digestive system small intestine Flashcards

1
Q

how does the Si produce intestinal hormones?

A

using DNES cells

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2
Q

what 3 surface adaptations increase surface area of Si?

A

plicae circulares
villi
microvilli

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3
Q

what is another name for plicae circulares?

A

valves of Kerckring

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4
Q

what are the permanent folds affecting the mucosa and submucosa found throughout the duodenum, jejunum and proximal ileum?

A

plicae circulares

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5
Q

where are the microvilli of the small intestine located?

A

on the luminal cell surface

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6
Q

what is the surface epithelium of the small intestine (Si)

A

simple columnar

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7
Q

what are the 6 cell types of the Si?

A
surface absorptive cells- enterocytes 
goblet cells
DNES cells
regenerative cells
paneth cells 
M (microfold) cells
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8
Q

which cell type absorbs water and nutrients and has terminal digestion in the glycocalyx?

A

surface absorptive/ enterocytes

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9
Q

where are goblet cells of Si concentrated?

A

fewest in duodenum and most in ileum

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10
Q

how many types of DNES cells do we have in the Si?

A

11 types

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11
Q

which type of DNES cell stimulates CCK?

A

type I

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12
Q

what hormone stimulates gallbladder contraction and pancreatic secretion of enzymes from serous acini?

A

CCK

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13
Q

which type of DNES cell produces GIP and inhibits HCL release?

A

type K

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14
Q

which DNES type produces secretin?

A

type S

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15
Q

what hormone stimulates pancreatic secretion of bicarbonate from the pancreatic ducts and also inhibits HCL release and movement of chyme into Si?

A

secretin

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16
Q

where are regenerative cells found and how long do they live?

A

found in crypts and live 5-7 days

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17
Q

how long do paneth cells live?

A

20 days

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18
Q

where are paneth cells located?

A

base of the crypts (intestinal glands)

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19
Q

what is the fx of the paneth cells?

A

produce lysozyme

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20
Q

what cells are located at the ileum epithelium over Peyer’s patches?

A

M (microfold) cells

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21
Q

what cells contain large intracellular pockets that are fairly open to the lamina propria?

A

M (microfold) cells

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22
Q

what is the function of the M cells?

A

promote humoral immunity

  • causes plasma cells to produce IgA which is then transferred to epithelial cells and released into gut lumen
  • important for maintaining gut flora
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23
Q

what is the lamina propria of the Si made of?

A

loose areolar CT

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24
Q

if the longitudinal muscle of villus core is irritated then the muscle contracts and the villi shorten. What can this lead to long term?

A

nutrient deficiencies

25
what does the LP of Si border?
intestinal glands
26
what are lacteals?
lymphocyte capillaries
27
what is the fx of lacteals?
most lipid absorption
28
what structures are found in villus core of LP?
lacteals vascular components- smaller vessels longitudinal muscle
29
what are the 3 important characteristics of the lamina propria of the Si?
found in villus core borders intestinal glands has muscularis mucosae
30
what is another name for intestinal glands?
crypts of lieberkuhn
31
what is the muscularis mucosae of the LP of Si like?
thin but present; connects to smooth muscle in villi
32
what cell type replaces other cells?
regenerative cells
33
which cells are surface absorptive cells?
enterocytes
34
which cells promote humoral immunity?
M cells
35
which cells produce lysozymes?
paneth cells
36
does secretin of CCK inhibit stomach activity?
secretin
37
what stimulates the gall bladder?
CCK
38
what stimulates the pancreas to release digestive enzymes?
CCK
39
what stimulates ducts in pancreas to release bicarbonate?
secretin
40
what are lacteals?
lymphatic capillaries
41
where are paneth cells found and what do they do?
base of crypts, produce lysozyme
42
where are Brunner's glands found? what do they do?
found in submucosa of duodenum; secrete alkaline mucus to neutralize chyme
43
what is the submucosa of the Si made of?
very dense CT with larger blood vessels
44
what are the duodenal (brunner) glands?
seromucous glands
45
what 2 products do Brunner glands produce?
alkaline mucus | urogastrone
46
what does urogastrone do?
inhibit HCL secretion and increase mitosis of epi. cells
47
what are the 3 structures of the submucosa of the Si?
duodenum jejunum ileum
48
where are the Peyer's patches located?
ileum
49
what are Peyer's patches?
group of regularly occurring large lymph nodules
50
the submucosal (meissner's) plexus of ileum has what type of innervation?
parasympathetic
51
what is the fx of the submucosal/meissners plexus?
influence mucosa
52
what is the pattern of the muscularis externa of the Si?
normal- inner circular, outer longitudinal
53
what structure stimulates the muscularis externa for peristalsis?
myenteric (auerbach) plexus of Si
54
what part of Si is serosa?
all of jejunum and ileum, 1st and last 1-2 cm of duodenum
55
what part of Si is adventitia?
vertical/descending portion of duodenum
56
what is the only digestive organ with both serosa and adventitia?
small intestine
57
where is the ileocecal valve found?
btw ileum and cecum of colon
58
what is the structure of the right side that extends from the cecum?
veniform appendix
59
what is the surface epithelium of the appendix?
simple columnar