D2 Flashcards

1
Q

Where and how do exocrine glands produce and secrete substances?

A
  • via duct on epithelial surface
  • surface of body
  • lumen of digestive tract/gut
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2
Q

What are examples of digestive glands? (4)

A
  • salivary glands -> secrete saliva (contains amylase)
  • gastric glands -> secrete gastric juices (contains hydrochloride acid and protease)
  • pancreatic glands -> secrete pancreatic juices (contains lipids)
  • intestinal glands -> secrete intestinal juices (via crypts of Lieberkuhn)
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3
Q

What is the exocrine gland composed of? (3)

A
  • cluster of secretory cells which form an acinus
  • acini are surrounded by basement membrane and held together by tight junctions between secretory cells
  • secretory cells have highly develop ER and golgi network for material secretion and rich in mitochondria
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4
Q

How are exocrine products released?

A

Products released Via secretory vesicles into a duct which connect to epithelial surface
(Ducts may arise from a convergence of smaller ductules to enhance secretion)

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5
Q

What is the nervous mechanism for the secretion of gastric juices? (3)

A
  • sight and smell of food triggers immediate response by which gastric juice is secreted by stomach pre-ingestion
  • food enters and causes distension which is detected by stretch receptors in stomach lining
  • signals sent to brain which triggers release of digestive hormones to achieve sustained gastric stimulation
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6
Q

What is the hormonal mechanism to secretion fo gastric juices? (5)

A
  • gastrin is secreted in bloodstream from gastric puits of stomach and stimulates release of stomach acids
  • if stomach pH drops too lows, gastric secretion is inhibited by git hormone (secretin and somatostatin)
  • when chyme passes into small intestine, the duodenum releases digestive juices
    -> secretin and CCK stimulate pancreas and liver to release digestive juices
    -> pancreatic juices contain biocarbonate ions which neutralise stomach acids and liver produces bile to emulsify fats
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7
Q

What function does the acidic condition of the stomach serve? (3)

A
  • assists digestion (breaking bond in food molecules)
  • activate stomach proteases (eg., pepsin action ate dinner when Pepsi oven is proteolytically cleaves in acidic conditions)
  • prevents pathogenic infections (destroy microorganisms)
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8
Q

What protects the stomach lining from being damages by acidic conditions?

A

Layer of mucus

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9
Q

How is low pH is stomach maintained? (3)

A
  • maintained by proton pumps in parental cells of gastric pit
  • proton pumps secrete H+ which combine with Cl- to form hydrochloride acid
  • medications and disease can increase secretion of H+ ions and lowers pH in stomach
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10
Q

What do Proton pump inhibitors (PPI) do? (3)

A
  • irreversibly bind to proton pumps and prevent H+ secretion
  • raises pH in stomach to prevent gastric discomfort caused by high acidity
  • taking PPI increases susceptibility to gastric infections (due to recused acid secretion)
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11
Q

what are the features of villi? (6)

A
  • microvilli - ruffling of epithelial membrane
  • rich blood supply - dense capillary network
  • single layer epithelium - minimise diffusion distance (lumen-> blood)
  • lacteals - lipid from instine into lymphatic system
  • intestinal glands - exocrine pits (crypts of lieberkuhn)
  • membrane proteins - facilitate transport of digested material into epithelial cells
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12
Q

what do epithelial lining villi contain to optimise absorption capacity? (3)

A

tight junctions
- occluding associations between plasma membrane and 2 adjacent cells (create impermeable barrier)
- separate digestive fluids and tissues to maintain concentration gradient
microvilli
- increase SA and many mitochondria for AT
- ATP required for primary AT, secondary AT and pinocytosis
pinocytotic vesicles
- non-specific uptake of fluids and dissolves solutes (fast)
- breaking and reforming of membrane

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13
Q

why can humans not digest cellulose?

A
  • cellulase
  • ruminant animals possess bacteria
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14
Q

why does roughage positively correlate with the rate of transit of material in large intestine? (2)

A
  • it provides bulk to keep food moving
  • absorbs water which keeps bowel movements soft and easy to pass
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15
Q

what are the health benefits associated with diets rich with fibre? (3)

A
  • reduces frequency of constipation lowers risk of colon and rectal cancer
  • lowers cholesterol and regulates blood sugar levels
  • aids weight management
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16
Q

what is egestion?

A

materials not absorbed by small and large instestine

17
Q

what are materials which are egested? (4)

A

bile pigment
epithelial cells
lignin
cellulose
human flora

18
Q

what are stomach ulcers?

A

inflamed and damaged stomach wall due to exposure to gastric acid

19
Q

how does helicobacter pylori cause stomach ulcers? (4)

A
  • anchors to epithelial lining of stomach under mucus lining
  • triggers inflammatory immune response which damages epithelial cells (including mucus-secreting globlet cells)
  • degradation of protective mucus lining
  • stomach ulcer may lead to cancer
20
Q

how does v.cholerae infect intestines and cause diarrhoea and dehydration? (5)

A
  • releases toxin that bind to ganglioside receptors on surface of intestinal epithelium cells
  • the toxin is internalised by endocytosis and triggers production of cyclic AMP in cell
  • cyclic AMP activates specific ion channels within cell membrane cause efflux of ions
  • build up of ions in intsetinal lumen draws water out of cells and tissues via osmosis
  • water is removed from body tissues and dehydration occurs