Module 1.02 Flashcards

1
Q

what are the cell types in the small intenstine and what are their functions?

A
enterocytes = absorptive
Goblet cells = mucus
Paneth cells = lysozyme
Enteroendocrine cells = CCK
S cells = secrete secretin
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2
Q

what are peyers patches and where are they found?

A
  • mucousa associated lymphoid tissue (MALT)

- most common in distal illeum

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3
Q

what is the function of brunners glands and where are the found?

A
  • mainly duodenum
  • secrete HCO3-
  • Neutralise
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4
Q

what are the adaptations of the small intestine?

A
  • plicae circulares -> most numerous in jejenum -> forces chyme to spiral
  • villi
  • microvilli
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5
Q

what are the cells found in the large intestine?

A

enterocytes - absorption

goblet cells - mucus

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6
Q

what is the gut flora?

A
  • microorganisms, mostly bacteria, present in a normal healthy individual
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7
Q

what are the effcets of changes in the gut flora?

A
  • changes in general health
  • local trauma
  • hormonal changes
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8
Q

what are the benefits of the flora?

A
  • production of inhibitory substances
  • colonisation causes resistance to virulent bascteria
  • digest nutrient in the bowel
  • resists other colonisation
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9
Q

decsribe a parasite

A
  • behave like a tiny animals, living in or on a host and feeding from it
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10
Q

describe a virus

A
  • made up of genetic code (DNA or RNA) which is coated by a protein
  • invades host cells to divide
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11
Q

describe bacteria

A

made of a single cell

- live anywhere, only pathogenic bacteria cause disease

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12
Q

describe fungi

A
  • cause infection when they over grow, contain nucleus etc

- protected by thick cell walls, makes them hard to kill

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13
Q

How can bacteria be classified?

A

bacteria can be classified as gram positive and gram negative via gram staining

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14
Q

describe the process of gram staining?

A

1) primary staining with CV which penetrates the cell wall making the cell purple
2) grams iodine (I) is added and forms CV-I complex
3) alcohol exposes peptidoglycogen layer
- > in gram positive purple stain stays
- > in gram negative CV-I washed away

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15
Q

characteristics of IgG

A

enhance phagocytosis of bacteria and viruses
most abundant isotype in blood serum
fixes complement and passes to the fetal circulation

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16
Q

characteristics of IgA

A
  • provides localized protection on mucous membranes
  • found in secretions such as saliva, tears and mucous
  • transported across the interior of the cell via transcytosis
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17
Q

which T-cells produce CD 4 and CD 8

A

Helper T cells : express CD4

Cytotoxic T cells: express CD 8

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18
Q

characteristics of IgE

A

-least abundant isotype in blood serum
provides immunity to parasites such as helminths
-mediates type 1 hypersensitivity reactions
binds to Fc receptors found on the surface of mast cells and basophils

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19
Q

what are the 4 layers of the gastrointesinal tract from the lumen out?

A
  • mucousa
  • submucousa
  • muscle
  • serosa
20
Q

what are 3 adaptations for absorption in the small intestine?

A

Plicae circulares - folds in lining, causes chyme to spiral and contact all parts of epithelium lining
Villi - projection of lamina propia (part of mucousa layer)
Microvilli - projections of absorptive cell membranes, forms brush border

21
Q

what is protein broken down to in the stomach?

A

protein becomes peptide fragments with pepsin as the enzyme

22
Q

what digestive enzymes are found in the small intestine to breakdown proteins?

A
  • trypsin, chymotrypsin and elastase (cleave specific peptide bonds)
  • carboxypeptidase (cleaves the carboxyl end of the peptide)
23
Q

how are proteins digested in brush border, which digestive enzymes are involved?

A
  • Aminopeptidases cleaves the terminal amino acid

- Dipeptidase cleaves amino acids

24
Q

how is starch broken down in the upper GI tract (enzyme and products) ?

A

enzyme: salivary/ pancreatic enzymes
products: maltose, maltotriose, a-dextrins

25
what enzymes involved in the digestion of starch are present in the brush border of the small intestine?
- maltase - a-dextrinase - sucrase - lactase
26
what enzymes are involved in the breakdown of triglycerides and what are the products? (in both stomach and small intestine)
Stomach: - enzyme: lingual/ gastric lipase - products: monoglyceride and 2 fatty acids Small intestine: - enzymes: pancreatic lipase - products: monoglyceride and 2 fatty acids
27
what enzymes are involved in breakdown of nucleic acids in the small intestine and what are the products?
enzyme: deoxyribonuclease, ribonuclease product: nucleotide
28
what enzymes are involved in the breakdown of nucleotides in the brushborder of the small intestines and what are the products?
enzyme: nucleosidases/phosphatases products: Pentose, Phosphate, Base
29
what are the 3 functions of the large intestine?
1) absorption of water and ions 2) storage of faeces 3) maintenance of gut flora - mainly gram negative and anaerobic - most common organism= bacteriodes fragillis
30
describe the innervation of the musculature of the GI tract
The muscle layers are innervated by intrinsic nerves of the myenteric plexus that receive branches from the submucosal plexus and parasympathetic vagal nerves from the medulla.
31
describe the electrical and conctractile activity of gastric smooth muscle
- rythmic contractile activity driven by pacemaker cells in the greater curvature of the stomach - this is driven by fluctuations in the membrane potential of muscle known as slow waves (does not depend on input) - if threshold is reached muscle will contract and electrical activity spreads in a circular motion causing a band of contraction
32
what type of gastric smooth muscle does charge pass through more quickly?
- electrical coupling between smooth muscle cells is faster in the circular than in the longitudinal direction
33
where are pancreatic enzymes synthesised?
- in the rER of acinar cells
34
where are the myenteric plexus and the meissener plexus found in layers of GI tract and hoe does this effect its function?
myenteric plexus: inbetween longitudinal and circular layer of muscle and is responsible for gut motility messiner plexus: found in submusocusal layer and is reponsible for absorption and secretion
35
what are the pacemaker cells of the GI tract?
- ICCs (interstitial cells of Cajal)
36
how does fluid move between compartments?
- Hydrostatic Pressure - Oncotic pressure - Net fluid movement
37
how odes hydrostatic pressure and oncotic pressure differ?
- they are two competing forces - hydrotatic pressure pushes water out - oncotic pressure pulls water in
38
how does oncotic pressure act on capillaries?
- Water moves by osmosis from an area of low oncotic pressure to high oncotic pressure - Interstitial fluid contains less protein than blood – lower oncotic pressure - Water PULLED back into capillaries
39
How does hydrostatic pressure work on capillaries?
- Water moves from an area of high hydrostatic pressure to low hydrostatic pressure - High blood hydrostatic pressure in capillaries - Low interstitial hydrostatic pressure - Water PUSHED from capillaries to tissues
40
how can net pressure be calculated?
(HP in caplillary - HP in surround tissue) - ( OP from plasma protein - OP from protein in ISF)
41
what are 3 assumptions for net pressure to be correct?
1) proteins dont cross the capillary wall 2) Hydrostatic pressure is constant 3) water flows freely across the capillary wall
42
What is the difference between gram positive and gram negative bacteria?
- gram positive cell walls have a thick peptidoglycan layer and a cell membrane - gram negative have 3 layers: inner and outter membranes and a thinner petidoglycan layer
43
how can bacteria be identified? (7)
- gram reaction - cell shape - endospore - fastidiousness - key enzymes - serological reactions - DNA sequences
44
what 3 bacteria are found in the normal flora of the small intestine?
- enterobacteriaceae - enterococci (e.coli) - candida
45
what 4 bacteria are found in the normal flora of the lower bowel (larger intestine) ?
- bacteriodes - bifidobacteria - clostridium - peptostepdococci
46
what are the main differences between prokaryotic and eukaryotic cells?
- prokaryotes are smaller - prokaryotes have no nucleus - prokaryotes are unicellular and eukaryotes are multicellular - prokaryotes dont have : ER, golgi apparatus, vacuole - in prokaryotes chlorophyll is scattered in the cytoplasm