Nutrient Absorption and Pathophysiology of Malabsorption Flashcards

1
Q

Where is the site of digestion and absorption in the GIT?

A

Small intestine

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2
Q

What kind of transporters in the small intestine are used for amino acids?

A

Sodium-linked transporters

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3
Q

Protein absorption throughout the small intestine:

A

About 50% of protein is absorbed by the end of the duodenum. About 70% by the end of the jejunum and a bit more (90%) by the distal ileum.

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4
Q

Which transporter on the apical surface of enterocytes is responsible for transporting fructose

A

GLUT5 (slow facilitated diffusion)

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5
Q

Which transportes allows sugar monomers (glucose, fructose and galactose) to move out of the enterocyte into the bloodstream?

A

GLUT2

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6
Q

Lactose is a disaccharide composed of:

A

glucose and galactose

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7
Q

Sucrose is composed of:

A

glucose and fructose

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8
Q

Maltose is composed of:

A

2 glucose molecules

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9
Q

By the time you get to the mid ileum, the percentage of glucose absorbed is:

A

100%

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10
Q

Some lipids are only digested through enzymic hydrolysis only and do not require emulsification.
These types of lipids are:

A

Esterified medium chain fatty acids (found in dairy products)

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11
Q

The two functions of micelles:

A
  1. Solubilize cholesterol in the bile

2. Carry the products of fat digestion in the small intestine to the brush border for absorption

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12
Q

What percentage of fat in the diet is lost in the stool:

A

2 - 4%

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13
Q

If both bile salts and pancreatic lipases are both absent i.e. if biliary and pancreatic functions are absent, there will still be SOME fat absorption due to the presence of:

A

lingual lipase

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14
Q

Measuring the amount of fat in the feces is a good indication of:

A

Malabsorption (Patient has to be put on a strict diet prior to measurement as the fat content of their diet should be known)

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15
Q

What types of anemia can occur in sprue (celiac disease):

A

microcytic and macrocytic anemia due to malabsorption of iron and vit B12 (respectively)

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16
Q

Which hormone is responsible for the ileal brake?

A

PYY