The digestive system Flashcards

1
Q

What are the purposes of the gut?

A

To break food down physically and chemically
Absorb water
Excrete cholesterol
Synthesise some vitamins

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2
Q

What are the functions of the mouth?

A

Physically/mechanical breakdown of food
Initial digestive enzymes released
infection control

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3
Q

What is the function of the oesophagus?

A

Rapid transport of bolus to stomach through thorax

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4
Q

What are the 3 main salivary glands?

A

Parotid
Submandibular
Sub-lingual

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5
Q

What is the role of saliva?

A

Release digestive enzymes
Oral hygiene
Lubricate food bolus

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6
Q

What are the functions of the stomach?

A

Storage facility
To produce chyme - physical and chemical breakdown, digestion started
Produces acid - unravels proteins, activates enzymes, disinfects stomach contents

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7
Q

What are the properties of chyme?

A

Partially digested
Acidic
Very concentrated

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8
Q

What is the duodenum and what are its functions?

A

Start of the small intestine
Pancreas and liver join the gut here
Acidic chyme is neutralised here
Water enters duodenum through gut walls - dilutes chyme
Digestive enzymes enter here

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9
Q

What are the functions of the liver?

A

Produces bile
Synthesises proteins like albumin/clotting factors
Detoxifies blood
Energy storage (glycogen)
Mainly composed of cells called hepatocytes

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10
Q

What is the gall bladder and what are its functions?

A

Connected to liver above and duodenum below
Stores and concentrates bile (which comes from liver)
Connects to GI tract through a system of tubes (biliary)
Contracts when fat is detected in the duodenum - releases bile into the duodenum

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11
Q

What does bile contain?

A

Bile salts - help emulsify fats into smaller droplets
Cholesterol - helps excrete cholesterol from the body
Bilirubin - when red blood cells die this is released and needs to be excreted from the body otherwise can lead to jaundice (bilirubin gives stool its colour)

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12
Q

What is the endocrine function of the pancreas?

A

Produces insulin/glucagon
(Very small part of pancreas)

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13
Q

What is the exocrine function of the pancreas?

A

Produces enzymes for digestion
(Most of pancreas)

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14
Q

What are the functions of the jejunum and the ileum?

A

Final digestion
Nutrient absorption (mainly jejunum)
Water/electrolyte absorption (mainly ileum)

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15
Q

What are the functions of the large intestine?

A

Final water absorption
Temporary storage

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16
Q

What is the function of the rectum and anus?

A

Defaecation

17
Q

What is the gut microbiota/microbiome?

A

Refers to the bacteria/fungi/viruses that live in our gut (produce some vitamins, prevent other bacteria from causing disease)

18
Q

How are carbohydrates digested to sugars?

A

Long chains of sugars (starch) or shorter chains of sugars
Broken down by enzymes into single sugar units (monosaccharides) to be absorbed

19
Q

How are proteins digested into amino acids?

A

Long chains of amino acids (polypeptides)
Broken down by protease enzymes like pepsin

20
Q

What is the problem with digesting ingested proteins?

A

The gut is also made of proteins so need to make sure we don’t digest the gut
Proteases are stored as inactive form and activated only when in a safe environment

21
Q

How are lipids digested into monoglycerides?

A

Bile - breaks fat down into smaller droplets (emulsify)
Lipases - break the fat molecules into smaller units

22
Q

How does the small intestine increase its surface area for absorption?

A

Folding the gut (permanent folds)
Having finger like projections (villi)
Having further tiny projections into gut lumen (micro villi)

23
Q

How does the gut absorb substances?

A

Through cells called enterocytes from the lumen (apical side) to the blood/lymph (basolateral side)

24
Q

Where to sugars and amino acids get absorbed into?

A

Into the blood and taken to the liver directly

25
Where do fats get absorbed into?
Into lymph vessels and then into venous blood
26
What is egestion?
Getting rid of unabsorbed materials - pass through the colon (absorbs most of the remaining fluid producing semi-solid faeces) and temporarily stored before moving into the rectum to defaecate
27
What are the 2 muscle layers in the gut tube?
Inner circular Outer longitudinal
28
What is the enteric nervous system?
A complex of nerve nets made up of neurons that reside entirely within the gut, adjacent to muscular layers in plexuses, potentially completely autonomous
29
What are the different types of contractions of the muscle layers in the gut?
Peristalsis - moves forward Segmentation - back and forth mixes Mass movements - rapid movement forward
30
What is the autonomic control of the gut?
Parasympathetic (rest and digest) - switches on Sympathetic (fight and flight) - switches off Influences enteric nervous system
31
What are examples of hormones in the gut?
Gastric - increases gastric acid secretion Cholecystokinin -contraction of gall bladder/release of enzymes from pancreas Secretin - increased release of bicarbonate to neutralise acid
32
What causes vomiting?
Numerous causes - irritation of the GI tract, infections, pregnancy, labyrinth causes, increased intracranial pressure, drugs/medications The force that expels vomit comes mainly from the diaphragm and abdominal wall muscles contracting
33
Which parts of the brain control vomiting?
Chemoreceptor trigger zone (CTZ) - detects circulating toxins Vomiting centre - received input from CTZ and from the Gi tract and coordinates the vomiting reflex
34
What is coeliac disease?
Autoimmune condition triggers by a fraction of wheat (gliadin) Reduced surface area for absorption by destroying villi Leads to symptoms - diarrhoea, nausea, bloating, tiredness
35
What is lactose intolerance?
Deficiency of enzyme that breaks down the disaccharide lactose
36
What is osmotic diarrhoea?
Unabsorbed nutrients draw water into gut
37
What is secretory diarrhoea?
Bacterial infection of the gut promotes secretion into the gut