Digestive System Flashcards

1
Q

What are the types of Digestion? And what are the types of complex organic molecules from food?

A
  1. Mechanical
    - physical breaking up of food
    -> in order to expose more surface area for action of digestive enzymes
  2. Chemical
    - action of digestive enzymes
    - complex chemical molecules converted into simpler chemicals the body can use

3 types of complex organic molecules from food
1. Protein
2. Carbohydrates
3. Fats

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2
Q

What happens in the Oral Cavity?

A

Initiation phase of mechanical breakdown of food
- Mastication (chewing)
- Tongue keeps food btwn teeth and mixes food with saliva (increases efficiency of chewing)

Initial chemical digestion
- Salivary amylase: starts chemical breakdown of carbohydrates

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3
Q

What do the Salivary Glands do?

A

Types: parotid, submandibular, and sublingual

Saliva is made from blood plasma
- Contains lysozymes which inhibit bacterial growth

Secretion of salivary glands is continuous, but amount depends on ANS

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4
Q

What is the Pharynx and what does it do? And what does the medulla coordinate?

A

Channel for swallowing
-> Constrictor muscles of pharynx contract reflexively when tongue pushes food backward

Located in MEDULLA: reflex center for swallowing

Coordinates:
- Constriction of pharynx
- Cessation of breathing
- Elevation of soft palate to block the nasopharynx
- Elevation of larynx and closure of epiglottis
- Peristalsis of esophagus

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5
Q

Describe the esophagus and what it is made of.

A

Connects pharynx to stomach

MADE OF SMOOTH MUSCLE
- Peristalsis moves food down esophagus

Lower esophageal sphincter: non-volitional, smooth muscle
- Relaxes to allow food to enter stomach
- Constricts to prevent backflow of stomach contents

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6
Q

What happens and what is contained in the Mucosa Layer?

A

Contains…
Epithelial Tissue
-> Secretes mucous to lubricate for food passage
-> In the stomach and small intestine: release digestive enzymes

Areolar CT
-> Contains lymph nodules and macrophages

Smooth muscle
-> Creates folds in mucosa to INCREASES SURFACE AREA in stomach and small intestines

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7
Q

What happens and what is contained in the Submucosa layer?

A

Contains…
- Areolar CT

  • Blood and lymphatic vessels
  • Meissner’s Plexus (submucosal plexus)
    -> Innervates mucosa to REGULATE SECRETIONS
  • Sensory neurons from smooth muscle
  • Motor neurons to blood vessels
    -> Regulate vessel diameter (vasoconstriction and vasodilation) and blood flow
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8
Q

What happens and what is in the External muscle layer?

A
  • Contractions break up food and mix it w/ digestive enzymes and secretions
  • One-way contractions of peristalsis moves food down food through tube

Auerbach’s plexus (mysenteric plexus)
-> portion of ENS
-> Receive autonomic impulses that regulate contractions (regulates peristalsis)

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9
Q

What is the Serosa and what is in it?

A
  • Fibrous connective tissue in structures above diaphragm
    -> Esophagus

Mesentery or visceral peritoneum in structures below diaphragm
-> Serous membrane

protective layer holds viscera in place, adds stability when moving around
fluid layer reduces friction between viscera

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10
Q

Where does most digestion in the stomach take place?

A

Pylorus

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11
Q

What is rugae in the stomach?

A

Mucosa in the stomach is wrinkled or folded (rugae) when stomach is EMPTY
-> flattens out as stomach is filled and permits expansion w/out tearing

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12
Q

What are the different types of cells in the stomach?

A

Gastric juice: collective secretions of the stomach
-> Produced by various cells w/in “gastric pits” of stomach

  1. Mucous cells: secrete mucous
    -> coats lining to help prevent erosion by the acidic gastric juice
  2. Chief cells: secretes pepsinogen (inactive form of pepsin)
  3. Parietal cells: produce hydrochloric acid (HCl) and secrete intrinsic factor
    -> HCl: makes gastric juice very acidic (pH 1-2) which kills microorganisms in stomach
    -> Converts pepsinogen to pepsin
    - Pepsin begins digestion of proteins
    -> Intrinsic factor: essential for absorption of vitamin B12 in ileum
  4. G cells: secrete the hormone Gastrin
    -> Gastrin: stimulates secretion of greater amounts of gastric juice
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13
Q

What is the stomach’s pyloric sphincter?

A

Pyloric sphincter is contracted as stomach churns food
- Relaxes at intervals to allow small amounts of chyme to enter duodenum
- Contracts again to prevent backflow of intestinal contents into stomach

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14
Q

What happens in the small intestines?

A

Digestion is completed in small intestine
-> major site for nutrient absorption (villi and microvilli increase surface area for absorption)

w/in each villi is a capillary network and lacteal (lymphatic vessel)
-> Absorption of nutrients takes place from INTESTINE INTO VESSELS w/in villi

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15
Q

What is in the mucosa of the small intestines?

A

Mucosa: simple columnar epithelium cells with microvilli
-> Goblet cells secrete mucous
-> Enteroendocrine cells secrete hormones, which is stimulated by food entering duodenum
-> Peyer’s patches (lymph nodules)

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16
Q

How are molecules absorbed in the small intestines?

A

Water-soluble nutrients are absorbed into blood in capillary networks

Active transport: Monosaccharides, amino acids, POSITIVE IONS (+), and water soluble vitamins

Passive or active transport: NEGATIVE (-) IONS

Osmosis: water absorbed following absorption of minerals, especially Na

Additional substances for absorption
- Intrinsic factor: needed for Vitamin B12 absorption
- Parathyroid hormone and vitamin D: needed for Ca absorption

17
Q

Where does blood from the villi travel to from the capillaries?

A

Blood passes though portal vein to the liver before going to the heart

Enables liver to…
- Regulate blood levels of glucose and amino acids
- Store certain vitamins
- Remove potential toxins from blood

18
Q

How is fat absorbed in the small intestines?

A

Fat-soluble nutrients is absorbed into the lymph via lacteals

  • Bile salts are needed for efficient absorption of fatty acids and fat soluble vitamins (A,D,E,K)
    -> Once absorbed, fatty acids are recombined with glycerol to form triglycerides
    -> Triglycerides form globules that include cholesterol and protein -> chylomicrons
    -> Most absorbed fat is transported in form of chylomicrons by lymph and eventually enters the blood
19
Q

Characteristics of the Liver

A

“Metabolic factory” of the body

Liver Lobule: structural unit of the liver

Hepatocytes: column of liver cells
-> Store nutrients
- Play role in carbohydrate, protein, fat metabolism

20
Q

What are sinusoids?

A

Capillaries of a lobule
- Very permeable vessels b/w hepatocytes
- Receive blood from both hepatic artery and portal vein
-> Hepatic artery: brings oxygenated blood
-> Portal vein: brings blood from digestive organs and spleen

Each lobule has a central vein
- Central veins unite to form hepatic veins
-> bring blood out of liver to IVC

21
Q

What is the liver’s only digestive function?

A

Production of bile

Bile
- Mostly water
- Carries bilirubin and excess cholesterol to intestines to be eliminated
- Digestive function: bile sals emulsify fats in small intestine
Secretin: hormone that stimulates bile production
-> produced by duodenum when food enters small intestines

22
Q

What are the liver’s no digestive functions?

A
  1. Carbohydrate metabolism -> regulation of blood glucose level
  2. A.a. Metabolism -> regulates blood levels for a.a. For protein synthesis
  3. Lipid metabolism -> forms lipoproteins for transport of fats in blood
    -> synthesizes cholesterol and excretes excess into bile
  4. Stores…
    -> Vitamins A,D,E,K, and B12
    -> Iron
    -> Copper
  5. Plasma protein synthesis
  6. Production of clotting factors
  7. Phagocytosis
    -> Breaks down old RBCs
    -> engulfs pathogens
  8. Bilirubin formation
  9. Detoxification
    -> produces enzymes to neutralize substances such as medications, alcohol, ammonia
23
Q

What does the gallbladder do?

A

Functions to concentrate and store bile

  • Choleocystokinin: secreted by duodenal cells when fatty foods enter duodenum
    -> stimulates contraction of the gallbladder
    -> forces bile into cystic duct -> common bile duct -> duodenum
24
Q

What are the pancreas’ exocrine functions?

A

Produces digestive enzymes for breakdown of carbs, proteins, and fats

25
Q

What are the digestive enzymes produced by the pancreas and what do they do?

A

Pancreatic amylase: digests starch
Lipase: converts emulsified fats to fatty acids and glycerol
Trypsinogen: inactive enzyme that converts to active trypsin in duodenum
-> trypsin: digests polypeptides to shorter chains of amino acids

26
Q

What is pancreatic enzyme juice?

A

Carried to duodenum via main pancreatic duct (joining common bile duct)

bicarbonate juice (alkaline) to neutralize the gastric juice entering the duodenum
- Secretin and cholecystokinin stimulate secretion of pancreatic juices
-> Secretin: stimulates production of bicarbonate juice
-> Cholecystokinin stimulates secretion of pancreatic enzymes

27
Q

What does amylase do and where is it secreted and site of action?

A

Function: Carbohydrate digestion

Secreted by: Salivary glands

Site of action: Oral Cavity

28
Q

What does Pepsin and HCl do and where are they secreted and site of action?

A

Function
Pepsin: protein digestion
HCl: converts pepsinogen to pepsin; maintains pH of stomach; destroys pathogens

Secreted by: Stomach

Site of Action: Stomach

29
Q

What do bile salts do and where is it secreted and site of action?

A

Function: Fat digestion

Secreted by: liver

Site of Action: Small Intestine

30
Q

What does Amylase, Trypsin, and Lipase do and where are they secreted and site of action?

A

Function
Amylase: Carbohydrate digestion
Trypsin: Protein digestion
Lipase: Fat digestion

Secreted by: Pancreas

Site of Action: Small Intestine

31
Q

What does peptidases, sucrose, Maltase, and lactase do and where are they secreted and site of action?

A

Function
Peptidases: Protein digestion
Sucrose: Carbohydrate digestion
Maltase: Carbohydrate digestion
Lactase: Carbohydrate digestion

Secreted by: Small Intestine

Site of Action: Small Intestine

32
Q

What is the Large Intestines (Colon) made of ?

A

Extends from ileum to small intestine to anus

  1. Cecum
    - Ileocecal valve: fold of intestinal mucosa surrounding opening from ileum to cecum
    -> Prevents backflow of fecal material into small intestine
  2. Ascending colon 3. Transverse colon 4. Descending colon (encircle small intestine)
  3. Sigmoid colon
  4. Rectum
  5. Anal canal
33
Q

What happens in the large intestines?

A

No digestion takes place here

Colonic mucosa: secretes mucus to lubricate the passage of fecal material

Functions
- Absorption of water, minerals, and vitamins
-> ~80% of water that enters the colon is absorbed
-> Positive and negative ions are absorbed
-> Vitamins produced by the normal flora
- Elimination of undigestible material

Everything absorbed by colon circulates first to the liver by way of portal circulation

34
Q

What is feces and what are the different reflexes?

A
  • Cellulose and other undigesetible material, dead and living bateria, and water *

Colon moves feces along via peristalsis
- Gastrocolic reflex: presence of food in stomach and peristalsis causes colon to contract
- Duodenocolic reflex: presence of chyme and peristalsis of duodenum causes colon to contract
- Defecation reflex: spinal cord reflex that can be controlled volitionally
-> stretching in the wall of the rectum by the entry of feces stimulates reflex (smooth muscles of rectum contract)
-> Internal anal sphincter relaxes, PERMITTING defecation
- External anal sphincter: skeletal muscle under volitional control
-> can be contracted to PREVENT defecation