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Digestive System
Digestive System
96
Anatomy
Undergraduate 1
05/05/2010

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Term
The gastroinstestinal (GI) tract or alimentary canal extends from what part of the body to another part of the body?
Definition
It begins from the mouth and continues through the pharynx, esophagus, stomach, small and large intestine, rectum, and ending at the anus.
Term
What are the six accessory structures and organs that aid the GI tract in the physical and chemical digestion of food?
Definition
Teeth, tongue, salivary glands, liver, gall bladder, and pancreas
Term
What are the 5 essential digestive processes?
Definition
1. Ingestion
2. Propulsions or movement of food (swallowing and peristalsis)
3. Mechanical (chewing, churning of the stomach, segmentation in the intestines) and chemical digestion
4. Absorption of nutrients
5. Defecation
Term
What are the four layers of the GI tract?
Definition
Mucosa, submucosa, muscularis externa, serosa (visceral peritoneum)
Term
Describe the mucosa layer of the GI tract.
Definition
A layer of three tissues that lines the lumen of the GI tract from the mouth to the anus.
Term
The epithelial layer of the mucous layer or membrane of the mouth, pharynx, esophagus, and anal canal is lined with what type of tissue?
Definition
nonkeratinized stratified squamous epithelium
Term
How about the epithelium of the mucous membrane of the stomach, small intestine and large intestine?
Definition
simple columnar epithelium with abundant mucus-secreting goblet cells (mucus protects the organs from own digestive enzymes and eases the passage of food)
Term
What function does the columnar epithelium of the mucosas of the stomach and small intestine specialize in?
Definition
Stomach: secretes digestive enzymes
small intestines: absorb digested food
Term
What is the connective tissue layer of the mucous membrane which consists of blood capillaries, lymph capillaries, and lymphatic follicles in the ileum of the intestine?
Definition
lamina propria
Term
What is the thin smooth muscle called that is responsible for local movement (not peristalsis)?
Definition
muscularis mucosae
Term
Describe the submucosa layer of the GI tract.
Definition
Dense irregular connective tissue that binds the mucosa to the muscularis externa (third layer).

It contains blood and lymphatic vessels, digestive glands, and ANS nerve plexuses that control digestive gland secretions.
Term
Describe the muscularis externa layer of the GI tract.
Definition
Skeletal muscle in the mouth, pharynx, and the first third of the esophagus.
Term
The skeletal muscle is replaced by two layers of what type of muscle?
Definition
Smooth muscle, which lines the last 2/3 of the esophagus, and continue into the stomach, and small and large intestines.
Term
Describe the two smooth muscle layer in the esophagus, stomach, and small and large intestines.
Definition
It has an inner circular layer and an outer longitudinal layer.

The ANS myenteric nerve plexuses coordinate the smooth muscle action.
Term
What is the function of the muscularis externa?
Definition
peristalsis and segmentation (dividing and redistributing the bolus)
Term
Describe the serosa layer (visceral peritoneum) of the GI tract.
Definition
A serous membrane that protects the outermost layer of the stomach, small intestine, and large intestine.
Term
The oral cavity includes...?
Definition
lips, teeth, palate, and tongue that are wet with saliva
Term
The mucous membrane of the oral cavity is lined with...
Definition
nonkeratinized stratified squamous epithelium
Term
The teeth are embedded in what sockets of what parts of the skull?
Definition
the alveolar processes of the maxillae and mandible
Term
The alveolar processes are covered by...?
Definition
gingiva (gums)
Term
What function does the orbicularis oris of the lips and buccinators of the cheeks serve?
Definition
It keeps food between the teeth to chew.
Term
The tongue forces food onto the hard palate during chewing and forms the food into what?
Definition
It forms the food into a bolus (ball of food) and then the tongue pushes the bolus to the back of the mouth.
Term
The posterior soft palate forms the...?
Definition
uvula, which covers the nasopharynx during swallowing.
Term
The salivary glands secrete saliva which contains...
Definition
mucus and salivary amylase (digestive enzyme)
Term
What function does saliva serve in digestion?
Definition
Saliva keeps mucous membranes moist, dissolves some food chemicals so that they can be tasted by taste buds, moistens food to help form a bolus, and begins the chemical breakdown of starchy foods.
Term
What glands secrete most of the saliva?
Definition
The parotid, submandibular, and sublingual glands
Term
The flow of these salivary glands is controlled by what parasympathetic cranial nerves?
Definition
Cranial nerve VII (facial) and IX (glossopharyngeal)
Term
The tongue pushes the bolus from the oral cavity to what part of the digestive system?
Definition
oropharynx, then the uvula closes off the nasopharynx
Term
After the food moves past the oropharynx it passes through the...?
Definition
laryngopharynx into the esophagus as the epiglottis closes off the larynx
Term
What is the esophagus and what does it pass through?
Definition
It is a muscular tube, 10 inches long and posterior to the trachea.

It passes through the mediastinum and then through the opening in the diaphragm (esophageal hiatus).
Term
About three inches into the esophagus, the skeletal constrictor muscles of the pharynx are replaced by...?
Definition
the contractions of longitudinal and circular smooth muscles (peristalsis) that push the bolus through the esophagus.
Term
What is the gastroesophageal (=cardiac) sphincter?
Definition
a small smooth muscle valve at the entrance of the stomach where the esophagus joins the stomach

It relaxes during peristalsis allowing the bolus to enter.

The sphincter is not a true sphincter (not a ring of smooth muscle to seal off the opening)
Term
What is the stomach and what function does it serve in the digestive system?
Definition
It's about 10 inches long. It serves as a temporary "storage tank" for the mechanical breakdown of food and the initial chemical breakdown of proteins.
Term
What are the four regions of the stomach?
Definition
Cardia, fundus, body, and pylorus
Term
What are rugae?
Definition
The longitudinal folds in the mucosa when the stomach is empty which allows the stomach to stretch to hold approximately 1.5 liters of food, but as much as 4 liters.
Term
The lining of the stomach mucosa is lined by what kind of tissue?
Definition
simple columnar epithelium, which specializes in glandular cells generally called gastric glands
Term
The gastric juice secreted by the gastric glands consists of...?
Definition
pepsin that digests proteins into amino acids and hydrochloric acid that makes the stomach contents very acidic (pH 1.5-3.5) and helps destroy bacteria
Term
The mucous cells in the stomach make what kind of mucus and for what purpose?
Definition
alkaline mucus to shield gastric cells from the effects of HCl.
Term
Stomach mucosa only absorbs what kinds of substances?
Definition
Water, salts, aspirins, and alcohol.
Term
The muscularis externa has 3 smooth muscle layers that churn stomach contents. What are they?
Definition
circular, longitudinal and oblique smooth muscle layers
Term
Boluses are degraded physically and mixed with gastric juices to become a semifluid mass called ________.
Definition
Chyme
Term
Chyme exits from the stomach into the small intestine through via the __________.
Definition
pyloric sphincter (ring of smooth muscle)
Term
What does the pyloric antrum do?
Definition
It squirts small amounts of chyme through the pyloric sphincter into the small intestine. It takes 2-6 hours for the stomach to empty completely.
Term
The small intestine extends from the __________ of the stomach to the __________.
Definition
pyloric sphincter, large intestine
Term
Enzymatic digestion is complete in the ___________.
Definition
Small intestine (90% of all nutrient absorption is in the small intestine)
Term
Name the 3 segments of the small intestine.
Definition
duodenum, jejunum, and ileum
Term
What function does the duodenum serve in the small intestine?
Definition
Most digestion and some absorption of nutrients occur here.
Term
The duodenum has submucosal glands (Brunner's glands) that make what kind of mucus?
Definition
Alkaline mucus (pH of 7.6) that helps neutralize the acidic chyme
Term
What does the jejunum of the small intestine do?
Definition
It is responsible for much of the absorption of nutrients.
Term
What does the ileum of the small intestine do?
Definition
It joins the large intestine to the ileocecal valve.
Term
What does the ileum of the small intestine do?
Definition
It joins the large intestine to the ileocecal valve.
Term
What are "Peyer's patches"? (think immune system)
Definition
also known as aggregated lymphoid nodules; they are large clusters of lymphoid follicles structurally similar to the tonsils. They are located in the wall of the distal portion of the small intestine which destroy bacteria before the can breach the intestinal wall and generate many memory lymphocytes for long-term immunity.
Term
The simple columnar epithelial cells of the mucosa possess ___________ that increases the cell membrane surface area for absorption.
Definition
microvilli (brush border)
Term
The mucosa, itself, has projections called _________ that are 1 mm high, which further increase the surface area for nutrient absorption.
Definition
villi
Term
The mucosa is folded into ___________ that rotate the chyme.
Definition
circular folds (plicae)
Term
The lamina propria has a ____________, which receives the absorbed nutrients, and ____________ that receive absorbed fats.
Definition
dense blood capillary bed; lacteals (lymphatic capillaries)
Term
The muscularis externa of the small intestine has the ___________ and ___________ layers of smooth muscle for peristalsis.
Definition
circular; longitudinal
Term
Undigested material enters the large intestine through the _____________.
Definition
ileocecal valve
Term
The large intestine is about ___ feet long and ___ inches in diameter and mainly absorbs 90% of ________ in the chyme.
Definition
5 feet; 2.5 inches in diameter; 90% of water
Term
The large intestine is divided into what 3 structural regions?
Definition
cecum, colon, and rectum
Term
The lymphatic tissue protruding from the interior surface of the cecum is the _____________.
Definition
vermiform appendix
Term
The cecum merges with the colon, which contains what 4 distinct regions?
Definition
ascending, transverse, descending, and sigmoid colons.
Term
The mucosa in the large intestine before the rectum contain _________ _________ epithelium, which has no ________.
Definition
simple columnar; no villi
Term
The mucosa makes mucus that eases the passage of ___________ to the rectum.
Definition
feces (solid waste)
Term
The longitudinal smooth muscle of the muscularis externa is thickened into three bands, the ____________ .
Definition
taeniae coli
Term
What does the taeniae coli maintain?
Definition
tonic contractions (continual tension), and causes the intestinal wall to pucker into small pocketlike pouches. (haustra [sing. haustrum])
Term
The rectum is the last ___ inches of the GI tract.
Definition
8 inches
Term
The last 1 inch of the rectum is the ___________ which opens to the exterior at the anus, in which this mucosa contains ____________ ____________ _____________ epithelium for abrasion
Definition
anal canal; nonkeratinized stratified squamous epithelium
Term
The ________________ in the rectum is the circular smooth muscle.
Definition
internal anal sphincter
Term
The ____________________ is a voluntary skeletal muscle associated with the __________________.
Definition
external anal sphincter; perineal musculature
Term
The peritoneum is a _____________ serous membrane in the abdominopelvic cavity that covers most organs, the body wall and creates the ______________ cavity.
Definition
continuous; peritoneal cavity
Term
The ____________ peritoneum covers the surfaces of most digestive organs.
Definition
visceral peritoneum
Term
The _____________ peritoneum lines the walls of the abdominopelvic cavity.
Definition
parietal peritoneum
Term
Organs that lie posterior to the parietal peritoneum are ______________ (e.g. duodenum and kidney are not in the peritoneal cavity)
Definition
retroperitoneal
Term
Peritonitis is an infection of the __________, which can b due by an external wound or rupturing of the GI tract (e.g ruptured appendix).
Definition
peritoneum
Term
The visceral peritoneum that wraps around an organ can form a double-layered membrane or _____________, which connects to the parietal peritoneum and suspends the organ within the peritoneal cavity.
Definition
mesentery
Term
The liver has a larger _______ lobe, a smaller ________ lobe and 2 small lobes, the __________ and __________.
Definition
right; left; caudate and quadrate
Term
The _________________ is the mesentery that suspends the liver from the diaphragm.
Definition
falciform ligament
Term
The liver cells are called ___________ .
Definition
Hepatocytes
Term
Hepatocytes secrete _________ a fluid with salts, pigments and choleterol, into the ______________ that leave the liver to enter the _______________ duct.
Definition
bile; bile canaliculi; common hepatic duct
Term
The common hepatic duct merges with the _____________ of the gallbladder to form the ________________.
Definition
cystic duct of the gallbladder; common hepatic duct
Term
The common bile duct and the _______________ merge to empty the bile into the duodenum.
Definition
pancreatic duct
Term
Bile's digestive function is _______________ i.e. breaks up fats and oils into small droplets that are easier to digest with enzymes.
Definition
fat emulsification
Term
_____________, a by-product of hemoglobin breakdown in the liver, it is one of the bile pigments that give bile its green color.
Definition
bilirubin
Term
The _______________ comes from the celiac trunk and supplies oxygenated blood into the liver.
Definition
hepatic artery
Term
The _________________ drains the blood of the digestive tract into the liver.
Definition
hepatic portal vein
Term
Both the _____________ and ___________ blood mix in the ______________________ of the hexagonally-shaped lobules which are composed of hepatocytes.
Definition
arterial and venous; sinusoidal capillaries
Term
Within the sinusoids are _________________ that remove old RBC's and remove potentially toxic material.
Definition
Kupffer's cells (liver macrophages)
Term
All blood draining from the liver (arterial or venous) enters the _________________ at the middle of the lobule, which merge into venules that empty into the _______________ and then into the _____________________.
Definition
central vein; hepatic veins; inferior vena cava
Term
The liver through its hepatocytes does six more functions. What are they?
Definition
1. Convert glucose into glycogens, stores glycogen, or release glycogen into the blood.
2. Stores certain vitamins and iron
3. Converts amino acids into glucose
4. Detoxification of toxic ammonia to urea, drugs (alcohol), amphetamines, and antibiotics such as penicillin.
5. Produces plasma proteins, such as fibrinogen and albumin that are found in the blood.
6. Has Kupffer's cells in the sinusoids that phagocytize bacteria and deteriorated blood cells.
Term
The gallbladder is a thin-walled, green, muscular sax, approximately 3-4 inches long on the inferior surface of the right liver lobe with it's function to store ________.
Definition
bile
Term
Although the liver continuously secretes bile, a sphincter of the __________________________ prevents the entry of bile into the duodenum unless needed for digestion.
Definition
hepatopancreatic ampulla
Term
The ___________ are the principal digestive enzyme organ. It is 4.5-6 in long, 1inches thick, and retroperitoneal.
Definition
pancreas
Term
The ____________ cells comprise 98% of the tissues and secrete digestive enzymes, mainly ____________ and _________, within 1200-1500 ml of _______________ excreted during digestion.
Definition
exocrine; proteases and lipases; pancreatic juice
Term
The juice leaves the pancreas through the _______________ and ___________ ducts to enter the duodenum during digestion.
Definition
pancreatic and accessory
Term
The ____________________ within the pancreas are ___________ and produce the hormones _________, _________ and ___________.
Definition
Islets of Langerhans; insulin, glucagons and somatostatin.
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