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71 Cards in this Set

  • Front
  • Back
What are the 4 phases of digestion?
1. Cephalic Phase "in the head" see, smell, think about food
2. Mechanical: Physical breaking down
3. Chemical: via enzyme action
4. Elimination
What are the 3 main processes of assimilating food?
1. Digestion: breaking down food into absobable components. Chemical and Mechanical

2. Absorption: transfer or passage of food components from inside the GI tract to the blood (absorb monomers-like monosaccharides)

3. Transport: moving nutrients via the circulatory
(lymphatic and cardiovascular) system to the cells of the body so they can be delivered to cells that actually need those nutrients
What substance are produced in the mouth?
-Lingual lipase (E)
-Salivary amylase (E)
-Saliva
-Mucus
-Salivary Lysozyme
What is the action of lingual lipase?
Enzyme. Breaks down lipids in mouth
What is the action of Salivary amylase?
Enzyme. Breaks down starch-->disaccharides in mouth
What is the action of Saliva?
Moistens food, helps things get dissolved in mouth
What is the action of Mucus?
Lubrication/makes things easier to swallow, protects all linings in GI tract.
What are the 3 sections of the small intestine?
1. Duodenum
2. Jejunum
3. Ileum
What substances are produced in the stomach?
-HCL
-Pepsin (E)
-Gastric Lipase (E)
-Intinsic Factor
-Gastrin
What is the action of HCL?
Destroys harmful bacteria, dissolves minerals, activates pepsinogen-->pepsin. Secreted from parietal cells. In Stomach.
What is the action of Pepsin?
Enzyme. Breaks down protein. Stomach. Inactive form is pepsinogen, which is secreted by chief cells.
What is the action of Gastric Lipase?
Enzyme. Breaks down lipids. Stomach from chief cells.
What is the action of intrinsic factor?
Helps b12 get transported for later absorption. In Stomach.
What is the action of Gastrin?
Hormone. Controls release of HCL and Pepsinogen. Stomach.
What substances are secreted in the small intestine?
-Disaccharidase (E)
-Peptidases (E)
-Cholecystokinin (H)
-Secretin (H)
-Gastric Inhibitory Peptide (H)
What is the action of Disaccharidase?
Enzyme. Breaks down disaccharides-->monosaccharides. In small intestine (brush boarder enzymes)
What is the action of Peptidases?
Enzyme. Breaks down dipeptides--> amino acids. In small intestine (brush boarder enterocytes)
What is the action of Cholecystokinin?
Hormone. Stimulates the release of pancreatic enzymes and bile from gallblader in response to dietary fat in chyme. Slows down stomach emptying=more time for enzymes to do job. In small intestine.
What is the action of Secretin?
Hormone. Stimulates release of pancreatic bicarbonate in response to acidic chyme. In small intestine.
What is the action of Gastric Inhibitory Peptide?
Hormone. Slows gastric motility, limits release of gastric juices in stomach, enhances release of insulin. Small intestine-->affects cells in stomach
What are the 6 segments of the large intestine?
1. Cecum: place where small intestine attaches
2. Ascending colon
3. Transvers colon
4. Descending colon
5. Sigmoid colon
6. Rectum
What substances are secreted in the large intestine?
-Short-chained fatty acids
-Gases
Short-chained fatty acids and gases are the byproduct of what?
Byproduct of bacteria digesting in Large intestine
What substances are secreted in the liver?
Bile. Gets recycled and reabsorbed.
What is the action of Bile? Where is it made and where does it act?
Emulsifies lipids. Made in liver, stored in gallbladder-->goes through common bile duct-->small intestine.
What substances are secreted in the pancreas?
-Bicarbonate
-Pancreatic lipase (E)
-Pancreatic amylase (E)
-Trypsin and other proteases (E)
-Insulin (H)
-Glucagon (H)
What is the action of Bicarbonate? Where does it originate and where does it act?
Neutralizes acidity in chyme. Pancreas-->small intestine
What is the action of Pancreatic lipase? Where does it originate and where does it act?
Enzyme. Breaks down lipids. Pancreas-->small intestine
What is the action of Pancreatic amylase? Where does it originate and where does it act?
Enzyme. Breaks down polysaccharides into disaccharides. Pancreas-->small intestine
What is the action of Trypsin and other proteases? Where does it originate and where does it act?
Enzymes. Breaks down protein. Pancreases-->small intestine
What is the action of Insulin? Where does it originate and where does it act?
Hormone. Clears glucose out of blood. Increases synthesis of glycogen in liver, movement of glucose from blood stream to muscles and aipose tissue. Pancreas (beta cells from endocrine pancreas)-->liver, muscle + fat cells
What is the action of Glucagon? Where does it originate and where does it act?
Hormone. Increases glucose levels in blood. Stimulates breakdown of glycogen in liver. Pancreas-->Liver
What is a sphincter and what is its main role in the digestive system?
Ring-like muscles that open and close like valves to control the flow of contents. Prevents food from moving through the GI tract too quickly--this allows food in the GI tract to be mixed with digestive enzymes secretions. Will also help propel food through the GI tract
What are the 5 sphincters?
1. Lower Esophageal Sphincter
2. Pyloric Sphincter
3. Sphincter of Oddi
4. Illoceal valve
5. Anal Sphincters
Lower Esophageal Sphincter
prevent backflow (reflux) of stomach contents into esophagus, controls movement of food
Pyloric Sphincter
control the flow of stomach contents into the small intestine, prevents backflow
Sphincter of Oddi
Control the flow of bile from the common bile duct into the small intestine
Illoceal valve
Prevents contents of the large intestine from reentering the small intestine
Anal Sphincters
Prevents deification until the person desires to do so.
What is the goal of digestion?
Breaking down food into absorbable components
What nutrients are absorbed in the stomach?
20% alcohol
What nutrients are absorbed in the small intestine (14)?
-Calcium
-Magnesium
-Iron
-Glucose
-Water-soluble vitamins
-Fat-soluble vitamins
-80% Alcohol
-Amino Acids
-Fats
-Sodium
-Potassium
-Water
-Vitamin b12
-Bile Salts (recycled out of small intestine back into liver via portal vein.
What nutrients are absorbed in the large intestine?
-Sodium
-Potassium
-Water
-Acids (short-chained fatty acids, lactic acid)
-Gases
What makes the small intestine so effective in absorbing the nutrients?
1. According like folds (circular fold)=greater surface area=more stuff can be absorbed faster
2. Villi: increases surface area
3. Microbilli-cell membrane of enterocytes ("brush border") focal point of absorption (produces mucus, digestive enzymes and hormones. Rapid turnover
What are probiotics? What foods contain them?
Any bacteria that you eat as a way to fortify the populations in your gut. Yogurt and fermented foods: kefir, miso, kimchi
What are prebiotics? What foods contain them?
Substances that bacteria like to eat/ferment. Tend to be mostly fibers found in unprocessed whole grains. Things not ingested in small intestin.
Name 8 nutrition related GI health problems.
-Heartburn and Gastroesophageal reflux disease
-Gallstones-->choleystis
-Food intolerance
-Intestinal gas
-Constipation
-Diverticulitis
-Diarrhea
-IBS
What is a typical nutrition approach to treatment of Heartburn/GERD?
Avoid foods that cause reflux (citrus fruits, chocolate, caffeinated drinks, fatty/fried foods, garlic, onion, spicy foods, tomato based foods
What is a typical nutrition approach to treatment of Gallstones
Choose plant instead of of animal protein, high fiver diet, magnesuim rich foods, unsaturated fats
What is a typical nutrition approach to treatment of gluten intolerance?
Avoid gluten
What is a typical nutrition approach to treatment of lactose intolerance?
fermented dairy products is easier to digest, high fat aged cheese, take lactase supplement
What is a typical nutrition approach to treatment of intestinal gas?
reduce gas-forming foods: fiber, lactose, fructose, sorbitol, apples, pears, prunes, starches, raffinos and starchyose (broccoli, beans, cabbage
What is a typical nutrition approach to treatment of constipation?
Eat high fiber foods
What is a typical nutrition approach to treatment of Diverticulitis?
Prevention: high fiber and fluid diet=restore GI tract motility
What is a typical nutrition approach to treatment of diarrhea
Consume plenty of fluids, when recovering avoid greasy, high fiber, and very sweet foods
What is a typical nutrition approach to treatment of IBS?
Low-fat, frequent small meals. Eliminate dairy, wheat, bananas corn, potatoes, eggs, peas, coffee
What is Entrohepatic circulation?
The continual recycling of compounds (esp. bile) between small intestine and the liver
What is Mucusa?
mucous membrane consisting of cells and supportive connective tissue. Lines cavities that open to the outside of body as stomach and intestine, generally contains glands that secrete mucus
What is Bolus?
Mixture of saliva and foods that is a result of chewing food/pressing food against hard pallet
Peristalsis
Coordinated muscular contraction/relaxation that propels Bolus down GI tract
Portal vein
Cardiovascular systems, carries water soluble nutrients from small intestine to liver
Lymphatic System
Contains lymphatic vessels (similar to veins) Dumps back into cardiovascular system via left subclavian (vein)
What are the 4 types of absorption?
-Passive
-Facilitated Diffusion
-Active Transport
-Endocytosis (active transport) 1. Phagocytosis, 2. Pinocytosis
Passive absorption
Water soluble substances, and small lipids, some minerals. Move across cell membrane with a concentration gradient via tube-shaped transmembrane protein channel. No energy required.
Facilitated Diffusion
Carries some nutrients-Fructose, through cell membrane via transmembrane protein carrier changes shape to facilitate entry and exit. No energy required
Active transport
Minerals, some sugars- glucose and galactose and most amino acids, move through cell membrane against a concentration gradient with input of energy (ATP)
Endocytosis
form of active absorption.
1. Phagocytosis: enterocytes cells engulfs immune substances
2. Pinocytosis: Enterocytes cells engulfs liquids
Explain the Cardiovascular circulatory pathway
Water soluble nutrients are absorbed from the lumen-->enterocytes-->capillaries-->hepatic portal vein-->liver metabolizes, stores portion of absorbed nutrients (proteins, glucose, some vitamins and minerals). Liver is first thing to see water soluble nutrients
Explain the Lymphatic circulatory pathway
most fats+fat soluble vitamins are absorbed from lumen-->enterocytes-->lacteal (lymphatic vessels in villi)-->Lymph vessels-->thoratic duct--> left subclavian vein-->heart-->tissues-->liver. Liver is last thing to see fat soluble nutrients.
Chyme
Liquid mixture of stomach secretions and partially digested food. Result of contraction of the 3 muscle layers in the stomach mixing food with gastric secretions.
Portal Vein
Cardiovascular system, carries water soluble nutrients from small intestine to liver