Exam 4: Lecture 60: Intestinal transport Flashcards

1
Q

Why is it important to reabsorb secretions delivered to the proximal part of the SI?

A

The secretory fluids are a substantial part of the ECF volume

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2
Q

What are the main secretions from epithelial cells lining the intestinal crytps?

A

Fluid and electrolytes

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3
Q

Cl channels are located on which membrane of the epithelial cell of the crypt?

A

Apical membrane - facing the lumen

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4
Q

When do these Cl channels in the epithelial cells of crypts open?

A

In response to hormones and neurotransmitters binding to the basolateral membrane

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5
Q

A tight junction between enterocytes means what?

A

Fluid and ions move transcellulary

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6
Q

A leaky junction between enterocytes means what?

A

Fluid and ions move via paracellular route

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7
Q

T/F: The fluid absorbed is always isosmotic.

A

True

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8
Q

Which section of the SI is the major site for Na+ absorption?

A

Jejunum

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9
Q

In the jejunum, on the enterocyte apical membrane, which substance is brought into the cell via a Na+ co-transporter?

A

Monosaccharides or amino acids

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10
Q

In which portion of the SI is there an overall net absorption of NaCl?

A

Ileum

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11
Q

In the ileum on the enterocyte apical membrane, what molecule is being brought into the lumen via Cl- exchanger?

A

HCO3-

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12
Q

In the colon, Na+ and K+ channels are influenced by what hormone?

A

Aldosterone

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13
Q

In the colon under the presence of aldosterone, there is increased Na+ (absorption/secretion) and increased K+ (absorption/secretion)?

A

absorption; secretion

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14
Q

In cases of diarrhea, the. increased loss of K+ is due to what?

A

Increased flow rate of intestinal fluid

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15
Q

A large loss of volume of fluid from the GIT can ultimately cause what systemic issue?

A

Decreased BP

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16
Q

High HCO3- losses relative to Cl can lead to what disorder?

A

Hyperchloremic metabolic acidosis with normal anion gap

17
Q

Osmotic diarrhea is caused by what?

A

non-absorbable solutes

18
Q

Secretory diarrhea can be caused by what?

A

Excessive secretions of fluid by crypt cells
Permanently activates adenylyl cyclase and cAMP levels high