Introduction to Digestive System

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Questions and Answers

What is one of the primary functions of the digestive system?

  • Breaking down food into small molecules (correct)
  • Absorbing oxygen from the air
  • Transporting nutrients directly to cells
  • Increasing the body's temperature

What type of digestion occurs in the digestive system?

  • Simultaneous mechanical and chemical digestion (correct)
  • Fermentation only
  • Only chemical digestion
  • Only mechanical digestion

How does pregnancy influence the digestive system?

  • It strengthens the digestive muscles
  • It decreases nutrient absorption efficiency
  • It increases the rate of digestion
  • It alters the digestive system due to increased progesterone (correct)

What is a key outcome of the digestive process?

<p>Removal of waste products from the body (B)</p> Signup and view all the answers

Why is the digestive system essential for cellular functions?

<p>It provides energy and nutrients necessary for chemical processes (C)</p> Signup and view all the answers

What is the primary function of the brush border in the small intestine?

<p>To increase surface area for absorption (A)</p> Signup and view all the answers

Which mechanisms are involved in the absorption of substances in the small intestine?

<p>Passive diffusion, facilitated diffusion, and active transport (D)</p> Signup and view all the answers

Where does absorption in the small intestine primarily begin?

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

What is the main role of bile in the digestive system?

<p>To emulsify fats for digestion (A)</p> Signup and view all the answers

How much bile does the liver produce on average each day?

<p>750-1000ml (A)</p> Signup and view all the answers

What type of substances are primarily absorbed into the blood capillaries found in the villi?

<p>All nutrients from digestion (C)</p> Signup and view all the answers

What process occurs during the absorptive state?

<p>Digested foods are absorbed and used for energy. (C)</p> Signup and view all the answers

What is the function of the pancreatic duct in relation to the small intestine?

<p>To carry pancreatic juices to the duodenum (B)</p> Signup and view all the answers

During which state does the body initially utilize stored glycogen?

<p>Post-absorptive state (B)</p> Signup and view all the answers

What is the approximate surface area available for absorption in the small intestine?

<p>30m2 (B)</p> Signup and view all the answers

What happens to triglycerides during the starvation state?

<p>They are broken down, generating ketones. (D)</p> Signup and view all the answers

Which of the following is a common physiological change during pregnancy?

<p>Increased nausea and vomiting (B)</p> Signup and view all the answers

What is a potential risk during labor concerning the digestive system?

<p>Mendelson's syndrome if general anesthesia is required (A)</p> Signup and view all the answers

What condition is characterized by excessive nausea and vomiting during pregnancy?

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

What gastrointestinal issue might pregnant women face due to altered digestion?

<p>Higher incidence of food poisoning (D)</p> Signup and view all the answers

Which symptom might occur during labor related to gastrointestinal function?

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

What is the approximate length of the large intestine?

<p>1.5 meters (D)</p> Signup and view all the answers

Which part is not a division of the colon?

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

What is primarily absorbed in the large intestine?

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

What is the function of the internal anal sphincter?

<p>Under involuntary control (B)</p> Signup and view all the answers

How long is the rectum and anus combined?

<p>20 cm (B)</p> Signup and view all the answers

Which sphincter is under voluntary control?

<p>External anal sphincter (D)</p> Signup and view all the answers

What is the main function of the soft palate?

<p>To aid in swallowing (B)</p> Signup and view all the answers

What initiates the defecation reflex?

<p>Stretching of the rectal walls (C)</p> Signup and view all the answers

How many pairs of salivary glands are present in the mouth?

<p>3 pairs (C)</p> Signup and view all the answers

Which structure is attached to the caecum?

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

What structure prevents air from entering the oesophagus during inspiration?

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

What is the primary role of hydrochloric acid in the stomach?

<p>To aid in digestion (A)</p> Signup and view all the answers

What is created when the bolus is mixed with gastric secretions in the stomach?

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

Which part of the small intestine is primarily responsible for the initial digestion of food?

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

What process enables the transportation of food through the oesophagus?

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

Flashcards

Digestion

The process of breaking down food and fluids into smaller molecules that can be absorbed into the bloodstream.

Mechanical and chemical digestion

The mechanical and chemical processes that break down food into smaller molecules.

Absorption

The process of taking nutrients from the digested food into the bloodstream.

Excretion

The removal of waste products from the digestive system.

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Digestive system changes during pregnancy

The digestive system can experience changes during pregnancy due to the hormone progesterone and the growing uterus.

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What is the ileum?

The ileum is the longest part of the small intestine, measuring approximately 3.6 meters in length.

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What is Chyme?

Chyme is the partially digested food that leaves the stomach and enters the small intestine. It is mixed with intestinal secretions, bile and pancreatic juices to further break down food.

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How is Chyme moved through the small intestine?

Peristalsis and segmentation are the two main movements of the small intestine. Peristalsis propels chyme forward, while segmentation mixes the chyme with digestive juices.

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Where does absorption of nutrients begin?

The duodenum is the first part of the small intestine where absorption begins.

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How is surface area increased in the small intestine?

The mucosal layer of the small intestine has folds, villi, and microvilli that increase surface area for absorption.

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What is the approximate surface area of the small intestine?

The small intestine has an absorption surface area of roughly 30 square meters, which is very large.

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How are digested nutrients transported to the liver?

The liver receives end products of digestion through the portal vein and performs metabolism on them.

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What is bile and what does it do?

Bile is produced by the liver and stored in the gallbladder, it helps with digestion and excretion.

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What is the palate?

The roof of the mouth. It is divided into the hard palate at the front and the soft palate at the back.

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What are the hard and soft palates made of?

The hard palate is formed by the maxilla and palatine bones, while the soft palate is formed by muscle.

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What are salivary glands and what do they do?

Three pairs of salivary glands produce digestive enzymes that pass into the mouth. These glands, along with small glands in the mouth, produce saliva.

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What is the pharynx and what is its role?

The pharynx is a part of the throat involved in swallowing. The epiglottis, a flap of cartilage, covers the trachea during swallowing to prevent food from entering the airway.

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What is the oesophagus and what does it do?

The oesophagus is a thin-walled muscular tube that connects the pharynx to the stomach. It is about 25 cm long and helps transport food to the stomach.

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What is peristalsis and how does it work in the oesophagus?

Peristalsis is the process of muscle contractions that move food along the digestive tract. In the oesophagus, these contractions move boluses of food from the pharynx to the stomach.

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What are the two sphincters in the oesophagus and what do they do?

The cricopharyngeal sphincter at the top of the oesophagus prevents air from entering the oesophagus during breathing. The cardiac sphincter at the bottom prevents the contents of the stomach from flowing back up into the oesophagus.

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What is the stomach and what are its functions?

The stomach is a J-shaped organ that stores food. The stomach walls are arranged in folds called rugae, which allow the stomach to expand to accommodate a large volume of food.

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Metabolism

The process of breaking down food into energy that cells can use.

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Absorptive state

The state when your body is digesting and absorbing nutrients from food.

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Post-absorptive state

The state when your body is using stored energy from previous meals.

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Starvation state

The state when your body runs out of stored energy and starts breaking down fat for fuel.

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Increased appetite & thirst during pregnancy

Increased hunger and thirst during pregnancy.

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Pregnancy cravings and food aversions

A temporary change in food preferences during pregnancy.

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Slower gastric emptying during labor

A slowed down digestion during labor.

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Mendelson's Syndrome

A rare but serious lung condition that can occur if a pregnant woman receives general anesthesia during labor.

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What is the large intestine's main function?

The large intestine is about 1.5 meters long and is responsible for absorbing water, electrolytes, and vitamins from the digested food (chyme).

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What are the two main parts of the large intestine?

The large intestine is divided into two main parts: the caecum and the colon. The colon is further divided into the ascending, transverse, descending, and sigmoid colon.

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What is the appendix and where is it located?

The appendix is a small, finger-like projection attached to the caecum. Its exact function is still debated, but it may play a role in immune function.

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What is the rectum and what is its function?

The rectum is the final section of the large intestine, about 20 cm long, which stores waste before defecation.

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What is the anus and what are its key components?

The anus is the opening at the end of the rectum through which waste is expelled. It has two sphincters, the internal and external anal sphincter, which control the passage of waste.

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What is the internal anal sphincter and how is it controlled?

The internal anal sphincter is under involuntary control, meaning we can't consciously control it. It is controlled by the parasympathetic nervous system.

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What is the external anal sphincter and how is it controlled?

The external anal sphincter is under voluntary control, meaning we can consciously control it. It is controlled by the somatic nervous system.

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What is defecation and how does it occur?

Defecation is the process of expelling waste from the body. It occurs due to a coordinated contraction and relaxation of the internal and external anal sphincters, known as the defecation reflex.

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Study Notes

Introduction to Digestive System

  • All cells require energy and nutrients for chemical processes, largely derived from ingested food and liquids.
  • The digestive system's role involves breaking down food and fluids into smaller molecules for absorption into the bloodstream.
  • It also removes waste products from the body.
  • Digestive function can be impacted by hormonal changes, such as increased progesterone during pregnancy, which can exacerbate related issues.

The Mouth, Salivary Glands & Pharynx

  • Teeth: 20 deciduous (milk) and 32 permanent teeth.
  • Palate: The roof of the mouth, including a hard palate formed by the maxilla and palatine bones and a soft palate formed by muscle.
  • Salivary Glands: Three pairs produce digestive enzymes, mixed with secretions from smaller glands within the mouth for digestion.
  • Pharynx: Plays a crucial role in swallowing, where the epiglottis prevents food from entering the trachea.

Oesophagus

  • Peristalsis: Muscular contractions that transport food boluses from the pharynx to the stomach.
  • Length: Approximately 25cm.
  • Sphincters: Two sphincters regulate movement:
    • Cricopharyngeal: Prevents air from entering the esophagus.
    • Cardiac: Prevents regurgitation of stomach contents.

Stomach

  • Structure: A J-shaped organ with folds (rugae) allowing expansion.
  • Function: Stores food, mixes it with gastric secretions (including hydrochloric acid), creating chyme, a semi-fluid mass.
  • Gastric emptying: Takes 2-6 hours after eating.
  • Absorption: Limited absorption of nutrients.

Small Intestine - Digestion

  • Length: Approximately 6.5 meters.
  • Divisions: Duodenum (25cm), Jejunum (2.5m), and Ileum (3.6m).
  • Chyme mixing: With intestinal secretions, bile, and pancreatic juices for further digestion.
  • Mechanisms: Peristalsis and segmentation transport and break down chyme.

Small Intestine - Absorption

  • Absorption start: In the duodenum.
  • Absorption surface: Folded mucosa and villi and microvilli significantly increase the surface area for nutrient absorption.
  • Absorption method: Via various mechanisms like passive and facilitated diffusion, and active transport.
  • Nutrient delivery: Absorbed substances enter blood capillaries in the villi, transporting them to the liver for metabolism via the portal vein.

Accessory Organs - Liver, Gall Bladder & Pancreas

  • Liver: Produces bile (750-1000ml daily), a greenish-yellow alkaline substance that aids digestion.
  • Gall bladder: Stores bile.
  • Pancreas: Secretes pancreatic juices (1500ml daily) containing digestive enzymes through the pancreatic and accessory ducts.

Large Intestine & Appendix

  • Length: Approximately 1.5 meters.
  • Parts: Caecum, ascending, transverse, descending, and sigmoid colon.
  • Function: Primary role is water and electrolyte absorption and storage of waste material.

Rectum & Anus

  • Final portion of the GI tract (20cm).
  • Sphincters: Internal (involuntary) and external (voluntary), control elimination.
  • Defecation: Coordinated contraction and relaxation of these sphincters.

Metabolism of Food

  • Metabolism: Process by which food (carbohydrates, lipids, and proteins) is converted into usable energy.
  • Absorption state: During digestion; excess glucose stored as glycogen and excess fats stored as triglycerides.
  • Post-absorptive state: Glycogen stores are used during fasting.
  • Starvation state: Triglycerides are broken down, producing ketones as energy source.

Impact of Physiological Changes During Pregnancy

  • Physiological changes in the digestive system during pregnancy can lead to a variety of symptoms, including: --Increased appetite and thirst --Food cravings & food aversions (pica) --Nausea and vomiting (NVP); Hyperemesis gravidarum (HG) --Heartburn and acid reflux --Constipation, haemorrhoids, gingivitis; excessive saliva (ptyalism) --Increased risk of food poisoning, gall stones, risk of intrahepatic cholestasis.

Digestive System During Labour

  • Eating and drinking during labour is often permitted depending upon established guidelines and factors.
  • Possible complications exist from changes in gastric emptying and potential for risk of Mendelson's syndrome for those who require general anaesthetic.
  • Other concerns: Nausea & vomiting; diarrhoea; constipation.

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