Lecture 5 Flashcards

1
Q

What secretes cholecystokinin and in response to what

A

Acinar cells in the duodenum
In response to fatty foods and aa

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2
Q

What is a major stimulus for gallbladder contraction

A

CCK

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3
Q

CCK is a major stimulus for what

A

Gall bladder contraction

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4
Q

What 3 things does CCK do

A

Stimulates gallbladder contraction
Stimulates secretion of pancreatic juice
Relaxes hepatopancreatic sphincter

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5
Q

Bile salts are recycled through what

A

Enterohepatic circulation

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6
Q

Most bile salts are reabsorbed by what section of the GI tract

A

Ileum

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7
Q

Reabsorbed bile salts travel via what vein back to the liver

A

Hepatic portal vein

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8
Q

What is the most important stimulus for bile secretion

A

Bile salts in portal circulation

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9
Q

What triggers the release of CCK

A

Protein and fats in chyme entering the duodenum

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10
Q

during cephalic and gastric phases _____ nerve causes weak gallbladder contractions

A

Vagal nerve

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11
Q

When the gallbladder is removed, how does the body compensate?

A

It enlarges the bile duct to allow more bile to be stored

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12
Q

What is obstructive jaundice

A

liver cannot eliminate the bile, as gallstones block the pancreatic duct

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13
Q

What are acini

A

groups of secretory acinar cells clustered around ducts

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14
Q

What do acini mediate

A

Exocrine function of the pancreas

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15
Q

What does an acinar DUCT cell secrete

A

bicarbonate and water

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16
Q

Is pancreatic juice alkaine or acidic

A

Alkaline

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17
Q

How much pancreatic juice do we produce a day

A

1200-1500ml

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18
Q

What two things does the alkalinity of pancreatic juice allow it to do

A

Neutralize acidic chyme
Create optimal pH for intestinal and pancreatic enzymes

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19
Q

Why are proteolytic enzymes released in “inactive precursor form”

A

to prevent unwanted protein degredation;
make sure they activate in the proper place

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20
Q

What do amylase, lipases and nucleases typically require to function optimally

A

Bile or ions

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21
Q

What is the alkaline tide

A

Bicarbonate production in the stomach

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22
Q

What is released into the bloodstream from the pancreas that neutralizes the bicarb secreted into the blood from the stomach

A

H+ ions

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23
Q

What are the two main intestinal hormones

A

Secretin and CCK

24
Q

What controls the vagal stimulation of secretory activity in the pancreas

A

Parasympathetic nervous system

25
What do duodenal enteroendocrine cells secrete in the pancreas
CCK and Secretin
26
What is the full name of CCK
Cholecystokinin
27
What triggers the release of secretin
Acidic chyme
28
How does the small intestine absorb
Through absorptive cells through apical brush border
29
How much intestinal juice is secreted a day
1-2 L
30
what is a major stimulus for secretion of intestinal juice
Distension or irritation of intestinal mucosa
31
Are the contents of the stomach hypo or hyper tonic?
Hypertonic
32
What is segmentation
The way the SI churns, squeezing the lumen in different spots to compartmentalize
33
What is segmentation initiated by
Intrinsic pacemaker cells
34
Whats the frequency of segmentation in the duodenum
12-14/ min
35
Whats the frequency of segmentation in the ileum
8-9/min
36
How long is the MMC
90 mins
37
What is the MMC
Migrating mobility complex Repeated peristaltic action
38
Chemical reaction for digestion of complex molecules involves _____
Hydrolysis
39
What is a monomer
Monosaccharides
40
Where are monosaccharides absorbed
Directly in the SI
41
What are three major dietary monosaccharides
Glucose Fructose Galactose
42
Glucose, fructose and galactose are ____ because they have the same composition
Isomers
43
Sucrose is composed of
Glucose and Fructose
44
Lactose is composed of
Galactose and glucose
45
Maltose is composed of
Two glucose
46
Glycogen and starch are:
Polysaccharides
47
What is the common storage form for carbs in muscle and liver
Glycogen
48
Why is glycogen a good storage form?
We have enzymes that will break it down very easily
49
What is cellulose
plant polysaccharide
50
Cellulose cannot be digested, but why is it important
It provides fiber
51
Can cellulose be digested?
Nope
52
What starts the digestion of carbohydrates
Salivary amylase
53
What is carbs reduced to in the mouth
Oligosaccharides
54
What is an oligosaccharides
3-8 monomers
55
What digests salivary amylase
Pepsin
56
What reduces most starch to maltose and where
Pancreatic amylase and in the SI
57
What completes carb digestion to monosaccharides
Intestinal brush border enzymes