lecture 27 Flashcards

1
Q

What is absorption?

A

the net passage of substances from the GI lumen across the lining of the intestine into the interstitial fluid or lymph

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2
Q

Where is the primary site of absorption?

A

Small intestine

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3
Q

Sites of absorption?

A

Mouth, oesophagus, stomach

Small and large intestine

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4
Q

What is absorbed at mouth, oesophagus and stomach?

A

lipid soluble substances

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5
Q

What is absorbs at small intestine?

A

90% of water and sodium, all nutrients

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6
Q

what is absorbed at large intestine?

A

9% of water and sodium

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7
Q

factors effecting absorption?

A

Motility
surface area
transport across epithelium
removal of interstitial fluid

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8
Q

what does correct rate of propulsion allow?

A

digestion and absorption

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9
Q

what exposes products of digestion to absorptive surfaces?

A

motility and segmentation

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10
Q

rate of absorption is proportional to?

A

surface area

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11
Q

what anatomic adaptions maximise surface area?

A

length of intestine
circular folds
villi
microvilli

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12
Q

what acts as a barrier between outside world and bloodstream?

A

intestinal epithelium

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13
Q

why is there so many microbiomes in GI tract?

A

the lumen of the intestine is continuous with the outside world

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14
Q

What are the two pathways of transport of molecules across epithelium?

A

paracellular gaps

cellular

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15
Q

what is the non-selective barrier that binds cells together?

A

tight junction

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16
Q

what is required for cells to do paracellular travel?

A

a concentration gradient

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17
Q

how many membranes do the solutes have to pass to reach blood or lymph?

A

two membranes, apical and basal

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18
Q

what reduces nutrients into their smallest possible units?

A

chemical digestion

19
Q

benefits of transport proteins?

A

Absorb what is required

allows active transport

20
Q

why is there a large blood flow to intestine?

A

for removal of substance from interstitial fluid

21
Q

villi are arranged around?

A

blood vessels and lacteals?

22
Q

how do you lose water?

A

Sweat, urine, faeces, breath

23
Q

what is the total water delivered to small intestine?

A

~9-10L per day

24
Q

What is the mechanism of water absorption?

25
what is osmosis?
passive movement of water from lumen into the blood
26
How is sodium absorbed?
Passive movement via paracellular pathway | active transport via cells
27
mechanisms of sodium absorption?
Na+ channels Na+ transport coupled to monosaccharides Na+ transport coupled to amino acids
28
Going from lumen into epithelial cells Na+?
moves down the concentration gradient through channels and Na+/H+ transporters
29
To move from epithelial cells to interstitial fluid, Na+ requires?
active transport to move up the gradient
30
2 mechanisms for carbohydrate absorption?
Passive or active
31
Passive absorption of carbohydrates is?
monosaccharides diffusing down concentration gradient via paracellular pathway
32
Active absorption of carbohydrates requires co-transport with?
Na+ via cellular pathway
33
how are di and tri - peptides transported?
via H+ dependent cotransport
34
how are amino acids transported?
via Na+ dependent cotransport
35
Do products of fat digestion require a transporter?
No, they are lipid soluble and diffuse freely
36
How are products of fat digestion delivered to brush border?
micelles
37
What happens to products of fat digestion when it enters the cell?
resynthesised into triglycerides, packaged into chylomicrons which exit via exocytosis and enter lacteals
38
in the ileum how are bile salts absorbed?
active transport processes | apical Na+ dependent bile acid cotransporter
39
How is bile salts absorbed in the colon?
passive absorption
40
when does bile salt absorption occur?
after fat absorption is complete
41
What are fat soluble vitamins?
A, D, E, K
42
when are fat soluble vitamins absorbed?
Absorbed with fats
43
What is a water soluble vitamin and how are they absorbed?
Na+ dependent absorption | vitamin c
44
How is vitamin B12 absorbed?
Absorbed in the ileum bound to intrinsic factor