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120 Cards in this Set

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DIGESTIVE SYSTEM BASICS
DIGESTIVE SYSTEM BASICS
156. __________ is the assimilation, storage, and synthesis of food molecules.
156. Anabolism
157. __________ is the mechanical and chemical breakdown of food materials.
157. Catabolism (Digestion)
158. What is the order of hydrolysis breakdown for carbohydrates?
158. Polysaccarides  Disaccarides  Disacc + Water  Monosaccharides
159. What is the order of hydrolysis breakdown for fats?
159. Fat + Water  Fatty acids & Glycerol
160. What are the accessory organs of the digestive system?
160. Teeth, tongue, salivary glands, liver, gallbladder, pancreas
161. What is the organization of the GI tract?
161. Mucosa(absorb/secrete), Submucosa(Absorb/Glands/ANS), Muscularis externa, serosa
162. Salivary glands get their primary neural control from what system?
162. Parasympathetic
163. What are the components of the alimentary tract?
163. Esophagus, Stomach, S. Intestine, L. Intestine, Appendix, Anus
164. Digestion in the stomach is started by what two things?
164. HCL and pepsin
165. Where is the submucosal plexus found? The Myentric plexus?
165. Between submucosa & muscularis : between muscularis & serosa
166. What are the mediators of the serous acinar cells?
166. Ach, NE, VIP, Substance P
167. Describe the cholinergic control mechanism during salivation.
167. Parasympathetic release of Ach, Ach opens K+ channels, IP3-mediated signal transduction
168. Describe the adrenergic control mechanism during salvation.
168. Sympathetic release of NE, cAMP signal transduction
Systems Physiology Test 2Q
Systems Physiology Test 2A
KRS Study Guides 2007 : Quiz Questions : Sarkar : “I teach. You larne.”
KRS Study Guides 2007 : Quiz Answers : Sarkar : “I teach. You larne.”
www.chiropracticstudent.vonviceroy.com P a g e | 6
www.chiropracticstudent.vonviceroy.com P a g e | 6
169. PIP2  ____ & ____ . What does the primary product do?
169. IP3 + DAG : IP3 depletes Ca+ stores initiating calcium dependent mechanism
170. What are the means of GI tract motility?
170. Ingestion, Mastication, Deglutition (swallowing), Peristalsis, Segmentation
171. Where does it occur and what is segmentation?
171. Small intestine, intestinal walls squeezes inward promoting mixing
172. Endocrine glands discharge their products where?
172. Directly into the bloodstream
173. What are the exocrine GI tract secretions?
173. HCl, H2O, HCO-3, bile, lipase, pepsin, amylase, trypsin, elastase, histamine
174. What does HCO-3 do?
174. Neutralize acidity
175. The endocrine secretions tend to be __________.
175. Hormones
GASTROINTESTINAL TRACT FUNCTIONS
GASTROINTESTINAL TRACT FUNCTIONS
176. The regulation of gastrointestinal tract functions is controlled by _____________.
176. GI Peptides
177. Hormones are produced by _____ and released into the _______________.
177. Endocrine cells, blood to reach their target
178. Neurocrines are produced by _________ and act ______ on the target cell.
178. Neurons, directly
179. Paracrines are produced by _________ and act ______ on the target cell.
179. Cells close to the target cells, directly
180. What does the GI tract secrete?
180. Secretion of enzymes/fluids/electrolytes
181. Where are endocrine cells located?
181. Mucosa & submucosa of stomach, intestine, and pancreas
182. What do paracrine substances regulate?
182. Secretory and motor function of the GI tract
183. What is the long reflex?
183. Extrinsic or ANS (Symph, parasymph)
184. What is the short reflex?
184. Intrinsic of Enteric Nervous System
185. What are the plexuses of the short reflex?
185. Myenteric & Submucosal
186. Sympathetic innervations of the GI tract reduces ___________ and _______________.
186. Peristalsis, Secretion
187. Parasympathetic postganglionic neurons are ______ and ________.
187. Cholinergic, peptidergic
188. What does the Vagus nerve innervate?
188. Upper GI tract, upper third of esophagus, wall of stomach, small intestine, ascending colon
189. What does the Pelvic nerve innervate?
189. Lower GI tract, striated muscle of ext. anal canal, walls of all other colons, motility & secretion
190. What has the ability of directing all GI tract functions if needed?
190. Intrinsic or Enteric Nervous System
191. Myenteric neurons control _________ and are located between the _________ and ________.
191. GI movements, Longitudinal muscle, Circular muscle
192. The excitatory neurons of the myenteric plexus are stimulated by _________ and _________.
192. Ach, Substance P
193. The inhibitory neurons of the myenteric plexus are stimulated by _________ and _________.
193. VIP, NO
194. Submucosal neurons control _____, _____, and ______ functions of the GI tract.
194. Contractile, secretory, endocrine
195. The resting membrane potential of GI tract cells oscillates in slow waves do the the ________.
195. Interstitial cells of Cajal
196. Gastrointestinal smooth muscle cells have a ________ compared to other ___________.
196. Smooth muscle cells
197. What causes the rising phase of GI smooth muscle Action potential?
197. Sodium and Calcium (Ca initiates the contraction too)
STOMACH & PANCREAS
STOMACH
198. What cells of the stomach are impermeable to HCL?
198. Parietal & Chief
199. The alkaline mucus that protects the stomach contains ________ and is secreted by ________.
199. HCO3-, epithelial cells
200. _____________ inhibit gastric secretions.
200. Prostaglandins
201. To protect the stomach, epithelial cells have __________ and a ______________.
201. Tight junctions, rapid rate of cell division (3 days replaced)
202. In addition to a mucus secretion, what secretion protects the stomach lining?
202. Bicarbonate
203. Mucin is a ___________.
203. Glycoprotein
204. Why are carbohydrates no longer digested in the stomach?
204. Salivary amylase is inactivated by the stomach acidity
205. What are the physiological agonists of gastric acid HCL secretion?
205. Ach, Histamine, & Gastrin
206. The HCL agonists, which are collectively known as _____, bind to _______________.
206. Secratogogues, receptors on membrane of parietal cells
207. What is the function of the stomach?
207. Store food, initial protein digestion, kill bacteria, move chyme to intestine
208. What do goblet cells secrete?
208. Mucus
209. What do parietal cells secrete?
209. HCL & Intrinsic factor (for B12)
210. What do chief cells secrete?
210. Pepsinogen
211. What do enterochromaffin-like cells secrete?
211. Histamine & Serotonin
212. What do g-cells secrete? D-cells?
212. Gastrin, Somatostatin
213. What does HCL do in the stomach?
213. Kills bacteria, denature proteins, turns pepsinogen into pepsin
214. When the H+ and Cl- are produced, what is the by produce placed into the blood capillary?
214. HCO3-
215. What allows the Cl to enter the lumen in exchange for the Carbonate?
215. Cl/HCO countertransporter (Facilitated diffusion)
216. The H+ is secreted in response to what hormone and neurotransmitter?
216. Hormone (Gastrin), Nuerotransmitter (Ach from Vagus)
217. When Histamin binds to parietal cells _________ results in H release.
217. Increased cCamp
218. When gastrin and Ach bind to parietal cells ________ results in H release.
218. Ca Efflux
219. What is the endocrine function of the pancreas?
219. Islets of Langerhans secreting insulin & glucagon
220. What is the exocrine secretions of the pancreas?
220. Digestive enzymes & bicarbonate solution
221. What are the four pancreatic juices?
221. Protease, α-amylase, lipase, nuclease
222. How do Ach, CCK/Gastrin, & Substance P lead to increased enzyme secretion?
222. ↑ phosphatidyl inositol, ↑cellular Ca, ↑cGMP
223. How does secretin/vip lead to increased enzyme secretion?
223. ↑ cCAMP
INTESTINES
INTESTINES
224. Primary absorption of food occurs in the ______ and is facilitated by its ____________.
224. Small intestine, long length & surface area via microvilla
225. What enzyme, which (is/is not) secreted into the lumen, is attached to microvilla?
225. Is not, brush border enzyme
226. The microvilla attached enzymes are exposed to _________.
226. Chyme
227. Sugar digestion via sucrase digest sucrose to _______________.
227. Glucose & fructose
228. Sugar digestion via lactaste digest lactose to _______________.
228. Glucose & galactose
229. Sugar digestion via maltase digest maltose to ______________.
229. Glucose
230. What are the peptidase enzymes?
230. Aminopeptidase, Enterokinase
231. What do aminopeptidases produce?
231. Amino acids, dipeptides & tripeptides
232. What do enterokinase do? Deficiency of enterokinase results in what?
232. Activates trypsin : deficiency results in protein malnutrition
233. What are needed for absorption of calcium and are regulated by Vitamin D?
233. Phosphatase group  Ca2+, Mg2+, and ATPase
234. What does alkaline phosphatase do? What may it be regulated by?
234. Removes phosphate groups : Vitamin D
235. Although it has no digestive function, the large intestine absorbs ___, ___. ___, ___, and ___.
235. H2O, Electrolytes, Vit B, Vit K, Folic acid
236. Although the LI surface lacks _____, it does have a ______ which produce ____,____, and ___.
236. Villa, microflora, folic acid, Vit K, fatty acids
237. The intestine bacteria produce fatty acids from the fermentation of what substance?
237. Indigestible foods
238. Although the SI absorbs more water overall, the LI absorbs _______________.
238. 90% of the water left over
239. Water absorption in the LI begins with the _______ set up by __________.
239. Osmotic gradient, Na+/K+ pumps
240. What stimulates water and salt reabsorption?
240. Aldosterone
241. What occurs via active transport of NaCl?
241. Water secreted into the lumen
242. The defecation reflex begins with the relaxation of what?
242. External anal sphincter
KIDNEY, LIVER, GALL BLADDER
KIDNEY, LIVER, GALL BLADDER
243. Digested food is first delivered to the ______ via the ______________.
243. Liver, hepatic portal system
244. What is the recirculation of compounds released thru bile back into the liver from the SI?
244. Enterohepatic circulation
245. What are the functions of the liver?
245. Metab. regulation, protein synth., store vits. & iron, degrade hormones, bile, inactivate toxins
246. Bile pigment, aka ________, is produced in the _____, _____, and _____.
246. Bilirubin, spleen, bone marrow, liver
247. When bilirubin combines with _____, it forms ________, which is the actual bile secretion.
247. Glucuronic acid, conjugated bilirubin
248. What is urobilinogen?
248. Conjugated bilirubn converted by bacteria (gets reabsorbed 40%)
249. Bile acids emulsify _______, increase surface area for ________, and form ________.
249. Lipids, liplytic enzymes, micelles
250. Bile acids are produced from what substance?
250. Cholesterol
251. What is the purpose of micelles?
251. Improve the product transport of lipid digestion for absorption
252. When are gall stones formed?
252. When bile is supersaturated with insoluble cholesterol
253. Bilirubin is bound to ______ in plasma.
253. Albumin
DIGESTION AND ABSORPTION
DIGESTION AND ABSORPTION
254. Pancreatic amylase converts starch to _____________, which are hydrolyzed by ___________.
254. Oligosaccharides, SI brush border enzymes
255. What do the endopeptidases do in the SI and give 3 examples.
255. Cleave interior polypeptide bonds, (Trypsin, Chymotrypsin, elastase)
256. What do the exopeptidases do in the SI and give 3 examples.
256. Cleave ends of polypeptide bonds, (Carboxypeptidase, aminopepidase)
257. What is the result of protein digestion in the SI?
257. Amino acids, dipetides, & tripeptids, di & tripeptides are broken into AA’s within SI cells
258. Pancreatic lipase hydrolyzes _______ into _________ and _________.
258. Triglycerides, free fatty acids & monoglycerides
259. Phosopholipase A breaks down _____________ into _________ & ______________.
259. Phospholipids, Fatty acids & Lysolecthin
260. When fatty acids and monglycerides dissolve into micelles they become known as _________.
260. Mixed Micelles
261. Once FA’s, monoglycerides, & lysolecithin enter the epithelial cells what occurs to them?
261. Converted into triglycerids & phospholipids  combine to form chylomicrons
262. What are VLDL’s made by, where, and for what purpose?
262. Cholesterol & tri’s, liver, carry triglycerides to cells
263. LDL’s transport ____________. HDL’s transport ___________.
263. Cholesterol to organs/vessels, Cholesterol to liver
264. Ca+ is absorbed in the _____ & ____ stimulates its absorption by activating the ________.
264. SI, Vitamin D, Calbindin protein
265. What binds Calcium to the inner surface of the brush border membrane?
265. Intestinal membrane calcium-binding protein (IMCal)
266. ______ stores Iron. ______ passes iron to transferrin receptors. Transferrin ____________.
266. Ferritin, Mobilferrin, transports Iron in portal blood