GI Flashcards
what organs make up the GI tract?
mouth
most of the pharynx
esophagus
stomach
small intestines
large intestines
what are the six accessory glands?
teeth
tongue
salivary glands
liver
gall bladder
pancreas
what is the flap of cartilage which allows food to enter the larynx?
epiglottis
what are the six steps of the digestive system?
ingestion
secretion
mixing and propulsion
digestion
absorption
defecation
what is the difference between digestion and hydrolysis?
digestion = physical breakdown of food
hydrolysis = chemical break down of food
what are the four layers of the GI tract?
muscosa
submuscosa
muscularis
serosa
what layer of the GI contains your malt?
muscosa lamina propria layer
what system regulates the GI tract?
enteric nervous system
what nerve helps regulate the GI tract?
vagus nerve X
what nervous system activates rest and digest?
parasympathetic
what is the large serous membrane of the body?
peritoneum
what does the parietal peritoneum cover?
abdominopelvic Cavity
What does the retroperitoneal cavity cover?
any organ that lies on the posterior abdominal wall
(kidney, colons of the large intestine, duodenum of the small intestine, pancreas)
describe each of the following :
greater momentum
falciform ligament
lesser momentum
mesentery
mesocolon
greater momentum (fatty drape over the small intestine)
falciform ligament (attaches the liver to the anterior abnormal and diaphragm)
lesser momentum (suspends the stomach and duodenum from the liver)
mesentery (binds the jejunum and ileum together)
mesocolon (binds the transverse colon and sigmoid colon of the large intestine to the posterior wall)
where is the parotid gland located?
inferior and anterior to the ears
between the mass ester and its skin overlying
what purpose does saliva have?
cleansing
increase secretion to help with breakdown of food
where is the submandibular gland located?
floor of the mouth, medial and partial inferior to the body of the mandible
where is the sublingual gland located?
beneath the tongue and superior to the submandibular glands
how much saliva is water? solute?
water 99.5%
solute 0.5%
how many teeth are permanent? deciduous?
permanent 32
deciduous 20
what muscle forms the floor of the oral cavity?
tongue
what enzymes contribute to chemical digestion?
salivary amylase and lingual lipase
what do salivary amylase enzymes do?
break down starches which break down into monosaccharides which are absorbed into the bloodstream
where can you find salivary amylase enzymes?
oral cavity to the stomach where stomach acid then takes over
what does lingual lipase do?
active in acidic environments and breaks down triglycerides into fatty acids and diglycerides
what is the pharynx?
extends from the internal nares to the esophagus portioner to and anterior to the larynx
what three divisions do the pharynx make up?
nasopharynx
oropharynx
laryngopharynx
what is the function of each division of the pharynx?
nasopharynx (respiration)
oropharynx (respiration and digestion)
laryngopharynx (respiration and digestion)
what is the collapsible muscular tube which lies posterior to the trachea?
esophagus
what is the hiatal hernia?
part of the stomach which protrudes above the diaphragm
what four layers make up the esophagus?
mucosa
submucosa
muscualris
adventitia
does the esophagus have digestive enzymes or absorption properties?
no
based on the muscular layer of the esophagus, what parts are made of skeletal muscles or smooth muscles?
superior 1/3 (skeletal)
middle 1/3 (skeletal and smooth)
inferior 1/3 (smooth)
what are the three phases of deglutition?
voluntary stage
pharyngeal stage
esophageal stage
what does the stomach connect?
the esophagus to the duodenum
what is gastroenterology?
a medical speciality that deals with the structure soft the stomach and intestine
what are the four parts f the stomach?
cardia
funds
body
pyloric
what are the three regions of the pyloric ?
pyloric antrum (connects the body to the stomach)
pyloric canal
pylorus (connects to duodenum)
what are rugae?
wrinkles in the stomach
what is another word for sphincter?
valve
what is the concave, medial border of the stomach called?
convex lateral border?
concave = lesser curvature
convex = greater curvature
what cells secrete mucus?
surface mucous and mucous neck cells
what do partial cells produce?
intrinsic factor (B12) and hydrochloric acid
what do chief cells secrete?
pepsinogen and gastric lipase
what are G cells?
found in the pyloric antrum and secrete gastrin into the blood stream
is the oblique layer limited to the body of the stomach?
yes
what is propulsion?
waves of movement causes gastric contents to move from the body of the stomach to the antrum
what is retropulsion?
when contents of the stomach are forced back into the body of the stomach
what is the soupy lipid of contents found in the stomach referred to?
chyme
When do proteins become digested?
in then stomach
what digest protein in the stomach?
pepsin
when is pepsin most effective?
acidic environment
what things only get absorbed in the stomach and no were else in the body?
aspirin and alcohol
where do most digestion and absorption take place?
small intestine
what three structures are found in the small intestine?
circular folds
villi
microvilli
what are the three divisions of the small intestine from top to bottom?
duodenum
jejunum
ileum
what valve divides the ileum from the large intestine?
ileocecal sphincter
what cells are present in the small intestine and are able to produce mucus?
goblet cells
what do paneth cells do?
secrete lysozyme
what are payers patches?
groups of lymphatic nodules present on the ileum
what are burners glands?
secrete an alkaline mucus that helps neutralize gustier acid in the chyme
what do circular folds do?
large folds which are found in the small intestine. they cause chyme to spiral rather than travel in a straight line to help with absorption level increase
what are villi?
finger-like projections
increase the surface area of the epithelium
what are microvilli?
projections small than villi which create a brush border which appears fuzzy
what is segmentation?
mixing contractions that occur in portions of the intestine distended by large volumes of chyme
they do not push
what is migrating motility complex?
at the end of the small intestine
push chyme forward to prevent drying out
what breaks down / digest carbohydrates?
pancreatic amylase
what is emulsification?
breaking down of large lipid globules into small forms
is bile hydrophobic or hydrophilic?
both
where is bile secreted from?
liver
what is absorption?
passage of digested nutrients from the gastrointestinal tracts to blood or lymph
what are chylomicrons?
large spherical masses about 80mm in diameter
what are “fat soluble” vitamins?
A D E K
how do these vitamins (fat-soluble) become absorbed?
simple diffusion
what are “water soluble” vitamins?
B C
how does B12 become absorbed?
active transport
how much water is found in faces a day?
0.1 L
what is the terminal portion of the GI tract?
large intestine
what are the four main regions of the large intestine?
cecum
colon
rectum
anal canal
what is the appendix?
a twisted, coiled tube attached the the cecum of the large intestine
what are the four areas of the colon in order?
ascending
transverse
descending
sigmoid
is the internal anal sphincter smooth or skeletal muscle based? external anal sphincter?
internal (smooth)
external (skeletal)
where would most bacteria removal take place?
large Intestine
what is the difference between diarrhea and constipation?
diarrhea (increased volume of water and movement)
constipation (decreased volume of water and movement)
why is fibre important?
reduces risk of obesity, diabetes, atherosclerosis, gallstones, and colon cancer
what is the cephalic phase?
activated by smell, taste, sight, or thought of food
what is the gastric phase?
hormone release to pre for food intake
what is the intestinal phase?
once food enters the small intestine
what two ducts are found in the pancreas?
accessory duct
pancreatic duct
describe the duct system of the pancreas
pancreatic duct is the largest
joins common bile duct from the liver and gallbladder to enter the duodenum
become the hepatopancreatic ampulla
what are acini?
found in the pancreas and for 99% of clusters cells
what are islets of langerhans?
the 1% of pancreas cells
what is the heaviest gland?
liver
what makes bile? stores bile?
produced via liver
stored via gallbladder
what ligament divides the right and left gallbladder?
falciform ligament
what is the hepatic portal circulation?
carries blood from the GI organs and spleen to the liver
what does the hepatic portal vein do?
carries blood to the liver
what makes the hepatic portal vein?
superior mesenteric vein
splenic vein
what makes up the portal triad?
hepatic artery
hepatic vein
bile duct
what are the functions s of the liver?
carb metabolism
lipid metabolism
protein metabolism
processing drugs and hormones
excretion of bilirubin
synthesis bile salt
storage
phagocytosis
vitamin activation
what is anorexia?
represent loss of appetite
what is anorexia nervosa?
an eating disorder characterized by low weight, fear of gaining weight, and a string desire to be thin, resulting in food restriction
what is nausea?
ill-defined and unpleasant subjective sensation
normally results in vomitting
why is nausea normally preceded by?
anorexia