GI system 2
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Questions and Answers

Which component is NOT secreted by the stomach?

  • Gastric juice
  • Intrinsic factor
  • Salivary amylase (correct)
  • Digestive enzymes
  • What is the primary role of pepsin in the stomach?

  • To absorb nutrients
  • To initiate protein digestion (correct)
  • To emulsify fats
  • To neutralize gastric acid
  • What is the function of the gastric mucosal folds?

  • To increase the surface area for secretion (correct)
  • To enhance absorption of nutrients
  • To store bile salts
  • To protect against ulcers
  • What substance helps kill bacteria in the stomach?

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

    What is the nature of the chyme moved from the stomach to the duodenum?

    <p>Liquid mixture of digested foods (B)</p> Signup and view all the answers

    What is the primary site of carbohydrate digestion in the stomach?

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

    Which of the following statements about pepsin is true?

    <p>It assists in the partial digestion of proteins in the stomach. (D)</p> Signup and view all the answers

    Which substances are known to be absorbed in the stomach?

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

    What effect does acidity have on salivary amylase in the stomach?

    <p>It partially inhibits the enzyme's activity. (D)</p> Signup and view all the answers

    Which of the following describes the mechanism of gastric secretion control?

    <p>Both neural and hormonal mechanisms regulate gastric secretion. (D)</p> Signup and view all the answers

    Which component of gastric gland secretion is responsible for protein digestion?

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

    What is the main function of hydrochloric acid in the stomach?

    <p>Sterilization of meal (D)</p> Signup and view all the answers

    Which cells are responsible for secreting intrinsic factor?

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

    What role does somatostatin play in gastric secretion?

    <p>Inhibits gastric secretion (C)</p> Signup and view all the answers

    Which of the following is a product of surface mucous cells in the gastric gland?

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

    Which of the following substances regulates gastric secretion but is not secreted by gastric gland cells?

    <p>Gastrin releasing peptide (GRP) (B)</p> Signup and view all the answers

    What is the primary function of mucus and bicarbonate in gastric secretion?

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

    Which cells in the gastric gland contribute to the regulation of gastric secretion via the hormone histamine?

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

    What triggers the cephalic phase of gastric secretion?

    <p>Thoughts, smells, and sights of food (A)</p> Signup and view all the answers

    Which phase of gastric secretion is primarily initiated by food entering the stomach?

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

    What effect does the intestinal phase have on gastric secretion?

    <p>It inhibits gastric secretion (D)</p> Signup and view all the answers

    Which of the following is NOT a factor in the gastric phase of secretion?

    <p>Sensory detection of food (A)</p> Signup and view all the answers

    What role does gastrin play in gastric secretion?

    <p>It stimulates gastric acid secretion (D)</p> Signup and view all the answers

    What is the primary control mechanism for the intestinal phase?

    <p>Neural reflexes from the intestines (C)</p> Signup and view all the answers

    During which phase does the thought of food primarily increase gastric secretion?

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

    Which scenario is least likely to stimulate gastric secretion?

    <p>Feeling full after a small snack (D)</p> Signup and view all the answers

    What is the primary role of the gastric mucosal barrier?

    <p>Protection of the stomach from hydrochloric acid (B)</p> Signup and view all the answers

    Which component of the gastric mucosal barrier serves as a chemical barrier against acid?

    <p>HCO3–-rich mucus (C)</p> Signup and view all the answers

    How often is the entire stomach lining replaced?

    <p>Every 3 days (D)</p> Signup and view all the answers

    Which function is primarily performed in the duodenum and jejunum of the small intestine?

    <p>Digestion and absorption of nutrients (B)</p> Signup and view all the answers

    What structural feature increases the surface area of the small intestine?

    <p>Presence of villi and microvilli (C)</p> Signup and view all the answers

    Which enzyme is NOT expressed on the membranes of microvilli?

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

    What role do prostaglandins play in gastric function?

    <p>Inhibiting acid secretion and promoting mucus secretion (C)</p> Signup and view all the answers

    Which of the following is a primary mechanism for mixing and propelling chyme in the small intestine?

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

    What is the major site of absorption in the small intestine?

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

    Which feature is NOT part of the digestive processes in the small intestine?

    <p>Absorption in the colon (D)</p> Signup and view all the answers

    The stomach is a J-shaped, ______-like chamber.

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

    The main function of the stomach includes storing ingested food and secreting ______.

    <p>gastric juice</p> Signup and view all the answers

    One of the functions of the stomach is to mix food with gastric juice and ______ it.

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

    The partially digested food that moves from the stomach to the duodenum is called ______.

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

    The stomach kills bacteria through the action of ______.

    <p>gastric acid</p> Signup and view all the answers

    Carbohydrate digestion in the stomach is aided by salivary ______.

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

    Pepsin partially digests ______ in the antrum of the stomach.

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

    Acidity in the stomach leads to partial ______ of salivary amylase.

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

    Only ______ and aspirin are absorbed in the stomach.

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

    The control of gastric secretion includes various ______ mechanisms.

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

    The ______ phase of gastric secretion is triggered by thoughts, smells, sights, or tastes of food.

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

    The presence of food in the stomach triggers the ______ phase of gastric secretion.

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

    The ______ phase is initiated by the movement of food from the stomach into the duodenum.

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

    The excitatory phases of gastric secretion include both the ______ and gastric phases.

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

    The ______ phase of gastric secretion inhibits further gastric activity.

    <p>inhibitory intestinal</p> Signup and view all the answers

    The keys to controlling gastric secretion include the cephalic, gastric, and ______ phases.

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

    The ______ receptor activation in parietal cells is responsible for stimulating the proton pump.

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

    Factors from the brain, such as thoughts of food, activate the ______ phase of gastric secretion.

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

    The primary component secreted by the parietal cell is ______.

    <p>hydrochloric acid</p> Signup and view all the answers

    The chief cell of the gastric gland secretes ______.

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

    Intrinsic factor is important for the absorption of ______.

    <p>vitamin B12</p> Signup and view all the answers

    Surface mucous cells secrete ______ for gastroprotection.

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

    The regulation of gastric secretion involves the hormone ______ released by G cells.

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

    Histamine is secreted by ______ cells in the gastric gland.

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

    Gastric secretion is also regulated by the peptide released from nerves, known as ______.

    <p>gastrin releasing peptide (GRP)</p> Signup and view all the answers

    Somatostatin, secreted by D cells, functions in ______ gastric secretion.

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

    The gastric mucosal barrier protects the stomach from __________.

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

    Cell membranes of gastric mucosal cells are impermeable to __________ on the luminal side.

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

    The HCO3–-rich mucus serves as a protective physical barrier and neutralizes __________ close to the gastric mucosa.

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

    The entire stomach lining is replaced in approximately __________ days.

    <p>3</p> Signup and view all the answers

    The main site for digestion and absorption of ingested food is the __________.

    <p>small intestine</p> Signup and view all the answers

    The digestive processes involve the action of bile, pancreatic enzymes, and __________ enzymes.

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

    Microscopic finger-like projections in the small intestine are called __________.

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

    Epithelial cells in the small intestine have numerous smaller projections called __________.

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

    Three types of digestive enzymes are expressed on the membranes of microvilli: enteropeptidase, disaccharidases, and __________.

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

    The structure-function relationship of the small intestine includes permanent circular folds that increase surface area by __________.

    <p>3-fold</p> Signup and view all the answers

    Study Notes

    The Stomach

    • J-shaped sac-like chamber, the most distensible part of the GI tract
    • Stores ingested food
    • Secretes gastric juice (acid, mucus, intrinsic factor, digestive enzymes - pepsin, lipase)
    • Mixes food with gastric juice
    • Pulverizes food, initiating protein and fat digestion
    • Kills bacteria
    • Moves food (chyme) into the duodenum at a controlled and steady rate

    Stomach Anatomy

    • Fundus: top portion
    • Body: middle section, secretes mucus, pepsinogen, and HCl
    • Antrum: bottom portion, secretes mucus, pepsinogen, and gastrin
    • Pyloric sphincter: controls chyme release into the duodenum
    • Lower esophageal sphincter controls food traveling down from the esophagus to the stomach

    Gastric Mucosal Folds, Gastric Pits & Gastric Glands

    • Gastric pits small openings in the stomach lining
    • Gastric glands comprised of cells secreting substances like mucous, acid, and enzymes
    • Mucous cells, chief cells, and parietal cells crucial components of gastric glands

    Structure of Gastric Gland

    • Acid, intrinsic factor, pepsinogen secretion sites
    • Mucus layer for protection and neutralization of acid
    • Cell migration and different cell types in the glands

    The Stomach Mucosa and the Gastric Glands

    • Surface epithelial cells (protection)
    • Mucous cells (mucus)
    • Chief cells (pepsinogen)
    • Parietal cells (hydrochloric acid, intrinsic factor)
    • Endocrine/Paracrine cells (hormones)
    • Various stimuli trigger secretions

    Gastric Glands - Important Products

    • Hydrochloric acid (HCl): hydrolysis, sterilization, vitamin B12 absorption
    • Intrinsic factor: vitamin B12 absorption
    • Pepsinogen: protein digestion (converted to pepsin)
    • Mucus, bicarbonate: gastroprotection (protection from acid)
    • Trefoil factors: gastroprotection
    • Histamine: regulation of gastric secretion
    • Gastrin: regulation of gastric secretion
    • Gastrin releasing peptide (GRP): regulation of gastric secretion
    • Acetylcholine (ACh): regulation of gastric secretion
    • Somatostatin: regulation of gastric secretion

    Pepsinogen Activation

    • Autocatalysis: pepsinogen converted to pepsin by HCl
    • Pepsin: active protein-digesting enzyme
    • Peptide fragments formed from protein digestion by pepsin.

    Mechanism of Gastric HCI Secretion

    • Cellular metabolism, producing hydrogen ions
    • Active and secondary active transport produce HCl
    • Carbonic anhydrase for the conversion of CO2 to bicarbonate ions.

    Parietal Cell - Receptor Activation of the Proton Pump

    • Receptors respond to histamine, acetylcholine, and gastrin
    • cAMP and Ca++ pathways activate proton pumps (H+, K+ ATPase)
    • These pumps pump hydrogen ions into the lumen, creating acid.

    Control of Gastric Secretion

    • Cephalic phase: triggered by factors before food entry (smell, thought)
    • Gastric phase: factors arising from stomach food presence
    • Intestinal phase: factors from food movement into the duodenum.

    Digestive Processes From Small Intestine To Large Intestine

    • Small intestine is the major site for digestion and absorption
    • Its functions include secreting mucus and salt solutions and utilizing segmentation and peristalsis for mixing food
    • Digestion depends on bile, pancreatic enzymes, and intestinal enzymes
    • Absorption occurs mostly in the duodenum and jejunum( small intestine section)

    Structure of Intestinal Villi

    • Mucosal surface has circular folds increasing surface area 3-fold
    • Microscopic finger-like projections (villi) increase surface area by 10-fold
    • Epithelial cells have microvilli (brush border), increasing surface area 20-fold
    • Digestive enzymes are located on the microvilli membranes (e.g., enteropeptidase, disaccharidases, aminopeptidases).

    The Gastric Mucosal Barrier

    • Cells lining the stomach are protected from acidity by cell membranes and tight junctions, HCO3--rich mucus, and tight junctions separating cells
    • Frequent cell division (3 days) ensures a protective layer by continuously renewing cells
    • Prostaglandins help in regulating acid secretion and producing alkaline mucous

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    Related Documents

    The GI System 1-3 (2024) PDF

    Description

    Test your knowledge on the functions and components of the stomach with this quiz. It covers topics such as gastric secretions, pepsin role, and the digestion process. Perfect for students studying human anatomy and physiology.

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