GI ML: 5 Flashcards

1
Q

What is the largest portion of the GI tract

A

small intestine

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2
Q

Where does the small intestine begin

A

pyloric sphincter

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3
Q

Where does the small intestine end

A

ileocecal sphincter

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4
Q

What are the three parts of the small intestine

A

duodenum
jejunum
ileum

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5
Q

What are the four things that increase SA

A

coilled length
circular folds
Villi
Micovilli

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6
Q

where does digestion and absorption occur

A

microvilli
- where nutrient moves from GI lumen into epithelial cells

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7
Q

What are the secretions of the small intestine

A

1500ml of water, mucus, and NaCl
500ml of bile
1500ml of pancreatic secretins

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8
Q

Where do the liver and pacreas connect to small intestine

A

duodenum

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9
Q

What are the two exocrine parts of the pancreas and what do they secrete

A

acinar cells= pancreatic enzymes
duct cells= bicarb

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10
Q

What are the pancreatic enzymes

A

trypsin, chymotrypsin, elastase
carboxypeptidase
lipase
amylase
ribonuclease, deocyribonuclease

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11
Q

What is the substrate for trypsin, chymotrypsin, elastase

A

proteins- break peptide bonds to form peptide fragments

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12
Q

What is the substrate for carboxypeptidase

A

proteins- splits off terminal amino acid from carboxyl end of protein

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13
Q

What is the substarte for lipase

A

triglycerides- splits off two fatty acids from triglcuerides forming free fatty acids

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14
Q

What is the substarte for amylase

A

polysacchardies- into maltose

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15
Q

What are bile salts made from and what is their job

A

made from cholestrol and emulsify fats

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16
Q

Where are bile salts reabsorbed

A

distal ileum
-mostly reaborbed

17
Q

What feeds into the hepatic portal vein

A

capillaries from stomach, pancreas, small I, large I

18
Q

Once in vein what happens

A

nutrients are sent to liver for processing and then go through inferior vena cava to be put back into circulation

19
Q

What is motiliaty #1 in the small intestine

A

segmentation- alternating contration and relaxation at each location

20
Q

Where is contraction the fastest and slowest

A

duodenum and ileum

21
Q

What is segmentation mediated by

A

both short and long reflexes

22
Q

What does the segmentation do

A

mizes chyme with enzymes and bicarb to ensure more exposure of enzymes and neutralization of acid

23
Q

What is the second motility of the small intestine

A

MMC-migrating myoelectric complex

24
Q

When does MMC occur

A

after a meal during the post absorptive phase

25
Q

What is MMC

A

short distance peristaltic wave clears any remaining materials from intestine