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GI Phys Small Int.
USCSOM Physiology: GI Part IV - Small Intestine
Question | Answer |
---|---|
What is segmentation? | muscle contraction that mixes but does move food |
What is peristalsis? | coordinated reflex propelling mm. through small intestine |
What effects do opiates have on small intestine motility? | increase uproductive contractile activity, decreased secretion |
How does serotonin affect small intestine motility? | agonists increase contraction/secretion; antagonists decrease contraction/secretion |
What are some reflexes that regulate motility and how do they affect it? | perstaltic reflex increase motility, intestinointestinal reflex decrease motility, gastroileal reflex increases motility |
What anatomical features help to increase small intestine surface area? | plicae circularis, villi, microvilli |
What is a luminal digestive enzyme? | act in free solution in the lumen; include salivary, gastric, pancreatic enzymes |
What are membrane digestive enzymes? | produced by villi, bound to cell surface |
What two types of enzymes break down carbohydrates? | amylase (luminal) and di-saccharidases (membrane) |
How and in what form are carbohydrates absorped? | glucose/galactose by co-transport with Na, fructose by facilitated diffusion |
Describe lactose intolerance. | Lack of lactase, inability to break down lactose in dairy products |
What class of enzymes break down proteins and where are they produced? | proteases produced by the pancreas |
What activates pepsinogen? | HCl |
What activates trypsinogen? | enterokinase |
What activates most pancreatic proteases? | trypsin |
What is Hartnup Disease? | non-functional tryptophan transporter |
What are the 3 principle dietary lipids? | triglycerides, phopholipids, cholesterol |
What is the function of pancreatic lipase? | digests triglycerides, secreted from pancreas, requires colipase |
What does cholesterol ester hydrolase produce? | cholesterol and FFA |
What is the function of phospholipase A2? | cleaves FAs from phospholipids |
What is the rate limiting bile step? | cholesterol 7alpha-hydroxylase |
Where do bile salts get reabsorped? | terminal ileum only |
What stimulates bile release from gall bladder? | CCK and ACh from fat and protein in diet |
What are gallstones formed from? | mostly cholesterol and bilirubin |
What is steatorrhea? | excretion of fat in the stool |
What are some common causes of steatorrhea? | pancreatic insufficiency, abnormal acidity in the duodenum, inadequate bile salts |
What vitamins are transported along with fats? | A, D, E, K |
What vitamin and hormone regulate calcium absorption? | Vit D and PTH |
What electrolytes are absorbed in the jejunum? | NAHCO3 |
What electrolytes are absorbed in the ileum? | NaCl |
What happens to electrolytes in the colon? | Na absorbed, K+ secreted |
What type of cells are responsible for most secretion in the small intestine? | crypt |
What transporter is blocked by the diuretic furosemide? | Na/K/Cl cotransporter |
What are the two types of choride channels in the small intestine? | Ca activated channels (ACh) and CFTR channels (cAMP) |
What are the 3 general causes of absorption? | impaired absorption, osmotic, secretory |
What is are the causes of Celiac disease? | abnormal immune response to gluten, genetic |
What are common symptoms of celiac disease? | malabsorption, flattening of the villi, immune cells invading the luminal lining |
What is IBD? | inflammatory bowel disease including crohn's disease and ulcerative colitis |
What happens in crohn's disease? | chronic inflammation of intestine/ileum, diarrhea, abdominal pain, weight loss |
What Tx are used for crohn's disease? | anti-inflammatory drugs, immunosuppressants, surgery |
What is ulcerative colitis? | inflamation and ulcers in the outer layers of the large intestine |