Intestines Flashcards

1
Q

what enzymes of found in the brush border of the intestines

A

amylase, maltase, isomaltose

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2
Q

describe the structure of starch

A

made up of chains of glucose connected by alpha 1-4 bonds (amylose) which are joined to other amylose chains by alpha 1-6 bonds (amylopectin)

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3
Q

describe the uptake of glucose in the intestines

A

Na/K/ATPase on the basolateral membrane gives a low Na conc inside the enterocyte

glucose then diffuses in with glucose through the SGLT 1

glucose then moves into the blood via GLUT 2

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4
Q

how do oral rehydration fluids work

A

they contain both Na and glucose which move into the enterocyte, water then follows

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5
Q

what does vitamin B12 require for absorption

A

intrinsic factor

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6
Q

how does autoimmune disease cause megaloblastic anaemia

A

as it destroys the parietal cells - therefore, no intrinsic factor is produced so vitamin B12 can’t be reabsorbed

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7
Q

when calcium levels are low, how is it absorbed in the intestines

A

actively
Ca ATPases on the basolateral membrane create a concentration gradient to allow facilitated diffusion on the apical membrane

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8
Q

in high calcium levels, how is it absorbed in the intestines

A

passively

through paracellular transport

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9
Q

how is iron absorbed

A

co-transported with H+

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10
Q

why do PPIs affect iron absorption

A

as gastric acid is important in iron absorption

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11
Q

what is coeliac disease

A

immune response against the gliadin in gluten

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12
Q

what affect does coeliac disease have on the intestines

A

damages mucosa, lengthens crypts, less villi and give lymphocytes in epithelium
this causes malabsorption

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13
Q

what are the symptoms of coeliac disease

A

diarrhoea, weight loss and sensory loss

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14
Q

how is sodium absorbed through the apical membrane in the small intestine

A

SGLT 1

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15
Q

how is sodium reabsorbed through the apical membrane in the large intestine

A

Na channels induced by aldosterone

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16
Q

what digest proteins in the intestines

A

pepsinogens from the stomach

proteases from the pancreas

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17
Q

what cells produce pepsinogen

A

chief cells

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18
Q

what convertors pepsinogen into pepsin

19
Q

what converts trypsinogen into trypsin

A

enteropeptidase

20
Q

what do exopeptides do

A

cleave the ends of proteins to produce small molecules

21
Q

what do end-peptides do

A

cleave the middle of proteins to reduce protein lengths

22
Q

how are amino acid absorbed

A

co-transporters with Na

23
Q

how are tripeptides/dipeptides absorbed

A

through peptide transporter 1

24
Q

what happens to tripeptides/dipeptides once they are absorbed

A

converted into amino acids by cytosolic peptidases

25
what is the role of the large intestines
absorb water
26
how is water absorbed in the large intestines
water follows sodium which moves through ENaC channels
27
what causes an increased amount of ENaC channels to be opened
aldosterone
28
what vitamin is produced in the large intestines
vitamin k
29
what is the gastro-colic reflex
when theres mass movement of contents from the distal colon to the rectum stimulated by eating
30
what are haustrau
the sacculations of the large intestine
31
what are teniae coli
the bands which make up the outer layer of incomplete muscle of the large intestine contractions of these give the sacculations
32
how does crohns present
right lower quadrant pain weight loss mild anaemia non bloody stools
33
what can be seen in crohns disease
``` fistulae strictures cobblestone appearance mucosal oedema skip lesions ```
34
how much of the GI tract does crohns affect
anywhere in the GU tract
35
how deep does the inflammation in crohns extend
all the way through the GI wall (transmural)
36
how deep does the inflammation in UC extend
only to the mucosa - superficial
37
do you see granulomas in UC or crohns
crohns
38
why are there strictures seen in crohns
the repeated inflammation and healing causes fibrosis
39
what is the presentation of UC
lower abdominal pain bloody stools weight loss
40
what is seen in UC
pseudopolyps continuous inflammation loss of haustra
41
where does UC affect
colon - starting in the rectum
42
what non-intestinal problems can also be seen in UC and crohns
uveitis, erythema nodosum, arthritis, gall bladder problems
43
are crypt abscesses seen in UC or crohns
UC
44
what is the treatment for UC
colectomy