Term 4 Digestive System Flashcards

1
Q

What are the two groups of organs in the digestive system?

  1. _______\_ – alimentary canal, ~5-7 m long, a tube extending from the mouth to the anus through the ventral body cavity
  2. ________\_ – assist the digestion process e.g. mechanically and enzymatically breaking down food
A

What are the two groups of organs in the digestive system?

  1. Gastrointestinal (GI) tract – alimentary canal, ~5-7 m long, a tube extending from the mouth to the anus through the ventral body cavity
  2. Accessory digestive organs – assist the digestion process e.g. mechanically and enzymatically breaking down food
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2
Q

Gastrointestial (GI) tract Includes:

  • ____\_
  • ____\_
  • ____\_
  • ____\_
  • ____\_
  • ____\_
A

Gastrointestial (GI) tract Includes:

  • Mouth
  • Pharynx
  • Esophagus
  • Stomach
  • Small intestine
  • Large intestine
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3
Q

Accessory organs include:

  1. _____\_
  2. _____\_
  3. _____\_
  4. _____\_
  5. _____\_
  6. _____\_
A

Accessory organs include:

  1. Teeth
  2. Tongue
  3. Salivary glands
  4. Liver
  5. Gall bladder
  6. Pancreas
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4
Q

The GI tract is composed of four basic layers:

  1. _________
  2. _________
  3. ________
  4. ________
A

The GI tract is composed of four basic layers:

  1. Mucosa (deep)
  2. Submucosa
  3. Muscularis
  4. Serosa or adventitia (superficial)
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5
Q

Inner lining of GI tract is a mucous membrane containing:

  • ______\_– specialized in absorbing digestive nutrients and contains enteroendocrine cells
  • ______\_ – areolar connective, blood and lymphatic vessels and MALT
  • ______\_– smooth muscle fibres whose movement increase surface and ensures all absorptive cells are exposed to GI content
A

Inner lining of GI tract is a mucous membrane containing:

  • Epithelial cells – specialized in absorbing digestive nutrients and contains enteroendocrine cells
  • Lamina propria – areolar connective, blood and lymphatic vessels and MALT
  • Muscularis mucosa – smooth muscle fibers whose movement increase surface and ensures all absorptive cells are exposed to GI content
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6
Q
  • The _______ is:
  • Thin meshwork of collagenous fibres, nerves and blood vessels
  • Areolar connective tissue binds the mucosa to the middle layer (muscularis)
  • Highly vascular
  • Contains the submucosal plexus (plexus of Meissner)
A

Submucosa

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7
Q

Muscularis:

  • Consist of smooth muscle
    • Inner sheet of _____\_
    • Outer sheet of _____\_
  • Contains the ______\_ (plexus of Auerbach)
    • Controls _________(movement of chyme)
A

Muscularis:

  • Consist of smooth muscle
    • Inner sheet of circular fibers
    • Outer sheet of longitudinal fibers
  • Contains the myenteric plexes (plexus of Auerbach)
    • Controls GI tract motility (movement of chyme)
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8
Q

Serosa (Adventitia):

  • ______\_ layer of the GI tract
  • A ______\_ composed of areolar connective tissue and simple squamous epithelium (mesothelium)
    • The epithelium is also called the ______\_ as it forms the peritoneum that surrounds organs that are suspended in the peritoneal cavity
  • Secretes a ______\_
    • Derived from ______\_ of surrounding tissue
A

Serosa (Adventitia):

  • Superficial layer of the GI tract
  • A serous membrane composed of areolar connective tissue and simple squamous epithelium (mesothelium)
    • The epithelium is also called the visceral peritoneum as it forms the peritoneum that surrounds organs that are suspended in the peritoneal cavity
  • Secretes a serous fluid
    • Derived from interstitial fluid of surrounding tissue
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9
Q

-_______\_is a single layer of areolar connective tissue that surround the esophagus and lower aspects of the rectum (these lack serosa)

A

Adentitia is a single layer of areolar connective tissue that surround the esophagus and lower aspects of the rectum (these lack serosa)

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10
Q

_______\_ is the largest serous membrane of the body and is divided into 2 portions:

  1. _______\_ – lines the wall of the peritoneal cavity
  2. _______\_ (serosa)
  • _______\_ is the space between the parietal and visceral peritonea
    • Contains __________fluid
A

Peritoneum is the largest serous membrane of the body and is divided into 2 portions:

  1. Parietal peritoneum – lines the wall of the peritoneal cavity
  2. Visceral peritoneum (serosa)
  • Peritoneal cavity is the space between the parietal and visceral peritonea
    • Contains serous fluid
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11
Q

The Peritoneum contains 7 major fat-filled folds:

Which two can be seen in the attached image:

  1. ______\_ – largest, drapes over the transverse colon and the coils of the small intestine like a “fatty apron”
  2. ______\_– attaches liver to the anterior abdominal wall and diaphragm
A

The Peritoneum contains 7 major fat-filled folds:

Which two can be seen in the attached image:

  1. Greater omentum – largest, drapes over the transverse colon and the coils of the small intestine like a “fatty apron”
  2. Falciform ligament – attaches liver to the anterior abdominal wall and diaphragm
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12
Q

The Peritoneum contains 7 major fat-filled folds:

Which one can be seen in the attached image:

  1. _____\_ – suspends the stomach and duodenum from the liver
A
  1. Lesser omentum – suspends the stomach and duodenum from the liver
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13
Q

The peritoneum contains 7 major fat-filled folds

Which one can be seen in the attached image?

  1. ______ – fan-shaped; binds the jejunum and ileum to the posterior abdominal wall
A

Mesentery – fan-shaped; binds the jejunum and ileum to the posterior abdominal wall

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14
Q

What are the 3 pairs of major salivary glands?

  1. ______\_
    * Parotid (Stensen’s) duct opens into the ______\_opposite the ______\_ tooth
  2. ______\_ – located beneath the tongue
    * Submandibular (Wharton’s) ducts opens into the ______\_on either side of the ______\_
  3. ______\_ - located in the floor of the mouth, superior to the submandibular glands
    * Lesser sublingual (Rivinus’) ducts open into the ______\_
A

What are the 3 pairs of major salivary glands?

  1. Parotid glands
    * Parotid (Stensen’s) duct opens into the vestibule opposite the second maxillary molar tooth
  2. Submandibular glands – located beneath the tongue
    * Submandibular (Wharton’s) ducts opens into the oral cavity on either side of the lingual frenulum
  3. Sublingual glands - located in the floor of the mouth, superior to the submandibular glands
    * Lesser sublingual (Rivinus’) ducts open into the floor of the mouth
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15
Q

The tongue is an accessory digestive organ composed of _____\_muscle covered with _____\_

A

The tongue is an accessory digestive organ composed of skeletal muscle covered with mucous membrane

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16
Q

______\_ is a fold of mucous membrane that connects the tongue to the floor of the mouth

A

Lingual frenulum – fold of mucous membrane that connects the tongue to the floor of the mouth

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17
Q

The tongue is divided into lateral halves by a ____ _____ ______

  • inferiorly, this attaches to the _______
A

The tongue is divided into lateral halves by a median fibrous septum

  • inferiorly, this attaches to the hyoid bone
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18
Q

Tongue muscles are of two types:

  1. _______\_ - originate outside the tongue and insert into it, moving the entire tongue in various directions
  2. _______\_ - originate and insert within the tongue, altering the tongue’s shape
    • Named by the direction of the muscle fibres – anterior longitudinal, posterior longitudinal, transverse and lateral
A

Tongue muscles are of two types:

  1. Extrinsic tongue muscles - originate outside the tongue and insert into it, moving the entire tongue in various directions
  2. Intrinsic tongue muscles - originate and insert within the tongue, altering the tongue’s shape
    • Named by the direction of the muscle fibres – anterior longitudinal, posterior longitudinal, transverse and lateral
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19
Q

Extrinsic muscles that move the tongue

  • _______\_ – depress and protracts (stick out) tongue
  • _______\_ – elevates and retracts tongue
  • _______\_ – depresses tongue and draws down its sides
  • _______\_ – elevates posterior portion of the tongue
A

Extrinsic muscles that move the tongue

  • Genioglossus – depress and protracts (stick out) tongue
  • Styloglossus – elevates and retracts tongue
  • Hyoglossus – depresses tongue and draws down its sides
  • Palatoglossus – elevates posterior portion of the tongue
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20
Q

The teeth:

  • sit in sockets of ______\_ of the ______ (bone) and ______ (bone)
  • Alveolar processes are covered by _____\_(gums) that extend slightly to form the _____\_
  • Sockets are lined by _____\_ ligament that anchors teeth and absorbs shock when chewing
A

The teeth:

  • sit in sockets of alveolar processes of the mandible and maxillae
  • Alveolar processes are covered by gingivae (gums) that extend slightly to form the gingival sulcus
  • Sockets are lined by periodontal ligament that anchors teeth and absorbs shock when chewing
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21
Q

Teeth consist of three major regions:

    • visible portion above the gum line
    • 1 to 3 embedded in the socket
    • junction between crown and root, near gum line
A

Teeth consist of three major regions:

  1. Crown- visible portion above the gum line
  2. Roots - 1 to 3 embedded in the socket
  3. Neck - junction between crown and root, near gum line
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22
Q

Most of the tooth is ______.

Label ^ along with the following structures that make up the tooth:

  • Pulp cavity
  • Root Canals and their openings:
  • Apical foramen
  • Enamel
  • Cementum
A
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23
Q

The_______ (milk teeth) begin to erupt at ~6 months old

  • One pair appears every month until 20 teeth present (~2 yrs old)
A

The Deciduous teeth (milk teeth) begin to erupt at ~6 months old

  • One pair appears every month until 20 teeth present (~2 yrs old)
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24
Q

There are 32 _______\_ that appear between age 6 and adulthood (~21 yrs old)

A

There are 32 permanent teeth​ that appear between age 6 and adulthood (~21 yrs old)

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25
Q

The _____ (throat) extends from the internal nares to the esophagus posteriorly and the larynx anteriorly.

It is composed of ______ muscle and lined by ________

A

The pharynx (throat) extends from the internal nares to the esophagus posteriorly and the larynx anteriorly.

It is composed of skeletal muscle and lined by mucous

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26
Q

Which of the following structures only function in respiration?

  • Nasopharynx - only respiration
  • Oropharynx - digestive and respiratory functions
  • Laryngopharynx
A
  • Nasopharynx - only respiration
  • Oropharynx - digestive and respiratory functions
  • Laryngopharynx - digestive and respiration
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27
Q

What is deglutition?

A

Term for swallowing:

mechanism that moves food (bolus) from the mouth, through the pharynx and to the stomach

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28
Q

The _____ is a muscular, collapsible tube from the laryngopharynx to the stomach

A

Esophagus

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29
Q

The esophagus lies in the _______ (anterior to the _____ and posterior to the ______) and passes through the ________ in the diaphragm

A

The esophagus lies in the mediastinum (anterior to the spine and posterior to the trachea) and passes through the esophageal hiatus in the diaphragm

30
Q

The wall of the esophagus is composed of the following 4 layers:

  1. ______ - contains glands near stomach
  2. ______ - contains glands and elastic fibres
  3. ______ - skeletal and smooth muscle
  4. ______ - areolar connective tissue but not covered by epithelium
A

The wall of the esophagus is composed of the following 4 layers:

  1. Mucosa - contains glands near stomach
  2. Submucosa - contains glands and elastic fibres
  3. Muscularis - skeletal and smooth muscle
  4. Adventitia - areolar connective tissue but not covered by epithelium
31
Q

The esophagus has two functions:

  1. secrete ____
  2. transport _____-
A

The esophagus has two functions:

  1. secrete mucus
  2. transport food into the stomach
32
Q

The ________ sphincter (pharyngeosophageal sphincter) controls entry of food into the esophagus

A

The Upper esophageal sphincter (pharyngeosophageal sphincter) controls entry of food into the esophagus

33
Q

Elevation of the _____ during swallowing causes the UES (________) to relax and bolus enters the esophagus

A

Elevation of the larynx during swallowing causes the UES (upper esophageal spincter) to relax and bolus enters the esophagus

34
Q

The _______ sphincter (aka gastroesophageal or cardiac sphincter) controls entry of food into the stomach

A

The lower esophageal sphincter (aka gastroesophageal or cardiac sphincter) controls entry of food into the stomach

35
Q

Esophageal glands secrete ____ to reduce friction

A

mucus

36
Q

The stomach lies inferior to the ______in the left ______ region of the abdominal cavity

A

The stomach lies inferior to the diaphragm in the left hypochondriac region of the abdominal cavity

37
Q

The stomach connects the _____ to the ______

A

The stomach connects the esophagus to the duodenum

38
Q

What are the four main areas of the stomach?

  1. ______
  2. ______ - storage of food
  3. ______
  4. ______ - contains 3 regions:
    1. ______ - connects to the stomach body
    2. ______ - leads to pylorus
    3. ______ - opening of the pyloric sphincter
A

What are the four main areas of the stomach?

  1. Cardia
  2. Fundus - storage of food
  3. Body
  4. Pylorus - contains 3 regions:
    1. Pyloric antrum - connects to the stomach body
    2. Pyloric canal - leads to pylorus
    3. Pylorus - opening of the pyloric sphincter
39
Q

Large mucosa folds of the stomach are called _____

A

rugae

40
Q

The concave medial border of the of the stomach is called the _______

A

lesser curvature

41
Q

The convex lateral border of the stomach is called the ________

A

Greater curvature

42
Q

What are the four layers of the stomach?

  1. ________ - contains mucus-secreting surface mucous cells (where rugae is found)
  2. ________ - Composed of areolar CT
  3. ________ - Has 3 layers of smooth muscle:
    1. _______
    2. _______
    3. _______
  4. ______ - composed of simple squamous epithelium
A

What are the four layers of the stomach?

  1. Mucosa - contains mucus-secreting surface mucous cells (where rugae is found)
  2. Submucosa - Composed of areolar CT
  3. Muscularis - Has 3 layers of smooth muscle:
    1. Outer Longitudinal layer
    2. Middle Circular layer
    3. Inner Oblique layer
  4. Serosa - composed of simple squamous epithelium
43
Q

Name the cells of the gastric glands based on the description:

  • _________ - secrete mucus
  • _________ - secrete enzymes
    • pepsinogen
    • gastric lipase
  • ________ - Secrete HCl (activates pepsinogen into pepsin and creates acidic pH (2.3) for pepsin)
  • __________ - secrete hormone gastrin into the blood; gastrin stimulates the _____ cells
A

Name the cells of the gastric glands based on the description:

  • mucous neck cells - secrete mucus
  • Chief (zymogenic) cells - secrete enzymes
    • pepsinogen
    • gastric lipase
  • Parietal cells - Secrete HCl (activates pepsinogen into pepsin and creates acidic pH (2.3) for pepsin)
  • G Cells - secrete hormone gastrin into the blood; gastrin stimulates the parietal cells
44
Q

What organ is located posterior to the greater curvature of the stomach?

A

Pancreas

45
Q

The pancreas has a major ______ function - secretes pancreatic juice

A

The pancreas has a major exocrine function - secretes pancreatic juice

46
Q

Pancreatic juice contains:

  • _______ - neutralizes gastric pH in chyme, inactivates pepsin, provides optimal pH for digestive enzymes in the small intestine
  • Digestive enzymes:
    • _______ - digest carbs
    • ______ - trypsin, chymotrypsis, carboxypeptidase, elastase
    • ______ - digests triglycerides (lipids)
    • ______ - digests RNA
    • ______ - digests DNA
A

Pancreatic juice contains:

  • Bicarbonate - neutralizes gastric pH in chyme, inactivates pepsin, provides optimal pH for digestive enzymes in the small intestine
  • Digestive enzymes:
    • Pancreatic amylase - digest carbs
    • Proteases - trypsin, chymotrypsis, carboxypeptidase, elastase
    • Pancreatic lipase - digests triglycerides (lipids)
    • Ribonuclease - digests RNA
    • deoxyribonuclease - digests DNA
47
Q

The pancreas consists of 3 major regions:

  1. _____ - located near the curve of the duodenum, from which the _______ projects
  2. ____
  3. _____ - lateral, tapered
A

The pancreas consists of 3 major regions:

  1. Head - located near the curve of the duodenum, from which the uncinate process projects
  2. Body
  3. tail - lateral, tapered
48
Q

The pancreatic duct joins the common bile duct to form the __________

A

The pancreatic duct joins the common bile duct to form the hepatopancreatic ampulla (ampulla of vater)

49
Q

The two ducts that empty pancreatic juice into the _____ are the:

  1. ________ duct
  2. _________
A

The two ducts that empty pancreatic juice into the duodenum are the:

  1. pancreatic duct
  2. accessory duct
50
Q

Hepatic blood flow:

A
51
Q

what is the path of bile flow from the liver to the duodenum

A
52
Q

There are three ways that the liver can be organized into anatomical and functional units: label the italicized structures

  1. __________
  2. __________
  3. __________
A
  1. Hepatic Lobule
  2. Portal Lobule
  3. Hepatic acinus
53
Q

The Hepatic Lobule is a hexagonal-shaped structure consisting of ______\_organized into ______\_ along ________\_ that radiate from a central vein

A

The Hepatic Lobule is a hexagonal-shaped structure consisting of hepatocytes organized into hepatic laminae along hepatic sinusoids that radiate from a central vein

54
Q

The portal lobule organization emphasizes the _______ function of the liver - bile secretion and thus has the _____ duct at the center of the portal lobule

A

The portal lobule organization emphasizes the _______ function of the liver - bile secretion and thus has the _____ duct at the center of the portal lobule

55
Q

The hepatic acinus includes two neighbouring hepatic lobules:

Zone 1: is closest to the ________ containing blood vessels and bile duct - cells here are last to die and first to regenerate if circulation is impaired

Zone 2: cells here show intermediate structural and functional characteristics

Zone 3: is furthest away from _______ - last to show effects of bile obstruction, first to show effects of fat accumulation

A

The hepatic acinus includes two neighbouring hepatic lobules:

Zone 1: is closest to the portal triad containing blood vessels and bile duct - cells here are last to die and first to regenerate if circulation is impaired

Zone 2: cells here show intermediate structural and functional characteristics

Zone 3: is furthest away from the portal triad - last to show effects of bile obstruction, first to show effects of fat accumulation

56
Q

The small intestine extends from the _____ to the _____ and consists of three regions:

  1. _______
  2. _______
  3. _______-meets the large intestine at the ileocecal sphincter (valve)
A

The small intestine extends from the pyloric sphincter to the large intestine and consists of three regions:

  1. Duodenum
  2. Jejunum
  3. Ileum-meets the large intestine at the ileocecal sphincter (valve)
57
Q

The small intestine receives blood from the _______ artery and ________ artery and then this blood drains into the ______ vein

A

The small intestine receives blood from the superior mesenteric artery and gastroduodenal artery and then this blood drains into the superior mesenteric vein

58
Q

Remember, the GI tract has 4 major layers. In the small intestine, these layers are modified to ensure optimal digestion and absorption:

  1. Mucosa - has numerous ______ to increase surface area
  2. Submucosa - together with the mucosa forms the _______
  3. Muscularis - has _____ muscle
  4. Serosa - visceral peritoneum that surrounds ll except the majority of the ______
A

Remember, the GI tract has 4 major layers. In the small intestine, these layers are modified to ensure optimal digestion and absorption:

  1. Mucosa - has numerous villi to increase surface area
  2. Submucosa - together with the mucosa forms the circular folds
  3. Muscularis - has smooth muscle
  4. Serosa - visceral peritoneum that surrounds all except the majority of the majority of the duodenum
59
Q

The mucosa of the small intestine is composed of ______, _______ and ______

  • Specialized cells line the epithelium –
    1. _______cell,
    2. _______cell,
    3. _______ cell and
    4. _______ cell
  • _______ cells line intestinal glands (crypts of Lieberkuhn)
  • Lamina propria contains ______
A

The mucosa of the small intestine is composed of epithelium, lamina propria and muscularis mucosae

  • Specialized cells line the epithelium –
    1. Absorptive cell,
    2. Goblet cell,
    3. Enteroendocrine cell and
    4. Paneth cell
  • Secretly cells line intestinal glands (crypts of Lieberkuhn)
  • Lamina propria contains MALT
60
Q

The Submucosa of the small intestine is composed of Connective tissue containing _____ and _____ vessels and _____

  • At the duodenum, _______\_glands secrete _____\_ to neutralize gastric acid in chyme
A

The Submucosa of the small intestine is composed of Connective tissue containing blood and lymphatic vessels and nerves

  • At the duodenum, duodenal (Brunner’s) glands secrete alkaline mucus to neutralize gastric acid in chyme
61
Q

The muscularis of the small intestine is composed of an outer thinner layer of _______ muscle and an inner thicker layer of _______ muscle

A

The muscularis of the small intestine is composed of an outer thinner layer of longitudinal smooth muscle and an inner thicker layer of circular smooth muscle

62
Q

The serosa of the small intestine is composed of ________ that completely covers the small intestine with the exception of the majority of the _______

A

The serosa of the small intestine is composed of visceral peritoneum that completely covers the small intestine with the exception of the majority of the duodenum

63
Q

The large intestine extends from the ____ of the small intestine to the _____

A

The large intestine extends from the ____ of the small intestine to the _____

64
Q

The ascending and descending colon are ________

A

The ascending and descending colon ​are retroperitoneal

65
Q

Colon structures (excluding the ascending and descending colon) are attached to the posterior abdominal wall by _______ which is a double layer of ______ connecting the _______ peritoneum to the _____ peritoneum

A

Colon structures (excluding the ascending and descending colon) are attached to the posterior abdominal wall by mesocolon which is a double layer of peritoneum connecting the parietal peritoneum to the visceral peritoneum

66
Q

What are the four principal regions of the large intestine?

  1. ______
  2. ______
  3. ______
  4. ______
A
  1. Cecum
  2. Colon
  3. Rectum
  4. Anal Canal
67
Q

The ____ is the blind pouch in the lower right of the abdominal cavity;

Chyme from the ileum passes through the _______ sphincter

The appendix contains _______ and is attached to the ileum by the _______

A

The Cecum is the blind pouch in the lower right of the abdominal cavity;

Chyme from the ileum passes through the ileocecal sphincter

The appendix contains lymphatic nodules and is attached to the ileum by the mesoappendix

68
Q

The colon consists 4 segments:

  1. ______\_
  2. ______\_
  3. ______\_
  4. ______\_
  • _____\_ are condensed longitudinal muscle
    • Runs the length of the colon
    • Cause bunching of pouch-like structures (_____\_)
  • _____\_ are small fat-filled pouches of visceral peritoneum that lines the teniae coli
A

The colon consists 4 segments:

  1. Ascending colon
  2. Transverse colon
  3. Descending colon
  4. Sigmoid colon
  • Teniae coli are condensed longitudinal muscle
    • Runs the length of the colon
    • Cause bunching of pouch-like structures (Haustra)
  • Omental appendices are small fat-filled pouches of visceral peritoneum that lines the teniae coli
69
Q

The _____ of the large intestine is located anterior to the sacrum and coccyx

A

Rectum

70
Q

The ____ is the last 2-3cm of the large intestine

  • Has mucous membrane arranged in longitudinal folds (_______) that contain blood vessels
A

The anal canal is the last 2-3cm of the large intestine

  • Has mucous membrane arranged in longitudinal folds (anal columns) that contain blood vessels
71
Q

The large intestine contains the same 4 layers of the GI tract but with functional differences:

  1. Mucosa - simple columnar epithelium, lamina propria, muscularis mucosa
    • Absorptive cells ______ and goblet cells secrete _____
    • No _____ secreted
  2. Submucosa - areolar CT
    • Contains ___ and ____ vessels and nerves
  3. Muscularis - 2 layers of smooth muscle tissue
    • inner circular layer
    • outer longitudinal layer with 3 thickened bands ______
    • Topic contractions create a series of pouches in the colon (_____)
  4. Serosa - Visceral peritoneum
A

The large intestine contains the same 4 layers of the GI tract but with functional differences:

  1. Mucosa - simple columnar epithelium, lamina propria, muscularis mucosa
    • Absorptive cells reabsorb water and goblet cells secrete mucus
    • No enzymes secreted
  2. Submucosa - areolar CT
    • Contains blood and lymphatic vessels and nerves
  3. Muscularis - 2 layers of smooth muscle tissue
    • inner circular layer
    • outer longitudinal layer with 3 thickened bands teniae coli
    • Topic contractions create a series of pouches in the colon (haustra)
  4. Serosa - Visceral peritoneum
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