A4 - Digestive and excretory system Flashcards

1
Q

What is the function of the digestive system

A

The function of the digestive system is to break down the food you eat into smaller, soluble molecules which can then be absorbed into the blood stream or lymphatic system. Waste parts of food are passed out of the body as faeces.

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2
Q

What organs make up the digestive system

A
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3
Q

Are there any organs in the digestive system that do not come into contact with the food?

A

Yes, there are some accessory organs that produce and secrete chemicals which are necessary for digestion, but the food does not come into contact with these organs.

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4
Q

What happens in the mouth during digestion

A

Digestion begins in the mouth. Ingested food is broken down mechanically by the teeth and mixed with saliva. Saliva contains salivary amylase, an enzyme that begins the chemical digestion of starch.

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5
Q

What is peristalsis and where does it occur in the digestive system?

A

Peristalsis is the alternate contraction and relaxation of the muscle layers to push the food down into the stomach. It occurs in the thick layer of muscle in the oesophagus.

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6
Q

What is the role of the stomach in digestion?

A

The role of the stomach is to churn the food and mix with stomach acid and enzymes.

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7
Q

What is the duodenum and what happens there during digestion

A

The duodenum is the first part of the small intestine where food passes in small quantities from the stomach. Pancreatic juice with hydrolytic enzymes and bile from the liver are added to the duodenum. These secretions enter the duodenum at the sphincter of Oddi.

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8
Q

What is the function of the jejunum and ileum in the small intestine

A

The jejunum and ileum are the last two parts of the small intestine where the products of digestion are absorbed across the walls and into the bloodstream or lymphatic system. The walls of the ileum contain finger-like projections called villi that protrude into the lumen of the tube, which provides a large surface area for absorption.

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9
Q

What is the purpose of the Pancreas

A

Soft pink gland supported by mesentery, within the loop of the duodenum

  • Endocrine function: produces insulin and glucagon
  • Exocrine function: produces and secretes pancreatic juice containing digestive enzymes directly into the duodenum via the pancreatic duct to aid digestion of all food types
  • Pancreatic juice is produced by clusters of cells called acini cells
  • Epithelial cells lining the pancreatic ducts secrete hydrogen carbonate ions that make the pancreatic juice alkaline
  • Islets of Langerhans contain beta cells that secrete insulin in response to increased blood glucose levels and alpha cells that secrete glucagon in response to lowered blood glucose levels
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10
Q

What is the purpose of the Gall bladder

A
  • Small muscular sac around 10cm in length
  • Stores bile made in the liver
  • Bile is released from the gall bladder into the duodenum via the bile duct when food moves from the stomach into the duodenum at the sphincter of Oddi
  • Bile contains salts to emulsify fats, increasing their surface area for digestion
  • Bile also contains hydrogen carbonate ions to neutralize stomach acid
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11
Q

What is the purpose of the Liver

A

Large gland in the abdomen, in front of the stomach

  • Consists of hexagonal shaped liver lobules, inside which are hepacytes
  • Oxygenated blood enters the liver from the hepatic artery and nutrient-rich blood comes from the ileum via the hepatic portal vein
  • Deoxygenated blood leaves the liver in the hepatic vein
  • Hepacytes make bile that enters canaliculi and passes to the gall bladder where it is stored until it is needed
  • Bile contains salts that emulsify fats to increase their surface area for digestion, hydrogen carbonate to neutralize acid chyme, bilirubin and biliverdin which are the products of broken-down red blood cells and cholesterol
  • Liver also stores glycogen, helps regulate blood glucose levels, makes plasma proteins, stores fat-soluble vitamins and metabolizes alcohol, drugs and other toxins
  • Breaks down excess amino acids to make urea for removal at the kidneys
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12
Q

What is the purpose of the Large intestine

A

Appendix contains lymphoid tissue and bacteria that may help recolonize gut microbiota

  • Colon makes up the majority of the large intestine and has four parts: ascending colon, transverse colon, descending colon, and sigmoid colon
  • Colon mucosa consists of columnar epithelial cells, no villi or folds, and few to no digestive enzyme-secreting cells
  • Colon wall has a membrane of goblet cells that secretes mucus to protect the wall from the acids and gases produced by bacteria that live in the colon
  • Gut bacteria are essential for production of vitamins B and K
  • In the colon, water and minerals are absorbed from the undigested food into the blood
  • Undigested food residues that remain produce feces
  • Feces containing undigested food residue, gut bacteria, sloughed off epithelial cells, and other excretory products such as bilirubin, pass into the rectum to be stored
  • More water is then absorbed, and the feces pass into the anal canal to be expelled
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13
Q

What is the purpose of the Anus

A
  • Stretching of the rectum wall initiates the defecation reflex and forces feces into the anal canal
  • Impulses reach the brain, and we make voluntary decisions as to whether or not we open the external anal sphincter
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14
Q

what is digestion

A

The process by which large molecules in food are broken down into smaller molecules that can be absorbed by the body.

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15
Q

What is Absorption

A

The process by which the digested molecules are taken up by the cells lining the gut and transported into the bloodstream.

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16
Q

What is Assimilation

A

The process by which the absorbed molecules are transported to the body cells and used for various metabolic processes.

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17
Q

What are Amino Acids

A

Building blocks of proteins that are used to build hormones and enzymes or converted to ammonia and then urea by the liver for excretion in urine.

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18
Q

Glucose

A

A simple sugar that is used for cellular respiration or converted to glycogen and stored in the liver.

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19
Q

Fatty Acids

A

Molecules used to make cellular membranes, provide insulation, or stored as body fat.

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20
Q

Mechanical digestion

A

When you bite and chew food, large pieces are broken down into smaller ones. The action of the stomach-churning food is another example of mechanical digestion.

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21
Q

Chemical digestion

A

Enzymes that hydrolyse macromolecules are present in saliva, gastric juice, enteric juice and pancreatic juice. This hydrolysis of macromolecules to smaller molecules is chemical digestion.

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22
Q

Nutrient absorption

A

The main site of nutrient absorption is the ileum, which has a large surface area for absorption due to its long, folded structure and villi with microvilli. Glucose and amino acids are absorbed into the bloodstream by active transport, while glycerol and fatty acids move by diffusion and are formed into chylomicrons.

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23
Q

Active transport of glucose and amino acids

A

Sodium ions are actively transported out of epithelial cells lining the villi and into the ileum lumen, decreasing the concentration of sodium ions in the cells. Sodium ions diffuse back down their concentration gradient across the cells, carrying glucose or amino acids with them.

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24
Q

Formation of chylomicrons

A

Glycerol and fatty acids move by diffusion through the cell surface membrane of the epithelial cells of the villi. Inside the epithelial cells, they are combined to form triglycerides, which are then modified to form chylomicrons that diffuse out of the epithelial cells and into a lymphatic vessel.

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25
Q

Passive absorption of inorganic ions and water

A

Inorganic ions pass through the epithelial cells of membranes by facilitated diffusion, while water passes down its water potential gradient by osmosis.

26
Q

Control of Blood Glucose Levels

A
  • Glucose is a product of digestion and is transported from the ileum to the blood stream.
  • The body uses negative feedback mechanism to maintain blood glucose levels between 4-7 mmol L-1.
  • Insulin and glucagon are hormones produced by the Islets of Langerhans in the pancreas that control blood glucose levels.
  • Insulin lowers blood glucose levels, while glucagon increases it.
27
Q

Alpha Cells and Glucagon

A
  • Alpha cells in the Islets of Langerhans produce glucagon.
  • Glucagon is released when blood glucose levels fall below normal.
  • Glucagon causes glycogen stored in the liver to be converted to glucose and secreted into the blood (glycogenolysis).
  • Glucagon also stimulates the process of gluconeogenesis, where glucose is synthesized from non-carbohydrate sources.
28
Q

Beta Cells and Insulin

A
  • Beta cells in the Islets of Langerhans produce insulin.
  • Insulin is released when blood glucose levels rise above normal.
  • Insulin binds to receptors on the plasma membrane of muscle and liver cells, causing them to take up glucose.
  • Insulin increases the rate of glucose uptake, leading to increased cellular respiration.
  • Excess glucose is stored as glycogen (glycogenesis) or converted to fat and stored as adipose tissue.
29
Q

Diabetes mellitus

A

Diabetes mellitus is a condition where the body is unable to regulate blood glucose levels properly.

There are two main types of diabetes mellitus, type 1 diabetes and type 2 diabetes.

30
Q

What are the symptoms of diabetes mellitus

A

Weight Loss
Thirst
Lack of energy and tiredness
and craving for sweet foods
Presences of glucose in the
urine (glycosuria)

31
Q

What causes weight loss with diabetes mellitus

A

insufficient insulin to increase the permeability of the cell membranes to glucose.
The cells are starved of fuel and have to respire using fats and proteins instead.
Insulin acts as an anabolic (body
building) hormone and lack of it leads to muscle wasting. weight loss

32
Q

What causes thirst with diabetes mellitus

A

High levels of glucose in the blood
decreases in water potential in the blood.

33
Q

What causes Lack of energy and tiredness
and craving for sweet foods with diabetes mellitus

A

Cells starved of the glucose they require for respiration to release energy.

34
Q

What causes Presences of glucose in the
urine (glycosuria) with diabetes mellitus

A

kidneys are unable to reabsorb the high levels of glucose filtered into the tubules.

35
Q

Type 1 Diabetes

A
  • Also known as insulin-dependent diabetes or juvenile onset diabetes.
  • Caused by the body’s immune system attacking the beta cells in the pancreas, which stops them from producing insulin.
  • Results in hyperglycemia (high blood glucose levels).
  • Managed by regular blood glucose testing, injections of insulin, careful management of a balanced diet, and exercise.
  • Too much insulin can lead to hypoglycemia (low blood glucose) which can be dangerous and treated with sugary drinks or snacks.
  • Can lead to unconsciousness, coma, and death if not treated properly.
36
Q

Type 2 Diabetes

A
  • Also known as insulin-independent or late onset diabetes.
  • Occurs when insulin is still being produced by the beta cells of the pancreas, but the body and liver cells gradually lose their response to insulin.
  • Can be controlled by regulating diet and exercise, but some people may require insulin injections.
  • Being overweight, lack of exercise, and high sugar diets can increase the risk of type 2 diabetes.
  • Results in hyperglycemia (high blood glucose levels).
  • Elevated blood glucose levels can lead to long-term damage such as organ and tissue damage, nerve damage, kidney damage, loss of sight, and necessary amputation of extremities such as toes or fingers.
37
Q

Hyperglycemia

A
  • Short-term effects include increased thirst, increased frequency of urination, headaches, blurred vision, tiredness, and difficulty concentrating.
  • Long-term elevated blood glucose levels can lead to organ and tissue damage.
  • Long-term damage can lead to nerve damage, kidney damage, loss of sight, and necessary amputation of extremities such as toes or fingers.
38
Q

Calorific value of food

A

The energy content of most foods, often given in kcals (kilocalories) or kJ (kilojoules) per 100g of food.

39
Q

Recommended daily calorie intake

A

The average woman needs to consume around 2,000 kcal per day (8,400kJ) and the average man needs to consume around 2,500 kcal per day (10,500kJ), but energy requirements vary from person to person.

40
Q

Factors affecting calorie intake

A

The recommended daily calorie intake depends on general health, level of physical activity, weight, height, and body shape composition.

41
Q

Weight gain/loss and calorie intake

A

Consuming more calories than required leads to weight gain, while consuming fewer calories leads to weight loss.

42
Q

Calorie-controlled diets for weight loss

A

Calorie-controlled diets involve consuming fewer calories than required for daily activity, and exercise is also recommended to increase activity levels.

43
Q

Calorie-controlled diets for weight gain

A

Special calorie dense drinks can be given to those who need to gain weight, based on the principle of consuming more calories than required for daily activity.

44
Q

Exclusion diets

A

Diets designed to identify the source of an allergy or intolerance, typically by removing one type of food from the diet for a period of time and gradually reintroducing it to observe symptoms. Common allergens include eggs, milk, fish, nuts, and gluten.

45
Q

What is BMI and how is it calculated?

A

BMI is a measure used to indicate whether you are a healthy weight. It is calculated by dividing the weight of an adult (in kilograms) by their height (in meters) squared using the formula:

BMI = Weight in Kg / (Height in m)2

46
Q

What is the ideal range for BMI in most adults

A

The ideal range for BMI in most adults is 18.5 to 24.9.

47
Q

What does a BMI below the ideal range indicate?

A

A BMI below the ideal range can indicate that you are underweight

48
Q

What does a BMI above the ideal range indicate?

A

A BMI above the ideal range can indicate that you are overweight.

49
Q

Can someone be healthy despite having a BMI outside of the normal range? Give an example.

A

Yes, someone can be healthy despite having a BMI outside of the normal range. For example, weight trainers and athletes may have a high BMI due to having more muscle, which is denser than fat.

50
Q

BMI Ratings

A

Less than 18.5 - Underweight

Between 18.5 and 24.9 - Healthy weight

Between 25 and 29.9 - Overweight

Between 30 and 34.9 - Obese

Between 35 and 39.9 - Severely obese

40 or above - Morbidly obese

51
Q

What is the urinary system responsible for?

A

The urinary system plays a role in dealing with some of the waste products of metabolism by producing urine. It is also responsible for osmoregulation and maintaining the balance of electrolytes in the body

52
Q

What is osmoregulation?

A

Osmoregulation is the maintenance or regulation of normal osmotic concentration of body fluids by adjusting salt and water levels.

53
Q

What are electrolytes?

A

Electrolytes are ions found in the blood including Na+ (sodium), K+ (potassium), Cl- (chlorine), and H2CO3- (bicarbonate).

54
Q

What are the organs that make up the renal system?

A

The renal system consists of the kidneys, ureters, urinary bladder, and urethra.

55
Q

Where are the kidneys located?

A

The kidneys are small bean-shaped organs found each side of the spine at the back of the abdominal cavity just above the waist.

56
Q

What is the function of the kidneys?

A

The function of the kidneys is to filter blood and produce urine.

57
Q

The ureters

A

Muscular tubes made of smooth muscle fibres that transport urine from the kidneys to the urinary bladder.

58
Q

The urinary bladder

A

Hollow muscular organ that stores urine produced by the kidneys until it is released into the urethra. Contains a sphincter muscle at the exit to the urethra that can be opened under conscious control to release urine.

59
Q

The urethra

A

Hollow tube lined with a layer of epithelial cells and contains glands which secrete mucus to prevent the tube being damaged by acidic urine. Carries urine from the bladder and out of the body. In males, it also carries sperm out of the body.

60
Q

The kidneys

A

Organs that filter waste products and excess water from the blood, while conserving and returning vital substances back into the bloodstream. Consists of the outer cortex, the inner medulla and the central renal pelvis, which drains into the ureter. Contains around 1 million individual functional components called nephrons that filter the blood and produce urine.

61
Q

What are nephrons?

A

Nephrons are microscopic structures found in the kidneys and are the functional units of the kidney.

62
Q

What is the function of nephrons?

A

Substances can be filtered out of the blood of the capillaries and into the nephrons. As the fluid produced travels around the nephron, its composition is altered until eventually urine is produced.