Physio exam 3 - Random

Which hormone inhibits gastric emptying?

CCK

Which hormone inhibits gastric secretion?

secretin

Which hormone is inhibited by low pH?

gastrin

Micelles are formed from?

bile

What do micelles transport?

fatty acids and monoglycerides

Do micelles carry glycerol?

No.

Which hormone stimulates gallbladder contraction?

CCK

Which hormone is stimulated by the presence of protein, carbs, and fats and stimulates insulin release?

gastric inhibitory peptide

Which hormone is stimulated by nerves or fasting and increases gastric motility?

motilin

Which muscle is mainly involved in peristalsis?

circular muscle

Is the stomach involved in digestion?

No.

stomach emptying is controlled by the

enteric nervous system

peristalsis and secretion are mainly controlled by the

enteric nervous system

which 2 hormones decrease peristalsis?

secretin and glucagon

salivation is controlled by the

parasympathetic nervous system

Most of the bile is

reabsorbed thru the small intestine - enterohepatic circulation

Brunner's glands are mucous glands that are located in the

small intestine

Crypts of Lieberkhun are located in

the SI and LI

What is different about the crypts of lieberkhun in the large intestine?

no villi

where is ptyalin secreted from?

salivary glands of mouth

where is pancreatic amylase secreted into?

small intestine

which of the monosaccharides is transported into the cells via facilitated diffusion and not co-transport?

fructose

where are these secreted from?
peptidases
sucrase, maltase, isomaltase, lactase
intestinal lipase

small intestine enterocytes

which enzyme does the pancreas secrete for carb digestion?

pancreatic amylase

which enzymes does the pancreas secrete for fat digestion?

pancreatic lipase
cholesterol esterase
phopholipase

which hormone is secreted in response to fat and acids?

secretin

which enzyme for fat digestion is in the stomach?

lingual lipase (minimal digestion)

how are glucose and amino acids transported from the intestine to the epithelial lining ?

secondary active transport (co-transport with Na+)

Which hormone enhances absorption in the small intestine? enhances Na+ transport

Aldosterone

what happens once the micelles release FFA & monoglycerides into the brush border of the intestinal lining?

enterocytes smooth ER forms new TGs and package into chylomicrons for transport through the lymphatics

glucose phosphatase is able to reverse the phosphorylation of glucose in which cells?

kidney, liver, GI

where is glycogen stored?

liver and muscles

which catecholamine activates phosphorylase and glycogenolysis?

epinephrine

which enzyme traps glucose in the cell?

glucokinase

Where is the electron transport chain located?

inner mitochondrial membrane

glycolysis produces how many ATP?

2 ATP

Krebs Cycle (Citric Acid Cycle) produces how many ATP?

2 ATP

Oxidative Phosphorylation produces how many ATP?

30 ATP

For each 2e-, how many ATP are formed?

3 ATP

electron acceptors

flavoprotein
fe-sulfide protein
ubiquinone
cytochromes B, C1, C, A, A3
A3 cytochrome oxidase

What is the final electron acceptor?

Oxygen

In the presence of O2, lactic acid is converted back into

pyruvic acid + NADH + H+

what happens to glycerol once it enters active tissue?

changed to glycerol 3 phosphate and enters glycolytic pathway

to use TGs for energy, where does FA oxidation occur?

mitochondria

How are FAs transported into the mitochondria?

carnitine carrier

what is required to bind with acetyl CoA before it can be processed in the citric acid cycle?

oxalate

what limits oxidative phosphorylation?

limited supply of oxalate (product of carb metabolism)

acetyl CoA ? AAA; what happens if too much accumulation?

ketosis/acidosis; also conversion into b-hydrozxbutyric acid

3 major protein types found in plasma

albumin
globulin
fibrinogen

Intracellular free amino acids are typically low/high?

low

Is there a max transport threshold for amino acids?

YES.

What type of amino acids are not synthesized in the body and must be acquired through the diet?

ESSENTIAL amino acids

What type of amino acids are glutamine and tyrosine?

Nonessential (synthesized in the body)

In deamination, NH3 accumulates in the body. How is it removed?

Formed into urea, and easily excreted thru urine.

Can keto acids (from deaminated amino acids) enter the citric acid cycle to produce energy?

Yes.

What is the amount of obligatory loss of protein?

20-30gm/day

phagocytic macrophages that line the hepatic venous sinuses

Kupffer cells (reticuloendothelial cells)

factor that stimulates regeneration of hepatocytes (not seen in a health liver)

HGF ? Hepatocyte Growth Factor

Liver stores iron in the form of

ferritin

most bilirubin in circulation is conjugated/unconjugated?

unconjugated

increase RBC destruction, obstruction of bile ducts, damage to liver cells can result in?

jaundice

is bilirubin in the gallbladder conjugated/unconjugated?

conjugated (already passed through the liver and has glucoronide and sulfate attached)

if you have an obstruction in your bile ducts, will you have increase or decrease of urobilin?

decrease of urobilin or none at all