Lecture 19 -- review questions Flashcards
what are the 4 regions of the stomach?
cardia
fundus
body
pyloric part
what areas form the pyloric part of the stomach?
pylorus
pyloric canal
pyloric sphincter
antrum
how many layers of muscularis externa does the stomach have?
3 layers
what is the purpose of stomach rugae?
wrinkles (mucosal folds) that allow gastric expansion
where is the pyloric sphincter?
pyloric part of stomach
connects the stomach to the duodenum
what is the primary function of the pyloric sphincter?
regulates passage of chyme into duodenum
what 3 mechanisms protect the stomach from the harsh acidic and enzymatic environment?
1) mucous-bicarbonate barrier
2) epithelial tight junctions
3) damaged epithelial cell replacement (stem cells)
what its he pH of the stomach?
1.5
how often do epithelial cells regenerate (are renewed)?
3-6 days
the stomach’s epithelial cells have a mucous coat rich in which ion?
where is that ion coming from? (ie which cells produce it?)
bicarbonate ion
mucous neck cells
why can this ion help protect from acid that flow close to the stomach’s epithelial cells?
combines with H+ from acid to form H2O and CO2
does the stomach have any secretion coming from accessory glands?
no – stomach doesn’t have any secretions coming from accessory glands –> only from stomach glands
why are the stomach’s epithelial cells very close together, minimizing the space b/n them?
how is this achieved? (think about how the cells are joined)
packed close together to make sure no gastric juice seeps b/n them
what is the name of the gastric fluid secreted by the glands in the stomach: rich in water, acid, and pepsin called?
gastric juice
in the gastric glands, what do mucous cells secret?
mucus and bicarbonate
in the gastric glands, what do parietal cells secrete?
HCl (gastric acid)
intrinsic factor
in the gastric glands, what do chief cells secrete?
pepsin(ogen)
gastric lipase
in the gastric glands, what do G cells secrete?
gastrin
in the gastric glands, what do enteroendocrine cells secrete?
hormones – ghrelin, somatostatin, gastrin, serotonin
in the gastric glands, what do enterochromaffin cells secrete?
histamine
what is the intrinsic factor? where is it produced?
glycoprotein that aids in vitamin B12 absorption by small intestine
produced by parietal cells in stomach
what converts pepsinogen to active pepsin?
activated by HCl
the digestion of proteins begins in the stomach; which enzyme secreted in the gastric glands digests proteins?
pepsin
what is gastrin? what is its function in the stomach?
a hormone secreted by G cells
promotes parietal cells to secrete HCl
what is the name of the pump that plays an essential role in gastric acid production?
which 2 ions does it exchange?
H+/K+ ATPase
pumps K+ from stomach lumen into cytosol of parietal cell
pumps H+ from parietal cell to stomach lumen
what is the name of the acid of the stomach?
hydrochloric acid
where is the H+ used by the proton pump coming from?
carbonic acid (H2CO3) breakdown from inside the parietal cell
what cells produce acid in the stomach?
parietal cells