study guide small intestine Flashcards

1
Q

dietary carbs are composed of ?

A

polysaccharides and disaccharides

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2
Q

give an example of a polysaccharide?

A

starches

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3
Q

give an example of a disaccharide?

A

sucrose and lactose

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4
Q

enterocytes can only absorb what?

A

monosaccharides

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5
Q

a monosaccharide is also termed a?

A

simple sugar

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6
Q

give examples of simple sugars?

A

glucose
galactose
fructose

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7
Q

in the small intestine, on the surface of the brush border, digestion of starches begins in where? with what?

A

in the oral cavity

with salivary amylase

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8
Q

in the small intestine, on the surface of the brush border, digestion of starches ends where? with what?

A

duodenum

pancreatic amylase

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9
Q

describe how amylase creates disaccharides, trisaccharides, and oligosaccharides?

A

amylase cleaves internal bonds of polysaccharides forming these components

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10
Q

amylase cleaves internal bonds of polysaccharides forming fragments known as what?

A

disaccharides
trisaccharides
oligosaccharides

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11
Q

what enzyme digest disaccharides and oligosaccharides into monosaccharides? where does this occur?

A

hydrolase

brush border

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12
Q

are monosaccharides water soluble or not?

A

they are water soluble

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13
Q

what does it mean that monosaccharides are water soluble?

A

requires them to have assistance to cross the plasma membrane of the enterocytes by active transport proteins.

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14
Q

lipids are almost entirely _____ in water, meaning they will do what in water?

A

insoluble

aggregate together

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15
Q

what is the first step for lipid digestion?

A

emulsification

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16
Q

what is emulsification?

A

a mechanical process producing a suspension of fine lipid droplets

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17
Q

what helps the small intestine with emulsification of the lipids?

A

bile salts

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18
Q

bile salts are released by?

A

the liver

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19
Q

following emulsification, lipids are then chemically digested by what? where?

A

lipase

brush border of the small intestine

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20
Q

name two other lipases that aid in lipid digestion?

A

phospholipase and cholesterol esterase

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21
Q

phospholipase hydrolyzes what?

A

phospholipids

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22
Q

cholesterol esterase breaks down what?

A

esters in cholesterol

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23
Q

proteins in the small intestine must be digested into what? for what?

A

tripeptides
dipeptides
and individual amino acids
for transport into enterocytes

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24
Q

the digestion of proteins begins in the __________. Where what happens?

A

stomach

where the acidic environment can hydrolyze peptide bonds

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25
chief cells release what?
pepsinogen
26
pepsinogen is activated how? into what?
activated by a low pH | pepsin
27
why is pepsinogen released in an inactive form?
to protect organs
28
once pepsin is activated it can do what?
digest the target
29
premature activation of pepsin can cause what?
damage of our intestinal lining and stomach lining
30
what does pepsin hydrolyze in proteins?
the peptide bond following aromatic amino acids
31
name three aromatic amino acids
phenylanine tryptophane tyrosine
32
more complex digestion of proteins requires an additional _________ released by the _______.
protease | pancreas
33
pancreatic proteases are released as inactive precursors known as __________ which are converted tot he active form ___________, which in return activates all other pancreatic proteases.
trypsinogen | trypsin
34
final digestion of the resulting oligopeptides occurs at the brush border by _________ .
proteases
35
protease digestion of oligopeptides, produces?
tripeptides dipeptides and individual amino acids
36
the dipeptides, tripeptides, and individual amino acids are transported back into the cell by secondary transporters with what?
sodium or coupled with proton symporters
37
dipeptides and tripeptides are digested by what into individual amino acids?
systolic peptidases
38
where is the major site for water and electrolyte absorption?
small intestine
39
water absorption is ______ and occurs via paracellular route known as _____
passive | aquaporins
40
water can move in both directions across the mucosa depending on?
osmotic gradient
41
duodenum and jejunum tight junctions are leaky but become progressively tighter in the _____ or _____.
ileum or colon
42
depending on the intestinal contents, osmolarity of the duodenal contents may be?
hypertonic | hypotonic
43
by the time the contents enter the jejunum, the content's osmolarity is similar to ?
plasma
44
sodium is absorbed mainly how in the small intestine?
transcellular traveling through the cell passing through apical and basolateral membranes
45
sodium potassium ATPase has a basolateral membrane , and maintains a ________ intracellular concentration of sodium. why?
low | allowing for luminal sodium to enter the enterocyte
46
sodium transport is coupled with?
glucose and amino acids
47
a diet high in _______ could inadvertently drive sodium reabsorption?
glucose | thing of patients with HTN dash diet, limit sugar
48
some sodium and chloride ions are absorbed through the __________ route
paracellular
49
quadions are reabsorbed through the ________ ______.
antiporter exchanger
50
following quadions being reabsorbed into the antiporter exchanger, then ______ ions are secreted into the lumen.
bicarbonate
51
bicarbonate acts to protect epithelial cells in most proximal sections of the ?
duodenum
52
the movement of electrolytes and nutrients from the intestinal lumen back into the blood creates what? which helps with what?
osmotic gradiant that drives water absorption | helps contents to pass more freely
53
fluid and electrolytes secretions act to protect the mucosal layer by?
flushing bacterial products and toxins away from epithelial cells
54
although the net movement of water and electrolytes in the small intestin is primarily absorptive, electrolyte secretion can occur. give an example
some potassium is secreted through potassium channels into the intestinal lumen
55
chloride ions are secreted into the intestinal lumen via?
chloride channels located in the apical membrane
56
the movement of negatively charged ions provides an electrical gradiant in which, ___ ions are also secreted through a paracellular route
sodium
57
numerous ________ and paracine signaling molecules stimulate fluid and electrolyte secretion in both healthy individuals as well as those suffering from a disease
neural
58
intestinal smooth muscle in the muscularis layer, mix chyme with what?
pancreatic bile and intestinal secretions
59
intestinal smooth muscle in the muscularis layer propel food through the small intestine in two different ways, name them?
segmentation contractions | peristaltic waves
60
segmentation contractions describe them?
nonadjacent segments of the intestine rhytmically contract and relax moving food in both directions, mixing intestinal contents with cell secretions.
61
segmentation ______ transit, increasing ____ time.
slow transit, increasing contact time between the chyme and epithelial cells allowing for absorption to occur.
62
peristaltic waves describe?
adjacent segments of intestinal alternatively contract and relax, propelling the food forward along the track
63
peristalsis occurs _______ in the digestive process. why
late | after most nutrients have been absorbed.
64
name for functions of the large intestine/
complete digestion absorb most of the remaining water and electrolytes secrete mucus store the unabsorbed material until it can be eliminated from the body
65
describe how the wall of the large intestine differs from the small intestine?
few folds no villi virtually no cells that secrete digestive enzymes large number of goblet cells which secrete mucus
66
little digestion occurs in the large intestine, but name one that does.
small amounts of digestion by the intestinal microbial flora.
67
water absorption in the large intestine is coupled to?
electrolytes, particularly sodium and chloride movement