the intestines Flashcards

1
Q

What is chyme like in the intestines?

A

Isotonic
Neutral
Digestion nearly complete

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2
Q

What is the role of the intestines?

A

Absorb nutrients

Absorb water/electrolytes

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3
Q

What is absorption in the intestines?

A

Movement of electrolytes, water and nutrients from the gut lumen into the blood

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4
Q

What is needed for maximum absorption?

A

Large surface area, slow movement of content

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5
Q

How often is mucosa shed?

A

3-6days

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6
Q

What are carbohydrates?

A

Chains of sugars e.g. polysaccharides, disaccharides and monosaccharides

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7
Q

What do you need to do to carbohydrates to be absorbed?

A

Break them down into monosaccharides

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8
Q

Where does final breakdown of carbohydrates occur?

A

Brush border

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9
Q

What does glucose need to enter?

A

Na+

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10
Q

What are the end products of carbohydrate digestion?

A

Fructose
Galactose
Glucose

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11
Q

What does maltose break?

A

alpha 1-4 bonds

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12
Q

What does isomaltase break?

A

alpha 1-6 bonds

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13
Q

What does starch break down into?

A

Glucose, Maltose (two glucose) and alpha dextrin (glucose)

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14
Q

What is lactose broken down into?

A

Glucose and galactose

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15
Q

What is sucrose broken down into?

A

Glucose and fructose

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16
Q

How is glucose and galactose absorbed?

A

SGLT 1 with Na into enterocyte

then GLUT 2 into blood

17
Q

How is fructose absorbed?

A

GLUT 5 into enterocyte

then GLUT 2 into blood

18
Q

Why does water follow glucose?

A

Glucose uptake stimulates Na uptake which helps move water due to osmotic gradient- oral rehydration

19
Q

What types of proteins are absorbed?

A

Amino acids
Dipeptides
Tripeptides

20
Q

What does pepsinogen released from chief cells get converted into and how?

A

Pepsin by HCl

21
Q

What does pepsin do?

A

Acts on protein

and move to small intestine

22
Q

What does the pancreas release proteases as?

23
Q

why is trysinogen important?

A

Converted to trypsin by enteropeptidase which then activated other proteases (chymotrysinogen to chymotrypsin)

24
Q

What do exopeptidases do?

A

break bonds at ends of polypeptides to produce dipeptised or individual amino acids (carboxypeptidase)

25
What do endopeptidases do?
breaks bonds in the middle of polypeptide to produce shorter polypeptides (trypsin, chymotrypsin, elastase)
26
How are amino acids transported into the cell?
Na amino acid co-transporter
27
How are most protein products ingested?
Dipeptides and tripeptides
28
How are dipeptides and tripeptised moved?
H+ co-transporter
29
What is a PepT 1?
peptides transporter 1
30
What is the movement of water like?
Na moved by active transport out of the cell on basolateral membrane Na diffuses into epithelial cells Water follows due to osmotic gradient
31
How is Na moved in small intestine across apical membrane?
Na is cotransported
32
How is Na moved across large intestine?
Na channels induced by aldosterone
33
How is calcium absorbed when intake is low?
if intake is low then active transellular absorption occurs Ca ATPase removed Ca from basolateral membrane and Vitamin D needed (calbindin)
34
How is calcium absorbed when intake is high?
Passive paracellular absorption
35
How is iron absorbed?
In haem/fe2+ Gastric acid is important in the process Absorbed across the apical membrane with H+
36
How is iron absorbed when iron is low?
Binds to transferrin
37
How is iron absorbed when elves are high?
contained in ferritin complexes and trapped in cells | lost when enterocyte is replaced
38
How are water soluble vitamins absorbed? | C,B
Co-transport of Na
39
How is b12 absorbed?
terminal ileum bound to intrinsic factor (secreted by gastric parietal cells