L2: Water absorption And Secretion In The Gastrointestinal Tract Flashcards

1
Q

Where does the absorption of non electrolyte nutrients occur?

A

The small intestine

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2
Q

Diarrhoea is caused by ___ or ___

A

Lack of absorption or excess secretion

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3
Q

Absorption of water occurs via ___

A

Osmosis

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4
Q

Large net water absorption occurs in the ___

A

Jejunum

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5
Q

Solvent drag is responsible for what?

A

Considerable Na and urea absorption in the jejunum

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6
Q

What is the predominant mode of absorption?

A

Paracellular transport

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7
Q

What absorption pathway is dominant in leaky epithelia?

Proximal renal tubule, small intestine

A

Paracellular transport

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8
Q

What absorption pathway is dominant in tight epithelia?

Renal collecting duct, urinary bladder

A

Transcellular pathway

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9
Q

All transcellular Na absorption involves what pump?

A

Na/K ATPase at basolateral membrane

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10
Q

Movement of Na via the apical surface is mediated by what four channels/transporters?

A
  • Na/glucose or Na/Amino Acid cotransporters
  • Na/H Exchanger
  • parallel Na/H and Cl/HCO3 exchangers
  • epithelial Na channel
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11
Q

What happens if Na/K ATPase doesn’t work?

A
  • electrochemical gradient isn’t maintained(sodium build up inside cell)
  • glucose and proteins not moved into cell
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12
Q

Osmotic diarrhoea is due to a disturbance in ___

A

Absorption

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13
Q

Secretory diarrhoea is due to a disturbance in ___

A

Secretion

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14
Q

What is the physiology behind cholera?

A
  • cholera toxin activates adenylate cyclase
  • causes elevation of cAMP
  • this opens Cl channel in apical membrane of crypt epithelial cells
  • causes prolonged secretion of Cl, Na and water
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