Digestive System

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does digestion occur in accessory organs?
no
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Name the part of the alimentary tube in which MOST absorption takes place
small intestine
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ingestion
food taken in
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digestion
food modified chemically or mechanically
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Motility or propulsion
food moved along
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absorption
useful nutrients moved into internal environment via passive/active transport or diffusion
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why is mechanical digestion important
creates a larger surface area for digestive enzymes
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what organs aid in mechanical digestion
mouth (chewing) stomach (churning) small intestine (segmentation)
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Chemical digestion
Process by which enzymes break down food into small molecules that the body can use
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what nutrients need to be chemically digested in order to be absorbed?
carbs fats and proteins
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The alimentary tube consists of..
oral cavity, pharynx, esophagus ,stomach, small intestine, large intestine, rectum, anal canal
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accessory organs consist of...
salivary glands, liver, tongue, teeth, gallbladder, pancreas, vermiform appendix
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Mechanoreceptors and chemoreceptors located in walls of GI tract respond to
stretching, osmolarity , PH level of contents and presence of end products of digestion
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Mechanoreceptors respond to
touch, pressure, vibration, stretch
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Hormones in the alimentary tube distribute via..
blood and interstitial fluid
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sympathetic influence on digestive system
decreased activity of glands and muscles, constriction of sphincters to reduce movement
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parasympathetic influence on digestive system
increased secretory activity, enhanced mobility, relaxation of sphincters to allow movement
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visceral peritoneum
covers organs
covers organs
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parietal peritoneum
lines the body wall
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mucosa anatomy
stratified squamous, simple columnar, lamina propria (loose areolar), muscularis mucosae
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Mucosa Physiology
protection against abrasions and infections, secretes digestive enzymes and hormones, absorption, muscularis twitches to loosen food
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submucosa anatomy
areolar ct with embedded blood, nerve and lymph vessels, rich supply of elastic fibers
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submucosa physiology
provides second line of defense, regulates glands autonomically, allows stomach to regain shape after large meal
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muscularis exterior anatomy
2 layers of smooth mm (in stomach 3)
inner layer - circular
outer layer - longitudinal
stomach only - oblique
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muscularis exterior physiology
responsible for moving food through tube and segmentation, churning mechanically breaks down food
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how are sphincters formed?
circular muscularis exterior layer thickens to prevent backflow
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serosa anatomy
adventina- in thoracic cavity, holds esophagus in place
visceral peritoneum - abdominopelvic cavity, covers digestive organs
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serosa physiology
secretes serous fluid to prevent friction during contractions, peritoneum's extensions (mesentery) bind organs together to prevent intestine strangulation
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oral cavity physiology
ingestions, starts mechanical digestion (chewing), starts chemical digestion (starches)
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the uvula dangles from what palate?
soft palate
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soft palate is made of mostly...
skeletal muscle
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tongue anatomy
intrinsic - confined in tongue, speech/swallow
extrinsic - extend from tongue to points of origin on bones of skull/soft palate
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tongue physiology
speech, swallowing, mixed food with saliva to form bolus, taste
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swallowing times (liquid and solid)
liquid - 1-2 seconds
solid- 8 seconds
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buccal phase
voluntary, forces bolus into oropharnyx
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pharyngeal esophageal phase
involuntary, bolus continues down alimentary tube
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teeth anatomy
crown - covered with enamel
dentin - forms bulk of tooth, adentoblasts
pulp cavity - contains nerves and blood vessels
neck - area surrounded by gums
root - in socket, covered by cementum that cements teeth to gums
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primary teeth and permanent teeth numbers
20, 32
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by what age have 2 sets of teeth formed?
21
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3 molars aka wisdom teeth appear at what age range?
17-25
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Incisors
chisel shape, cut and rip
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canines
conical, fang-like
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premolar
two-point shape, grinding
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molar
broad crown with rounded crusps, grinding and crushing
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salivary glands: exocrine or endocrine?
exocrine (mouth is ailmentary tube is considered exterior)
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salivary glands are composed of
serous cells and mucous cells
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intrinsic salivary glands:
parotid, submandibular, sublingual
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parotid gland
serous cells only, just in front of ear, empties into vestibule
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submandibular gland
50/50 serous and mucous, below mandibular angle, empties into mouth on either side of lingual frenulum
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sublingual gland
mostly mucous, smallest gland, empties into floor of mouth
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secretion of gastric juice may begin with sight or smell of food. this is a _________ nervous system response
parasympathetic
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composition of saliva
slightly acidic, 97-99.5% water to liquify food, digestive enzymes
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lower esophageal sphincter
located in region of cardiac orifice, relaxes to let food through then contracts to prevent backup of stomach content
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esophageal layers:
has all 4 basic alimentary layers
mucosa: stratified squamous epithelium changes to simple columnar at esophagus/stomach junction

muscular layer: skel mm 1/3, mixed 1/3 and smooth 3/3
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how much of the esophagus is voluntary?
2/3
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esophagus physiology
peristalsis - wave-like ripple of smooth mm in response to stretch on GI wall

moves bolus downward despite position person is in
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when the stomach is empty, the mucosa/submucosa fold into large folds called
rugae
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cardiac orifice is the..
sphincter for lower esophagus
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the parts of the stomach that mainly do storage are...
fundus, body
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the funnel shaped part of the stomach, most digestion takes place here
pylorus
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the lesser omentum connects the ____ to the _____
liver, lesser curvature
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greater omentum connects the _______ to the ______, ________ and __________
greater curvature, small intestine, spleen and large intestine
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mucous neck cells produce
thin acidic mucus
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chief cells produce
pepsinogen
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endocrine cells produce
ghrelin gastrin
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parietal cells produce
HCl and intrinsic factor
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mucous neck cells product physiology
helps secretions of other glands travel through pits of stomach
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chief cells product physiology
pepsinogen interacts with HCL acid to form pepsin, digests protein
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endocrine cells product physiology
ghrelin - hormone stimulates hypothalamus, increase in appetite

gastrin - stimulates secretion of gastric juices to digest food
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parietal cells product physiology
HCL - denatures protein, activates pepsin, stomach turns acidic (3rd line of defense)

Intrinsic factor - binds to vitamin B12 to protect it from digestion
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stomach mucosal barrier mods-
2 layers of bicarbonate rich mucus; damaged mucosal cells are replaced quickly, gastric glands
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what are the lines of defense in order
mucosa, submucosa, HCL acid, bacterial flora in colon
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the stomach produces what hormones
gastrin, ghrelin
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small intestine anatomy (superior to inferior)
duodenum, jujenum, ileum
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small intestine modifications
1. absorptive cells
2. mucus secretes goblet cells to move things along
3. endocrine cells produce secretin, cholecystokinin (CCK) and gastric inhibitory peptide (don't want stomach acid coming into intestine)
4. paneth cells produce definsins and lysosome
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paneth cells provide what defenses?
anti microbial (defensins) and anti-bacterial (lysosome)
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plicae circulares are
deep folds in mucosa/submucosa of small intestine, forces chyme to spiral slowly
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what produces intestinal juice?
microvilli on brush border
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mucosa cells are produced by...
stem cells at base of intestinal crypts dividing
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small intestine physiology
completes digestive process, can trigger pyloric sphincter to tighten to prevent further food entry, digestive juices of pancreas liver gallbladder and intestinal mucosa mixed at duodenum/upper jejenum
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segmentation (small intestine)
contraction and relaxation of rings of smooth mm, allows bolus to make contact with mm and improve absorption, breaks food down
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muscular contraction is regulated by .___ and ____ is released when chyme is present in small intestine
stretch reflexes hormone cck
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Where does most absorption of nutrients occur?
jejunum
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capillaries absorb ______ soluble products
water
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lacteals absorb _____ soluble products
fat
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villi contain
capillaries, lymph vessels and lacteals
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large intestine modifications
mucosa has large amount of goblet cells, longitudinal muscle layer reduced to three bands, epiploic appendages
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The taeniae coli are
three longitudinal bands of smooth muscle located beneath the serosa of the colon.
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Haustra occurs when
walls of large intestine pucker into pouches
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epiploic appendages
fat storages, part of mesentary
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parts of the large intestine
ileocecal calve, ascending colon, tranverse colon, descending colon, sigmoid colon
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large intestine physiology
absorbs most of remaining water, eliminates residue from body as semi-solid feces, harvests vitamins made by bacterial flora
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bacterial flora make what vitamins and inhibit what? (reminder that while they live in the large intestine, the large intestine itself doesn't make vitamins)
vitamin b and k, inhibit growth of pathogens
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what are the differences between haustral contractions and mass movement?
haustral occurs every 30 minutes in walls of iNDIVIDUAL haustra, mass occurs 3-4 times daily ,typically during/after meals, over large areas of colon
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haustral contractions
Slow segmenting movements in walls of individual haustra
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mass movement
slow moving but powerful contractile waves, move over large areas of colon 3-4 times a day to force contents to rectum, typically occur during/after eating
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what increases the strength of mass movement contractions?
bulk/fiber
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vermiform appendix anatomy AND physiology
located in vicinity of rectum, contains lymphoid tissue that protects passages open to exterior, twisted structure makes ideal location for intestinal bacteria (ideally for normal flora but can lead to appendicitis)
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how many lateral curves does the rectum contain and what are they called?
3 rectal valves
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the anus has two sphincters. name them and their muscle type
internal sphincter - smooth mm, involuntary
external sphincter - skeletal, voluntary