2.1 Gut Function Flashcards

1
Q

What is the purpose of digestion and what does the solution comprise of?

A

Converts food to a: Sterile, Neutral, Isotonic solution containing:

Small sugars, amino acids, small peptides, lipids, other small molecules

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2
Q

Digestion is accomplished by the action of what 3 things?

A

1) HCl
2) bile
3) enzymes secreted by exocrine glands

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3
Q

What is Absorption

A

Specific active or passive uptake of nutrient molecules, water and electrolytes

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4
Q

Purpose of Excretion

A

To process, store and release: residues from food, gut debris, materials specifically excreted via liver to gut

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5
Q

List the accessory digestive organs

A

teeth, tongue, gallbladder, salivary glands, liver, spleen, pancreas,

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6
Q

Histological layers of the Ailmentary canal (4)

A

Mucosa
Submucosa
Muscular Externa
Adventitia/Serosa

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7
Q

Describe the Mucosa

A

lining epithelium, connective tissue, thin layer of smooth muscle

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8
Q

Describe the Submucosa

A

fibro-elastic tissue, vessels, nerves from Meissner’s plexus, fat and leukocytes

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9
Q

Describe the Muscularis externa

A

Inner circular and outer longitudinal layer of muscle

with Auerbach’s plexus located between layers

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10
Q

Describe the Adventitia/ Serosa

A

thin outer covering of connective tissue

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11
Q

Nerve plexuses are made up of post-ganglionic neurones of the _____ NS

A

Parasympathetic

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12
Q

List 4 properties of saliva that provide protection to the mouth

A

1) Wet
2) Bacteriostatic
3) Alkaline
4) High Calcium

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13
Q

Give an example of an enzyme found in saliva?

What does this do?

A

Amylase ➞ begins digestion of starch

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14
Q

What is Barett’s esophagus? (incl the epithelial change)

A

A pre-malignant shift from stratified squamous epithelia to simple columnar usually due to constant acid reflux (GERD)

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15
Q

Barett’s esophagus is often seen in patients who already have ______

A

GERD

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16
Q

What’s achalasia?

A

Absence of esophageal peristalsis and failure of the LES to relax in response to swallowing ➞ leads to impaired emptying of food from oesophagus into stomach

17
Q

What is Dysphagia

A

difficulty swallowing

18
Q

List 4 enzymes contained in pancreatic secretions

A

amylase
lipase
protease
nuclease

19
Q

Where does dilution and neutralisation of chyme take place?

A

Duodenum and Jejunum

20
Q

Where does storage, initial disruption and disinfection of food take place?

A

The stomach

21
Q

Where does absorption of nutrients and and electrolytes take place

A

small intestine

22
Q

List 3 features that provide a large SA for absorption in the small intestine

A

1) Plicae circulars - folds of mucosa and submucosa
2) villi - extensions of mucosa on plicae circularis
3) microvilli - enterocytes covering villi

23
Q

What is a lacteal?

A

A lacteal is an enlarged lymphatic contained within the centre of each villus which aids absorption of fats

24
Q

Where does final absorption of water and electrolytes take place

A

The large intestine ➞ faeces accumulate in the defending and sigmoid colon

25
What is meant by the term "controlled excretion"
The faeces are propelled periodically into the rectum The urge to defecate occurs leading to controlled relaxation of of sphincters Results in expulsion of faces
26
Which Nervous systems play a part in controlling the GI tract?
Somatic motor system for ingestion and excretion Autonomic NS for everything else ➞ PNS is the most significant + Enteric nervous system, responsible for local control of secretion and motility
27
What are paracrine hormones? Give two examples
Chemical messengers diffusing locally: 1) Histamine in stomach 2) Vasoactive substances
28
What two structurally related groups do hormones in the gut come from?
Gastrin group | Secretin group
29
What is a bolus?
A mass of chewed food formed in the mouth from the Initial physical and chemical disruption