PSC1002/L27 Gut Function Flashcards

1
Q

Give the 3 key stages of regulation of gut function.

A

Cephalic
Gastric
Intestinal

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2
Q

In what 3 ways is gut function regulated?

A

Neural
Hormonal
Local

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3
Q

Give 3 functions of saliva.

A

Lubrication
Digestion
Solution
Moistness
Protection

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4
Q

Give the 3 pairs of salivary glands.

A

Parotid glands
Sublingual
Submandibular

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5
Q

Describe the structure of the salivary glands. (3)

A

Acinus - primary secretion, isotonic, plasma-like
Duct - secondary modification, low H2O permeability
Final saliva - hypotonic, HCO3–rich

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6
Q

Describe the salivary fluid secretion pathway. (2)

A

Primary fluid from acinar epithelial cells
Secondary ductal modification - Na+ and Cl- reabsorption, K+ and HCO3- secretion, duct impermeable to water

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7
Q

Describe cephalic control of salivation. (2)

A

Sight, smell, taste and thought of food
Vagal efferent nerves

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8
Q

Describe parasympathetic control of salivation. (2)

A

Cranial nerves VII and IX
Large volume

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9
Q

Describe sympathetic control of salivation.

A

Smaller volume, but rich in enzymes, mucus

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10
Q

Give 3 gastric functions.

A

Reservoir
Mixing food with gastric secretions
Digestion
Controlled gastric emptying
Protection

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11
Q

Describe the composition of gastric juice. (2)

A

HCl pH<1
Pepsinogen -> pepsin
Mucus & bicarbonate
Intrinsic factor

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12
Q

What is produced by parietal cells?

A

HCl

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13
Q

What is the role of carbonic anhydrase?

A

Catalyses generation of H+

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14
Q

What structures are within the apical membrane? (3)

A

H+,K+ ATPase
K+ channels
Cl- channels

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15
Q

What structures are within the basal membrane? (2)

A

Na+/K+-ATPase
Cl-/HCO3- exchange

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16
Q

What is the function of chief cells?

A

Convert pepsinogen to pepsin

17
Q

At which pH is pepsin activated and denatured?

A

Activated at >3.5
Denatured at >7.2

18
Q

How does the stomach stop autodigestion?

A

Gastric mucosal protection

19
Q

How is parietal cell function controlled? (4)

A

Histamine from ECL cells
Somatostatin from D cells
Gastrin from G cells
Acetylcholine from vagus and enteric neurons

20
Q

Is the intestinal phase excitatory or inhibitory?

A

Inhibitory