Term
Where are carbohydrates broken down |
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Definition
The mouth and small intestine |
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Term
Where are fats broken down |
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Definition
The mouth and small intestine |
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Term
Where are proteins broken down |
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Definition
Stomach and small intestine |
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Term
Digestion is controlled by what nervous system |
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Definition
Parasympathetic via the Vagus nerve |
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Term
What breaks down starch into polysaccharides |
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Definition
the release of ptyalin (salvatory amalyase) from CN 7 and 9 |
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Term
What shuts off salvatory amalyase? |
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Definition
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Term
When carbs reach the small intestine what are they broken down by? |
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Definition
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Term
Where is pancreatic amalyase made? |
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Definition
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Term
How is pancreatic amalyase delivered? |
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Definition
through the pancreatic duct (duct of wirsung) to the second section of the duodenum through the ampulla of vata and the sphinctor of oddi |
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Term
What is does the amalyase break down the polysaccharide into? |
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Definition
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Term
What are individual disaccharide enzymes broken down into monosaccharides by? |
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Definition
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Term
Lactase is broken down into |
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Definition
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Term
Lactose is broken down into |
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Definition
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Term
Sucrase is broken down into |
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Definition
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Term
Sucrose is broken down into |
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Definition
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Term
Maltase is broken down into |
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Definition
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Term
Maltose is broken down into |
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Definition
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Term
The monosaccarides are absorbed and sent to __ |
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Definition
the liver via the portal vein |
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Term
For the digestion of protein gastric glands give rise to |
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Definition
parietal cells (oxyntic cells) and chief cells (peptic cells) |
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Term
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Definition
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Term
Parietal/oxyntic cells make |
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Definition
HCL, intrinsic factor for B12 absorbtion in the terminal ileum |
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Term
What is the purpose of HCL in the stomach |
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Definition
converts pepsinogen to pepsin which breaks down protein into polypeptides |
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Term
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Definition
mucous neck cells or cardiac gastric cells |
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Term
What gives rise to gastic cells? |
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Definition
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Term
Gastric cells produce ___ |
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Definition
gastrin which increase gastric secretions and motility and mucous |
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Term
When polypeptides reach the small intestine what converts trypsinogen into trypsin |
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Definition
enterokinase (brush boarder cells) |
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Term
When trypsinogen is converted into trypsin what is activated |
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Definition
all other proteolytic enzymes and then gets transported to the liver for digestion |
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Term
What protects the pancreas from digesting itself |
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Definition
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Term
What can happen if trypsin inhibitor is blocked |
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Definition
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Term
What breaks down polypeptides in the small intestine |
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Definition
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Term
What digests elastin fiber that holds meat together? |
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Definition
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Term
What helps break into individual amino acids then gets sent to the liver? |
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Definition
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Term
what has enterocytes that are the brush boarders of the microvilli |
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Definition
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Term
What releases aminopolypeptidase and dipeptidase to break down poly and dipeptides into amino acids? |
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Definition
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Term
What do goblet cells produce? |
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Definition
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Term
What starts the breakdown of fat |
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Definition
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Term
How much fat is broken down in the stomach |
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Definition
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Term
What causes the production of pancreatic lipase to break down fat? |
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Definition
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Term
In response to fat the pyloric sphinctor is |
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Definition
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Term
What effect does the Closing of the pyoloric sphinctor have on gastrin |
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Definition
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Term
The inhibitory effect of gastrin causes the gallbladder to release ___ |
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Definition
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Term
What does the effect of bile do? |
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Definition
increases the surface area of fats to be acted on |
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Term
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Definition
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Term
What do micelles do with the fat |
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Definition
they carry digested fat to the microvilli of the lacteal glands for absorption |
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Term
Where is fat absorbed and in what form? |
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Definition
lymphatics in the form of chylomicrons |
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Term
Long chain fatty acids are absorbed in the ___ |
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Definition
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Term
Medium chain fatty acids are absorbed in the |
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Definition
portal system to the liver or lymphatics |
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Term
Small chain fatty acids are absorbed |
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Definition
in the liver directly through the portal system |
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Term
What is the mineral of B12 |
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Definition
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Term
What needs intrinsic factor to be absorbed in the terminal ileum |
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Definition
methylcobalamin or cyanocobalamin |
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Term
What happens if there is a decrease of intrinsic factor in the stomach |
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Definition
pernicious anemia (macrocytic, normochromatic anemia) aka megaloblastic anemia |
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Term
What is the standard treatment of a decreased intrinsic factor |
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Definition
folic acid (B9/methylfolate) or B12 (methylcobalamin) injections |
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Term
What happens if a decreased intrinsic factor is left untreated? |
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Definition
posterolateral sclerosis of the spinal cord (combined systems disease) |
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Term
What can stop B12 absorbtion in the ileum? |
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Definition
fish tapeworm (diphyllobothrium latum) |
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Term
what are larger than normal cells |
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Definition
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Term
What are cells of normal color |
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Definition
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Term
what are cells of less color |
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Definition
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Term
What is the function of B12 or folic acid |
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Definition
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Term
If an immature cell is larger than normal folic acid or B12 may |
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Definition
shrink the RBC through DNA synthesis (Macrocytic Megaloblastic anemia) |
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Term
If folic acid and B12 has nothing to do with hemoglobin it is |
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Definition
normochromic (sometimes boards only has Hypochromic) |
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Term
If the cell is iron or hemoglobin deficient it is |
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Definition
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Term
if there is less iron it will cause less hemoglobin causing |
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Definition
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