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Barry 2013
Patho 1 test 3 (digestive)
61
Other
Graduate
04/21/2011

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Cards

Term
What two parts does the digestive system consist of?
Definition
1. G.I. Tract- single, continuous tube that starts at esophagus and ends at anus
2. accessory organs (liver, pancreas, oral cavity, salivary glands etc.)
Term
What is the function of the pyloric sphincter?
Definition
To regulate the amount of of chyme (partially digested food, HCl, enzymes) that gets from stomach to duodenum
Term
What are the 3 types of salivary glands and what is the function of them as a whole?
Definition
sublingual, parotid, and submaxillary- they produce and secrete saliva (salts, enzymes, antibacterial substances) which function to help with swallowing and also salivary amylase will help partially digest carbs that we ingest.
Term
What is the function of the esophagus?
Definition
Connects pharynx with gastric chamber (stomach)- NO DIGESTION OCCURS IN ESOPHAGUS. Propulsion (Peristalsis) occurs in esophagus
Term
What is pyloric syndrome?
Definition
Malfunction of pyloric sphincter that causes retention of gastric contents
Term
What separates the small and large intestines?
Definition
The ileocecal valve
Term
What is the cecum?
Definition
pouch like structure- it is the first portion of the large intestine.
Term
where in the G.I. tract does most water get absorbed?
Definition
In the small intestine
Term
T/F. The large intestine mostly absorbs Na+.
Definition
FALSE. It mostly absorbs water
Term
What are the functions of the digestive system?
Definition
Ingestion, Digestion, Absorption, and Excretion
Term
T/F. Most absorption occurs in the jejunum and ileum.
Definition
FALSE. Most absorption occurs in duodenum. SOME absorption occurs in jejunum and ileum
Term
T/F. Chemical digestion of ALL nutrients (proteins, carbs, fats) occurs in the duodenum
Definition
TRUE
Term
T/F. The oral cavity will assist in chemical digestion of fats
Definition
FALSE. The oral cavity only assists in the chemical digestion of simple carbohydrates with the use of salivary amylase
Term
What is ingestion?
Definition
Incorporating something from the outside world into digestive system
Term
What is digestion?
Definition
transforming what you ingest into something that can be absorbed
Term
Explain the events of mechanical digestion.
Definition
1. you chew the food making it smaller
2. you swallow the food and it is carried to the stomach by the esophagus
3. In the stomach, a series of contractions (churning) occurs, which mixes the contents
4. Food passes thru the pyloric sphincter to the small intestines where segmentation occurs- this occurs by way of contraction in different areas of small intestines
Term
T/F. The segmentation of the small intestines also advances the food down the GI tract toward the colon.
Definition
FALSE.
Term
Where does propulsion occur?
Definition
In the mouth (swallowing) and in the esophagus, stomach, small and large intestines (peristalsis)
Term
T/F. Mechanical digestion for ALL nutrients occurs in the stomach.
Definition
TRUE
Term
T/F. Chemical digestion of ALL nutrients occurs in the stomach.
Definition
FALSE. Only chemical digestion of proteins occurs in the stomach
Term
What is HCl important for?
Definition
1. denaturation of proteins
2. activation of pepsinogen to pepsin to start the digestion of proteins
Term
T/F. In the duodenum, chemical digestion of all nutrients will occur. With proteins and carbs it will be with the same enzymes that they were using in the mouth and stomach.
Definition
FALSE. These are different enzymes that are secreted by the pancreas
Term
How are fats digested?
Definition
By the use of bile (which is constantly produced and secreted by the liver), which EMULSIFIES the fats. This breaks them down into smaller, uniformly distributed particles. Then, digestive enzymes secreted by pancreas finish the job.
Term
Why must fats undergo emulsification?
Definition
because they are not water soluble
Term
A) does absorption occur in the mouth?

B) in the stomach?

C) in the small intestines?
Definition
A) A very small amount occurs by way of sublingual veins that empty into SVC

B) Not really. However, alcohols are quickly absorbed in the stomach

C)Yes, most absorption occurs in small intestines by way of microvilli
Term
What vessels are in the villi?
Definition
Arterial capillary, venous capillary, and leacteal (lymph. vessel)
Term
A) gallbladder connects to small intestine by way of ___________.

B) What vessel is responsible for bringing all the bile from the liver?
Definition
A) cystic duct

B) common bile duct
Term
What two vessels join to form the common bile duct?
Definition
the common hepatic duct and the cystic duct
Term
What two vessels join to form the common hepatic duct?
Definition
The right and left hepatic ducts
Term
A) Where is the liver located?

B) T/F. The liver is the largest organ in the body
Definition
A) In the right hypochondriac region

B) FALSE. It is the largest GLAND in the body and the largest ORGAN within the abdominal cavity
Term
Name the 4 lobes of the liver
Definition
Right lobe (largest), left lobe, quadrate lobe, and caudate lobe
Term
What is the falsiform ligament?
Definition
It is a remnant of fetal circulation
Term
T/F. The liver is extraperitoneal
Definition
FALSE
Term
The liver's superior portion is in contact with the _________ and the _______ is located in the inferior region of the liver.
Definition
inferior portion of the diaphragm; gallbladder
Term
The liver (and spleen) is a _______ organ
Definition
sinusoidal
Term
functions of liver:
Definition
1. Vascular: expandable to allow for storage of blood, but also squeeze reserve blood out in time of need. Also filters blood
2. Metabolism
3. Secretory- formation and secretion of bile
4. Excretory- after metabolism the liver excretes substances to be eliminated
Term
What drug is good for biliary infections because it is excreted in bile?
Definition
tetracycline
Term
What is the functional unit of the liver?
Definition
The liver lobule
Term
The liver lobule is contructed around _________.
Definition
the central vein
Term
The central veins from the liver lobules will connect to _________ veins, which will empty into __________, which carry blood from WHOLE liver to the _______.
Definition
interlobular; right and left hepatic veins; Inferior vena cava
Term
What is the portal triad?
Definition
bile duct, portal vein, hepatic artery
Term
Where does bile from the bile ducts of portal triad go?
Definition
they come together to form the right and left hepatic ducts which join the common hepatic duct which joins with the cystic duct to form the common bile duct which empties into duodenum
Term
What produces and secretes bile?
Definition
hepatocytes
Term
portal triad also known as __________
Definition
portal tract
Term
T/F. blood of the hepatic artery and portal vein from the triad flow through separate vessels within the sinusoids.
Definition
FALSE. They mix and flow thru sinusoids
Term
T/F. The sinusoidal flow (blood from hepatic artery and portal vein) is opposite in direction of the flow of bile thru the bile canaliculi.
Definition
TRUE
Term
What are Kupffer cells?
Definition
They are macrophages that exist within/on the wall of the sinusoids. They clean blood that passes thru sinusoids (very efficient-- no more than 1% of bacteria that came thru sinusoids will enter hepatic veins)
Term
Every minute ____ liters of blood flows from the portal vein into liver sinusoids and ____ mL from the arterial system, accounting for ___% of CO and ___% of total body blood flow.
Definition
1.1; 350; 29; 33
Term
The liver normally stores ___ mL of blood. Almost ___% of body's total blood volume.
Definition
450; 10
Term
T/F. The liver is one of the only organs that blood flow to it is not affected by exercise.
Definition
FALSE. During exercise the amount of blood flow that the liver receives is drastically reduced (like most other organs) and is sent to the skeletal muscles
Term
What is the role of the liver in carbohydrate metabolism?
Definition
1. it converts fructose and galactose into glucose
2. it converts glucose into glycogen
3. converts glycogen into glucose and fat
3. converts fat into glycogen
4. it does gluconeogenesis
5. liver is responsible for the cori cycle in which lactic acid is converted into glucose
Term
why is the cori cycle so important?
Definition
because lactic acid (a byproduct of anaerobic metabolism) is toxic to the body and it is crucial that we have this mechanism to convert the lactic acid over to glucose
Term
What is the role of the liver in fat metabolism?
Definition
1. oxidation of fatty acids to supple energy
2. formation of lipoproteins
3. synthesis of cholesterol and phospholipids
4. conversion of carbs and protein into fat
Term
T/F. about 40% of cholesterol is converted into bile salts
Definition
FALSE. About 80% of cholesterol is converted into bile salts
Term
What is the role of the liver in protein metabolism?
Definition
1. formation of plasma proteins
2. TRANSAMINATION
3. DEAMINATION
Term
Transamination
Definition
Transfers amine group from one amino acid to another to create new amino acids. This is only possible with the 12 NON-ESSENTIAL amino acids
Term
Deamination
Definition
Removal of amine group from an amino acid which converts it to ammonia (toxic) which is converted to urea to be removed
Term
T/F. 90% of plasma proteins are formed in the liver.
Definition
TRUE
Term
What other important vitamins/minerals does the liver store?
Definition
Vitamins A, D, and B12 as well as iron
Term
An excess accumulation of iron in the liver is known as _____________
Definition
hemosiderosis
Term
What coagulation factors are produced by the liver?
Definition
fibrinogen, prothrombin, plasminogen, and factors 5 and 7-13
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