M19: Small Intestine Flashcards

1
Q

3 regions of small intestine

A
  1. DUODENUM (25cm)
    - retroperitoneal
    - c-shaped
  2. JEJUNUM (1m)
  3. ILEUM (2m)
    - connects to large intestine at ileocecal sphincter
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2
Q

small intestine - circular folds

A

aka PLICAE CIRCULARIS
- created by ridges in submucosa
- submucosa makes fingerlike projections
- increase surface area in SI
- spiral pattern - allows all chyme to come in contact with SI walls for nutrient absorption

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3
Q

in the SI, microvilli are extensions of ____ while vili are extensions of _____

A

microvilli: epithelia
villi: lamina propria

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4
Q

structures in SI villi

A
  • large vascular network
  • LACTEALS: lymphatic system extension. Take things too large to enter into capillaries
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5
Q

specialized epithelial cells on villi

A

top to bottom on villi
- ABSORPTIVE CELLS (absorb nutrients via microvilli)
in pit (intestinal gland)
- GOBLET CELLS (interspersed between absorptive cells)
- PANETH CELLS (secrete lysozymes that break down foreign materials, capable of phagocytosis)
- ENTEROENDOCRINE CELLS (secrete hormones secretin and cholecystokinin)

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6
Q

name of pits between SI villi

A

intestinal gland

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7
Q

hormones secreted by enteroendocrine cells in SI

A

secretin and cholecystokinin

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8
Q

functions of paneth cells in SI

A
  • secretes lysozyme
  • capable of phagocytosis
  • mantains SI microbiome
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9
Q

order of structures, smallest to largest, that help increase surface area in small intestine

A

microvilli
villi
circular folds

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10
Q

paneth cells

A
  • secrete lysozymes that break down foreign materials
  • capable of phagocytosis
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11
Q

absorptive cells

A
  • epithelial cells on villi
  • absorb nutrients via microvilli
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12
Q

enteroendocrine cells

A

secrete hormones secretin and cholecystokinin

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13
Q

qualities of intestinal juice

A
  • body produces 1-2L per day
  • pH 7.6
  • made of water, mucous, bicarbonate ions
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14
Q

brush border enzyme

A
  • Digestive enzymes embedded into intestinal wall (SI designed to move chyme via circular folds to come in contact with them)
  • Different enzymes to digest carbohydrates, proteins and nucleotides
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15
Q

brush border enzymes that digest carbohydrates

A

α-dextrinase
maltase
sucrase

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16
Q

brush border enzymes that digest proteins

A

aminopeptidase
dipeptidase

17
Q

brush border enzymes that digest nucleotides

A

nucleosidases
phosphatases

18
Q

2 main types of movement in the small intestine

A
  1. SEGMENTATION: local mixing of chyme with intestinal juices
    - circular muscles contracting (creates pouches of chyme to mix)
    - stops when enough fluid and nutrients are absorbed (~90%), triggers migrating motility complex
  2. MIGRATING MOTILITY COMPLEX
    - circular muscles squeeze leftover chyme to ileum
    - may cause “tummy rumbling” sounds
19
Q

basics of chemical digestion in mouth

A

CARBS: salivary amylase breaks down starch, stays active until it hits stomach acids
LIPIDS: lingual lipase released, not active
PROTEINS: n/a

20
Q

basics of chemical digestion in stomach

A

CARBS: n/a
LIPIDS: lingual lipase, gastric lipase not very active
PROTEINS:
HCL -> denatures proteins
Pepsin -> proteins to peptides

21
Q

chemical digestion of carbohydrates in small intestine

A

PANCREATIC AMYLASE: digests any polysaccharides not digested by salivary amylase
BRUSH BORDER ENZYMES: α-dextrinase, lactase and maltase -> monosaccharides

22
Q

what does α-dextrinase break down?

A

Specifically, a carbohydrate called dexterin

23
Q

chemical digestion of proteins in small intestine

A

PANCREATIC JUICE
- digestive enzymes: typsin, chymitrypsin, carboxypeptidase, elastase -> split peptide bonds between different amino acids

BRUSH BORDER ENZYMES (final breakdown into amino acids)
- aminopeptidase, dipeptidase -> split off amino acid at amino end of molecule

24
Q

chemical digestion of lipids in small intestine

A

BILE
- emulsification
PANCREATIC LIPASE
- cleaves fatty acids from glycerol -> splits into fatty acids and monoglycerides
NO ENZYMES IN BRUSH BORDER

25
Can lipids be digested by brush border enzymes?
no
26
Where are most fats digested?
small intestine
27
chemical digestion of nucleic acids in small intestine
Pancreatic juice - 2 nucleases - RIBONUCELASE - RNA - DEOXYRIBONUCLEASE - DNA Nucelotides further digested by brush border enzymes (NUCELOSIDASE and PHOSPHATASE)
28
Absorbable molecules for cho, pr- and lipids
CHO - monosaccharides (glucose, fructose, galactose) PRO - single amino acids, dipeptides, tripeptides LIPIDS - free fatty acids, glycerol, monoglycerides
29
% of digestion that occurs in stomach vs small intestine
90% SI 10% stomach
30
types of muscle in muscularis, superficial to deep
longitudinal circular
31
what layer of GI contain the vili?
mucosa
32
what layer of GI creates the circular folds?
submucosa