physiology Flashcards

1
Q

two main functions of the oesophagus

A

propulsion and peristalsis

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2
Q

what is propulsion ?

A

food going down oesophagus

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3
Q

what is peristalsis and what does it allow ?

A

involuntary contractions of smooth musles which allows propulsion

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4
Q

what are the two types of smooth muscle within musculariis extra ?

A

circular
longitudinal

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5
Q

what is the function of circular smooth muscle in the oesophagus ?

A

decreses segment diameter
( contracts )

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6
Q

what is the function of longitudinal smooth muscle in the oesophagus ?

A

decreases segment length
( shortens )

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7
Q

what is the function of the stomach (3) ?

A

churning
digestion
storage

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8
Q

when does the stomach function occur and what does it do ?

A

beginning of chemical digestion
turns food into chyme to be delivered into small intestine

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9
Q

what are the main cells in the stomach (6) ?

A

mucous cells
parietal cells
G-cells
D-cells
chief cells
enteroendocine cells

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10
Q

how do mucous cells function in the stomach and where are they secreted from ?

A

glands in neck basal regions produce mucous that protects the stomach lining and lubricates food

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11
Q

what is the function of parietal cells in stomach ?

A

produce HCL and intrinsic factor

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12
Q

what is the function of G-cells in stomach?

A

release gastrin (secretes HCL also promotes mucous)

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13
Q

what is the function of D-cells in stomach ?

A

release somatostatin

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14
Q

what is the function of chief cells in stomach ?

A

produce pepsinogen (protein digestion )

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15
Q

what is the function of enteroendocrine cells in the stomach ?

A

secrete histamine, somatostatin, serotonin and gherlin

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16
Q

what are the two main ways that allow function of the pancreas ?

A

endocrine and exocrine

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17
Q

what’s the prominent landmark of the endocrine system in the pancreas ?

A

islets of langerhans

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18
Q

what is the endocrine system in the pancreas responsible for ?

A

glucose homeostasis

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19
Q

what cells are responsible for glucose homeostasis ?

A

alpha cells = glucagon
beta cells = insulin
delta = somastatin which inhibits insulin and releases glucagon

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20
Q

what are the two main cells in the exocrine glands of the pancreas ?

A

acinar cells
ductal cells

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21
Q

how do acinar cells function and what are they stimulated by ?

A

secrete amylase and lipase
stimulated by secretin, CCK and vagus nerve

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22
Q

what is the ducatal cells responsible for ?

A

aqueous secretion (water, bicarb and sodium)

23
Q

what does bicarb do ?

A

bicarb neutralises chyme that enters duodenum so there is an optimal PH for the activation of digestive enzymes

24
Q

what allows for the function of gall bladder ?

A

cholecystokinin (CCK)

25
what does cholecystokinin do ?
allows for contraction smooth muscle layer in gallbladder leads to the release of bile into small intestine
26
can the gall bladder contract in response to vagal stimulation ?
yes
27
what is the flow of bile ?
cystic duct common bile duct ampulla of vater duodenum
28
what is bile ?
bile is fluid that breaks down fatty acids
29
what are the function of the liver (5) ?
bile storage - glycogen detoxification nutrient synthesis - albumin and clotting factors phagocytosis - Kupffer cells
30
what is the main bile pigment ?
bilirubin
31
what gives feces dark colour ?
stercobilin
32
what is the mnemonic for bile synthesis and function ?
My Baby Learns Intresting Exciting Riddles macrophages blood vessel liver intestine excreted recycled
33
how does bilirubin get converted to unconjugated and where does it occur ?
in blood vessel with addition of albumin
34
where are bile salts conserved ?
via enterohepatic circulation
35
where does unconjugated bilirubin turn into conjugated bilirubin?
in the liver
36
what is the difference between unconjugated bilirubin and conjugated bilirubin ?
unconjugated - insoluble conjugated - soluble, transfered to pee or faces
37
where does bilirubin come from ?
waste product of hamoglobin from broken down erythrocytes
38
what happens to conjugated bilirubin and what is it converted to ?
gets converted to urobiligen in intestines can get excreted or recycled
39
what is the main function of the small intestine ?
absorption - food breakdown products are absorbed
40
what does small intestine have that maximise absorption surface area ?
circular folds villi microvilli
41
what enzymes are present on microvilli to complete food digestion ?
brush border enzymes
42
is the duodenum part of the small intestine ?
yes
43
what is the anatomy of the duodenum and what does it receive ?
curves around head of pancreas and receives bile from liver and pancreas
44
what and where does the ileum join the small intestine to ?
large intestine at ileocaecal valve
45
what does the ileum contain ?
Peyers patches
46
what is the function of Peyers patches in small intestine and how does this happen ?
limits infections has lymphatic tissue secretions composed of daily B cells which release IgA
47
what organs contributes more to small intestine digestion ?
pancreas and liver
48
what are the main functions of the large intestine (4) ?
( ducks are pretty dumb ) digestion absorption propulsion defaection
49
how does digestion occur in the large intestine ?
by enteric bacteria
50
what does liver absorb and what does this form ?
mainly water, electrolytes , vitamins to concentrate forms faeces
51
what occurs in the propulsion stage in the large intestine ?
propels faeces towards rectum
52
what happens in the defaecation stage of the large intestine?
stores, eliminates faeces from from body
53
how does gastrocolic reflex occur ?
stomach distension = colonic motility which increases mass movements
54
;how does colonic motility occur (in detail sorry) ?
afferent limb (from stomach ) -> parasympathetic nervous system mediates -> efferent limb -> CCK, gastrin production -> increases colonic motility