Lecture 11 GI Secretion & Absorption Flashcards

0
Q

what are the 3 types of complex glands

A

salivary, pancreas, liver

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1
Q

What are the 4 gland types

A

unicellular mucous, crypts of L, tubular, complex

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2
Q

what are the mechanisms of stimulation

A

food contact
autonomic stimulation
higher brain centers
hormones

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3
Q

what are some functions of mucous

A

adhere to food
coat gut wall to prevent actual contact of food
resistant to digestion by GI enzymes
cause fecal adherence

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4
Q

what are the 2 types of salivary gland secretions and what do they consist of?

A

parotid - serous

sublingual/mandibular - mixed

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5
Q

Where does the 1st stage of salivary secretion of ions occur?

A

acini

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6
Q

what do salivary secretions contain and what are they typical of

A

ptyalin (alpha amylase)

ECF

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7
Q

where does the 2nd stage of salivary secretion occur?

A

salivary duct

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8
Q

give the reabsorption / secretion of ions and whether it is passive or Active transport

A

Na - active reabsorption
Cl - passive reabsorption
K - active secretion
HCO3- (bicarb) - active/passive secretion

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9
Q

TRUE or FALSE

nervous regulation of salivary secretion is normally parasympathetic system?

A

TRUE

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10
Q

The facial nerve supplies what ganglion and gland?

A

submandibular ganglion

submandibular and sublingual glands

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11
Q

the glossopharyngeal nerve supplies what ganglion and gland?

A

Otic ganglion

parotid gland

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12
Q

what chief cells secrete?

how is their release stimulated?

A

pepsinogen and intrinsic factor

Ach from Vagus nerve or gastric enteric nervous plexus or acid in stomach

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13
Q

what do parietal cells secrete?

A

HCl

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14
Q

What ion leaks outside the cell but is transported back in by the ______ pump?

A

K+

by H-K ATPase pump

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15
Q

what ion is reabsorbed into the cell due to the _______ pump?

A

Na+

Na-K basolateral pump

16
Q

How are chloride ions secreted?

A

through chloride channels into the canaliculi

17
Q

what are the 2 forms of gastrin and which is more abundant?

A

G-34 and G-17 (more abundant)

18
Q

What is gastrin released by?

A

in response to proteins in the pyloris

19
Q

what does gastrin cause?

A

enterochromaffin-like cells to release histamine

20
Q

what does histamine do?

A

cause secretion of HCl

21
Q

what are the 3 phases of gastric secretions?

A

cephalic
gastric
intestinal

22
Q

what are the digestive enzymes for proteins?

what are they secreted by?

A

trypsin, chymotrypsin, and carboxypolypeptidase
trypsin inhibitor

glandular cells

23
Q

what is the digestive enzyme for carbs?

A

pancreatic amylase

24
what is the digestive enzyme for fat?
pancreatic lipase, cholesterol esterase, phospholipase
25
where is Ach from?
PS nerves and enteric nervous system
26
what stimulates CCK release? what is the result of the release?
presence of food in upper intestine increase in secretion of pancreatic enzymes
27
what stimulates secretin's release? what does it release?
presence of acidic foods in upper intestine large amounts of sodium bicarbonate
28
what stimulates release of bile from the gall bladder?
presence of fatty food in the duodenum
29
how is bile concentrated in the gall bladder?
by active transport of sodium ions, secondary absorption of chloride ions and water
30
outline the synthesis of bile salts in the liver
cholesterol converted to cholic acid or chenodeoxycholic acid, then conjugated with glycine or taurine
31
what are the functions of bile?
emulsify fat | complex with lipids to form micelles for absorption
32
what are the causes of gallstones?
too much absorption of water from bile too much absorption of bile acids from bile too much cholesterol in bile inflammation of the epithelium
33
what do Paneth cells secrete?
alpha defensins
34
what do goblet cells secrete?
mucous
35
what do enterocytes secrete?
water and electrolytes, also reabsorb it
36
Describe the absorption of glucose in the small intestine
Sodium secondary Active co-transport mech
37
what does the absorption of peptides/aa in small intestine use?
sodium co-transport mech
38
how are fats in the small intestine absorbed
by micelles and chylomicrons