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Practice flashcards covering the anatomy, physiology, and pathology of the digestive system based on Chapter 25.
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Which organ system processes food, extracts nutrients, and eliminates residue?
Digestive system
What is the first stage of digestion involving the selective intake of food?
Ingestion
Which stage of digestion involves the mechanical and chemical breakdown of food?
Digestion
What is the uptake of nutrient molecules into the epithelial cells of the digestive tract called?
Absorption
In the absorption stage, where do nutrient molecules enter after leaving epithelial cells?
Blood and lymph
What is the consolidation of indigestible residue into feces through water absorption called?
Compaction
Which stage of digestion is the elimination of feces?
Defecation
What is the physical breakdown of food into smaller particles called?
Mechanical digestion
Which structures perform the cutting and grinding action during mechanical digestion?
Teeth
What action in the stomach and small intestines contributes to mechanical digestion?
Churning action
What type of reactions characterize chemical digestion?
Hydrolysis reactions
What does chemical digestion break dietary macromolecules into?
Monomers
Which four structures or organs produce the enzymes for chemical digestion?
Salivary glands, stomach, pancreas, and small intestine
What is the muscular tube extending from the mouth to the anus called?
Digestive tract (alimentary canal)
Which organs are included in the alimentary canal?
Mouth, pharynx, esophagus, stomach, small intestine, and large intestine
Which two structures specifically make up the gastrointestinal (GI) tract?
Stomach and intestines
List the accessory organs of the digestive system.
Teeth, tongue, salivary glands, liver, gallbladder, and pancreas
What is the innermost tunic layer that lines the lumen of the digestive tract?
Mucosa
List three things secreted by the mucosa layer.
Mucus, digestive enzymes, hormones
Which tunic layer contains blood vessels, lymphatic vessels, and elastic tissue?
Submucosa
What is the function of the elastic tissue in the submucosa?
Helps organs regain shape after expansion
What are the two layers of the muscularis externa?
Inner circular layer and outer longitudinal layer
Which layer of the muscularis externa can form sphincters?
Inner circular layer
What is the function of sphincters in the digestive tract?
To regulate the passage of material
What is the outermost layer of the digestive tract wall?
Serosa
What type of tissues make up the serosa layer?
Areolar tissue topped by simple squamous
What are two other names for the mouth?
Oral cavity and buccal cavity
What is the term for chewing?
Mastication
What is the primary purpose of mastication regarding enzymes?
To break food into smaller pieces to expose more surface to digestive enzymes
What was identified as the first step of mechanical digestion?
Mastication (chewing)
What percentage of saliva is made of water?
99.5%
Besides water, list four components found in saliva.
Mucus, electrolytes, lysozymes, antibodies, and salivary amylase
What is the soft mass of food mixed with saliva called?
Bolus
Which enzyme in saliva begins the chemical breakdown of starches?
Salivary amylase
What are the small salivary glands scattered throughout the oral cavity called?
Intrinsic (minor) salivary glands
At what rate do intrinsic salivary glands secrete saliva?
A constant rate
How many pairs of extrinsic (major) salivary glands are connected to the oral cavity?
Three pairs
What is the daily volume of saliva secreted by extrinsic glands?
1 to 1.5dm3
Name the three pairs of extrinsic salivary glands.
Parotid, submandibular, and sublingual
From the mouth, where does food pass into before entering the esophagus?
Pharynx
How are the glands in the pharynx characterized?
Mucus-producing glands
What muscular tube connects the pharynx to the stomach?
Esophagus
What are the waves of involuntary muscular contractions in the esophagus called?
Peristalsis
During peristalsis, what do the muscles above the bolus do?
Constrict
During peristalsis, what do the muscles below the bolus do?
Relax
What causes heartburn?
Stomach acid regurgitating into the esophagus
Which organ primarily functions as a food storage organ?
Stomach
What is the acidic, soupy mixture of semi-digested food in the stomach called?
Chyme
Which substance secreted by the stomach is essential for vitamin B12 absorption?
Intrinsic factor
What is the only function of the stomach essential to life?
Secretion of intrinsic factor
What is the general shape of the stomach?
J-shaped
What are the four regions of the stomach?
Cardiac part, fundus, body, and pyloric part
Which part of the stomach connects to the esophagus?
Cardiac part
Name the ring of smooth muscle between the esophagus and the stomach.
Cardiac sphincter
What is the superior dome-shaped region of the stomach?
Fundus
What is the name of the stomach's midportion?
Body
What is the narrower pouch at the inferior end of the stomach?
Pyloric part
Which sphincter regulates the passage of chyme into the duodenum?
Pyloric sphincter
What are the invaginations in the gastric mucosa called?
Gastric pits
What structures in the stomach produce gastric juice?
Tubular (gastric) glands
Which stomach cells secrete mucus?
Mucous cells
Where are regenerative (stem) cells located in the stomach?
In the base of the pit
What three substances are secreted by parietal cells?
Hydrochloric acid (HCl), intrinsic factor, and ghrelin
Which hormone secreted by parietal cells is known as the hunger hormone?
Ghrelin
What two substances are secreted by chief cells?
Gastric lipase and pepsinogen
What do enteroendocrine (G) cells secrete?
Gastrin
What is the daily volume of gastric juice produced?
2 to 3dm3
What are the three main components of gastric juice?
Water, hydrochloric acid, and pepsin
What is the pH range of hydrochloric acid (HCl) in the stomach?
1.5–3.5
List four functions of hydrochloric acid (HCl) in the stomach.
Denatures protein, activates pepsin, breaks down plant cell walls, and kills bacteria
How is pepsinogen converted into pepsin?
By hydrochloric acid (HCl)
What is the function of pepsin?
Digests proteins
What percentage of fats are digested in the stomach by gastric lipases?
10%−15%
Where does the majority of fat digestion occur?
Small intestine
In HCl formation, what enters parietal cells to combine with water?
CO2
When CO2 and water combine in parietal cells, what two ions are formed?
Bicarbonate and hydrogen ions (H+)
As bicarbonate (HCO3−) leaves the parietal cell, what ion enters?
Chloride (Cl−)
What specific layer of the mucosal barrier protects the stomach from acid?
Thick layer of alkaline mucus
What structures between epithelial cells prevent gastric juice from seeping into tissue?
Tight junctions
How often are the surface cells of the stomach replaced?
Every 3–6 days
What term refers to inflammation of the stomach lining?
Gastritis
What bacterium causes most peptic ulcers?
Helicobacter pylori
Besides bacteria, what type of drugs can cause peptic ulcers?
Non-steroidal anti-inflammatory drugs (e.g., aspirin)
Which two systems regulate gastric secretion and motility?
Nervous and endocrine systems
Name the three phases of gastric activity.
Cephalic phase, gastric phase, and intestinal phase
Which phase involves the stomach being controlled by the brain?
Cephalic phase
What triggers the cephalic phase?
Sight, smell, taste, or thought of food
What percentage of stomach acid secretion occurs during the cephalic phase?
40%
Which nerve fibers stimulate gastric secretion during the cephalic phase?
Parasympathetic nerve fibers
How long does the gastric phase typically last?
3–4 hours
What fraction of gastric juice is released during the gastric phase?
Two-thirds
What two physical or chemical changes trigger the gastric phase?
Stretching of the stomach and increasing pH
Which hormone triggers the release of gastric juice during the gastric phase?
Gastrin
Which organ responds to arriving chyme during the intestinal phase?
Duodenum
What hormone does the duodenum release to initially stimulate the stomach?
Intestinal gastrin
Name the two hormones released by the duodenum that inhibit gastric secretions.
Secretin and cholecystokinin (CCK)
What is the liver's primary digestive function?
Production of bile
What is the chief function of the gallbladder?
Storage of bile
Which organ supplies most of the enzymes needed to digest chyme?
Pancreas
What substance does the pancreas secrete to neutralize stomach acid?
Bicarbonate