GI physio Flashcards

(73 cards)

1
Q

function of the GI system

A

Ingest food and liquid with nutrients
digest large molecules in ingested food into absorbable molecular forms
absorption of nutrients from the gut
metabolic transform of fuel molecules
detox of foreign substance (liver)
Elimination of metabolic end product secreted by the liver
immune function

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

where does GI tissue start to have the same structure

A

From the mid-esophagus all the way down

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

what does the surface of microvilli of the GI contain

A

Brush border

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

how fast does the intestinal epithelial cells turn over

A

17 billion new cells each day
complete turnover
complete turnover every 5 days

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

what is the vein associated with GI tissue

A

Hepatic portal vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the roll of lymph vessels in the GI tract

A

transport breakdown products for recycling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the roll of muscles and nerves of the GI

A

peristallic movements

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

what does the brush border do to breakdown food

A

Contains enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the 5 basic

A
Carbs
Proteins
Fats
Vitamins
Minerals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the intermediate product of carbs

A

Maltose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what breaks up polysaccharides

A

Amylase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what breaks up triglycerides

A

Lipase

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

where does Amylase come rom

A

Saliva and pancreas

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

what does the breakdown of carbs lead to

A

Disaccharide maltose

mix of short branched chains of glucose molecules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what breaks down maltose an ingested sucrose and lactose

A

enzymes located on the apical membranes of small intestine epithelial cells (brush border)

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

where are most ingested carbs digested and absorbed

A

first 20% of small intestin

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

what are the steps of carbohydrate breakdown in the lumen to be absorbed into the intestinal epithelial cells

A

Polysaccharides broken into maltose via pancreatic amylase

brush border enzymes break maltose and ingested disaccharised into monsaccharides(fructose, glucose, galactose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how does Fructose get into the interstinal epithelial cells

A

GLUT5

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

how does Glucose and galactose get intot he intestinal epithelium

A

SGLT, cotransported with Na

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

how does Fructose, Glucose and Galactose get into the interstitial fluid

A

Via GLUT2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what keeps Na out of the cell after SGLT cotransports it in

A

Na/K ATPase

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

what are the enzymes invovled in breaking down complex carbs into monosaccharides

A
DIgestive Enzymes (amylase)
Ectoenzymes (lactase)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what breaks down proteins in the stomach

A

PEpsin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what breaks down proteins in the small intestin

A

Trypsin

Chymotrypsin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
what secretes trypsin and Chymotrypsin
Pancreas
26
what digests the peptide fragments to amino acids
Carboxypeptidases | Aminopeptidases
27
where do carboxypeptidases come fro
pancreas
28
where do aminopeptidases come from
Apical membrane of small-intestine epithelial cells
29
how do free amino acids enter epithelial cells of the small intestine
Secondary active transport with Na
30
how are short chains of 2-3 amino acids absorbed into the small intestine
Sec active transport using the H gradient
31
where are proteins broken down
stomach | Small intestine
32
how does pepsin come into existence
Pepsinogen produced in stomach to be cleaved to become pepsin
33
how do small intestine enzymes come to be
pancrease release pro-enzymes into small intestine to digest proteins
34
what are the pro-enzymes for peptide breakdown in the small intestine
Trypsinogen Cymotrypsinogen Procarboxypeptidase A and B Proelastase
35
what initiates the conversion of proenzyme to enzyme in the small intestine
Enteropeptidase
36
what turns trypsinogen to trypsin
Enteropeptidase (on the brush border)
37
what turns proenzymes into active enzymes
Trypsin
38
two classes of amino acids transport
Na+ dependent | Na+ independent
39
where are tranpsorters of amino acids found
Brush bormesder | Basolateral membrane
40
what degrades protein
HCl | Proteases
41
how are proteases released
Proenzymes
42
can luminal peptidases alone breakdown protein
No, also need brush border enzy
43
what are the sources of lipase
Lingual lipase Gastric lipase Pancreatic Lipase
44
how do you make fats soluble in water
breakdown into lipases
45
does gastric emptying increase or slow due to fats
Slow
46
how are fats emulsifed
mechanically | Emulsifying agents
47
where does fatty acid absorption occur
Small intestine (primarily duodenum)
48
where does fatty acid digestionoccur
Stomach | Duodenum
49
what is involved in emulsification
Bile salt (glycocholic acid)
50
what makes up a bile salt
A non-polar side | A polar side (carboxyl and hydroxyl grousp)
51
how does lipase interact with fat
Colipase
52
how do Micelles enhanve absorption of fatty acids
Miceles are in equalibtium with free fatty acids | Micelles constantly break down and reform
53
are triglycerides, free faty acids, or monoglycerides found in systemic circulation
Triglycerides
54
how do triglycerides exist in water
enclosed by membrane from endoplasmic reticulum to form a laceal
55
what vitamines are fat soluble
A D E K
56
how do vitamins get through intestinal epithelial cells
Solubilized in micelles | Passively diffuse
57
what are vitamins released into the body with
Chylomicrons
58
what do the absorption patterns of fat soluble vitamines follow the pathway of
Fat absorption and other lipids
59
how are water-soluble vitamines absorbed
diffusion mediated transport (except B12)
60
what is needed for B12 to be absorbed
bind to intrinsic factor
61
what does bound vit B12 to intrinsic factor do
binds to specific sites on the epithelial cells in the lower portion of the ileum where Vit B12 is taken in by endocytosis
62
what is the important solute for creation of the concentration gradient
Na
63
where all does Na absorption occur
throughout the entire Gi tract
64
can Na be absorbed against its electrochemical gradient
Yes, if small
65
where is absoprtion of Na the highest
areas of glucose and galactose or amino acids are being transported
66
what other ions are absorbed in part due to Na
Cl HCO3 K
67
where is Ca absorbed
actively by all segments of the intestine
68
is Ca absorbed actively or passively
actively
69
what pH are salts soluble
Low pH
70
what enhances Ca absorption
Vitamin D
71
how efficient is Fe absoprtion
Very inefficient (less than 10% absorbed
72
what organ enhances ion absorbption
stomach
73
what type of Iron is absorbed
Fe++ (Not Fe+++)