EXAM #3 Flashcards

1
Q

Includes all the endocrine glands and
tissues that produce hormones

A

Endocrine system

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2
Q

Secrete cell product into interstitial fluids around cell or into stream

A

Endocrine glands

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3
Q

_ are NOT part of the endocrine system

A

Exocrine glands

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4
Q

secrete cell product onto body surface (internal or external)
- sweat glands
- saliva glands
- digestive tract glands

A

Exocrine glands

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5
Q

what does the Endocrine system do?

A

Controls slow, long duration responses

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6
Q

Endocrine system: what does it do?
Regulates _ and _ in body fluids (CA2+)

A
  • fluid balance
  • ion concentration
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7
Q

Endocrine system: what does it do?
Regulates absorption of _

A

nutrients (digestive-insulin)

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8
Q

Endocrine system: what does it do?
Regulates metabolism and _

A

growth (GH) (Thyroid)

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9
Q

Endocrine system: what does it do?
Regulates sexual characteristics and _

A

reproduction

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10
Q

Endocrine system: what does it do?
Regulates body’s response to _

A

stress

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11
Q
  • Regulates fluid balance and ion concentration in body fluids
  • Regulates absorption of nutrients
  • Regulates metabolism and growth
  • Regulates sexual characteristics and reproduction
  • Regulates body’s response to stress
A

What the Endocrine system does

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12
Q

Intercellular communication by chemical
messages in 4 ways

A
  1. Direct through gap junctions
  2. Neurotransmitters
  3. Paracrine factors (local hormones)
  4. Hormones
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13
Q

Intercellular communication by chemical
messages:
- Released by presynaptic nerve cell
- Produce effects in adjacent postsynaptic cell

A
  1. Neurotransmitters
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14
Q

Intercellular communication by chemical
messages:
- Released by most cells into interstitial fluids
- Produce effects in neighboring cells within one tissue

A
  1. Paracrine factors (local hormones)
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15
Q

Intercellular communication by chemical
messages:
- Released by endocrine cells into interstitial fluids, diffuse into capillaries
- Produce effects in target cells elsewhere in body

A

Hormones

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16
Q

Intercellular communication:
Mechanism = _
Transmission = through gap junctions
Chemical mediators = ions, small solutes, lipid-soluble materials
Distribution of effects = Usually limited to adjacent cells of the same type that are interconnected by connexons

A

Direct communication

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17
Q

Intercellular communication:
Mechanism = Direct communication
Transmission = _
Chemical mediators = ions, small solutes, lipid-soluble materials
Distribution of effects = Usually limited to adjacent cells of the same type that are interconnected by connexons

A

through gap junctions

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18
Q

Intercellular communication:
Mechanism = Direct communication
Transmission = through gap junctions
Chemical mediators = _
Distribution of effects = Usually limited to adjacent cells of the same type that are interconnected by connexons

A

ions, small solutes, lipid-soluble materials

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19
Q

Intercellular communication:
Mechanism = Direct communication
Transmission = through gap junctions
Chemical mediators = ions, small solutes, lipid-soluble materials
Distribution of effects = _

A

Usually limited to adjacent cells of the same type that are interconnected by connexons

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20
Q

Intercellular communication:
Mechanism = _
Transmission = through extracellular fluid
Chemical mediators = Paracrine factors (i.e. histamine)
Distribution of effects = Primarily limited to local area, where concentrations are relatively high. Target cells must have appropriate receptors.

A

Paracrine communication

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21
Q

Intercellular communication:
Mechanism = Paracrine communication
Transmission = _
Chemical mediators = Paracrine factors (i.e. histamine)
Distribution of effects = Primarily limited to local area, where concentrations are relatively high. Target cells must have appropriate receptors.

A

through extracellular fluid

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22
Q

Intercellular communication:
Mechanism = Paracrine communication
Transmission = through extracellular fluid
Chemical mediators = _
Distribution of effects = Primarily limited to local area, where concentrations are relatively high. Target cells must have appropriate receptors.

A

Paracrine factors (i.e. histamine)

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23
Q

Intercellular communication:
Mechanism = Paracrine communication
Transmission = through extracellular fluid
Chemical mediators = Paracrine factors (i.e. histamine)
Distribution of effects = _

A

Primarily limited to local area, where concentrations are relatively high. Target cells must have appropriate receptors.

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24
Q

Intercellular communication:
Mechanism = _
Transmission = through the circulatory system
Chemical mediators = Hormones
Distribution of effects = Target cells are primarily in other tissues and organs and must have appropriate receptors

A

Endocrine communication

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25
Q

Intercellular communication:
Mechanism = Endocrine communication
Transmission = _
Chemical mediators = Hormones
Distribution of effects = Target cells are primarily in other tissues and organs and must have appropriate receptors

A

through the circulatory system

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26
Q

Intercellular communication:
Mechanism = Endocrine communication
Transmission = through the circulatory system
Chemical mediators = _
Distribution of effects = Target cells are primarily in other tissues and organs and must have appropriate receptors

A

Hormones

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27
Q

Intercellular communication:
Mechanism = Endocrine communication
Transmission = through the circulatory system
Chemical mediators = Hormones
Distribution of effects = _

A

Target cells are primarily in other tissues and organs and must have appropriate receptors

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28
Q

Intercellular communication:
Mechanism = _
Transmission = across synaptic clefts
Chemical mediators = Neurotransmitters
Distribution of effects = limited to very specific area. Target cells must have appropriate receptors

A

Synaptic communication

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29
Q

Intercellular communication:
Mechanism = Synaptic communication
Transmission = _
Chemical mediators = Neurotransmitters
Distribution of effects = limited to very specific area. Target cells must have appropriate receptors

A

across synaptic clefts

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30
Q

Intercellular communication:
Mechanism = Synaptic communication
Transmission = across synaptic clefts
Chemical mediators = _
Distribution of effects = limited to very specific area. Target cells must have appropriate receptors

A

Neurotransmitters

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31
Q

Intercellular communication:
Mechanism = Synaptic communication
Transmission = across synaptic clefts
Chemical mediators = Neurotransmitters
Distribution of effects = _

A

limited to very specific area. Target cells must have appropriate receptors

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32
Q

Hormone Communications:
Hormones reach almost all body cells via _

A

bloodstream

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33
Q

Hormone Communications:
Produce effects only in _ cells that have
_ for the hormone

A
  • “target”
  • receptor
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34
Q

Hormone Communications:
Hormone is eventually removed by _

A

destruction or elimination

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35
Q

Hormone Communications:
Hormone is eventually removed by destruction or elimination
- Freely circulating hormones are _ removed from blood stream

A

rapidly

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36
Q

Hormone Communications:
Hormone is eventually removed by destruction or elimination
- Hormones bound to _ removed more slowly

A

transport proteins

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37
Q

Hormone effects on “target” cells
* Target cells have _ for hormone *

A

receptor

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38
Q

Hormone Communications:
Gene activation leading to synthesis of an
_ or structural _

A
  • enzyme
  • protein
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39
Q

Hormone Communications:
- _ of synthesis of an enzyme or structural protein
- Turn an existing enzyme “on” or “off”

A

Increase or decrease rate

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40
Q

Reflex control of endocrine activity:
_ feedback control mechanism

A

Negative

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41
Q

Reflex control of endocrine activity:
Negative feedback control mechanism
- in response to changes in composition of
_

A

interstitial fluids or blood

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42
Q

Reflex control of endocrine activity:
Negative feedback control mechanism
- Location of receptor sensitive to change
may be in the _

A

gland or in hypothalamus

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43
Q

Reflex control of endocrine activity:
Simple (direct) endocrine reflexes
- _ on gland secreting the hormone
- Example: glucose levels in blood control
insulin release by endocrine cells of
pancreas

A

Direct effect

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44
Q

Reflex control of endocrine activity:
Complex (indirect) endocrine reflexes
- _ involve hypothalamus, pituitary gland, two or more hormones

A

Indirect or cascade effects

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45
Q

Hormone communications:
3 Types of hormones

A
  1. Amines
  2. Peptide hormones
  3. Lipid derivatives
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46
Q

Hormone communications:
Types of hormones
- Norepinephrine, epinephrine, thyroid hormones, etc.

A

Amines (Amino acid derivatives)

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47
Q

Hormone communications:
Types of hormones
- Insulin, glucagon, growth hormone, etc.

A

Peptide hormones (chains of amino acids)

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48
Q

Hormone communications:
Types of hormones
- Steroids-structurally related to cholesterol
- Estrogen, testosterone, aldosterone

A

Lipid derivatives

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49
Q

Amine hormone, Peptide hormone & Protein hormone all have similar _

A

mechanisms of action

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50
Q

Hormone class _
Components: Amino acids with modified groups
Example: Norepinephrine

A

Amine hormone

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51
Q

Hormone class _
Components: Short chains of linked amino acids
Example: Oxytocin

A

Peptide hormone

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52
Q

Hormone class _
Components: long chains of linked amino acids
Example: Human growth hormone

A

Protein hormone

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53
Q

Hormone class _
Components: Derived from the lipid cholesterol
Example: Testosterone & progesterone

A

steroid hormones

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54
Q

Mechanisms of hormone action:
Peptide hormones
- Receptors in cell membranes of target cell if
hormone _

A

cannot cross cell membrane

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55
Q

Mechanisms of hormone action:
Peptide hormones
- Receptors in cell membranes of target cell if
hormone cannot cross cell membrane
- Amines, peptide hormones
- Produce effect via _

A

G protein-coupled receptors and 2nd messengers

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56
Q

Mechanisms of hormone action:
Peptide hormones
- Produce effect via G protein-coupled receptors and 2nd messengers
- 2nd messenger is _
- Rapidly removed from body

A

cyclic AMP or calcium

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57
Q

Mechanism of hormone action:
Lipid hormone and Thyroid hormone
- Receptors in the _ for lipid soluble hormones

A

cytoplasm or nucleus

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58
Q

Mechanism of hormone action:
Lipid hormone and Thyroid hormone
- Thyroid & steroid hormones _ then bind to receptor inside

A

cross membrane

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59
Q

Mechanism of hormone action:
Lipid hormone and Thyroid hormone
- Produce effect by _ and ATP synthesis

A

controlling gene expression

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60
Q

Mechanism of hormone action:
Lipid hormone and Thyroid hormone
- Lipid hormones are bound to transport
proteins, so removed from body _

A

more slowly

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61
Q

Protein hormones (Peptide, Amine):
_, move freely dissolved in plasma

A

soluble

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62
Q

Protein hormones (Peptide, Amine):
- _ at target cell, binds to G protein-coupled receptor
- activates 2nd messenger
- cAMP
- Ca2+

A

CANNOT cross cell membrane

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63
Q

Protein hormones (Peptide, Amine):
_ removed from blood stream

A

rapidly

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64
Q

Lipid hormones & Thyroid (cholesterol, steroid):
- _, must be bound to transport protein in plasma

A

insoluble

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65
Q

Lipid hormones & Thyroid (cholesterol, steroid):
- _, binds to receptor in cell

A

CAN cross cell membrane

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66
Q

Lipid hormones & Thyroid (cholesterol, steroid):
Removed _ from bloodstream

A

slowly

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67
Q

Connected to hypothalamus by
infundibulum

A

Pituitary Gland (Hypophysis)

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68
Q

Pituitary Gland (Hypophysis):
_ – posterior portion
- developed as outgrowth of CNS

A

Neurohypophysis

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69
Q

Pituitary Gland (Hypophysis):
_ – anterior portion
- developed as outgrowth of glandular tissue of pharynx

A

Adenohypophysis

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70
Q

Pituitary Gland (Hypophysis):
Neurohypophysis – posterior portion
- developed as outgrowth of _

A

CNS

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71
Q

Pituitary Gland (Hypophysis):
Adenohypophysis – anterior portion
- developed as outgrowth of _

A

glandular tissue of pharynx

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72
Q

Pituitary Gland (Hypophysis):
Releases _ peptide hormones

A

9

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73
Q

Pituitary Gland (Hypophysis):
Releases 9 peptide hormones
- All 9 bind to membrane receptors and use _ as a second messenger

A

cAMP or Ca+2

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74
Q

Pituitary Gland (Hypophysis):
_ hormones from Anterior pituitary lobe

A

7

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75
Q

Pituitary Gland (Hypophysis):
_ hormones from Posterior pituitary lobe

A

2

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76
Q

Hypothalamus neurons release regulatory
hormones into fenestrated capillaries of
_

A

hypophyseal portal system

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77
Q

Hypophyseal portal system:
Blood entering the portal system goes to intended _ before returning to general circulation

A

target cells

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78
Q

Feedback control of hormones of the
adenohypophysis:
Hormone release from adenohypophysis
is controlled by _ secreted by _

A
  • regulatory hormones
  • hypothalamus
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79
Q

Thyroid gland produces

A

C cells (parafollicular cells) and follicle cells

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80
Q

Thyroid gland:
C cells (parafollicular cells)
- Produce _ in response to high calcium ion levels

A

calcitonin

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81
Q

Thyroid gland:
C cells (parafollicular cells)
_ inhibits osteoclasts and increases Ca2+ excretion by kidney

A

Calcitonin

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82
Q

Thyroid gland:
Release thyroid hormones
- thyroxine (T4)
- triiodothyronine (T3)

A

Follicle Cells

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83
Q

Function of thyroid hormones:
Produce strong, immediate, short-lasting
increase in the _

A

rate of cellular metabolism and use of energy

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84
Q

Function of thyroid hormones:
Cross cell membrane and bind to _ receptors

A

intracellular

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85
Q

Function of thyroid hormones:
Cross cell membrane and bind to intracellular receptors
- Bind to _ and increase rate of ATP production

A

mitochondria

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86
Q

Function of thyroid hormones:
Cross cell membrane and bind to intracellular receptors
- Bind to receptors activating genes that
control _ utilization Function of thyroid hormones

A

energy

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87
Q

Thyroid hormones:
Amino acid with attached _ ions

A

iodide

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88
Q

Thyroid hormones:
90% of secretions are _ with 4 iodide ions

A

T4 (thyroxine)

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89
Q

Thyroid hormones:
T4 is converted to _ by enzymes in peripheral tissues
- T3 is the _ of the hormone

A
  • T3 (tri-iodothyronine)
  • active form
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90
Q

Thyroid hormones:
Thyroid hormones in bloodstream are attached to transport proteins, creating large reserve supply of _

A

T4 and T3

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91
Q

Thyroid hormones:
Synthesis and release controlled by _ from
_

A
  • TSH
  • adenohypophysis
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92
Q

Function of thyroid hormone:
Essential for normal development of _ during childhood
- Cretinism

A

skeletal, muscular and nervous systems

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93
Q

Function of thyroid hormone:
Essential for normal _ in adults
- Hypothyroidism
- Hyperthyroidism
- Goiter

A

metabolic control

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94
Q

Four glands embedded in the posterior
surface of the thyroid gland

A

Parathyroid glands

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95
Q

Parathyroid glands:
Secretes _ in response to lower than normal
calcium concentration

A

parathyroid hormone (PTH)

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96
Q

Parathyroid glands:
Secretes parathyroid hormone (PTH) in response to _ than normal _ concentration

A
  • lower
  • calcium
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97
Q

Parathyroid glands:
PTH _ concentration

A

increases

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98
Q

Parathyroid glands:
PTH increases concentration
- Stimulate osteoclasts
- Inhibit osteoblasts
- Decrease Ca2+ excretion by kidneys
- Stimulate formation of _ by
kidneys

A

calcitriol

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99
Q

Homeostatic regulation of calcium ion
concentration:
_ concentration affects nerve & muscle cell excitability

A

Ca2+

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100
Q

Homeostatic regulation of calcium ion
concentration:
Ca2+concentration maintained by _ feedback system involving both _ and _

A
  • negative
  • PTH & calcitonin
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101
Q

Homeostatic regulation of calcium ion
concentration:
PTH & calcitonin have
effects:
- _ – storage of calcium ions
- Osteoblasts and osteoclasts

A

Bones

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102
Q

Homeostatic regulation of calcium ion
concentration:
PTH & calcitonin have
effects:
- _ – absorption of calcium
ions
- Calcitriol

A

Digestive tract

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103
Q

Homeostatic regulation of calcium ion
concentration:
PTH & calcitonin have
effects:
- _ – excretion of calcium ions

A

Kidneys

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104
Q

Hormones of the adenohypophysis “Tropic Hormones”

A
  1. Thyroid stimulating hormone (TSH)
  2. Adrenocorticotropic hormone (ACTH)
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105
Q

Hormones of the adenohypophysis “Tropic Hormones”:
Thyroid stimulating hormone (TSH) also called _

A

thyrotropin

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106
Q

Hormones of the adenohypophysis “Tropic Hormones”:
Triggers the release of hormones from thyroid gland

A

Thyroid stimulating hormone (TSH) (thyrotropin)

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107
Q

Hormones of the adenohypophysis “Tropic Hormones”:
Thyrotropin releasing hormone (TRH) from
hypothalamus promotes the release of _

A

TSH

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108
Q

Hormones of the adenohypophysis “Tropic Hormones”:
Also called corticotropin

A

Adrenocorticotropic hormone (ACTH)

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109
Q

Hormones of the adenohypophysis “Tropic Hormones”:
Adrenocorticotropic hormone (ACTH) also called _

A

corticotropin

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110
Q

Hormones of the adenohypophysis “Tropic Hormones”:
stimulates the release of glucocorticoids from adrenal cortex

A

Adrenocorticotropic hormone (ACTH) (corticotropin)

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111
Q

Hormones of the adenohypophysis “Tropic Hormones”:
Corticotropin releasing hormone (CRH) from
hypothalamus causes the secretion of _

A

ACTH

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112
Q

Hormones of the adenohypophysis:
2 Gonadotropins

A
  1. Follicle stimulating hormone (FSH)
  2. Luteinizing hormone (LH)
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113
Q

Hormones of the adenohypophysis:
Gonadotropins
- Stimulates follicle development (egg maturation) & estrogen secretion in ovaries

A

Follicle stimulating hormone (FSH)

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114
Q

Hormones of the adenohypophysis:
Gonadotropins
- Stimulates sperm production in sustentacular cells of testes

A

Follicle stimulating hormone (FSH)

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115
Q

Hormones of the adenohypophysis:
Gonadotropins
- Causes ovulation & progestin production in ovaries

A

Luteinizing hormone (LH)

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116
Q

Hormones of the adenohypophysis:
Gonadotropins
- Causes androgen (testosterone) production in testes

A

Luteinizing hormone (LH)

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117
Q

Hormones of the adenohypophysis:
Gonadotropin releasing hormone (GmRH) from hypothalamus promotes secretion of _

A

FSH & LH

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118
Q

Hormones of the adenohypophysis:
- Stimulates the development of mammary glands and milk production

A

Prolactin (PRL)

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119
Q

Hormones of the adenohypophysis:
Stimulates the development of mammary glands and milk production
- Release stimulated by _ from hypothalamus (inhibited by Inhibiting Hormone)

A

Prolactin Releasing Hormone

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120
Q

Hormones of the adenohypophysis:
Stimulates melanocytes to produce melanin pigment in skin and other locations

A

Melanocyte stimulating hormone (MSH)

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121
Q

Hormones of the adenohypophysis:
Stimulates melanocytes to produce melanin pigment in skin and other locations
- In humans, _ MSH is produced by pituitary gland

A

very little

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122
Q

Growth hormone (GH or somatotropin):
Tropic effect - Cause release of _ from liver

A

somatomedins

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123
Q

Growth hormone (GH or somatotropin):
Tropic effect - Cause release of somatomedins from liver
- Somatomedins cause increase in amino acid
uptake in skeletal muscle cells, cartilage cells – stimulates _ and cell growth

A

protein synthesis

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124
Q

Growth hormone (GH or somatotropin):
Direct effect - increase _ in epithelial & connective tissue, enhance break down of lipid & glycogen energy reserves

A

cell division

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125
Q

Growth hormone (GH or somatotropin):
_ - increase cell division in epithelial & connective tissue, enhance break down of lipid & glycogen energy reserves

A

Direct effect

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126
Q

Growth hormone (GH or somatotropin):
_ - Cause release of somatomedins from liver

A

Tropic effect

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127
Q

Growth hormone (GH or somatotropin):
Release controlled by _ and _ from hypothalamus

A

GH releasing hormone (GH-RH) &
GH inhibiting hormone (GH-IH)

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128
Q

Neurohypophysis (posterior lobe of the pituitary gland):
Contains _ of hypothalamic nerve cells - secrete hormones into blood

A

axon terminals

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129
Q

Neurohypophysis (posterior lobe of the pituitary gland):
- Decreases the amount of water lost at the
kidneys – decreases urine production
- Elevates blood pressure

A

Antidiuretic hormone (ADH)

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130
Q

Neurohypophysis (posterior lobe of the pituitary gland):
- Stimulates contractile cells in mammary
glands
- Stimulates smooth muscle cells in uterus

A

Oxytocin

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131
Q

2 Neurohypophysis (posterior lobe of the pituitary gland) hormones

A
  1. Antidiuretic hormone (ADH)
  2. Oxytocin
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132
Q

Neurohypophysis (posterior lobe of the pituitary gland):
_ hormone —> kidneys

A

Antidiuretic hormone (ADH)

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133
Q

Neurohypophysis (posterior lobe of the pituitary gland):
_ hormone —> Males: smooth muscle in ductus deferens and prostate gland; Females: uterine smooth muscle and mammary glands

A

Oxytocin (OXT)

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134
Q

secretes epinephrine and norepinephrine

A

Adrenal medulla (neuro-endocrine cells)

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135
Q

secretes steroid hormones (corticosteroids)

A

Adrenal cortex (gland cells)

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136
Q

Adrenal medulla (neuroendocrine cells):
Secretes _ (~75 - 80%)

A

epinephrine

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137
Q

Adrenal medulla (neuroendocrine cells):
Secretes _ (~20-25%)

A

norepinephrine

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138
Q

Adrenal medulla (neuroendocrine cells):
Secretes epinephrine & norepinephrine
- Produce increased availability of _

A

energy resources

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139
Q

Adrenal medulla (neuroendocrine cells):
Produce increased availability of energy resources
- Cause breakdown of glycogen in liver to release glucose for use by _

A

brain

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140
Q

Adrenal medulla (neuroendocrine cells):
Produce increased availability of energy resources
- Cause breakdown of _ for use by other cells of body

A

fat to release fatty acids

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141
Q

Adrenal medulla (neuroendocrine cells):
Produce increased rate & force of _ contractions and other _ effects

A
  • cardiac
  • sympathetic
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142
Q

Adrenal medulla (neuroendocrine cells) controlled by _ activity

A

Autonomic Nervous System

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143
Q

Adrenal cortex (secretes corticosteroids):
3 types

A
  1. Mineralocorticoids (aldosterone)
  2. Glucocorticoids
  3. Androgens
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144
Q

Adrenal cortex (secretes corticosteroids):
- Secreted if Na+ is low, K+ is high, or BP is low

A

Mineralocorticoids (aldosterone)

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145
Q

Adrenal cortex (secretes corticosteroids):
- Cause retention of Na+ and water, loss of K+

A

Mineralocorticoids (aldosterone)

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146
Q

Adrenal cortex (secretes corticosteroids):
Mineralocorticoids (aldosterone)
- Cause retention of _, loss of K+

A

Na+ and water

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147
Q

Adrenal cortex (secretes corticosteroids):
Secreted in response to ACTH release from anterior pituitary

A

Glucocorticoids

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148
Q

Adrenal cortex (secretes corticosteroids):
Glucocorticoids
- Cause decrease _ and increased rate of glycogen synthesis
- Have anti-inflammatory effects

A

use of glucose

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149
Q

Adrenal cortex (secretes corticosteroids):
- encourages bone and muscle growth, blood formation
- testosterone

A

Androgens

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150
Q

Adrenal cortex (secretes corticosteroids):
Androgens
- primary role is in _; testes of adult males produces larger amounts

A

children & women

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151
Q

Pineal gland secretes _

A

melatonin

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152
Q

Pineal gland:
Melatonin
- Increased _ exposure causes _ melatonin secretion

A
  • sunlight
  • decreased
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153
Q

Pineal gland:
Possible functions include:
– setting circadian rhythms
– anti-oxidant
– inhibiting reproductive function

A

Melatonin

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154
Q

Pineal gland:
Depression correlated with decreased sunlight exposure and increased melatonin

A

Seasonal Affective Disorder

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155
Q

99% of pancreas is _ cells
– secrete enzymes into digestive tract

A

exocrine

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156
Q

Pancreas:
Endocrine cells occur in _

A

small clusters

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157
Q

Pancreas:
Endocrine cells occur in small clusters
- Islets of Langerhans or pancreatic islets

A

“islands” on pancreas that are only providing hormones

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158
Q

Pancreas:
Endocrine cells occur in small clusters
- Secrete hormones involved in regulation of
_ level

A

blood glucose

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159
Q

Pancreas:
Alpha cells secrete _ in response to _
blood glucose levels

A
  • low
  • glucagon
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160
Q

Pancreas:
_ cells secrete glucagon in response to low
blood glucose levels

A

Alpha

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161
Q

Pancreas:
Beta cells secrete _ in response to _ blood glucose levels

A
  • insulin
  • high
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162
Q

Pancreas:
_ secrete insulin in response to high blood glucose levels

A

Beta cells

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163
Q

_ secreted by Beta (β) cells

A

Insulin

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164
Q

Insulin – secreted by Beta (β) cells:
_ blood glucose levels

A

lowers

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165
Q

Insulin – secreted by Beta (β) cells:
Increases rate of glucose uptake & utilization
in _ cells

A

insulin-dependent

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166
Q

Insulin – secreted by Beta (β) cells:
Increases rate of glucose uptake & utilization
in insulin-dependent cells
- Glucose used for energy production and/or
synthesis of glycogen and other energy storage _

A

macromolecules

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167
Q

Insulin – secreted by Beta (β) cells:
Increased uptake of _ & synthesis of _ in adipose cells

A
  • fatty acids
  • triglycerides
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168
Q

Insulin – secreted by Beta (β) cells:
Increased uptake of _ & synthesis of proteins

A

amino acids

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169
Q

_ secreted by Alpha (α) cells

A

Glucagon

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170
Q

Glucagon – secreted by Alpha (α) cells:
_ blood glucose levels

A

raises

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171
Q

Glucagon – secreted by Alpha (α) cells:
Increases the rate of _

A

glycogen breakdown

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172
Q

Glucagon – secreted by Alpha (α) cells:
Increases the rate of glycogen breakdown
- In liver: glucose _

A

released into blood

173
Q

Glucagon – secreted by Alpha (α) cells:
Increases the rate of glycogen breakdown
- In muscle: glucose _ cells

A

remains in muscle

174
Q

Glucagon – secreted by Alpha (α) cells:
Increases _ manufacture by _
– Gluconeogenesis from amino acids

A
  • glucose
  • liver
175
Q

Glucagon – secreted by Alpha (α) cells:
Increased release of _ from adipose tissue

A

fatty acids into blood

176
Q

Glucagon – secreted by Alpha (α) cells:
Increased release of fatty acids into blood from adipose tissue
- _: most cells start using FA as energy source instead of glucose

A

Glucose sparing

177
Q

2 types of diabetes

A
  1. diabetes insipidus
  2. diabetes mellitus
178
Q

Diabetes:
- Polyuria – excess urine production
- inadequate ADH secretion

A

Diabetes insipidus

179
Q

Diabetes:
- _ – excess urine production

A

Polyuria

180
Q

Diabetes insipidus:
- Polyuria – excess urine production
- inadequate _

A

ADH secretion

181
Q

Diabetes:
- Polyuria – excess urine production
– Glycosuria – glucose in urine
– Hyperglycemia – abnormally high glucose levels in blood
– Breakdown of lipids and proteins as energy
source for cell metabolism

A

Diabetes mellitus

182
Q

Diabetes mellitus:
_ – glucose in urine

A

Glycosuria

183
Q

Diabetes mellitus:
_ – abnormally high glucose levels in blood

A

Hyperglycemia

184
Q

Diabetes mellitus:
Breakdown of _ as energy source for cell metabolism
- Ketone bodies, ketoacidosis

A

lipids and proteins

185
Q

Diabetes Mellitus:
Type _ – insulin dependent
– Inadequate insulin production

A

I

186
Q

Diabetes Mellitus:
Type _ – non-insulin dependent
– Inadequate insulin response

A

II

187
Q

Diabetes Mellitus:
Type I – insulin dependent
– Inadequate _

A

insulin production

188
Q

Diabetes Mellitus:
Effects of _
- Diabetic microvascular disorders
- Diabetic cardiovascular changes

A

high glucose &/or low insulin

189
Q

Diabetes Mellitus:
Type II – non-insulin dependent
– Inadequate insulin _

A

response

190
Q

Adipose Tissue:
feedback control for appetit

A

Leptin

191
Q

Adipose Tissue:
reduces insulin sensitivity

A

Resistin

192
Q

The Endocrine Tissues of Other Systems:
coordination of digestive activities

A

Intestine

193
Q

The Endocrine Tissues of Other Systems:
hormones regulating blood volume, blood pressure, blood calcium level

A

Kidneys

194
Q

The Endocrine Tissues of Other Systems:
ovaries & testes secrete hormones involved in reproductive functions

A

Gonads

195
Q

A blood test with a high TSH level might indicate _

A

a problem with the thyroid gland causing low thyroid hormone levels

196
Q

Gastrointestinal (GI) tract or alimentary canal
- muscular tube
- Extends from oral cavity to anus

A

Digestive tract

197
Q

Accessory organs of the digestive tract

A

Salivary glands, liver, gallbladder, pancreas

198
Q

Functions of the digestive system:
- eating, drinking

A

Ingestion

199
Q

Functions of the digestive system:
- mastication, churning, swallowing, peristalsis

A

Mechanical processing and propulsion

200
Q

Functions of the digestive system:
- breakdown of ingested material via acids and
enzymes

A

Digestion

201
Q

Functions of the digestive system:
- exocrine secretions into lumen of GI tract

A

Secretion

202
Q

Functions of the digestive system:
- movement of nutrients, vitamins, ions, water out of lumen

A

Absorption

203
Q

Functions of the digestive system:
- ejection of waste products

A

Excretion

204
Q

Histological organization of digestive tract:
- inner-most layer

A

mucosa

205
Q

Histological organization of digestive tract: inner layer
- Many exocrine & endocrine gland cells
- Epithelial cells replaced rapidly by stem cells

A

mucosa

206
Q

Histological organization of digestive tract: inner layer
- Layer of dense irregular connective tissue
- blood vessels and lymph vessels

A

submucosa

207
Q

Histological organization of digestive tract: Inner layer
- Outer longitudinal layer and inner circular layer
– Stomach has third oblique layer, innermost
- Provides mechanical processing and movement of materials along digestive tract

A

Muscularis layer - smooth muscle

208
Q

Histological organization of digestive tract: Outer layer
- covers muscularis of oral cavity, pharynx, esophagus & rectum
- connects firmly to adjacent body wall

A

Adventitia

209
Q

Histological organization of digestive tract: Outer layer
- covers muscularis of all parts of digestive tract that are free to move

A

Serosa (Peritoneum)

210
Q

Histological organization of digestive tract: Outer layer
- Visceral and parietal peritoneum
- _ - extensions of peritoneum - connect digestive tract to body wall and other viscera

A

Serosa (Peritoneum)
- Mesentery

211
Q

Contains sensory neurons, interneurons, and motor neurons

A

Enteric Nervous System (2nd brain)

212
Q

Enteric Nervous System
- _ plexus
- _ plexus
- Input from parasympathetic and sympathetic ANS

A
  • myenteric
  • submucosal
213
Q

_ factors control movement & gland secretions

A

Neural, hormonal, & local

214
Q

Neural, hormonal, & local factors control movement & gland secretions:
Neural
- ANS long reflexes – control _

A

large areas

215
Q

Neural, hormonal, & local factors control movement & gland secretions:
Neural
- ANS long reflexes – control large areas
– GI activity _ by parasympathetic

A

stimulated

216
Q

Neural, hormonal, & local factors control movement & gland secretions:
Neural
- ANS long reflexes – control large areas
– GI activity _ by sympathetic activity

A

inhibited

217
Q

Neural, hormonal, & local factors control movement & gland secretions:
Neural
- Short reflexes – _
- Control within the enteric nervous system

A

localized responses

218
Q

Neural, hormonal, & local factors control movement & gland secretions:
- varies by area of GI tract

A

Hormonal

219
Q

Neural, hormonal, & local factors control movement & gland secretions:
- varies by area, mainly
Histamine

A

Local

220
Q

Movement of digestive materials:
- Churn and fragment a bolus of digestive contents, mixing in intestinal secretions

A

segmentation

221
Q

Movement of digestive materials:
- waves that move a
bolus down the length of the tract

A

peristalsis

222
Q

3 phases of regulation of gastric activity

A
  1. cephalic phase
  2. gastric phase
  3. intestinal phase
223
Q

Regulation of gastric activity:
_ phase prepares stomach to receive ingested material

A

Cephalic phase

224
Q

Regulation of gastric activity:
_ phase begins with the arrival of food in the stomach
- Neural, hormonal, and local responses

A

Gastric phase

225
Q

Regulation of gastric activity:
_ phase controls the rate of gastric emptying

A

Intestinal phase

226
Q

Regulation of gastric activity:
- Prepare stomach for arrival of food
- Initiated by sight, smell, taste, of food
- Produced via parasympathetic stimulation from vagus nerve (CN X)

A

Cephalic phase

227
Q

Regulation of gastric activity:
Cephalic phase
- Produced via parasympathetic stimulation from vagus nerve (CN X)
– Excitatory to mucous cells = _

A

mucus released

228
Q

Regulation of gastric activity:
Cephalic phase
- Produced via parasympathetic stimulation from vagus nerve (CN X)
– Excitatory to parietal cells = _

A

H+ & Cl- released

229
Q

Regulation of gastric activity:
Cephalic phase
- Produced via parasympathetic stimulation from vagus nerve (CN X)
– Excitatory to chief cells = _

A

pepsinogen released

230
Q

Regulation of gastric activity:
Cephalic phase
- Produced via parasympathetic stimulation from vagus nerve (CN X)
– Excitatory to G cells = _

A

gastrin secreted

231
Q

Regulation of gastric activity:
Mechanical activity producing chyme
- Mixing of food with digestive enzymes & acid
- Maceration of food into small particles

A

Gastric phase

232
Q

Regulation of gastric activity:
Gastric phase
- stimulated by _

A

stretching of stomach wall, by pH increase, by undigested protein

233
Q

Regulation of gastric activity:
Gastric phase
- stimulated by stretching of stomach wall, by pH increase, by undigested protein
– Excitation of _ gland and _

A
  • gastric
  • mucous cells
234
Q

Regulation of gastric activity:
Gastric phase
- stimulated by stretching of stomach wall, by pH increase, by undigested protein
– Excitation of _

A

G cells

235
Q

Regulation of gastric activity:
Gastric phase
- stimulated by stretching of stomach wall, by pH increase, by undigested protein
– Excitation of stomach _

A

wall muscles

236
Q

Regulation of gastric activity:
Gastric phase
- food stays in stomach _, mechanical activity increases over time

A

3-4 hours

237
Q

Regulation of gastric activity:
Intestinal phase
- Release chyme into small intestine
– _ quantities exit via pyloric
sphincter

A

small

238
Q

Regulation of gastric activity:
Intestinal phase
- Slow rate of emptying controlled by feedback from small intestine causing:
– Inhibition of _ gland cells
– Inhibition of _ wall muscle

A
  • gastric
  • stomach
239
Q

Regulation of gastric activity:
Intestinal phase
- _ of stomach caused by:
– stretching of intestinal wall
– pH decrease in intestine
– undigested lipids and carbohydrates

A

Inhibition

240
Q

Regulation of gastric activity:
Intestinal phase
- _ is mixed with
– Secretions and buffers
provided by pancreas, liver, gallbladder, and gland cells in intestinal epithelium

A

Chyme in duodenum

241
Q

Regulation of gastric activity:
Intestinal phase
- Local _ slowly propel chyme forward

A

peristaltic movements

242
Q

Regulation of gastric activity:
Intestinal phase
- As chyme is processed and
moves onward:
– inhibition _

A

decreases

243
Q

Regulation of gastric activity:
Intestinal phase
- As chyme is processed and
moves onward:
– increased _ in stomach
releases another quantity of _

A
  • motility
  • chyme
244
Q

Responsible for ~80% of stomach ulcers
- Penetrates mucus coating, releases toxins that damage epithelium

A

Helicobacter pylori

245
Q

Helicobacter pylori:
- _ allows gastric “juices” to enter wall of stomach
– Pain, bleeding
– Perforation of wall can occur if untreated, stomach
contents leak into peritoneal cavity

A

Loss of epithelium

246
Q

Helicobacter pylori:
- Treat with _ to kill H. pylori bacteria
- Treat with _ to improve healing

A
  • antibiotics
  • antacids & dietary restriction
247
Q

Large portion of stomach and duodenum are bypassed

A

gastric bypass surgery

248
Q

Stomach opening can be loosened over time to change the size of passage
- feel full really quickly
- loosen once new lifestyle can be maintained

A

stomach banding surgery

249
Q

Absorption of water:
Nearly all water that is _ is absorbed

A

ingested or secreted into GI tract

250
Q

Absorption of water:
Nearly all water that is ingested or secreted into GI tract is absorbed
- about _ per day

A

9,000 ml/day

251
Q

Absorption of water:
- _ ml ingested
- _ ml from secretions (saliva, gastric, intestinal, liver, pancreas, colon)
- Approximately _ ml left in feces

A
  • 2,000
  • 7,000+
  • 150
252
Q

Absorption of water:
Water moves out of _, into body - moves down its
concentration gradient

A

lumen

253
Q

Absorption of water:
Water moves out of lumen, into body - moves down its
concentration gradient
- osmosis = diffusion of water
- as solutes are absorbed out of lumen, _, water moves out

A

osmolarity increases

254
Q

Nutrients - Digestion & Absorption:
Absorption of nutrients
following breakdown of
macromolecules
- Monomers absorbed on
lumen side of _

A

epithelial cells

255
Q

Nutrients - Digestion & Absorption:
Absorption of nutrients
following breakdown of
macromolecules
- Release from _ into interstitial fluids

A

epithelial cells

256
Q

Nutrients - Digestion & Absorption:
Absorption of nutrients
following breakdown of
macromolecules
- Diffusion from interstitial
fluids into _ of vascular system or _ of lymphatic system

A
  • capillaries
  • lacteal
257
Q

Carbohydrates - Digestion & Absorption:
Oral cavity, stomach, small intestine
- Salivary and pancreatic _
– Polysaccharides → Disaccharides

A

amylase enzyme

258
Q

Carbohydrates - Digestion & Absorption:
Oral cavity, stomach, small intestine
- Brush border enzymes (sucrase, lactase, etc.)
– Disaccharides → _

A

monosaccharides

259
Q

Carbohydrates - Digestion & Absorption:
- Absorption of monosaccharides into epithelia by specific _
– facilitated diffusion & co-transport

A

transport proteins

260
Q

Carbohydrates - Digestion & Absorption:
Release to _ by specific transport proteins

A

interstitial fluids

261
Q

Carbohydrates - Digestion & Absorption:
- Diffuse into _

A

blood capillaries

262
Q

Lipids - Digestion, Absorption & Transport:
- Bile salts in duodenum
– emulsify lipid into small droplets for better enzyme access
– complex with monomers to form _

A

micelles

263
Q

Lipids - Digestion, Absorption & Transport:
_ diffuse into epithelial cells

A

Micelles

264
Q

Lipids - Digestion, Absorption & Transport:
_ formed in epithelia cells

A

Chylomicrons

265
Q

Lipids - Digestion, Absorption & Transport:
triglycerides made from monomers & combine with proteins to form

A

Chylomicrons

266
Q

Lipids - Digestion, Absorption & Transport:
Chylomicrons released by _ from epithelial cells and enter lacteals

A

exocytosis

267
Q

Lipoproteins (soluble complexes of lipids and
proteins):
- largest lipoprotein, mostly triglycerides

A

chylomicrons

268
Q

Lipoproteins (soluble complexes of lipids and
proteins):
1. Chylomicrons
- Produced by intestinal epithelial cells from lipids absorbed during _

A

digestion

269
Q

Lipoproteins (soluble complexes of lipids and
proteins):
1. Chylomicrons
Lipoprotein _ in capillary walls releases _ and
monoglycerides from chylomicrons

A
  • lipase
  • fatty acids
270
Q

Lipoprotein produced by the liver:
- Transport of triglycerides to peripheral tissues
- Fatty acids released by
lipoprotein lipase

A
  1. Very low-density lipoproteins (VLDLs)
271
Q

Lipoprotein produced by the liver:
- Transport of cholesterol
peripheral tissues
- Enter cells by receptor mediated endocytosis

A
  1. Low-density lipoproteins (LDLs)
272
Q

Lipoprotein produced by the liver:
3. Low-density lipoproteins (LDLs)
- Transport of _ peripheral tissues

A

cholesterol

273
Q

Lipoprotein produced by the liver:
2. Very low-density lipoproteins (VLDLs)
- Transport of _ to peripheral tissues

A

triglycerides

274
Q

Lipoprotein produced by the liver:
4. High-density lipoproteins (HDLs)
- Transport _ diffusing
out of peripheral cells _

A
  • cholesterol
  • back into liver
275
Q

Lipoprotein produced by the liver:
- Transport cholesterol diffusing out of peripheral cells back into liver

A
  1. High-density lipoproteins (HDLs)
276
Q

Oral (buccal) cavity functions

A
  1. Analysis of material before swallowing
  2. Mastication - mechanical processing by the teeth,
    tongue, and palatal surfaces
  3. Lubrication via salivary secretions
  4. Initial digestion of starch (salivary amylase) and lipids (lingual lipase)
  5. Prevent entry of pathogens
277
Q

Oral (buccal) cavity functions:
- _ of material before swallowing

A

Analysis

278
Q

Oral (buccal) cavity functions:
- mechanical processing by the teeth, tongue, and palatal surfaces

A

Mastication

279
Q

Oral (buccal) cavity functions:
- Lubrication via _

A

salivary secretions

280
Q

Oral (buccal) cavity functions:
- Initial digestion of _ (salivary amylase) and _ (lingual lipase)

A
  • starch
  • lipids
281
Q

Oral (buccal) cavity functions:
- Prevent entry of pathogens
- Palatine, Lingual & Pharyngeal _ –
lymphoid organs of immune system Oral (buccal) cavity functions

A

tonsils

282
Q

Salivary glands 3 pairs

A
  1. Parotid glands
  2. Sublingual glands
  3. Submandibular glands
283
Q

Salivary glands:
1. Parotid glands ( _ of saliva secretion)

A

~25%

284
Q

Salivary glands:
2. Sublingual glands ( _ of saliva secretion)

A

~5%

285
Q

Salivary glands:
3. Submandibular glands ( _ of saliva secretion)

A

~70%

286
Q

Functions of saliva:
- Watery solution (99.4% water) to _

A

moisten food

287
Q

Functions of saliva:
- _ (mucins) for lubrication

A

Glycoproteins

288
Q

Functions of saliva:
- Buffers to maintain _

A

neutral pH

289
Q

Functions of saliva:
- _ & lysozymes to control oral bacteria

A

Antibodies (IgA)

290
Q

Functions of saliva:
- Salivary amylase enzymes to initiate digestion of _

A

complex carbohydrates

291
Q

Functions of saliva:
- _ to initiate lipid digestion

A

Lingual lipase

292
Q

Common passageway for
food, liquids, and air

A

pharynx

293
Q
  • Connects to trachea and esophagus
  • Pharyngeal skeletal muscles assist in swallowing
A

pharynx

294
Q

Carries solids and liquids from the pharynx to the stomach

A

Esophagus

295
Q
  • Skeletal muscle and smooth muscle
  • Upper and lower esophageal
A

Esophagus

296
Q

4 phases for Swallowing
(deglutition)

A
  1. Buccal phase
  2. Pharyngeal phase
  3. Bolus enters stomach
  4. Esophageal phase
297
Q

Phases for Swallowing
(deglutition):
- voluntary, tongue moves bolus into pharynx
- Soft palate, uvula elevate to close off nasopharynx

A
  1. Buccal phase
298
Q

Phases for Swallowing
(deglutition):
- involuntary control via swallowing center
- Elevate larynx and close epiglottis (Breathing stops momentarily)
- Pharyngeal muscles move bolus downward into esophagus

A
  1. pharyngeal phase
299
Q

Phases for Swallowing
(deglutition):
- involuntary control via swallowing center
- Peristalsis moves bolus downward
- Lower esophageal sphincter opens and food enters stomach

A

Esophageal phase

300
Q

Voluntary phases for Swallowing (deglutition)

A

Buccal phase

301
Q

Involuntary phases for Swallowing (deglutition)

A
  • pharyngeal phase
  • esophageal phase
302
Q

Anatomy of the stomach

A

Cardia, Fundus, Body, Pylorus

303
Q

Anatomy and function of the
stomach:
- _ controls movement of contents of stomach into intestine

A

Pyloric sphincter

304
Q

Function of the stomach:
- _ of undigested food

A

Bulk storage

305
Q

Function of the stomach:
- Mechanical breakdown of food & mixing with stomach secretions
– _ via longitudinal, circular and oblique muscle layers
– _ (digested food)

A
  • Churning
  • chyme
306
Q

Function of the stomach:
- Disruption of chemical bonds via acids and enzymes = _

A

digestion

307
Q

Gland cells of the stomach:
Gastric pits
- Mucous cells produce _ to protect stomach epithelium

A

alkaline mucus

308
Q

Gland cells of the stomach:
Gastric pits
- _ to produce new epithelial cells

A

stem cells

309
Q

Gland cells of the stomach:
Pyloric glands
- At base of _ in pyloric region

A

gastric pits

310
Q

Gland cells of the stomach:
Pyloric glands
- _ (enteroendocrine cells) secrete gastrin

A

G cells

311
Q

Gland cells of the stomach:
Pyloric glands
- G cells (enteroendocrine cells)
– stimulates _ cells of gastric glands

A

parietal & chief

312
Q

Gland cells of the stomach:
Pyloric glands
- G cells (enteroendocrine cells)
– stimulates gastric muscle _

A

motility

313
Q

Gland cells of the stomach:
Gastric glands (body & fundus region)
- Chief cells secrete _

A

pepsinogen

314
Q

Gland cells of the stomach:
Gastric glands (body & fundus region)
- Chief cells secrete pepsinogen
– Converted to _

A

pepsin

315
Q

Gland cells of the stomach:
Gastric glands (body & fundus region)
- Chief cells secrete pepsinogen
– Converted to pepsin
– Pepsin is the _ of stomach

A

primary proteolytic (protein
digesting) enzyme

316
Q

Gland cells of the stomach:
Gastric glands (body & fundus region)
- Parietal cells secrete:
– _ needed for Vitamin B12
absorption in small intestine

A

intrinsic factor

317
Q

Gland cells of the stomach:
Gastric glands (body & fundus region)
- Parietal cells secrete:
– Hydrogen ions (H+) and Chloride ions (Cl-) which
produce _

A

hydrochloric acid (HCl)

318
Q

Control of Acid Secretion:
_ have receptors for three stimulators of acid secretion, reflecting neural, endocrine and paracrine control

A

Parietal cells

319
Q

3 stimulators of acid secretion, reflecting neural, endocrine and paracrine control

A
  1. Acetylcholine
  2. Gastrin
  3. Histamine
320
Q

Control of Acid Secretion:
Stimulators of acid secretion, reflecting neural, endocrine and paracrine control
- _ (muscarinic type receptor) - from parasympathetic nerve fibers

A

Acetylcholine

321
Q

Control of Acid Secretion:
Stimulators of acid secretion, reflecting neural, endocrine and paracrine control
- _ from G cells of gastric glands

A

Gastrin

322
Q

Control of Acid Secretion:
Stimulators of acid secretion, reflecting neural, endocrine and paracrine control
- _ (H2 type receptor) – from mast cells of the mucosa

A

Histamine

323
Q

Prilosec, Prevacid,
Protonix, etc. are _ drugs that disable the H+ ion ATPase transport protein

A

Proton pump inhibitor (PPI)

324
Q

Tagamet (cimetidine),
Zantac, Pepsid, etc. are
_ antagonists that block
stimulation of parietal
cells

A

Histamine H2 receptor

325
Q

Digestion and absorption in
stomach:
Preliminary digestion of _

A

proteins

326
Q

Digestion and absorption in
stomach:
Preliminary digestion of proteins
- by pepsin from _ of gastric glands

A

chief cells

327
Q

Digestion and absorption in
stomach:
Initial digestion of _
- by salivary amylase until pH gets too low

A

carbohydrates

328
Q

Digestion and absorption in
stomach:
Initial digestion of carbohydrates
- by _ until pH gets too low

A

salivary amylase

329
Q

Digestion and absorption in
stomach:
Initial digestion of _
- by lingual lipase until pH gets too low

A

lipids

330
Q

Digestion and absorption in
stomach:
Initial digestion of lipids
- by _ until pH gets too low

A

lingual lipase

331
Q

Digestion and absorption in
stomach:
_ kills most bacteria & living cells, breaks down cell walls, connective tissue

A

HCl

332
Q

Digestion and absorption in
stomach:
Minimal absorption of _
- Some lipid-soluble drugs are absorbed

A

nutrients

333
Q

Digestion and absorption in
stomach:
Minimal absorption of nutrients
- Some _ drugs are absorbed

A

lipid-soluble

334
Q

stomach gurgling = _ reflex
vs.
Salivation while eating = _ reflex

A
  • long reflex
  • short reflex
335
Q

The inner-most lining of the digestive tract is called _ layer, and is made up of _ tissue

A
  • mucosal
  • epithelial
336
Q

Which of the following is likely NOT controlled by a short reflex?
- Buffering of acidic components of the stomach (chyme) upon arrival in the duodenum
- your stomach contracting, releasing acid and enzymes if filled with food
- your mouth continually produces saliva while chewing food
- getting the urge to defecate directly after consuming a meal

A

getting the urge to defecate directly after consuming a meal

337
Q

Proteins - Digestion & Absorption:
Stomach, small intestine
- Pepsin, trypsin, chymotrypsin, brush border enzymes
– proteins → polypeptides → _

A

amino acids

337
Q

Proteins - Digestion & Absorption:
Stomach, small intestine
- _ destroys tertiary and quaternary structure

A

low pH

337
Q

Proteins - Digestion & Absorption:
Diffuse into _

A

blood capillaries

337
Q

Lipids - Digestion, Absorption & Transport:
Oral cavity, stomach, small intestine
- Lingual and _

A

pancreatic lipase

337
Q
A
337
Q

Proteins - Digestion & Absorption:
Absorption of amino acids into epithelia by _

A

AA-specific transport proteins

337
Q

Proteins - Digestion & Absorption:
Release to _ by AA-specific transport proteins

A

interstitial fluids

338
Q

Small intestine:
Muscular tube _ feet long

A

~20

339
Q

Three subdivisions of small intestine

A
  • Duodenum
  • Jejunum
  • Ileum
340
Q

Three subdivisions of small intestine:
- _ – first 10 inches

A

Duodenum

341
Q

Three subdivisions of small intestine:
- _ ~8 feet long

A

Jejunum

342
Q

Three subdivisions of small intestine:
- _ ~12 feet long

A

Ileum

343
Q

Connection between stomach and small intestine

A

Pyloric sphincter

344
Q

Connection between small and large intestine

A

Ileocecal sphincter

345
Q

Pancreatic exocrine
secretions:
Released into pancreatic duct that connects to _

A

duodenum

346
Q

Pancreatic exocrine
secretions:
Alkaline buffers to _ of
chyme

A

raise pH

347
Q

Pancreatic exocrine
secretions:
Digestive enzymes to
breakdown _

A

macromolecules

348
Q

Pancreatic digestive enzymes (secreted as inactive enzymes, activated in intestine)

A
  • pancreatic amylase
  • lipases
  • nucleases
  • proteolytic enzymes (protease, peptidases)
349
Q

Pancreatic digestive enzymes:
Pancreatic amylase (starch –> _)

A

disaccharides

350
Q

Pancreatic digestive enzymes:
Lipases (lipids –> _)

A

fatty acids

351
Q

Pancreatic digestive enzymes:
Nucleases (nucleic acids –> _)

A

nucleotides

352
Q

Pancreatic digestive enzymes:
Proteolytic enzymes (proteins –> polypeptides –> _)

A

amino acids [dipeptides]

353
Q

Pancreatic digestive enzymes:
Proteolytic enzymes

A
  • Trypsin
  • Chymotrypsin
  • carboxypeptidase
  • proteases
  • peptidases
354
Q

Liver functions:
1. _
- All blood leaving digestive tract flows into liver
- Liver removes and stores excess nutrients

A

metabolic regulation

355
Q

Liver functions:
1. metabolic regulation
- Liver removes and stores excess nutrients
- Corrects nutrient deficiencies by _

A

mobilizing stored reserves or performing synthetic activities

356
Q

Liver functions:
2. _
- Liver cells extract nutrients & toxins from blood
- Liver produces plasma proteins

A

Hematological regulation

357
Q

Liver functions:
2. Hematological regulation
- Liver cells _ from blood

A

extract nutrients & toxins

358
Q

Liver functions:
3. _

A

Bile production

359
Q

Bile from liver & gallbladder:
- _ necessary for emulsification of lipids
- Synthesized in liver from cholesterol

A

Bile salts

360
Q

Bile from liver & gallbladder:
- Bile salts
– Necessary for _
– Synthesized in liver from cholesterol

A

emulsification of lipids

361
Q

Bile from liver & gallbladder:
Water & ions
- Dilute & buffer acids in _

A

chyme

362
Q

Bile from liver & gallbladder:
_
- Waste pigment formed from heme of red blood cells phagocytized and recycled by liver

A

Bilirubin

363
Q

Bile from liver & gallbladder:
Bilirubin
- Waste pigment formed from _ cells phagocytized and recycled by liver

A

heme of red blood

364
Q

Gallbladder – muscular,
expandable sack
- Stores, modifies and
concentrate _

A

bile

365
Q

Gallbladder and liver share _
which connects to duodenum
- Connects at same
location as _

A
  • common bile duct
  • pancreatic duct
366
Q
  • Controls release of both
    pancreatic secretions and
    bile
A

Hepatopancreatic sphincter

367
Q

4 Hormones secreted by duodenum

A
  1. cholecystokinin (CCK)*
  2. Secretin*
  3. Gastric inhibitory peptide (GIP)
  4. Vasoactive intestinal peptide (VIP)
368
Q

Hormones secreted by duodenum:
Released in response to undigested food

A

Cholecystokinin (CCK)

369
Q

Hormones secreted by duodenum:
- Stimulate secretion of pancreatic enzymes

A

Cholecystokinin (CCK)

370
Q

Hormones secreted by duodenum:
Cholecystokinin (CCK)
- Inhibit _ & motility

A

stomach secretions

371
Q

Hormones secreted by duodenum:
- Stimulate contraction of gallbladder

A

Cholecystokinin (CCK)

372
Q

Hormones secreted by duodenum:
- Stimulate relaxation of hepatopancreatic sphincter

A

Cholecystokinin (CCK)

373
Q

Hormones secreted by duodenum:
- Released in response to acid chyme

A

Secretin

374
Q

Hormones secreted by duodenum:

A

Secretin

375
Q

Hormones secreted by duodenum:
Secretin
- Inhibit _ & motility

A

stomach secretions

376
Q

Hormones secreted by duodenum:
Stimulate pancreas to release buffers

A

Secretin

377
Q

Hormones secreted by duodenum:
Stimulate liver to increase bile secretion

A

Secretin

378
Q

Chemical digestion in small intestine - jejunum:
Exocrine secretions of intestinal glands
- Brush border enzymes for disaccharides

A
  • Maltase
  • Sucrase
  • Lactase
379
Q

Chemical digestion in small intestine - jejunum:
Exocrine secretions of intestinal glands
- Brush border enzymes for _
– Maltase
– Sucrase
– Lactase

A

disaccharides

380
Q

Chemical digestion in small intestine - jejunum:
Exocrine secretions of intestinal glands
- Brush border enzymes for _
– peptidases

A

small peptides

381
Q

Chemical digestion in small intestine - jejunum:
Exocrine secretions of intestinal glands
- Brush border enzymes for small peptides

A

peptidases

382
Q

Chemical digestion in small intestine - jejunum:
Exocrine secretions of intestinal glands
- Brush border enzymes for _
– Nucleases

A

nucleic acids

383
Q

Chemical digestion in small intestine - jejunum:
Exocrine secretions of intestinal glands
- Brush border enzymes for nucleic acids

A

Nucleases

384
Q

Chemical digestion in small intestine - jejunum:
Exocrine secretions of intestinal glands
- _ to neutralize stomach acid

A

Buffers

385
Q

Structure of the large
intestine:
Muscular tube _ feet long, 3 inches in diameter

A

~ five

386
Q

Structure of the large
intestine:
- _ and appendix
- _ – ascending, transverse, descending, sigmoid regions
- _
– Anal canal

A
  • Cecum
  • Colon
  • Rectum
387
Q

Histology of the large
intestine:
- _ surface,
- Deep intestinal glands
– Many secreting cells
– Stem cells

A

Smooth inner

388
Q

Histology of the large
intestine:
Longitudinal muscles of
muscularis layer reduced to _ bands of muscle, the Taenia coli

A

3 longitudinal

389
Q

Functions of the large intestine:
1. Digestion - Bacterial activity
- _ produced by the large intestine

A

No digestive enzymes

390
Q

Functions of the large intestine:
1. Digestion - Bacterial activity
- Bacteria living in large intestine breakdown various
organic molecules
– Convert _ to urobilinogens and stercobilinogens

A

bilirubin

391
Q

Functions of the large intestine:
1. Digestion - Bacterial activity
- Bacteria living in large intestine breakdown various
organic molecules
– Digest _ to methane ga

A

carbohydrates

392
Q

Functions of the large intestine:
1. Digestion - Bacterial activity
- Bacteria manufacture Vitamin K, biotin, and _

A

vitamin B5

393
Q

Functions of the large intestine:
1. Digestion - Bacterial activity
- Bacteria manufacture Vitamin K, biotin, and vitamin B5
– Vitamin needed by liver to manufacture _

A

clotting proteins

394
Q

Functions of the large intestine:
2. Absorption of _
- Movement from cecum to transverse colon takes hours

A

water

395
Q

Functions of the large intestine:
2. Absorption
- _ – K, biotin, and B5 synthesized by bacteria of
large intestine

A

Vitamins

396
Q

Functions of the large intestine:
2. Absorption
- Bile salts
- Organic _
– Urobilinogens (to be excreted in urine)
– Ammonia

A

wastes and toxins

397
Q

Functions of the large intestine:
- Absorption of water and segmentation movements
in ascending colon compact material into feces

A
  1. Formation and expulsion of feces (stool)
398
Q

Functions of the large intestine:
3. Formation and expulsion of feces (stool)
- _ triggered by stomach distension produces mass movements of feces through colon into rectum

A

Peristalsis

399
Q

Defecation Reflex:
- Triggered by _ of rectal walls

A

distention

400
Q

Defecation Reflex:
Triggered by distention
of rectal walls
- Relaxation of internal anal sphincter _ controlled by ANS

A

unconsciously

401
Q

Defecation Reflex:
Triggered by distention
of rectal walls
- Somatic _ of relaxation of external anal sphincter

A

conscious control

402
Q

Control of energy metabolism:
_ breaks down small carbon compounds to make ATP

A

Mitochondria

403
Q

Control of energy metabolism:
Mitochondria breaks down small carbon compounds to
make ATP
- Which organic molecules are used depends on _ and availability of _

A
  • hormones
  • nutrients
404
Q

Control of energy metabolism:
Absorptive period - _

A

insulin is secreted

405
Q

Control of energy metabolism:
_ - insulin is secreted
- most cells use glucose for energy

A

Absorptive period

406
Q

Control of energy metabolism:
Postabsorptive period
- _, glucocorticoids, epinephrine are secreted
- many cells use fatty acids and amino acids for energy

A

Glucagon

407
Q

Control of energy metabolism:
_ period
- Glucagon, glucocorticoids, epinephrine are secreted

A

Postabsorptive

408
Q

Absorptive Period:
_ enter the blood as intestinal absorption proceeds and insulin is secreted by beta cells of pancreas

A

Nutrients

409
Q

Absorptive Period:
Insulin-dependent cells take up _
- Liver regulates glucose content of blood by absorbing excess glucose

A

glucose

410
Q

Absorptive Period:
Liver regulates glucose content of blood by absorbing excess glucose
- Uses some for energy
- Stores glucose as glycogen
- Converts excess glucose to _

A

triglycerides

411
Q

Absorptive Period:
Insulin-dependent cells take up _
- Muscle cells store glucose as _
- Other tissues absorb glucose to use for energy

A

glycogen

412
Q

Absorptive Period:
Neural tissue is_ and cells take up glucose for energy

A

insulin-independent

413
Q

Absorptive Period:
triglycerides degraded to fatty acids and monoglycerides by capillary lipases

A

Chylomicron

414
Q

Absorptive Period:
_ are absorbed by most cells for protein synthesis, stimulated by insulin, growth hormone, androgen, and estrogen

A

Amino acids

415
Q

Postabsorptive period:
From the end of the
absorptive state to the next
meal, body relies on _ for energy production in cells

A

reserves

416
Q

Postabsorptive period:
Insulin secretion _

A

stops

417
Q

Postabsorptive period:
All are secreted to control _
- Glucagon (alpha cells of
pancreas),
- glucocorticoids
(adrenal cortex),
- epinephrine
(adrenal medulla)

A

cellular metabolism

418
Q

Postabsorptive period:
Neural tissue requires glucose for energy
- Liver cells break down glycogen and synthesize glucose (gluconeogenesis), _ into blood

A

releasing glucose

419
Q

Postabsorptive period:
All other tissues switch to _ for energy production
- No insulin so can not take in glucose
- Muscle cells use fatty acids while at rest and use glycogen reserves when active

A

fatty acids

420
Q

Postabsorptive period:
Tissues can make use of _ breakdown products for energy production if _ are not available

A
  • amino acids
  • fatty acids
421
Q

Postabsorptive period:
Tissues can make use of amino acid breakdown
- Amino acids are de-aminated by the _ to produce ketone acids that can be used in mitochondria for ATP synthesis by most cell

A

liver

422
Q

Postabsorptive period:
Tissues can make use of amino acid breakdown
- Liver can use amino acids for gluconeogenesis to supply glucose to _

A

neural tissue