Chapter 18: Digestive system

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1
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what is the digestive system also called?
the gastrointestinal system
2
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what does the word "gastro" refer to?
the stomach
3
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what is the overall function of the digestive systm?
To process food into molecular form in order for the circulatory system distributes among the cells in the body.
4
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what is 'motility'
the general movement of food within the digestive tract
(ex. mastication, deglutition and contraction of smooth muscle)
5
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what does digestion refer to?
the chemical AND mechanical breakdown to smaller and smaller pieces for absorption

[chemical = enzymes, mechanical = mastication]
6
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what dies 'secretion' refer to?
the release of exocrine and endocrine secretions into the lumen of GI tract for digestion
[think bile, hormones, enzymes... to help aid digestion]
7
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define 'lumen'
the hollow interior of an autonomical structure
8
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what is 'absorption'
the movment of digested end products into the blood and lymph
9
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what does 'storage and elimination' refer to?
temporary storage following by elimination of indigestible food molecules
(waste like urine feces n sweat)
[ex. fiber, additives in food = indigestible ]
10
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what is the 'immune barrier' and give me an example.
Physical barrier to pathogens and toxins due to tight junctions in the epithelial lining of the intestine

[ex. GI mucosa (aka mucous membrane) has 80% of total immune system cells in the body]
11
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digestion of food molecules occur through what type of reaction?
digestion occurs by hydrolysis reactions

[hydrolysis reaction = chemical breakdown involving reaction with water]
12
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where does the most digestion happen?
in the small intestine
13
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what structures are in the gastrointestinal (GI) tract?

(or in other words, where does the food pass through?)
mouth ,pharynx , esophagus, stomach, small intestine, large intestine
14
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what is the GI tract also known as?
the Alimentary canal
15
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What are the accessory organs/tissues in the digestive system?
teeth, tongue, salivary glands, liver, gallbladder and pancreas
16
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why are the accessory organs called accessory organs?
because the food/chyme doesn't pass though these structures, but they help digestion

[ex.. gallbladder = food doesn’t pass through here but it will secrete bile to help digest food]
17
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where does most absorption of nutrients occur and what does this tell you?
most absorption occurs in the Small Intestine
... this tells you that most digestion happens before or inside the small intestine
18
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name the four layers/tunics of the gut wall
(innermost to outermost pls :)
Mucosa, submucosa, muscularis externa, serosa)

(think... MSMS
19
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what is the mucosa and what are it's functions?
it is the innermost layer
functions: absorption, section and mucus secretion
20
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when referring to mucus in the digestive system, what is its main function?
protects gut wall from digesting itself!!

[think whenever you see mucus, always think protection]
21
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what are the two layers in the mucosa?
lamina propria and muscularis mucosae
22
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what is the muscularis mucosae and what does it do?
it is the smooth muscle layer in the mucosa and has lots of folds
-the folds help increase surface area for better absorption
-the smooth muscle layer helps produce movement to move the chyme
23
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what does the submucosa contain and what does it help do?
it is the 2nd most inner-layer

contains blood/lymph vessels and the submucosal plexus ( plexus=a collection of neurons). These neurons help control the smooth muscle in the mucosa
24
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what is the muscularis externa and what does it do
it is the 2nd OUTERmost later
helps segmental and peristaltic contraction of the muscles to move food throughout the tract. This also mixes it with digestive enzymes
25
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what are the two layers of the muscularis externa?
inner circular layer and the outer longitudinal layer
(both made with smooth muscle)
26
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what is the serosa and explain it's structure.
-Sersoa is the outermost layer of the gut wall
-it is made with connective tissue and cover with epithelium
27
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define mastication
chewing of food in mouth
28
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even though mastication is a mechanical process, how does it help with chemical digestion?
chewing mixes the food with saliva. Inside the saliva are salivary amylase (an enzyme)
29
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salivary amylase is secreted by what?
salivary glands
30
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what does salivary amylase help digest? is it full digestion or partial?
it partially digest starch (a carbohydrate)
31
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where does digestion of carbs start and by what enzyme?
in the mouth by salivary amylase
32
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define deglutition and what does it refer to?
Deglutition is swallowing and it refers to when food/drink stimulate receptors in the pharynx with pressure, thus telling the brain to swallow
33
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define bolus
food that is mixed with saliva and is ready to be swallowed
34
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t/f the upper esophageal sphincter needs to contract in order to swallow.
false, the sphincter needs to relax in order to let the food in the esophagus
35
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what is the main function of the esophagus?
Motility, it transports the bolas from the mouth the to stomach.
36
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t/f absolutely no digestion occurs in the esophagus
true

[remember, its main function is motility]
37
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define peristalsis and name the two types of muscles it uses.
the wavelike muscular contractions that push the bolus down the esophagus to the stomach.

uses circular smooth muscle and longitudinal muscle
38
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how do circular and longitudinal work together to transport the bolus?
the circular muscle contracts above the bolas and relaxes below it while the longitudinal muscle shortens and lengthens to move it down.

(refer to picture
the circular muscle contracts above the bolas and relaxes below it while the longitudinal muscle shortens and lengthens to move it down. 

(refer to picture
39
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t/f the most digestion occurs in the stomach
FALSE,
the most happens in the small intestine
40
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Stomach turns the bolus into ____
chyme

[chyme = chewed food w/ gastric juice]
41
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after the stomach, where does the chyme go?
to the small intestine
42
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what are the main functions of the stomach?
-stores food (moves chyme slooooowly)
-kills bacteria w/ acidity of gastric juice
-starts digestion of proteins
43
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what do proteins digest into?
amino acids, the building blocks of proteins

[think... you have to eat protein in order to gain muscle (aka protein) ]
44
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where does carb digestion start?
in the mouth (with salivary amylase)
45
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what are special about the cells in the stomach?
they synthesize and secrete...
-mucus
-enzyme precursors (enzymes that are in an inactive state)
-hydrochloric acid (HCl) (aka. stomach acid)
-hormones
46
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what are the folds in the side of the stomach called and what are they used for?
gastic rugae are used for gastic motility
47
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what type of glands are found in the stomach?
Gastric glands

[remember.. gastric refers to the stomach]
48
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Cells of the gastic glands in stomach
refer to my "cells of gastric glands in stomach" knowt or the matching game.

(pls this part is important)
49
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how does bicarbonate effect the stomach?
bicarbonate protects the stomach from acid damage
50
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where can you find the small intestine?
in between the stomach and large intestine
51
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What are the two main functions of the small intestine?
digestion and absorption
52
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what organic molecules does the small intestine digest?
carbohydrate, lipids, proteins
53
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After molecules are absorbed into the small intestine, where do they go?
into the blood stream to be transported to other cells that need nutrients
54
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t/f the small intestine ABSORBS proteins
false, they absorb amino acids because protein molecules are too big
55
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what are the folds in the mucosa called?
villi
56
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the folds on the villi called what?
micovilli (or brush border)
57
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what is the function of the villi/microvilli?
to increase surface area for more efficient absorption
58
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what is embedded into the microvilli?
brush boarder enzymes to help digestion
59
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t/f all digestion must be finished in the small intestine
true
60
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t/f digestion in the small intestine is fast
false, it is slow to ensure proper absorption of all nutrients in chyme
61
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what is the main contraction in the smooth muscle of the small intestine?
segmentation... contraction of the small intestine in different segments but occurring simultaneously

( like a wave ~~~~~)
62
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how does segmentation help digestion and how is it controlled?
-helps by mixing and moving chyme
-controlled by autonomic nervous system in the gut wall (not voluntary)
63
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t/f some digestion happens in the large intesine
false, no digestion occurs here
64
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what is the large intestine also called?
the colon
65
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t/f the large intestine has villi
false,
(villi is used for digestion and no digestion happens here)
66
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instead of villi, the large intestine has _____
Haustra... pouches on the outer surface

( looks like --u-- instead of __n__)
67
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what are the main functions of the colon?
-absorption of electrolytes, water and vitamins
-excretion of waste in the form of feces
68
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what does the liver produce?
bile
69
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how are the liver and gallbladder connected?
the liver produces bile and the gallbladder stores the bile
70
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what is the function of the pancreas?
synthesizes pancreatic juice for digestion
(ex. Pancreatic lipase)
71
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what are the main functions of the liver?
-detoxifies blood
-carbohydrate metabolism
-lipid metabolism
-protein synthesis
- secretes bile
-stores carbs and lipids
72
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t/f the liver has a lumen
false, has tight junctions and is highly vascular
73
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What are hepatocytes and what happens in them?
hepatocytes are liver cells
-all functions of the liver happen inside the hepatocytes
74
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explain the tract of bile
-bile is produced by hepatocytes --> secreted into bile canaliculi --> canaliculi empties into bile ductules --> ductules empties into gallbladder where it is stored
75
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what is the portal triad explain each one
three tight knit vessels within the liver
- Hepatic artery: where blood enters liver
-Bile canaliculi: brings bile to ductule
-Bile ductule: brings bile to gallbladder
76
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in what structure in the liver does the blood leav?
central vein
77
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what is the most important component of bile?

(pertaining to our class, not the actual most important)
bile salts
78
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what are bile salts and what do they do?
-cholesterol based salts that help emulsify fat for lipid digestion

[has cholesterol bc like dissolves like]
79
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t/f micelles are amphipathic
true, this helps with the breakdown/emulsification of fat

[amphipathic = has both nonpolar and polar sides]
80
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explain emulsification
breakdown of large fat globules by bile salts into smaller globules to help further digestion.


[further digestion is done by lipase enzymes]
81
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through what structure does bile enter the small intestine?
via the common bile duct.

[remember... liver makes bile, gallbladder stores it, small intestine uses it]
82
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the pancreases has endocrine and exocrine functions, name them within their categories.
endocrine functions: synthesizes insulin and glucagon\
exocrine function: synthesizes pancreatic juice
83
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What components make up pancreatic juice?
bicarbonate, ~20 enzymes and water
84
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what are the three enzymes you should know within pancreatic juice and are they active within the pancreases?
amylase, trypsin, lipase
no, they are only activated in the small intestine
85
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why are digestive enzymes only active within the small intestine?
ex. if enzymes were active inside the pancreases, they would digest the pancreases. Enzymes should only be active in the small intestine because it has a mucus layer to protect it from being digested.
86
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what does amylase do?
digests starch
87
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what does trypsin do?
digest protein
88
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what two types of enzymes help accomplish complete digestion in the small intestine?
pancreatic enzymes and bush boarder enzymes help aid digestion in the SI
89
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what are the three main enzymes that help with carb digestion?
Salivary amylase, pancreatic amylase and brush boarder enzymes
90
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where does carb digestion start and where is it mostly completed?
starts in the mouth by salivary amylase and is mostly completed in the Small intestine by the pancreatic amylase
91
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how does amylase help digestion? (more specifically pancreatic amylase)
amylase breaks down big carb molecules into smaller ones for easier absorption.

once small enough, carbs are actively transported into the blood stream
92
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what enzymes help digest proteins?
pepsin, trypsin and brush border enzymes
93
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where does protein digestion start?
it starts within the stomach with pepsin
94
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explain how protein is digested, how does it enter the blood stream
protein is broken down into smaller molecules, amino acids --> then amino enter the epitheial layer of the small intestine through active transport --> then are finally secreted into the ISF to be absorbed into the capillaries.
95
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lipids in chime stimulate what?
Secretion of bile, thus resulting in emulsification of fats
96
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what enzymes digest lipids and what do the lipids turn into?
pancreatic lipase helps lipids turn into fatty acids and monoglycerides
97
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explain the steps of lipid digestion
1. lipids in chyme stimulate secretion of bile into SI
2.bile breaks down lipids into smaller fats (by bile salts)
3. Lipase further breaks down lips into fatty acids and monoglycerides and enter the epithelial cell
4. once in epithelial cell, fatty acid and monoglycerides combine to become trigylcerides
5. tryglycerides combine with cholesterol and protein to form chylomicrons that enter lymphatic vessels (eventually entering blood)

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