Term
________ is an enzyme that converts angiotensinogen into angiotensin I. |
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Definition
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Term
The hormone
-induced increases in water permeability of the distal tubule and/or collecting ducts is mediated by a(n) ________. |
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Definition
increase in aquaporin
-2 activity |
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Term
What is the process whereby molecules are selectively transported from the peritubular fluid to the lumen of the renal tubules? |
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Definition
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Term
During myogenic regulation of glomerular filtration rate, an increase in mean arterial pressure will ________. |
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Definition
cause the afferent arterioles to constrict and thereby maintain a relatively constant glomerular filtration pressure |
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Term
The ________ is the functional unit of the kidney |
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Definition
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Term
What two structures make up the renal corpuscle? |
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Definition
Bowman's capsule and glomerulus |
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Term
The strongest stimulus for the release of antidiuretic hormone from the posterior pituitary is a(n) ________. |
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Definition
increase in plasma osmolarity |
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Term
The regulation of sodium and water balance in the kidneys occurs primarily through the unique action of the ________ cells in the distal tubules and collecting ducts. |
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Definition
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Term
After fluid passes through the entire proximal tubule, the fluid will enter the ________. |
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Definition
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Term
The intracellular event that stimulates the insertion of aquaporin
-2 into the apical membrane of the principal cell is driven by ________. |
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Definition
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Term
The cellular changes that occur in response to an increase in blood aldosterone concentration involve a(n) ________. |
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Definition
increased number of open Na
+ and K+ channels in the apical membrane |
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Term
Blood leaves the glomerulus and enters the ________. |
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Definition
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Term
Aldosterone is released from the ________ in response to ________. |
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Definition
adrenal cortex: increases in plasma potassium |
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Term
During what process are molecules selectively removed from the tubule lumen, moved into the interstitial space, and removed from the kidneys by the peritubular capillaries and the vasa recta? |
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Definition
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Term
Once produced, urine travels through the ________ until it reaches the bladder, from which it is released into the external environment by the ________. |
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Definition
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Term
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Definition
-Secrete erythropoietin(used to make red blood cells from bone marrow) -Secrete renin -Activate Vitamin D3 to calcitriol -gluconeogenesis(makes new glucose) |
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Term
The parts of the Urinary system |
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Definition
Kidneys-(filters blood)form urine Ureters-transport urine from kidneys to bladder Bladder-stores urine Urethra-excrete urine from bladder to outside of body |
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Term
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Definition
Paired, bean shaped About the size of fist, 115-170grams Retroperitoneal(back below rib cage) |
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Term
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Definition
Renal arteries enter kidney at hilus Receive 20% of cardiac output at rest(about 1 liter per minute at rest) -Less than 1% of body weight(so you know it is important) Uses 16% of ATP usage by body(almost as much as the brain) Function is to filter blood Renal veins exit at hilus |
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Term
Microscopic anatomy of the kidneys |
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Definition
Nephron(functional unit of kidney) About 1.2 million in each kidney Renal corpuscle(Bowman's capsule and glomerulus) and renal tubules |
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Term
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Definition
Glomerulus=Capillary network for filtration Bowman's capsule=receives the filtrate, inflow to renal tubules |
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Term
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Definition
Proximal tubule(Proximal convoluted tubule, proximal straight tubule) Loop of Henle(desceding limb, thin-ascending limb, thick ascending limb) Distal convoluted tubule(connecting tubule) Collecting duct |
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Term
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Definition
Long loop of Henley extends into medulla Responsible for the meullary osmotic gradient(favors movement of water) |
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Term
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Definition
Short loop of Henle Most numberous, 80-85%
Have to have both Cortical and Juxtamedullary nephrons to survive |
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Term
Juxtaglomerular apparatus |
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Definition
If we vasodialate the Afferent=get blood out of kidneys quicker If we vasoconstrict the Efferent=keep blood in kidneys longer and produce more urine |
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Term
Basic renal exchange processes |
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Definition
Glomerular filtration(Corpuscle)=from glomerulus to Bowman's capsule Reabsorption=(bring back into body)from tubules to peritubular capillaries Secretion=(lost as urine)from peritubular capillaries to tubules(capillaries to nephron) Excretion- from tubules out of body |
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Term
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Definition
Bulk flow of plasma Glomerular capillaries to renal capsule
Your urine is completely sterile You can drink your urine if you absolutley have to in order to survive, but don't drink it more than once in a row. The second time around it will be very little water, mainly waste. |
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Term
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Definition
Movement of protein-free plasma from glomerulus to Bowman's capsule GFR=125mL/min or 180 liters/day Only 1.5 liters urine excreted/day(<1%) 99% of fluid is reabsorbed Small increase in GFR->large increase volume fluid filtered and excreted GFR is highly regulated--> -myogenic regulation(comes from smooth muscles) -tubuloglomerular feedback -regulates over a large variety of pressures Body favors reabsorption of water |
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Term
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Definition
Smooth muscle in wall of afferent arteriols Contracts in response to stretch(recoil) |
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Term
Tubuloglomerular feedback |
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Definition
Macula densa cells secrete paracrine in response to an increase in flow of fluid past them Smooth muscle of arteriole contract in response to this paracrine |
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Term
Functions of the urinary system |
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Definition
Regulate plasma ionic composition(Na,K...) Regulate plasma volume Regulate plasma osmolarity(thickness of blood) Regulate plasma pH Remove metabolic waste product and foreign substances from plasma(drugs and narcotics) |
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Term
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Definition
Most occurs in proximal convoluted tubule Some in distal convoluted tubule Barrier for reabsorption--> -Epithelial cells of renal tubules -Endothelial cells of capillary(minimal) |
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Term
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Definition
Solute moves from peritubular capillaries into tubules Barriers same as for reabsorption Transport mechanisms same but opposite direction Secreted substances -Potassium -Hydrogen ions -Choline(byproduct of acetylcholine) -Creatinine -Penicillin |
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Term
Water conservation due to Loop of Henle |
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Definition
Loop of Henle established conditions necessary to concentrate urine Loop of Henley cuts water loss to a minimum |
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Term
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Definition
Micturition=Urination Urine formed in renal tubules Fluid drains into renal pelvis and into ureter Ureter leads to bladder Bladder stores urine until it is excreted |
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Term
Regulated waste reabsorption |
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Definition
When membrane of late DCT and CD is impermeable to water Water CANNOT leave the tubules No water reabsorption More water is excreted in urine ADH stimulates the insertion of water channels(aquaporin-2) into apical membrane Water is reabsorpbed by osmosis Maximum urine concentration is 1400mOsm ADH comes from neurohypyphasis |
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Term
Regulation of ADH release |
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Definition
ADH=posterior pituitary hormone Released from neurosecretory cells originating in hypoghalamus Primary stimulus for release -Increased osmolarity(osmoreceptors(thickness of blood)) Other stimuli -Increase blood pressure(baroreceptors) -Increased blood volume(volume receptors) No ADH-No aquaporin-2(AQP2) Alcohol is the largest diurettic because it blocks ADH which blocks AQP2 which causes contant urination |
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Term
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Definition
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Term
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Definition
Low plasma sodium We can get this way through exercise University of Florida made Gatorade in the 70's to help football players balance electrolytes, it worked. Now original formula of Gatorade is only available in powder. They now have G1, G2...etc because people were drinking Gatorade just as a regular drink but it is like drinking 2-3 cans of pop. G1,2 have less sodium and less sugar to help with obesity. |
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Term
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Definition
Hypernatremia Hyponatremia Sodium-primary solute in extracellular fluid -Critical to normal osmotic pressure -Critical to function of excitable cells Body doesn't like to lose water Salt and water always go together |
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Term
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Definition
Freely filtered(passive transport) Reabsorbed in proximal tubule, distal tubule, and collecting duct No secretion |
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Term
Regulation of sodium reabsorption |
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Definition
Sodium reabsorbed in proximal tubule(70%) and distal tubule and collecting ducts Reabsorption regulated by aldosterone and ANP Reabsorption regulated at principal cells of distal tubule and collecting duct Sodium will never be put in urine by body, body wants to hold onto sodium
Sodium reabsorption -Active reabsorption -Na+/K+ pump on basolateral membrane drives reabsorption |
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Term
Effects of Aldosterone on sodium reabsorption |
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Definition
Aldosterone increases sodium reabsorption Steroid homone Secreted from adrenal cortex Acts on principal cells of distal tubules and collecting ducts -Increases number of Na+/K+ pumps on basolateral membrane -Increases number of open Na+ and K+ channels on apical membrane |
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Term
Renin-Angiotensin-Aldosterone system |
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Definition
Granular cells of JGA secrete renin Capillary walls contain angiotensin converting enzyme(ACE) Liver secretes angiotensinogen Regulated by kidney Afferent |
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Term
Atrial Natriuretic Peptide(ANP) |
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Definition
Secreted by atrial cells in response to distention of atrial wall Increase GFR -Dilation of afferent arteriole -Constriction of efferent arteriole Decreases sodium reabsorption by closing sodium channels in apical membrane Overall effect: Increased sodium excetion Gravity reduces loss of water NASA made Tang to help astronauts not faint when returning to earth's atmosphere Tang is salty which holds onto water in the body. |
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Term
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Definition
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Term
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Definition
Low plasma potassium
Potassium is crutial to function of excitable cells |
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Term
Renal handling of potassium ions |
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Definition
Glomerulus-freely filtered Proximal tubules-reabsorbed Distal tubules and collecting ducts- reabsorbed and secreted Potassium secretion in distal tubules and collecting ducts is regulated Aldosterone regulates principal cells -Primary affects potassium -Secondary affects sodium |
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Term
Regulation of aldosterone release |
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Definition
Renin-angiotensin-aldosterone system K+ in plasma directly stimulates aldosterone release -As K+ increases, more aldosterone released |
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Term
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Definition
Hollow tube 15 feet long Mouth->pharynx->esophagus->stomach->small intestine->colon->rectum->anus |
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Term
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Definition
Four layers -Mucosa(inner layer) lines lumen -Submucosa- Connective tissue -Muscularis externa(two types of muscles-circular which mixes bolus, and longitudinal which moves the bolus down the GI tract) Serosa-connective tissue |
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Term
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Definition
Digestion begins with mastication(chewing) Secretion=saliva -Lubricant -Salivary amylase-digestive starch and glycogen |
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Term
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Definition
Also known as the throat Common passageway for air and food Food enters via the esophagus |
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Term
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Definition
Muscular tube from pharynx to stomach Upper 1/3-skeletal muscle Lower 2/3-smooth muscle Upper esophageal sphincter(skeletal muscle) Lower esophageal sphincter(smooth muscle) between esophagus and stomach |
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Term
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Definition
Stores food after swallowed Empty volume=50mL Full volume=100mL Secretes gastric juice Releases food into intestine slowly Fundus Body Antrum Contractions -Mix chyme(circular) -Gastric emptying(longitudinal) |
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Term
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Definition
Secretory products -Pepsinogen secreted by cheif cells --Precursor for pepsin, enzyme that digests proteins Hydrogen ions secreted by parietal cells -Maintain acidic environment of stomach Intrinsic factor secreted by parietal cells -Necessary for absorption and breakdown of Vitamin B12(only comes from animal stomach) Gastrin secreted from G cells(hormone) Mucus secreted from neck cells |
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Term
Acidic environment of stomach |
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Definition
pH=2 Necessary for activating pepsinogen Denatures proteins Kills bacteria(if bacteria is not killed, you will be sick) Gastric mucosal barrier -Protective layer of mucus and bicarbonate(base) -Secreted from neck cells and goblet cells
If mucus and bicarbonate layer is eaten away, we have ulcers |
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Term
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Definition
Regulates passage of chyme between stomach and small intestine |
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Term
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Definition
Coiled, hollow tube 8-10 feet long Between stomach and large intestine Primary site of digestion and absorption Three divisions -Duodenum -Jejunum -Ileum |
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Term
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Definition
Pancreatic juice enters duodenum -Digestive enzymes -Bicarbonate(neutralizes acidic chyme) Bile enters duodenum -Secreted from liver -Can be stored in gallbladder Contains bile salts which aid in fat digestion |
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Term
Absorption in small intestine |
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Definition
Absorption completed within first 20% of intestine length(most in duodenum, some in jejunum, none in ileum) Anatomically arranged for large surface area for absorption |
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Term
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Definition
Villi increase surface area of epithelium -Contain blood vessels and lacteal for absorption of nutrients Microvilli increase surface area of epithelial cells -Form brush border |
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Term
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Definition
Liver makes bile Absorbed nutrients travel in blood to liver before entering general circulation Liver functions to detoxify substances and processes certain nutrients |
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Term
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Definition
Vasculature that delivers absorbed nutrients to liver before entering general circulation Nutrients absorbed from small intestine into mesenteric veins Nutrients travel from mesenteric veins to liver via hepatic portal vein Nutrients travel from liver to heart(general circulation) via hepatic vein Hepatic artery provides liver with fresh blood to supply oxygen |
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Term
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Definition
Hollow tube from small intestine to rectum Functions -Concentrates waste into feces -Absorption of most water -Store feces until defication Internal anal sphinctor is controled by smooth muscle External anal sphinctor is controled by skeletal muscle Four sections -Ascending colon -Transverse colon -Descending colon -Sigmoid colon |
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Term
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Definition
Large intestine=cecum, colon, and rectum Ileocecal spincter is between ileum and colon Teniae coli are bands of longitudinal smooth muscles(slowly squeezing water out of food stuff) |
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Term
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Definition
Colon empties into rectum, then feces excreted through anus Colon, rectum, and cecum=large intestine Internal anal sphincter=smooth muscle External anal sphincter=skeletal muscle Relaxation of BOTH sphincters necessary to open and excrete feces=defication |
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Term
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Definition
Secreted products via ducts into the lumen of the GI tract Include the following -Salivary glands which secreted saliva -Pancreas which secretes pancreatic juice -Liver which secretes bile |
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Term
Characteristics of saliva |
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Definition
Rich in bicarbonate ions Contains mucus Enzymes -Salivary amylase -Lysozyme |
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Term
________ cells are responsible for secreting pepsinogen into the lumen of the stomach. |
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Definition
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Term
The presence of food in the duodenum will cause ________ secretion to increase, which decreases the sensation of hunger. |
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Definition
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Term
Which of the following is the correct order of the layers of the gastrointestinal tract wall, from lumen to external surface? |
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Definition
mucosa submucosa muscularis externa serosa |
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Term
The technical word for chewing is ________. |
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Definition
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Term
________ cells function to secrete hydrogen ions into the lumen of the stomach. |
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Definition
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Term
Which of the following is the correct order of the components of the small intestine, from stomach to colon? |
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Definition
duodenum jejunum ileum |
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Term
Which lipoprotein increases the risk for the development of CVD due to it's mobility? |
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Definition
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Term
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Definition
folds in the stomach that can flatten to expand the stomach volume |
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Term
The digestion of proteins begins in the ________ with the activation of the zymogen ________. |
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Definition
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Term
Gastric -phase control of gastrointestinal function refers to its site of origin ________. |
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Definition
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Term
The secretion of leptin causes ________. |
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Definition
decreased sensation of hunger |
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Term
Leptin is a strong stop eating signal. What happenned once it was produced in a lab and sold to Johnson and Johnson? |
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Definition
It worked in animals very well, but didn't do anything in humans. |
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Term
As the food is broken into smaller pieces in the mouth, it is combined with ________ that facilitates its movement down the esophagus. |
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Definition
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Term
One of the degradation by -products of hemoglobin, ________, is removed from the liver (and thereby the body) in bile. |
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Definition
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Term
________ are enzymes secreted by the exocrine pancreas to degrade fats. |
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Definition
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Term
Which of the following is a ring of skeletal muscle that regulates the movement of a bolus into the esophagus? |
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Definition
upper esophageal sphincter |
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Term
Which of the following secretes primarily lipase enzymes? |
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Definition
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Term
The hormone ______ is a start eating signal that will cause one to eat without consequence. (abbreviation only please) |
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Definition
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Term
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Definition
Has exocrine(bicarbonate, enzymes) and endocrine(alpha, beta, glucagon..)portions Exocrine portions produce pancreatic juice rich in pancreatic amylase and lipases, proteases, nucleases |
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Term
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Definition
Precurser for pepsinogen Inactive forms of digestive enzymes Stored in zymogen granules of acinar cells Activated, usually by proteolytic enzymes, in lumen of intestinal tract |
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Term
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Definition
Secrete bile Processing of nutrients -Glucose->glycogen -Amino acids->fatty acids -Triglycerides and cholesterol synthesis -Lipoprotein synthesis Removal of old red blood cells(assists the spleen) -Catabolize hemoglobin -Generates bilirubin Elimination of wastes and toxins -Bilirubin eliminated as bile pigments Synthesis of plasma proteins Secretion and modification of hormones No functioning liver=build up of old red blood cells=jaundice |
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Term
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Definition
Liver, gallbladder, and associated ducts Liver synthesizes bile Gallbladder stores bile Common bile duct transports bile from liver and/or gallbladder to duodenum Joins with pancreatic ducts to form Ampulla of Vater Sphincter of Oddi regulates flow from pancreas and gallbladder to duodenum |
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Term
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Definition
Materials to make bile taken up from blood in sinusoids(hollow cavities) into hepatocytes Hepatocytes secrete bile into bile canaliculi, on side opposite of sinusoids Canaliculi drain into bile ducts Bile ducts drain into common hepatic ducts |
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Term
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Definition
Regulation of GI function is NOT based on the concept of homeostasis Regulate GI function to maximize absorption regardless of whether nutrients are needed Regulate conditions in lumen of GI tract to maximize absorption GI tract favors food-when it gets it, its job is to pull out as much nutrients from the food that it can. |
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Term
Neural and endocrine pathways |
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Definition
Enteric nervous system -Submucosal plexus -Myenteric plexus -Reflexes mediated through ENS controls many GI functions CNS contributions to neural control -Generally through communication of ANS with enteric nervous system GI hormones secreted from endocrine cells in stomach and small intestine Sensory receptors in GI tract detect environment in lumen to initiate reflexes |
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Term
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Definition
Basically it shuts off your stomach and prepares your small intesines for food. |
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Term
Phases of gastrointestinal control |
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Definition
Cephalic phase-stimuli originate in head(thoughts, taste, smell) Requires input from CNS(long reflexes) Gastric phase-stimuli originate in stomach(long and short reflex and GI hormones)(breaks down food) Intestinal phase-stimuli originate in small intestine(absorption) Long and short reflex and GI hormones |
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Term
Short-term regulation of food intake |
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Definition
Hunger versus satiety Satiety factors=insulin, CCK, neural input from mechano-and chemo-receptors CCK takes about 15 minutes to tell your brain to stop eating. Drink water or eat a salad first and eat slowly, you can cut your calories almost in half by doing this. |
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Term
Long-term regulation of food intake |
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Definition
Leptin=hormone released from adipose cells when calories exceeds demand Leptin suppresses hunger and increases metabolism.
NPY tells us to START eating. If we were to inject NPY into our brain it would make us eat everything around without concern for our well being. Leptin helped lab rats to lose weight, but when it was put into pill form, it didn't work on humans. |
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Term
Gastrointestinal secretion and its regulation |
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Definition
Saliva secretion Acid and pepsinogen secretion in the stomach Secretion of pancreatic juice and bile Rates of fluid movement in the digestive tract |
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Term
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Definition
Taste and texture of food->mechanoreceptors and taste receptors in mouth->salivary center of medulla->autonomic nervous system->stimulate salivation
When you smell cooking, or think of cooking you start to salivate |
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Term
Autonomic input to salivary glands |
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Definition
Parasympathetic->watery saliva Sympathetic->more mucus, thick saliva(cotton mouth) You can tell if someone is high through there saliva |
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Term
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Definition
Parietal cells produce hydrochloric acid -Carbonic anhydrase catelyzes production of bicarbonate and H+ -H+ are actively secreted into lumen of stomach -Bicarbonate is transported into interstitial fluid for Cl- -Cl- diffuses into lumen of stomach through channels Net result of acid production -H+ and Cl- are secreted into lumen of stomach(forms hydochloric acid) -Bicarbonate enters the interstitial fluid and then blood |
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Term
Regulation of acid secretion into stomach |
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Definition
Stimulate acid secretion Parasympathetic nervous system Gastrin(activate and prepare stomach for digestion) Histamine(paracrine) |
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Term
Regulation of pepsinogen secretion into stomach |
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Definition
Pepsinogen secretion regulated in sync with acid secretion -Parasympathetic nervous system -Gastrin -Histamine
If acid goes up, pepsinogen goes up too! |
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Term
Cephalic-phase regulation of secretion |
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Definition
Stimuli increase acid and pepsinogen secretion -Sight of food, taste, smell, chewing, swallowing(all of this plus just the thought of food make you start to salivate) All activate parasympathetic nervous system Parasympathetic nervous system stimulates gastrin secretion |
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Term
Gastric-phase regulation of secretion |
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Definition
Stimuli of gastric secretion: proteins, peptides, and amino acids, distension of stomach Short and long reflex pathways trigger gastrin, acid, and pepsinogen release |
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Term
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Definition
Gastric phase -Exit of food removes stimuli for secretion -Increased acidity inhibits gastrin release
Prepares for intestinal phase
Intestinal phase Entry of food into duodenum causes -Increased osmolarity, fat and acid, distension Long and short term reflex pathways inhibit acid and pepsinogen secretion
Shuts off gastric phase, no longer need acid and pepsinogen |
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Term
Stimuli for CCK and secretin release |
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Definition
Stimuli for CCK release -Fat and amino acids in duodenum Stimuli for secretin release -Acidity in duodenum
CCK goes up, secretin goes up as well |
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Term
Regulation of bile secretion into duodenum |
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Definition
Secretin-stimulates bile secretion from liver CCK-stimulates gallbladder contraction, stimulates relaxation of sphincter of Oddi Emulsification=to make smaller, increase surface area to make it more manageable
Need both CCK and secretin |
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Term
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Definition
Movement of the wall of the GI tract Due primarily to the contractions of the muscularis externa(outer muscle layers)-two layers of muscle; circular(mix), longitudinal(propel) Function: to mix and propel |
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Term
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Definition
Squeeze and propel forward Requires circular and longitudinal muscle |
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Term
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Definition
Squeeze and propel forward Requires circular and longitudinal muscle contractions Proximal segment -Circular muscle contracts; longitudinal muscle relaxes -Diameter decreases Distal segment -Circular muscle relaxes; longitudinal muscle contracts -Diameter increases Contents propelled forward from small diameter to large Only ONE direction |
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Term
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Definition
Circular only A type of motility of the small intestine Requires circular muscle layer Alternating contractions between intestinal segments Mixes chyme |
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Term
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Definition
Voluntary and involuntary control Chewing reflex-cyclical reflex -Normally, jaw muscles active-hold mouth closed -Food enters mouth-inhibits jaw muscles -Jaw dropping relieves pressure of food-contract -Pressure from food restored-inhibited |
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Term
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Definition
Chewed food+saliva=bolus Tongue moves bolus to pharynx Initiates swallowing reflex Integration center=swallowing center of medulla oblongata |
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Term
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Definition
Functions -Mix chyme -Regulate gastric emptying Mechanism -Peristalsis -Coordinated by enteric nervous system |
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Term
Gastric motility patterns |
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Definition
Waves of peristalis(against closed sphincter) -Upper body->pylorus -Strengthen as approach pylorus Functions in mixing of chyme -Pyloric sphincter closed
Strength and pressure build up which then opens up sphincter
Functions in gastric emptying -Stronger contractions cause pyloric sphinter to open Emptying rate increases in proportion to -Volume of chyme in stomach -Strenght of gastric peristalsis |
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Term
Regulation of gastric motility |
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Definition
Regulate force of contractions Increase force -Gastrin Decrease force -CCK -Secretin -GIP |
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Term
Motility of small intestine |
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Definition
Purpose: mix and propel Segmentation -Mixes Peristalsis -Propels |
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Term
Regulation of motility in small intestine |
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Definition
Distension-increases motility Autonomic nervous system -Parsympathetic->excites -Sympathetic->inhibits Hormones-gastrin stimulates motility
If one of these is out of whack, we have either constipation or diarrhea |
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Term
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Definition
Purpose:mix and propel Haustrations:mix -Proximal colon -Like segmentation, but slower Mass movement -Propels bolus(material) toward rectum -Similar to peristalsis -Contraction lasts longer than relaxation |
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