hormonal control of digestion Flashcards

1
Q

What are the two main mechanisms regulating digestion?

A

Extrinsic mechanisms and intrinsic mechanisms.

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2
Q

What do mechanoreceptors respond to in the GI tract?

A

Presence/volume of ingested material.

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3
Q

What do chemoreceptors respond to?

A

Composition of ingested material.

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4
Q

What is the primary function of gastric mucosal epithelium?

A

Secretion of gastric juices.

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5
Q

What are the two types of secretion from gastric glands?

A
  • Exocrine
  • Endocrine
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6
Q

What does the gastric mucosal epithelium consist of?

A

Entirely of secretory cells.

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7
Q

What do enteroendocrine cells secrete?

A

Gastrin.

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8
Q

Where are enteroendocrine cells mainly found?

A

Gastric glands of pyloric region (antrum).

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9
Q

What is the primary secretion of parietal cells?

A

Hydrochloric acid (HCl).

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10
Q

What is the pH level of gastric contents due to HCl?

A

1-2.

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11
Q

What is the role of HCl in digestion?

A
  • Breaks down connective tissue
  • Activates pepsinogen
  • Provides optimal conditions for pepsin
  • Defense against microorganisms.
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12
Q

What substance produced by H. pylori neutralizes stomach acid?

A

Ammonia.

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13
Q

What is the function of the proton pump H+-K+-ATPase?

A

Exchanges H+ for potassium at the luminal surface.

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14
Q

What type of cells secrete pepsinogen?

A

Chief cells.

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15
Q

Pepsinogen is activated to pepsin at what pH level?

A

Lower than 3.5.

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16
Q

What protects the stomach from autodigestion?

A
  • Mucus secretion
  • Tight junctions between epithelial cells.
17
Q

What stimulates the secretion of gastrin?

A
  • Partially digested food
  • Vagal reflexes.
18
Q

What is Zollinger-Ellison syndrome caused by?

A

A gastrin-secreting tumor (gastrinomas).

19
Q

What are the three phases of gastric secretion regulation?

A
  • Cephalic phase
  • Gastric phase
  • Intestinal phase.
20
Q

What hormone inhibits gastric secretion during the gastric phase?

A

Somatostatin.

21
Q

What is the effect of high [H+] on D cells?

A

Stimulates secretion of somatostatin.

22
Q

What is the function of somatostatin?

A
  • Inhibits intestinal motility
  • Inhibits gastric gland secretion.
23
Q

What are the main cell types in the small intestine?

A
  • Villous absorptive cells
  • Goblet cells
  • Enteric endocrine cells
  • Stem/progenitor cells
  • Paneth cells.
24
Q

What is the role of goblet cells in the small intestine?

A

Secrete mucin, a major component of mucus.

25
Q

What do Brunner’s glands secrete?

A

Mucus-rich bicarbonate.

26
Q

What does GIP do in the digestive process?

A

Inhibits gastric H+ secretion.

27
Q

The secretion of which hormones acts on accessory organs?

A
  • Secretin
  • CCK.