water reabsorption, causing diarrhea.

A

True

223
Q

Your gut ___ (also known as normal flora)—mostly bacteria, viruses, and protozoa—are toiling away 24/7.

A

microbiota

224
Q

Contributing to our physical and mental well-being: they synthesize vitamins, participate in our immune response, modify hormonal activity, affect appetite, and assist with learning, memory, and mood.

A

Microbiota

225
Q

Expelled gas.

A

Flatus (flay-tus)

226
Q

Three important organs—the ___, ___, and ___—empty their secretions into the duodenum. These secretions are necessary for the digestion of food.

A

liver

gallbladder

pancreas

227
Q

A large reddish-brown organ located in the mid- and right upper abdominal cavity.

A

Liver

228
Q

It lies immediately below the diaphragm; much of it is tucked up under the right rib cage.

A

Liver

229
Q

The largest gland in the body, weighing about 3 lbs.

A

Liver

230
Q

The liver and has two main lobes: a ___ ___ lobe and a ___ ___ lobe separated by a ligament.

A

larger right

smaller left

231
Q

Secures the liver to surrounding structures.

A

Ligament

232
Q

Surrounded by a fibrous membrane called a capsule.

A

Liver

233
Q

The word hepatic refers to the ___.

A

liver

234
Q

True or false: the liver is essential for life.

A

True

235
Q

Synthesizes bile salts and secretes bile which plays an important role in fat digestion and in the absorption of fat-soluble vitamins.

A

Liver

236
Q

The secretion of ___ is the main digestive function of the liver.

A

bile

237
Q

Synthesizes plasma proteins which play an important role in maintaining blood volume and controlling blood coagulation. With inadequate production of albumin, water cannot be retained within the blood vessels and generalized edema develops. With inadequate production of blood coagulation factors, hemostasis is impaired and the person is at risk for bleeding.

A

Liver

238
Q

Stores many substances: glucose in the form of glycogen, fat-soluble vitamins (A, D, E, and K), and vitamin B12.

A

Liver

239
Q

Plays an important role in the detoxification of metabolites, drugs and other harmful substances by changing these toxic substances into substances that can be more easily eliminated from the body by the kidneys.

A

Liver

240
Q

True or false: the liver is the most important organ in the biotransformation of drugs.

A

True

241
Q

Excretes many substances, including bilirubin, cholesterol, and drugs.

A

Liver

242
Q

Metabolizes carbohydrates: regulates blood glucose levels. If they rise above normal, it removes excess glucose from the blood, converts it to glycogen, and then stores it for future use. If the blood glucose levels decline below normal, it makes glucose from glycogen and nonglucose substances (gluconeogenesis) and releases it into the blood.

A

Liver

243
Q

Metabolizes proteins: makes a variety of different amino acids. Also, because only it contains the urea cycle enzymes, nitrogen (from ammonia) is converted to urea in it for eventual excretion by the kidneys. Free ammonia in the blood is toxic to humans.

A

Liver

244
Q

Metabolizes fats: breaks down fatty acids, synthesizes cholesterol and phospholipids, and converts excess dietary protein and carbohydrates to fat.

A

Liver

245
Q

Phagocytosis: the Kupffer cells are ___ macrophages that can phagocytose bacteria and other substances.

A

hepatic

246
Q

The liver has a unique arrangement of blood vessels called the ___ portal system.

A

hepatic

247
Q

The liver receives a lot of blood, approximately 1.5 L/min, from two sources: the ___ ___, which provides most of the blood, and the hepatic ___.

A

portal vein

artery

248
Q

The ___ ___ drains blood from all of the organs of digestion and brings blood rich in digestive end products to the liver.

A

portal vein

249
Q

The hepatic ___ delivers oxygen-rich blood from the aorta to the liver.

A

artery

250
Q

Blood leaves the liver through the hepatic ___ and empties into the ___ ___ ___, where it is returned to the heart for recirculation.

A

veins

inferior vena cava

251
Q

The liver contains thousands of liver ___, the functional units of the liver.

A

lobules

252
Q

Consists of a special arrangement of blood vessels and hepatic cells (hepatocytes).

A

Liver lobules

253
Q

Note the ___ vein and the rows of ___ cells that radiate away from the ___ vein. These cells are bathed by blood, which enters the lobule from both the hepatic ___ and the ___ ___.

A

central

hepatic

central

artery

portal vein

254
Q

Blood from the hepatic artery and portal vein mixes in the liver in spaces called ___ or large pore capillaries.

A

sinusoids (sine-u-soids)

255
Q

The hepatic cells extract water and dissolved substances from the ___ blood. Hepatic cells then secrete a greenish-yellow substance called ___ into tiny canals called ___.

A

sinusoidal

bile

canaliculi (kan-ah-lik-yoo-lye)

256
Q

These tiny bile canals merge with canals from other lobules to form larger hepatic bile ducts.

A

Canaliculi (kan-ah-lik-yoo-lye)

257
Q

Bile exits from the liver through two hepatic ___ ___.

A

bile ducts

258
Q

(A) Liver, gallbladder, bile ducts, and pancreas. (B) Liver lobule. (C) The entrance of the common bile duct into the duodenum (ampulla of Vater and sphincter of Oddi).

A
259
Q

Greenish-yellow secretion produced by the liver and stored in the gallbladder.

A

Bile

260
Q

Composed primarily of water, electrolytes, cholesterol, bile pigments, and bile salts.

A

Bile

261
Q

Bilirubin and biliverdin formed from the hemoglobin of worn-out red blood cells.

A

Bile pigments

262
Q

Most abundant constituents of the bile.

A

Bile salts

263
Q

Only the bile ___ have a digestive function; they play an important role in fat digestion and in the absorption of fat-soluble vitamins.

A

salts

264
Q

True or false: between 800 and 1000 mL of bile is secreted per day.

A

True

265
Q

Bile pigments, especially ___ (a breakdown product of bilirubin), also give the stool a brownish colour.

A

urobilinogen (yoo-roh-bil-in-oh-jen)

266
Q

With gallbladder disease, a gallstone sometimes becomes lodged in the common ___ duct, blocks the flow of ___ into the ___, and deprives the stools of brown pigments. Common ___ duct obstruction is therefore characterized by colourless, gray, or clay-coloured stools.

A

duct x2

duodenum

duct

267
Q

The ducts that connect the liver, gallbladder, and duodenum.

A

Biliary tree

268
Q

This network of ducts includes the hepatic bile ducts, cystic duct, and common bile duct.

A

Biliary tree

269
Q

Receives bile from the canaliculi in the liver lobules.

A

Hepatic bile duct

270
Q

The hepatic ducts merges with the ___ duct to form the ___ bile duct, which carries bile from the hepatic ducts (liver) and the ___ duct (___) to the duodenum.

A

cystic

common

cystic

gallbladder

271
Q

The base of the common bile duct swells to form this.

A

Hepatopancreatic ampulla (ampulla of Vater)

272
Q

The main pancreatic duct joins the common bile duct at this point.

A

Hepatopancreatic ampulla (ampulla of Vater)

273
Q

Encircles the base of the ampulla, where it enters the duodenum.

A

Hepatopancreatic sphincter (sphincter of Oddi)

274
Q

This sphincter helps to regulate the delivery of bile to the duodenum and is sensitive to nervous, hormonal, and pharmacologic control.

A

Hepatopancreatic sphincter (sphincter of Oddi)

275
Q

A pear-shaped sac attached to the underside of the liver.

A

Gallbladder

276
Q

The ___ duct connects the gallbladder with the ___ bile duct.

A

cystic

common

277
Q

Bile, produced in the ___, flows through the ___ ducts and into the ___ duct and gallbladder.

A

liver

hepatic

cystic

278
Q

Its function is to concentrate and store bile.

A

Gallbladder

279
Q

True or false: the gallbladder concentrates about 1200 mL of bile each day.

A

True

280
Q

The presence of dietary fat in the duodenum stimulates the release of the hormone ___ (___).

A

cholecystokinin (koh-lee-sis-toh-kye-nin) (CCK)

281
Q

It enters the bloodstream and circulates to the gallbladder, where it causes the smooth muscle of the gallbladder to contract.

A

Cholecystokinin (koh-lee-sis-toh-kye-nin) (CCK)

282
Q

When the gallbladder contracts, the bile is ejected into the ___ duct and then into the ___ bile duct and ___.

A

cystic

common

duodenum

283
Q

An accessory organ of digestion located just below the stomach.

A

Pancreas

284
Q

The head of it rests in the curve of the duodenum; the tail lies near the spleen in the left upper quadrant of the abdominal cavity.

A

Pancreas

285
Q

Travels the length of the pancreas and joins with the common bile duct at the ampulla of Vater.

A

Main pancreatic duct

286
Q

Carries digestive enzymes from the pancreas to the duodenum—the meeting point for digestion.

A

Pancreatic duct

287
Q

The ___ secretes both endocrine and exocrine substances. The exocrine secretions include the digestive ___ and an ___ secretion.

A

pancreas

enzymes

alkaline

288
Q

Secretes the pancreatic enzymes in their inactive form.

A

Acinar cells

289
Q

Travels through the main pancreatic duct to the duodenum and are activated in the duodenum. These secretions form the pancreatic juice; the pancreas secretes about 1400 mL/day.

A

Enzymes

290
Q

True or false: the pancreatic enzymes are the most important of all the digestive enzymes.

A

True

291
Q

True or false: premature activation of proteolytic enzymes within the pancreas causes autodigestion of the pancreas itself, a very painful and potentially lethal condition.

A

True

292
Q

In addition to the digestive enzymes, the pancreas also secretes an alkaline juice rich in ___.

A

bicarbonate

293
Q

Neutralizes the highly acidic chyme coming from the stomach into the duodenum. This neutralization is important because the digestive enzymes in the duodenum work best in an alkaline environment.

A

Bicarbonate

294
Q

The secretion of the digestive enzymes and bicarbonate is under nervous (___) and hormonal control.

A

vagus

295
Q

The presence of food in the stomach and duodenum is the stimulus for the nervous and ___ responses.

A

hormonal

296
Q

The presence of ___ in the duodenum stimulates the release of the hormone CCK from the duodenal walls. CCK travels by way of the blood to the pancreas, stimulating the release of pancreatic digestive ___.

A

chyme

enzymes

297
Q

True or false: CCK affects the gallbladder, pancreas, and stomach.

A

True

298
Q

Stimulates the gallbladder to contract and release bile, it stimulates the pancreas to secrete digestive enzymes, and it slows gastric emptying—all activities that encourage digestion and absorption.

A

Cholecystokinin (CCK)

299
Q

The acid ___ in the duodenum stimulates the release of a second hormone, secretin, from the duodenal walls.

A

chyme

300
Q

Travels by way of the blood to the pancreas, stimulating release of the bicarbonate-rich juice.

A

Secretin

301
Q

Neutralizes the gastric acid, thereby creating an alkaline environment—that in which the digestive enzymes work best.

A

Bicarbonate

302
Q

Made up of carbohydrates, proteins, and fats.

A

Food

303
Q

Digestive enzymes and several digestive agents (mucus, HCl, and bile) play key roles in ___ digestion.

A

chemical

304
Q

True or false: specific enzymes digest each type of food.

A

True

305
Q

Classified according to size.

A

Carbohydrates

306
Q

Single sugars.

A

Monosaccharides

307
Q

The three monosaccharides are ___, ___, and ___.

A

glucose

fructose

galactose

308
Q

The most important of the three monosaccharides.

A

Glucose

309
Q

Double sugars.

A

Disaccharides

310
Q

The three disaccharides are ___ (table sugar), ___, and ___.

A

sucrose

lactose

maltose

311
Q

Many glucose molecules linked together.

A

Polysaccharides

312
Q

The shorter monosaccharides and disaccharides are called ___; the longer-chain polysaccharides are ___.

A

sugars

starches

313
Q

A polysaccharide is digested in two stages: first, enzymes called ___ degrade the polysaccharide into ___ (sucrose, maltose, and lactose).

A

amylases (am-eh-lays-ez)

disaccharides

314
Q

The two amylases are ___ amylase (ptyalin [tie-uh-lin])) and ___ amylase.

A

salivary

pancreatic

315
Q

Degrade disaccharides (sucrose, maltose, lactose) into monosaccharides.

A

Disaccharidases, an enzyme

316
Q

The three disaccharidases, located within the intestinal mucosal cells, are ___ase, ___ase, and ___ase.

A

sucrase

lactase

maltase

317
Q

Splits into monosaccharides in the duodenum and jejunum at the surface of the villi.

A

Disaccharides

318
Q

Immediately absorbed into the blood capillaries of the villus.

A

Monosaccharides

319
Q

Certain carbohydrates, such as ___, cannot be digested and therefore remain in the lumen of the digestive system. Although providing no direct nourishment, dietary ___ is beneficial in that it provides fibre and bulk to the stool.

A

cellulose x2

320
Q

Carbohydrate Digestion.

A
321
Q

The building blocks of proteins.

A

Amino acids

322
Q

Several amino acids linked together form a ___.

A

peptide

323
Q

Many amino acids linked together form a ___.

A

polypeptide

324
Q

___ are very long polypeptide chains; some ___ contain more than one polypeptide chain.

A

Proteins

proteins

325
Q

To be absorbed across the wall of the digestive tract, these chains must be uncoiled and degraded into small peptides and amino acids.

A

Polypeptide chains

326
Q

Enzymes called ___ or proteolytic enzymes, digest proteins.

A

proteases

327
Q

Proteases are secreted by three organs: the ___ secretes pepsinogen, the ___ cells secrete peptidase, and the ___ secretes several proteases, including trypsinogen, chymotrypsinogen, and carboxypeptidase.

A

stomach

intestinal

pancreas

328
Q

The pancreatic proteases, once activated within the duodenum, are the most ___ proteases.

A

potent

329
Q

Proteins are broken down into small peptides and amino acids and are absorbed across the intestinal ___ into the blood ___.

A

villi

capillaries

330
Q

____ activity is enhanced by both HCl and enterokinase.

A

Proteolytic

331
Q

Although not an enzyme, it aids protein digestion. First, it unravels the strands of protein, making the protein fragments more sensitive to the proteases. Second, it activates a gastric proteolytic enzyme, pepsinogen, into pepsin.

A

Hydrochloric acid (HCL)

332
Q

Protein Digestion.

A
333
Q

Long-chain fatty acids attached to glycerol.

A

Fats

334
Q

Enzymes that digest fats.

A

Lipases (lye-pays-ez)

335
Q

The most important is ___ lipase.

A

pancreatic

336
Q

The end products of fat digestion are fatty acids and glycerol; fat is absorbed into the ___ of the villi.

A

lacteals

337
Q

True or false: fats, unlike carbohydrates or proteins, are not soluble in water; they tend to clump together into large fat globules when added to water.

A

True

338
Q

Can split the large fat globule into thousands of tiny fat globules (emulsification) where they are worked on by lipases.

A

Bile

339
Q

The process of bile splitting the large fat globule into thousands of tiny fat globules.

A

Emulsification (ee-mull-seh-feh-kay-shun)

340
Q

Because of ___, the lipases can work on the surfaces of all the tiny fat globules, thereby digesting more fat.

A

emulsification

341
Q

Prevents the fatty acids (end products of fat digestion) from re-forming large fat globules in the intestine before they can be absorbed across the intestinal villi.

A

Bile salts

342
Q

Help the absorption of the fat-soluble vitamins A, D, E, and K.

A

Bile salts

343
Q

Fat Digestion: Emulsification and Digestion.

A
344
Q

The science that studies the relationship of food to the functioning of the body.

A

Nutrition

345
Q

Substances the body uses to promote normal growth, maintenance, and repair.

A

Nutrients

346
Q

The five categories of nutrients are ___, ___, ___, ___, and ___.

A

carbohydrates

proteins

lipids

vitamins

minerals

347
Q

Classified as simple sugars and complex.

A

Carbohydrates

348
Q

A simple sugar is composed of ___ and ___.

A

monosaccharides

disaccharides

349
Q

___, the simplest carbohydrate, is the major fuel used to make adenosine triphosphate (ATP) in most body cells.

A

Glucose

350
Q

Most of them come from plants. The sugars are derived primarily from fruit, sugar cane, and milk.

A

Carbohydrates

351
Q

The complex ___ are larger sugar molecules (polysaccharides) and consist primarily of ___ and fibre.

A

carbohydrates

starch

352
Q

Found in cereal grains (wheat, oats, corn, barley), legumes (peas, beans), and root vegetables, such as potatoes.

A

Strach

353
Q

Found primarily in vegetables.

A

Fibre / cellulose

354
Q

Most dietary carbohydrates should be in the form of ___ carbohydrates for two reasons. First, ___ carbohydrates usually provide other nutrients, whereas simple sugars provide “empty calories” (nothing but calories). Second, ___ carbohydrates are absorbed at a slower rate than sugars, thereby preventing a sudden spike in blood glucose.

A

complex

355
Q

An excellent guide for the selection of dietary carbohydrates; it is a term that identifies the effects that foods exert on blood sugar.

A

Glycemic index

356
Q

Rice and “peeps” are foods that have a high ___ ___, meaning that they are digested and absorbed rapidly, thereby spiking blood sugar. To say nothing of sugary drinks! String beans have a low ___ ___; they are digested and absorbed more slowly and do not spike the blood sugar. The carbohydrates with a lower ___ ___ are better dietary choices.

A

glycemic index x3

357
Q

Supply the body with amino acids because the body cannot store amino acids when a daily supply is necessary.

A

Proteins

358
Q

Classified as complete or incomplete.

A

Proteins

359
Q

Contains all essential amino acids.

A

Complete protein

360
Q

Found in animal sources such as meat, eggs, and dairy products.

A

Complete proteins

361
Q

Do not contain all of the essential amino acids and include vegetable proteins such as nuts, grains, and legumes.

A

Incomplete proteins

362
Q

True or false: vegetable proteins, if eaten in combination, can supply a complete complement of amino acids. For example, a favourite Mexican dish containing rice and beans is complete in that it supplies all the essential amino acids, even though both the rice and the beans are incomplete proteins.

A

True

363
Q

Most are dietary triglycerides or molecules that contain glycerol and fatty acids.

A

Lipids

364
Q

Classified as saturated or unsaturated.

A

Fatty acids

365
Q

A ___ fatty acid (e.g., butter, lard), which come primarily from animal sources, is solid at room temperature. Also included in this group are artificially hardened, or hydrogenated, fats such as vegetable shortening and margarine.

A

saturated

366
Q

An ___ fat is liquid at room temperature and is called an oil.

A

unsaturated

367
Q

The body can synthesize all fatty acids with one exception: ___ acid, an important component of cell membranes. Because the body cannot synthesize it, ___ acid is an essential fatty acid and therefore must be included in the diet.

A

linoleic x2

368
Q

Foods high in fat comes from both animal and plant sources. Animal sources, however, tend to contain more ___ fat. They include meat, eggs, butter, and whole-milk products such as cheese. Plant sources include coconut oil and palm oil. Hydrogenated vegetable oils in shortening and margarine are also high in ___ fat.

A

saturated x2

369
Q

Summary: Digestion and Absorption of the Turkey Meal.

A
370
Q

Small organic molecules that help regulate cell metabolism.

A

Viamins

371
Q

Parts of enzymes or other organic substances essential for normal cell function and are classified as fat soluble or water soluble.

A

Vitamins

372
Q

Includes vitamins A, D, E, and K.

A

Fat-soluble vitamins

373
Q

Include vitamins B and C. These vitamins, for the most part, are not stored by the body.

A

Water-soluble vitamins

374
Q

True or false: excess water-soluble vitamins are generally excreted in the urine.

A

True

375
Q

Inorganic substances necessary for normal body function.

A

Minerals

376
Q

Have numerous functions, ranging from regulation of plasma volume (sodium, chloride) to bone growth (calcium) to oxygen transport (iron) to the regulation of metabolic rate (iodine).

A

Minerals

377
Q

True or false: mineral deficiencies can cause serious health problems.

A

True

378
Q

Contains all the essential nutrients and includes a variety of foods.

A

Balanced diet

379
Q

Has often been displayed in the form of food wheels or food pyramids.

A

Balanced diet

380
Q

___ facilitates the digestion of protein into small peptides. Enterkinase, located within the intestinal mucosa, activates trypsinogen into ___, a powerful proteolytic enzyme.

A

Pepsin

trypsin