digestive system Flashcards

1
Q

vitamins are considered

A

cofactors / prosthetic groups

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2
Q

another term for the GI tract is

A

alimentary canal

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3
Q

During what stage in development is the GI tract developed?

A

Gastrulation

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4
Q

The GI lumen is continuous with

A

the outside environment

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5
Q

Epithelial cells

  • where are they located in the GI?
  • are generally found where inside the body?
A

line the outer surface of the GI lumen

generally found when in areas that have contact with the outside environment (e.g. GI lumen, respiratory tract)

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6
Q

Epithelial cells are attached to what?

A

the basement membrane

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7
Q

Apical

A

faces lumen

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8
Q

Tight junctions

A

bands running around the sides of epithelial cells.
separates body fluids from extracellular environment
apical is separated from remainder of cell surface by tight junctions

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9
Q

Basolateral surface

A

sides & bottom of an epithelial cell that form the surface opposite of the lumen

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10
Q

Desmosomes

A

a generalized cell junction used primarily for adhesion

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11
Q

what 2 layers of smooth muscle line the gut?

A
  1. longitudinal

2. circular

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12
Q

GI motility is defined as

A

rhythmic contractions of GI smooth muscle

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13
Q

What factors influence GI motility

A
  1. Automaticity
  2. Functional syncytium
  3. Has its own NS4. Regulated by hormonal input5. Parasympathetic NS stimulates motility + causes sphincters to relax
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14
Q

GI motility has its own NS. What is it called?

A

Enteric NS

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15
Q

Does the Parasympathetic NS stimulate or inhibit GI motility

A

Parasympathetic NS stimulates motility[remember: Parasympathetic NS is rest or digest. GI motility promotes digestion]

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16
Q

Does the sympathetic NS stimulate or inhibit GI motility

A

sympathetic NS inhibits motility[remember: sympathetic NS is fight or flight. Inhibiting motility inhibits digestion. You have more resources dedicated towards fighting or fleeing this way.]

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17
Q

What is the purpose of GI motility?

A
  1. Mixing of food

2. Movement of food

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18
Q

Mixing

A

disordered contractions

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19
Q

Movement

A

Ordered form of contraction aka Peristalsis

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20
Q

Peristalsis utilizes which of the two smooth muscles in the gut?

A

peristalsis utilizes circular smooth muscle.
peristalsis contracts circular smooth muscle.
Prevents food from moving backward

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21
Q

Movement is also aided by longitudinal smooth muscle. What effect does the contraction of longitudinal smooth muscle have on the gut?

A

contraction of longitudinal smooth muscle results in shortening of the gut AND forward movement of food

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22
Q

What stimulates GI secretions

A
  1. Food in the gut

2. Parasympathetic NS

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23
Q

What inhibits GI secretions

A

sympathetic NS

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24
Q

Exocrine glands are made up of what?

A

specialized epithelial cells that are organized into sacs - Acini

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25
Q

Acinar cells secrete products that

A

pass into ducts –> GI lumen

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26
Q

GI Exocrine organs

A

liver, gallbladder, pancreas

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27
Q

While the liver, gallbladder and pancreas include most exocrine secretions, there are still some exocrine secretion is accounted for by what?

A

specialized individual epithelial cells

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28
Q

Where are the specialized individual epithelial cellsspecialized individual epithelial cells that perform exocrine secretions located?

A

in the wall of the gut itself

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29
Q

specialized individual epithelial cells release secretions _______

A

directly into the lumen

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30
Q

specialized individual epithelial cells examples

A

gastric glands - release acid + pepsinogengoblet cells - secrete mucus

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31
Q

What is the function of mucus

A

to protect and lubricate

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32
Q

Is water considered a secretion? where is it reabsorbed?

A

yes.

in the small intestine and than the colon

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33
Q

Endocrine secretions are picked up by

A

capillaries

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34
Q

if an organ has both endocrine and exocrine glands than ______

A

the functions are performed by different cells

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35
Q

The pancreas has both endocrine and exocrine glands. name the cells that are responsible for each

A

Endocrine - Islets of LangerhansExocrine - pancreatic acinar cells

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36
Q

What are the accessory organs of the GI tract?

A

liver, gallbladder, pancreas

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37
Q

what are the functions of saliva

A

lubrication & digestion

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38
Q

saliva contains

A

contains salivary amylasesmall amount of lingual lipaselysozyme

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39
Q

saliva lysozyme is made by

A

lytic phages

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40
Q

salivary amylase converts

A

ptyalin -starch –> disaccharide

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41
Q

mouth performs zero digestion of

A

protein

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42
Q

The pharynx is the _______.
It has ___ number of tubes.
The tubes are _____

A

The pharynx is the throatIt has 2 tubes.

The tubes are trachea and esophagus

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43
Q

The trachea is lined with

A

cartilage

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44
Q

The trachea is conveys

A

air

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45
Q

the trachea is commonly referred to as the

A

windpipe

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46
Q

Epiglottis is _____

A

cartilagious flap

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47
Q

the function of the epiglottis is to

A

exclude solids and liquids from the trachea

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48
Q

food follows the path

A

through the pharynx
over the epiglottis into the esophagus
peristaltic action of the esophagus conveys it to the stomach

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49
Q

lower esophagus sphincter is also referred to as the

A

cardiac sphincter

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50
Q

the function of the lower esophagus sphincter is to the location of the lower esophagus sphincter is

A

prevent refluxnear the heart

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51
Q

we have ____ esophagus sphincter(s)

A

2

upper esophagus sphincter lower esophagus sphincter

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52
Q

the gastric pH is

A

2

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53
Q

parietal cells secreteare located in

A

parietal cells secrete HClare located in gastric mucous

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54
Q

Chief cells secrete

A

pepsin

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55
Q

pepsin is secreted in what form

A

as a zymogen

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56
Q

pepsinogen is converted to pepsin by

A

gastric acidity

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57
Q

pepsinogen is activated by

A

acidic proteolysis

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58
Q

most zymogens are activated by

A

proteolysis

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59
Q

chyme is

A

food + gastric secretions

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60
Q

pyloric sphincter

A

prevents passage of food from the stomach to the duodenum

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61
Q

regulation of the pyloric sphincter:inhibited when

A

inhibition of opening of the pyloric sphincter occurs when the small intestine has a large load of chymeCCK

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62
Q

when the small intestine has a large load of chyme, what 2 things specifically inhibit further stomach emptying?

A

the pH of the small intestine inhibits further emptying

the stretching of the duodenum also prevents the opening of the pyloric sphincter by causing sphincter contraction

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63
Q

pyloric sphincter contraction is associated with

A

inhibition of stomach emptying

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64
Q

The regulation of the pyloric sphincter is mediated by

A

nerves connecting the duodenum, stomach and by hormones (CCK)

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65
Q

CCK is secreted by what type of cells?

A

epithelial cells

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66
Q

What stimuli cause the secretion of CCK?

A

fats in the duodenum

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67
Q

CCK causes

A

secretion of digestive enzymes by the pancreas
stimulates gallbladder contraction
decreases gastric motility
inhibits stomach emptying

68
Q

Gastrin is secreted by

A

G cells

69
Q

Gastrin stimulates

A

acid & pepsin secretion
gastric motility
histamine secretion

70
Q

Gastrin is stimulated by

A

food in the stomachparasympathetic stimulation

71
Q

The _____ stimuli cause the secretion of histamine

A

stomach stretching and gastrin

72
Q

Histamine binds to

A

H+ receptors on parietal cells

73
Q

Histamine stimulates

A

acid release by parietal cells

74
Q

the 3 segments of the small intestine include

A
  1. Duodenum
  2. Jejunum
  3. Ileum
75
Q

Digestion begins where?

A

the mouth

76
Q

Digestion is completed where?

A

duodenum & jejunum (segments of the small intestine)

77
Q

Absorption begins where?

and continues through?

A

the duodenum the small intestine

78
Q

What key feature of the small intestine allows it to accomplish absorption?

A

its large surface area

79
Q

the large surface area of the small intestine is attributed to its

A

lengthvillimicrovilli

80
Q

villi are

A

macroscopicmulticellular projections in the wall of the small intestine

81
Q

microvilli

A

microscopic foldings of the cell membrane of individual intestinal epithelial cells

82
Q

Brush border is _____ surface

A

the lumenal surface of the small intestine

83
Q

Intestinal villus are

A

a finger-like projection of the wall of the gut into the lumen

84
Q

Important structures of intestinal villus are

A
  1. villus
  2. lymphatic vessels
  3. peyer patches
85
Q

intestinal villus contains ________ that absorb monosaccharides & amino acids

A

capillaries.
Capillaries merge into veins.
Veins merge into the large heptatic portal vein

86
Q

the large heptatic portal vein transports blood containing

A

amino acids and carbohydrates from the guit to the liver

87
Q

peyer patches are part of the _______ system.

Define peyer patches

A

dotting the villi that monitor GI contents and thus confer immunity to gut pathogens and toxins

88
Q

2 ducts empty into the duodenum

A
  1. pancreatic duct

2. common bile duct

89
Q

pancreatic duct

A

delivers exocrine secretions of the pancreas (digestive enzymes and bicarbonate)

90
Q

common bile duct

A

delivers bile contains bile acids

91
Q

Bile acids are made from ______ in the ______.

They are essential for what?

A

cholesterol in the liver essential for fat digestion

92
Q

sphincter of oddi

A

both ducts (pancreatic and common bile duct) empty into the duodenum from the same orifice which is the sphincter of oddi.

93
Q

duodenal enzymes are secreted by what cells

A

epithelial cells secrete enzymes

94
Q

are all duodenal enzymes secreted ?

A

no.
some are not secreted.
They can also work inside the surface of the brush border epithelial cells.
These are referred to as brush border enzymes

95
Q

duodenal hormones are secreted by

A

epithelial cells

96
Q

the list of duodenal enzymes includes:

A
  1. CCK
  2. Secretin
  3. Enterogastrone
97
Q

CCK main point

A

it promotes fat digestion and inhibits further stomach emptying

98
Q

CCK is secreted in response to

A

fat in the duodenum

99
Q

CCK’s effect is

A

its effector is the pancreas
causes the pancreas to secrete digestive enzymes
stimulates gallbladder (effector) contraction –> Bile release
decreases gastric motility (slowing down of the stomach)

100
Q

gallbladder contraction

A

causes the release of bile

101
Q

Secretin main point

A

required for digestion to occur

its effector is the pancreas

102
Q

Secretin is secreted in response to

A

acid in the duodenum

103
Q

Secretin’s main effect is

A

pancreas (effector) releases high - pH aq.

Buffer HCO3- in water —> neutralization of HCl released by the stomach (the effect)

104
Q

Enterogastrone main point is

A

decreases stomach emptying

105
Q

If its not absorbed in the duodenum than it is absorbed in the

A

jejunum & ileum

106
Q

digestion ends in the

A

jejunum

107
Q

Absorption occurs in the

A

ileum

108
Q

the lower small intestine performs

A

special absorptive processes

109
Q

Vitamin B12 is only in the

A

ileum

110
Q

Ileocecal valve

A

separates the ileum from the cecum, which is the first part of the large intestine

111
Q

colon

A

muscular tube
part of large intestine
roles is to absorb water and minerals and to form and store feces until defecation

112
Q

the cecum

A

first part of the colon

entrance of chyme into cecum is ileocecal valve

113
Q

appendix

A

finger-like appendage of the cecum

composed primarily of lymphatic tissue

114
Q

colon has a lot of

A

facultative / obligate anaerobes

115
Q

trypsinogen is converted into its active form by

A

enterokinase

116
Q

Conversion of trypsinogen occurs in the

A

brush border

117
Q

trypsin activates what

A

chymotrypsinogen, procarboxypeptidase, procollagenase

118
Q

the duodenum secretes

A
  1. CCK –> causes the pancreas to secrete enzymes
  2. secretin –> causes the pancreas to secrete water and HCO3-
  3. parasympathetic activation –> increased pancreatic secretion
119
Q

the alpha cells

A

part of the endocrine pancreas
secrete glucagon
mobilize fuel by stimulating the liver and adipocytes to release glucose and fats into the bloodstream

120
Q

the beta cells

A

part of the endocrine pancreas
secrete insulin
stimulated to secrete insulin when we have elevated blood sugar
insulin lowers blood sugar

121
Q

the delta cells

A

part of the endocrine pancreas
secrete somatostatin
somatostatin inhibits digestive processes

122
Q

only _______ can lower blood glucose

A

only insulin can lower blood glucose

123
Q

excess glucose does what?

A

it destroys many physiological systems @ cellular level including neurons, blood vessels & the kidneys

124
Q

increasing blood glucose is done by:

A

3 hormones

  1. Glucagon (peptide hormone)
  2. Ephinephrine (AA derivative)
  3. Cortisol (steroid)
125
Q

liver exocrine function does what

A

secretes bile

126
Q

bile’s principal ingredient is what?

A
  1. bile acids
  2. cholesterol
  3. bilirubin
127
Q

bile’s function is what?

A

it emulsifies fat particles in the duodenum into smaller clusters –> micelles

128
Q

micelles have ________ which make them easily digested by ________

A

micelles have __GREATER SURFACE AREA______ which make them easily digested by __HYDROPHILLIC LIPASES______

129
Q

Bile also does what? (part of its function)

A

bile’s other function is to help fatty particles diffuse across the intestinal mucosal membrane

130
Q

Bile is made in ______

A

bile is made in the ____liver_____

131
Q

Bile from the liver goes two places which are

A

bile from the liver is 1) secreted directly into the duodenum 2) stored in the gallbladder

132
Q

bile in the gallbladder is ________ & released _______

A

bile in the gallbladder is _CONCENTRATED_______ & released _AFTER A FATTY MEAL______

133
Q

gallbladder has _______ activity

A

gallbladder has _NO SECRETORY______ activity

134
Q

the constriction of the gallbladder walls is stimulated by

A

CCK & the parasympathetic nervous system stimulates the constriction of the gallbladder walls

135
Q

release of bile is dictated by ______

A

release of bile is dictated by __hormones & the nervous system____

136
Q

liver receives blood from two sources:

A
  1. Hepatic arteries - oxygenated blood

2. Hepatic portal vein - venous blood draining the stomach & the intestines

137
Q

the hepatic arteries deliver

A

the hepatic arteries deliver __oxygenated blood___

138
Q

Hepatic portal vein deliver

A

Hepatic portal vein deliver __venous blood draining the stomach & the intestines__

139
Q

the function of hepatocytes are

A

the function of hepatocytes are:

  1. extract nutrients from the liver
  2. monitor blood
140
Q

what two groups contain glycogen?

A

both contain glycogen

  1. the liver
  2. skeletal muscle
141
Q

only the liver can

A

only the liver can ___release free glucose into the blood___

142
Q

why can only the liver release free glucose?

A

because G6P must be dephosphorylated and only the liver contains G6P Phosphatase

143
Q

protein waste products are regulated by the ______

A

protein waste products are regulated by the __liver____

144
Q

How does the liver assist with lipid metabolism

A

chylomicron remanants are taken up by hepatocytes. they combine the remanants with proteins to form –> lipoproteins.
lipoproteins re-enter the blood

145
Q

lipoproteins are the source of ______ for other tissues of the body

A

lipoproteins are the source of _cholesterol and triglycerides_____ for other tissues of the body

146
Q

the liver makes important _____ secretes them

A

the liver makes important __plasma proteins___ secretes them

147
Q

_____ major center for drug & toxin detox

A

__liver___ major center for drug & toxin detox

148
Q

no _____ digestion occurs in the mouth

A

no _protein____ digestion occurs in the mouth

149
Q

WHY is the liver the major center for drug & toxin detox?

A

the Smooth ER of Hepatocytes has an enzyme pathway that breaks down drugs & toxins –> less toxic excreteable products

150
Q

monosaccharides must use _______ to be taken into intestinal epithelial cells

A

monosaccharides must use __secondary active transport_____ to be taken into intestinal epithelial cells

151
Q

sugars dissolve in _______

A

sugars dissolve in __hepatic portal vein_____

152
Q

when there is chyme in the duodenum

A
  1. duodenum to secrete CCK and Secretin
  2. the gallbladder to release concentrated bile
  3. pancreas to release a basic solution of HCO3- plus digestive zymogens
153
Q

Amino acid absorption

A

a 2 Active transporter (symport) specific to each AA complex uptake with Na+
followed by uniport facilitates movement out of the intestinal epithelial cells into the interstitutium

154
Q

pancreas sends enzymes into the gut via ________

A

pancreas sends enzymes into the gut via ___sphincter of Oddi_____

155
Q

CCK stimulates gallbladder _________ which causes _______

A

CCK stimulates gallbladder ___contraction______ which causes __bile into the bile duct into the duodenum_____

156
Q

Micelles are ______ by ____

A

Micelles are __hydrolyzed____ by __pancreatic lipases__

157
Q

micelles are hydrolyzed into ___________

A

micelles are hydrolyzed into __triglycerides –> monoglycerides + free fatty acid_________

158
Q

hydrolyzed triglyceride produces

A

monoglyceride

free fatty acids

159
Q

monoglycerides and free fatty acid move into the intestinal epithelial via ______

A

monoglycerides and free fatty acid move into the intestinal epithelial via __diffusion____

160
Q

inside the epithelial cells monoglycerides are converted back into _______ which are packaged into _________

A

inside the epithelial cells monoglycerides are converted back into __triglycerides_____ which are packaged into __chylomicrons_______

161
Q

lacteals are

A

lymphatic capillaries

162
Q

_______ and _______ tissues contain the enzyme lipoprotein lipase

A

__adipose_____ and __liver_____ tissues contain the enzyme lipoprotein lipase

163
Q

free fatty acids diffuse into ______ and _______ cells where they are made into ______ and then ______

A

free fatty acids diffuse into __adipocytes____ and __liver___ cells where they are made into __triglycerides____ and then __stored____

164
Q

Fat soluble vitamins require ______ for solubilization and absorption

A

Fat soluble vitamins require __bile acids____ for solubilization and absorption

165
Q

excess fat soluble vitamins are stored in __________ tissue

A

excess fat soluble vitamins are stored in __adipose________ tissue