Human Physiology Chapter 21: Digestive System

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Questions and Answers

What is the primary role of salivary and pancreatic amylases in carbohydrate digestion?

  • They break starches into disaccharides. (correct)
  • They convert monosaccharides into glucose.
  • They absorb monosaccharides in the intestine.
  • They transport glucose across the cell membrane.

Monosaccharides are absorbed through passive diffusion on the apical side of intestinal cells.

False (B)

What types of carbohydrates are absorbed as monosaccharides in the intestinal phase?

Glucose, galactose, and fructose

Disaccharides are broken down into monosaccharides by __________ enzymes.

<p>brush border</p> Signup and view all the answers

Match the following sugars with their absorption mechanism:

<p>Glucose = Co-transport with sodium via SGLT Galactose = Co-transport with sodium via SGLT Fructose = Facilitated diffusion via GLUT5 All monosaccharides exit = Facilitated diffusion via GLUT2</p> Signup and view all the answers

What structure allows food to enter the large intestine?

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

Which part of the colon is primarily associated with the defecation reflex?

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

The internal anal sphincter is responsible for voluntary control during defecation.

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

How much water is typically lost in feces?

<p>0.1 L</p> Signup and view all the answers

What triggers the gastrocolic reflex?

<p>The presence of food in the stomach</p> Signup and view all the answers

The __________ is a pouch that connects the ileum to the ascending colon.

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

Segmental contractions continue to mix ______ in the large intestine.

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

Which of the following is NOT a family of GI hormones?

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

The enteric nervous system completely relies on signals from the central nervous system.

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

Name one hormone from the gastrin family.

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

Vasoactive intestinal _______ is a hormone from the secretin family.

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

Match the following GI hormones with their respective families:

<p>Gastrin = Gastrin family Secretin = Secretin family Motilin = Others GLP-1 = Secretin family</p> Signup and view all the answers

What is the primary function of GI peptides?

<p>To excite or inhibit GI motility and secretion (B)</p> Signup and view all the answers

Cephalic reflexes are integrated in the enteric nervous system.

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

What are intrinsic neurons?

<p>Neurons in the enteric nervous system</p> Signup and view all the answers

What process is used by di- and tri-peptides for absorption?

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

Exopeptidases digest terminal peptide bonds to release amino acids.

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

Di- and tri-peptides are absorbed into the bloodstream through the villi of the ______.

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

Which ions are involved in the absorption process of peptides in the small intestine?

<p>Na+ and K+ (D)</p> Signup and view all the answers

Amino acids enter capillaries directly from the intestinal lumen.

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

What happens to the amino acids after they are absorbed?

<p>They are transported to the liver.</p> Signup and view all the answers

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

<p>To break down undigested material (C)</p> Signup and view all the answers

The ileocecal valve allows food to exit the large intestine.

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

What are the energy substrates for colonocytes?

<p>Fatty acids</p> Signup and view all the answers

Diarrhea can lead to __________.

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

Which structure is involved in fluid secretion in the large intestine?

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

Match the parts of the large intestine with their descriptions:

<p>Ascending colon = Part of the colon where waste begins to be concentrated Descending colon = Part of the colon that carries waste towards the rectum Transverse colon = Middle section that crosses the abdomen Haustra = Pouches in the colon that allow expansion</p> Signup and view all the answers

Flatus is a byproduct of bacterial fermentation in the large intestine.

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

What are lipophilic products absorbed in the large intestine?

<p>Fatty acids and certain vitamins</p> Signup and view all the answers

What role does pepsin play in protein digestion?

<p>It begins the digestion of proteins in the stomach. (B)</p> Signup and view all the answers

Which enzymes are classified as endopeptidases in protein digestion?

<p>Pepsin, trypsin, and chymotrypsin (A)</p> Signup and view all the answers

How are di- and tripeptides absorbed in the intestines?

<p>Via sodium-dependent cotransport on PepT1. (B)</p> Signup and view all the answers

What is the final product of protein digestion before absorption?

<p>Single amino acids, di- and tri-peptides (A)</p> Signup and view all the answers

What mechanism is involved when larger peptides are absorbed by transcytosis?

<p>Vesicular transport encompassing the peptide. (D)</p> Signup and view all the answers

What is the primary function of the digestive system?

<p>To move nutrients, water, and electrolytes from the external environment into the internal environment (A)</p> Signup and view all the answers

Which of the following processes is NOT one of the four basic processes of digestion?

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

What are the three main challenges faced by the digestive system?

<p>Autodigestion, mass balance, and defense (C)</p> Signup and view all the answers

What characterizes the muscularis externa of the digestive system?

<p>It consists of two layers of smooth muscle (B)</p> Signup and view all the answers

In the digestive system, the serosa serves what purpose?

<p>It forms a protective layer and is a continuation of the peritoneal membrane (C)</p> Signup and view all the answers

What is the primary role of motility in the digestive system?

<p>Moving food through the tract and mechanically mixing it (C)</p> Signup and view all the answers

Which type of contraction in the digestive system lasts for several minutes or hours?

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

What is secreted predominantly as inactive proenzymes in the digestive process?

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

How much fluid typically passes through the lumen of the digestive tract daily?

<p>9 L (D)</p> Signup and view all the answers

Which of the following mechanisms represents the spontaneous depolarizations observed in GI smooth muscles?

<p>Slow-wave potentials (C)</p> Signup and view all the answers

What is the primary function of the modifications in the GI tract wall, such as rugae and villi?

<p>To increase surface area and match functions of various areas (D)</p> Signup and view all the answers

Which layer is NOT part of the GI tract wall?

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

Which modification is primarily found in the stomach to assist with food processing?

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

What is the primary role of the muscularis mucosae layer in the GI tract?

<p>Facilitate local movements of the mucosa (D)</p> Signup and view all the answers

Which of the following correctly describes the lamina propria?

<p>A layer of connective tissue supporting the mucosal epithelium (C)</p> Signup and view all the answers

Flashcards

Enteric Nervous System (ENS)

A network of neurons in the digestive system that controls motility, secretion, and growth.

Intrinsic neurons

Neurons located within the enteric nervous system.

Extrinsic neurons

Neurons originating from the central nervous system (CNS) and connecting to the digestive system.

Short reflexes

Reflex arcs integrated within the enteric nervous system.

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Long reflexes

Reflex arcs involving the central nervous system (CNS).

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Cephalic reflexes

Long reflexes originating in the head.

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GI hormones

Hormones that regulate gastrointestinal function.

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Gastrin family

A family of GI hormones which include gastrin and cholecystokinin (CCK).

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Carbohydrate absorption

Monosaccharides are absorbed in the small intestine, transported across the cell membrane, and enter the bloodstream.

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Monosaccharides

Simple sugars like glucose, galactose, and fructose.

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Brush border enzymes

Enzymes on the surface of the small intestine that break down disaccharides into monosaccharides.

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Co-transport with sodium

A process where monosaccharides are absorbed along with sodium ions across a cell membrane.

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Small intestine absorption

The site where most carbohydrate digestion and absorption occurs, allowing nutrients to be transported across cell membranes.

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Di- and tri-peptide absorption

Di- and tri-peptides are absorbed through endocytosis.

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Peptide digestion mechanism

Exopeptidases break terminal peptide bonds for amino acid release. Aminopeptidase and carboxypeptidase also break peptide bonds, using an H2O molecule and ATP.

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Amino acid transport

Amino acids are transported into capillaries from villi.

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Nutrient transport to liver

Amino acids eventually travel to the liver.

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Endocytosis

A cellular process which the cell engulfs substances, forming a vesicle.

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Exopeptidases

Enzymes that hydrolyze terminal peptide bonds from the ends of polypeptides.

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Aminopeptidase

An enzyme that cleaves amino acids from the N-terminus of peptide chains.

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Carboxypeptidase

An enzyme that hydrolyzes peptide bonds at the carboxyl-terminal end of peptide chains.

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Ileocecal valve

A sphincter muscle located at the junction between the small intestine (ileum) and the large intestine (colon). It controls the movement of chyme from the ileum into the colon.

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Mass movement

Strong peristaltic contractions that propel the chyme in large segments along the colon, typically occurring 3-4 times a day.

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Segmental contractions

Localized contractions of circular muscle in the colon that mix the chyme and help to absorb water and electrolytes.

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Transverse colon

The horizontal section of the colon, located between the ascending and descending colon.

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Descending colon

The vertical portion of the colon located after the transverse colon, which carries waste downwards towards the rectum.

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What does the gastrocolic reflex trigger?

The gastrocolic reflex stimulates mass movements in the colon, which propels the chyme towards the rectum.

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What are haustra?

Haustra are the pouches found in the large intestine that give it a segmented appearance.

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What is the role of the ileocecal valve?

The ileocecal valve is a sphincter muscle that controls the passage of chyme from the small intestine to the large intestine.

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What does the defecation reflex involve?

The defecation reflex is triggered by distension of the rectum, leading to relaxation of the internal anal sphincter and contraction of the external anal sphincter.

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How does the sigmoid colon contribute to defecation?

The sigmoid colon is a flexible S-shaped portion of the colon that allows for storage of feces before elimination.

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Large Intestine Function

The large intestine primarily concentrates waste by absorbing water and electrolytes, while bacteria break down undigested material.

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Colon Bacteria's Role

Bacteria in the colon break down undigested food, producing substances like fatty acids that colonocytes use for energy.

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Lipophilic Products

Lipid-soluble substances produced by bacterial breakdown in the colon can be absorbed into the bloodstream.

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Colonocyte Energy

Colonocytes, the cells lining the colon, obtain energy from fatty acids produced by bacterial breakdown.

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Fluid Secretion in Intestines

Intestinal glands secrete fluid to help with digestion and absorption of nutrients.

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Diarrhea Cause

Diarrhea can be caused by excessive fluid loss, often due to a lack of absorption in the intestines.

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Ileum Connection

The ileum, the last part of the small intestine, connects to the large intestine through the ileocecal valve.

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Haustra

Sac-like pouches called haustra are formed by the circular muscle layer in the colon.

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GI Tract Wall Layers

The GI tract wall has four layers: mucosa, submucosa, muscularis externa, and serosa. Each layer contributes to the function of the digestive system.

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Mucosa

The innermost layer of the GI tract wall, containing epithelial cells that line the lumen, connective tissue, and a thin layer of smooth muscle.

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Submucosa

The layer beneath the mucosa, containing blood vessels, lymphatics, nerves, and glands.

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Muscularis Externa

The muscle layer responsible for GI tract motility, consisting of two layers: circular and longitudinal muscle.

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Serosa

The outermost layer of the GI tract wall, a thin membrane that protects and lubricates the organs.

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Digestive Fluid Secretion

Our bodies produce more fluid for digestion than we ingest. About 2 liters come from food and drinks, and 7 liters come from secretions.

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Proenzymes

Inactive forms of digestive enzymes that are secreted into the gut and activated when needed.

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Motility and Mixing

The coordinated movement of food through the digestive tract. Peristalsis moves food forward, while segmentation mixes it.

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Slow-Wave Potentials

Spontaneous depolarizations in GI smooth muscle cells that drive rhythmic contractions.

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Tonic vs. Phasic Contractions

Tonic contractions last for minutes or hours, maintaining a constant pressure. Phasic contractions are brief, lasting only seconds, and are responsible for rhythmic movements.

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What are the four basic processes of digestion?

Digestion, absorption, secretion, and motility are the four fundamental processes that the digestive system uses to break down food, absorb nutrients, and eliminate waste.

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What is autodigestion?

Autodigestion is the process of the digestive system's own enzymes breaking down its own tissues. This is a dangerous process that can damage the digestive organs.

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Mass Balance

Mass balance is the process of maintaining a constant volume of fluid in the body. The digestive system plays a crucial role in regulating fluid intake and excretion to ensure mass balance.

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Defense

The digestive system plays a vital role in defending against pathogens and foreign substances that enter the body through food and drink.

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What is the submucosa?

The submucosa is a layer of connective tissue that supports the mucosa and contains blood vessels, lymphatics, nerves, and glands.

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Pepsin's Role

Pepsin breaks down proteins in the stomach, starting the digestion process.

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Transcytosis

Transcytosis is a process where small peptides are carried intact across cells, without being broken down.

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Study Notes

Human Physiology, An Integrated Approach - Chapter 21: The Digestive System

  • The digestive system is a tube-like structure with four basic processes: digestion, absorption, secretion, and motility. These processes move nutrients, water, and electrolytes from the external environment into the internal environment.

  • The digestive system faces challenges including avoiding autodigestion (digestion of the body's own tissue), mass balance, and defense against pathogens.

  • The GI tract wall has four layers: mucosa, submucosa, muscularis externa, and serosa. The mucosa includes mucosal epithelium, lamina propria, and muscularis mucosae. Modifications to the surfaces area (e.g., rugae, plicae, villi, crypts, gastric glands, submucosal glands) increase surface area for digestion.

  • Learning outcomes include tracing a piece of undigested food from mouth to anus, describing the four layers of the GI tract, and describing the primary function of the digestive system.

  • The enteric nervous system (ENS) controls motility, secretion and growth of the digestive system. It shares features with the central nervous system (CNS) including neurotransmitters and neuromodulators, glial support cells, a diffusion barrier, and integrating centers. Short reflexes are integrated within the ENS; long reflexes are integrated in the CNS.

  • GI peptides, including hormones, neuropeptides, and cytokines, excite or inhibit GI motility and secretion. Three main families of GI hormones are gastrin, secretin, and others including cholecystokinin (CCK), vasoactive intestinal peptide (VIP), glucose-dependent insulinotropic peptide (GIP), glucagon-like peptide-1 (GLP-1), and motilin.

  • The cephalic phase is a feedforward control in digestion, triggered by smelling, seeing, or thinking about food. Chewing and swallowing are also discussed as initiating steps in the process. The cephalic phase includes activating neurons in the medulla oblongata of the brain.

  • The gastric phase begins with food arriving in the stomach and involves long reflexes and short reflexes including the secretion of various substances and hormones.

  • The intestinal phase involves enzymatic activity in the small intestine, maximizing surface area for absorption (villi and crypts), and secretion of many other substances.

  • Absorption occurs through the hepatic portal and lymphatic systems - Most of the nutrients absorbed go to the circulatory system for distribution through the hepatic portal system.

  • The large intestine concentrates wastes, and bacteria inhabiting the colon break down undigested material, allowing absorption of lipophilic products, fatty acids, and vitamins.

  • Diarrhea can cause dehydration due to excessive water loss.

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