Digestive System Anatomy and Function

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Questions and Answers

What initiates the feedforward control mechanism in digestion?

  • The secretion of bile from the gallbladder
  • The sight, smell, or thought of food (correct)
  • The presence of food in the stomach
  • The chemical composition of the food

Which part of the brain is primarily responsible for starting the long reflexes that prepare the stomach for food?

  • Medulla (correct)
  • Cerebellum
  • Cortex
  • Hypothalamus

What is the primary function of saliva during the digestive process?

  • To soften and lubricate food and aid in digestion of starch (correct)
  • To activate gastric enzymes before food enters the stomach
  • To neutralize stomach acid before it reaches the intestines
  • To initiate mechanical digestion through tearing

Which of the following correctly describes the gastric phase of digestion?

<p>It begins with the short reflexes initiated by food in the stomach. (C)</p>
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What are the three main functions of the stomach during digestion?

<p>Storage, digestion, and defense (A)</p>
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What is the soupy substance created by the breakdown of ingested food called?

<p>Chyme (D)</p>
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Which layer of the GI tract wall contains the submucosal plexus?

<p>Submucosa (D)</p>
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What is the primary function of the digestive system?

<p>Movement of nutrients and electrolytes from external to internal environment (D)</p>
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Which of the following processes involves the chemical and mechanical breakdown of food?

<p>Digestion (B)</p>
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What does segmentation refer to in the context of digestive motility?

<p>Mixing food into smaller particles (B)</p>
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Which of the following is NOT considered an accessory organ of the digestive system?

<p>Stomach (A)</p>
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What are the two main types of muscle layers found in the muscularis externa?

<p>Longitudinal and circular (D)</p>
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What is the primary purpose of digestive enzymes being secreted as zymogens?

<p>To prevent premature activation and damage to tissues (B)</p>
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Which process involves the transfer of substances from the lumen of the GI tract to the extracellular fluid?

<p>Absorption (B)</p>
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Which of the following best describes tonic contractions in the GI tract?

<p>Contractions lasting minutes to hours (B)</p>
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Which type of contractions are responsible for the movement of materials through the GI tract?

<p>Peristalsis (B)</p>
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How much total fluid typically enters the GI tract daily from both food and secretion?

<p>9L (B)</p>
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What does the migrating motor complex do?

<p>Moves food between meals from upper to lower GI tract (C)</p>
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What is the primary function of segmentation in the digestive process?

<p>To break food into smaller particles (C)</p>
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What contributes to maintaining mass balance in the GI tract?

<p>Reabsorption of nearly all fluid secreted (D)</p>
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What type of tissue is primarily involved in the immune defense within the GI tract?

<p>GALT (Gut-associated lymphoid tissue) (A)</p>
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What is a unique characteristic of the enteric nervous system compared to the central nervous system?

<p>It can act independently. (D)</p>
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Which type of reflexes is primarily integrated within the enteric nervous system?

<p>Short reflexes (B)</p>
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Which of the following is a feature shared by both the enteric and central nervous systems?

<p>Neurotransmitters (B)</p>
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What primarily inhibits the secretion of GI hormones?

<p>Somatostatin (A)</p>
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Which hormone is specifically released from the stomach?

<p>Gastrin (A)</p>
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What is a key function of GI peptides?

<p>Exciting or inhibiting GI motility and secretion (C)</p>
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How do long reflexes differ from short reflexes in the gut?

<p>They primarily integrate in the CNS. (C)</p>
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What type of neurons are completely contained within the enteric nervous system?

<p>Intrinsic neurons (D)</p>
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Which of the following statements about the enteric nervous system is false?

<p>It consists only of sensory neurons. (B)</p>
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Which systemic effects are prominently associated with cholecystokinin (CCK)?

<p>Predominantly blood-borne action (C)</p>
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What is the primary role of cholecystokinin (CCK) in the digestive process?

<p>Inhibits gastric emptying and promotes satiety (B)</p>
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What triggers the release of bicarbonate from the pancreas?

<p>Low pH of the chyme entering the small intestine (B)</p>
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What is the primary function of the hormone released during fasting?

<p>Triggers peristaltic waves in the GI tract (A)</p>
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How does the stomach respond when acidic chyme enters the small intestine?

<p>Inhibits further gastric emptying (A)</p>
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Which of the following is NOT a function of insulin?

<p>Stimulates colon motility (D)</p>
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What is a major effect of the hormone released in response to mixed meals involving carbohydrates or fats?

<p>Enhances insulin secretion from the pancreas (A)</p>
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What physiological response occurs when food enters the duodenum?

<p>Secretion of hormones like CCK and secretin (B)</p>
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What is the role of motilin in the digestive process?

<p>Facilitates gut cleanup during fasting (D)</p>
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Which statement about CCK is incorrect?

<p>It responds primarily to carbohydrates. (A)</p>
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What is the ultimate benefit of the body's response to low pH in the small intestine?

<p>Neutralizes acid to protect intestinal lining (C)</p>
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Flashcards

GI Tract

The continuous tube from the mouth to the rectum that processes food and absorbs nutrients.

Accessory Organs

Organs like the salivary glands, liver, gallbladder, and pancreas that help digestion but don't directly house food or chyme.

Chyme

The soupy mixture created as ingested food is broken down by stomach acids and enzymes.

4 Layers of the GI Tract

The GI tract wall is made up of four layers: mucosa, submucosa, muscularis externa, and serosa.

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Motility

The movement of food through the GI tract, including peristalsis (wave-like contractions) and segmentation (mixing contractions).

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Digestion

The breakdown of food into absorbable units through chemical (enzymes) and mechanical (chewing) processes.

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Autodigestion

The challenge of ensuring that the digestive system breaks down food, but not itself.

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Zymogen

An inactive form of an enzyme that needs to be activated before it can perform its function. For example, digestive enzymes are secreted as zymogens to prevent them from digesting the cells that produce them.

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Mass Balance

Maintaining a constant volume of fluid within the digestive tract by balancing the amount of fluid entering and leaving.

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GALT

Gut-associated lymphoid tissue - a collection of immune cells in the lining of the digestive system that helps protect the body against pathogens.

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Absorption

The process of taking nutrients from the digested food and transferring them from the digestive tract into the bloodstream.

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Secretion

The process of releasing fluids and electrolytes from the body into the digestive tract.

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Peristalsis

Wave-like muscle contractions that push food down the digestive tract.

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Segmentation

Muscle contractions that mix food with digestive juices, but don't move it forward.

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Enteric Nervous System (ENS)

A complex network of neurons within the digestive tract that controls its functions, such as motility, secretion, and growth.

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Intrinsic Neurons

Neurons located entirely within the ENS, responsible for local control of digestive functions.

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Extrinsic Neurons

Neurons originating in the central nervous system (CNS) that connect to the digestive tract and influence its function.

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Short Reflexes

Reflexes that are integrated and initiated within the ENS, allowing localized control of digestion.

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Long Reflexes

Reflexes that integrate in the CNS, involving signals from the brain or other parts of the body that influence digestive processes.

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Gastrin

A hormone released by the stomach that stimulates gastric acid production and growth of the stomach lining.

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CCK (Cholecystokinin)

A hormone released from the small intestine that promotes digestion and has effects on the gallbladder and pancreas.

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Somatostatin

A hormone that inhibits the release of several other GI hormones, including gastrin, CCK, and secretin.

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GI Peptides

Hormones and other signaling molecules that influence digestion by regulating motility, secretion, and growth.

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Feedforward Control in Digestion

A mechanism that prepares the digestive system for incoming food by triggering the release of enzymes and hormones, even before food enters the mouth.

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Long Reflexes in Digestion

Nerve signals initiated by the brain, triggered by sights, smells, or thoughts of food, that prepare the stomach for digestion.

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Salivary Secretions

Fluid produced by salivary glands that contains enzymes to break down starch and lubricate food for swallowing.

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Gastric Phase of Digestion

The phase of digestion that takes place in the stomach, involving storage, digestion, and defense against pathogens.

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Short Reflexes in Digestion

Nerve signals initiated by the presence of food inside the stomach, triggering further digestive processes.

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CCK

A hormone secreted by the small intestine in response to the presence of fats and amino acids. It slows gastric emptying, stimulates the release of pancreatic enzymes and bile, and promotes feelings of fullness.

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What does CCK inhibit?

CCK inhibits gastric emptying, slowing down the rate at which chyme enters the small intestine from the stomach. It also inhibits acid secretion in the stomach, further regulating the flow of acidic chyme.

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What does secretin inhibit?

Secretin inhibits further gastric emptying and acid secretion in the stomach to allow time for neutralization of the existing acidic load in the small intestine.

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What does GIP stimulate?

GIP stimulates the pancreas to release insulin, which helps to regulate blood glucose levels. It also inhibits gastric emptying, allowing for better time to absorb nutrients.

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GLP-1

A hormone released in response to mixed meals containing carbohydrates or fats. It enhances insulin secretion, suppresses glucagon release, inhibits gastric emptying, and promotes feelings of satiety.

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What does GLP-1 inhibit?

GLP-1 inhibits acid secretion in the stomach, contributing to slowing down gastric emptying and promoting satiety. It also suppresses glucagon release from the pancreas.

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What does Motilin inhibit?

Motilin is inhibited during the fed (ingestion) state, allowing for proper digestion and nutrient absorption. Its release is triggered by fasting, facilitating the cleaning and preparation of the GI tract for the next meal cycle.

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Study Notes

Digestive System Anatomy and Function

  • The GI tract is a continuous tube from mouth to rectum, with accessory organs aiding digestion
  • Accessory organs include salivary glands, liver, gallbladder, and pancreas
  • Food travels through the mouth, pharynx, esophagus, stomach, small intestine (duodenum, jejunum, ileum), large intestine (colon, rectum), and anus
  • Chyme is the soupy substance that results from the breakdown of food

GI Tract Wall Layers

  • The GI tract wall has four layers: mucosa, submucosa, muscularis externa, and serosa.
  • Mucosa: the innermost layer, containing lamina propria (connective tissue) and immune cells
  • Submucosa: beneath the mucosa, with blood vessels and the submucosal plexus (part of the enteric nervous system).
  • Muscularis externa: two layers of smooth muscle; the myenteric plexus (part of the enteric nervous system) is located within this layer.
  • Serosa: the outermost layer, formed by the visceral peritoneum

Digestive System Processes

  • Digestion: chemical and mechanical breakdown of food into absorbable units
  • Absorption: transfer of absorbed materials from the lumen of the GI tract to the extracellular fluid (ECF)
  • Secretion: transfer of fluids and electrolytes from the ECF to the lumen
  • Motility: movement of material through the GI tract; includes peristalsis and segmentation

Regulation of GI Function

  • The enteric nervous system (ENS) controls motility, secretion, and growth in the digestive system.
  • GI smooth muscle spontaneously contracts
  • Slow wave potentials are spontaneous depolarizations
  • Tonic contractions last minutes or hours; Phasic contractions last seconds
  • Short reflexes of the digestive tract originate and integrate within the ENS
  • Long reflexes integrate in the central nervous system (CNS), and some originate outside the digestive tract.

GI Hormones

  • Hormones produced in the digestive system regulate different aspects of digestion.
  • Gastrin: Stimulates gastric acid secretion and mucosal growth
  • Cholecystokinin (CCK): Stimulates gallbladder contraction, and pancreatic enzyme secretion, inhibits gastric emptying
  • Secretin: Stimulates pancreatic bicarbonate secretion, inhibits gastric emptying
  • Gastric Inhibitory Peptide (GIP): Stimulates insulin release, inhibits gastric emptying

Digestive Phase

  • Cephalic phase: anticipatory phase, controlled by the CNS, preparing the digestive system for food intake (sight, smell, or thought of food)
  • Gastric phase: begins when food enters the stomach, short reflexes initiated by distention and peptides (stimulating further secretion)
  • Intestinal phase: begins when chyme enters the small intestine, and triggers neural and endocrine reflexes (to slow gastric emptying and begin insulin secretion)

Immune, Neural, and Hormonal Control in Digestion

  • The nervous and hormonal control of the intestinal phase of digestion are described. Specific hormones and nervous systems for the different phases of digestion are discussed.

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