The Digestive System Flashcards

0
Q

What are the DS accessory Organs?

A

Gall bladder, liver, pancreas, salivary glands, teeth, tongue

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1
Q

What is the Alimentary Canal?

A

GI tract, gut

mouth -> Pharynx -> Esophogus -> Stomach -> Small Intestine -> Large Intestine

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2
Q

Five Essential Activities of Digestion?

A

Ingestion
Propulsion and Mixing - perstalisis and segmentation
Digestion - chem/phys breakdown of polymers
Absorption - movement of momoners into blood
Elimination - defecation

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3
Q

What do Mechanoreceptors do?

A

respond to stretch

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4
Q

What do chemorecptors do?

A

Respond to changes in osmolarity, pH, and chemical composition

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5
Q

What do the Receptors in the DS initiate receptors to do?

A

stimulate smooth muscle mixing/moving lumens contents

activate digestive glands

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6
Q

What is the extrinsic control of the DS?
Neural
Hormonal

A

The outside factors
Neural - long reflexes responding to stimuli in/out of GI tract involving CNS
Hormonal - endocrine glans secrete hormones that can affect DS

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7
Q

What are intrinsic controls of the DS?
Neural
Hormonal?

A

Neural - Short Relfexes from one part of DS to other, enteric nerve plexuses initiate short reflexes in response to stimuli in GI tract

Hormonal - GI tract releases enteric hormones from enteroendocrine glands in stomach and Small intestine stimulating target cells in any DS organ

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8
Q

Peritonuem?

A

Serous membranes of abdominal cavity
Visceral - covers orgs
parietal - covers wall

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9
Q

What are extensions of the peritoneal Membranes?

A

Mesenteries

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10
Q

What do mesenteries function for?

A

anchoring body orgs to walls,
storing fat,
carrying blood/ lymph vessels, and nerve fibers

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11
Q

Intraperitoneal?

A

inside cavity, most DS orgs

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12
Q

Retroperitoneal?

A

Organs that lie posterior to peritoneum, in body wall
duodenum, pancreas, colon

Ant Surface = visceral peritoneum
Post Surface = aventita

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13
Q

What are the DS blood Supply?

A

Hepatic Portal System

Splanchnic Circulation

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14
Q

Where does the Splanchnic Circulation carry blood through?

What does it provide DT with?

A

Hepatic, splenic, left gastric, mesenteric arteries

carries O2 and nutrients to DT

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15
Q

Where does the Hepatic Portal System bring blood from and to for what?

A

blood from DT –> liver for nutrient processing

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16
Q

What are the four layers of the walls of the DT?

A

Serosa
Muscularis Externa
Submucosa
Mucosa

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17
Q

What Layer is the Serosa of the DT?
What kind of tissue is it made of?
What is it joined to?
what does it produce?

A

Outer covering, visceral peritoneum
Areolar CT and Squamous Epithelium
Mesenteries (anchors orgs.)
Serous fluid:friction free surface

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18
Q

What is the Adventitia?

A

Surrounds esophogus/body wall side of retroperitoneal organs

retroperitoneal orgs have both adventitia and serosa and it anchors orgs to surrounding tissues

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19
Q

What layer is the Muscularis Externa?
What kind of muscles does it contain?
What is it responsible for?
What does it contain?

A

2, has smooth muscle
inner(circular), outer(longitudinal)
Transportation, peristalisis, mixing, segmentation
myenteric nerve plexus

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20
Q

What layer are Sphincters found in of the DT wall?

A

Muscularis Externa
keep one way flow
circular muscle

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21
Q

What in the layer 2nd from the inside of the DT wall?
What kind of CT is it?
What does it supply to the Mucosa?
What kind of nerve plexus does it have?

A

Submucosa 2 inner
Elastic
Blood, lymph vessel and nerves
Submucosa Nerve Plexus

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22
Q

What is the innermost layer of The DT wall called?
What does it carry out?
What are its three sublayers?

A
Mucosa
digestion and absorbtion
lining epithilium
lamina propria 
muscularis mucosae
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23
Q

What the the 3 Sublayers of The Mucosa and what are their functions?

A

Lining Ep: stratified squamous -> simple columnar with mucous , enzyme and hormone secreting cells
Lamina Propria - loose areolar CT with cap and lymph nodules to fight infection
muscularis mucosae - thin layer smooth muscle cells causing local movements of mucosa, pills mucosa into folds

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24
Q

What is the Enteric NS?

A

Intrisnic NS in DT which regulates by Short Reflexes

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25
Q

What are the two types of nerve plexuses in the Enteric NS? Where are they found? what do they do?

A

Submucosal Nerve Plexus: regulates gland and smooth muscle in muscoa
Myenteric: Muscularis Externa - GI tract motility

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26
Q

How is the Enteric NS linked to the CNS?

A

Long reflexes of autonomic branch, sympathetic(inhibit and parasympathetic fibers(stimulate)

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27
Q

What are the functions of the mouth?

A

ingestion, mastication, beginning of chem digestion

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28
Q

What is the mouth lined with, for protection of what?

A

mucosa is lined with stratified squamous

against abrasion by releasing defensins when damaages

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29
Q

What do the lips do?

A

assist in movement, help keep food between teeth

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30
Q

What does the hard palate do?

A

assists in forming bolus

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31
Q

Soft Palates function in mouth ingestion?

A

uvular blocks nasopharynx in swallowing

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32
Q

What is the tongues function?

A

moves and mixes food with saliva to form bolus

initiates swallowing, speech and tasting

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33
Q

What are the four tyoes if papillae on tongue?

A

Filiform Papillae: smallest, not for taste
Fungiform: Redish, all over, tastebuds
Circumvallate - v shaped row in back, tastebuds
Foliate - lateral aspects of posterior tongue, tastebuds

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34
Q

What are the salivary glands intrinsic Glands function?

A

small& scattered in mucosa, continuously provided

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35
Q
What do the extrinsic glands do in salivary glands?
What are the three names?
Where are they all found
what kind of cells do they contian
what are the contents of these cells?
A

Large, empty saliva through ducts into mouth

parotids(front of ear) - only serous cells
Submandibular/sublungual - under tongue,c ontain serous and mucous cells

serous cells: water fluid with enzymes
mucous cells - thick stick mucus for lube

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36
Q

What is the composition of saliva?

A
ph= 6.75-7
mostly h20
ions
salivary amylase
small amounts of metabolic waste
mucin
defensins
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37
Q

What are the functions of saliva?

A
Cleans mouth
dissolves waste chemicals
moistens/compacts foods to form bolus
salivary amylase begins chem digestion
Releases antibodies - IgA, lysozyme(inhibits growth) cyanide compound(poison), defensins (antibiotic and attracts WBC
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38
Q

How are Salivary glands controlled through extrinsic Glands?

A

parasympathetic fibers of ANS, reflex response

thought, smell, taste, brain, long reflex, salivary glands, increased secretion

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39
Q

How does intrinsic salivary glands function>?

A

produce small amounts all the time to keep mouth moist , inhibited during stress by sympathetic NS

40
Q

What is the largest organ in the body?

41
Q

What region is the liver located?

A

r. hypochondriac and epigastric

42
Q

How many lobes is the liver separated into?

43
Q

What ligaments support the liver?

A

Falciform/lesser omentum

44
Q

What does the falciform do?

A

suspends liver to diaphragm

45
Q

What does the lesser omentum do?

A

Suspend liver to stomach

46
Q

What is the blood supply to the liver?

A

Hepatic art/ hepatic portal vein

47
Q

What drains the blood supply of the liver?

A

hepatic vein

48
Q

What is pw of bile drainage?

A

common hepatic dict and cystic duct join to form bile duct draining into hepatopancreatic sphincter and ampulla

49
Q

What microscopic anatomy does the liver contain?

A

Lobule, sinusoid, hepatocytes, portal triads

50
Q

Where are portal triads located and what do they contain?

A

Periphery of lobules,
arteriole - o2 rich from hepatic art
venule - nutrients from hepatic portal vein
bile duct - bile from canaliculi

51
Q

What are characteristics of sinusoids?
where do they filter blood from and to?
what do they contain?

A

Leaky capillaries
Hepatic portal vein and artery into central vein
kupffer cells - remove debris etc from blood.

52
Q

Where are hepatocytes found?

A

surrounding sinusoids

53
Q

What are hepatocytes function?

A

produce bile from old rbc
process nutrients from digestive dract
store fat soluble vitamins
detoxify blood

54
Q

What are examples of hepatocytes processing DT nutrients?

A

converting excess glucose into glycogen and store
plasma proteins from amino acids
non essential amino acids
packages fatty acids

55
Q

How do hepatocytes detoxify blood?

A

nitrogenous wastes –> to more inert urea
destroys toxic substances
inactivates hormones

56
Q

What does bile contain?

A

Hco3
Bile salts/pigments
cholestrol
assists faat and cholestrol absorbtion

57
Q

What does Hco3 in the bile do?

A

neutralizes acidic chyme

58
Q

what do bile salts do?

A

emulsify fat

59
Q

What are bile pigments?

A

b/d product of Hb

60
Q

What does emulsifying fats fdo?

A

increases SA for pancreatic lipase

61
Q

What does enterohepatic circulation do?

A

recycles bile salts?

62
Q

What are the functions of the gall bladder?

A

stores and concentrates bile by absorbing h20 and ions

63
Q

What allows walls of GB to expand as fills with bile?

64
Q

What causes smooth muscles in walls of GB to contract?

65
Q

What happens to the GB when fatty chyme is present in the duodenum?

A

cck into blood -> GB contracts -> bile in cystic duct -> Common bile duct -> sphincter of oddi opents -> major duodenal papilla -> duodenum

Secretin -> liver produces bile

66
Q

what happens to GB when no chyme is present in duodenum?

A

bile stored in GB

67
Q

Is the pancreas interperitoneal/retro?

68
Q

What are the pancreas’s endocrine secretions?

A

insulin and glucagon

69
Q

What are the pancreas’s exocrine secretions essential for?

70
Q

What cells make pancreatic juice?

A

duct cells - alkaline fluid

acinar cells - enzyme production

71
Q

How does prancreatic juice get into the duodenum?

A

into main pancreatic duct -> sphincter -> hepatopancreatic ampulla -> sphincter of oddi

72
Q

The alkaline fluid in pancreatic juice is sectreted by what type of cell, what is its function and what does it contain?

A

duct cells
neutralize acidic chyme
HCO3

73
Q

What enzymes do the acinar cells release?

A
Lipase
Pancreatic amylase
chymotripsinogen
tripsinogen
procarboxipeptidase
nucleases
74
Q

What is trypsogen activated by?

Once activated what does it do?

A

brush boarder enzymess, enteropeptidase

activates all other proteases

75
Q

What are hormonal regulations of pancreatic secretions?

A

Secretin in response to acidic chyme in duodenum, causing duct cells to secrete alkaline fluid

CCK in response to protein and fat in duodenum which causes acinar cells to release enzymes

76
Q

What are neural regulation of pancreatic secretions?

A

vagus nerve, parasympathetic, long reflex, cephalic/gastric phases release pancreateic juice

77
Q

What are the parts of the Large Intestine?

A

cecum, appendix ascending transverse, descending, rectum anal canal anus

transerse and sigmoid anchored by mesenteries

78
Q

What are 3 unique features of LI?

A

Tenia Coli - long muscle - 3 strands
Haustra - formed by teni coli
Epiploic Appendages - fat on outside

79
Q

The mucosa of the LI?
What kind of epithilium?
What structure does have the same epitilium
what is it abundant with?

A

Simple columnar
anal canal =stratified squamous
deep crypts/gob cells

80
Q

What are the characteristics of motility in LI?

A

mostly inactive

sluggish and short lived

81
Q

Types of movement in LI?

A

Haustral contractions

Mass Movements

82
Q

What are haustral contractions and where are they found?

A

LI

local, every 30 mins, responsse to distentiobn

83
Q

What are mass movements?
how often do they occur?
What are they triggered by?

A

move contents toward rectum, slow peristalsis
3-4 times daily
Gastrocolic reflex - food entering stomach

84
Q

What are the 4 majors functions of the colon?

A

transports waste to rectum
absorbs water from indigestible foods and elminates them
reabsorbs bile salts, na, cl and others
normal bacterial flora in colon

85
Q

What do the norma bacterial flora in colon do?

A

vitamin K & B complex
ferment undigestied carbs and increase flatus
can survie digestive process
enter through anus

86
Q

What does the rectum have a complete layer of and what does it allow?

A

longtitudinal muscle layer

strong muscle contractions

87
Q

what do the 3 valves in the rectum do?

A

stop feces from being passed with gas

88
Q

What is the anal canal and what does it have?

What is its mucosa?

A

last segment of rectum
sphincters, internal (invol) external (vol)
Stratified squamous

89
Q

What is the defecation reflex?

A

mass movements force feces in rectum and the distention of the rectum initiates spinal defecation reflex which stims parasympathetic, stimulation contraactions of sigmoid colon and rectum, internal anal sphincter relaxes, conscious control allows relaxation of external

90
Q

What are glucose fructose and galactacose examples of?

A

monosaccrides

91
Q

What are sucrose, lactose and maltose examples of?

A

disaccrides

92
Q

What are gycogen and starch examples of?

A

oligosaccrides, digestion in mouth and SI

93
Q

Polypeptide digestion?

A

stomach and small intestine

94
Q

Lipid digestion?

A

only in small intestine

95
Q

Monosaccride Absorbtion?

A

in ep cells facilitaed diffusion/contransport with na
carrier proteins ub nenvrabe
simple diffusion through ep cells
Facilitaed diffusion/contransport in caps
transported to liver for processing

96
Q

Where are Amino Acids mostly absorbed?

A
duodenum/jejeunum
contransport into ep cells with na
facilitated diffuse into caps and vein
some di and tripeptides absorbed into ep cells and hydrolysized there to amino acids
go to liver
97
Q

Where does lipid absorption mostly occur?

A

ileum

monoglycerides and free fatty acids form micelles with bile salts which then move to micro villi, lipids leave micelles and diffuse into ep cells and are resynthesized into triglycerides and formed into chylomicrons by binding with pro, phospholipids, and cholestrol which then enters blood which is then turned to fatty acids and gycerol –diffuses through cap wall into tissue for storage or ATP

98
Q
Vitamin  absorption?
where?
diet vitamins
bacterial vitamins
fat soluble
water soluble
B12
A
SI
LI
with fat into micelles
diffusion
intrinsic factor -->active transport