Gastric Physiology Quiz

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Questions and Answers

What is the primary function of parietal cells in the gastric lining?

  • Secretion of digestive enzymes
  • Regulation of intestinal absorption
  • Production of mucus to protect the stomach lining
  • Production and secretion of hydrochloric acid and intrinsic factors (correct)

Which cells in the gastric lining are responsible for producing sticky mucus?

  • Gastric Glands
  • Parietal Cells
  • Intestinal Cells
  • Mucous Neck Cells (correct)

What does gastric juice primarily consist of?

  • Water and bile salts
  • Enzymes and alkaline secretions
  • Hydrochloric acid and intrinsic factors (correct)
  • Mucus and bile

Which component of gastric secretion is essential for the absorption of vitamin B12?

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

What is the pH level of gastric juice produced by the parietal cells?

<p>pH 1 (D)</p> Signup and view all the answers

What is the primary function of the liver as stated?

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

What color range does bile exhibit?

<p>Yellow to green (B)</p> Signup and view all the answers

What is the main purpose of peristalsis in the gastrointestinal tract?

<p>To propel contents toward the colon (B)</p> Signup and view all the answers

What does segmentation do in the stomach?

<p>Produces mixing waves to move contents back and forth (A)</p> Signup and view all the answers

Which part of the gastrointestinal tract is responsible for temporary storage of fecal matter?

<p>Colon (D)</p> Signup and view all the answers

What is chyme described as in terms of consistency?

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

What does the Ileocecal valve do in the gastrointestinal tract?

<p>Separates the small and large intestine (B)</p> Signup and view all the answers

Which of the following is NOT a part of the stomach?

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

What is the primary function of the bacteria in the large intestine?

<p>Complete the breakdown of waste materials (A)</p> Signup and view all the answers

What primarily causes visceral pain in the abdominal area?

<p>Distension of hollow organs (D)</p> Signup and view all the answers

Which type of colonic secretion is responsible for neutralizing acids?

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

Which description best characterizes parietal pain?

<p>Sudden onset, sharp, and stabbing (B)</p> Signup and view all the answers

What is the term for the expulsion of gas from the rectum?

<p>Flatulence (D)</p> Signup and view all the answers

What is the main waste product of digestion?

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

Which part of the large intestine is directly involved in the absorption of water and electrolytes?

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

What is the role of salivary glands in digestion?

<p>Lubricate and facilitate swallowing (C)</p> Signup and view all the answers

What characterizes visceral pain in the abdominal region?

<p>Dull and poorly localized (B)</p> Signup and view all the answers

Which accessory digestive organ is responsible for bile secretion?

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

What does peristalsis do in the large intestine?

<p>Propels contents through the intestine (A)</p> Signup and view all the answers

What type of abdominal pain typically resolves well and is poorly localized?

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

Which symptom is commonly associated with changes in bowel habits?

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

Which aspect is NOT included in the health history collection?

<p>Family history of diseases (D)</p> Signup and view all the answers

What type of abdominal pain is characterized by its onset being intermittent and the intensity being strong?

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

What is a symptom of referred abdominal pain?

<p>Traveling from a primary site (A)</p> Signup and view all the answers

What coloration of the skin may indicate the presence of bruises or hematomas?

<p>All of the above (D)</p> Signup and view all the answers

What should be assessed if there are changes in a mole's size, color, or border symmetry?

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

What type of abdominal contour may be seen in severe weight loss?

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

Which sign may indicate intra-abdominal bleeding when observing the umbilicus?

<p>Purple or bluish discoloration (B)</p> Signup and view all the answers

What condition may cause a diminished abdominal respiration during inspection?

<p>Hydrothorax (D)</p> Signup and view all the answers

Which term describes inflammation of the oral cavity?

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

Which of the following conditions can lead to neurologically-based bowel obstruction?

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

What should be inspected if a patient has an abdomen with exaggerated pulsation?

<p>Abdominal aortic aneurysm (D)</p> Signup and view all the answers

What is the most common type of oral condition mentioned?

<p>Aphtous Stomatitis (D)</p> Signup and view all the answers

Which of the following is NOT a cause of diarrhea?

<p>Excessive exercise (D)</p> Signup and view all the answers

What characteristic stool appearance is associated with upper gastrointestinal bleeding?

<p>Tarry black (melena) (C)</p> Signup and view all the answers

What is the etiology for dysphagia mentioned in the content?

<p>Infections like herpes zoster (A)</p> Signup and view all the answers

Which stool characteristic is associated with chronic ulcerative colitis?

<p>Mucus or pus visible (B)</p> Signup and view all the answers

Which condition is characterized by difficulty in swallowing?

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

Which stool characteristic indicates a biliary obstruction?

<p>Light gray 'clay colored' (D)</p> Signup and view all the answers

What vitamin deficiency is linked to constipation as mentioned in the content?

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

Flashcards

Gastric lining

The inner layer of the stomach that protects it from the harsh acidic environment.

Gastric Pits

Tiny depressions in the gastric lining that help with secretion and absorption.

Gastric Glands

Specialized cells within the gastric lining that produce digestive juices like hydrochloric acid.

Parietal cells

Cells in the stomach lining that secrete hydrochloric acid (HCL) and intrinsic factor.

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Mucous Neck Cells

Cells in the gastric lining that produce sticky mucus which protects the stomach lining from damage.

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Esophagus

A muscular tube that connects the mouth to the stomach, responsible for transporting food.

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Epiglottis

The flap that closes over the trachea (windpipe) during swallowing, preventing food or liquids from entering the airway.

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Stomach

A temporary storage container for food, where it is churned and mixed with gastric juices to break it down into chyme (a creamy consistency).

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Lower Esophageal Sphincter

A ring of muscle at the end of the esophagus, controlling the entry of food into the stomach.

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Small Intestine

A large, pouch-like organ that receives chyme from the stomach. It's responsible for absorbing water, salts, and nutrients.

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Duodenum

The first section of the small intestine, where most chemical digestion occurs.

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Ileum

The last section of the small intestine, where the majority of nutrient absorption happens.

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Ileocecal valve

A ring of muscle that separates the small and large intestines, controlling the flow of chyme into the large intestine.

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What is the ileocecal valve?

The ileocecal valve is a one-way valve that controls the flow of materials from the small intestine into the large intestine.

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What is the cecum?

The cecum is the first part of the large intestine, a pouch-like structure where the small intestine joins the colon.

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What is the appendix?

The appendix is a small, finger-like projection attached to the cecum. It is believed to play a role in maintaining healthy gut bacteria.

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What are the parts of the colon?

The colon is the longest part of the large intestine, divided into four sections: ascending, transverse, descending, and sigmoid.

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What is the sigmoid colon?

The sigmoid colon is the S-shaped portion of the descending colon that connects to the rectum.

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What is the rectum?

The rectum is the straight portion of the large intestine that connects to the anal canal.

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What is the anal canal?

The anal canal is the short, final section of the large intestine that ends at the anus.

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What are the anal sphincters?

The internal and external anal sphincters are muscles that control the opening and closing of the anus, regulating the passing of stool.

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Visceral Pain

Caused by stretching of hollow organs or solid organs. Commonly described as cramping, achy, dull, burning, colicky, and poorly localized. It starts gradually.

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Parietal Pain

Caused by inflammation or irritation of the parietal peritoneum (lining of the abdominal cavity). Characterized by sharp, stabbing pain that is steady and severe, localized tenderness, guarding, rigidity, rebound, and well localized. It starts suddenly.

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Referred Abdominal Pain

Pain that originates from a primary site but is perceived at a distant location. Often highly localized.

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Pancreas - Digestive Function

Major digestive organ responsible for digesting proteins, carbohydrates, and fats. Secretes digestive enzymes into the small intestine.

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Liver - Digestive Function

Filters blood, produces bile, and detoxifies substances.

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Gallbladder - Digestive Function

Stores and concentrates bile produced by the liver, releasing it into the small intestine to aid in fat digestion.

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Salivary Glands - Digestive Function

Produces saliva, a fluid that helps lubricate food and begins the breakdown of starches. Contains enzymes, mucus, and water.

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Teeth - Digestive Function

Break down food mechanically, making it easier to swallow and digest.

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Distended Abdomen

An abnormal protrusion of the abdomen, often caused by factors like obesity, fluid buildup, or air trapped in the digestive system.

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Scaphoid Abdomen

A sunken or concave appearance of the abdomen, typically seen in individuals with severe weight loss.

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Cullen's Sign

A bluish discoloration around the belly button, often indicating internal bleeding.

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Exaggerated Aortic Pulsation

An abnormal increase in the pulsations of the aorta, often associated with an abdominal aortic aneurysm.

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Stomatitis

Inflammation of the mouth, characterized by redness, swelling, pain, and sores.

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Mechanical Bowel Obstruction

A blockage in the intestines that prevents the passage of food and bowel movements.

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Anorectal Disorders

A condition where the rectum and anus are unable to empty the bowels properly, resulting in constipation.

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Aphthous stomatitis

A common, non-contagious condition characterized by small, painful ulcers in the mouth.

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Candidiasis or oral thrush

An overgrowth of yeast in the mouth, often appearing as white patches.

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Diarrhea

A condition characterized by frequent, loose, watery stools.

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Melena

A form of stool characterized by its black, tarry appearance due to blood from the upper gastrointestinal tract.

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Bright red blood in stool

A form of stool characterized by bright red blood, indicating bleeding in the lower gastrointestinal tract.

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Dysphagia

Difficulty swallowing, which can be acute or gradual, intermittent or continuous.

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Constipation

A condition marked by infrequent, difficult, or incomplete bowel movements.

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Steatorrhea

A fatty stool, usually bulky, greasy, foul-smelling, and gray with a silvery sheen.

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Study Notes

Digestive System and Problems

  • The digestive system comprises the alimentary canal and accessory digestive organs.
  • The alimentary canal includes the mouth, pharynx, esophagus, stomach, small intestines (duodenum, jejunum, ileum), large intestines (colon, rectum, anus) and the accessory organs include salivary glands, liver, gallbladder, and pancreas.
  • The mouth is responsible for ingestion and mastication (chewing).

Small Intestine

  • Chemical digestion and absorption of nutrients, vitamins, and electrolytes occur in the small intestine, particularly the duodenum.
  • Pancreatic enzymes (e.g., trypsin for protein, amylase for starch, lipase for fats) are crucial for digestion in the duodenum.
  • Bile, produced by the liver and stored in the gallbladder, emulsifies fats, aiding in their absorption.
  • Neutral pH (alkaline) is essential for proper enzyme function in the duodenum due to the presence of high bicarbonate concentration in pancreatic juice.

Large Intestine

  • The large intestine absorbs water and electrolytes from undigested material, forming feces.
  • Bacteria in the large intestine aid in the breakdown of waste materials.
  • Feces consist of undigested food, inorganic materials, water, and bacteria products.

Gastrointestinal Tract (GI Tract)

  • The mouth acts as an entry point for ingested food, with the pharynx and esophagus facilitating the passage of food (bolus) to the stomach.

Esophagus

  • The esophagus is the pathway for food from mouth to stomach.
  • Its function is to conduct food bolus using peristalsis.
  • The esophageal sphincter controls food entry into the stomach..

Stomach

  • The stomach stores, mixes, and churns food (chyme).
  • Gastric glands produce gastric juices containing HCl and pepsin, crucial for protein digestion.
  • Mucus protects the stomach lining from acid and enzymes.
  • The pyloric sphincter regulates the release of chyme into the duodenum.

Accessory Digestive Organs

  • Salivary glands produce saliva, which contains enzymes for initial carbohydrate digestion.
  • The liver produces bile for fat emulsification; bile is stored in the gallbladder.
  • The pancreas releases enzymes and bicarbonate for digestion and proper pH in the small intestine.

Types of Abdominal Pain

  • Visceral pain originates from distension of hollow organs (e.g., cramping, achy).
  • Parietal pain arises from inflammation of the peritoneum (e.g., sharp, well localized).
  • Referred pain originates in one area but is felt in another.

Mouth and Teeth

  • Teeth aid in mechanical breakdown of food.
  • Salivary glands secrete saliva that begins the process of chemical digestion.

Other Important Aspects

  • Dysphagia: Difficulty swallowing.
  • Constipation: Difficulty passing stool.
  • Stomatits: Inflammation in the oral cavity, can be caused by many factors.
  • Diarrhea: Frequent loose stools, caused by various factors including infections.
  • Vomitus: Contents expelled from stomach. Color and consistency provides clues.
  • Abdominal examination: Important for assessing various digestive organ health, assessing the abdominal region, and identifying potential pathologies.
  • Color and consistency of stool: Provide clues regarding potential issues (e.g., presence of blood indicated potential upper or lower GI bleed, etc.).

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