GI 2 Flashcards

(41 cards)

1
Q

these are specialized folds in the small intestine that contain blood vessels and lacteals

A

villi

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2
Q

these increase surface area even more by forming the brush border

A

microvilli

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3
Q

this is the microenvironment for enzyme release and digestion/ absorption

A

brush border

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4
Q

what is one major function of the liver?

A

bile production

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5
Q

function of bile

A

makes fats soluble

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6
Q

the liver produces _______ from heme breakdown

A

bilirubin

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7
Q

what structure stores and concentrates bile?

A

gallbladder

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8
Q

what stimulates bile release from the gallbladder?

A

CCK and vagus nerve

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9
Q

what stimulates the release of CCK?

A

lipids in the duodenum

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10
Q

what are the main components of bile?

A

bile salts
phospholipids
cholesterol
bile pigments

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11
Q

this component of bile emulsifies fats

A

bile salts

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12
Q

insoluble bilirubin is bound to _______ in the blood

A

albumin

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13
Q

bilirubin is conjugated to what in the liver?

A

glucoronic acid

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14
Q

conjugated bilirubin is broken down into what 2 things in the small intestine?

A

urobilin- urine
stercobilin- stool

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15
Q

this results from abnormally high accumulation of bilirubin the blood

A

jaundice

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16
Q

indirect bilirubin is ___________

A

unconjugated

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17
Q

direct bilirubin is ____________

18
Q

bile acids are made from ______

19
Q

bile acids are conjugated with what to their final bile salt structure?

A

glycine
taurine
(amino acids)

20
Q

bile salts are _________, which allows them to act as emulsifiers

21
Q

what transports bile back into the portal system?

A

Na+/ bile cotransporter

22
Q

where is bile reabsorbed?

23
Q

after fat is emulsified, what breaks it down into micelles?

A

pancreatic lipase and colipase

24
Q

after absorption, lipids are ________

25
lipids enter the lacteals as a _______
chylomicron
26
triglyceride digestion results in.....
monoglycerides and free fatty acids
27
cholesterol digestion results in.....
ester digestion to cholesterol and fatty acid
28
phospholipid digestion results in...
lysolecithin and fatty acid
29
these have low cholesterol levels and carry cholesterol and triglycerides to adipose tissue
VLDLs
30
these are the main carrier of cholesterol and drop it off to "needy" cells
LDLs
31
these remove excess cholesterol from cells and vascular membranes
HDLs
32
what organs does the liver receive blood from?
spleen stomach pancreas small intestine colon
33
where do blood from the hepatic artery and portal vein mix?
sinusoids
34
bile in the liver is released into bile ________
canaliculi
35
phase 1 drug metabolism in the liver includes....
CYP450 enzyme breakdown
36
phase 2 drug metabolism in the liver includes...
making the substance more water soluble
37
sugars must be absorbed as _______
monosaccharides
38
how are fat soluble vitamins (A, D, E, K) absorbed?
just like dietary lipids
39
cecal distention causes the ileocecal valve to __________
constrict
40
are enzymes secreted in the large intestine?
no
41
what does the large intestine secrete?
mucus