Intro to Digestion and Absorption Flashcards

1
Q

What are the accessory glandular organs?

A

pancreas , liver and gall bladder

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2
Q

What does the pancreas do?

A

endocrine cells - islets to secrete insulin and glucagon and exocrine cells are acinar and epithelial cells

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3
Q

What are pancreatic secretions?

A

2 L of alkaline fluid - bicarb rich and enzymes for intermediate digestion of nutrients, secretions similiar to saliva and is hormonal CCK and secretin

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4
Q

What is Secretin?

A

27 AA peptide

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5
Q

What is CCK?

A

contracts gall bladder and sphincter of oddi, 33 AA peptide

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6
Q

What does CCK do?

A

released due to entry of peptides and fats and stimulates pancreatic secretions such as lipase, amylase, nuclease, proteolytic enzymes

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7
Q

Where are proteolytic enzymes from and how are activated?

A

pancrease and active in small intestine - involves enterokinase enzyme from mucosa

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8
Q

what is enterokinase?

A

intestinal brush burder enzyme - activates inactive enzyme precursors

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9
Q

What is the therapeutic use of pancreatic enzymes?

A

pancreatin orally administered to compensate for defiency and for cystic fibrosis, pancreactectomy or pancreatitis

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10
Q

What is the therapeutic use of digestive enzyme inhibitors?

A

Orlistat for obesity inhibitor of pancreatic lipase to reduce absorption of fats
Acarbose to inhibit a-glucosidases to delay digestion of starches in diabetic people

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11
Q

Where is bile produced concentrated released?

A

liver in gall bladder and into small intestine by CCK

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12
Q

what are the functions of bile?

A

excrete non water soluble substances such as bilirubin and emulsify fats before digestion , bile salts lower surface tension

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13
Q

What is bile made from?

A

non-polar cholesterol derivative, cholic acids conjugated toglycine, Polar AA and amphiphatic

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14
Q

What do bile salts help to form?

A

micelles

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15
Q

What does pyloric sphincter allow?

A

chyme into duodenum and digestion of lipids

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16
Q

What is distinct about small intestine wall?

A

villi, plicae and microvilli

17
Q

What are functions of s intestine?

A

D: mixes chyme and secretions from pancrease
J: chemical digestion and absorption
I: movement of contents to caecum

18
Q

describe plicae and intestinal villi?

A

plicae are permenant transverse folds of mucosa and submucosa
intestinal villi of mucosa only

19
Q

Where are fluid secretory cells in s intestine?

A

crypts of lieburkuhn - columnar epithelial cells

20
Q

what are fluid secretions stimulated by in s intestine?

A

intracellular cAMP levels

21
Q

What do paneth cells do?

A

secrete protective enzymes like lysozyme

22
Q

What do goblet cells and mature columnar epithelial cells do?

A

mucus, and secrete digestive enzymes like enterokinase

23
Q

What are common causes of malabsorption?

A

bile salt low, pancreatic enzyme low, infections, coeliac disease, rapid transit