Test 1 - Further Q's Flashcards

1
Q
  • What is the function of the sphincter of oddi?
A

o Stimulated by CCK to release bile into S.I/Stomach

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2
Q
  • What is the function of the pyloric sphincter?
A

o it acts as a valve to controls the flow of partially digested food from the stomach to the small intestine.

GASTRIC EMPYTYING

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3
Q

Why is the movement through the large intestine slow?

A

Allows for increased absorption of water.

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4
Q
  • A key action of the large intestinal bacteria is to?
A

o Ferment digestible carbohydrates

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5
Q
  • Within the stomach, the primary form of motility is?
A

o Peristalsis

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6
Q
  • A key action of the large intestine is to?
A

o Synthesize small chain fatty acids from fermentation of dietary fibre.

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7
Q
  • Alcohol metabolism via the ADH pathway is a net user of?
A

o NAD (Nicotinamide adenine dinucleotide)

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8
Q
  • What are the hematological functions of the liver?
A

o Removal of toxins from blood.
o Removal of circulating antibodies
o Synthesis of plasma proteins

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9
Q
  • Worldwide, what is the major cause of liver cirrhosis?
A

Viral Infection

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10
Q
  • Carbohydrate metabolism by the liver predominantly involves?
A

o Synthesis of glucose via the process of gluconeogenesis when fasting.

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11
Q
  • What are the gluconeogenic precursors by the liver?
A

o Lactate, amino acid carbon skeletons and glycerol

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12
Q
  • The smallest fundamental unit in the small intestine which absorption occurs are?
A

o Microvilli.

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13
Q
  • Within the small intestine the predominant form of motility is?
A
o	Segmentation (slow) 
Allows for greater absorption `by increasing suface area
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14
Q
  • What are the 3 segments of the SI?
A

o Duodenum -> Ileum -> Jejunum -> (LI)

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15
Q
  • What vitamins are produced in the LI?
A

o Biotin, K & B5

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16
Q
  • The liver in its detoxification role can:
A

o Undertake the urea cycle (removal of NH4)

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17
Q
  • With lipid metabolism the liver can?
A

o Synthesis VLDL in the liver.

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18
Q
  • The chemical stimulus believed to be responsible for gall blader contraction and secretion of bile in the duodenum is?
A

o Cholecystokinin (CCK) -> Which stimulates sphincter of ODDI.

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19
Q
  • What nutrients does the liver receive via the hepatic portal vein?
A

o Carbohydrates, Proteins & Alcohol.

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20
Q
  • Major functions of the liver include?
A

o Storage of proteolytic enzymes for digestion in their active forms.

21
Q

o Bile travels via which duct?

A

 Hepatic duct to cystic duct. = Common bile duct. From Gall Bladder to SI

22
Q
  • What is Acid Reflux?
A

o strong atmospheric pressure gradient difference between the end of the esophagus and start of stomach increases risk of gastric reflux

23
Q
  • Where does CHO digestion occur?
A
o	Mouth (Mechanical)– Slivary Amylase 
o	Stomach (Chemical) – Eliminate bacteria and reduce chyme size
o	S.I  -Pancreatic amylase breaks into dextrin and maltose.
	Further broken down into lactase, sucrase, and maltase.
•	Absorbed as glucose.
24
Q
  • What is the primary organs of the GI tract?
A

o GI tract are the mouth, esophagus, stomach, small intestine, large intestine, and anus

25
Q
  • What are the accessory (digestive organs
A

o The liver, pancreas, and gallbladder are the solid organs of the digestive system.

26
Q
  • What is the caecum?
A

o Pouch at the junction of SI & LI
 Absorption of salts and water at end of digestion & absorption.
o Stores materials and begins compaction of fecaes.

27
Q
  • What is bolus?
A

o Bolus is contents that ingested by the mouth into stomach.
o Chyme is stomach to intestines.

28
Q
  • Where does protein digestion begin?
A

o Mechanical breakdown – Mouth -> into smaller pieces.
o Chemical digestion -> HCL & Pepsin
o of protein begins in the stomach and ends in the small intestine.

29
Q
  • What pancreatic enzymes are involved in digestion of protein?
A

o The two major pancreatic enzymes that digest proteins are chymotrypsin and trypsin.

30
Q
  • Where is protein absorbed?
A

protein is absorbed as tripeptides, dipeptides or amino acids and this process occurs in the duodenum or proximal jejunum of the small intestine.

31
Q
  • What are the types of movements through the GI tract?
A

o Esophagus – Peristalsis
o Stomach - Segmentation
o SI - Segmentation
o LI – Peristalsis

32
Q
  • What is the ileocecal valve
A

o one way valve located between the ileum and the cecum, which is the first portion of the colon..

o This valve helps control the passage of contents into the colon and increases the contact time of nutrients and electrolytes (essential minerals) with the small intestine. It also prevents back-flow (reflux) from the colon up into the ileum, and minimizes the movement of bacteria from the large intestine up into the small bowel

33
Q
  • Partial cells of the stomach secrete?
A

o Gastric Acid (HCL)

34
Q
  • Chief Cells of the stomach secrete?
A

o The chief cells secrete pepsinogen

35
Q
  • Muscular contraction of the esophagus is
A

Peristalsis

36
Q
  • Gastric emptying refers to
A

o Emptying of contents from stomach to SI.

37
Q
  • The parietal cells of the stomach secrete?
A

o intrinsic factor to assist with vitamin B12 absorption

38
Q
  • The smallest unit of the GI tract absorptive epithelial cell surface?
A

o Microvilli.

39
Q
  • What is Achlorhydria?
A

o Person cannot produce enough HCL

 Results In impaired digestion and damage of GI tract

40
Q
  • What is the major blood vessels carrying blood in the liver?
A

o hepatic artery which delivers oxygenated blood from the general circulation.
o hepatic portal vein delivering deoxygenated blood from the small intestine containing nutrients.

41
Q
  • How much of cardiac output does the liver receive?
42
Q
  • Typsin is active in the?
A

o Duodenum

43
Q
  • What is the basic unit of the liver cells?
A

o The liver acinus, which contains clusters of hepatocytes, is the basic functional unit of the liver

44
Q
  • Storage and concentration of bile between meals is one of the key functions of the?
A

o Gallbladder. Sphincter of oddi is relaxed by CCK.

45
Q
  • The main active component of bile is?
A

o Bilirubin, the major pigment of bile, is an end product of heme catabolism that travels to the liver bound to albumin

46
Q
  • All alcohol consumed is metabolized by the?
A

o Mostly liver & stomach

47
Q
  • Metabolism of alcohol by the ADH pathway can result in a depletion of?
A

o Cellular NAD+ levels.

48
Q
  • When a drug or toxin is poorly metabolized by the liver, it will typically have a?
A

o Greater a biological effect on tissues of the systemic circulation