| Term 
 
        | how long approx is the small intestine?   name the 3 main parts of the small intestine |  | Definition 
 
        | 2.5 - 3 metres long!   the first 30cm is the duodenum, then the jejenum and the ileum |  | 
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        | Term 
 
        | which part of the small intestine receives the chyme from the stomach? |  | Definition 
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        | Term 
 
        | which parts of the small intestine is responsible for digestion and absorbtion? |  | Definition 
 
        | the duodenum is responsible for digestion and all 3 regions  are responsible for absorbtion of all nutrients, water, vitamins and minerals |  | 
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        | Term 
 
        | in the S. intestine, what secretes copius amounts of bicarbonate-rich fluid? |  | Definition 
 
        | Crypts of Liberkuhn secrete copious amounts of bicarbonate rich fluid into the small intestine |  | 
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        | Term 
 
        | what is the epithelial wall (mucosa) covered with? |  | Definition 
 
        | covered with viili each which have numerous microvilli known as the 'brush border' here you'll find capillaries and lymphatic vessels. the total area avilable for absorbtion and digestion is 300 m2     |  | 
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        | Term 
 
        | the pancrease is about 20cm long and weighs ~100g. |  | Definition 
 
        | the acinar cells which are exocrine cells make digestive enzymes   chymotrpsin, trypsin, carboxypeptidase and elsatase are all synthesised in the pancreas as zymogens |  | 
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        | Term 
 
        | as well as making digestive enzymes, what else do acinar cells of the pancreas make? |  | Definition 
 
        | they make bicarbonate   other enzymes include pancreatic amylase (starch) lipase (fats) proteases, DNase, RNase   |  | 
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        | Term 
 
        | From acinar cells and Islets of Langerhan cells which is the endocrine and which is the exocrine cell? |  | Definition 
 
        | Acinar = exocrine   Islets of Langerhans = endocrine |  | 
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        | Term 
 
        | Islets of Langerhans has 3 main types of cells: alpha, beta and 'S' cells. What do each of these respectively produce? |  | Definition 
 
        | Alpha cells - Glucagon to stimulate glycogen ---> glucose   Beta cells - Insulin to stimulate glucose ---> glycogen   S cells - Somatostatin to regulate digestion, absorbption and release of other hormones. |  | 
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        | Term 
 
        | with regards to absorbtion, how are monosaccharides and amino acids transported?   which salts help to emulsify fats? |  | Definition 
 
        | they are transported into the blood capillaries of villi then to the liver via the hepatic portal vein     Bile salts help to emulsify fats. they are then suseptible to digestion by pancreatic lipase.   |  | 
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        | Term 
 
        | monosaccharides, amino acids, electrolytes and water absorbed from the intestines travel to the liver via which veins?   how do they enter the general circulation? |  | Definition 
 
        | mesenteric veins and the hepatic portal vein   they can then enter the general circulation via the hepatic circulation |  | 
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        | Term 
 
        | which substance produced by the liver is the waste product of RBC? |  | Definition 
 
        | bile pigments     bile salts are stored in the gall bladder |  | 
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        | Term 
 
        | the liver ..... absorbed materials and ..... blood composition. It produces many ....... found in blood plasma. It ..... blood glucose levels and stores glucose as ........... It functions in the conversion of glucose to ....... stimulated by insulin - the reverse is stimulated by ....... |  | Definition 
 
        | detoxifies, regulates, proteins, regulates, glycogen, glycogen, glucagon |  | 
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        | Term 
 
        | bile salts are derivative of whihc steroid hormone found in plasma membranes? |  | Definition 
 
        | cholesterol derivative     bile salts are amphipathic structures. They do not digest fats but act as detergents to break them down into small droplets or 'micelles' The droplets are then amenable to digestion by lipases |  | 
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        | Term 
 
        | what happens to bile salts? |  | Definition 
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        | Term 
 
        | describe how Chylomicrons are formed |  | Definition 
 
        | fatty acids and monoglycerides from fat digestion are absorbed and synthesised into triglycerides which are then packed into chylomicrons       After exocytosis, chylomicrons enter the lacteals and into the lymphatic system |  | 
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        | Term 
 
        | what is the last metre of the GI Tract known as? |  | Definition 
 
        | the colon   it is composed of the ascending, transverse, descending and sigmoid colons. there is no digestion here and little absorbtion of nutrients   the first 3 segments absorb water and inorganic ions. the sigmoid colon is a storage depot |  | 
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        | Term 
 
        | where is faecal material ejected through? |  | Definition 
 
        | it is ejected through the rectum and anus (internal and external anal sphincters)     extra on colon: the acsending, transverse and descending colon lead to the sigmoid colon and the rectum and anus |  | 
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        | Term 
 
        | at which pH is stomach enzyme pepsin optimally active? |  | Definition 
 
        | pH 2 or acidic environments     those enzymes found in the intestines are active at slightly alkaline pH |  | 
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        | Term 
 
        | where would you find amylase and ligual lipase? |  | Definition 
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        | Term 
 
        | where would you find pepsin and gastric lipase |  | Definition 
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        | Term 
 
        | where would you find amylase, trypsin, chymotrypsin, elastase, phospholipase A2, lipase-colipase, cholesterol esterase- non specific lipase, carboxypeptidase? |  | Definition 
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        | Term 
 
        | in the oral cavity, pharynx and esophagus polysaccharides (starch and glycogen) are converted into smaller polysachharides such as maltose by which salivary enzyme? |  | Definition 
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        | Term 
 
        | protein in the stomach is converted into smaller peptides by which enzyme? |  | Definition 
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        | Term 
 
        | in the lumen of the small intestine, polysaccharides are converted into maltose and other disaccharides by which enzyme? |  | Definition 
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        | Term 
 
        | what do trypsin and chymotrypsin do? |  | Definition 
 
        | help convert polypeptides into smaller peptides in the lumen of the small intestine   aminopeptidase & carboxypeptidase convert smaller polypeptides to amino acids also in the the lumen of the s.intestines. |  | 
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        | Term 
 
        | what helps fat globules turn into fat droplets?     how do we get these droplets into glycerol and fatty acids? |  | Definition 
 
        | bile salts help convert fat globules to fat droplets. The lipase helps to convert fat droplets to glycerol, fatty acids and glycerides |  | 
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        | Term 
 
        | in which part of the small intestine are disaccharides converted into monosacharides? |  | Definition 
 
        | in the epithelium of the small intestine AKA the brush border. here dipeptidases convert small peptides to a.a |  | 
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        | Term 
 
        | in response to aroma, taste, sight or thought of food the nervous system stimulates which secretions?   which phase is this? How long does it take? |  | Definition 
 
        | it stimulates nervous system and salivary secretions   (olfactory receptors, taste buds -> hypothalamus -> vagus nerves)   this phase is the cephalic or reflex phase and takes a few minutes     |  | 
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        | Term 
 
        | the gastric phase of regulation takes a few hours but whihc 3 molecules does it use? |  | Definition 
 
        | It uses acetylcholine, histamine & gastrin   Gastrin is a peptide hormone made by stomach G cells and together these 3 molecules stimulate secretion of HCL & pepsinogen |  | 
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        | Term 
 
        | which factors control the gastric phase of regulation? |  | Definition 
 
        | Stomach distension and rising pH as proteins in food mop up H+ ions, control regulation of gastric secretion |  | 
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        | Term 
 
        | release of chyme from stomach into duodenum breifly stimulates gastric activity via release of which intestinal enzyme? |  | Definition 
 
        | Intestinal gastrin   BUT continued release of Chyme inhibits gastric activity due to secretion by duodenum of gastric inhibitory peptide (GIP), vasoactive intestinal peptide (VIP), cholecystokinin (CCK) and secretin |  | 
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        | Term 
 
        | what does gastric inhibitory peptide do? (GIP) |  | Definition 
 
        | it induces insulin secretion as a result of hyperosmolarity of glucose in the duodenum |  | 
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        | Term 
 
        | what does vasoactive intestinal peptide (VIP) do? |  | Definition 
 
        | inhibition of gastric acid secretion   induce smooth muscle relaxation   stimulates pancreatic bicarbonate secretion |  | 
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        | Term 
 
        | what does cholecystokinin do? (CCK) |  | Definition 
 
        | stimulates the digestion of fats and proteins   also acts as a hunger suppressant |  | 
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        | Term 
 | Definition 
 
        | regulates the pH in the duodenum by inhibiting gastric acid secretion from the parietal cells of the stomach and by stimulating bicarbonate production from the centroacinar cells and intercalated ducts of the pancreas. |  | 
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        | Term 
 
        | the pancreas secretes insulin and GIP by exocrine or endocrine glands? |  | Definition 
 
        | ENDOCRINE glands   It secretes bicarbonate and other enzymes through exocrine glands |  | 
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        | Term 
 
        | what effect do GIP, VIP, CCK and secretin have on gastric activity? |  | Definition 
 
        | they inhibit gastric activity |  | 
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