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Digestive System Overview
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Digestive System Overview

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Questions and Answers

What is the primary function of red blood cells?

  • Carry oxygen (correct)
  • Transport carbon dioxide
  • Regulate body temperature
  • Store nutrients
  • How many oxygen molecules can one molecule of hemoglobin carry?

  • 6
  • 4
  • 10
  • 8 (correct)
  • What percentage of carbon dioxide is transported as bicarbonate in the plasma?

  • 5%
  • 90% (correct)
  • 50%
  • 100%
  • Which enzyme is crucial for the conversion of carbon dioxide to bicarbonate?

    <p>Carbonic anhydrase</p> Signup and view all the answers

    What happens to bicarbonate during the chloride shift?

    <p>It exits the RBC and Cl- enters</p> Signup and view all the answers

    Where are both red and white blood cells produced?

    <p>Bone marrow</p> Signup and view all the answers

    What occurs in the lungs regarding carbon dioxide and bicarbonate?

    <p>Bicarbonate enters RBCs and CO2 is released</p> Signup and view all the answers

    Which red blood cell component primarily carries oxygen?

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

    What is the primary function of the small intestine?

    <p>Absorption of nutrients into the blood</p> Signup and view all the answers

    Which of the following structures increases the surface area for absorption in the small intestine?

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

    What is the main method through which monosaccharides and amino acids are absorbed into the bloodstream?

    <p>Active transport</p> Signup and view all the answers

    Which component of the small intestine lining facilitates the absorption of lipid breakdown products?

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

    What characteristic of the epithelial lining of the small intestine enhances nutrient absorption?

    <p>Single cell thick lining</p> Signup and view all the answers

    Which molecule is NOT typically absorbed in the small intestine?

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

    What role do the villi play in the small intestine?

    <p>Increasing surface area for absorption</p> Signup and view all the answers

    Which characteristic of the small intestine contributes to efficient digestion and absorption?

    <p>Large surface area and long length</p> Signup and view all the answers

    What does diastolic pressure represent?

    <p>The lowest blood pressure when ventricles are relaxed.</p> Signup and view all the answers

    What structure separates the left and right sides of the heart?

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

    Which factor is NOT a risk factor for hypertension?

    <p>Engaging in regular physical activity.</p> Signup and view all the answers

    What is atherosclerosis primarily characterized by?

    <p>Hardening of the arteries due to lipid buildup.</p> Signup and view all the answers

    Which valve separates the right atrium from the right ventricle?

    <p>Tricuspid valve</p> Signup and view all the answers

    What condition occurs when blood flow is interrupted to a part of the heart?

    <p>Myocardial infarction.</p> Signup and view all the answers

    What is the main function of the left side of the heart?

    <p>Pumping blood to the aorta</p> Signup and view all the answers

    What typically happens during an angina episode?

    <p>Limited blood supply causing pain during exertion.</p> Signup and view all the answers

    Which layer of the heart is primarily responsible for contracting and pumping blood?

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

    Which of the following is a common symptom of myocardial infarction?

    <p>Crushing chest pain radiating to the neck.</p> Signup and view all the answers

    What is found within the pericardial space that helps lubricate the heart?

    <p>Pericardial fluid</p> Signup and view all the answers

    Which chambers of the heart have thicker walls?

    <p>Left atrium and left ventricle</p> Signup and view all the answers

    Hypertension can lead to which of the following serious conditions?

    <p>Development of atheromas.</p> Signup and view all the answers

    What measurement is used to record blood pressure?

    <p>Millimeters of mercury (mmHg).</p> Signup and view all the answers

    What role do the semilunar valves play in the heart?

    <p>Regulate blood flow to exiting vessels</p> Signup and view all the answers

    Which type of muscle composes the heart?

    <p>Cardiac muscle</p> Signup and view all the answers

    What triggers an increase in the rate of breathing during exercise?

    <p>Increased CO2 concentration in blood</p> Signup and view all the answers

    Which of the following is a characteristic of chronic bronchitis?

    <p>Excessive mucus production</p> Signup and view all the answers

    What is a common feature of emphysema?

    <p>Barrel chest appearance</p> Signup and view all the answers

    What could potentially trigger an asthma attack?

    <p>Exercise or allergens</p> Signup and view all the answers

    Which part of the respiratory system is primarily responsible for the exchange of gases?

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

    What is a common outcome of respiratory tract infections?

    <p>Cough and difficulty breathing</p> Signup and view all the answers

    Which statement is true regarding COPD?

    <p>It encompasses chronic bronchitis and emphysema.</p> Signup and view all the answers

    What is a leading cause of death related to respiratory disorders in the US?

    <p>Lung cancer</p> Signup and view all the answers

    Study Notes

    Anal Canal

    • Faeces are expelled from the body through the anal canal.
    • Some absorption of water and electrolytes still occurs in the anal canal.

    Digestion: Breaking Down Food

    • Food must be broken down into smaller molecules for absorption.
    • This process involves both mechanical and chemical digestion.
    • Mechanical digestion involves the physical breakdown of food, primarily through chewing by teeth.
    • Chemical digestion involves enzymes that catalyze reactions to break down food molecules.
    • Lipid emulsification is a process where fats are broken down into smaller droplets, increasing their surface area for enzyme action.
    • The stomach also contributes to mechanical digestion through churning and mixing of food.

    Absorption: Taking in Nutrients

    • Absorption is the process of moving digested food molecules into the bloodstream or lymph.
    • Monosaccharides, amino acids, fatty acids, and glycerol are the essential components for absorption.
    • These molecules are transported across the epithelial cells of the small intestine through diffusion or active transport.
    • The small intestine is the primary site of absorption due to its specialized structure.
    • The small intestine has a very large surface area for efficient absorption.
    • It is long (5-6 meters) to provide adequate time for digestion and absorption.
    • The lining is only one cell thick, facilitating easy transport of food molecules.
    • The small intestine is characterized by villi and microvilli, further increasing surface area.
    • Cell membranes have carrier proteins for active transport of nutrients.
    • Monosaccharides, amino acids, minerals, water, and vitamins are absorbed into the blood capillaries.
    • Products of lipid breakdown are absorbed into lacteals (lymph vessels).

    The Small Intestine: Optimized for Absorption

    • The ileum, a part of the small intestine, is the main area for nutrient absorption.
    • The epithelial lining has numerous villi, finger-like projections that increase surface area.
    • Each villus is accompanied by blood vessels and lymph vessels for nutrient transport.
    • The epithelial lining of the villi is only one cell thick for efficient absorption.
    • The cells of the villi are further characterized by microvilli, projections of the cell surface membrane, which further increase surface area.

    Exercise and Respiration Rate

    • Exercise increases the rate of cellular respiration.
    • Increased cellular respiration leads to a rise in CO2 concentration in the blood.
    • Chemical receptors in blood vessels detect this increase in CO2.
    • Impulses are sent to the breathing center in the medulla oblongata.
    • The breathing center sends impulses to the intercostal muscles and diaphragm, increasing rate and depth of breathing.
    • This increased breathing rate and depth helps to eliminate excess CO2 and restore its normal concentration in the blood.

    Respiratory Tract Disorders

    • COPD (Chronic Obstructive Pulmonary Disease):
      • A group of lung diseases characterized by decreased airflow in the lungs.
      • Includes chronic bronchitis and emphysema, primarily caused by cigarette smoking.
    • Chronic Bronchitis:
      • Inflammation of the airways with excessive mucus production, clogging airways.
      • Overproduction and hypersecretion of mucus by goblet cells.
      • Results in cough and difficulty breathing.
      • Often associated with a "blue bloater" appearance due to cyanosis (blue discoloration of the skin).
    • Emphysema:
      • Overinflation of the lungs with air trapped in terminal bronchioles and alveolar sacs.
      • Alveolar walls are destroyed (elastin destruction by elastases), impairing gas exchange.
      • Reduced surface area for gas exchange, leading to decreased oxygen absorption into the bloodstream.
      • Patients often have a "barrel chest" appearance.
      • Often associated with a "pink puffer" appearance due to ruddy complexion despite low oxygen levels.
    • Asthma:
      • Episodic, triggered by allergens, exercise, infections, or stress.
      • Inflammation of the bronchi, swelling, and constriction of smooth muscles in airways.
      • Difficulty breathing, cough, and wheezing.
    • Lung Cancer:
      • Leading cause of death in the US for both men and women.
    • Respiratory Tract Infections:
      • Range from the common cold to life-threatening illnesses.
    • Pneumonia:
      • Inflammation of the alveolar spaces, caused by bacteria or viruses.

    Gas Exchange Surfaces

    • Human skin is not a primary gas exchange surface.
    • The cell membrane of an amoeba is a gas exchange surface.
    • The cockroach exoskeleton is not a gas exchange surface.
    • Fish lamellae are gas exchange surfaces.
    • Air sacs at the end of bronchioles are gas exchange surfaces.

    Airflow in the Respiratory Tract - Order of Air Movement

    • Nostrils
    • Pharynx
    • Mouth
    • Larynx
    • Trachea
    • Bronchi
    • Bronchioles
    • Alveoli

    Features of Gas Exchange Surfaces

    • Large surface area
    • Thin, moist membrane
    • Close proximity to a transport system (blood vessels)
    • Concentration gradient of gases (higher concentration of oxygen in the air than in the blood, and vice versa for carbon dioxide)

    Heart: Structure & Function

    • The heart is protected by the sternum (breastbone).
    • The heart is primarily composed of cardiac muscle.
    • The heart is a double pump:
      • Right side pumps deoxygenated blood to the lungs for oxygenation.
      • Left side pumps oxygenated blood to the entire body.
    • Cardiomyocytes are the specialized cells of cardiac muscle.
    • Cardiac muscle is a type of muscle tissue found only in the heart.

    Heart Structure

    • Septum: Divides the heart into left and right sides, preventing the mixing of oxygenated and deoxygenated blood.
    • Chambers: Each side of the heart is divided into two chambers: an atrium and a ventricle. The heart has four chambers: right and left atria, right and left ventricles.

    Heart Wall Layers

    • Pericardium: Outermost, two-layered sac covering the heart.
      • Pericardial space: Space between the two layers containing pericardial fluid, which lubricates the beating heart.
      • Fibrous pericardium: Outer layer, strong and fibrous, preventing overfilling of the heart.
      • Epicardium: Inner pericardial sac, attached to the heart.
    • Myocardium: Muscle layer composed of cardiac muscle. Held in place by elastin and collagen strands.
      • Contains coronary arteries that supply oxygen and nutrients to the heart muscle.
    • Endocardium: Innermost layer, lining all chambers of the heart.

    Heart Wall Thickness

    • Atria: Thinner and less muscular walls compared to ventricles. They pump blood to the nearby ventricles.
    • Ventricles: Thicker and more muscular walls, especially on the left side.
      • Left ventricle: Pumps blood to the entire body at high pressure.
      • Right ventricle: Pumps blood to the lungs at lower pressure to protect delicate lung capillaries.

    Heart Valves

    • Atrioventricular (AV) valves: Located between the atria and ventricles.
      • Tricuspid valve: Separates right atrium from right ventricle.
      • Bicuspid (mitral) valve: Separates left atrium from left ventricle.
    • Semilunar valves: Located at the base of the vessels exiting the heart.
      • Aortic valve: At the base of the aorta.
      • Pulmonic valve: At the base of the pulmonary artery.

    Simplified Blood Flow through the Heart

    • Blood enters the left atrium from the lungs through the pulmonary veins.
    • Blood flows from the left atrium to the left ventricle through the bicuspid (mitral) valve.
    • The left ventricle pumps blood to the aorta through the aortic valve.
    • Blood is then pumped from the aorta to the rest of the body.

    Blood Pressure (BP)

    • Systolic pressure: Highest pressure, occurs as contracting ventricles force blood into arteries.
    • Diastolic pressure: Lowest pressure, occurs when ventricles are most relaxed.
    • Measured in millimeters of mercury (mmHg).
    • Recorded as SBP/DBP.
    • Normal blood pressure is 120/80 mmHg.

    Diseases of the Heart and Vessels

    • Hypertension: Consistently high blood pressure.
      • Risk factors include smoking, overweight, excessive alcohol consumption, sedentary lifestyle, high fat/high salt diet.
      • Contributes to atheroma development and increases the risk of angina, stroke, and heart attack.
    • Cardiovascular disease: A broad category encompassing diseases of the coronary arteries (supply the heart), carotid arteries (supply the brain), and peripheral arteries (supply the body).
      • Leading cause of death worldwide.
      • Risk factors: Hypertension, smoking, diabetes, obesity, hyperlipidemia, physical inactivity, age over 50, men more than women, family history, ethnicity, and alcohol.
    • Atherosclerosis: Hardening of the arteries.
      • Lipids build up in the lumen, narrowing the artery.
      • Fibrous connective tissue forms over the lipids, creating an atherosclerotic plaque.
      • Plaque rupture can cause a clot to form, potentially leading to cardiovascular diseases.
      • Plaques breaking off and lodging in smaller arteries can cause stroke or heart attack.
    • Myocardial infarction: Heart attack.
      • Myocardial - referring to the heart muscle, Infarction - refers to tissue death due to lack of oxygen.
      • Occurs when blood flow to a part of the heart is interrupted, causing damage and death to myocardial cells.
      • Often caused by a blood clot or ruptured plaque blocking a coronary artery.
      • Symptoms include crushing, substernal chest pain radiating to neck, jaw, and arms (can be silent).
      • Can lead to sudden death or permanent heart damage.

    Angina: A Warning Sign

    • Partial blockage of a cardiac artery.
    • Muscle exercised without adequate blood supply causes pain, in the heart, it is known as angina.
    • Light exercise can cause pain similar to a heart attack.

    Combatting Cardiovascular Disease (CVD)

    • Lifestyle modifications are key to preventing and managing CVD. These include:
      • Quitting smoking
      • Maintaining a healthy weight
      • Regular exercise
      • Eating a healthy diet low in saturated fat and cholesterol
      • Managing blood pressure and cholesterol levels

    Red Blood Cells (RBCs)

    • Red blood cells (erythrocytes) are biconcave disk-shaped cells, allowing them to squeeze through membrane capillaries.
    • They originate from bone marrow.
    • One drop of blood contains about 5 million RBCs.
    • Hemoglobin: Protein within RBCs that carries oxygen.
    • Hemoglobin combines with oxygen in the lungs (where oxygen concentration is high) to form oxyhemoglobin.
    • One hemoglobin molecule can carry 8 oxygen molecules.
    • One red blood cell can carry approximately 250 million hemoglobin molecules.

    Oxygen Transport

    • In the lungs, hemoglobin (Hb) binds with oxygen to form oxyhemoglobin.
    • Oxygenated red blood cells travel to the tissues where oxygen concentration is lower.
    • Oxygen is offloaded to the tissues as the concentration gradient favors oxygen movement.
    • Hemoglobin then picks up carbon dioxide (CO2) in the tissues, forming carboxyhemoglobin.
    • Carboxyhemoglobin travels back to the lungs for gas exchange.

    Carbon Dioxide Transport

    • Three main ways CO2 is transported in the blood:
      • 5%: Attached to proteins as carboxyhemoglobin.
      • 5%: Dissolved in blood plasma.
      • 90%: Carried in plasma as bicarbonate ions (bicarbonate buffer system).
    • Formation of bicarbonate from CO2 requires the enzyme carbonic anhydrase (CA), which is found in RBCs, not the plasma.

    Bicarbonate Buffer System

    • In the tissues:

      • CO2 diffuses into RBCs.
      • Carbonic anhydrase (CA) quickly converts CO2 to carbonic acid (H2CO3).
      • Carbonic acid dissociates into H+ ions and bicarbonate ions (HCO3-).
      • This conversion drives CO2 uptake down its concentration gradient.
      • Bicarbonate ions (HCO3-) are exchanged for chloride ions (Cl-) (chloride shift) and exit into the plasma.
      • Cl- enters the RBC.
    • In the lungs:

      • Chloride shift reverses: HCO3- enters the RBCs and Cl- leaves the RBCs.
      • HCO3- and H+ ions recombine to form carbonic acid.
      • Carbonic acid is converted back to CO2 and H2O by carbonic anhydrase.
      • CO2 diffuses across membranes and is exhaled.

    Blood Cells Origin: Bone Marrow

    • Blood cells originate from bone marrow, specifically stem cells.
    • Hematopoiesis: Process of blood cell production.
    • White blood cells (leukocytes): Different types of WBCs, also produced in the bone marrow.

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