Digestive System Anatomy and Function
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Which of the following accurately describes the primary function of the digestive system in relation to the body's cells?

  • Transforming food into usable nutrients that can be delivered to cells, with the help of the circulatory system. (correct)
  • Producing hormones that regulate cellular activities and maintain overall homeostasis.
  • Filtering out toxins and waste products from the bloodstream before they reach individual cells.
  • Synthesizing complex proteins directly utilized by cells for structural support and enzymatic functions.

What structural characteristic defines the alimentary canal?

  • A continuous, hollow muscular tube that extends through the ventral body cavity and is open at both ends. (correct)
  • A network of ducts and glands that secrete digestive enzymes directly into the bloodstream.
  • A series of interconnected solid organs that process nutrients sequentially.
  • A compartment within cells responsible for intracellular digestion.

The digestive system relies on assistance from which other system to distribute nutrients to cells?

  • The respiratory system, by providing oxygen.
  • The circulatory system, by transporting nutrients. (correct)
  • The endocrine system, by producing hormones.
  • The nervous system, by signaling nutrient requirements.

Which of the following is NOT a component of the digestive system?

<p>Lymphatic vessels (A)</p> Signup and view all the answers

Why is it necessary for the digestive system to convert food into a usable form?

<p>Because most body cells cannot directly access food sources and require nutrients to be delivered. (C)</p> Signup and view all the answers

Which of the following structures is NOT part of the alimentary canal?

<p>Trachea (B)</p> Signup and view all the answers

What is the primary function of the oral cavity in the digestive system?

<p>Initial breakdown of food and ingestion (D)</p> Signup and view all the answers

Which structure prevents food from entering the trachea during swallowing?

<p>Epiglottis (B)</p> Signup and view all the answers

What is the sequence of regions that food passes through from the mouth to the pharynx?

<p>Oropharynx, then laryngopharynx (B)</p> Signup and view all the answers

Which of the following terms describes the coordinated muscular contractions that propel food through the digestive tract?

<p>Peristalsis (C)</p> Signup and view all the answers

Which of the following is an active and voluntary process?

<p>Ingestion (B)</p> Signup and view all the answers

Where are the palatine tonsils located?

<p>In the oral cavity proper (D)</p> Signup and view all the answers

What is the vestibule of the mouth?

<p>The space between the cheeks/lips and teeth (D)</p> Signup and view all the answers

Which of the following accurately describes the role of peristalsis in the digestive system?

<p>It propels food from one digestive organ to the next through involuntary muscle contractions. (A)</p> Signup and view all the answers

What is the primary difference between mechanical and chemical digestion?

<p>Mechanical digestion prepares food for enzymatic action, while chemical digestion breaks down food molecules. (B)</p> Signup and view all the answers

Which layer of the alimentary canal is responsible for absorption?

<p>Mucosa (A)</p> Signup and view all the answers

After food is ingested, in what order does it pass through the following structures?

<p>Oropharynx, laryngopharynx, esophagus (A)</p> Signup and view all the answers

If the intrinsic nerve plexuses of the alimentary canal were damaged, which function would be most affected?

<p>Peristalsis and secretion (A)</p> Signup and view all the answers

Which of the following is the best description of the esophagus's primary function in digestion?

<p>Conducting food to the stomach via peristalsis (D)</p> Signup and view all the answers

What is the purpose of segmentation in the small intestine?

<p>To mix food with digestive juices and increase absorption (A)</p> Signup and view all the answers

What process is defined as the elimination of indigestible substances from the GI tract?

<p>Defecation (C)</p> Signup and view all the answers

Which of the following accurately describes the role of rhythmic segmental movements in the small intestine?

<p>They mix chyme with digestive juices and aid in propelling food. (D)</p> Signup and view all the answers

What is the primary function of brush border enzymes located in the small intestine?

<p>To digest double sugars into simple sugars and complete protein digestion. (D)</p> Signup and view all the answers

Which of the following choices represents the correct order of segments that the waste material goes through, in the large intestine?

<p>Cecum, ascending colon, transverse colon, descending colon (D)</p> Signup and view all the answers

What is the primary role of pancreatic juice in the small intestine?

<p>Completing starch digestion, contributing to protein digestion, and being solely responsible for fat and nucleic acid digestion. (C)</p> Signup and view all the answers

How do secretin and cholecystokinin contribute to the digestive process in the small intestine?

<p>By stimulating the release of pancreatic juice and bile. (C)</p> Signup and view all the answers

What is the state of the waste material when it leaves the large intestine?

<p>A semi-solid mass containing undigested food, millions of bacteria, and just enough water to allow its smooth passage. (B)</p> Signup and view all the answers

What is the characteristic motility pattern in the colon?

<p>Sluggish or short-lived contractions, despite the colon becoming mobile when presented with residue. (B)</p> Signup and view all the answers

What structural characteristic distinguishes the large intestine from the small intestine?

<p>The large intestine has a much larger diameter but is shorter in length than the small intestine. (B)</p> Signup and view all the answers

Why might a patient receive intravenous antispasmodic medication during a barium enema?

<p>To reduce discomfort and facilitate barium passage. (D)</p> Signup and view all the answers

What is the primary reason for slowly instilling liquid barium during a barium enema?

<p>To reduce the patient's discomfort and urge to defecate. (A)</p> Signup and view all the answers

During a barium enema, at which point does the radiologist typically stop the instillation of barium?

<p>When the rectum is filled and barium starts passing around the colon. (B)</p> Signup and view all the answers

Following the initial barium instillation, what substance is typically insufflated into the colon, and why?

<p>Air, to enhance visualization of the colon lining. (D)</p> Signup and view all the answers

For patients with diabetes undergoing a barium enema, what specific instruction should they receive regarding their insulin?

<p>They should bring their insulin and some food to have after the test. (A)</p> Signup and view all the answers

A patient undergoing a barium enema suddenly develops severe abdominal pain and shows signs of shock. Which major complication should be immediately suspected?

<p>Colonic perforation. (C)</p> Signup and view all the answers

During a gastroscopy, what specific anatomical regions are being examined using an endoscope?

<p>The esophagus, stomach, and first part of the small intestine. (B)</p> Signup and view all the answers

When should patients receive full instructions on preparation and the procedure?

<p>Well in advance of the procedure. (B)</p> Signup and view all the answers

During a gastroscopy, what is the primary purpose of introducing air through the endoscope?

<p>To inflate the esophagus, stomach, and duodenum for better visualization of the lining. (D)</p> Signup and view all the answers

If a patient experiences difficulty swallowing, which aspect of a gastroscopy would be most relevant in determining the cause?

<p>Evaluating the esophagus for narrowing or abnormalities. (A)</p> Signup and view all the answers

What is the key distinction between a diagnostic and a therapeutic gastroscopy?

<p>A diagnostic gastroscopy only involves visual examination, while a therapeutic gastroscopy includes treatment. (A)</p> Signup and view all the answers

Why is it crucial for a patient to wait until their gag reflex returns after undergoing a gastroscopy before consuming food or liquids?

<p>To avoid choking or aspiration. (B)</p> Signup and view all the answers

A patient is scheduled for a gastroscopy to manage a bleeding ulcer. Which type of gastroscopy is being performed?

<p>Therapeutic gastroscopy (A)</p> Signup and view all the answers

During a gastroscopy, a biopsy is taken. What is the primary reason examining the sample under a microscope?

<p>To detect the presence of bacteria or abnormal cells. (B)</p> Signup and view all the answers

What is the role of the radiography staff during a gastroscopy?

<p>To move the patient to improve filling and to provide reassurance. (D)</p> Signup and view all the answers

A doctor suspects a patient has GERD. Which area of the digestive tract would the doctor focus on during a gastroscopy to confirm this diagnosis?

<p>The esophagus and stomach (C)</p> Signup and view all the answers

Flashcards

Digestive System

A complex system of organs, glands, and ducts that convert food into nutrients for cells.

Nutrients

The body's cells need these to function properly, but can't travel to get them directly.

Alimentary Canal

The main tube of the digestive system, running from mouth to anus.

Accessory Digestive Organs

Organs that assist in digestion but are not part of the alimentary canal itself.

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Gastrointestinal Tract

A continuous, hollow muscular tube that winds through the ventral body cavity and is open at both ends.

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Mouth (Oral Cavity)

The opening where food enters the digestive tract.

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Oral Cavity

Lined with mucous membrane; where food enters the digestive tract.

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Lips

Fleshy projections surrounding the opening of the mouth.

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Cheeks

Forms the lateral walls of the oral cavity.

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Palate

The roof of the mouth.

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Uvula

Cone-shaped projection of the soft palate.

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Pharynx

A common passageway for food, fluids, and air.

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Peristalsis

Movement of food through the digestive system via involuntary waves of muscle contraction and relaxation.

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Oropharynx

Area posterior to the oral cavity.

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Laryngopharynx

Area continuous with the esophagus; a passageway for food, fluids, and air.

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Mechanical Digestion

Physical breakdown of food into smaller pieces.

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Chemical Digestion

Breakdown of large food molecules into building blocks by enzymes.

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Absorption

The transport of digested nutrients from the GI tract into the blood or lymph.

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Defecation

Elimination of indigestible waste from the GI tract as feces.

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Esophagus

Tube that conducts food from the pharynx to the stomach via peristalsis.

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Constrictions (Intestinal)

Rhythmic movements that create local narrowings in the intestine, mixing chyme with digestive juices and moving food along.

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Brush Border Enzymes

Enzymes located on the microvilli of small intestine cells that finalize the breakdown of sugars and proteins.

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Pancreatic Juice

Enzyme-rich fluid from the pancreas that digests starches, proteins, fats, and nucleic acids in the small intestine.

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Chyme

Partially digested food that enters the small intestine, stimulating hormone release.

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Secretin and Cholecystokinin

Hormones released by the small intestine that trigger the release of pancreatic juice and bile.

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Large Intestine

Portion of the digestive system that absorbs water from indigestible food residue, houses bacteria, and eliminates feces.

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Cecum

The first part of the large intestine; connects the ileum to the colon.

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Colon Contractions

Sluggish contractions of the colon push the remaining undigested residue towards the rectum for removal.

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Bowel Prep Importance

Preparation is key for clear bowel views during a barium enema.

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Insulin and Barium Enema

Patients should follow instructions; those on long-acting insulin should continue taking it.

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Antispasmodic Meds

Hyoscine butylbromide may be given to reduce spasms and aid barium passage.

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Rectal Catheter

Inserted into the rectum for barium and air insufflation.

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Barium Instillation

Barium is slowly passed while X-ray screening observes filling.

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Minor Barium Enema Complications

Constipation, abdominal discomfort, rectal bleeding, flatus

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Major Barium Enema Complications

Colonic perforation, hemorrhage, oversedation, cardiac arrhythmia.

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Gastroscopy

A procedure using a flexible tube (endoscope) to view the esophagus, stomach, and duodenum.

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Dysphagia

Difficulty swallowing.

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Diagnostic Gastroscopy

To look into possible causes of symptoms or diseases

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Therapeutic Gastroscopy

To treat a condition, such as widening a narrowed esophagus.

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Duodenum

First part of the small intestine, connected to the stomach.

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Biopsies

Samples of tissue taken during a gastroscopy for examination.

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Gastroesophageal Reflux Disease (GERD)

A condition where stomach acid frequently flows back into the esophagus.

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Study Notes

  • Nutrients are required by all body cells, but cells cannot move to a food source
  • The food has to be converted into usable forms, then delivered to the cells
  • The digestive system transforms food into nutrients with help from the circulatory system

Anatomy and Physiology

  • The digestive system organs are separated into the alimentary canal and the accessory digestive organs

Alimentary Canal

  • The alimentary canal is a continuous, hollow muscular tube, running through the ventral body cavity, open at both ends
  • Organs of the alimentary canal:
    • Mouth
    • Pharynx
    • Esophagus
    • Stomach
    • Small intestine
    • Large intestine
    • Anal canal

Functions

  • Ingestion: Food is placed into the mouth and acted on, active and voluntary
  • Propulsion: Foods are processed and propelled from one organ to the next
    • Swallowing is food movement which depends on peristalsis
    • Peristalsis involves involuntary contraction and relaxation of muscles in the organ walls
  • Food breakdown
    • Mechanical Digestion: Food is physically fragmented into smaller pieces, preparing it for further degradation
    • Examples: mixing of food by the tounge, churning of food in the stomach, segmentation in the small intestine
    • Chemical Digestion: Large food molecules are broken into building blocks by enzymes
  • Absorption: Transport of digested end products from the GI tract lumen, to the blood or lymph
    • Digested foods enter mucosal cells through active or passive transport
  • Defecation/Elimination: Elimination of indigestible residues from the GI tract through the anus, in the form of feces

Mouth

  • Food enters the digestive tract here, also known as the oral cavity, which is lined with mucous membrane
  • Structures:
    • Lips
    • Cheeks
    • Palate
    • Uvula
    • Vestibule
    • Oral cavity proper
    • Tongue
    • Lingual frenulum
    • Palatine tonsils
    • Lingual tonsil

Pharynx

  • From the mouth, food passes posteriorly into the oropharynx and laryngopharynx

Esophagus

  • Runs from the pharynx, through the diaphragm, to the stomach, also known as the gullet
  • Tissues:
    • Mucosa
    • Submucosa
    • Muscularis Externa
    • Serosa
    • Intrinsic Nerve Plexuses
  • Size and Function: is about 25 cm (10 inches) long, it is a passageway that conducts food by peristalsis to the stomach
  • Structure: From the esophagus to the large intestine, the alimentary canal walls have the same four tissue layers or tunics

Mouth, Pharynx, & Esophagus

  • Activities here include food ingestion, breakdown, and propulsion

Food Ingestion and Breakdown

  • Physical and Chemical digestion begin here

Physical Breakdown

  • Food is physically broken into smaller particles by chewing

Chemical Breakdown

  • Salivary amylase begins starch digestion, breaking it down into maltose, when food mixes with saliva

Stimulation of Saliva

  • Larger amounts of saliva are released when food enters the mouth or chewing

Passageways

  • The pharynx and esophagus have no digestive function
  • Simply provides passageways to carry food to the next processing site, the stomach

Food Propulsion

  • Food is swallowed to be sent on its way to the mouth

Deglutition

  • Swallowing, complex process of coordinated activity of structures such as tongue, soft palate, pharynx, and esophagus

Buccal Phase of Deglutition

  • Voluntary phase occurs in the mouth
  • Once food is chewed and mixed with saliva, a bolus is forced into the pharynx

Pharyngeal-Esophageal Phase

  • The 2nd involuntary phase transports food through the pharynx and esophagus
  • Parasympathetic nervous system controls this phase, promoting mobility of the digestive organs from this point on

Food Routes

  • Undesired routes are blocked off
  • The tongue blocks off the mouth
  • The soft palate closes off the nasal passages
  • The larynx rises so its opening is covered by the epiglottis

Stomach Entrance

  • Food reaches the distal end of the esophagus, it presses against the cardioesophageal sphincter
  • This causes it to open, for food to enter the stomach

Stomach (Alimentary Canal)

  • Regions:
    • Cardiac Region
    • Fundus
    • Body
    • Pylorus
    • Rugae
    • Greater Curvature
    • Lesser Curvature
  • Location: The C-shaped stomach is on the left side of the abdominal cavity, mostly hidden by the liver and the diaphragm
  • Function: Temporary storage of food and a site for food breakdown, varies from 15 to 25 cm
  • Size: The diameter and volume depend on food amount
    • It can hold about 4 liters (1 gallon) of food when full
    • It collapses inward on itself when empty

Stomach Mucosa

  • A simple columnar epithelium of mucous cells produces a protective layer of bicarbonate-rich alkaline mucus
  • This protects the stomach wall from acid damage

Gastric Glands

  • The otherwise smooth lining is dotted with millions of deep gastric pits which lead into gastric glands
  • These glands secrete a solution called gastric juice

Intrinsic Factor

  • Some stomach cells produce this substance Needed for vitamin b12 absorption from the small intestine

Chief Cells

  • Produce protein-digesting enzymes, mostly pepsinogens

Parietal Cells

  • Produce corrosive hydrochloric acid, making the stomach contents acidic and activates enzymes

Enteroendocrine Cells

  • Produce local hormones like gastrin, important to the digestive activities of the stomach

Chyme

  • After food is processed, resembles heavy cream, and is called chyme

Stomach Activities

  • Food breakdown and food propulsion

Food Breakdown

  • Sight, smell, and taste of food stimulate parasympathetic nervous system reflexes
  • This increases secretion of gastric juice

Gastric Juice

  • Secretion regulated by neural and hormonal factors

Gastrin

  • Presence of food and a rising pH in the stomach stimulates the stomach cells to release gastrin
  • Gastrin prods stomach glands to produce protein-digesting enzymes, mucus, and hydrochloric acid

Pepsinogen

  • The hydrochloric acid provides an acidic environment to activate pepsinogen to pepsin
  • Pepsin is the active protein-digesting enzyme

Rennin

  • The 2nd protein-digesting enzyme produced by the stomach
  • Works mostly on milk protein, converting it to a sour milk substance

Food Entry

  • As food enters the stomach, its wall begins to stretch

Stomach Wall Activation

  • Then the three muscle layers of the stomach wall compress and pummel the food
  • This breaks it apart, while mixing it with enzyme-containing gastric juice, semifluid chyme is formed

Food Propulsion

  • Peristalsis moves food towards the digestive site until the intestines

Pyloric Passage

  • The pylorus of the stomach holds 30 ml of chyme
  • Acts like a meter that only allows liquids and small particles to pass through
  • Each stomach muscle contraction squirts 3 ml or less of chyme into the small intestine

Enterogastric Reflex

  • It helps the gastric activity, putting the brakes on" to slow the emptying activity on the stomach

Small Intestine (Alimentary Canal)

  • The small intestine is the body's major digestive organ

Location

  • A muscular tube extending from the pyloric sphincter to the large intestine

Size

  • The longest section of the alimentary tube, with an average length of 2.5 to 7 m (8 to 20 feet) in a living person

Subdivisions

  • The small intestine has three subdivisions: the duodenum, the jejunum, and the ileum

Ileocecal Valve

  • The ileum meets the large intestine at the ileocecal valve

Hepatopancreatic Ampulla

  • The main pancreatic and bile ducts form this at the duodenum

Duodenal Papilla

  • From there, the bile and pancreatic juice travel to the duodenal papilla and enter the duodenum together

Microvilli

  • These are projections of the plasma membrane of the mucosa cells
  • This gives the cell surface a fuzzy appearance that gives the mucosa

Villi

  • Finger-like projections that gives it a velvety appearance and fee, much like the soft nap of a towel.

Lacteal

  • Within each villus is a rich capillary bed and a modified lymphatic capillary called a lacteal.

Circular folds

  • Also called plicae circulares, and are deep folds of both mucosa and submucosa layers
  • They do not disappear when food fills the small intestine

Peyer's Patches

  • Collections of lymphatic tissue in the submucosa increase toward the end of the small intestine

Small Intestine Actions

  • Food Breakdown and Absorption and food propulsion

Food Breakdown and Absorption

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Explore the digestive system's primary function, components, and processes like peristalsis. Learn about the roles of the alimentary canal, oral cavity, and related structures in breaking down food and nutrient distribution. Test your knowledge of digestive anatomy and physiology.

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