Worksheet VI:  Digestive System

1.  Identify the digestive process based on the information given below.
    a. Process of taking food into the oral cavity.        _______________________________
    b. Elimination of nondigestible wastes from body cavity via anus. _________________________
    c. Chewing of food.                    _______________________________
    d. Swallowing of food.                    _______________________________
    e. Alternate smooth muscle contractions that push food
    along the alimentary canal.                _______________________________
    f. Transport of monomers from alimentary canal to blood. _______________________________
    g. Breaking apart fat globules into microscopic globules.    ________________________________
    h. Breaking of a large food chunk into smaller pieces;
    only increases surface area; no bonds are broken.    ________________________________
    i. Breaking of polymers into monomers.            ________________________________
2. The tube that runs from the mouth to the anus is called the:     _______________________________.
3. Name 4 accessory organs of digestion.            ________________________________
                                ________________________________
                                ________________________________
                                ________________________________
4.  Identify the cavity or membrane described below.
    a. Fused double-layered peritoneum that anchors small
    intestine in abdominal cavity.                ________________________________
    b. Mesenteric cord that suspends liver from diaphragm
    and anterior abdominal wall.                ________________________________
    c. Serous membrane that covers internal organs.    ________________________________
    d.  Fused double-layered peritoneum that anchors large
    intestine in abdominal cavity.                ________________________________
    e. Membrane that runs from liver to lesser curvature of
    stomach.                        ________________________________
    f. Cavity where the kidneys, abdominal aorta, pancreas,
    and duodenum are found.                ________________________________
    g. Serous membrane that lines walls of abdominal cavity. _______________________________
    h. Membrane that runs from greater curvature of stomach
    to meet mesocolon.                    ________________________________
    i. Cavity below the diaphragm; includes liver, stomach,
    and most organs.                    ________________________________
5. Give a function of serous fluid.                ________________________________
6. What secretes serous fluids?                    ________________________________
7. Give 2 functions of mesenteries.                ________________________________
                                ________________________________
8.  Give 3 causes of peritonitis.                    ________________________________
                                ________________________________
                                ________________________________
9. Identify the disorder of the digestive system based on the information given below.
    a. Discharge of pus at base of tooth or gum line.        ________________________________
    b. Inflammation of peritoneal membranes.        ________________________________
    c. Leakage of acid up into lower esophagus.        ________________________________
    d. Upper portion of stomach extends up into esophagus;
    allows backflow of stomach acids that cause heartburn
    and muscle spasms.                    ________________________________
    e. Caused by build up of plaque at gum line; bacteria
    invade and destroy bone.                ________________________________
    f. Crater-like lesion in mucosal membrane of stomach.    ________________________________
    g. Crater-like lesion in mucosal membrane of duodenum. ________________________________
    h.  Bacteria release enzymes that degrade tooth enamel.    ________________________________
    i.  Condition where the skin turns yellow due to bile
    build-up.                        ________________________________
    j. Inflammation of the liver due to viruses or bacteria.    ________________________________
    k. Crystals form in gall bladder or bile duct.        ________________________________
    l.  Inflammation of the appendix.                ________________________________
    
    m. Scarred liver tissue due to long periods of inflammation;
    liver is very fatty.                    ________________________________
    n. Viral infection of the parotid salivary glands.        ________________________________
    o. Failure to produce lactase; results in diarrhea, gas,
    and cramps.                        ________________________________
10. List the 4 tunics of the alimentary tract from outermost to innermost.
                                ________________________________
11. Identify the tunic of the alimentary canal based on the information given below.
    a.  Usually contains 2 layers of smooth muscle.        ________________________________
    b. Visceral peritoneum.                    ________________________________
    c. Myenteric plexus is found here; ANS control of motility. _______________________________
    d. Important in secretion, absorption, and protection.    ________________________________
    e. Where lamina propria is found.            ________________________________
    f. Where muscularis mucosae is found.            ________________________________
    g.  Mostly simple columnar epithelial cells.        ________________________________
    h. Mostly mesothelium.                    ________________________________
    i.  Dense connective tissue loaded with blood vessels,
    nerves, lymph vessels, and elastic fibers.        ________________________________
    j. Tunic that lines lumen.                    ________________________________
    k. Contains submucosal plexus.                ________________________________
    l. Contains Brunner's glands in small intestine.        ________________________________
    m. Contains Peyer's patches in small and large intestines. _______________________________
    n. Contains oblique smooth muscle in the stomach.    ________________________________
12. List, from innermost to outermost, the 3 layers of the tunic mucosa.
                                ________________________________
                                ________________________________
                                ________________________________
13.  The part of the mucosal layer composed of loose areolar connective tissue and that is also rich in capillaries and lymph nodules is the:                _______________________________.
14. This region of the mucosal layer produces local movements and foldings that increase surface area.
                                _______________________________
15. Give 5 functions of the oral cavity.                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________

16.  The entrance to the oral cavity, or mouth, is the __a__.  This __a__ is bounded anteriorly by the __b__, laterally by the __c__, superiorly by the __d__, and inferiorly by the __e__.  The posterior end of the oral cavity is called the __f__.  Food is __g__ and manipulated in this cavity by the __e__.  The nasal and oral cavities are kept separate by the __d__.  The anterior 2/3 of the __d__ is called the __h__ because it is mostly composed of the __i__ and __j__ bones.  The posterior 1/3 is called the __k__ and is composed of skeletal muscle and mucosa.  The fingerlike extension of the __k__ is called the __l__.
    a. ______________________________        g. ______________________________
    b. ______________________________        h. _______________________________
    c. ______________________________        i. _______________________________
    d. ______________________________        j. _______________________________
    e. ______________________________        k. _______________________________
    f. _______________________________    l. _______________________________
    
17.  Identify the structure based on the function(s) given below.
    a. Helps keep food in mouth; important in speech.    _____________________________
    b. Manipulates food.                    _____________________________
    c. Important in mastication.                _____________________________
    d. Closes off nasal cavity during deglutition.        _____________________________
    e. Rough, corrugated surface, helps manipulate food.    _____________________________
    f. Helps keep food in mouth; forms side of oral cavity.    _____________________________
    g. Muscle that changes size of oral orifice.        _____________________________
    h.  Closes off opening to respiratory tract during deglutition. ___________________________



18.  Give 4 functions for the tongue.                _____________________________
                                _____________________________
                                _____________________________
                                _____________________________
19. The __a__ is a fleshy, mobile, mass of interlacing __b__ muscle fibers covered with sensory receptors for __c__ and __d__.  There are two kinds of __b__ muscles:  an __e__ set that run in 3 planes and do not attach to bone; and an __f__ set that anchors the __a__ to the skull, hyoid, or palate.
    a. ______________________________        d. ______________________________
    b. ______________________________        e. _______________________________
    c. ______________________________        f. _______________________________
20. Name the 3 kinds of papillae on the tongue's surface.        _______________________________
                                _______________________________
                                _______________________________
21.  Identify the kind of papillae on the tongue based on the information given below.
    a. Scattered widely; Vascular core makes these red.    _______________________________
    b.  10-12 large projections in a V pattern at rear of tongue. ______________________________
    c. Smallest and most numerous.                _______________________________
    d. Conical, keratin makes them stiff and white.        _______________________________
    e. Provides frictional surface for licking foods.        _______________________________
    f. Important in taste; mushroom shaped.            _______________________________
    g. Found only on the anterior two thirds of the tongue.    _______________________________
22.  The teeth, or __a__, are located in the __b__ sockets of the __c__ processes of the upper __d__ and lower __e__ bones.  Their base is covered by __f__ and they are anchored in place by a bone-like material called __g__ and a ligament called the __h__ ligament.  The tooth is divided into an upper and exposed __i__ and a(n) __j__ that inserts into the bone.
    a. ______________________________        f. ______________________________
    b. ______________________________        g. _______________________________
    c. ______________________________        h. _______________________________
    d. ______________________________        i. _______________________________
    e. ______________________________        j. _______________________________
23. Name the 3 layers of a tooth from outermost to innermost.    _______________________________
                                _______________________________
                                _______________________________
24. Identify the tooth layer based on the information given below.
    a. Filled with blood vessels, nerves, and lymph vessels.    _______________________________
    b. Bulk of the tooth; similar to bone.            _______________________________
    c. Acellular; hardest substance in the body.        _______________________________
    d.  Formed from ectoderm cells that dies after tooth is
    formed.                            _______________________________
    e. Root canal is continuous with this layer.        _______________________________
25. Identify the kind of tooth based on the information given below.
    a. Bulkiest of teeth; most posterior.            _______________________________
    b. 2 pairs; Cone-shaped with single root.            _______________________________
    c. Chisel-shaped with single root.            _______________________________
    d. Anteriormost teeth.                    _______________________________
    e. Usually 2 cusps; bulky; 2 or 3 roots.            _______________________________

26.  Humans possess __a__ (Give number.) sets of teeth during their lifetime.  This condition is called __b__.  The first set of __c__ (Give number.) are called __d__ teeth.  These emerge between the ages of __e__.  The last set of __f__ (Give number.) teeth are called __g__ teeth.  __g__ teeth emerge between the ages of __h__.
    a. ______________________________        e. ______________________________
    b. ______________________________        f. _______________________________
    c. ______________________________        g. _______________________________
    d. ______________________________        h. _______________________________

27. Give 5 functions for saliva.                    _____________________________
                                _____________________________
                                _____________________________
                                _____________________________
                                _____________________________
28.  Name 3 major pairs of salivary glands.            _____________________________
                                _____________________________
                                _____________________________
29. Identify the kind of salivary gland based on the information given below.
    a. Largest.                        _____________________________
    b. Located in front of and below the ear.            _____________________________
    c. Located inferior to mandible.                _____________________________
    d. Located on the sides of tongue and floor of mouth.    _____________________________
30. Name 6 components of saliva.                _____________________________
                                _____________________________
                                _____________________________
                                _____________________________
                                _____________________________
                                _____________________________
31. The ANS stimulates secretion of saliva from the salivary glands mostly by the __________________
division.
32.  Describe the 3 phases of deglutition.                
phase 1 ____________________________________________________________________
phase 2 ____________________________________________________________________ phase 3 ____________________________________________________________________
33. Identify the phase of deglutition based on the information given below.
    a. Epiglottis is depressed over glottis; bolus is propelled
    towards esophagus.                    ______________________________

    b. Tongue pushes bolus against palate into pharynx.    ______________________________
    c. Voluntary phase.                    ______________________________
    d. Peristaltic waves catch and push along esophagus.    ______________________________
34. A slimy ball of food is called a(n):                _____________________________.
35. The __a__ is where the oral, nasal, and laryngeal cavities meet.  The region nearest the oral cavity is called the __b__. The region nearest the nasal cavity is called the __c__.  The region nearest the larynx is called the __d__.
    a. ______________________________        c. ______________________________
    b. ______________________________        d. _______________________________
36.  The __a__ is a long tube that connects the pharynx with the stomach.  It is bordered superiorly by the __b__ sphincter and inferiorly by the __c__ sphincter.
    a. ______________________________        c. ______________________________
    b. ______________________________    
37.  How is the tunica muscularis of the esophagus different from most other regions of the alimentary canal? ____________________________________________________________________________
38.  During __a__, 2 sets of __b__ muscles alternate contractions to propel food onward.  The __c__  __b__ muscle contracts first and narrows the tube's diameter.  The __d__  __b__ muscle contracts next and shortens the tube.
    a. ______________________________        c. ______________________________
    b. ______________________________        d. _______________________________
39.  Give 5 functions of the stomach.                _____________________________
                                _____________________________
                                _____________________________
                                _____________________________
                                _____________________________
40. Identify the macrostructure associated with or part of the stomach based on the information provided below.
    a. Sphincter at inferior end.                ______________________________
    b.  Region of stomach nearest small intestine.        ______________________________
    c. Midportion of stomach.                ______________________________
    d. Sphincter at superior end.                ______________________________
    e. Region of stomach nearest esophagus.        ______________________________
    f. Convex lateral surface of stomach.            ______________________________
    g. Concave medial surface of stomach.            ______________________________
    h. Large longitudinal folds of mucosal lining.        ______________________________
    i. Mesenteric extension from greater curvature.        ______________________________
    

    
    j. Mesenteric extension from lesser curvature.        ______________________________
    k. Expanded superiolateral region of stomach.        ______________________________

41.  The mucosa of the stomach is __a__ epithelium.  Depressions in the mucosa, called __b__ lead into __c__.  __c__ secrete __d__.  Cells that secrete mucus, called __e__ cells, line much of the mucosa next to the lumen and the neck region of the __b__.  __f__ cells of the __c__ secrete hydrochloric acid while __g__ cells, secrete pepsinogen, an inactive form of __h__.  Other cells in the neck and __c__, called __i__ cells secrete hormones that stimulate __f__ and __g__ cells as well as control stomach emptying.
    a. ______________________________        f. ______________________________
    b. ______________________________        g. _______________________________
    c. ______________________________        h. ______________________________
    d. ______________________________        i. _______________________________
    e. ______________________________    
42.  How does the tunica muscularis of the stomach differ from the rest of the alimentary canal?
________________________________________________________________________________

43.  __a__ peristaltic waves are gentle, rippling, waves that occur 3 to 4 times per minute.  __b__ peristaltic waves move food out of the fundus and mixes with acids and enzymes.  __c__ peristaltic waves are the most vigorous and frequent.  These waves force chyme out the pyloric sphincter into the duodenum.
    a. ______________________________        c. ______________________________
    b. ______________________________    

44.  __a__ is the main enzyme released by the stomach.  Its inactive form is called __b__.  It is activated by __c__ (low/high/neutral) pH's caused by the release of __d__ from parietal cells.   Small amounts of __e__ are also released in adults.  This enzyme breaks down __f__ found in milk products.  In infants, another enzyme is very common.  This enzyme, named __g__, breaks down the protein __h__ in milk causing milk to __i__.  This __i__ prevents rapid exit of the mother's milk from an infant's stomach.
    a. ______________________________        f. ______________________________
    b. ______________________________        g. _______________________________
    c. ______________________________        h. ______________________________
    d. ______________________________        i. _______________________________
    e. ______________________________
45.  List 3 ways the stomach's lining is protected from pepsin and HCl.
                                _______________________________
                                _______________________________
                                _______________________________
46. List, in the correct sequence, the phases of gastric secretion. _______________________________
                                _______________________________
                                _______________________________
47.  Identify the phase of gastric secretion based on the information given below.
    a. Caused by the sight, smell, or sound of food.        _______________________________
    b. Food in the stomach causes distension.        _______________________________
    c. Occurs before food enters the stomach.        _______________________________
    d.  Food in the duodenum causes distension; release of
    CCK, secretin, and GIP hormones.            _______________________________
    e. Release of the hormone gastrin causes greater
    stomach motility and emptying.                _______________________________

48. Two main factors regulate emptying of the stomach.  These are:
                                _______________________________
                                _______________________________

49.  The hormone gastrin causes the cardiac sphincter to __a__ (relax/constrict), the pyloric sphincter to __b__ (relax/constrict), and the smooth muscles of the tunica muscularis to become __c__ (more active/less active).
    a. ______________________________        c. ______________________________
    b. ______________________________    

50.  Name two hormones that inhibit gastric emptying.        ______________________________
                                ______________________________

51.  Give the approximate times of emptying for the substances listed below.
    a. Carbohydrates.                    ______________________________
    b. Lipids.                        ______________________________
    c. Proteins.                        ______________________________

52.   The __a__ is an elongate gland that lies between the greater curvature of the stomach and duodenum.  It empties secretions into the __b__ by 2 ducts.  The __c__ duct unites with the common bile duct to form the __d__.  The __e__ is the shortest of the 2 ducts and enters the __b__ 2.5 cm before the __d__.  The pancreas is divided into a(n) __f__ found near the __b__, a central __g__, and a tapering __h__.  Most of the cells in the __a__ are __i__ cells.  The __i__ cells secrete __j__.  The remaining cells are in island-like clusters and are called the __k__.  The __k__ have an __l__ (endocrine/exocrine) function.
    a. ______________________________        g. ______________________________
    b. ______________________________        h. _______________________________
    c. ______________________________        i. _______________________________
    d. ______________________________        j. _______________________________
    e. ______________________________        k. _______________________________
    f. _______________________________    l. ________________________________
53.  The pancreatic ducts secrete water, salts, and:        _______________________________.
54.  The function of the substance in question 53 is: _________________________________________.
55. Name 4 general kinds of enzymes found in pancreatic juice and the kind of molecule (Carbohydrate, protein, etc.) they break down.            ____________________________________________
                        ____________________________________________
                        ____________________________________________
                        ____________________________________________
56. Name two hormones that cause pancreatic secretion.    _______________________________
                                _______________________________
57. Which division of the ANS controls pancreatic secretions?    _______________________________
58. The liver is divided into two major lobes and two minor lobes. Name these lobes.
                            Major lobes: ____________________________
                            Minor lobes: ____________________________
59. Which of the 4 lobes is the largest?                ________________________________
60.  Fill in the sequence of ducts that deliver bile to the duodenum.

    Bile capillaries in __a__----> __b__ and __c__ hepatic ducts---->__d__ bile duct----->joins __e__     duct from gall bladder---->continuing as __d__ bile duct------>__f__ ------>duodenum.
    a. ______________________________        d. ______________________________
    b. ______________________________        e. _______________________________
    c. ______________________________        f. ________________________________

61. __a__ are the functional units of the liver.  Cords of __b__ cells in a hexagonal arrangement surround a central __c__.  Between the cords are __d__.  These __d__ are lined with phagocytic __e__ cells that destroy old RBCs and WBCs and bacteria.  
    a. ______________________________        d. ______________________________
    b. ______________________________        e. _______________________________
    c. ______________________________    

62. Give 5 functions of hepatic cells.                _______________________________
                                _______________________________
                                _______________________________
                                _______________________________                                    _______________________________

63.  The liver receives a double blood supply.  The __a__ brings in nutrient poor, oxygenated blood and the __b__ brings in nutrient-rich, deoxygenated blood from the small intestine.  Blood is returned to the heart by the __c__ uniting with the __d__ vena cava.
    a. ______________________________        c. ______________________________
    b. ______________________________        d. _______________________________

64.  Bile is formed by the __a__ and stored in the __b__.
    a. ______________________________        b. ______________________________
65.  Fill in the blanks for the delivery sequence of bile from the gall bladder.
    Gall bladder--->__a__duct---->__b__duct---->__c__ ampulla.
                            a. ______________________________
                            b. ______________________________
                            c. ______________________________

66. Which valve regulates the pancreatic juice and bile flow from the hepatopancreatic ampulla?
                                ______________________________

67. Name 4 substances, besides water, found in bile.        ______________________________
                                ______________________________
                                ______________________________
                                ______________________________
68. Bile salts are important in:                    ______________________________.
69.  Name a hormone that stimulates the gall bladder to release bile. ___________________________
70. Which division of the ANS stimulates the gall bladder?    ______________________________
71.  Identify the macrostructure of the small intestine based on the information given below.
    a. Terminal sphincter that leads into large intestine.    ______________________________
    b.  Last 12 ft section of small intestine.            ______________________________
    c. First 10-12 inches of small intestine.            ______________________________
    d. Entrance point for hepatopancreatic ampulla.        ______________________________
    e. Middle section of small intestine.            ______________________________
    f. Sphincter between stomach and duodenum.        ______________________________
    g. In cross-section, these are large (1 cm) folds that
    increase surface area and cause fluids to spiral.        ______________________________

72.  Fill in the blanks concerning generalizations about small intestine histology.
    a.  Peyer's patches ____________________ (increase/decrease/remain in equal numbers)     from the beginning to the end of the small intestine.                        
    b. Goblet cells _______________________ (increase/decrease/remain in equal numbers)     from the beginning to the end of the small intestine.                        
    c. Crypts of Lieberkuhn _______________________ (increase/decrease/remain in equal     numbers) from the beginning to the end of the small intestine.
    d. Brunner's glands _______________________ (increase/decrease/remain in equal     numbers) from the beginning to the end of the small intestine.
    e. Plicae _______________________ (increase/decrease/remain in equal numbers) from     the beginning to the end of the small intestine.

73.  The mucosa of the small intestine is __a__ epithelium.  Depressions in the mucosa, called __b__ lead into __c__.  __c__ secrete __d__.  Cells that secrete mucus, called __e__ cells, line the mucosa next to the lumen and  __f__ (increase/decrease) in number towards the __g__ (What region of SI?).    Most of the other cells, called __h__ cells (These look like Bart Simpson.), release digestive __i__.
    a. ______________________________        f. ______________________________
    b. ______________________________        g. _______________________________
    c. ______________________________        h. ______________________________
    d. ______________________________        i. _______________________________
    e. ______________________________    

74. Name 4 modifications of the small intestine that increase absorptive surface area.
                                _____________________________
                                _____________________________
                                _____________________________
                                _____________________________

75. Name the 4 general kinds of enzymes found in intestinal juice. ____________________________
                                _____________________________
                                _____________________________
                                _____________________________
76.  Name 3 specific kinds of amylases found in intestinal juice.  Also give what specific molecule they break down.                            _____________________________
                                _____________________________
                                _____________________________
77.  Name 2 specific kinds of proteases.              _____________________________
                                _____________________________
78. How do the proteases from the small intestine differ in function from those in pancreatic juice?
            ______________________________________________________________
79.  Name 2 hormones that stimulate production of intestinal juice. ____________________________
                                _____________________________
80.      a. If starch is a polymer, then a(n) ________________________ is a monomer.
    b. If protein is a polymer, then a(n) ________________________ is a monomer.
    c. If DNA is a polymer, then a(n) __________________________ is a monomer.
    d. Triglycerides, a kind of ________________, are degraded into _____________________ and     2 _________________.
81. As the stomach empties acidic chyme into the duodenum, list 3 responses your body needs to make.
                                _______________________________
                                _______________________________
                                _______________________________

82.  Carbohydrates are absorbed as __a__.  Glucose and galactose are absorbed by __b__ (What process?) while fructose is absorbed by __c__ (What process?).  These __a__ are carried to the liver by the __d__ (What vessel?).
    a. ______________________________        c. ______________________________
    b. ______________________________        d. _______________________________

83. Proteins are absorbed as __a__.  Most __a__ are absorbed by __b__ (What process?) coupled with __c__ (What ion?).  These __a__ are carried to the liver by the __d__ (What vessel?).
    a. ______________________________        c. ______________________________
    b. ______________________________        d. _______________________________

84. Nucleic acids are absorbed as __a__ and __b__.
    a. ______________________________        b. ______________________________

85.  Large fat globules are __a__ into microscopic fat globules by __b__.  Lipases then break down triglycerides into __c__ and __d__.  Short-chained __d__ are absorbed by simple __e__ (What process?).  Long-chained __d__ are surrounded by 20-50 molecules of __f__ forming units called __g__.  __g__ diffuse into the brush border epithelium leaving the __f__ behind. Once in the cell, the __c__ and __d__ are recombined to form __h__.  These __h__ are then combined with phospholipids, cholesterol, and a(n) __i__ coat to form __j__.  __j__ leave the epithelium via a lymphatic capillary called the __k__.  The lymphatic vessels eventually return these __j__ to the __l__ (Which organ?).
    a. ______________________________        g. ______________________________
    b. ______________________________        h. _______________________________
    c. ______________________________        i. ______________________________
    d. ______________________________        j. _______________________________
    e. ______________________________        k. ______________________________
    f. ______________________________        l. _______________________________

86.  Name 2 differences between LDLs and HDLs. ________________________________________
                        __________________________________________

87.  How are fat-soluble vitamins absorbed?            _____________________________.

88.  Water soluble vitamins are absorbed by what process?    _____________________________

89. List, from beginning to end, the 4 regions of the large intestine. ____________________________
                                ______________________________
                                ______________________________
                                ______________________________

90. Give 5 functions for the large intestine.            ______________________________
                                ______________________________
                                ______________________________
                                ______________________________
                                ______________________________

91. Identify the macrostructure of the large intestine based on the information given below.
    a. A blind, dead-end sac.                ______________________________
    b. Main region of large intestine.                ______________________________
    c. 3 longitudinally thickened bands.            ______________________________
    d. Pouches formed by muscle contractions.        ______________________________
    e. Part of LI that runs under and in front of the liver.    ______________________________
    f. Part of LI that runs down left side of lower abdomen.    ______________________________
    g. Part of LI that forms an S curve towards the rectum.    ______________________________
    h. Fat-filled pouches attached to taeniae coli.        ______________________________
    i. Part of LI that runs up right side of abdomen.        ______________________________
    j. Last 3 cm of LI.                    ______________________________
    k. Terminal opening of LI.                ______________________________
    l.  Main area of waste compaction.            ______________________________
92. Give 2 unique features of the epithelium of the large intestine. _____________________________
                                ______________________________
93. Identify the mechanical action occuring in the LI.
    a. 3-12 contractions/min.                ______________________________
    b. Haustra relax, fill, distend; then contract and squeeze
    contents into next haustrum.                ______________________________
    c. Strong muscle contraction that begins in middle of
    transverse colon and drives feces into rectum.        ______________________________
94.  Give 3 reasons E. coli bacteria are important in your large intestine?                                                 ______________________________________
                            ______________________________________
                            ______________________________________

95.  The anus is guarded by 2 muscles.  The __a__ is composed of smooth muscle and is under __b__ (voluntary/involuntary) control. The __c__ is composed of skeletal muscle and is under __d__ (voluntary/involuntary) control.  Stretching of the rectal wall sends impulses to higher brain centers allowing initiation of the __e__ reflex.  The substance __e__ is called __f__.
    a. ______________________________        d. ______________________________
    b. ______________________________        e. _______________________________
    c. ______________________________        f. _______________________________

96. The bacterial breakdown of carbohydrates often results in gases such as H2, CO2, and CH4 forming and being discharged.  The collective name for these gases is __a__ and the discharge process is called __b__.
    a. _______________________________    b. ________________________________

97. Identify the region of the alimentary tract or the accessory organ based on the information given below.
    a. Organ has 3 layers of smooth muscle.            _____________________________
    b. Large, deep red organ, in upper abdomen.        _____________________________
    c. Main organ of absorption.                _____________________________
    d. Stores and concentrates bile.                _____________________________
    e. Manufactures bile.                    _____________________________
    f. Compact wastes; reabsorbs water.            _____________________________
    g. Tube that connects pharynx with stomach.        _____________________________
    h.  Main organ of food storage.                _____________________________
    i. Tunic muscularis is about half skeletal and half smooth
    muscle.                            _____________________________
    j. Composed of acinar cells and Islets of Langerhans.    _____________________________
    k.  Secretes water, mucin, amylase, and antibacterial agents. _________________________
    l. Stores absorbed nutrients as glycogen.        _____________________________
    m. Pear-shaped sac embedded in visceral surface of liver. ____________________________







98. Identify the type of epithelial tissue that predominates in the mucosa of a particular region of the alimentary canal.
    a. Mouth.                        _____________________________
    b. Esophagus.                        _____________________________
    c. Stomach.                        _____________________________
    d. Small intestine.                    _____________________________
    e. Large intestine.                    _____________________________
    f. Anal canal.                        _____________________________

99. Which one is better to have high levels of: HDLs or LDLs? Why?____________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

100.  What do you call a big, white animal that looks like a tooth? _______________________________

101.  Why does a dentist remove tartar or plaque from your teeth? ______________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

102.  Why does a hiatal hernia result in heartburn and back pain? _______________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

103.  Why is rennin an important stomach enzyme in babies? _________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

104. Why is it a bad idea to drink alcohol on an empty stomach? ________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

105.  Can a person that has their gall bladder removed still digest fats? Why? _____________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

106. What is the purpose of the hepatic portal system? _______________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

107. Why are Brunner's glands in greatest abundance in the duodenum? _________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

108. Identify the region of the alimentary canal based on the histological information given below.
    a.  Presence of parietal cells......................................    _______________________________
    b. No villi, many goblet cells at surface and in crypts..    _______________________________
    c. Brunner's glands present.........................................    _______________________________
    d. Chief cells present .................................................    _______________________________
    e. Brush border cells numerous in proportion to other cells. _____________________________
    f. Stratified squamous epithelium present ..................    _______________________________



109. Put the structures below in the correct sequence in terms of how they would be encountered during food passage along the gut.
    oral orifice    cecum
    accessory duct opening    oral cavity
    ileocecal junction    rectum
    anal canal    anus
    descending colon    ascending colon
    jejunum    fauces
    esophageal sphincter    oropharynx
    hepatopancreatic ampulla    cardiac sphincter
    pyloric sphincter    stomach
    esophagus    ileum
    transverse colon    sigmoid colon
    duodenum
    






































Answers:  Worksheet VI-Digestive System

1.      a. Ingestion                    f. Absorption
    b. Defecation                    g. Emulsification
    c. Mastication                    h. Mechanical Digestion
    d. Deglutition                    i. Chemical digestion
    e. Peristalsis
2. alimentary tract (canal)
3. Liver, Salivary glands, Pancreas, Gall Bladder.
4.     a. Mesentery                    f. Retroperitoneal cavity
    b. Falciform ligament                g. Parietal peritoneum
    c. Visceral peritoneum                h. Greater omentum
    d. Mesocolon                    i. Abdominal cavity
    e. Lesser omentum
5. Lubricates body organs to reduce friction.
6. Serous membranes such as the parietal and visceral peritoneums
7. Anchors organs in place./Provides pathway for blood vessels and nerves to and from organs.
8. Ulcers/Puncture wound/Ruptured appendix.
9.     a. Pyorrhea                    h. Dental carie
    b. Peritonitis                    i. Jaundice
    c. Heartburn                    j. Hepatitis
    d. Hiatal hernia                    k. Gallstones
    e. Periodontal disease                l. Appendicitis
    f. Gastric ulcer                    m. Cirrhosis
    g. Duodenal ulcer                n. Mumps
                            o. Lactose intolerance
10.  Tunicas: serosa, muscularis,submucosa, mucosa.
11.     a. T. muscularis                    h. T. serosa
    b. T. serosa                    i.  T. submucosa
    c. T. muscularis                    j. T. mucosa
    d. T. mucosa                    k. T. submucosa
    e. T. mucosa                    l. T. submucosa
    f. T. mucosa                    m. T. submucosa
    g. T. mucosa                    n. T. muscularis
12.   Epithelium, Lamina propria, Muscularis mucosae.
13.   lamina propria
14. Muscularis mucosae
15.  Ingestion, Mechanical and some chemical digestion, mastication, Deglutition, Speech.

16.     a. oral orifice                    g. masticated
    b. lips                        h. hard palate
    c. cheeks                    i. maxillary (palatine)
    d. palate                    j. palatine (maxillary)
    e. tongue                    k. soft palate
    f. oropharynx                    l. uvula

17.     a. Lips (cheeks)                    e. Hard palate
    b. Tongue                    f. Cheeks
    c. Teeth                    g. Orbicularis oris
    d. Soft palate                    h. Epiglottis
18.  Manipulates food under proper teeth./Mixes food with saliva./Taste./Speech.
19.     a. tongue                    d. touch (taste)
    b. skeletal                    e. intrinsic
    c. taste (touch)                    f. extrinsic
20. Filiform, fungiform, circumvallate.

21.     a. Fungiform                    e. Filiform
    b. Circumvallate                    f. Fungiform
    c. Filiform                    g. Filiform
    d. Filiform

22.     a. dentes                    f. gums (gingivae)
    b. alveolar                    g. cementum
    c. alveolar                    h. periodontal
    d. maxillary                    i. crown
    e. mandible                    j. root
23. Enamel, dentine, pulp cavity.
24.     a. Pulp cavity                    d. Enamel
    b. Dentine                    e. Pulp cavity
    c. Enamel

25.     a. Molars                    d. Incisors
    b. Canines                    e. Premolars
    c. Incisors

26.     a. 2                        e. 6 month and 2 1/2 years
    b. diphyodont                    f. 32
    c. 20                        g. permanent
    d. deciduous (milk)                h. 6 and 17 years
27. Solvent that cleanses teeth./Dissolves food for taste./Contains enzymes for digestion./Lubricates food for swallowing./Has antibacterial agents.
28. Parotid,Submandibular, Sublingual.
29.     a. Parotid                    c. Submandibular
    b. Parotid                    d. Sublingual
30. Water, salivary amylase, mucin, electrolytes, wastes, lysozymes, buffers.
31. parasympathetic
32.     Buccal-tongue pushes bolus against palate and into pharynx; voluntary.
Pharyngeal-Larynx elevated; epiglottis depressed over glottis; muscles propel bolus into esophagus.
Esophageal-opening of esophageal sphincter; peristalsis begins.
33.     a. Pharyngeal                    c. Buccal
    b. Buccal                    d. Esophageal
34. bolus
35.     a. pharynx                    c. nasopharynx
    b. oropharynx                    d. laryngopharynx

36.     a. esophagus            b. esophageal            c. cardiac

37.  Superior 1/3 is skeletal muscle, inferior 1/3 is smooth muscle, middle 1/3 is half and half.
38.     a. peristalsis                    c. circular
    b. smooth                    d. longitudinal
39.  Food storage./Mixes food-mechanical digestion./Chemical digestion with pepsin./Acids kill bacteria./Limited amount of absorption occurs.





40.     a. Pyloric sphincter                g. Lesser curvature
    b. Pyloric region                    h. Rugae
    c. Body                        i. Greater omentum
    d. Cardiac sphincter                j. Lesser omentum
    e. Cardiac region                k. Fundus
    f. Greater curvature

41.     a. simple columnar                f. Parietal
    b. gastric pits                    g. chief
    c. gastric glands                h. pepsin
    d. gastric juice                    i. enteroendocrine
    e. mucus neck cells
42.  The tunica muscularis in the stomach has 3 layers of smooth muscle instead of the usual 2 layers.
43.     a. Slow                        c.Strong
    b. High

44.     a. Pepsin                    f. fats (lipids)
    b. pepsinogen                    g.  rennin
    c. low                        h. casein
    d. HCl                        i. curdle (curdling)
    e. gastric lipase                
45.  Keeps enzymes and HCl in inactive forms when not filled with food./Has a thick mucus lining./Enzymes and acid are only released when food is present.
46. Cephalic, gastric, intestinal phases.
47.     a. Cephalic                    d. Intestinal
    b. Gastric                    e. Gastric
    c. Cephalic
48.  Distension and the hormone gastrin; also enterogastrin.
49.     a. constrict                    c. more active
    b. relax
50.  Cholecystokinin, secretin, and Gastric inhibitory peptide
51.     a. 2-3 hours                    c. 3-5 hours
    b. 4-6 hours

52.     a. pancreas                    g. body
    b. duodenum (small intestine)            h. tail
    c. pancreatic                    i. acinar
    d. hepatopancreatic ampulla            j. pancreatic juice
    e. accessory                    k. Islets of Langerhans
    f. head                        l. endocrine
53. sodium bicarbonate
54. neutralizes stomach acids coming into duodenum.
55.  Amylases-starches; Proteases-proteins;Lipases-lipids (triglycerides);Nucleases-Nucleic acids; cholesterol esterase breaks down cholesterol.
56. Secretin and CCK.
57. Parasympathetic
58. Right and Left Lobes; Quadrate and caudate lobes.
59. Right lobe
60.     a. liver                        d. common        
    b. right (left)                    e. cystic
    c. left (right)                    f. hepatopancreatic ampulla

61.     a. Lobules                    d. sinusoids
    b. hepatic                    e. Kupffer's
    c. vein
62.  Produce bile./Pick up and store nutrients./Detoxify drugs and poisons./Form urea./Stores fat-soluble vitamins.etc.
63.     a. hepatic artery                    c. hepatic veins
    b. portal vein                    d. inferior

64.     a. liver                        b. gall bladder

65.     a. cystic            b. common bile            c.hepatopancreatic
66. Sphincter of Oddi
67. Bile salts, cholesterol, lecithin, bile pigments-bilirubin, sodium bicarbonate.
68. Fat emulsification, absorption, and fat-soluble vitamin absorption.
69.  Secretin and CCK.
70. Parasympathetic

71.     a. Ileocecal valve                e. Jejunum
    b. Ileum                        f. Pyloric
    c. Duodenum                    g. Plicae circulares
    d. Duodenum

72.     a. increase                    d. decrease
    b. increase                    e. decrease
    c. decrease

73.     a. simple columnar epithelium            f. increase
    b. Crypts of Leiberkuhn                g. ileum
    c. intestinal glands                h. brush border
    d. intestinal juice                i. enzymes
    e. goblet                    
74. 21 ft length is folded./Plicae./villi./microvilli.
75.  Amylases-starches; Proteases-proteins;Lipases-lipids (triglycerides);Nucleases-Nucleic acids.
76. Sucrase-sucrose;lactase-lactose;maltase-maltose.
77.  Aminopeptidase and dipeptidase.
78. They split proteins between different amino acids.
79. Secretin and CCK.
80.     a. monosaccharide                c. nucleotide
    b. amino acid                    d. lipid, monoglycerides, fatty acids
81. Secretin and CCK stimulate the pancreas to release pancreatic juice; stimulate the gall bladder to release bile; and inhibit gastric emptying.
82.    a. monosaccharides                c. facilitated diffusion
    b. active cotransport with Na+            d. hepatic portal vein

83.     a. amino acids                    c. Na+
    b. active cotransport                 d. hepatic portal vein

84.     a. pentoses                    b. N bases

85.     a. emulsified                    g. micelles
    b. bile                        h. triglycerides
    c. monoglycerides                i. protein
    d. fatty acids                    j. chylomicrons
    e. diffusion                    k. lacteal
    f. bile salts                    l. liver
86.  LDLs are lighter than HDLs./HDLs transport and rid your body of cholesterol more efficiently than LDLs.
87.  In the micelles.
88. Diffusion
89. Cecum, Colon, Rectum, Anal canal.
90.  Absorption (minor function)./Manufacture of Vitamin K and some B./Formation of feces./Compacts and holds wastes./Water reabsorption./Defecation.
91.     a.  Cecum                    g. Sigmoid colon
    b. Colon                    h. Epiploic appendages
    c. Taeniae coli                    i. Ascending colon
    d. Haustra                    j. Anal canal
    e. Transverse colon                k. Anus
    f. Descending colon                l. Rectum
92.  Mostly goblet cells present; no plicae or villi.
93.     a. Peristalsis                    c. Mass peristalsis
    b. Haustral churning
94.  Manufacture Vitamin K and some B's./Break down some proteins and return some amino acids; decompose bilirubin to urobilinogen.
95.     a. internal sphincter                d. voluntary
    b. involuntary                    e. defecation (defecated)
    c. external sphincter                f. feces

96.     a. flatus                        b. flatulation

97.     a. Stomach                    h. Stomach
    b. Liver                        i. Esophagus
    c. Small intestine                j. Pancreas
    d. Gall bladder                    k. Salivary glands
    e. Liver                        l. Liver
    f. Large intestine                m. Gall bladder.
    g. Esophagus

98.     a. Stratified squamous                d. Simple columnar
    b. Stratified squamous                e. Simple columnar
    c. Simple columnar                f. Stratified squamous

99. HDLs  remove cholesterol from your system and prevent fatty acid and cholesterol build up on the tunica intima of blood vessels.
100. A molar bear!!
101. Plaque is the result of bacteria action.  If it is not removed, the plaque pushes the gum away from the tooth allowing bacteria to penetrate more deeply to the root.  If the root is destroyed, you lose the tooth.
102. A hiatal hernia is an inferior expansion of the esophagus and elimination of the cardiac sphincter.  Stomach acids easily enter the esophageal tissue, especially in the horizontal position, and inflame the muscle.  The inflammation is perceived as a burning sensation in the chest. The back pain is a result of muscle spasms in the esophagus.
103. Rennin coagulates (or curds) milk.  A liquid diet would pass through an infant's digestive tract much too rapidly if was not curdled, or semisolid.
104. The stomach has minimal absorption abilities, but alcohol is one of the few substances that pass through the stomach lining into the bloodstream very rapidly.
105. The answer is usually yes for two reasons.  1) The liver, not the gall bladder, is the source of bile synthesis.  Therefore, a fatty meal still encounters bile.  2) Secondly, the contingent of lipases are still released from the pancreas, duodenum, and salivary glands-these cause fat digestion.  These enzymes alone are very inefficient without  the emulsifying agent, bile.
106. A portal system is a second area of capillaries within the circulation pathway.  Normally, blood flows out of the heart to the tissues where substances are exchanged in capillaries and then the deoxygenated and nutrient poor blood returns to the heart.  A portal system places a second capillary bed in this circuitry.  The hepatic portal system is strategically placed between the small intestine and the liver because the absorbed nutrients are taken directly to the liver for storage. Were all the nutrients to stay in the blood, other substances including gases, hormones, and enzymes would be less efficiently delivered to the appropriate target structures.
107. Brunner's glands release an alkaline mucus that protects the duodenum from incoming acidic chyme from the stomach.
108.     a.  stomach                d. stomach
    b. colon                    e. small intestine
    c.  small intestine (duodenum)        f. mouth, esophagus, anal canal
109. oral orifice-oral cavity-fauces-oropharynx-esophageal sphincter-esophagus-cardiac sphincter-stomach-pyloric sphincter-duodenum-accessory duct opening-hepatopancreatic ampulla-jejunum-ileum-ileocecal junction-cecum-ascending colon-transverse colon-descending colon-sigmoid colon-rectum-anal canal-anus