Oral cavity and oesophagus Flashcards

1
Q

what are Accessory digestive organs?

A
  • Salivary glands
    Biliary system –
  • Liver
  • Gallbladder
  • Exocrine pancreas
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2
Q

Exocrine organs lie outside the

A

digrestive tract

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3
Q

Exocrine organs lie outside the digestive tract and empty their

A

secretions through the ducts into the digestive tract lumen

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4
Q

primary function of digestion ?

A

makes nutrients absirbable

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5
Q

function of digestion mechanically?

A

Large foodstuffs broken down into smaller pieces to increase surface area for enzymes

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6
Q

function of digestion biochemically?

A

Broken down into small, simple compounds and molecules that can be absorbed from the digestive tract

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7
Q

energy source of digestion?

A
  • ATP
  • predominantly glucose
  • Alternative = amino acids/fatty acids
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8
Q

building supplies of digestion?

A

Renewal and synthesis of body tissues
- Fatty acids
- Amino acids

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9
Q

Four Basic Digestive Processes

A

Motility
Secretion
Digestion
Absorption

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10
Q

what is motility ?

A

Muscular contractions that mix and move forward the contents of the digestive tract

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11
Q

what are the voluntary contractions ?

A

Mastication (chewing)
Deglutition (swallowing)

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12
Q

6

A
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13
Q

what is secretion?

A

A number of digestive juices are secreted into the digestive tract lumen by exocrine glands

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14
Q

function of secretory cells?

A

Extract large volumes of water and raw materials from the blood plasma to produce their particular secretion

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15
Q

secretions are reabsorbed back into the…

A

blood after digestion.

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16
Q

function of endocrine cells in the digestive tract?

A

Endocrine cells within the digestive tract secrete gastrointestinal hormones into the blood that control digestive motility and exocrine gland secretion.

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17
Q

what kinds of things are secreted in the digestive tract?

A

Water
Electrolytes: : Na+, K+, Ca2+, Mg2+, HCO3 −, etc…
Specific organic constituents
- Enzymes, bile salts, or mucus

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18
Q

Large molecules cannot be absorbed across …

A

… plasma membrane of the cells lining the digestive tract

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19
Q

define digestion

A

biochemical breakdown of structurally complex foodstuffs into smaller, absorbable units.

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20
Q

Humans consume three energy-rich foodstuffs:

A

carbohydrates
protein
fats

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21
Q

Digestion is accomplished by

A

hydrolysis by enzymes within the Gastro-Intestinal (GI) tract

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22
Q

what breaks down starch and glycogen

A

salivary amylase

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23
Q

whart breaks down Short chain polysaccharides and disaccharides (maltose, lactose, sucrose) ?

A

pancreatic amylase

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24
Q

what breaks down Short chain polysaccharides and disaccharides (maltose, lactose, sucrose, α-Limit Dextrins) ?

A

Maltase, lactase, sucrase, α-limit dextrinase

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25
Q

what absorbs monosaccharised (glucose, fructose, galactose)?

A

Intestinal capillaries and hepatic portal system to liver

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26
Q

polysaccharides are a …

A

… glucose polymer

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27
Q

polysachharides linked by …

A

… O-glycosidic bonds

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28
Q
A
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29
Q

12

A
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30
Q

whats hydrolysis

A

break down by water

water is added. a covalent bond between monomers is broken

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31
Q

Complex macromolecular foodstuffs are broken down by

A

enzymatic digestion

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32
Q

Hydrolysis adds

A

water across the covalent bonds holding the units together, freeing them for absorption.

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33
Q

Digestive enzymes are specific in

A

the bonds that they hydrolyse.

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34
Q

As food passes through the digestive tract, it is subjected to

A

various enzymes, which break down the food molecules into smaller absorbable units in a progressive step wise fashion.

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35
Q

In the small intestine, digestion is

A

completed and most absorption occurs.

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36
Q

describe absorption in the SI

A

The small products of digestion together with water, vitamins, and electrolytes are transferred from the digestive tract lumen into the blood or lymph.

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37
Q

is the digesticve tract internal or external?

A

This is external to the body

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38
Q

The pH of the stomach can reach as low as

A

pH 2 due to HCl secretion

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39
Q

The pH of the stomach can reach as low as pH 2 due to HCl secretion, yet in the body fluids the range of pH is

A

6.8 to 8

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40
Q

The digestive enzymes that hydrolyse food molecules could also

A

destroy the body’s own tissues that produce them.

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41
Q

In the lower part of the intestine live…

A

billions of bacteria that, if entering the body, may be extremely harmful.

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42
Q

Foodstuffs are complex foreign particles that

A

would be attacked by the immune system if in contact with the body.

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43
Q

what is the digestive tract?

A

Essentially a tube, 15 m in length in its normal contractile state (30 m ‘relaxed’)

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44
Q

the digestive tract is continuousfrom

A

mouth to anus.

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45
Q

Continuous from mouth to anus, therefore the contents of the digestive tract are

A

technically outside of the body.

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46
Q

Only after a substance has been absorbed across the digestive tract wall is it

A

considered part of the bodfy

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47
Q

Layers of the digestive tract wall

A

A cross section of the digestive tract reveals four major tissue layers:

  • Mucosa
  • Submucosa
  • Muscularis externa
  • Serosa
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48
Q

The digestive tract wall has the same

A

general structure throughout most of its length with some local variations characteristic of each region.

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49
Q

layers of the mucosa?

A

mucus membrane
lamina propria
muscularis mucosa

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50
Q

whats mucus membrane?

A

Inner epithelial layer, protective surface, modified in particular areas for secretion and absorption.

52
Q

whats submucosa?

A

Thick layer of connective tissue that provides elasticity and distensibility

53
Q

what does the submucosa contain?

A

Contains the larger blood and lymph vessels which send branches inwards to the mucosal layer and outwards to the surrounding thick muscle layer.

54
Q

what is the submucosa plexus?

A

Nerve network that has both sensory and motor neurons that regulate the activity of glands in the mucosa and smooth muscle of the muscularis mucosa.

55
Q

how many neurons in the neteric nervous system?

A

500 million neurons

58
Q

what does the oral (buccal) cavity consist of?

A

Lips
Palate
Uvula
Tongue

59
Q

lips function

A

Help procure and contain food in the mouth.
Sound articulation

60
Q

the lips have an abundance of…

A

… sensory receptors (pressure, touch, stretch, temperature

61
Q

the palate forms…

A

arched roof of mouth

62
Q

the palate separastes?

A

mouth from nasal passages

63
Q

the palate allows…

A

… simultaneous breathing and chewing/sucking

64
Q

whats the uvula?

A

Dangling projection that seals nasal passages during swallowing.

65
Q

whats the tongue?

A
  • floor of oral cavity
  • Voluntary muscle that guides food during chewing and swallowing.
67
Q

what do malocclusion affect?

A

Affects ability to bite, tear, and chew food

68
Q

the different malocclusions?

A

excessive spacing
crowding
open bite
overbite
crossbite (front teeth)
cross bite (back teeth)
underbite
overjet
abnormal

69
Q

Odontostomatologic anomaly is commonly seen in

A

congenital genetic disorders such as :

gardners syndrome
cleidocranial dysostosis
cleft lip and palate

70
Q

functions of chewing?

A

To grind and break up food into smaller pieces
to mix food with saliva
to stimulate the taste buds

71
Q

chewing facilitates

A

swallowing

72
Q

chewing creates a greater

A

surface area on which salivary enzymes can act.

73
Q

To stimulate the taste buds – this reflex increases:

A

salivary,
gastric,
pancreatic,
bile secretion to prepare for the arrival of food.

74
Q

act of chewing is voluntary, but most chewing during a meal is…

A

…a rhythmic reflex

75
Q

Act of chewing is voluntary, but most chewing during a meal is rhythmic reflex

Activation of the …

A

… skeletal muscle of the jaws, cheeks, lips, and tongue in response to the pressure of food against oral tissues.

76
Q

There are 4 types of lingual papillae on the tongue
3 involved in taste

A

1) foliate papilla
2) filiform papilla
3) Circumvallate (vallate) papilla
4) Fungiform papilla

77
Q

what do Foliate papilla have?

A

Vertical folds on edges

78
Q

Filiform papilla details?

A

Most numerous/small brush like
Not involved in tasting

79
Q

how many Circumvallate (vallate) papilla ?

A

Usually, 8-12 in total

80
Q

Circumvallate (vallate) papilla size?

A

Large (1-2 mm) – covered in stratified squamous epithelium

81
Q

Fungiform papilla is scattered trhough the …

A

filiform papillae

82
Q

Chemorecepters for taste are packaged int…

A

… taste buds

83
Q

how many taste buds

84
Q

the majority of taste buds are on the…

A

… upper surface of the tongue

85
Q

tasdte buds contain

A

around 50 long taste receptors

86
Q

taste buds are arranged like

A

orange segments

87
Q

taste buds each have a small

88
Q

the small opening in taste buds is the

A

taste pore

89
Q

taste buds are also known as

A

modified epithelial scells

90
Q

tatse buds are activared by

A

a taste-provoking chemical (tastant)

91
Q

Afferent (sensory) fibres take i

A

impulses via brain stem to thalamus to cortical gustatory area

92
Q

what are taste receptor cells?

A

Modified epithelial cells with many surface folds (microvilli) that protrude slightly from the taste pore.

93
Q

Plasma membrane contains

A

receptors that bind selectively with chemicals in a solution – a tastant.

94
Q

a tastant causes…

A

… ion-channels to open (depolarisation) leading to entry of Ca2+ and neurotransmitter release.

95
Q

Signals are conveyed to

A

cortical gustatory area and the brain stem projects fibres to the hypothalamus and limbic system to add affective dimensions (pleasant/unpleasant taste).

96
Q

The thousands of different taste sensations we can discriminate all come from…

A

… varying combinations of the five primary tastes:

97
Q

Receptor cells use different

A

pathways to bring about a receptor potential in response to each taste category.

98
Q

40 - 45

99
Q

saliva produced by…

A

three major pairs of salivary glands

100
Q

Exocrine glands - Acini secretory cells that

A

lie outside of the oral cavity

101
Q

Discharge via

A

short ducts into the mouth

102
Q

what is saliva made up of?

A

Made up of 99.5% H2O and 0.5% electrolytes (salts) and protein.

103
Q

Salivary NaCl concentration is…

A

…one seventh that of blood plasma – important in perceiving salty tastes.

104
Q

Similarly, glucose is absent from

105
Q

Similarly, glucose is absent from saliva – important in

A

perceiving sweet tastes

106
Q

important salivary proteins are…

A
  • amylase
  • mucus
  • lysozyme
  • salivary kallikrein (no important role in food digestiion)
107
Q

saliva begins…

A

digestion of carbohydrates and lipids

108
Q

salica begins digestion of carbohydrates and lipids using whch enzymes?

A

salivary amylase
lingual lipase

109
Q

salivary amylase function

A

breaks polysaccharides into maltose (disaccharide)

110
Q

lingual lipase function

A

breaks down triglycerides into diglycerides and free fatty acids

111
Q

salica facillitates…

A

…. swallowing

112
Q

saliva facilitates swallowing by

A

moistening food, lubrication provided by mucus secretion

113
Q

saliva also has

A

antibacterial activity

114
Q

enzymes involved in saliva antibacterial activity

A

lysozyme
globulin A
lactoferrin
rinsing

115
Q

lysozyme function

A

enzyme that destroys bacteria by breaking down their cell walls.

116
Q

globulin A function

A

a glycoprotein that binds IgA antibodies.

117
Q

lactoferrin function

A

a protein that tightly binds the iron needed by bacteria to multiply.

118
Q

rinsing away function

A

Rinsing away material that may serve as a food source for bacteria

119
Q

saliva is a solvent for…

A

Rinsing away material that may serve as a food source for bacteria

  • Only molecules in solution can react with taste bud receptors
120
Q

saliva aids

A

speech by facilitating movement of lips and tongue

121
Q

what type of hygeine does saliva help with?

A

oral hygeine

122
Q

describe oral hygeine by saliva?

A
  • Help keeps the mouth and teeth clean.
  • Consistent flow helps flush away food residues, foreign particles and old epithelial cells shed from oral mucosa.
123
Q

saliva is rich in…

A

bicarbonate buffers (HCO3-):

124
Q

saliva is rich