Physiology Exam Review #5 Flashcards
What kind of process is digestion?
It is a multistep process and is both chemical and physical in nature
What is happening during the hydrolysis reaction within digestion?
Digestion is breaking down polymers into monomer building blocks
What are polymers?
Complex structures (whole protein - carbohydrates, fats, and proteins)
What are monomers?
The broken down simpler forms of polymers
What helps in taking monomers into the bloodstream to be used by the cells?
Absorption - which takes place in the lining of the gut
This tract is open at both ends and is continuous with the environment - considered “outside” of the body
The digestive tract
This type of transport allows for specialization of function along the digestive tract
One-way transport
Term that means movement of food through the tract
Motility
Term that means taking food into the mouth
Ingestion
Term that means chewing and mixing food with saliva
Mastication
Term that means swallowing
Deglutition
Term that means wave-like, one-way movement through tract
Peristalsis
Term that means churning and mixing while moving forward
Segmentation
This digestive tract function involves digestive enzymes, hydrochloric acid, mucus, water, and bicarbonate
Exocrine secretion
This digestive tract function involves hormones that regulate digestion
Endocrine secretion
This term means breaking down food into smaller units, both physically and chemically
Digestion
This term means passing broken-down food into blood or lymph
Absorption
These cells within the digestive tract prevent swallowed pathogens from entering the body
Simple columnar epithelium with tight junctions
This tract is about 30 feet long, from mouth to anus
Gastrointestinal tract (GI tract, alimentary canal)
What are the accessory organs of the digestive tract?
Teeth, tongue, salivary glands, liver, gallbladder, and pancreas
This layer of the alimentary tract in the inner secretory and absorptive layer; which may be folded to increase surface area - also the location of goblet cells
Mucosa
This layer of the alimentary tract is very vascular in order to pick up nutrients, and also has some glands and nerve plexuses
Submucosa
This layer of the alimentary tract is made of smooth muscle and is responsible for peristalsis and segmentation; contains the myenteric plexus for control by the ANS
Muscularis
This layer of the alimentary tract is the outer binding and protective layer where visceral peritoneum covers the organs and the parietal peritoneum lines the abdominal cavity
Serosa
What are the two extrinsic regulations of the GI tract?
Parasympathetic division and sympathetic division
This nerve that is part of the parasympathetic division stimulates the esophagus, stomach, small intestine, pancreas, gallbladder, and proximal part of the large intestine
The vagus nerve
These nerves stimulate the distal large intestine
Spinal nerves in sacral region
This division of the extrinsic regulation reduces peristalsis and secretion, and stimulates contraction of sphincters
Sympathetic division
What takes place in intrinsic regulation?
- Intrinsic sensory neurons in gut wall help in intrinsic regulation via separate enteric nervous system
- Paracrine receptors
This contains mucus - an antimicrobial agent - and salivary amylase - which is a carbohydrate digesting enzyme - to start digestion of starch
Saliva
This involves coordinated contraction of 25 pairs of muscles in the mouth, pharynx, larynx, and esophagus
Deglutition
What are the three parts of deglutition?
- Oral: voluntary; muscles of mouth and tongue mix food with saliva to form a bolus
- Pharyngeal: involuntary; initiated by receptors in the posterior oral cavity and oropharynx
- Esophageal: automatic; controlled by the swallowing center of the brain stem; bolus is moved down esophagus to stomach via peristalsis
This lifts to cover the nasopharynx and the epiglottis covers the vocal cords during the pharyngeal part of deglutition
Uvula
A condition that occurs when part of the normal stratified squamous epithelium of the esophagus is replaced by columnar epithelium
Barrett’s Esophagus
What are the functions of the stomach?
- Stores food
- Churns food to mix with gastric secretions
- Begins protein digestion
- Kills bacteria in the food
- Movies food into small intestine in the form of a pasty material called chyme
What is the upper region of the stomach called?
Fundus
What is the lower region of the stomach called?
Body
What is the distal region of the stomach called?
Pyloric region; ends at the pyloric sphincter
What are the folds in the lining of the stomach called?
Rugae
These secretory cells secrete mucus to help protect stomach lining from acid
Mucus neck cells
These secretory cells secrete HCl acid and intrinsic factor - which helps the small intestine absorb vitamin B12
Parietal cells
Theses cells secrete pepsinogen, which is the inactive form of the protein digesting enzymes
Chief (zygomatic) cells
These cells secrete the hormone gastrin
G cells
These cells secrete the hormone somatostatin
D cells
These cells secrete the hormone ghrelin that signals the brain to regulate hunger and body weight
P/D1 cells
What is the only stomach function essential for life?
The production of intrinsic factor that is needed for intestinal absorption of vitamin B12, which is necessary for RBC production
Highly acidic mixture of exocrine gland secretions and a large amount of water
Gastric juice
What are at the base of folds that lead to gastric glands - which contain several types of secretory cells
Gastric pits
What are the functions of HCl in the stomach when a drop in pH hits 2?
- Ingested proteins are denatured (allows enzymes access)
- Pepsinogen is converted to active pepsin (digests proteins)
- Serves as the optimal pH for pepsin activity
What is the function of pepsin in the stomach?
Catalyzes the hydrolysis of peptide bonds in the ingested proteins
Acid and pepsin could damage the stomach lining - what are the defenses to help prevent this?
- Adherent layer of mucus with alkaline bicarbonate
- Tight junctions between epithelial cells
- Rapid epithelial mitosis that replaces epithelium every three days
What begins digestion in the stomach?
Proteins
What begins digestion in the mouth but since salivary amylase is not active at pH 2, this activity stops in the stomach
Starches
What are the only common substances to be absorbed in the stomach?
Alcohol and NSAIDs (aspirin)
What organ starts at the pyloric sphincter and ends at the ileocecal valve and is about 12 ft long?
The small intestine
What are the three sections of the small intestine?
Duodenum, Jejunum, and Ileum
Which organ completes the digestion of carbohydrates, proteins, and fats?
The small intestine
Which part of the small intestine absorbs sugars, lipids, amino acids, calcium, and iron?
Duodenum and Jejunum
Which part of the small intestine absorbs bile salts, vitamin B12, water and electrolytes
Ileum
What is required for the activation of the protein-digesting enzyme trypsin, which comes from the pancreas and activates other pancreatic enzymes
Enterokinase (enteropeptidase)
Which enzymes are needed for disaccharidase?
Sucrase, Maltase, and Lactase
Which enzymes are needed for peptidase?
Aminopeptidase and enterokinase
Which enzymes are needed for phosphatase?
Ca2+, Mg2+ - ATPase and Alkaline phosphatase