Chapter 24 - The Digestive system - part 3 Flashcards

1
Q

All blood leaving the absorptive surfaces of the digestive tract enter….

A

the hepatic portal system which flows into the liver

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2
Q

Bile salts break what down and what is this process called?

A

bile salts break lipid droplets apart. this is called emulsification

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3
Q

describe the structure of the gallbladder

A

hollow, pear-shaped muscular sack

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4
Q

Where is chemical digestion basically completed?

A

at the small intestine

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5
Q

What increases absorptive effectiveness in the small intestine?

A

movement of the mucosa (microvilli, villi, plicae circulares)

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6
Q

the movements of the mucosa do what to the intestinal contents?

A

stir and mix

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7
Q

name the 3 regions of the small intestine from proximal to distal

A

duodenum, jejunum, ileum

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8
Q

how is the small intestine adapted for the absorption of nutrients?

A

-the walls of the small intestine have folds called plicae circulares

-the tissue that covers the plicae circulares forms fingerlike projections (villi)

-The epithelial cells that cover the villi have an exposed surface covered by microvilli

-the small intestine has a very rich supply of blood vessels and lymphatic vessels which transports the nutrients that are absorbed

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9
Q

Does a high fat meal raise or lower the level of cholecystokinin in the blood?

A

raise

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10
Q

How would the pH of the intestinal contents be affected if the small intestine did not produce secretin?

A

the hormone secretin stimulates the pancreas to release fluid high in buffers to neutralize the chyme that enters the duodenum from the stomach. the pH of the intestinal contents would be lower than normal if the small intestine did not produce secretin

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11
Q

the digestion of which nutrient would be most impaired by damage to the exocrine pancreas?

A

lipids because the pancreas is the primary source of lipases

such damage would also reduce carbohydrate and protein digestion but not as much because these enzymes are produced by other digestive structures

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12
Q

the salivary glands produce enzymes that break down which biomolecule(s)

A

starch (carbohydrates)

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13
Q

the small intestine produces enyzmes that break down which biomolecule(s)

A

carbohydrates and proteins

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14
Q

the stomach produces enzymes that break down which biomolecule(s)

A

proteins

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15
Q

what is the shape of the large intestine

A

horse shoe shape

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16
Q

the large intestine begins at the ___ and ends at the ____

A

begins at the ileum and ends at the anus

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17
Q

the large intestine can be divided into 3 parts:

A
  1. The pouchlike cecum
  2. the colon (the largest portion)
  3. the rectum
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18
Q

Where in the large intestine does compaction begin?

A

the cecum

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19
Q

the cecum receives and stores materials arriving from where?

A

the ileum

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20
Q

where is the appendix attached to?

A

the cecum

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21
Q

the colon has a ___ diameter and ____ wall than the small intestine

A

larger diameter and thinner wall

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22
Q

What is the name of the pouches in the wall of the colon?

A

Haustra

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23
Q

What is the functional purpose of the Haustra?

A

to permit expansion and elongation

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24
Q

what creates haustra?

A

muscle tension in the teniae coli (3 longitudinal bands of smooth muscle)

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25
Name the 4 regions of the colon
Ascending colon Transverse colon Descending colon Sigmoid colon
26
the sigmoid colon empties into the....
rectum
27
the ascending colon turns into the transverse colon at the....
right colic flexure
28
the transverse colon turns into the descending colon at the...
left colic flexure
29
the taeniae coli are just deep to the...
serosa
30
where does the descending colon become the sigmoid colon
at the sigmoid flexure
31
what forms the last 15cm of the digestive tract?
the rectum
32
what is the last portion of the rectum?
the anal canal
33
what is the exit of the anal canal?
the anus
34
Describe the structure of the anus
epidermis is KERATINIZED and identical to the surface of the skin
35
how many anal sphincters are there? name them
2 internal anal sphincter external anal sphincter
36
differentiate between the internal anal sphincter and external anal sphincter
internal anal sphincter -circular muscular layer -involuntary control -made up of smooth muscle external anal sphincter -encircles DISTAL portion of anal canal -under voluntary control -made up of skeletal muscle
37
does the large intestine contain villi?
NO
38
The large intestine contains a lot of which type of cell?
goblet cells
39
WHY does the large intestine contain so many goblet cells?
mucus provides lubrication for the fecal material
40
what are vitamins?
organic molecules that are important as cofactors or coenzymes in many metabolic pathways
41
what is important for the large intestine to be able to absorb vitamins?
microbiome -microbes (bacteria, fungi, viruses)
42
Bacteria in the colon make 3 vitamins that supplement the diet:
vitamin k vitamin b5 biotin
43
vitamin k is __ soluble
fat
44
biotin is ___ soluble
water
45
vitamin b5 is __ soluble
water
46
Why is vitamin K important?
the liver needs it to synthesize the 4 clotting factors, including prothrombin
47
why is biotin important?
important for glucose metabolism
48
why is vitamin b5 important?
required in the manufacture of steroid hormones and some neurotransmitters
49
bacteria convert bilirubin (organic waste) to which 2 things?
urobilinogens and stercobilinogens
50
what is the fate of some of the urobilinogens?
absorbed into the bloodstream and excreted through the urine
51
urobilinogens and stercobilinogens that remain in the colon are converted to....
urobilins and stercobilins (by exposure to oxygen)
52
what 2 reflexes move material into the cecum while we eat?
gastroileal and gastroenteric reflexes
53
why is movement from the cecum to the transverse colon very slow?
to allow hours for water absorption
54
what mechanism moves material along the length of the colon?
peristaltic waves
55
what mechanism mixes contents of the adjacent haustra
segmentation
56
movement from the transverse colon to the rest of the colon results from....
POWERFUL peristaltic contractions (mass movements)
57
what is the stimulus of these powerful peristaltic contractions?
the distension (swelling) of the stomach and duodenum
58
"the stimulus of powerful peristaltic contractions that produce movements from the transverse colon to the rest of the colon is stimulated by distention of the stomach and duodenum." THIS STIMULUS IS RELAYED OVER....
intestinal nerve plexuses
59
distension of the rectal wall initiates....
defecation reflex
60
the defecation reflex involves two ____ ____ loops which are both triggered by the stimulation of ____ receptors in the rectum
positive feedback stretch
61
Identify the 4 regions of the colon
ascending colon transverse colon descending colon sigmoid colon
62
What are some major histological differences between the large intestine and small intestine
large intestine --- diameter is wider and walls are thinner and LACK VILLI. abundance of mucus cells and intestinal glands
63
Differentiate between haustral churching and mass movements
mass movements - occur a few times per day throughout the transverse colon and distal portions of the large intestine. Strong peristaltic contractions move material along the length of the colon in haustral churning, segmentation movements mix the contents of the nearby haustrs
64
a balanced diet contains....
carbohydrates lipids proteins vitamins minerals water
65
molecules that are absorbed into the bloodstream do one of 2 things:
-broken down to provide energy for ATP synthesis -used to synthesize carbohydrates, proteins, and lipids
66
Digestive enzymes break molecular bonds in large organic molecules through a process called....
hydrolysis
67
Carbohydrases break bonds between.....
simple sugars
68
Proteases break bonds between....
amino acids
69
Lipases separate __ from __
fatty acids from glycerides
70
digestive enzymes are secreted by which 4 structures?
salivary glands stomach pancreas tongue
71
does facilitated diffusion require ATP
NO
72
What component of food would increase the number of chylomicrons in the lacteals?
fats
73
the absorption of which vitamin would be impaired by the removal of the stomach?
vitamin b12. absorption of vitamin b12 requires intrinsic factor , produced by the parietal cells of the stomach
74
why is it that diarrhea is potentially life threatening but constipation (infrequent defecation) is not
an individual with diarrhea loses fluid and electrolytes faster than it can be replaced. The resulting dehydration can be fatal constipation can be uncomfortable, but it does not interfere with any life supporting processes. The few toxic waste products that should have been eliminated through the digestive system can instead move into the blood and be eliminated by the kidneys
75
identify general digestive system changes that occur with aging
-decreased secretory mechanisms -decreased gastric and intestinal movement -decreased division of epithelial cells -loss of muscle tone -cumulative damage becomes more apparent -cancer rates increase -dehydration occurs as a result of decreased osmoreceptor sensitivity
76
identify the functional relationships between the digestive system and other body systems
the digestive system absorbs organic substrates, vitamins, ions, and water required by cells of all other body systems
77
what body systems may be affected by inadequate calcium ion absorption?
skeletal, muscular, nervous, endocrine, and cardiovascular systems