Lecture 8: Digestive Physiology #2 (small intestine - rectum) Flashcards

1
Q

What are the main hormones of digestion?

A

Ghrelin, gastrin, secretin, and cholecystokinin (CCK)

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2
Q

Describe the function of the hormone “ghrelin”

A

It is made in the stomach and increases appetite by signaling the brain

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3
Q

Describe the function of the hormone “gastrin”

A

It is made in the stomach due to stretch and stimulates the stomach

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4
Q

Describe the function of the hormone “secretin”

A

It is made in the duodenum and stimulates the pancreas/gallbladder, it slows the stomach’s functions

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5
Q

Describe the function of the hormone “cholecystokinin” (CCK)

A

It is made in the duodenum and reduces the appetite, slows stomach, and stimulates the release of bile

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6
Q

What do the liver, gallbladder, and pancreas do?

A

They all release important secretions into the small intestine to continue digestion

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7
Q

What are some functions of the liver?

A

Bile production/secretion, secretion of bilirubin, cholesterol, and hormones, metabolism of fats, proteins, carbs, activate enzymes, store glycogen, vitamins, and minerals, synthesize plasma proteins (albumin, clotting factors), blood detoxification & purification

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8
Q

What is bile? Where is it stored?

A

Bile is yellow-green in color and alkaline (basic). It is secreted from the liver and stored in the gallbladder.

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9
Q

What does bile contain?

A

Bile salts, bilirubin, cholesterol, neutral fats, phospholipids & electrolytes

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10
Q

What are bile salts?

A

Bile salts are cholesterol derivatives that function in fat emulsification & absorption

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11
Q

What is bilirubin?

A

It is a pigment that is formed from heme

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12
Q

What is the gallbladder? What does it do?

A

The gallbladder is a thin walled, muscular sac on the ventral surface of the liver. It stores & concentrates bile (absorbs its water & ions).

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13
Q

Where does bile go from the gallbladder?

A

The bile is released via cystic duct, which flows into the bile duct which flows into the small intestine

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14
Q

What is the endrocrine function of the pancreas?

A

Pancreatic islets secrete insulin & glucagon to regulate blood glucose

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15
Q

What is the exocrine function of the pancreas?

A

Acini (clusters of secretory cells) secrete pancreatic juice. Zymogen granules of secretory cells contain zymogens and active digestive enzymes

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16
Q

What are pancreatic acini?

A

Digestive enzymes + bicarbonate rich fluid. Includes proteases (as zygomens), pancreatic amylase, lipases & nucleases

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17
Q

What are pancreatic acini stimulated by?

A

Cholecystokinin, VIP, secretin, and Ach

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18
Q

What are zygomens?

A

Inactive forms of enzymes

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19
Q

What are some examples of pancreatic proteases?

A

Trypsinogen, chymotrypsinogen, and procarboxypeptidase

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20
Q

What is trypsinogen activated by?

A

Enterokinase/enteropeptidase in the duodenum

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21
Q

What are the pancreatic enzymes secreted in active form?

A

a-amylase, lipases, nucleases

22
Q

What does secretin released from the duodenum in response to acidic chyme do?

A

It stimulates all ducts to secrete bicarbonate

23
Q

What does CCK released from the duodenum in response to arrival of acid & fat do?

A

It stimulates contraction of the gallbladder and secretion of pancreatic enzymes

24
Q

What is the duodenum?

A

The duodenum curves around the pancreas. It receives stomach contents, pancreatic juice, and bile. It also neutralizes stomach acids, emulsifies fats, pepsin is inactivated by a pH increase and houses pancreatic enzymes

25
Q

What are the parts of the small intestine?

A

The duodenum, jejunum, and ileum

26
Q

What is the jejunum?

A

A portion of the small intestine with large tall circular folds and thick muscular walls. Most digestion and nutrient absorption happens here

27
Q

What is the ileum?

A

Contains peyers patches which aid in immune function. It is the last part of the small intestine and ends at the ileocecal junction

28
Q

What are plicae circulares?

A

Deep circular folds of mucosa and submucosa

29
Q

What are villi?

A

They are fingerlike extensions of mucosa that are absorptive cells (enterocytes)

30
Q

What are microvilli?

A

Microvilli are tiny projections of absorptive mucosal cells’ plasma membranes (“brush border”

31
Q

What amylase completes digestion of polysaccharides?

A

Pancreatic amylase

32
Q

What kind of proteins absorb glucose & galactose?

A

Sodium-glucose transport proteins (SGLT)

33
Q

What are these SGLT proteins powered by?

A

Na/K-ATPase

34
Q

How are carbohydrates absorbed?

A

They are pulled through the cell & diffused into interstitial space where they flow into blood and then into the liver

35
Q

What pancreatic enzymes aid in digestion of proteins?

A

Trypsin, chymotrypsin, and carboxypeptidase

36
Q

What brush border enzymes aid in digestion of proteins?

A

Aminopeptides, carboxy peptidases, and dipeptidases

37
Q

What kind of digestion happens in the mouth?

A

Mechanical digestion (chewing)

38
Q

What kind of digestion happens in the stomach?

A

Denaturation (HCl) and enzymatic digestion (pepsin)

39
Q

What kind of digestion happens in the small intestine?

A

Enzymatic digestion (chymotrypsin, trypsin, and proteases) and absorption of amino acids, di-peptides, and tri-peptides

40
Q

What are proteins absorbed by in protein absorption?

A

They are absorbed by transport proteins

41
Q

What causes emulsifications of fats?

42
Q

What breaks down triglycerides? What do they turn into?

A

Pancreatic lipase breaks down triglycerides into monoglyceride & fatty acids

43
Q

What are monoglycerides?

A

They are micelles as well as bile salts, fatty acids, phospholipids, and cholesterol

44
Q

How are fats absorbed?

A

Micelles are diffused through the plasma membrane and reformed into triglycerides. Then they are combined with proteins to cause chylomicrons and then they are exocytosed and enter lymphatic system.

45
Q

What does the large intestine consist of?

A

The cecum, colon, rectum

46
Q

Does digestion happen in the large intestine?

A

No, other than fermentation

47
Q

Where is fecal matter created/stored?

A

In the large intestine

48
Q

What parts of the large intestine create mucus?

A

Intestinal crypts or sunken glands

49
Q

In most species, where is the largest concentration of microbes?

A

The large intestine

50
Q

What are the two sphincters of the anus?

A

The internal anal sphincter (smooth muscle) and the external anal sphincter (skeletal muscle)

51
Q

What do parasympathetic signals do in defecation?

A

They contract the colon & rectum and relax the internal anal sphincter to allow defecation