Gastrointestinal Tract Functions
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Questions and Answers

Which substances stimulate acid secretion in the stomach?

  • Sympathetic stimulation
  • Vagus nerve (correct)
  • Histamine (correct)
  • Cholecystokinin
  • Which phase of acid secretion occurs during eating?

  • Intestinal phase
  • Mucosal phase
  • Gastric phase (correct)
  • Cephalic phase
  • What role does bile play in digestion?

  • Inhibits digestive enzymes
  • Absorbs carbohydrates
  • Emulsifies fats (correct)
  • Digests proteins
  • What vessel primarily supplies blood to the small intestine?

    <p>Superior mesenteric artery</p> Signup and view all the answers

    Where in the intestinal tract does the absorption of vitamin B12 primarily occur?

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

    What is the function of the sphincter of Oddi?

    <p>Controls the flow of bile and pancreatic enzymes</p> Signup and view all the answers

    Which of the following is NOT a function of the small intestine?

    <p>Secretion of bilirubin</p> Signup and view all the answers

    Which structure prevents backflow from the large intestine to the small intestine?

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

    What are the primary functions of the gastrointestinal tract?

    <p>Mechanical and chemical breakdown of food along with nutrient absorption</p> Signup and view all the answers

    Which layer is NOT part of the gastrointestinal tract walls?

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

    What is the role of the lower esophageal sphincter?

    <p>To prevent regurgitation of food into the esophagus</p> Signup and view all the answers

    Where does digestion first begin in the gastrointestinal tract?

    <p>In the mouth</p> Signup and view all the answers

    What type of muscle is found in the upper part of the esophagus?

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

    Which hormone is involved in delaying gastric emptying?

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

    What substance do chief cells in the stomach secrete?

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

    Which of the following is NOT a part of the nerve control of the gastrointestinal tract functions?

    <p>Cranial nerve III</p> Signup and view all the answers

    What role does cholecystokinin play in the digestive process?

    <p>It triggers gallbladder contraction to release bile.</p> Signup and view all the answers

    What enzymes does the exocrine pancreas secrete for digestion?

    <p>Trypsin and lipase</p> Signup and view all the answers

    Which of the following is a significant indicator of pancreatic dysfunction?

    <p>Increased serum amylase levels</p> Signup and view all the answers

    How does aging affect the gastrointestinal system?

    <p>It can lead to reduced appetite due to altered taste and smell.</p> Signup and view all the answers

    What stimulates the pancreas to secrete alkaline fluid?

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

    What diagnostic tests are used to evaluate liver function?

    <p>Blood studies for LDH, AST, and ALT</p> Signup and view all the answers

    What effect does aging have on gastric digestions and emptying?

    <p>It slows gastric digestion and emptying.</p> Signup and view all the answers

    Which test would likely indicate an obstructive disease of the gallbladder?

    <p>Elevated serum bilirubin levels</p> Signup and view all the answers

    What is the primary function of the hepatic portal vein?

    <p>To ferry nutrient-rich blood from the intestines to the liver</p> Signup and view all the answers

    Which process describes the recycling of bile acids and salts back to the liver?

    <p>Enterohepatic circulation</p> Signup and view all the answers

    Which statement about bilirubin is correct?

    <p>Unconjugated bilirubin can cross cell membranes due to being fat-soluble.</p> Signup and view all the answers

    What substance is synthesized by hepatocytes from cholesterol?

    <p>Primary bile acids</p> Signup and view all the answers

    Which of the following proteins is NOT synthesized by the liver?

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

    What are the major components of fat synthesized by the liver?

    <p>Glycerol and fatty acids</p> Signup and view all the answers

    What role do Kupffer cells play in the liver?

    <p>They destroy microorganisms in the blood.</p> Signup and view all the answers

    What is the primary storage form of glucose in the liver?

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

    What role do the villi play in fat absorption in the intestines?

    <p>They facilitate the diffusion of fat into lacteals.</p> Signup and view all the answers

    Which type of reflex is triggered by distention of the ileum?

    <p>Gastroileal reflex</p> Signup and view all the answers

    What are haustra in the context of the large intestine?

    <p>Pouches created by circular muscle contractions.</p> Signup and view all the answers

    Which part of the large intestine does NOT include haustra?

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

    What occurs during defecation?

    <p>Rectal distention stimulates relaxation of internal anal sphincter.</p> Signup and view all the answers

    Which statement accurately describes the liver's functions?

    <p>The liver functions in digestion, metabolism, and immunology.</p> Signup and view all the answers

    What triggers the intestinointestinal reflex?

    <p>Overdistention of one intestinal segment</p> Signup and view all the answers

    Which of the following correctly describes the composition of the intestinal bacteria in the colon?

    <p>They are predominantly consisting of Bacteroides and clostridia.</p> Signup and view all the answers

    Study Notes

    Gastrointestinal Tract Functions

    • The gastrointestinal tract breaks down food mechanically and chemically, absorbing digested nutrients.
    • It's a hollow tube from mouth to anus.
    • Layers include mucosa, muscularis mucosa, submucosa, muscularis, and serosa (or adventitia).
    • Functions (besides swallowing and defecation) are controlled by autonomic nerves (vagus, sympathetic, splanchnic) and intrinsic enteric nerves and hormones.

    Digestion Begins in the Mouth

    • Digestion starts with chewing and saliva containing amylase, which digests carbohydrates.

    Esophagus

    • Transports food from mouth to stomach.
    • Upper part has striated muscle; lower part has smooth muscle.
    • Controlled by a swallowing center in the brainstem.

    Two Phases of Swallowing

    • Oropharyngeal (voluntary)
    • Esophageal (involuntary)

    Food Propulsion

    • Peristalsis: sequential muscular contractions move food through the tract.
    • Lower esophageal sphincter controls movement into the stomach, preventing regurgitation.

    Stomach

    • Bag-like structure storing and mixing food, producing digestive juices.
    • Smooth muscle layers (longitudinal, circular, oblique) mix and propel food.
    • Vagus nerve stimulates gastric secretion and motility, while gastrin and motilin stimulate emptying; secretin and cholecystokinin slow emptying.
    • Gastric glands produce intrinsic factor (for vitamin B12 absorption) and hydrochloric acid (dissolving fibers, killing microbes, activating pepsin).
    • Chief cells secrete pepsinogen, converted to pepsin by acid.
    • Acid secretion is stimulated by vagus nerve, gastrin, histamine, and inhibited by sympathetic stimulation and cholecystokinin. Acetylcholine stimulates pepsin secretion.

    Small Intestine

    • 5 meters long, with three sections: duodenum, jejunum, and ileum.
    • Digestion and absorption of most nutrients and water occur here.
    • Bile from liver and enzymes from pancreas aid digestion.
    • Bile is produced by the liver, essential for fat digestion and absorption, and has alkaline properties to neutralize chyme for optimal enzyme action.
    • Enzymes (maltase, sucrase, lactase, proteases, amylase, lipase) digest various food groups.
    • Digested products are absorbed into the blood via the hepatic portal vein for further processing.
    • Villi increase surface area for absorption.

    Large Intestine

    • Three bands of longitudinal muscle (teniae coli) form pouches (haustra), aiding in mass movements of feces.
    • Absorbs water and electrolytes.
    • Stores and eliminates feces.

    Accessory Digestive Organs

    • Liver: Largest organ, involved in digestion, metabolism, blood composition, and immune functions.
      • Produces bile to aid fat digestion, stored in the gallbladder.
      • Hepatocytes are the functional cells of the liver; they produce bile, process blood, and synthesise various substances in the body.
    • Gallbladder: Stores and concentrates bile.
    • Pancreas: Endocrine and exocrine functions
      • Endocrine: produces hormones (insulin and glucagon) regulating blood sugar.
      • Exocrine: secretes enzymes and alkaline fluid assisting in digestion of food.

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    Description

    This quiz explores the functions and structure of the gastrointestinal tract, including the processes of digestion from the mouth to the esophagus. It covers the mechanics of food propulsion and the roles of various muscles and nerves involved in swallowing. Assess your understanding of how food is processed in the body.

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