Purpose of the gut Flashcards

1
Q

What is the function of the GI system?

A
Food ingestion 
Food digestion 
Food absorption 
Egesting left over contents 
Waste product excretion e.g. bilirubin
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2
Q

Outline the basic structure of the GI tract and some features that segment it (do not list organs)

A

A tube from mouth to anus lined with epithelium making the lumen external to the body.
Several accessory organs excrete into the GI tract.
Sphincters divide the tract up into functional segments

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3
Q

List the sphincters in the GI system.

A
Upper oesophageal 
Lower Oesophageal 
Pyloric 
Ileum-caecal 
Anal sphincters
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4
Q

What problem occurs if the lower oesophageal sphincter is not effective?

A

Reflux

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5
Q

What makes the gut complex?

A

It needs to be permeable (it has a thin epithelium) to help absorption but resistant to passage of toxins or pathogens into the body.
The contents need hydrating to aid diffusion of food into the body but then needs drying out to stop dehydration and diarrhoea.

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6
Q

Which nervous system controls the gut?

A

Enteric nervous system

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7
Q

List the accessory organs

A

Salivary glands
Liver
Gall bladder
Pancreas

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8
Q

What structures does food pass through in the Gi tract (In order of passage)

A
Mouth (+Tongue )
Pharynx
Oesophagus
Stomach
Duodenum (SI)
Jejunum (SI)
Ileum (SI)
Cecum (LI)
Ascending Colon (LI)
Transverse Colon (LI)
Descending Colon (LI)
Sigmoid Colon (LI)
Rectum 
Anus
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9
Q

Which intestine is longer?

A

Small (majority of absorption is done here so we need a large surface area and good contact time)

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10
Q

What is the longest segment of the small intestine and indicate its length?

A

350cm- Ileum

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11
Q

Which part of the small intestine is 250cm long?

A

Jejunum

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12
Q

Which part of the small intestine is the shortest and connects to the stomach?

A

Duodenum

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13
Q

Which part of the colon is longest?

A

Transverse (40cm)

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14
Q

The gut converts food into …… , ……… , and …….

A

Monosaccharides
Small peptides or amino acids
Fatty acids and glycerol

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15
Q

What must the gut keep out or expel?

A

Toxins must be kept in the lumen.
Expels waste products- bilirubin -excess cholesterol
The stuff that is of no nutritional value

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16
Q

How does the GI tract broadly achieve its function?

A
port of entry for food
Mechanical disruption 
Chemical digestion 
Temporary storage 
Kills pathogens 
peristalsis 
absorbs nutrients 
exit point for waste elimination
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17
Q

What does the mouth do?

A

Mechanically disturbs food with the teeth to break it down physically
Lubricates and starts chemical disgestion of bollus with saliva/ enzymes
Infection control

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18
Q

After the food leaves the stomach it is called …..

A

Chyme

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19
Q

Food is liquefied by vigorous contraction of which GI organ?

A

Stomach

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20
Q

What two areas are seen in the stomach?

A

Upper area which dictates basal tone and distends as it fills.
Lower area which is more muscle and grinds food by contracting (additional muscularis externa layer here - the inner oblique one seen here)

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21
Q

How does the stomach help food storage?

A

We eat faster than we can break down food so the stomach distends by receptive relaxation stretching the usually folded rugae. This controls the rate of flow of chyme into the duodenum.

22
Q

Where else are GI contents temporarily stored in the GI tract other than the stomach?

A

colon- only evacuated a few times a day.

23
Q

Saliva contains what enzyme types?

A

Amylase

Lipase

24
Q

What is the function of amylase?

A

Break down starch

25
What is secreted into the stomach?
acid | pesin
26
Bile and exocrine pancreatic secretions are found in which small intestinal segments?
duodenum and jenunum
27
List the pathogenic defences of the GI system?
Saliva HCl Liver Kupfer cells Peyers Patches
28
What is a Peyers patch? Where is it found and what is its role?
Lymphoid follicle Submucousa/ mucous of the small intestine Mainly the terminal ileum
29
How do we move food through the tract?
Peristalsis Segementation Haustral shuttling Mass movements (e.g. the colon releasing content a few times a day)
30
What muscle types are seen in the bowel wall?
Mainly smooth but some skeletal is present.
31
How does the gut increase its surface area for absorption?
Plica circulares Villi Microvilli
32
What must the gut absorb?
Digested food Fluid (keep it balanced) Secretions
33
Is the rectum normally a storage site?
No- the rectum is usually empty. | The colon stores waste and moves into the rectum by mass movement
34
What is the gastrocolic reflex?
The changes in gut motility that result from stomach distension
35
How many anal sphincters do we have?
2 | 1 internal + 1 external
36
Which part of the alimentary track rapidly transports bolus from the mouth to the stomach rapidly?
oesophagus
37
Which body cavity is the oesophagus in?
Throacic cage
38
What stops air entering the oesophagus?
Upper oesophageal sphincter
39
How does the stomach make chyme?
physical break down of food chemical break down digestion storage
40
HCl is found in the ... to help with ..... .....
stomach | infection control
41
Where do you find intrinsic factor and why do we need it?
stomach | helps vit B12 absorption
42
Hypertonic chyme enters the... from the stomach
Duodenum
43
Which part of the GI tract neutralise chyme with HCO3, continues digestion with pancreatic secretions, allows bile to enter and makes the chyme osmotically stable?
Duodenum
44
Where does digestion end?
Jejunum and ileum
45
Nutrients are absorbed mainly in the... Water and electrolytes are mainly absorbed in the.... along with B12 and the recirculation of bile.
Jejunum Ileum
46
Tight junctions stop ....... water movement in the ..... intestine
paracellular | large
47
The rectum and anus are only used for?
defecation
48
The final water reabsorption and electrolyte absorption is done where?
large intestine
49
Are the peritoneal cavity and the abdominal cavity the same?
No. | The peritoneal cavity sits with in the abdominal cavity and envelopes the GI tract.
50
What is the peritoneal cavity and what is its normal contents?
Space between parietal and visceral peritoneum which is normally only lubricated with a few ml of fluid and acts only as a potential space.
51
What is a mesentery?
Double fold of peritoneum, allows pathway for blood supply, lymphatics and fat.
52
If an organ is only in contact with the peritoneum anteriorly the organ itself is considered to be?
retroperitoneal