git Flashcards

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1
Q

accessory glands of GIT?

A

teeth, tongue, salivary

glands, liver, gallbladder, pancreas

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2
Q

Digestive tract

A
Open at both ends and continuous with 
the environment
– Considered “outside” the body
– Materials that cannot be digested (cellulose) 
never actually “enter” the body
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3
Q

Structure of the Gastrointestinal Tract Wall

A
it has four layers;
1.Mucosa
lamina propia
muscularis mucosa
epithelium(with exocrine, endocrine and mucous cells)
2.submusosa
major blood and lymphatics vessels
submucosal plexus
3.muscularis externa
circular muscle
myenteric pexus
longitudinal muscles
serosa
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4
Q

GI Tract Layers

A

• Also called tunics
• There are four tunics:
1. Mucosa: inner secretory and absorptive
layer; may be folded to increase surface area

  1. Submucosa: very vascular, to pick up
    nutrients; also has some glands
  2. Muscularis: smooth muscle; responsible for
    peristalsis and segmentation
  3. Serosa: outer binding and protective layer
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5
Q

primary fubction of digestive tract

A

From food, humans must get basic organic
molecules to make ATP, build tissues, and
serve as cofactors (Zn, Mg) and
coenzymes (NADH, FADH).
– Digestion breaks polymers (carbohydrates,
fats, and proteins) into monomer building
blocks.
– Absorption takes these monomers into the
bloodstream to be allocated

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6
Q

digestive tract motility function

A

Motility
– Ingestion: taking food into the mouth
– Mastication: chewing
– Swallowing: food moves from mouth into
stomach
– Peristalsis: one-way movement through tract
– Segmentation: churning/mixing

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7
Q

volume of secretions of fluids

A

salivary secretion=pancreatic secretion=intestinal secretion- 1500 mL
2000mL gastric secretion

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8
Q

amount of bile produced

A

500mL

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9
Q

how much is absorbed in small intestine

A

6700mL

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10
Q

how much is absorbed in large intestine

A

1400mL

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11
Q

regulation food intake(feeding behaviour)

A

it involves 3 hypothalamic nuclei(is a portion of of the brain that contains number of small nuclei with variety of function)
1. Lateral hypothalamus nuclei-regulates feeding
which means it can increase/decrease food intake
if this nuclei is removed you will have no desire to eat
once you are full your GIT will sense chemical being released, blood nutrient which have increased in your blood and distention which will stimulate the satiety center

2.Ventromedial nucleus(satiety center)
This center has inhibitory effect on lateral hypothalamus and prevent food intake(it makes you feel like you have taken enough amount of food)

  1. Arcuate nuclei(it controls ventromedial nucleus)
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12
Q

Primary Peristalsis

A

contraction of pharyngeal muscles; wave of
contraction, followed by the wave of relaxation of muscle fibers of
GI tract which travel away from the mouth.

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13
Q

Secondary peristalsis

A

induced by distention of esophagus

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14
Q

• Swallowing occurs in three stages:

A
• I. Oral stage, when food moves from 
mouth to pharynx
• II. Pharyngeal stage, when food moves 
from pharynx to esophagus
• III. Esophageal stage, when food moves 
from esophagus to stomach, regulated by 
Upper and lower esophageal sphincters
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15
Q

Oral phase: 1 sec

A

Initiates swallowing process tongue pushes the bolus of
food to the back of the hard palate, pharynx/throat to
stimulate the sensory (oropharyngeal) receptors in
pharynx - initiate the swallowing reflex- this result in
peristalsis.
These receptors send afferent impulses (via vagus,
glossophyrangeal, trigeminal nerves) to the swallowing
center in the medulla oblongata. This center then elicits
swallowing via efferent impulses to the muscles in the
pharynx (glossophyrangeal nerve) and esophagus (vagus
nerve)

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16
Q

Pharyngeal phase: 1-2 sec

A

• Tongue against soft palate prevent return of bolus back
into mouth
• Soft palate move upward prevent bolus into nasal
cavity/ nasopharynx
• Stimulates larynx movements, cause epiglottis to closed
airways and upper esophageal sphincter (UES) to
open ONE WAY
• Peristalsis is produced by pharyngeal muscles and move
bolus into esophagus
• Swallowing apnea: All these movements arrest
respiration for a few seconds

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17
Q

Esophageal phase:

A

• Begins with relaxation of the UES and continuation of
peristalsis (primary) produced in the pharyngeal stage to
propel bolus into the stomach.
• The lower esophageal sphincter (LES) opens and remains
relaxed throughout the period of swallowing, allowing the
arriving food to enter the stomach.
• Secondary peristalsis: induced by distention of esophagus
• LES closes/constricts after food passes into stomach,
resealing the junction between the esophagus and the
stomach

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18
Q

Secretion

A

– Exocrine: digestive enzymes, acid, mucus

– Endocrine: hormones to regulate digestion

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19
Q

Digestion

A

– Breaking food down into smaller units

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20
Q

Absorption

A

– Passing broken-down food into blood or lymph

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21
Q

Saliva functions

A

Lubrication and binding
• Initiates carbohydrate digestion
• Oral hygiene: Flow of saliva decreases during sleep
allowing bacteria to build up in mouth

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22
Q

functions of Saliva

A

Washes mouth - secretion rate 0.5 ml/min
• Destroys bacteria - proteolytic enzymes (lysozyme)
- thiocyanate
- antibodies
• Xerostomia (dry mouth) - (absence of saliva)

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23
Q

Storage and elimination

A

Temporary storage and elimination of

undigested food

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24
Q

Immune barrier

A

Simple columnar epithelium with tight
junctions prevents swallowed pathogens
from entering body

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25
Q

regulation of the GIT

A
  1. Autonomic system:
    • Sympathetic division:
    – Inhibits peristalsis and secretion
    – Stimulates contraction of sphincters
    • Parasympathetic nerves:
    – Stimulates motility and secretions via vagus
    nerve in esophagus, stomach, small intestine,
    pancreas, gallbladder, and upper portion of
    large intestine

2.Hormones:
– digestive organs

  1. Intrinsic regulation:
    – Intrinsic sensory neurons in gut wall help in
    intrinsic regulation via separate enteric
    nervous system (ENS)
    – ENS: Myenteric plexus (Auerbach’s plexus)
    Submucosal plexus (Meissner’s plexus)
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26
Q

How are Gastrointestinal Processes

Regulated?

A

Control mechanisms of the gastrointestinal
system are governed by the volume and
composition of the luminal contents, rather
than by the nutritional state of the body.
• This means that the body is designed to absorb
all the nutrients that are ingested, whether or
not the body really needs them to function

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27
Q

Enteric nervous system

A

Substance P: Stimulatory
Achetylcholine: stimulatory
NO:nitric oxide: inhibition
VIP, vasoactive intestinal peptide: inhibition

28
Q

Ek yielding nutrient

A

Fat
• Carbohydrates
• Protein

29
Q

None caloric nutrients

A
  • H2O
  • Vitamins
  • Minerals
30
Q

Tissues have preferred energy sources.

A

– Brain: glucose
– Red blood cells (erythrocytes): glucose, lacks
mitochondria
– Skeletal muscles at rest: fatty acids However, when
muscle contraction is required for a very short burst of activity,
the exercising muscles make use of the intracellular ATP pool

31
Q

Fats vs Sugars

A

• Carbohydrates are the body’s preferred
fuel
• Sugars are a quicker source of energy
because they are more soluble in water
• Triacyclglycerols are the primary energy
storage molecules
• Fats yield more energy than sugars

32
Q

Essential Nutrients

• There are nine essential amino acids:

A

Lysine, tryptophan, phenylalanine, threonine,

methionine, leucine, isoleucine, and histidine

33
Q

• There are two essential fatty acids:

A

– Linoleic acid (an omega-6)

– Linolenic acid (an omega-3)

34
Q

small intestine structure

A
Three sections:
– Duodenum 
– Jejunum 
– Ileum
• Mucosa and submucosa folded into into villi; and 
epithelial plasma membranes folded into 
microvilli
35
Q

Absorption in the Small Intestine

A

• The small intestine is anatomically arranged for a large
surface area, which enhances the absorption of
nutrients.
• One of the specialized anatomical structures is the
Villi. Villi increase surface area and contain blood
vessels and lacteal, which play a role in the absorption
of nutrients.
• Another specialized structure is the microvilli. Microvilli increase surface area and form the brush
border

36
Q

Villi and Microvilli

A

• Columnar epithelium with goblet cells
(mucus)
• Blood vessels/Capillaries absorb sugars
and amino acids, and lacteals absorb fatty
acids.
• Intestinal crypts with Paneth cells (secrete
antibacterial molecules) and mitotic stem
cells-enterocytes

37
Q

Small Intestine Functions

A
• Complete digestion of carbohydrates, 
proteins, and fats
• Absorption of nutrients
– Sugars, lipids, amino acids, calcium, and iron 
absorbed in duodenum and jejunum
– Bile salts, vitamin B12, water, and electrolytes 
in ileum
– Very rapid due to villi and microvilli
38
Q

Intestinal Contractions/Motility

A

• Peristalsis is weak. Movement of food is
much slower due to pressure at pyloric
end.
• Segmentation is stronger and serves to
mix the chyme.

39
Q

Large Intestine Function

A

• Absorption of water, electrolytes, vitamin
K, and some B vitamins
• Production of vitamin K and B vitamins via
microbial organisms
• Storage of feces

40
Q

The Hepatic Portal System

A

is a specialized
vasculature that delivers absorbed nutrients to the
liver for processing before they enter the general
systemic circulation.
• Nutrients are absorbed from the small intestine into
mesenteric veins which then carry them to the liver
via the hepatic portal vein

41
Q

the liver

A

The liver serves as a secretory organ. One of its major
functions is to secrete bile.
• The liver also processes and stores nutrients.
• The liver also serves as a filter and functions in the
removal of old red blood cells which leads to
hemoglobin processing and the generation of
bilirubin.
• The liver is also responsible for the synthesis of
plasma proteins (albumin, clotting proteins,
angiotensinogen, steroid binding proteins)

42
Q

trypsin, eleptase and chymotrypsin

A

proteins that break peptide bonds into peptide fragment

43
Q

carboxypeptidase

A

protein that splits off terminal amino acids from carboxyl end of protein

44
Q

lipase

A

splits off two fatty acids from triglycerides forming free fatty acids and monoglycerides

45
Q

amylase

A

Amylase is a protein made by your pancreas and by glands in and around your mouth and throat. It helps you break down carbohydrates and starches into sugar

46
Q

deoxy/ribonuclease

A

nucleic acids that splits nucleic acids into free nucleotides

47
Q

pancrease

A

The pancreas has both exocrine and endocrine
functions.
• The exocrine portion produces “pancreatic
juice.” This is rich in bicarbonate as well as
digesting enzymes.

48
Q

phases of regulation

A

cephalic
gastric
intestinal phase

49
Q

cephalic phase of regulation

A

1.sight, smell and taste of food cause stimulation of vagus nuclei in brain

2.Vagus nuclei stimulates acid secretion
indirect stimulation of parietal cells(major effect)
stimulation of gastrin secretion(lesser effect)

50
Q

Gastric phase of regulation`

A

Distention of stomach stimulates vagus nerve,vagus stimulates acid secretion

  1. Amino acids and peptides in stomach lumen stimules acid secretion(lesser effect)
    - Indirect stimulation of parietal cells(lesser effect)
    - Stimulation of gastrin secretion; gastrin stimulates acid secretion (major effect)
  2. Gastrin secretion inhibited when pH of gastric juice falls below 2.5
51
Q

intestinal phase of regulation

A

Neural inhibition of gastric emptying and acid secretion

  • Arrival of chyme in duodenum causes distention, increase in osmotic pressure
  • These stimulate activate a neural reflex that inhibits gastric activity
    2. In response to fat in chyme, duodenum secretes a hormone that inhibits gastric acid secretion
52
Q

carbohydrates

A

Most carbohydrates in the diet are consumed as disaccharides
or polysaccharides:
– Sucrose
– Lactose
– Maltose
– Starch
– Glycogen
– Cellulose
• Only monosaccharides are absorbed by the intestinal cells for
use in the body.
• Disaccharides and polysaccharides must be digested to
monosaccharides before they can be absorbed for use in the
body.

53
Q

proteins

A

Proteins are broken down to peptide fragments in the stomach
by pepsin, and in the small intestine by trypsin and
chymotrypsin, the major proteases secreted by the pancreas.
• These fragments are further digested to free amino acids by
carboxypeptidase from the pancreas and aminopeptidase, located
on the luminal membranes of the small intestine epithelial cells.
• The free amino acids then enter the epithelial cells by secondary
active transport coupled to Na+.
• Short chains of two or three amino acids are also absorbed by a
secondary active transport coupled to the hydrogen ion gradient

54
Q

vitamins

A

Fat-soluble vitamins (A, D, E, and K) are
absorbed like other lipids.
• Water-soluble vitamins are absorbed by
diffusion or mediated transport, except for
vitamin B12, which must first bind to a
transport protein known as intrinsic factor

55
Q

production of HCL

A

Drops pH to 2
– Proteins are denatured (allows enzymes
access).
– Pepsinogen is converted to active pepsin
(digests proteins).
– Serves as the optimal pH for pepsin activity

56
Q

stomach defenses

A

Acid and pepsin could eat the stomach
lining.
• Defenses that help prevent this:
– Adherent layer of mucus with bicarbonate
– Tight junctions between epithelial cells
– Rapid epithelial mitosis that replaces
epithelium every three days

57
Q

digestion and absorption in the stomach

A

• Proteins begin digestion in the stomach.
– Starches begin digestion in the mouth, but
salivary amylase is not active at pH 2, so this
activity stops in the stomach.
• Alcohol and non-steroidal anti inflammatory drugs (NSAIDs, eg. aspirin)
are the only common substances
absorbed in the stomach (due to high lipid
solubility).

58
Q

functions of saliva

A

Moistens and lubricates food (facilitates swallowing)

Initiates very small amount of digestion of polysaccharides by
amylase (described in detail later)
Dissolves a small amount of food (which facilitates taste)

Kills bacteria and other pathogens (helps maintain gum
and tooth health)
Secretes HCO, “(neutralizes ingested acidic foods and thereby
protects tooth enamel and the lining of the esophagus)

59
Q

secretions and functions of mouth and pharynx related to absorption and digestion

A

function:Chewing begins initiation of swallowing reflex

60
Q

secretions and functions of salivary glands related to absorption and digestion

A

Moisten and dissolve food: help neutralize ingested acid ( secretion: :lons and water)
Lubrication (mucus)
Polysaccharide-digesting enzyme (relatively minor function) (amylase)
Help prevent tooth and gum decay( antibodies and other immune factors)

61
Q

secretions and functions of oesophagus related to absorption and digestion

A

Move food to stomach by peristaltic waves.

Lubrication(secretion: mucus)

62
Q

secretions and functions of stomach related to absorption and digestion

A

Store, mix, dissolve, and continue digestion of food; regulate
emptying of dissolved food into small intestine

Solubilization of some food particles; kill microbes, activation of
pepsinogen to pepsin (HCL)

Begin the process of protein digestion in the stomach(Pepsin)

Lubricate and protect epithelial surface(Mucus)

63
Q

secretions and functions of pancreas related to absorption and digestion

A

Secretion of carymes and bicarbonate: also has nondigestive
endocrine functions
Digest carbohydrates, fats, proteins, and nucleic acids (enzymes)
Neutralize HCI entering small intestine from stomach (Bicarbonate)

64
Q

secretions and functions of liver related to absorption and digestion

A

Organic waste products and trace metal
Secretion of bile
Solubilize water-insoluble fats (Bile salts)
Neutralize HCI entering small intestine from stomach( Bicarbonate)
Elimination in feces ( Organic waste products and trace metals)

65
Q

secretions and functions of gall bladder related to absorption and digestion

A

Store and concentrate bile between meals

66
Q

secretions and functions of small intestine related to absorption and digestion

A

Digestion and absorption of most substances; mixing and
propulsion of contents
Digestion of macromolecules (enzymes)
Maintain fluidity of haminal contents (Ions and water)
Lubrication and protection (Mucus)

67
Q

secretions and functions of large intestine related to absorption and digestion

A

Storage and concentration of undigested matter, absorption of ions
and water, mixing and propulsion of contents; defecation
Lubrication (Mucus)