Digestion and Absorption Quiz
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Questions and Answers

Absorption occurs through the activity of enzymes that catalyze carbohydrates, lipids, and proteins.

False

Absorption takes place in the pharynx or the esophagus.

False

The presence of folds of Kerckring increases the surface area of the small intestine by 10 folds.

False

The net increase in the surface area of the small intestine is about 600 folds.

<p>True</p> Signup and view all the answers

What are the three main components of a villus?

<p>Capillary network, lymphatic network of lacteals, and <em>brush border enzymes</em>.</p> Signup and view all the answers

Enteric innervation provides a mechanism to regulate the secretion of secretory cells and blood flow to intestinal mucosa.

<p>True</p> Signup and view all the answers

Smooth muscle cells of the muscularis mucosa allow villi to wave in lumen and folds to move, which permit more spreading of chyme over the absorptive area.

<p>True</p> Signup and view all the answers

Brush border enzymes help digest carbohydrates and proteins.

<p>True</p> Signup and view all the answers

Ptyalin is a salivary enzyme that helps break down starches into smaller polymers of glucose and a-limit dextrins.

<p>True</p> Signup and view all the answers

The optimum activity of Ptyalin is at an acidic pH.

<p>False</p> Signup and view all the answers

The final digestion of carbohydrate is: glucose, fructose, galactose.

<p>True</p> Signup and view all the answers

Glucose is absorbed into the epithelial cells via a Na+ linked carrier, where Na+ and glucose bind to a specialized protein.

<p>True</p> Signup and view all the answers

The whole process of glucose absorption depends on the pumping of Na+ out of the enterocyte.

<p>True</p> Signup and view all the answers

The absorption of galactose is facilitated by a carrier that is not linked to Na+.

<p>False</p> Signup and view all the answers

Fructose enters by facilitated diffusion using a carrier that is linked to Na+.

<p>False</p> Signup and view all the answers

About 60 grams of protein are digested and absorbed by the gut per day.

<p>True</p> Signup and view all the answers

Pepsin, an enzyme in the stomach, works optimally at a pH of 5-6.

<p>False</p> Signup and view all the answers

Pepsin hydrolyzes around 80% of the proteins in the stomach.

<p>False</p> Signup and view all the answers

Endopeptidases are proteolytic enzymes that hydrolyze peptide bonds, creating shorter peptides.

<p>True</p> Signup and view all the answers

Exopeptidases hydrolyze protein by converting it to small peptides and amino acids.

<p>True</p> Signup and view all the answers

Brush border peptidases convert large peptides into smaller peptides (di-, tri-, and tetra peptides) and amino acids.

<p>True</p> Signup and view all the answers

Peptidases inside the cytosol of the enterocytes convert small peptides into amino acids.

<p>True</p> Signup and view all the answers

Small peptides are transported into the enterocyte by simple diffusion.

<p>False</p> Signup and view all the answers

A carrier mediated transport system requires energy.

<p>True</p> Signup and view all the answers

What are the types of carriers that transport amino acids across the lumenal membrane?

<p>Na+ dependent: 3 different carriers. 1. For neutral amino acids. 2. Proline and hydroxyproline. 3. Phenylalanine and methionine.<br /> Na+ independent: for basic and neutral aminoacids.</p> Signup and view all the answers

Bile is needed for fat digestion and absorption.

<p>True</p> Signup and view all the answers

Bile salts are amphipathic molecules with both hydrophilic and hydrophobic portions.

<p>True</p> Signup and view all the answers

The sterol nucleus of bile salts is hydrophilic.

<p>False</p> Signup and view all the answers

The hydroxyl groups and amino acid conjugates of bile salts are hydrophobic.

<p>False</p> Signup and view all the answers

Bile acids with more hydroxyl groups are more hydrophobic.

<p>False</p> Signup and view all the answers

Micelles form when the hydrophobic parts of bile salts orient inward (toward the center) and the hydrophilic parts orient outward (toward water).

<p>True</p> Signup and view all the answers

There is significant fat digestion in the stomach.

<p>False</p> Signup and view all the answers

Fats separate from the watery parts of the food, and exit the stomach more slowly than other components of the meal.

<p>True</p> Signup and view all the answers

Lipid digestion is not important for emulsifying fat in the duodenum.

<p>False</p> Signup and view all the answers

Pancreatic lipase and colipase can act on the water/oil interface to hydrolyze the 1st and 3rd ester linkages of the tri glyceride between glycerol and fatty acids.

<p>True</p> Signup and view all the answers

There are brush border enzymes for lipid digestion.

<p>False</p> Signup and view all the answers

Lipid transport is a carrier system in the lumenal membrane.

<p>False</p> Signup and view all the answers

The absorption of lipids is an active process in the lumenal membrane of the intestinal epithelial cell.

<p>False</p> Signup and view all the answers

Once inside the intestinal epithelial cell, free fatty acids and monoglycerides reform Triglycerides.

<p>True</p> Signup and view all the answers

Chylomicrons are a type of lipoprotein.

<p>True</p> Signup and view all the answers

Chylomicrons are expelled from the epithelial cells by exocytosis.

<p>True</p> Signup and view all the answers

Chylomicrons diffuse through the extracellular space and are removed from the villus via lymphatic vessels.

<p>True</p> Signup and view all the answers

Some glycerol molecules and short chain fatty acids pass directly through the epithelial cells and are removed from the villus by diffusion into blood capillaries.

<p>True</p> Signup and view all the answers

Water absorption is driven by active transport of Na+ across the basolateral membrane which causes water to flow in through epithelial cells and the tight junction between the cells.

<p>True</p> Signup and view all the answers

Electrolytes are absorbed into the small intestine and colon.

<p>True</p> Signup and view all the answers

There is a co-transport system with amino acids and monosaccharides for Na+ absorption.

<p>True</p> Signup and view all the answers

Aldosterone, is a hormone secreted by the adrenal glands, which stimulates Na+ absorption. This is important mainly in the colon and helps to prevent water loss from the body.

<p>True</p> Signup and view all the answers

Cl- is absorbed mainly in the upper part of the small intestine (duodenum and jejunum) by an active transport mechanism.

<p>False</p> Signup and view all the answers

K+ is absorbed actively in the small intestine.

<p>False</p> Signup and view all the answers

Ca++ is actively absorbed throughout the intestine.

<p>True</p> Signup and view all the answers

Ca++ binds to a protein at the brush border membrane which might be a carrier.

<p>True</p> Signup and view all the answers

Once Ca++ is inside the cell, it binds to a cytosolic Ca++ binding protein called calbindin, which transports Ca++ across the cell.

<p>True</p> Signup and view all the answers

Ca++ is secreted out at the basolateral membrane by passive diffusion.

<p>False</p> Signup and view all the answers

Ca++ absorption is increased by vitamin D and parathyroid hormone.

<p>True</p> Signup and view all the answers

Iron absorption is mainly in the upper part of the small intestine (duodenum and the adjacent jejunum).

<p>True</p> Signup and view all the answers

Iron absorption is promoted by a basic pH in the stomach and vitamin C.

<p>False</p> Signup and view all the answers

Fe++ (ferrous iron) is much less soluble than Fe+++ (ferric iron).

<p>False</p> Signup and view all the answers

The effect of Vitamin C in enhancing iron absorption in the small intestine, is by reducing the ferric iron to ferrous iron.

<p>True</p> Signup and view all the answers

Phosphates, oxalates, phytic acid (found in cereals) and pancreatic juice enhance the absorption of iron.

<p>False</p> Signup and view all the answers

The mechanisms of iron absorption are well understood.

<p>False</p> Signup and view all the answers

Iron is stored in the epithelial cell in the form of ferritin, then transported into the blood where it binds to transferrin as needed.

<p>True</p> Signup and view all the answers

If NOT needed, iron is lost when the cell sheds. This mechanism prevents excess iron from entering the blood from the cell and causing toxic effects.

<p>True</p> Signup and view all the answers

Most vitamins are absorbed in the upper part of the small intestine.

<p>True</p> Signup and view all the answers

Water-soluble vitamins (Vit. C, Vit. B1, and Vit. B12) are absorbed passively except: Vit. B12.

<p>True</p> Signup and view all the answers

Lipid-soluble vitamins (Vit. A, D, E, K) follow the same route as lipids, where they are solubilized in micelles and chylomicrons.

<p>True</p> Signup and view all the answers

Study Notes

Digestion and Absorption

  • Digestion occurs via enzymes that break down carbohydrates, lipids, and proteins.
  • Absorption happens through specialized epithelial cells.
  • No absorption takes place in the pharynx or esophagus.
  • A small amount of absorption occurs in the stomach, but the majority in the small intestine.
  • The small intestine's increased absorptive capacity is due to specialized structures.
  • Most nutrients are absorbed before reaching the ileum.
  • The colon absorbs electrolytes and water.

Intestinal Specialization

  • Folds of Kerckring (circular folds) increase the intestinal surface area threefold.
  • Villi are structures in the mucosa that increase surface area tenfold.
  • Microvilli on epithelial cells further increase the surface area twentyfold.
  • The combined effect is approximately 600 times more surface area

Carbohydrate Digestion and Absorption

  • Carbohydrates are ingested mainly as starch (linked by alpha 1-4 and 1-6 bonds), sucrose, and lactose.
  • Cellulose (glucose linked by beta 1-4) is indigestible.
  • Digestion begins in the mouth with salivary alpha-amylase, breaking down starches.
  • Pancreatic amylase further breaks down starches in the small intestine.
  • Brush border enzymes (maltase, lactase, sucrase, isomaltase) hydrolyse specific disaccharides.
  • Glucose, fructose, and galactose are the end products of carbohydrate digestion.
  • Glucose absorption is active, requiring Na+ cotransport.
  • Fructose and galactose also use facilitated diffusion to enter the cell.

Protein Digestion and Absorption

  • Proteins are polymers of amino acids linked by peptide bonds.
  • Stomach digestion starts with pepsin (activated by HCl).
  • Pancreatic enzymes (trypsin, chymotrypsin, carboxypeptidase) further break down peptides in the small intestine.
  • Brush border enzymes (peptidases) break down peptides to amino acids.
  • Di- and tri-peptides are transported into the enterocyte via a Na+ dependent carrier.
  • Amino acids are transported across the basolateral membrane by specific carrier proteins.

Lipid Digestion and Absorption

  • Fats are primarily triglycerides, with some phospholipids and cholesterol.
  • Digestion begins in the small intestine with bile salts, which emulsify fats.
  • Pancreatic lipase hydrolyzes triglycerides into fatty acids and monoglycerides.
  • These products, along with other lipids, form micelles.
  • Micelles carry these lipids to the epithelial cells, where they are absorbed passively.
  • Absorbed lipids combine with proteins to form chylomicrons.
  • Chylomicrons are transported via the lymphatic system.

Water and Electrolyte Absorption

  • Water absorption is driven by active transport of Na+ creating a concentration gradient that pulls water into the cell.
  • Active Na+ absorption occurs via the basolateral membrane.
  • Some electrolytes like Chloride (Cl-) and Potassium (K+) are absorbed by passive diffusion.
  • The presence of aldosterone affects these absorption processes.

Vitamin Absorption

  • Water-soluble vitamins (except for B12) are absorbed passively.
  • Vitamin B12 absorption requires intrinsic factor, secreted by stomach cells.
  • Lipid-soluble vitamins (A, D, E, K) follow the same route as lipid absorption.

Calcium Absorption

  • Calcium is actively absorbed throughout the intestine via a protein transporter called Calbindin.
  • Active transport occurs at the basolateral membrane.
  • Absorption is enhanced with vitamin D and parathyroid hormone levels

Iron Absorption

  • Iron absorption primarily occurs in the duodenum and jejunum.
  • Ferrous iron is more easily absorbed than ferric iron.
  • Vitamin C enhances iron absorption.
  • Phosphates, oxalates, and phytic acid can inhibit iron absorption.

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Digestion and Absorption PDF

Description

Test your knowledge on the processes of digestion and absorption, focusing on how nutrients are broken down and absorbed in the human body. Delve into the roles of various intestinal structures and their specializations that enhance nutrient absorption. This quiz will cover key concepts related to carbohydrates and overall digestion.

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