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100 Cards in this Set
- Front
- Back
mechanoreceptors |
respond to stretch or pressure in the digestive tract |
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osmoreceptors |
respond to changes in osmolarity in the digestive tract |
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chemoreceptors |
respond to pH, substrates, and end products of digestion in the digestive tract |
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long reflexes |
extrinsic control that involves integration from the medulla and output sent via autonomic nerves to GI tract to alter muscle and gland activity, level of hormone secretions, modify intrinsic activity, and coordinate different parts of the GI tract (ex. chewing food causes ↑ secretions in stomach) |
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short reflexes |
intrinsic control that involves the enteric nervous system which are the myenteric and submucosal plexus with the digestive tract wall, and coordinates local activity; can work independently of the CNS or be influenced by extrinsic nerves because it is linked to long autonomic reflex arcs |
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GI peptides |
can act as digestion hormones and paracrine signals, are released into the blood or ECF by cells of the digestive tract, can act on digestive organs and accessory organs to excite or inhibit motility or secretions, and can also act on the brain to trigger hunger or satiety |
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amylase |
salivary enzyme secreted in the mouth that begins the chemical digestion of breaking down carbohydrates (polysaccharides→maltose) |
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saliva |
secreted from serous and mucous cells in the glands of the mouth that consists of mostly water as well as amylase, mucus, lysozyme, and IgA |
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mucus |
moistens food and holds bolus together |
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lysozyme and IgA |
chemicals that provide antibacterial action in the mouth |
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simple and acquired reflexes |
two reflexes that enhance salivary secretion |
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simple reflex |
occur when ingested food stimulates chemoreceptors and pressoreceptors, the cortex trigger the salivary center in the medulla |
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acquired reflex |
occur at the thought of food, the cortex triggers the salivary center in the medulla |
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parasympathetic nervous system |
controls larger volume of saliva, more water, rich with amylase |
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sympathetic nervous system |
controls smaller volume of saliva, more mucus, result in dry mouth |
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deglutition |
another name for swallowing that involves the buccal and pharyngeal-esophageal phases that coordinate activity of the tongue, soft palate, pharynx, and esophagus |
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buccal phase |
involve the bolus voluntarily being forced into the oropharynx |
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pharyngeal-esophageal phase |
involve the involuntary controls from the medulla and lower pons |
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paristalsis |
movement of food through the pharynx and the esophagus |
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gastroesophageal sphincter |
where food enters the stomach from the esophagus |
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intrinsic factor |
stomach secretes this which is required for absorption of vitamin B₁₂
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gastric filling storage mixing emptying |
phases of gastric motility |
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muscular antrum |
where gastric mixing occur |
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mucous cells |
exocrine cells that produce mucus to protect stomach wall from harsh acids |
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parietal cells |
exocrine cells that produce HCl and intrinsic factor |
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Chief cells |
exocrine cells that produce pepsinogen |
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pepsinogen |
an inactive form of the protein digesting enzyme pepsin |
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HCl |
converts pepsinogen into pepsin |
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pepsin |
enzyme released in the stomach that breaks down proteins into peptide fragments (proteins→peptides) |
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G cells |
endocrine cells that produce gastrin |
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gastrin |
hormone produced by G cells that stimulates parietal cells to produce HCl |
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enterochromaffin (ECL) cells |
coffee stimulates gastrin secretion that stimulates this paracrine cell to secrete histamine; histamine stimulates parietal cells |
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D cells |
low pH triggers this paracrine cell to secrete somatostatin that inhibits secretion of parietal, ECL, and G cells |
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neural and hormonal mechanisms |
they regulate the release of gastric juices |
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cephalic phase |
this reflex phase occur prior to food entry |
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gastric phase |
this phase occur once food enters the stomach |
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intestinal phase |
this phase occur as partially digested food enters the duodenum |
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ACh |
hormone that stimulates parietal, G cells, and ECL cells |
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excitatory events of cephalic phase |
events include: sight or thought of food stimulation of taste, smell, chewing vagal stimulation releases ACh |
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inhibitory events of cephalic phase |
events include: loss of appetite or depression decrease in stimulation of the parasympathetic division |
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excitatory events of gastric phase |
events include: stomach distention activates stretch receptors by neural activation peptides, caffeine, and alkaline pH activate chemoreceptors |
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inhibitory events of gastric phase |
events include: acidic pH lower than 2 triggers somatostatin release |
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intestinal phase |
phase in the regulation of gastric secretion that is mostly inhibitory |
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inhibitory events of intestinal phase |
events include: distention of duodenum, presence of fatty, acidic, or hypertonic chyme in the duodenum |
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local reflexes vagal nuclei |
inhibitory factors that closes the pyloric sphincter |
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hormones cholecystokinin (CCK) and secretin neural enterogastric reflex |
these factors regulate gastric emptying |
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neural enterogastric reflex |
occurs when the duodenum fills, stretch receptors are stimulated and the pyloric sphincter closes |
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cholecystokinin (CCK) |
fatty chyme entering the duodenum causes the duodenal wall enteroendocrine cells to release this hormone into the bloodstream and stimulate: 1. gallbladder to contract 2. hepatopancreatic sphincter to relax/release bile 3. pancreas to secrete digestive enzymes |
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secretin |
acidic chyme entering the duodenum causes the duodenal wall enteroendocrine cells to release this hormone into the bloodstream and stimulate: 1. liver to produce bile more rapidly 2. pancreas to secrete bicarbonate-rich juices |
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vagal stimulation |
1. together with secretin, causes weak contractions of the gallbladder to regulate bile release 2. causes release of pancreatic juice |
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bile salt |
this is reabsorbed back into the blood in the ileum and returned by the hepatic portal system; about 5% escapes in feces |
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gastric inhibitory peptides (GIP) |
hormone that inhibits gastric acid secretion, and promotes pancreas to release insulin |
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gastric and duodenal factors |
factors that control the rate of gastric emptying |
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amount of chyme fluidity of chyme extrinsic control of vagus nerve gastrin |
gastric factors that increase gastric emptying |
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fatty chyme: slower to digest/absorb acidic chyme: need to be neutralized hypertonicity: need time to absorb nutrients distention: needs to cope w/ volume before receiving more |
duodenal factors that decreases gastric emptying |
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duodenum |
region of the small intestines that function as chemical digestion and absorption |
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jejunum
ileum |
region of the small intestine that function to absorb nutrients |
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bile and digestive enzymes |
substances that are released into the duodenum to be mixed with the chyme |
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produce bile to aid in digesting fats store excess nutrients for later use detoxify drugs and metabolites produce plasma proteins |
functions of the liver |
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hepatocytes |
cells in the liver that produce and secrete bile into ducts that empty into the common hepatic duct |
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hepatopancreatic sphincter (sphincter of Oddi) |
this muscle at the base of the common bile duct prevents bile from entering the duodenum between meals |
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gallbladder |
where bile backs up and is stored in concentrated form |
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bile salts cholesterol lecithin bilirubin |
composition of bile, an alkaline solution |
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emulsify fats to increase surface area for lipase action |
function of bile |
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acini cells |
cells of the pancreas that secrete digestive enzymes |
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duct cells |
cells of the pancreas that secrete NaHCO₃⁻ |
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sodium bicarbonate (NaHCO₃⁻) |
aqueous solution that neutralizes acidic chyme |
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proteolytic enzymes |
enzymes of the pancreas that are released in an inactive form and are activated in the duodenum, that function to break different peptide bonds into short peptides and amino acids |
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trypsinogen chymotrypsinogen procarboxypeptidase |
types of inactive proteolytic enzymes |
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enterokinase |
membrane-bound enzyme that activates trypsinogen into trypsin |
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trypsin |
active proteolytic enzyme that activates chymotrypsinogen and procarboxypeptidase into chymotrypsin and carboxypeptidase, respectively. |
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duodenum |
where proteolytic enzyme activation occurs |
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amylase |
pancreatic enzyme that hydrolyzes polysaccharides into disaccharides |
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nuclease |
pancreatic enzyme that hydrolyzes nucleic acids into nucleotides |
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lipase |
pancreatic enzyme that hydrolyzes triglyceride (emulsified fat) into monoglyceride and fatty acid |
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maltase sucrase lactase aminopeptidase |
types of brush border enzymes |
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plasma membrane of the small intestine's mucosal cells |
where brush border enzymes are found and involved in carrying out final chemical digestion |
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vitamins, nutrients, and electrolytes |
complete absorption of these occur in the small intestines |
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A, D, E, and K absorbed with lipids |
fat soluble vitamins |
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C and B passively absorbed with water |
water soluble vitamins |
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Vitamin B₁₂ |
this vitamin is combined with intrinsic factors and absorbed by receptor-mediated endocytosis in the ileum |
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Ca²⁺ and iron |
minerals that are absorbed on an as needed basis by active transport |
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depends on blood Ca²⁺ level regulated by vitamin D and PTH |
when and how Ca²⁺ absorption occur |
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ferritin |
absorbed iron is stored in the epithelial cells as this until needed |
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transferrin |
if blood iron levels are low then it is released into the blood and carried by this to the bone marrow to be used for RBC production |
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Cl⁻, H₂O, glucose, and amino acids |
absorption of these electrolytes depends on active transport of Na⁺ into interstitial fluid |
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anions passively follow electrical gradient established by Na⁺ |
what movement of anions depends upon |
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cotransporter |
Na⁺ re-entry through this can drive solutes against the concentration gradient |
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facilitated diffusion via cotransport with Na⁺ |
how sugars and amino acids are absorbed |
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hepatic portal vein |
how sugars and amino acids are transported to the liver |
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synthesizes into triglycerides in the SER combines with protein in the golgi apparatus released by exocytosis enters lacteals transported systemically via lymph |
occur when micelle (sphere of lipid) gets close to the absorptive surface and diffuses into the intestinal cells |
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chylomicrons |
combination of triglyceride and protein |
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segmentation |
most common motion of the small intestine that is initiated by intrinsic pacemaker cells and function to mix chyme with digestive juices and exposes it to the absorptive surface of the small intestines before contents are moved steadily toward the ileocecal valve |
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distention gastrin extrinsic nerves (PNS) |
factors that enhances the intensity of segmentation contractions |
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migrating motility complex |
after nutrients have been absorbed, a series of peristaltic waves called this begins with each wave starting distal to the previous and sweeps remnants of the previous meal, bacteria, mucosal cells, and debris into the large intestine |
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motilin |
this hormone regulates motility in the small intestine during the postabsorptive state |
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mucosa endocrine cell |
cell that releases motilin |
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gastroileal reflex |
this reflex is triggered by food entering the stomach, gastrin, and increased motility of the small intestines, thereby allowing chyme to pass into the large intestine by relaxing the ileocecal sphincter |
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absorb remaining water, electrolytes, vitamin K excrete indigestible food from the body |
function of large intestines |
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gastrocolic reflex |
this reflex is triggered by gastrin and extrinsic nerves when food enters the stomach, causing contraction of the ascending and transverse colon that results in mass movement of content forward into the rectum |