Digestive System Flashcards

1
Q

What are the types of Digestion? And what are the types of complex organic molecules from food?

A
  1. Mechanical
    - physical breaking up of food
    -> in order to expose more surface area for action of digestive enzymes
  2. Chemical
    - action of digestive enzymes
    - complex chemical molecules converted into simpler chemicals the body can use

3 types of complex organic molecules from food
1. Protein
2. Carbohydrates
3. Fats

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2
Q

What happens in the Oral Cavity?

A

Initiation phase of mechanical breakdown of food
- Mastication (chewing)
- Tongue keeps food btwn teeth and mixes food with saliva (increases efficiency of chewing)

Initial chemical digestion
- Salivary amylase: starts chemical breakdown of carbohydrates

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3
Q

What do the Salivary Glands do?

A

Types: parotid, submandibular, and sublingual

Saliva is made from blood plasma
- Contains lysozymes which inhibit bacterial growth

Secretion of salivary glands is continuous, but amount depends on ANS

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4
Q

What is the Pharynx and what does it do? And what does the medulla coordinate?

A

Channel for swallowing
-> Constrictor muscles of pharynx contract reflexively when tongue pushes food backward

Located in MEDULLA: reflex center for swallowing

Coordinates:
- Constriction of pharynx
- Cessation of breathing
- Elevation of soft palate to block the nasopharynx
- Elevation of larynx and closure of epiglottis
- Peristalsis of esophagus

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5
Q

Describe the esophagus and what it is made of.

A

Connects pharynx to stomach

MADE OF SMOOTH MUSCLE
- Peristalsis moves food down esophagus

Lower esophageal sphincter: non-volitional, smooth muscle
- Relaxes to allow food to enter stomach
- Constricts to prevent backflow of stomach contents

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6
Q

What happens and what is contained in the Mucosa Layer?

A

Contains…
Epithelial Tissue
-> Secretes mucous to lubricate for food passage
-> In the stomach and small intestine: release digestive enzymes

Areolar CT
-> Contains lymph nodules and macrophages

Smooth muscle
-> Creates folds in mucosa to INCREASES SURFACE AREA in stomach and small intestines

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7
Q

What happens and what is contained in the Submucosa layer?

A

Contains…
- Areolar CT

  • Blood and lymphatic vessels
  • Meissner’s Plexus (submucosal plexus)
    -> Innervates mucosa to REGULATE SECRETIONS
  • Sensory neurons from smooth muscle
  • Motor neurons to blood vessels
    -> Regulate vessel diameter (vasoconstriction and vasodilation) and blood flow
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8
Q

What happens and what is in the External muscle layer?

A
  • Contractions break up food and mix it w/ digestive enzymes and secretions
  • One-way contractions of peristalsis moves food down food through tube

Auerbach’s plexus (mysenteric plexus)
-> portion of ENS
-> Receive autonomic impulses that regulate contractions (regulates peristalsis)

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9
Q

What is the Serosa and what is in it?

A
  • Fibrous connective tissue in structures above diaphragm
    -> Esophagus

Mesentery or visceral peritoneum in structures below diaphragm
-> Serous membrane

protective layer holds viscera in place, adds stability when moving around
fluid layer reduces friction between viscera

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10
Q

Where does most digestion in the stomach take place?

A

Pylorus

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11
Q

What is rugae in the stomach?

A

Mucosa in the stomach is wrinkled or folded (rugae) when stomach is EMPTY
-> flattens out as stomach is filled and permits expansion w/out tearing

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12
Q

What are the different types of cells in the stomach?

A

Gastric juice: collective secretions of the stomach
-> Produced by various cells w/in “gastric pits” of stomach

  1. Mucous cells: secrete mucous
    -> coats lining to help prevent erosion by the acidic gastric juice
  2. Chief cells: secretes pepsinogen (inactive form of pepsin)
  3. Parietal cells: produce hydrochloric acid (HCl) and secrete intrinsic factor
    -> HCl: makes gastric juice very acidic (pH 1-2) which kills microorganisms in stomach
    -> Converts pepsinogen to pepsin
    - Pepsin begins digestion of proteins
    -> Intrinsic factor: essential for absorption of vitamin B12 in ileum
  4. G cells: secrete the hormone Gastrin
    -> Gastrin: stimulates secretion of greater amounts of gastric juice
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13
Q

What is the stomach’s pyloric sphincter?

A

Pyloric sphincter is contracted as stomach churns food
- Relaxes at intervals to allow small amounts of chyme to enter duodenum
- Contracts again to prevent backflow of intestinal contents into stomach

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14
Q

What happens in the small intestines?

A

Digestion is completed in small intestine
-> major site for nutrient absorption (villi and microvilli increase surface area for absorption)

w/in each villi is a capillary network and lacteal (lymphatic vessel)
-> Absorption of nutrients takes place from INTESTINE INTO VESSELS w/in villi

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15
Q

What is in the mucosa of the small intestines?

A

Mucosa: simple columnar epithelium cells with microvilli
-> Goblet cells secrete mucous
-> Enteroendocrine cells secrete hormones, which is stimulated by food entering duodenum
-> Peyer’s patches (lymph nodules)

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16
Q

How are molecules absorbed in the small intestines?

A

Water-soluble nutrients are absorbed into blood in capillary networks

Active transport: Monosaccharides, amino acids, POSITIVE IONS (+), and water soluble vitamins

Passive or active transport: NEGATIVE (-) IONS

Osmosis: water absorbed following absorption of minerals, especially Na

Additional substances for absorption
- Intrinsic factor: needed for Vitamin B12 absorption
- Parathyroid hormone and vitamin D: needed for Ca absorption

17
Q

Where does blood from the villi travel to from the capillaries?

A

Blood passes though portal vein to the liver before going to the heart

Enables liver to…
- Regulate blood levels of glucose and amino acids
- Store certain vitamins
- Remove potential toxins from blood

18
Q

How is fat absorbed in the small intestines?

A

Fat-soluble nutrients is absorbed into the lymph via lacteals

  • Bile salts are needed for efficient absorption of fatty acids and fat soluble vitamins (A,D,E,K)
    -> Once absorbed, fatty acids are recombined with glycerol to form triglycerides
    -> Triglycerides form globules that include cholesterol and protein -> chylomicrons
    -> Most absorbed fat is transported in form of chylomicrons by lymph and eventually enters the blood
19
Q

Characteristics of the Liver

A

“Metabolic factory” of the body

Liver Lobule: structural unit of the liver

Hepatocytes: column of liver cells
-> Store nutrients
- Play role in carbohydrate, protein, fat metabolism

20
Q

What are sinusoids?

A

Capillaries of a lobule
- Very permeable vessels b/w hepatocytes
- Receive blood from both hepatic artery and portal vein
-> Hepatic artery: brings oxygenated blood
-> Portal vein: brings blood from digestive organs and spleen

Each lobule has a central vein
- Central veins unite to form hepatic veins
-> bring blood out of liver to IVC

21
Q

What is the liver’s only digestive function?

A

Production of bile

Bile
- Mostly water
- Carries bilirubin and excess cholesterol to intestines to be eliminated
- Digestive function: bile sals emulsify fats in small intestine
Secretin: hormone that stimulates bile production
-> produced by duodenum when food enters small intestines

22
Q

What are the liver’s no digestive functions?

A
  1. Carbohydrate metabolism -> regulation of blood glucose level
  2. A.a. Metabolism -> regulates blood levels for a.a. For protein synthesis
  3. Lipid metabolism -> forms lipoproteins for transport of fats in blood
    -> synthesizes cholesterol and excretes excess into bile
  4. Stores…
    -> Vitamins A,D,E,K, and B12
    -> Iron
    -> Copper
  5. Plasma protein synthesis
  6. Production of clotting factors
  7. Phagocytosis
    -> Breaks down old RBCs
    -> engulfs pathogens
  8. Bilirubin formation
  9. Detoxification
    -> produces enzymes to neutralize substances such as medications, alcohol, ammonia
23
Q

What does the gallbladder do?

A

Functions to concentrate and store bile

  • Choleocystokinin: secreted by duodenal cells when fatty foods enter duodenum
    -> stimulates contraction of the gallbladder
    -> forces bile into cystic duct -> common bile duct -> duodenum
24
Q

What are the pancreas’ exocrine functions?

A

Produces digestive enzymes for breakdown of carbs, proteins, and fats

25
What are the digestive enzymes produced by the pancreas and what do they do?
Pancreatic amylase: digests starch Lipase: converts emulsified fats to fatty acids and glycerol Trypsinogen: inactive enzyme that converts to active trypsin in duodenum -> trypsin: digests polypeptides to shorter chains of amino acids
26
What is pancreatic enzyme juice?
Carried to duodenum via main pancreatic duct (joining common bile duct) *bicarbonate juice (alkaline) to neutralize the gastric juice entering the duodenum* - Secretin and cholecystokinin stimulate secretion of pancreatic juices -> Secretin: stimulates production of bicarbonate juice -> Cholecystokinin stimulates secretion of pancreatic enzymes
27
What does amylase do and where is it secreted and site of action?
Function: Carbohydrate digestion Secreted by: Salivary glands Site of action: Oral Cavity
28
What does Pepsin and HCl do and where are they secreted and site of action?
Function Pepsin: protein digestion HCl: converts pepsinogen to pepsin; maintains pH of stomach; destroys pathogens Secreted by: Stomach Site of Action: Stomach
29
What do bile salts do and where is it secreted and site of action?
Function: Fat digestion Secreted by: liver Site of Action: Small Intestine
30
What does Amylase, Trypsin, and Lipase do and where are they secreted and site of action?
Function Amylase: Carbohydrate digestion Trypsin: Protein digestion Lipase: Fat digestion Secreted by: Pancreas Site of Action: Small Intestine
31
What does peptidases, sucrose, Maltase, and lactase do and where are they secreted and site of action?
Function Peptidases: Protein digestion Sucrose: Carbohydrate digestion Maltase: Carbohydrate digestion Lactase: Carbohydrate digestion Secreted by: Small Intestine Site of Action: Small Intestine
32
What is the Large Intestines (Colon) made of ?
Extends from ileum to small intestine to anus 1. Cecum - Ileocecal valve: fold of intestinal mucosa surrounding opening from ileum to cecum -> Prevents backflow of fecal material into small intestine 2. Ascending colon 3. Transverse colon 4. Descending colon (encircle small intestine) 5. Sigmoid colon 6. Rectum 7. Anal canal
33
What happens in the large intestines?
*No digestion takes place here* Colonic mucosa: secretes mucus to lubricate the passage of fecal material Functions - Absorption of water, minerals, and vitamins -> ~80% of water that enters the colon is absorbed -> Positive and negative ions are absorbed -> Vitamins produced by the normal flora - Elimination of undigestible material *Everything absorbed by colon circulates first to the liver by way of portal circulation*
34
What is feces and what are the different reflexes?
* Cellulose and other undigesetible material, dead and living bateria, and water * Colon moves feces along via peristalsis - Gastrocolic reflex: presence of food in stomach and peristalsis causes colon to contract - Duodenocolic reflex: presence of chyme and peristalsis of duodenum causes colon to contract - Defecation reflex: spinal cord reflex that can be controlled volitionally -> stretching in the wall of the rectum by the entry of feces stimulates reflex (smooth muscles of rectum contract) -> Internal anal sphincter relaxes, PERMITTING defecation - External anal sphincter: skeletal muscle under volitional control -> can be contracted to PREVENT defecation