Phys 4 Flashcards

1
Q

What is the major mxn for uptake of protein and fats into the enterocytes?

A

pinocytosis

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2
Q

What are the layers to go from the lumen to the blood?

A

unstirred layer of fluid –> glycocalyx –> apical membrane

–> cytoplasm of cell –> basolateral membrane –> basement membrane –> wall of capillary or lymph vessel

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3
Q

Maltose

A

maltose–> glucose and glucose

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4
Q

Trehalose

A

trehalase –> glucose and glucose

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5
Q

Lactose

A

lactase–> glucose and galactose

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6
Q

Sucrose

A

sucrase–> glucose and fructose

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7
Q

Starch

A

alpha amylase –> alpha dextrin -alpha dextrinase-> glucose
alpha amylase –> maltose -maltase-> glucose
alpha amylase –> maltotriose -sucrase-> glucose

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8
Q

CHO Testing

A

a. D-xylose levels above 4 g: you’re good
b. D-xylose levels below 4 g: you have an absorption problem

*urine collected continuously over 5 hours

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9
Q

What are the endopeptidases we learned?

A

trypsin, pepsin, chymotrypsin, elastase –> make small polypeptides

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10
Q

What are the exopeptidase we learned?

A

carboxypeptidases A and B –> cleaves AA into carboxyl ends

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11
Q

What ion is associated with AA take up? di/tri peptides?

A
  1. Na+
  2. H+
  • each type of AA has it’s own transporter
  • *Na/K establishes Na+ gradient
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12
Q

What can CF lead to protein absorption problems?

A

CFTR is blocked, so Cl- isn’t gonna want to go into the cell, which means the transporter with HCO3- isn’t doing too hot… can lead to pancreatitis, and an inflamed pancreas isn’t gonna wanna make all them enzymes we need

*steatorrhea think CF

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13
Q

Triglyceride

A

—-lingual, gastric, pancreatic lipase—> monoglyceride + FA + FA

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14
Q

Cholesterol ester

A

—cholesterol ester hydrolase–> cholesterol + FA

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15
Q

Phospholipid

A

–phospholipase A2—> lysolecithin + FA

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16
Q

What are the five steps in FA absorption?

A
  1. Solubilization by micelles
  2. Diffusion of micellar content across apical membrane
  3. Re-esterification
  4. Chylomicron formation
  5. Exocytosis of chylomicron into lymphatics
17
Q

How are fat soluble vitamins absorbed? water soluble?

A
  1. same way as lipids

2. Na+ co transporter (except B12)

18
Q

What are some side effects of B12 deficiency?

A

demyelination of the large nerve fibers of the SC; diminished RBC synthesis

19
Q

What can cause the body to not produce enough IF?

A
  1. AI diseases (immune system attacks IF or parietal cells)
  2. Atrophic gastritis (destruction of parietal cells)
  3. Gastrectomy: loss of parietal cells
  4. Gastric bypass: exclusion of stomach, duodenum, and proximal jejunum alters absorption
20
Q

What does the liver secrete into bile to help with iron absorption?

A

apotransferrin –> binds with free iron to make transferrin —> which binds to Rs on epi cells and absorbed via pinocytosis

21
Q

What is needed for uptake of nonheme iron?

A

calcium

22
Q

What is absorbed in the proximal SI? middle? distal? all three?

A
  1. sugars, peptides/aas, Ca, iron, folate, fat
  2. sugars, peptides/aas, Ca, (especially Na+
  3. bile acids, B12
  4. Water, electrolytes