Exam 3 Review Flashcards
digestive process that involves taking food into the digestive tract
ingestion
digestive process that involves moving food through the alimentary canal; includes swallow and peristalsis
propulsion
involuntary major means of propulsion; involves alternating waves of contraction and relaxation of muscles in the organ walls
peristalsis
digestive process that involves increasing the surface area of ingested food, physically preparing it for digestion by enzymes; includes chewing, mixing food with saliva by the tongue, churning food in the stomach and segmentation
mechanical breakdown
a type of mixing wave that mixes food with digestive juices, makes absorption more efficient by repeatedly moving different parts of the food mass against the intestinal wall
segmentation
digestive process that involves a series of steps in which enzymes secreted into the lumen of the alimentary canal break down complex food molecules to their chemical building blocks
digestion
main function: where the swallowing process is initiated; food is ingested then chewed and mixed with enzyme containing saliva that begins the process of digestion
the mouth
main function: passes food from the mouth to the stomach, propulsion that starts with deglutition (swallowing)
esophagus
main function: temporary food storage tank that start the chemical breakdown of proteins
atomach
main function: production of bile
liver
main function: supplies most enzymes needed to digest chyme, as well as bicarbonate to neutralize stomach acid
pancreas
main function: storage of bile
gallbladder
main function: major organ of digestion and absorption
small intestine
main function: absorbs most of the water remaining in indigestible parts of food, temporarily stores indigestible food, eliminates indigestible food and absorbs metabolites created by bacteria
large intestine
What type of macromolecules does the organ digest?
1. mouth
2. stomach
3. liver
4. pancreas
5. gallbladder
6. small intestine
7. large intestine
- carbohydrates (starch)
- proteins
- lipids
- proteins, carbs, lipids and nucleic acids
- lipids
- carbs, proteins and nucleic acids
- some carbs
major roles: mouth
ingestion, propulsion. mechanical breakdown and digestion
major roles: eophagus
propulsion via peristalsis
major roles: stomach
propulsion, protein digestion, mechanical breakdown, absorption
major roles: liver
produces bile that breaks down lipids
major roles: pancreas
produces pancreatic juice and secretes insulin & glucagon by pancreatic islet cells
major roles: small intestine
propulsion via peristalsis, mechanical breakdown via segmentation, digestion and absorption
major roles: large intestine
absorption, propulsion and excretion
main subdivisions of the small intestine
- Duodenum
- Jejunum
- Ileum
first section of the small intestine, connected to the stomach, curves around the head of the pancreas
duodenum
middle portion of the small intestine, major site for nutrient absorption
jejunum
final section of the small intestine, joins large intestine at ileocecal valve
ileum
most common motion of the small intestine after a meal
segmentation
most common motion of small intestine between meals
peristalsis
main subdivisions of the large intestine
- cecum
2.appendix
3.colon - rectum
- anal canal
first part of the large intestine
cecum
mass of lymphoid tissue in the large intestine
appendix
types of colons
ascending, descending, transverse and sigmoid
last segment of the large intestine that opens body exterior at anus; has 2 sphincters
anal canal
innervation of the GI tract
enteric nervous system (gut brain) with over 100 million neurons
enteric neurons make up the bulk of?
2 intrinsic nerve plexuses that provide nerve supply to the walls of tract and control motility
1. submucosal nerve plexus
2. myenteric nerve plexus
how are intrinsic and extrinsic controls of the GI tract mediated
intrinsic (short reflexes) via the enteric nervous system and extrinsic (long reflexes) via CNS
parasympathetic input to the GI tract
enhances the digestive process
sympathetic input to the GI tract
inhibits digestion
adjacent segments of the alimentary canal organs alternately contract and relax; food is moved distally
peristalsis
nonadjacent segments of the alimentary canal organs contract and relax; food is moved forward and backward
segmentation
which organ creates/ secretes: salivary amylase
salivary glands in the mouth
which organ creates/ secretes: amylase
pancreas
which organ creates/ secretes: proteases
the pancreas (trypsinogen and chymotrypsinogen) and the stomach (pepsinogen)
which organ creates/ secretes: lipases
created in the pancreas and secreted by chief cells in the stomach
which organ creates/ secretes: bile
created in the liver and stored in the gallbladder
which organ creates/ secretes: pepsin
stomach; secretory cells in the gastric glands
which organ creates/ secretes: bicarbonate
pancreas, stomach and duodenum
what is the purpose of salivary amylase?
begins the breakdown of starch, mastication and hydrolysis
what is the purpose of amylase?
breaks down starch or glycogen that made it past salivary amylase
what is the purpose of trypsin and chymotrypsin?
cleaves the protein into smaller peptides
what is the purpose of carboxypeptidases?
cleaves protein into single amino acid monomers
what is the purpose of lipases?
breaks down lipids into monoglyceride s plus two free fatty acids
what is the purpose of bile?
breaks down fat
what is the purpose of pepsin?
digest proteins
what is the purpose of bicarbonate?
neutralizes stomach acid entering the duodenum, creates a favorable pH for enzymes
which are secreted in their active or inactive form?
1. salivary amylase
2. amylase
3. proteases
4. lipases
5. bile
6. pepsin
7. bicarbonate
- active
2.active
3.inactive - active
- active
- inactive
- active
which digestive system secretion or enzymes are secreted in their inactive form?
proteases and pepsin
how are proteases secreted?
inactive to prevent the pancreas from digesting itself; activated in the duodenum by the enzyme enteropeptidase which first activates trypsinogen into trypsin and the trypsin activates carboxypeptidase and chymotrypsin
how is pepsin secreted?
inactive; pepsinogen is activated in the acidic pH range found in the stomach caused by the secretion of HCl via parietal cells of the gastric glands and is inactivated in the high pH of the duodenum
what is the name of the venous portion of the splanchnic circulation
hepatic portal circulation
what is the purpose of the hepatic portal circulation
drains nutrient rich blood from digestive organs and delivers blood to liver for processing before blood is returned to the right atrium
unique structural modifications of the stomach
- rugae
2.modified muscularis externa - modified mucosa layer
- mucosal barrier
what is the purpose of the structural modifications of the stomach?
- rugae- allows the stomach to expand after eating
2.modified muscularis externa- smooth muscle layers that allow the stomach to churn, mix and move chyme as well as pummel it which increases physical breakdown and pushes it into small intestine - modified mucosa layer- gastric pits and glands to produce gastric juice
- mucosal barrier- protects the stomach from harsh digestive conditions
structural modifications of the small intestine?
- circular folds
2.villi
3.microvilli
what is the purpose of the structural modifications of the small intestine?
- circular folds allow for more nutrient absorption by slowing chyme through lumen
- villi contain capillary bed and lacteal for absorption
- microvilli create a brush border that contains enzymes used for final carb and protein digestion
what is the most important substance secreted in the stomach
intrinsic factor via parietal cells
what is the purpose of intrinsic factor
needed for B12 absorption which is needed for RBC’s to mature
what does lack of intrinsic factor cause
pernicious anemia
what happens to carbs after they are digested
glucose, fructose and galactose are absorbed into the intestinal capillaries and carried to the liver via the hepatic portal vein
fate of carbs after absorption
galactose and fructose are converted to glucose in the liver to be used for ATP production, stored as glycogen or if excess, converted to fat
what happens to proteins after they are digested
broken down into amino acids and absorbed into the intestinal capillaries and carried to the liver via the hepatic portal vein
fate of proteins after absorption
amino acids are used by cells for protein synthesis or can be converted to glucose/ fat
what happens to lipids after they are digested
broken down into monoglycerides and formed into micelles for absorption by enterocytes-reassembled into triglycerides- packaged into chylomicrons- enter lacteals- transported via the lymph system to the thoracic duct then to the bloodstream at the subclavian vein
metabolic functions carried out by bacterial flora in the large intestine
fermentation and vitamin synthesis
fermentation
ferments indigestible carbs and mucin; form short chain fatty acids that are absorbed by the large intestine and can be dispersed to body cells as fuel sources, releases irritating acids and gases
vitamin synthesis
synthesize B complex and some vitamin K needed by liver to produce clotting factors
all of the biochemical reactions inside a cell involving nutrients
metabolism
synthesis of large molecules from small ones
anabolism
hydrolysis of complex structures to simpler ones
catabolism
what is cellular respiration and what is its goal
catabolic breakdown of food fuels to form ATP in cells; goal is to trap chemical energy via ATP
pathways of cellular respiration
- glycolysis
- citric acid cycle
- oxidative phosphorylation
where do the pathways of cellular respiration occur in the cell
- glycolysis= cytosol
- citric acid cycle- mitochondrial matrix
3.oxidative phosphorylation= inner mitochondrial membrane
oxygen requirements for each pathway in cell respiration
- anaerobic
- indirectly uses oxygen
- directly uses oxygen
carbohydrate reactions
glycolysis, glycogenesis, glycogenolysis and glucogenesis
conversion of glucose to pyruvic acid
glycolysis
polymerizes glucose to form glycogen
glycogenesis
hydrolyzes glycogen to glucose monomers
glycogenolysis
forms glucose from noncarbohyrate precursors
glucogenesis
amino acid reactions
transamination, oxidative deamination and keto acid modification
transfers an amino acid from an amino acid to alpha-ketoglutaric acid to generate glutamic acid
transamination
removes an amine group as ammonia from glutamic acid to produce alpha-ketoglutaric acid
oxidative deamination
lipid reactions
beta oxidation, lipolysis and lipogenesis
converts fatty acids to acetyl-coA
beta oxidation
breaks down lipids to fatty acids and glycerol
lipolysis
forms lipids from acteyl-coA and glyceraldehyde 3-phosphate
lipogenesis
what is the importance of vitamins
most function as coenzymes; work with an enzyme to accomplish body functions
preferred energy source for:
1. brain
2.skeletal muscle
3. cardiac muscle
4.liver
5.adipose tissue
6. kidneys
7. most other tissue
- glucose
2.glucose during activity and fatty acids at rest - fatty acids (main), lactate, glucose, and ketones as needed
- fatty acids (main), amino acids and glucose
5.glucose and fatty acids - fatty acids (main) glucose
7.fatty acids and glucose
which can or cannot be stored in the body?
1.carbohydrates
2.lipids
3.proteins
- stored as glycogen in the liver and skeletal muscle
- stored as triglycerides in adipose tissue
- not stored
energy yields when each undergoes catabolism?
1.carbohydrates
2.lipids
3.proteins
highest; lipids= 9 kcal/g
carbs and proteins= 4 kcal/g
structural material made from lipids
phospholipids= cell membrane, myelin sheath
cholesterol= cell membrane, steroid hormone synthesis and bile salts
which metabolic process dominates in each state?
1.absorptive
2.postabsroptive
- anabolism- stores nutrients
- catabolism
main hormone associated with each state?
1.absorptive
2.postabsroptive
- Insulin
- Glucagon
in postabsorptive state some organs shift the fuel they use for metabolism, why?
to preserve blood glucose for organs that depend on it like the brain and red blood cells
homeostatic balance where the rate of protein synthesis equals the rate of breakdown and loss
nitrogen balance
what are the two nitrogen imbalances?
- positive nitrogen balance: synthesis exceeds breakdown; normal in children, regency and tissue repair
- negative nitrogen balance: breakdown exceeds synthesis; stress, burns, infections, injury, poor dietary proteins and starvation
heat promoting mechanisms
- constriction of cutaneous blood vessels
2.shivering
3.increase in metabolic rate
4.ehanced release of thyroxine
5.behavioral modifications
heat loss mechanisms
- dilation of cutaneous blood vessels
- sweating
three supportive tissue layers surrounding the kidneys
renal fascia, perirenal fat capsule, fibrous capsule
purpose of the renal fascia
anchors the kidneys and adrenal glands to surrounding structures
purpose of the perirenal fat capsule
fatty cushion, protects kidneys from trauma
purpose of the fibrous capsule
prevents infection in surrounding tissue from spreading to the kidneys
modifications seen on cells of PCT
- epithelial cells with many mitochondria- provides energy for active transport and reabsorption
- apical surfaces bear dense microvilli that form a brush border- enhance reabsorption
- leaky tight junctions- facilitate paracellular transport of ions and water
4.transport proteins/channels
3 processes in the kidneys that form filtrate/urine
1.glomerular filtration
2. tubular reabsorption
3. tubular secretion
what does glomerular filtration do
produces cell and protein free filtrate
what does tubular reabsorption do
selectively returns 99% of substances from filtrate to blood in renal tubules and collecting ducts
what does tubular secretion do
selectively moves substances from blood to filtrate in renal tubules and collecting ducts
pressures that impact filtration through the membrane
-net filtration pressure
-outward pressure: hydrostatic pressure in glomerular capillaries
-inward pressure: hydrostatic pressure in capsular space and colloid osmotic pressure in capillaries
hydrostatic pressure in glomerular capillaries
glomerular blood pressure; chief force pushing water and solutes out of blood
forces that promote filtrate formation
outward pressure
forces that inhibit filtrate formation
inward pressure
filtrates pressure in capsule
hydrostatic pressure in capsule space
volume of filtrate formed per minute by both kidneys
glomerular filtration rate
normal glomerular filtration rate
120-125 ml/min
renin
an enzyme released by the kidney that raises blood pressure by initiating RAAS
what does renin do
plays a crucial role in regulating blood pressure, fluid balance and sodium balance by activating RAAS
parts of the nephron under hormonal regulation
distal convoluted tubule and collecting duct
four hormones that regulate reabsorption and secretion
ADH, aldosterone, ANP and PTH