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35 Cards in this Set

  • Front
  • Back
What nerve aids the stomach in accommodation?
The vagus.
Why do the pressure waves for the stomach look different in different locations in the stomach?
The pacemaker cells begin below the fundus.
What regions of the stomach are dependent on gastric slow waves for contraction?
All but the fundus.
What determines when the stomach empties?
Gastric volume
Osmolarity of gastric contents
Acid conditions in the duodenum
Caloric content of the meal-- uniform empytying of calories per unit time (fat delays emptying)
Particle size
What effect does acid in the duodenum have on gastric emptying? How?
It slows emptying via the enterogastric reflex and release of secretin.
During what time period are slow waves happening?
Continuously.
What is special about the slow waves in the phase III of the migrating motor complexes?
Every wave is associated with a contraction.
What happens to particles that don't empty during gastric emptying into the duodenum?
Evacuate during the fasting motor phases.
What might occur if the MMC don't occur?
Bacterial overgrowth.
What happens during contraction orad, relaxation caudad?
Orad: Circular muscle contracts, longitudinal muscle relaxes.

Cuadad: Circular muscle relaxes, longitudinal muscle contracts.
What is the vago-vagal reflex pathway?
A reflex stimulated by gastric distention

causes relaxation of proximal stomach and secretion of HCl and gastrin.
What is the vago-vagal reflex pathway?
A reflex stimulated by gastric distention

causes relaxation of proximal stomach and secretion of HCl and gastrin.
How do smooth muscle cells communicate?
gap junctions!
The role of secretin is primarily on what cells?
pancreatic duct cells
Secretion of CCK is regulated by what?
CCK-RP in response to fatty and amino acids and by a monitor peptide
CCK primarily effects what cells?
Pancreatic acinar cells by binding to CCK-A receptors on basolateral membranes.
Transcellular movement of water is linked to to absorption of nutrients through which transporter?
SGLT-1
How do sodium,chloride and potassium pass into the lumen of the small bowel?
paracellularly
What hormones regulate removal of potassium from the blood?
Insulin
Aldosterone
Epinephrine
How do we absorb calcium?
Passively, paracellularly
Actively, in the duodenum through a transporter.
Does vitamin D affect the active or passive transport of calcium?
active
Where does active absorption of magnesium occur?
In the ileum
Which vitamin facilitates the absorption of iron?
Vitamin C, because it aids in the reduction of Fe3+ to Fe2+
Which trasnporter is responsible for bringing heme into the cell?
HCP1
What is the unstirred layer?
A layer of fluid lining the villi of the small intestine. It separates the bulk of intestinal contents from the mucosal cell surface.
What type of junctions exist between enterocytes? What transmembrane proteins are crucial in these junctions?
Tight junctions

Claudins. They allow regulated transport of paracellular substances.
What is the net absorption of calcium per day?
~175 mg
What exchange of ions is responsible for the net absorption of chloride?
Cl-HCO3 exchange
What are the sources of potassium for the body?
Food (avocados!), gastric, pancreatic, and biliary secretions
What are the sources of potassium for the body?
Food (avocados!), gastric, pancreatic, and biliary secretions
Which transporter brings both reduced iron and H+ into the enterocyte?

Under what conditions does this transporter have optimal function?
DCT1

When the pH of the intestinal lumen is more acidic than intracellular pH
Who transports iron across the basolateral membrane? Who carries the Fe3+ in the blood?
IREG1

Transferrin
Will demand for iron adjust the amount of iron that is absorbed?
Yes. Iron transport proteins are upregulated when plasma iron levels are low.
Cobalamin (B12) requires another protein to bind to it for absorption. What is this protein and where does the conjugation occur?
Intrinsic factor, in the duodenum.
Who transports glucose, galactose, and fructose across the basolateral membrane?
GLUT2