Lecture 2 Block 2 Flashcards

(25 cards)

1
Q

Name the 5 hollow organs of the GI tract for this block?

A
Mouth
Esophagus
Stomach
Small Intestine
Large Intestine
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2
Q

Name the 3 accessory organs of the GI tract for this block?

A

Salivary glands
Liver
Pancreas

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3
Q

What does the mouth and esophagus do for digestion and absorption of food purposes?

A

Mechanical disruption (size, surface area, consistency)

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4
Q

What do the salivary glands (and lingual) do for digestion and absorption of food purposes?

A

Initiate digestion of carbohydrates (alpha-amylase) and fats (lingual lipase)
Lubrication: via mucus (protein) and serous (watery) secretions

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5
Q

What does the stomach do for digestion and absorption of food purposes?

A

Continues mechanical disruption

Beings protein digestion (via secretion of ~2L/day of gastric juice rich in acid and pepsinogen/pepsin)

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6
Q

What do the small intestines do for digestion and absorption of food purposes?

A

Absorbs and secrete salt and water; the NET result is absorption of 9-10L/day
Finish digestion of proteins, carbohydrates, and lipids:
- pancreatic enzymes
- hepatic bile
- luminal disaccharidases and peptidases for final digestion

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7
Q

What does the liver do for digestion and absorption of food purposes?

A

Secretion of bile (emulsifies fat; stored in gall bladder, releasing ~0.5L/day into duodenum)

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8
Q

What does the pancreas do for digestion and absorption of food purposes?

A

Secretion of pancreatic juice (~1.5L/day, rich in HCO3- and enzymes

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9
Q

What does the large intestine do for digestion and absorption of food purposes?

A

Final absorption of salt and water (about 0.4-0.5L/day)
Modest role in regulation of K+ homeostasis
Compacting and storage of stool before expulsion

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10
Q

What is the Endocrine pancreas (overview)?

A

Endocrine glands secrete their products, hormones, directly into the blood rather than through a duct. It is the source of insulin and glucagon secreted directly into the blood

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11
Q

What is the Exocrine pancreas (overview)?

A

Exocrine glands secrete their products (including digestive enzymes, and some hormone chemical messengers) into ducts that lead directly to the external environment. Exocrine pancreas is a collection of lobules; each lobule is a collection of ducts which begins at an acinus.

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12
Q

What is the bicarbonate (HCO3-) in the pancreatic juice for?

A

Neutralizing the acid in gastric juice which facilitates that action of pancreatic enzymes

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13
Q

What is a general role of pancreatic enzymes?

A

Completing the intraluminal (within the tube of the small intestine) digestion of ingested carbohydrates, proteins, and fat.

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14
Q

What is the Acinus of an exocrine gland?

A

Is the site of formation of the primary secretion of the gland. It involves active secretion of salt and water and (in some cases) some specific secretory products - like digestive enzymes

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15
Q

What is the duct of an exocrine gland primarily for?

A

A site for “modification” of the primary secretory product of the acinar cells

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16
Q

What are some typical fluid volumes of the exocrine pancreas secretions?

A

1.2-1.5L/day of isotonic pancreatic juice (water and salts including sodium bicarbonate NaHCO3)
15-100 grams of protein (20 distinct enzymes)

17
Q

What are zymogens and why are they secreted in this form?

A

Are a type of proenzyme - an inactive form of an enzyme. The pancreas secretes several digestive enzymes principally as zymogens to prevent them from digesting proteins in the cells in which they are synthesized.

18
Q

What are the principal pancreatic enzymes secreted as inactive zymogens?

A

Trypsinogen (when activated is trypsin)
Chymotrypsinogen (when activate is chymotrypsin)
Procarboxypeptidase (when activated is carboxypeptidase)
Prolestase (when activated is elastase)

19
Q

What are the principal pancreatic enzymes secreted as active enzymes?

A

Pancreatic alpha-amylase
Pancreatic lipase
Ribonuclease/deoxyribonuclease

20
Q

How are zymogens activated?

A

Enteropeptidase (also called enterokinase) is an enzyme in the brush border of the small intestines that cleaves a peptide from trypsinogen, thereby forming the active digestive enzyme, trypsin. Trypsin then activates the other pancreatic zymogens

21
Q

Which zymogen is activated first and then activates the other zymogens?

A

Trypsinogen has a peptide cleaved from it by enteropeptidase to form trypsin which then activates the other zymogens

22
Q

What is the general structure of an exocrine gland?

A

A blind ended epithelial tube that secretes to the external environment

23
Q

What digests:

  • Carbohydrates
  • Proteins
  • Lipids
  • Nucleaic Acids
A

Amylases digest carbohydrates
Proteases digest proteins
Lipases digest lipids
Nucleases digest nucleaic acids

24
Q

(Clicker question) The acinus of an exocrine gland is a site for?

A

Active secretion of salt and water

25
(Clicker Question) The Islets of Langerhans secrete _____ and are a component of the "____ pancreas"?
Insulin and glucagon | Endocrine