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136 Cards in this Set

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  • Back

What are the 5 main stages of digestion?

Ingestion


Propulsion (mixes and moves)


Digestion (mechanical breakdown & chemical digestion)


Absorption (pass through walls of some organs into blood and Lymph capillaries)


Elimination (defaecation)

What's included in the alimentary canal?

Mouth


Pharynx


Oesophagus


Stomach


Small intestine


Large intestine


Rectum & anal canal

What are the accessory organs?

Salivary glands (3)


Pancreas


Liver


Biliary tract

Walls of the alimentary tract are formed by 4 layers. What are they?

Adventitia/serosa (outer)


Muscle layer


Submucosa


Mucosa (lining)

What tissue is the adventitia serosa made out of ?

Loose fibrous tissue

Where would you find the largest adventitia/serosa? What's it called?



The abdomen



The peritoneum

What is the peritoneum?

closed sac containing small amount of serous fluid secreted by the peritoneal cells

The alimentary tract - consist of 2 muscle layers - what type of muscle are they made from?

Smooth (in-voluntary)*allows bowel to move*



Outer and inner

What fibres are the 2 layers made from?

Outer - longitudinal



Inner - circular

What would u find between the 2 layers?

Blood vessels


Lymph vessels


Plexus or sympathetic/parasympathetic nerves

What is peristalsis?

"Wave like contraction and relaxation of muscle layer"



Onward movement


Controlled by sphincters


Autonomic nervous system


Helps mix food with digestive juices

What tissue is the sub mucosa made from?

Loose connective with some elastic fibres


*strongest layer in the tube*

What does the sub mucosa contain?

Blood vessels


(Arterioles, venules, capillaries)


Nerves


Lymph vessels and lymphoid tissue


Nerve plexus


Sympathetic and parasympathetic nerves

The mucosa consists of 3 layer, what are they? And what is its function?

Function: specialised for absorption and secretion



Mucous membrane - protection, absorption, excretion



Lamina propria - loose connective tissue that supports the epithelial layer and had some lymph tissue



Muscular is mucosa - smooth muscle, provides involutions of the mucosa later eg. Gastric glands and villi

What is the mucous membrane lined with? - subject to friction/ not subject to friction?

Subject to friction


Stratified squamous epithelium with mucous secreting glands



Less subject to friction


Columnar epithelium cells interspersed with mucous secreting goblet cells

The mouth.



What tissue is it lined with and what is its function?

Stratified squamous epithelium containing small mucous secreting glands



Function


Mechanical digestion - mastication


Formation of bolus

Pharynx consists of 3 parts, can you name them, and what are their functions?

Nasopharynx


Oropharynx


Laryngopharynx



* all lined with Stratified squamous epithelium*



Functions-


Respiration

Oesophagus



What tissue is it lined with?


upper


lower


outer covering

upper - stratified squamous epithelium



lower - columnar epithelium



outer covering - elastic fibrous tissue

What's the function of the upper and lower sphincter in the Oesophagus?

Upper - prevents air passing into Oesophagus and aspiration of oesophageal contents



Lower - prevents acid reflux

The stomach



What does it connect?

Oesophagus to the small intestine

The stomach has 3 regions, what are they?

Fundus


Body


Antrum

The stomach has 3 muscle layers, what fibres are they made from?



Outer


Middle


Inner

Outer - longitudinal


Middle - circular


Inner - oblique

What is the function of the stomach?

-Mechanical breakdown



-Chemical breakdown



-Temp food reservoir



-Non specific defence against microbes



-Production of intrinsic factor



-Prep of iron for absorption



-Limited absorption of water, alcohol, some lipid soluble drugs

What does gastric juice contain?

Water


Hydrochloric acid


Intrinsic factor


Mucous

What is chyme?

Churning motion


Breaks down bolus


Mixes with gastric juice

What's the functions of:



Water


Hydrochloric acid


Intrinsic factor


Mucous

Water - liquifies swallowed food



Hydrochloric acid - acidified food, stops salivary amylase, kills ingested microbes, activates and stimulates pepsinogens



Intrinsic factor - B12 from ileum



Mucous - lubricates contents


Prevents mechanical and chemical injury

The stomach is divided into 3 sections. What are they?

Duodenum (25cm)


Jejunum (2m)


Ileum (3m)

Small intestine contains villi and micro villi, what are they lined with?

Villi - columnar epithelial cells



Enterocytes


Capillaries


Lacteals


Goblet cells


Intestinal gland



Micro villi - columnar epithelial cells

What's the function of small intestine?

Secretion



Absorption



Chemical digestion of:



Carbohydrates - monosaccharides


Proteins - amino acids


Fats - fatty acids and glycerol

What is lacteal?

Absorbed fat - gives lymph a milky appearance

What does a goblet cell do?

Secreted mucous

Function of intestinal glands?

chemical digestion of carbs, proteins, and fats



Hormones - secretin and cholecystokinin (CCK)

How much intestinal juice is secreted daily?

1.5 litres

What does intestinal juice contain?

Water


Mucous


Mineral salts


Enterokinase


Enterocytes

What's the function of IJ?

Chemical breakdown



Breakdown peptides into amino acids and fats into fatty acids

What is Enterokinase?

A enzyme that starts the activation of proteolytic enzymes that break down polypeptides



Peptides break down to amino acids inside enterocytes

What do enterocytes contain?

Peptidases


Lipase


Sucrase, maltase, lactase


What happens in enterocytes?

Fats broken down to fatty acids



Glycerol partly in intestine and partly in enterocytes



Disaccharides are broken down to monosaccharides within the enterocytes

The large intestine has 5 sections, what are they?

Caecum


Ascending colon


Transverse colon


Descending colon


Sigmoid colon

How many layers does the large intestine have?

4



(More lymphoid tissue in the submucosal layer)

What's the function of large intestine?

Absorption - mainly water and salts, semisolid faeces



Commensals bacteria- synthesis Vit K and folic acid



Mass movement - twice an hour a wave of peristalsis travels along transverse colon forcing the contents onward



Defaecation - mass movement forces contents of sigmoid colon into the rectum

What is the function of the liver?

Metabolism (carb, protein and fat)



Secretion of bile



Detoxification of drugs and alcohol



Inactivation of hormones



Breakdown of RBC

What is the function of the liver?

Metabolism (carb, protein and fat)



Secretion of bile



Detoxification of drugs and alcohol



Inactivation of hormones



Breakdown of RBC

How much bile is secreted daily?

1 litre



(Stored in gall bladder)

What is the function of the liver?

Metabolism (carb, protein and fat)



Secretion of bile



Detoxification of drugs and alcohol



Inactivation of hormones



Breakdown of RBC

How much bile is secreted daily?

1 litre


(Stored in gall bladder)

What does bile contain?

Water


Mineral salts


Mucous


Bile salts and pigments

What is the function of the liver?

Metabolism (carb, protein and fat)



Secretion of bile



Detoxification of drugs and alcohol



Inactivation of hormones



Breakdown of RBC

How much bile is secreted daily?

1 litre


(Stored in gall bladder)

What does bile contain?

Water


Mineral salts


Mucous


Bile salts and pigments

What is bilirubin?

A waste products of when RBC are broken down.

What is the function of the liver?

Metabolism (carb, protein and fat)



Secretion of bile



Detoxification of drugs and alcohol



Inactivation of hormones



Breakdown of RBC

How much bile is secreted daily?

1 litre


(Stored in gall bladder)

What does bile contain?

Water


Mineral salts


Mucous


Bile salts and pigments

What is bilirubin?

A waste products of when RBC are broken down in the liver and excreted in bile. Yellow/orange pigment.

What's the function of bile?

Emulsifying fats



Excretion if bilirubin



Improve solubility of fatty acids

What is the function of a gall bladder?

Reservoir of bile


Concentrates bile


Releases bile

How many litres does saliva secrete daily?

1.5 litre

What is the gall bladder?

Reservoir of bile


Concentrates bile


Releases bile

How many litres does saliva secrete daily?

1.5 litre

What's the function of saliva?

Chemical digestion - salivary amalayse. Breakdown of complex carbs.



Bolus formation



Lubrication - prevents damage



Anti microbial - lysozyme and immunoglobulins



Buffering - neutralise ph



Taste



Blood clotting factors response to trauma


What is the exocrine pancreas?

Lobules with secretory ducts



Lobule drained by duct and united to form pancreatic duct



Duct opens into duodenum



Just before duct joins with bile duct - creates pancreatic juice (contains enzymes that digest - carbs, proteins and fats)

What's the endocrine pancreas?

Secretes hormones that circulate within the body via the blood stream



-Special cells


-Islets of langer hand


-No ducts


-Production of insulin and glucagon


-blood, nutrient and glucose regulation

**What is the function and structure of the exocrine pancreas?**

-Large number of Lobules (made up of small acini) walls consist of secretory cells



-Each is Lobule drained by tiny ducts and untied to form pancreatic duct



-Extends the whole length of the gland and opens into duodenum



- Just before- the duct joins with common bile duct to form hepatopancreatic ampulla. The duodenal opening of the ampulla is controlled by the hepatopancreatic sphincter at the duodenal papilla.



Function:


creates pancreatic juice which


contains enzyme rich secretion that digest - carbs, proteins and fats


**What's the endocrine pancreas?**

Distributed throughout the gland are groups of specialised cells called the pancreatic islets (of langerhans)



Ilet's have no ducts so the hormones diffuse directly into the blood.



Secretes hormones that circulate within the body via the blood stream



Function


Production of insulin and glucagon



blood, nutrient and glucose regulation

What's the ph of pancreatic juice?

8

What does PJ contain?

Water



Mineral salts



Enzyme (amylase/lipase)



Inactive enzyme precursors


(Trysinogen/ chymotrypsinogen)

What's the nerve supply to the GI system?

Autonomic



Sympathetic and parasympathetic

What's the nerve supply to the GI system?

Autonomic



Sympathetic and parasympathetic

What does the sympathetic nerve supply do to the GI system?

Decreases digestive activity



Reduce smooth muscle contraction and decrease secretions

What's the nerve supply to the GI system?

Autonomic



Sympathetic and parasympathetic

What does the sympathetic nerve supply do to the GI system?

Decreases digestive activity



Reduce smooth muscle contraction and decrease secretions

What does the parasympathetic system do to the GI system?

Increases digestive activity



Stimulates smooth muscle contraction and secretion of digestive juices

Where are carbs digested and absorbed?

Mouth


salivary amalayse



Stomach


Hydrochloric acid



Small intestine


Digestion - pancreatic amylase


Absorption- blood capillaries

Where are carbs digested and absorbed?

Mouth


salivary amalayse



Stomach


Hydrochloric acid



Small intestine


Digestion - pancreatic amylase



Absorption- blood capillaries

Where are proteins digested and absorbed?

Stomach


Hydrochloric acid (pepsin)



Small intestines


Pancreas - Enterokinase, chymotrypsin, trypsin



Absorption- blood capillaries of villi

Where are carbs digested and absorbed?

Mouth


salivary amalayse



Stomach


Hydrochloric acid



Small intestine


Digestion - pancreatic amylase



Absorption- blood capillaries of villi

Where are carbs digested and absorbed?

Mouth


salivary amalayse



Stomach


Hydrochloric acid



Small intestine


Digestion - pancreatic amylase



Absorption- blood capillaries of villi

Where are fats digested and absorbed?

Small intestine


Bile - bile salts emulsify fats


Pancreatic lipase - fats to fatty acids


Lipases - fats to fatty acids and glycerol



Absorption - lacteals of villi

Where are carbs digested and absorbed?

Mouth


salivary amalayse



Stomach


Hydrochloric acid



Small intestine


Digestion - pancreatic amylase



Absorption- blood capillaries of villi

Where are fats digested and absorbed?

Small intestine


Bile - bile salts emulsify fats


Pancreatic lipase - fats to fatty acids


Lipases - fats to fatty acids and glycerol



Absorption - lacteals of villi

Where is water digested and absorbed?

Stomach - small amount



Small intestine - most here



Large intestine - remainder

Where are carbs digested and absorbed?

Mouth


salivary amalayse



Stomach


Hydrochloric acid



Small intestine


Digestion - pancreatic amylase



Absorption- blood capillaries of villi

Where are fats digested and absorbed?

Small intestine


Bile - bile salts emulsify fats


Pancreatic lipase - fats to fatty acids


Lipases - fats to fatty acids and glycerol



Absorption - lacteals of villi

Where is water digested and absorbed?

Stomach - small amount



Small intestine - most here



Large intestine - remainder

Where are vitamins digested and absorbed?

Stomach


Intrinsic factor secreted for Vit B12 absorption



Small intestine


Absorption - water soluble vita absorbed into capillaries


Fat soluble into lacteal of villi



Large intestine


Bacteria synthesis of Vit K in colon

****Principles of metabolism****

Constituent of all chemical reactions that occur in the body



- provide energy by chemical oxidation of nutrients


- make new or replacement body substances


- 2 processes (catabolism and anabolism)

****Principles of metabolism****

Constituent of all chemical reactions that occur in the body



- provide energy by chemical oxidation of nutrients


- make new or replacement body substances


- 2 processes (catabolism and anabolism)

What is catabolism?

Breakdown of large molecules


Into smaller ones.



Releasing chemical energy, which is stored as ATP and heat.



Heat is used to maintain core body temperature at the optimum level for chemical activity (36.8 degrees) excess heat is lost through the skin.

What's is anabolism?

Small molecules to larger molecules



Needs a source of energy (usually ATP)

What's is anabolism?

Small molecules to larger molecules



Needs a source of energy (usually ATP)

Anabolism and catabolism are involved in a series of chemical reactions to produce energy, what is this called?

metabolic pathways



These consist of small steps that permit gradual transfer of energy from ATP rather than intracellular explosions

What's is anabolism?

Small molecules to larger molecules



Needs a source of energy (usually ATP)

Anabolism and catabolism are involved in a series of chemical reactions to produce energy, what is this called?

metabolic pathways



These consist of small steps that permit gradual transfer of energy from ATP rather than intracellular explosions

What are metabolic pathways controlled by?

Hormones - switch on and off meeting individual requirements.



Both occur continually in all cells maintaining energy balance.

How is energy produced in the body measured?

Units of work (joules)


Units of heat (Kilocalories)

How is energy produced in the body measured?

Units of work (joules)


Units of heat (Kilocalories)

On a daily basis, how many kilocalories does the body collective metabolic process generate?

3.3 million kilo calories

What is metabolic rate?

The rate the energy is released from the fuel molecules inside cells. Involved oxygen and carbon dioxide.

What is metabolic rate?

The rate the energy is released from the fuel molecules inside cells. Involved oxygen and carbon dioxide.

What is BMR?

Basal Metabolic Rate.



Rate of metabolism when the individual is at rest in a warm environment and is in a postabsorptive state. (Not had a meal for 12 hours)

What are the 3 central metabolic pathways?

Glycolysis (first stage of glucose catabolism)



Citric acid (krebs) cycle



Oxidative phosphorylation

What are the end products of carbohydrate metabolism?

Lactic acid - produced by anaerobic catabolism of glucose



Carbon dioxide - excreted from the body as a gas by the lungs



Metabolic water - added to water of the body, excess is excreted in urine

What elements are carbohydrates a mix of?

Carbon



Hydrogen



Oxygen

Name the different types of carbohydrates and what do they turn into?

Monosaccharide


Glucose


Fructose


Galactose



Disaccharide


Maltose


Sucrose


Lactose



Polysaccharide


Starch


Glycogen


Cellulose

Name the different types of carbohydrates and what do they turn into?

Monosaccharide


Glucose


Fructose


Galactose



Disaccharide


Maltose


Sucrose


Lactose



Polysaccharide


Starch


Glycogen


Cellulose

What's the function of carbohydrates?

Heat and energy



Protein sparing



Energy store (glycogen liver and skeletal muscle fat)

What is the mix of elements for protein?

Carbon



Hydrogen



Oxygen



Nitrogen

What's the enzyme involved in synthesis of amino acids are know as..?

Transaminases

Name 2 sources of amino acids?

Exogenous - derived from dietary protein



Endogenous - obtained from the breakdown of body proteins

How many amino acids have been named and how many are described as essential?

20 named



9 essential (cannot be synthesised by the body)



11 (can be synthesised by many tissues)

Proteins are a source of nitrogen, true or false?

True

Proteins are a source of nitrogen, true or false?

True

What's the function of proteins?

Buffering effect of acids



Growth and repair of cells and tissue



Synthesis of enzymes, plasma proteins, anti-bodies, some hormones



Source of energy if carbohydrates and fat stores are depleted

Where are amino acids broken down?

Liver.



Converted into ammonia then combined with carbon dioxide forming urea.

When are amino acids used?

Only when the other energy sources are low eg. In starvation

List 9 essential amino acids

Histidine


Isoleucine


Leucine


Lysine


Methionine


Phenylalanine


Threonine


Tryptophan


Valine

List 9 essential amino acids

Histidine


Isoleucine


Leucine


Lysine


Methionine


Phenylalanine


Threonine


Tryptophan


Valine

What do fats consist of?

Carbon



Hydrogen



Oxygen

Which fats are essential in the diet?

Poly-unsaturated

Which fats are essential in the diet?

Poly-unsaturated

List the types of fats

Saturated (animal fat)


Cholesterol (synthesises/ diet)


Unsaturated (vegetable fat)


Linoleic and arachidonic acids

Which fats are essential in the diet?

Poly-unsaturated

List the types of fats

Saturated (animal fat)


Cholesterol (synthesises/ diet)


Unsaturated (vegetable fat)


Linoleic and arachidonic acids

Functions of fat

Transport and storage of fat soluble vitamins: A, D, E, K



Energy store/ source



Constituents to nerve sheaths



Satiation - delays return of hunger



Support of body organs (surrounds kidneys)



Insolation

Which fats are essential in the diet?

Poly-unsaturated

List the types of fats

Saturated (animal fat)


Cholesterol (synthesises/ diet)


Unsaturated (vegetable fat)


Linoleic and arachidonic acids

Functions of fat

Transport and storage of fat soluble vitamins: A, D, E, K



Energy store/ source



Constituents to nerve sheaths



Satiation - delays return of hunger



Support of body organs (surrounds kidneys)



Insolation

fat lining the eyeball helps you see in the dark? True or false?

True

Where would you find fat soluble vitamin A and what are the benefits?

Food:


Cream, eggs yolk, liver, fish oil, milk, cheese, butter, green veg, fruits and carrots.



Benefits:


-rods in retina (retinol)


-cell growth and differentiation


-promotion of immunity


- promotion of growth

Which fats are essential in the diet?

Poly-unsaturated

List the types of fats

Saturated (animal fat)


Cholesterol (synthesises/ diet)


Unsaturated (vegetable fat)


Linoleic and arachidonic acids

Functions of fat

Transport and storage of fat soluble vitamins: A, D, E, K



Energy store/ source



Constituents to nerve sheaths



Satiation - delays return of hunger



Support of body organs (surrounds kidneys)



Insolation

fat lining the eyeball helps you see in the dark? True or false?

True

Where would you find fat soluble vitamin A and what are the benefits?

Food:


Cream, eggs yolk, liver, fish oil, milk, cheese, butter, green veg, fruits and carrots.



Benefits:


-rods in retina (retinol)


-cell growth and differentiation


-promotion of immunity


- promotion of growth

Where would you find fat soluble vitamin D and what are the benefits?

Food:


Animal fats, eggs, butter, cheese, fish liver oil.



Environment:


Sunlight (UV Ray)



Benefits:


Regulates calcium and phosphate metabolism, increases absorption from gut stimulating retention by the kidneys.



Promotes calcification of bones and teeth.



Deficiency:


Rickets (children)


Osteomalacia (adults)