GI phys Flashcards

1
Q

what are the 3 types of gastric glands

A

Mucosal (neck) cells- secrete mucus and gastine

chief

parietal

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2
Q

what cells produce gastrin

A

G cells (in mucosal neck cells)

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3
Q

What doe chief cells produce/secrete

A

produce pepsinogen
(in presence of hydrochloric acid, pepsinogen is activated to form pepsin- necessary for pro digestion)

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4
Q

What do parietal cells secrete

A

secrete hydrochloric acid and intrinsic factor

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5
Q

What is HCL and intrinsic factor used for

A

HCL is needed for activation of pepsinogen

Intrinsic factor necessary for absorption of Vit B12

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6
Q

what does chyme in s intestine stimulate

A

stims release of secretin from S-cells found in duodenum

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7
Q

What does secretin do

A

stims pancreatic acinar cells to release bicarbonate and water

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8
Q

what does bicarbonate do

A

(also secreted by brunners glands, along with pancreatic ancinar cells)

-neutralizes the gastric acid and makes Ph alkaline
-protects duodenal walls

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9
Q

What does the presence of fat in duodenum stim

A

Cholecystokinin (CCK) by the I cells of duodenum

-CCK causes gallbladder to contract ad sphincter of Oddi to reps

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10
Q

what do the exocrine cells of the pancreas release

A

-Trypsinogen- activated by trypsin which starts pro digestion

-Pancreatic amylase- digestion of starch

-lipase- breaks down fat into fatty acids and glycerol

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11
Q

What are the endocrine cells releasing in pancrease

A

Arranged into the islets of langerhans:
-glucagon
-insulin
-somatostatin

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12
Q

What type of specialized cells of the Large intestine release

A

numerous goblet cells which secrete mucus to aid in passage of faces

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13
Q

What are the fat soluble vits

A

DAKE

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14
Q

where is folic acid and iron absorbed

A

in jejunumm

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15
Q

what transfers iron in blood to cells in the liver, spleen and bone marrow

A

transferrin

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16
Q

How is vit B12 absorbed

A

attached to intrinsic factor
complex is delivered to the terminal ileum where it is bound to cubilin receptor on the enterocytes and transport into the enterocytes

17
Q

Bilirubin metabolism steps

A

RBC broken to heme and globin

Heme is broken into biliverdin and iron

biliverdin is converted to bilirubin which is carried in blood attached to albumin

transported to liver where its conjugated (water soluble)- excreted by gallbladder

18
Q

fate of bilirubin in the gut

A

converted by bacteria to urobilinogen where its absorbed and excreted in urine

-the rest of urobilinogen in gut is converted to stercobilinogen which is oxidized to sterocobilin in stool

19
Q

What is gastric inhibitory peptide secreted by and what does it do

A

secreted by K cells
-decreases gastric acid secretion

20
Q

What does glucagon like peptide 1 do and secreted by

A

secreted by K cells in duodenum and jejunum
-inhibits gastric emptying

21
Q

What does gherkin do

A

Released by P cells in stomach
-increased before meals and decreased after