Digestion Flashcards

1
Q

What is digestion

A

The breaking down of ingested food into useable smaller nutrient molecules that can enter the vascular or lymphatic system so body can make energy out of it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is digestion achieved

A

Mainly through GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does the digestive system consist of

A
  • Gastrointestinal tract ( one long tube from mouth to anus which breaks down food and absorbs it )
  • The accessory structures (digestive organs)- not part of the tract - (e.g. teeth, tongue, liver, pancreas that help by mechanical or chemical means - things which we can absorb into the vascular or lymphatic system)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is our food composed off?

A

The major nutrients:
Vitamins- act as co-enzymes - make enzymes work in body - they can be either fat soluble A,D,E,K) OR water soluble. (B AND C)
Minerals/trace elements- body requirements of 7 minerals- calcium, phosphorous, potassium, sulphur, sodium, chloride, magnesium) and trace amounts of. about a dozen others. They serve other functions such as CA: bone, Fe- haemoglobin, Ca/Na/K- nerve/muscle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the major nutrients

A
  • Carbohydrates - mono-,di-,&poly-saccharides) - short and long chain sugar molecules
  • Protein - amino acid chains
  • Fats (glycerol and fatty acids)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 6 processes of digestion consist of?

A
Ingestion- take food in
Propulsion- propel food through GI tract
Mechanical Breakdown-in the stomach and teeth (accessory structure)
Digestion- chemically
Absorption- into vascular system
Defecation- get rid off it
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How do the processes of digestion happen

A

At the same time, together. Not one after the other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 4 layers of a general GI tract

A

Tube consisting of 4 layers:

  • Inner layer known as mucosa - inside
  • Under sub mucosa - outside
  • Layer of muscle
  • Outer serosa - tough outer protective connective tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where does GI tract start and end and what is in middle

A

Starts at mouth and ends at anus ( comes out as faeces )

Stomach and intestine in middle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does mucosa contain

A
  • Mucous secreting goblet cells to protect and lubricate the passage of food and gut
  • Cells secreting digestive enzymes and hormones (in the stomach and small intestine)
  • Epithelial cells (simple columnar epithelium)
  • Lamina propria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Properties of lamina propria

A
  • Lies underneath the epithelium which is loose aerolar connective tissue
  • Have lymphatic vessels of lymphatic system- protect body, protective lymphoid follicles.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What type of epithelium in mouth and anus

A

Stratified squamous epithelium, not simple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Function of mucous in GI tract

A
  • Protect and lubricate the gut

- Stomach has HCL - don’t want that destroying GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the submucosa?

A
  • External to mucosa
  • Made of loose aereolar connective tissue
  • Contains lymphatic and blood vessels and abundant nerve supply
  • elastic fibres/tissue .
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why is their elastic tissue/fibres in GI tract

A

Whole system has to be able to expand when food goes in and down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the muscularis layer of the GI tract made up of

A

Inner circular ( round ) and outer longitudinal layer along GI tract of smooth muscle innervated by ANS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is function of muscle in GI tract

A
  • Shove food along by the process of peristalsis.
  • Food turned into a bolus (balls) and that is then pushed through GI tract by contraction of the muscle behind bolus and relaxation of muscle infront of bolus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is surrounding the whole GI tract

A

Protective serosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is function of mouth

A

Responsible for ingestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Structure of mouth

A
  • Lined with thick stratified squamous epithelium - protection
  • Has tongue which mixes the food with saliva, forming a bolus which is shoved along by peristalsis
  • tongue contains taste buds
  • teeth macerate the food (mastication- crush food)
  • mouth is connected to a number of glands whose secretions form saliva - produce digestive enzymes and protective mucous
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Why do we need teeth in mouth

A

Digest things chemically - smash into small things

Digestive enzymes cant act on big things so you need teeth to crush it down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 3 salivary glands called and what do they do

A

-Parotid glands
-Submandiular gland
-Sublingual gland
produce saliva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What do these secretions of saliva serve to do

A
  • dissolve the food so we can taste it
  • help form the food into a bolus
  • lubricate the mouth
  • begin digestion of starch mostly and fats by producing the enzymes amylase ( digest starch ) and lipase ( digest fats)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What type of gland is salivary gland and what do they contain

A

Exocrine

Contain mucous and serous secreting cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the main digestive enzyme in mouth

A

Amylase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Where does the food/fluid and air end up once gone through mouth?

A
  • Back of throat- Pharynx- which can be divided into various regions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is the Pharynx?

A

Back of throat where food/fluid and air leave via the mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is role of epiglottis

A

Normally its open to allow air to pass down trachea

Opens and shut so food goes down to stomach and air down to lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What happens to epiglottis when swallowing

A

Closes thus lowering the diaphgram ensuring food and liquids do not enter the trachea but instead enter oesophagus
Dont want food down trachea as it could cause pneumonia and could die

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is the process when food and air goes in

A
Food in mouth 
Air in through nose 
Mix air taken in and food in the pharynx
Need to seperate - food down to stomach and air down to lungs - cant get it other way
= MIX AIR AND FOOD FIRST THEN SEPARATE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What is the oesophagus?

A

A 25cm tube connecting the mouth to the stomach

32
Q

What happens when you chew bread for a long time

A

Changing long chains of glucose molecules into shorter chains of monosachharides and disaccharides so it becomes sweeter = amylase is secreted by salivary glands

33
Q

How many layers in oesophagus

A

4 - same as GI tract

34
Q

What does the submucosa contain in the oesophagus?

A

contains muscous secreting oesophageal glands, that aid the passage of the food.- LUBRICATE

35
Q

What doenst happen in oesophagus

A

No digestion - just a tube/passage way

36
Q

How long does it take for food and fluid to be propelled to stomach

A

Bolus is propelled by peristalsis to stomach in about 8 seconds from mouth
For fluid - 2 seconds - quicker as its trickled by gravity - dont have to squeeze along

37
Q

What is function of stomach

A
  • store food
  • mixed food into’chyme’ (semi fluid)- continually going through contractions and mixed with digestive enzymes
  • begin the digestion of proteins and fats. Mostly proteins, not carbs - that happens in moth
38
Q

What do you produce when you mix food with digestive enzymes

A

Chyme

39
Q

What is structure of stomach

A

15-25cm long
Has a volume of 500ml
- When had a meal a volume can be up to 4L
- Is guarded at either end by a sphincter muscle
-An empty stomach has multiple longitudinal folds (rugae) -Folds in stomach increases S.A
- Has the usual 4 layersof the GI tract

40
Q

What are the two circular sphincter muscles in the stomach either end

A
  • oesophageal sphincter

- Pyloric sphincter

41
Q

What is on the surface on the stomach?

A
  • Gastric pits- these are connected to gastric glands - opening to glands
42
Q

What does the gastric glands secrete?

A
  • Mucous
  • HCL ( form parietal cells )
  • Pepsinogen ( from chief cells )
  • Lipase ( from chief cells )
43
Q

What does mixing HCL and pepsinogen

A

Pepsin

44
Q

What is role of pepsin

A

Digestive enzyme that can digest and break down proteins.
HCL and pepsinogen cant alone digest proteins so you need to mix them to form pepsin.
You dont want to store pepsin itself as it would digest stomach

45
Q

What do lipases digest

A

Fat

46
Q

What is stomach covered with and why

A

Thick layer of mucous

It protects it from acidity and protein digesting enzymes

47
Q

What are the 3 layers of smooth muscle in the stomach

A

circular
longitudinal
oblique

48
Q

What is role of circular, longitudinal and oblique layers

A

Mix, grind and propel food in stomach

49
Q

Why is stomach always contracting and churning

A

To produce chyme

50
Q

What does the longitudinal muscle layer contain ?

A

Enteric pacemaker cells

51
Q

What is the role of enteric pacemaker cells

A
  • They depolarise spontaneously, causing 3 slow waves of contraction (causing a.p) in the stomach every minute.
  • generates its own action potential
  • Leaky to Na ions = depolarisation
  • Pacemaker of heart works in same way as enteric pacemaker - pacemaker of gut
52
Q

How is enteric pacemaker connected to surroundings of smooth muscle and why

A

By gap junctions
This ensures efficient transmission of the signal
A.p spreads evenly throughout stomach

53
Q

Where is the basic rhythm of contraction modulated by

A
  • The autonomic system - sympathetic system slows down digestion whereas parasympathetic speeds up digestion.
  • as wells as by local tissue factors such as stomach stretch receptors and gastric secretions
  • Rhythm of contraction generated in stomach - dont want brain to tell stomach when to contract - stomach itself has ANS - not reliant on brain
54
Q

What is the small intestine?

A

Where food leaves the stomach and enters in the small intestine - coiled and stored in smaller area here

55
Q

What does the small intestine consist of?

A

Duodenum (25cm)
jejunum (2.5m)
ileum (3.6m)

56
Q

How long is small intestine in man

A

6metres

57
Q

What does the small intestine do?

A
  • Produces digestive juices so most digestion happens here
  • Liver and gall bladder produce bile which emulsifies fats
  • Pancreas produces enzymes that break down all categories of foodstuffs (e.g amylase., lipase, nuclease)-
58
Q

What is emulsification

A

Breaking down of fats into smaller bits by bile salts which are produced by liver and stored in gall bladder

59
Q

Where do ducts from gall bladder, liver and pancreas empty into

A

Duodenum

60
Q

What is small intestine specialised for

A

Absorption

61
Q

How much is surface are of small intestine increaed

A

X 600

62
Q

How is surface area of small intestine increased

A
  • 1cm tall circular folds of the mucosa and submucosa
  • 1mm tall villi(containing blood and lymph vessels)
  • microvilli on the absorptive epithelial cells(brush border) - on the villi
63
Q

What is the total absorptive surface area of the small intestine

A

200m2 - size of tennis court

64
Q

What is the structure of the small intestine?

A
  • same 4 layers as other areas of the GI tract - mucosa, subucosa, muscular layer and outer serosa
  • simple columnar epithelium= specialised for absorption
  • Surface of these cells contain brush border enzymes that involved in carb and potein digestions
  • the epithelium also contains many mucous secreting goblet cells
  • Pits on surface of epitelium are linked to tubular glands ( intestinal crypts ) that secretes intestinal juice
  • intestinal juice contain mucous, antibacterial agents and other protective components of the immune system
65
Q

What is the large intestine?

A

it frames the small intestine on 3 sides

66
Q

What is the size of the large intestine?

A

-it is wide (cm) -larger in diamter but shorter than the small intestine (1.5m)

67
Q

What is main function of large intestine

A

To remove water from the food and store solid faces until defecation through the rectum and anal canal.

  • retain water in body - reabsorb water
  • little digestion occurs here
  • Contains bacteria that ferment any remaining carbs - also sythesize vitamins B and K
68
Q

What is the structure of the large intestine?

A
  • Made of the same 4 layers as the GI tract
  • No villi to increase SA as little digestion occurs here - no absorption apart from H20
  • Intestinal glands contain goblet cells that produce mucous- to ease the path of the faeces and protect the intestinal wall.
  • Most of the large intestine is lined by simple columnar- however the anal canal has stratified squamous epithelium
69
Q

What is the digestion of carbohydrates?

A
  • either monosaccharides, disaccharides or polysacchruides.

- Need to be broken down into monosaccharides to be absorbed in the vascular system

70
Q

Process of digestion of carbs?

A
  • Happens in mouth
  • Amylase from the salivary gland begins the breakdown of starch in the mouth, forming shorter oligosaccharides- taste sweet
  • This process is completed by amylase from the pancreas
  • Remaining carbs are digested by amylase from pancreas in small intestine
  • These short chain sugar molecules are then converted to monosaccharides by the brush border enzymes (produced on microvilli) in the small intestine, where they are absorbed.
  • –Glucose and fructose get absorbed by the wall of the small intestine and into vascular system.
71
Q

What is the digestion of proteins?

A

-Proteins are chains of amino aids which need to be converted into dipeptides or single a.a before they can be absorbed.

72
Q

Process of digestion of amino acids

A
  • doesnt occur in mouth, occurs in stomach
  • pepsin (pepsinogen+hcl) in the stomach breaks proteins into polypeptides and free a.a
  • pancreatic enzymes continue this breakdown
  • which is completed by brush border enzymes in the small intestine.
  • individual a.a absorbed in the epithelial cells in the small intestine and end up in the vascular system.
73
Q

What is the digestion of fats?

A

-most ingested fats are triglycerides that need to be broken down into monoglyercides and fatty acids

74
Q

Process of digestion of fats?

A

Limited digestion of fats occurs in mouth and stomach

  • As fat is not soluble in water it would form big globules in water that could not be digested by enzymes
  • It is therefore emulsified (broken into smaller bits) by bile salts
  • These small fat spheres are split into monoglycerides and fatty acids by pancreatic lipases which form ‘micelles’ , that are absorbed.
75
Q

What is different about the digestion of fats?

A

fats absorbed in small intestine BUT put into lymphatic system.
- While the breakdown products of carbs and protein digestion are absorbed into blood capillaries in the villi o the small intestine, monglycerides and fatty acids enter lacteals (lymphatic vessels)

76
Q

What is lacteal

A

One of the villi in the small intestine lymph vessels in middle