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26.4 Nutrients and Their Digestion

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What enzyme is released from the salivary glands to begin the breakdown of starch?

Amylase

Why are proteolytic enzymes of the stomach and pancreas synthesized in inactive forms?

To prevent self-digestion of organs

Which enzyme is activated to pepsin within the low pH of the stomach for initiating protein digestion?

Pepsinogen

How are proteins broken down into amino acids during digestion?

By breaking peptide bonds between specific adjacent amino acids

What is the main role of proteolytic enzymes or proteases in protein digestion?

To release individual amino acids from proteins

Where are all proteolytic enzymes released from in their inactive forms?

Both the stomach and pancreas

What happens to chylomicrons when they reach blood capillary walls?

They enter the lacteals due to their size.

How are blobs of lipid separated into smaller micelles within the lumen of the small intestine?

By mechanical digestion with bile salts

What role do the endothelial cells of lacteals play in the absorption of chylomicrons?

Act as one-way valves

How are triglycerides handled within epithelial cells of the small intestine?

Reassembled and packed into chylomicrons

What is the fate of chylomicrons once they are formed within epithelial cells?

Absorbed into lacteals

In individuals with cystic fibrosis, what effect does the blocking of pancreatic ducts have on lipid digestion?

Reduced pancreatic lipase activity

What is the unifying property of lipids?

Hydrophobic

Which enzyme is responsible for limited digestion of triglycerides in the stomach?

Gastric lipase

What is the optimal pH range for lingual lipase?

4.5 - 5.4

Which of the following is NOT involved in the digestion of lipids in the stomach?

Bile salts

Which of the following is true about the breakdown of cholesterol?

Requires chemical digestion for absorption

Where does triglyceride digestion primarily continue?

In the small intestine

What inhibits the transport protein ferroportin in the GI tract?

Hepcidin

Which vitamins are categorized as fat-soluble vitamins?

Vitamin A, D, E, and K

How are fat-soluble vitamins absorbed into epithelial cells?

With lipids within micelles

What mechanism is used for the absorption of water-soluble vitamins?

Simple diffusion and active transport

Which vitamin requires receptor-mediated endocytosis for its absorption?

Vitamin B12

What is the glycoprotein released from parietal cells of the stomach that aids in the absorption of Vitamin B12?

Intrinsic factor

How is fluid balance maintained in the body when blood moves through capillaries?

Water leaves the blood to enter the interstitial and systemic cells

What is the primary function of electrolytes in the body's fluid balance?

Maintaining fluid balance

What happens to excess electrolytes consumed through diet?

They are eliminated in urine

How does diarrhea impact potassium (K+) levels in the body?

It leads to excessive loss of K+

What is the role of hepcidin in iron absorption?

It controls iron absorption by releasing from the liver

How does the small intestine contribute to electrolyte absorption?

It absorbs almost all of the electrolytes from the diet

Which enzyme is responsible for breaking the bond between two glucose molecules in maltose?

Maltase

What enzyme specifically digests sucrose into glucose and fructose?

Sucrase

Individuals lacking which enzyme are referred to as being lactose intolerant?

Lactase

What are the monosaccharides released from the enzymatic digestion of disaccharides?

Glucose, fructose, and galactose

Where are the monosaccharides absorbed into the blood during digestion?

Small intestine epithelial lining

Which enzyme converts fructose and galactose into glucose in the liver?

None of the above

What enzyme is responsible for the digestion of starch in the oral cavity?

Amylase

Which enzyme in the stomach is involved in limited digestion of triglycerides?

Gastric lipase

What enzyme in the small intestine is responsible for breaking down maltose into glucose?

Maltase

In lipid absorption, what specialized steps do hydrophobic molecules like lipids require?

Formation of micelles for absorption

Which enzyme is involved in the breakdown of lactose into glucose and galactose?

Lactase

Where does the activation of pancreatic enzymes like trypsin and chymotrypsin occur?

Duodenum

What is the main difference between micelles and chylomicrons?

Micelles contain digested triglycerides, whereas chylomicrons are formed within epithelial cells.

Where are chylomicrons formed?

In the Golgi apparatus of epithelial cells lining the small intestine

How do micelles transport lipids to the simple columnar epithelial lining?

By simple diffusion

What is the process by which fatty acids are reattached to monoglycerides to form triglycerides within epithelial cells?

Active transport

How are bile salts recovered from the GI tract back into the blood for recycling to the liver?

By active transport

What is a key function of chylomicrons once they are formed within epithelial cells?

To transport lipids to the simple columnar epithelial lining

What role does intrinsic factor play in the absorption of vitamin B12?

Forms a complex with vitamin B12 and transports it through the GI tract

Where do the B12–intrinsic factor complexes bind to receptors for absorption?

Distal ileum

What condition can result from a lack of intrinsic factor?

Pernicious anemia

How is the interaction between intrinsic factor and vitamin B12 described?

As a synergetic process

Which part of the gastrointestinal tract is essential for the absorption of the B12–intrinsic factor complexes?

Ileum

What enzyme is responsible for breaking the bond between the sugar and the nitrogenous base of a nucleoside?

Nucleosidase

Where are nucleic acid component building blocks absorbed?

Small intestine

What is the main site for both chemical digestion and absorption of nutrients?

Small intestine

What kind of digestion occurs within the stomach?

Both mechanical and chemical digestion

Which accessory digestive organ secretions are released into the duodenum to facilitate digestion in the small intestine?

Pancreatic secretions

Where do the final changes to chyme occur?

Large intestine

What is the enzyme responsible for breaking the bond between glucose subunits of oligosaccharides?

Dextrinase

Where does starch digestion continue within the small intestine?

Small Intestine

Which enzyme specifically digests sucrose to glucose and fructose?

Sucrase

What type of muscle contractions are weakest within the fundus of the stomach?

Smooth muscle contractions

Individuals with a lack of which enzyme are referred to as lactose intolerant?

Lactase

Which enzyme completes the breakdown of starch into individual glucose molecules in the small intestine?

Maltase

What disaccharides are digested by specific brush border enzymes in the small intestine?

Maltose and sucrose

Which enzyme breaks the bond between two glucose molecules in maltose?

Maltase

What are the monosaccharides released from the enzymatic digestion of disaccharides?

Glucose, fructose, and galactose

Which enzyme is produced and secreted from the pancreas into the small intestine for digestion?

Pancreatic amylase

Which type of enzymes are dextrinase, glucoamylase, and maltase?

Brush border enzymes

Where is the completion of starch breakdown accomplished in the small intestine?

Small Intestine lining

What is the main function of bile salts in the process of lipid digestion?

Facilitating the chemical digestion of triglycerides by pancreatic lipase

What role does lecithin play in the process of lipid digestion?

Facilitating the formation of micelles

After pancreatic lipase digests triglycerides into monoglycerides and fatty acids, where are these products absorbed?

Lacteal within the lamina propria

What happens to triglycerides after they are chemically digested by pancreatic lipase?

They are re-formed within epithelial cells

In lipid digestion, what is the function of chylomicrons formed within epithelial cells?

Transport lipids to lacteals

What is the final destination of chylomicrons after they are released from epithelial cells?

Lacteals in the lamina propria

What is the role of hydrochloric acid in the stomach during protein digestion?

Denatures proteins to facilitate their chemical breakdown

Why are proteolytic enzymes synthesized and released in their inactive forms?

To protect against auto-digestion of cells that produce them

What enzyme is primarily responsible for chemically digesting proteins into shorter strands of amino acids within the stomach?

Pepsin

What happens to protein digestion when chyme enters the small intestine?

Protein digestion is inhibited by the high pH of the small intestine

What is the primary function of trypsinogen, chymotrypsinogen, and procarboxypeptidase in protein digestion?

Continuing the digestion of proteins in inactive forms

What enzyme is activated in the stomach for initiating protein digestion due to the low pH?

Pepsin

Where does the majority of water absorption in the gastrointestinal tract occur?

Small intestine

What is the approximate daily amount of water that enters the small intestine?

8 liters

How much water is absorbed by the large intestine daily?

1.8 liters

By what process is water absorbed across the epithelial lining of the small and large intestines?

Osmosis

How much water, on average, is lost daily in feces after absorption in the digestive system?

200 mL

Which part of the gastrointestinal tract absorbs most of the water that enters it?

Jejunum

Test your knowledge on protein digestion enzymes and the activation process. Questions cover salivary enzymes for starch breakdown, proteolytic enzymes in stomach and pancreas, activation of pepsin, and more.

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