Shared Flashcard Set

Details

Krabbe Mid-Term Lec 1 Part 2
Digestion, Absorption, Transport, and Excretion of Nutrients
61
Health Care
Professional
01/15/2013

Additional Health Care Flashcards

 


 

Cards

Term
An inborn error of metabolism in which the enzyme lactase is either absent or in reduced concentrations
Definition
lactase deficiency
Term
Affected individuals are unable to break down ingested lactose
Definition
lactase deficiency
Term
Affected individuals with lactase deficiency
are unable to break down ingested lactose, the main sugar found in milk, and which if unabsorbed passes into the large intestine, where there are two consequences:
Definition
Osmotic diarrhea
2. Abdominal distention, flatus (hydrogen production), and perianal soreness from the production of organic acids
Term
From “D” cells in antrum and pylorus
Definition
Somatostatin
Term
Inhibitory and antisecretory
Definition
Somatostatin
Term
Decreases motility in the stomach and intestine, and inhibits or regulates the release of several GI hormones.
Definition
Somatostatin
Term
Digestion in the mouth: begins minimal starch digestion, enzyme become inactive when it reaches the acidic stomach
Definition
Amylase (ptyalin)
Term
Digestion in the mouth:causes food to stick together and provides lubrication for swallowing
Definition
Mucus (protein)
Term
Digestion in the mouth: A lipase is present in ________ secretions that causes minimal lipid digestion
Definition
oropharyngeal
Term
After it has been chewed The food mass is now referred to as a
Definition
bolus
Term
__________ ml of gastric juice is secreted daily
Definition
2000-2500
Term
The gastric secretions consist of the following:
Definition
HCL
Protease
Lipase
Mucus
Intrinsic factor (for B12 absorption in the ileum)
Hormone Gastrin
Term
Stomach pH ranges from _______
Definition
1.0-4.0
Term
HCL
Secreted by the ____________ in the walls of the fundus and corpus
Definition
parietal cells
Term
These factors can suppress acid secretion increase the risk of microbrial overgrowth
Definition
Achlorhydria, gastrectomy, GI dysfunction, disease, poor nutrition or drugs
Term
Protease (Pepsin)isFirst secreted as
Definition
pepsinogen
Term
HCL converts pepsinogen to its active form,
Definition
pepsin
Term
Pepsin is only active in an
Definition
acidic environment
Term
Protease (Pepsin)
Secreted by the _______ cells in the walls of the fundus and corpus
Definition
chief
Term
Specifically processes medium and short chain triglycerides, normal diet contains few of these fats
Definition
Lipase (acid-stable)
Term
Believed to have an important role in the liquid diet of infants
Definition
Lipase (acid-stable)
Term
Secreted by the chief cells
Definition
Lipase (acid-stable)
Term
Some patients with pancreatic malabsorption may benefit from a diet enriched with
Definition
medium-chain triglycerides (MCTs)
Term
MCTs are absorbed directly into the _________ and therefore bypass the steps of intraluminal digestion, reesterification, and enterocyte uptake
Definition
portal circulation
Term
MCTs may be a dietary source of fats more easily absorbed in settings of fat malabsorption due to either
Definition
pancreatic insufficiency or mucosal disease
Term
MCT oils are less energy dense than long-chain fats, more expensive, and do not contain the ________________________, which are essential to humans.
Definition
fatty acids linoleic and linolenic acid
Term
Liquid meal will exit the stomach in as little as _____ hours
Definition
1-2
Term
A solid meal will take ____ hours
Definition
2-3
Term
____________ prevents gastric reflux
Definition
Esophageal sphincter
Term
____________ prevents backflow of chyme into the stomach and regulates gastric contents
Definition
Pyloric sphincter
Term
these can affect the activity of the pyloric and esophageal sphincters
Definition
Emotional changes, food, and GI regulators
Term
Most digestion occurs in the
Definition
duodenum and upper jejunum
Term
Absoprtion is largely complete by the time the food reaches the middle of the
Definition
jejunum
Term
Acid chyme is neutralized by
Definition
bicarbonate
Term
Liver and gallbladder secrete
Definition
bile
Term
Bile acts as a surfactant and facilitates
Definition
digestion and absorption of lipids
Term
Primary lipid-digesting enzymes from the pancreas are
Definition
Pancreatic Lipase
Colipase
Term
Trypsin and Chromotrypsin are secreted in their inactive form (trypsinogen and chromotrypsinogen), become activated by
Definition
enterokinase
Term
Enterokinase (carboxypeptidase) is secreted when chyme comes in contact with the
Definition
intestinal mucosa
Term
______________ hydrolyzes starch to dextrins and maltose
Definition
Pancreatic amylase
Term
Journey through the intestine is roughly ____ hours long and end at the iliocecal valve
Definition
3-8
Term
Primary site of nutrient absorption
Definition
Small Intestine
Term
The primary organ of nutrient and water absoprtion
Definition
Small Intestine
Term
Each day the small intestine absorbs ____ g of monosaccharides
Definition
150-300
Term
Each day the small intestine absorbs _______g of fatty acids
Definition
60-100
Term
Each day the small intestine absorbs _________ g of amino acids
Definition
60-120
Term
Each day the small intestine absorbs ___ g of ions
Definition
50-100
Term
Site of the absorption of the remaining water and salts
Definition
Large Intestine
Term
Bacterial fermentation
Definition
Large Intestine
Term
Synthesis of a small amount of vitamins
Definition
Large Intestine
Term
Function for Excretion
Definition
Large Intestine
Term
GI tract _______ at birth
Definition
sterile
Term
_________ main bacteria until infant eats solid foods
Definition
Lactobacillus
Term
Escherichia coli predominates in the
Definition
distal ileum
Term
Bacteriodes predominates in the
Definition
colon
Term
Factors affecting the kind of flora in the GI tract
Definition
Dietary intake (prebiotics)
Hygiene
Medical history
Surgical history
Term
Few bacteria usually survive in the stomach and small intestine due to germicidal actions of the following:
Definition
Hydrochloric acid
Pepsin
Bile
Term
if gastric secretions were to decrease, what would be the expected outcome?
Definition
Increased survival of microbes
Increase risk of inflammation of the gastric mucosa (gastritis)
Increased risk of bactierial overgrowth
Helicobacter pylori is acid-tolerant and can infect the stomach causing both ulcers and gastritis.
Term
Dietary fiber, resistant starches, left over amino acids, and mucus become _____ in the colon
Definition
fermented
Term
Dietary fiber, resistant starches, left over amino acids, and mucus become fermented in the colon
Contribute to the formation of
Definition
gas and SCFA’s
Term
These nutrients are performed by bacterial synthesis in the large intestine
Definition
Vitamin K, Vitamin B12, Thiamin, and Riboflavin
Supporting users have an ad free experience!