Lecture 7 - Mouth and esophagus Flashcards

1
Q

What are the 4 major functions of the GI tract?

A
  1. ) Digestion - breakdown to smaller particles both mechanically and chemically
  2. ) Secretion
  3. ) Absorption
  4. ) Motility - mouth to anus usually except vomiting where it is small intestine to mouth
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2
Q

How long is GI tract in living vs dead person?

A

Living - 7-7.5 m bc smooth muscles contracted

dead - 10-11 m because smooth muscles relaxed

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3
Q

How much water is ingested and solids a day and how much excreted?

A

Take in 1200 ml of water and 800g of food. Only 100 ml of water and 50g of food excreted.

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4
Q

How much absorbed by small intestine and large intestine?

A

small intestine - 6700 ml into blood
large intestine - 1400 ml into blood

These come from what we ingest and also secretions:
salivary secretions: 1500 ml 
Gastric secretions: 2000 ml 
pancreatic secretions: 1500 ml
Intestinal secretions: 1500 ml
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5
Q

Where does most of the digestion take place?

A

small intestine

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6
Q

Where is the first place of food digestion?

A

upper esophageal sphincter

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7
Q

What does the mouth consist of?

A

Teeth, tongue, pharynx

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8
Q

What is the chewing action?

A

reflex or voluntary and is mechanical.

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9
Q

What does the tongue help to do?

A

Help shape food into a bolus and push it towards the pharynx

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10
Q

What does the pharynx do?

A

Help crush food and closes nasal opening when swallowing.

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11
Q

What is a sphincter?

A

Thickening of muscle that creates compartmentalisation.

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12
Q

What are the major functions of saliva?

A
  1. ) mosten and lubricate food
  2. ) Digestion of polysaccharides by amylase
  3. ) dissolve food
  4. ) Antibacterial actions
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13
Q

What are the secretions by the salivary gland?

A

Serous secretions: enzyme containing, parotid, submandibular, sublingual glands - release salivary amylase (ptyalin) and lingual lipase which requires a neutral pH and breaks down fat.

mucus secretions: Mucin containing - buccal, submandibular and sublingual glands. Lubrication prior to swallowing. Glycoproteins and create specific glycoproteins to trap bacteria.

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14
Q

How much saliva produced when not eating?

A

0.5 ml / min

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15
Q

Function of amylase?

A

breaks down glucose chains

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16
Q

Other functions of saliva?

A

Tooth decay prevention: washing action, mucus coating of mouth and alkaline pH that buffers acidic foods.

17
Q

Where is the carotid salivary gland?

A

Invagination on the side of the cheek

18
Q

What is the mechanism for salivary excretion?

A

Initial saliva is produced in acinar cells. Basically, in the salivary ductal cell, proton (H+) is recycled to get pottasium into the saliva and sodium into the interstitial fluid.

19
Q

What are the 4 ions in saliva?

A
  1. ) Na+
  2. ) K+
  3. ) Cl-
  4. ) HCO3-
20
Q

What doesn’t the relationship between the composition of saliva and salivary flow rate not sit well with?

A

HCO3-

When moving to a higher flow rate, the concentration should also increase and not plateau. This is because there is specific stimulation of bicarbonate by the transporter.

21
Q

What is the regulation of saliva secretion by the autonomic nervous system?

A

Parasympathetic - through CN VII and IX send to Ach which sends to muscarinic receptor to release IP3 and Ca2+ in acinar or ductal cell.

Sympathetic - Norepinephrine is released and goes to beta receptor which releases cAMP in acinar or ductal cell.