Gi tract Flashcards

1
Q

What is malabsorption?

A

Difficulty in digestion and absorption of nutrients from food, can be caused by illnesses such as cf.

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2
Q

Name a secretion within saliva.

A

Amylase, mucus or lysozyme.

Digest carbohydrates.

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3
Q

Name a gastric juice involved in carbohydrate digestion.

A

HCL, pepsin, mucus and intrinsic factor.

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4
Q

Name a pancreatic digestive enzyme.

A

Trypsin, chymotrypsin, amylase and lipase.

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5
Q

Name accessory digestive organs.

A

Salivary glands, exocrine pancreas (secretion of digestive enzymes) and biliary system (store, secrete and transport bile).

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6
Q

What are the 4 layers of the digestive tract?

A

Mucosa
Submucosa
Muscularis externa
Serosa

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7
Q

What nervous system is the digestive tract?

A

The enteric nervous system.
The GI tract uses autonomous smooth muscle function.
And uses the parasympathetic (rest and digest) and sympathetic (fight or flight) nervous systems.

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8
Q

Receptor activation alters digestive activity, what are the main receptors involved in the neural and hormonal pathways?

A
Chemoreceptors 
Mechanoreceptors 
Osmoreceptors 
\:
which are capable of detecting mechanical, chemical, and osmotic stimuli/changes.
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9
Q

What is the start of the GI tract?

A
Oral cavity (mouth) is the entrance.
Proceeds with mastication (grinding of teeth etc), which begins the break down of food.
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10
Q

What is the purpose of saliva?

A

Begins carbohydrate digestion as contains hydrolytic enzymes.
Helps swallowing, speech, taste and oral health.

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11
Q

What is saliva made up of?

A

99.5% h20 and 0.5% electrolytes and protein.

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12
Q

What are the 5 main electrolytes in body fluid?

A

Sodium, Chlorine, Magnesium, Calcium and Potassium.

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13
Q

What are the 3 pairs of salivary glands?

A

Parotid
Submandibular
Sublingual

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14
Q

What are the two main cells that comprise the salivary glands?

A
Serous cells (contain zymogen granules which are involved in the secretion of digestive enzymes)
Mucous cells (secrete mucous)
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15
Q

Describe the neural pathway involved in salivary secretion.

A

Mechanical/pressure and chemo. receptors in the mouth.
Thinking, seeing and smelling food in cerebral cortex.
Mouth and cerebral cortex send action potentials too salivary centre in medulla.
Action potentials in autonomic (involuntary nervous pathway) nerves.
Stimulate salivary glands, saliva is secreted.

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16
Q

What are the 3 phases of oesophageal peristalsis (swallowing)?

A

Medulla innervates muscles in pharynx.
Upper oesophageal sphincter closes.
Larynx closes, glottis opens.
Food then passes through, via muscle contractions, the lower oesophageal sphincter, into the stomach.

17
Q

Where does gastric mixing take place?

A

Antrum of the stomach, via repulsion of the chyme.

18
Q

How does the stomach protect against acid injury.

A

Mucous lines the stomach wall.

19
Q

How is small intestine segmentation contraction involved in the digestive process.

A

BER (basal electrical rhythm), from pacemaker cells, cause the small intestine muscles to contact.
These contractions mix the chyme with digestive juices within the intestine, as well as propel the chyme.
The chyme is then absorbed by the small intestine mucosa.

20
Q

How does the small intestine further digest chyme?

A

Digestive enzymes act intracellularly within the brush-boarder membrane of epithelial cells (lining the lumen).

21
Q

Describe the carbohydrate digestion of Starch/glycogen.

A

Polysaccharides Starch/glycogen is broken down into Maltose by salivary amylase/pancreatic amylase.
Disaccharide Maltose is then broken down into 2 glucose monomers, via maltase, intracellularly via the small intestine epithelial brush boarder.

22
Q

Describe the carbohydrate digestion of Lactose.

A

Disaccharide lactose is broken down via Lactase, into monomers galactose and glucose, intracellularly via the small intestine epithelial brush boarder.

23
Q

Describe the carbohydrate digestion of Sucrose.

A

Disaccharide Sucrose is broken down into monomers glucose and fructose, via sucrose isomaltase, within the small intestine intracellularly via the epithelial brush boarder.