1 Digestion and Absorption 01. Introduction 3 02. Mouth & buccopharyngeal cavity 5 03. Teeth 7 04. Oesophagus and Stomach 8 05. Intestine 06. Alimentary canal 07. Digestive gland 08. Physiology of digestion 09. Assimilation of food 29 10. Disorders of digestive system 30 11. Vitamins 33 12. Exercise-I (Conceptual Question) 38 13. Exercise-II (Previous Years Questions) 46 14. Exercise-III (Analytical Questions) 48 ss io n :2 02 0- 21 10 Se C 01 apter h ontents 12 14 20 NEET SYLLABUS Digestion and Absorption : Alimentary canal and digestive glands; Role of digestive enzymes and gastrointestinal hormones; Peristalsis, digestion, absorption and assimilation of proteins, carbohydrates and fats; Caloric value of proteins, carbohydrates and fats; Egestion; Nutritional and digestive disorders – PEM, indigestion, constipation, vomiting, jaundice, diarrhea. 2 DR. D. NAGESHWAR REDDY MD.,DM.,D.SC.,FAMS.,FRCP.,FASGE.,FACG.,MWGO Chief of Gastroenterology & Therapeutic Endoscopy Medical College M.B.B.S. Kurnool Medical College, KURNOOL Specialisation M.D. Madras Medical College, MADRAS Specialization in Gastroenterology D.M. Post Graduate Institute of Medical Education and Research, CHANDIGARH Professional ExperienceAsst. Professor of Gastroenterology Nizam's Institute of Medical Sciences, Hyderabad Professor of Gastroenterology Guntur Medical College, Guntur Present Position Chairman Asian Institute of Gastroenterology Areas of InterestGastroenterology Se ss io n :2 02 0- 21 DR. RAMESH ROOP RAI is a well experienced and senior consultant Gastroenterologist associated with Fortis Hospitals, Jaipur. He is the first DM Gastroenterologist in Rajasthan, he worked in various projects and has published over 98 research papers in National & International Journals. He has been instrumental in designing and manufacturing for various procedures of Gastroenterology. Dr. Ramesh was elected as the president of Indian Society of Gastroenterology 2007-2008, he was a pioneer to start first DM course in Gastroenterology SMS Medical College, Jaipur. Over the years, DR. RAKESH TANDON has won many discrete awards for his contribution, hard work and commitment towards providing patients a new lease of life.Dr. Rakesh Tandon has been awarded by the Medical Council of India, has Dr. B.C.Roy Award for being Eminent Teacher, Gold medal for best thesis in M.D. (Medicine) and many more. Dr. Rakesh Tandon publications are read all over the world because he is not restricted to writing for only Indian audiences. Dr. Rakesh Tandon has authored some well known and bestselling books. Dr. Rakesh Tandon has MBBS, MD (General Medicine), done PhD from AIIMS, FAMS, FICP and FRCP from Royal College of Surgeons, Edinburgh, UK. This clearly shows he has superior knowledge and uses it well in every medical issue that Dr. Rakesh Tandon deals with. His creative ideas have helped patients enormously. ALLEN Pre-Medical : Biology 3 DIGESTION AND ABSORPTION Food is one of the basic requirements of all living organisms. The major components of our food are carbohydrates, proteins and fats. Vitamins and minerals are also required in small quantities. Food provides energy and organic materials for growth and repair of tissues. The water we take in, plays an important role in metabolic processes and also prevents dehydration of the body. Biomacromolecules in food cannot be utilised by our body in their original form. They have to be broken down and converted into simple substances in the digestive system. This process of conversion of complex food substances to simple absorbable forms is called digestion and is carried out by our digestive system by mechanical and biochemical methods. Parotid gland Mouth Submaxillary gland 21 Sublingual gland Oesophagus :2 02 0- Diaphragm n Stomach io Liver ss Pancreas Jejunum Se Gall bladder Common bile duct Duodenum Left colic flexure Right colic flexure Transverse colon Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Ascending colon E Descending colon Jejunum ileum Pelvic (sigmoid) colon Caecum Rectum Appendix Anal canal Digestive tract of Human 4 ALLEN Pre-Medical : Biology Oral cavity Parotid gland Pharynx Mouth Submaxillary and sublingual glands Oesophagus Liver Gall bladder Stomach Duodenum Transverse colon Ascending colon Ileum Caecum Vermiform appendix Pancreas Jejunum Descending colon Sigmoid colon Rectum Anus The human digestive system 21 Origin of alimentary canal * The alimentary canal is tubular structure which extends from mouth to anus. It develops from ectoderm & endoderm. Ectoderm - upto hard palate Endoderm - from soft palate to rectum Ectoderm - from anal canal to Anus 02 0- DIGESTIVE SYSTEM The human digestive system consists of the alimentary canal and the associated glands. :2 ANATOMY OF ALIMENTARY CANAL Salivary glands Intestine Bucco Oesophagus Stomach Gastric glands pharyngeal Cardiac chamber Small Large Intestinal glands Fundus Caecum Duodenum Liver Body Colon Jejunum Pylorus Pancreas Rectum Ileum Oral vestibule C contain tongue Opens into anus O Buccal N teeth cavity S palate I S is of two types T O F Hard divided Pharynx into Soft Nasopharynx Oropharynx Laryngopharynx Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Mouth Digestive glands Se Alimentary canal ss io n Human digestive system E ALLEN Pre-Medical : Biology 5 Alimentary Canal The alimentary canal begins with an anterior opening – the mouth, and it opens out posteriorly through the anus. (1) Mouth and Buccopharyngeal Cavity – Mouth is a horizontal transverse slit like aperture which is surrounded by upper and lower lip. Lips are movable because of presence of muscles called orbicularis oris muscles. * Sebaceous glands are found on the outer part of lip. Serous glands are found on the inner part of lip. Serous glands are the modification of mucus glands. Their secretory substance is watery. * The mouth leads to the buccal cavity. (i) Buccal vestibule – The space between the gums and cheeks where the food is stored temporarily. (ii) Oral cavity – The oral cavity has a number of teeth, a muscular tonque and palate. It is inner & central part which is surrounded by upper and lower jaw. Lined by non keratinized stratified squamous epithelium. Upper Jaw is fixed and lower jaw is movable. The roof of oral cavity is called Palate. Hard Palate – 0- (i) 21 Palate is differentiated into two parts : It is the anterior part of the palate. It is made up of maxilla and palatine bone in human. * On the ventral surface of hard palate, some projections or transverse ridges are present which are called :2 02 * io n palatine rugae. (ii) Soft Palate – Se in carnivorous animals. ss These rugae prevent slip out of the food from buccal cavity during mastication. These rugae are well developed It is the posterior part of palate. * Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Soft palate The posterior out growth of soft palate which hangs down in the form of finger like process E Nasal Chamber Hard palate Nasopharynx Eustachian tube called as Uvula or Velum palati. On the dorsal side of uvula one pair internal nasal pores are present. Uvula or Velum palati covers the opening of internal nasal pores during ingestion of food, so food particle can not move inside nasal chamber. * Oral cavity Tongue Uvula Oropharynx Larynx Trachea Laryngopharynx Oesophagus Diagram showing parts of pharynx One pair of large lymph node is present on the posterolateral surface of soft palate, called as Palatine tonsil or Tonsils. 6 * ALLEN Pre-Medical : Biology Soft palate is situated in the pharynx and is divided into two parts. Upper part of pharynx is called Nasopharynx which is related to the nasal chamber. The lower part of pharynx is called oropharynx which is related to the oral cavity. One pair of openings of Eustachian tube is present in the nasopharynx. This Eustachian tube is related to the middle ear : It maintain air pressure. The oral cavity leads into a short pharynx which serves as a common passage for food and air. The oesophagus and the trachea (wind pipe) open into the pharynx. A cartilaginous flap called epiglottis prevents the entry of food into the glottis – opening of the wind pipe – during swallowing. TONGUE :– The tongue is a freely movable muscular organ attached to the floor of the oral cavity by the frenulum. The upper surface of the tongue has small projections called papillae, some of which bear taste buds. Lingual tonsil Pharyngeal part of tongue Foramen caecum Sulcus terminalis CircumVallate papillae Foliate papillae Oral part of tongue Filiform papillae 02 :2 io n Deficiency of vitamin B2 causes cheilosis, Glossitis, Keratitis. The two limbs of the 'V' meet at a median pit named Foramen caecum. It is divided into two parts – (I) Pharyngeal part – It is the posterior 1/3 part of the tongue. Many small lymph nodes are present in this part which are called Lingual tonsil. (II) Oral or papillary part – It is anterior 2/3 part of tongue. Four types of papillae are found in this part in which gustatory or taste receptors are present in the form of taste buds with few papilla. (i) Fungiform Papillae – It is pink coloured, small & spherical in shape. It is found on the entire surface of tongue but mostly present at the anterior part of tongue. It is attached to tongue with the help of small pedicle. It provides pink colour to the tongue. (ii) Filliform papillae (Conical papillae ) – They are thread like, white coloured & conical in shape. They are also found on the entire surface of tongue. They are most numerous, but devoid of taste buds. (iii) Foliate papillae – They are found on the mid lateral surface of tongue. They are vestigeal in the human. There structure is leaf like present in rabbit and other mammals. (iv) Circumvallate papillae – These are largest and least existed papillae (8 to 12). They are large spherical shape papillae which are found near to sulcus terminalis. ss Tongue is nonmotile in whale. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 * On the floor of oral cavity a muscular, flat, fleshy plate like structure is present which is called tongue. The anterior part of tongue is free while posterior part of tongue is connected to the Hyoid bone. On the dorsal surface of tongue, it is divided into two unequal parts by a V shaped sulcus, called sulcus terminalis. Se * 0- Upper surface of human tongue 21 Fungiform papillae E ALLEN Pre-Medical : Biology 7 Two types of muscles present in tongue :Extrinsic muscles :* It is found on outer and superficial part of tongue. It helps in outward and inward movement of tongue. Intrinsic muscles :* It is situated in the deep part of tongue. It helps in the change of shape of tongue and sideways movements of tongue. TEETH * Teeth are ectomesodermal in origin. In human beings three basic features of teeth are Thecodont, diphyodont, heterodont Each tooth is embedded in a socket of jaw bone. This type of attachment is called thecodont Majority of mammals including human being forms two sets of teeth during their life, a set of temporary milk or deciduous teeth replaced by a set of permanent or adult teeth. This type of dentition is called diphyodont. An adult human has 32 permanent teeth which are of four different types (Heterodont dentition), namely, incisors (I), canine (C), premolars (PM) and molars (M). Arrangement of teeth in each half of the upper and lower jaw in the order I, C, PM, M is represented by a dental formula which in human is 2123 . The hard chewing surface 2123 of teeth, made up of enamel, helps in the mastication of food. 21 Four types of teeth found in mammals are - 02 0- Incisor- These are long, chisel like teeth for gnawing the food. They are more developed in gnawing animals e.g. Lagomorphs, rodents. :2 Tusk of elephant are modification of upper incisor. Tusk is used to protection from enemies, attack on enemies (not for feeding purp ose). ss io n Canines- These are sharp pointed teeth meant for tearing and shreding the food. Canines are most developed in carnivorous animals. Se Canines are absent in herbivorous animals e.g. Rabbits do not have canines. In h erbivorous, the space of canine in gums is empty and this empty space is called diastema. Upper canines are modified in tusks in walrus. Pre molars - These teeth are meant for chewing and crushing of food. They are triangular in shape. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Molars (Cheek teeth) – These also meant for chewing & crushing of food. They are rectangular in shape. E * In mammals, except Premolar and Last molar, all type of teeth appear twice in life. Teeth which appear during childhood are called milk teeth/temporary teeth/lacteal teeth/deciduous teeth/primary teeth. Due to the activity of osteoclast cells milk teeth are shed, then permanent teeth appear. * When temporary molars shed, their socket are filled by premolar and new socket are formed for permanent molar. This occurs once in life time. * In frog, only upper jaw has teeth. * Hippocampus, tortoise and birds do not have teeth. In humans, premolar teeth appear in the alveoli of molar teeth while permanent molar teeth are developed in new alveoli. 8 ALLEN Pre-Medical : Biology HUMAN DENTITION :- Arrangement of teeth on jaws is dentition. Human dentition has following features. (1) (A) Monophyodont :- The teeth which appear only once in life. eg. Premolars and last molars of human. (B) Diphyodont :- The teeth which appear twice in life. eg. Incisors, Canines, 1st and 2nd molars. (2) Thecodont :- The teeth which are present in bony socket of Jaw. eg. Human and Crocodile. (3) Heterodont :- When the teeth are of different type in mammals on the basis of structure and function. Dental formula :Child = Incisor 2 1 0 2 5 10 = 20 I C PM M = ´ 2 = 0 2 5 10 2 1 Canine Premolars 17 Yr. old = 2 2 7 2 1 I C PM M = ´ 2 = 28 2 1 2 2 7 Adult = 2 1 2 3 8 16 I C PM M = ´ 2 = = 32 2 3 8 16 2 1 Molars Socket of jaw Arrangement of different types of teeth in the jaws on one side and the sockets on the other side Florine maintain enamel and checks dental decay. Vitamin C deficiency causes scurvey in which bleeding gums and loose teeth like symptoms appears. P and Ca is component of Bone and teeth and Ca is essential for normal blood clotting. 0- 21 Ca deficiency causes rickets and muscular spasm. 02 ALIMENTARY CANAL :2 OESOPHAGUS – Two apertures are found in Buccopharyngeal cavity. Ventral aperture is called Glottis which is related to the larynx which is guarded by epiglottis. * The dorsal aperture is called gullet which opens into oesophagus. * The oesophagus is a thin, long tube which extends posteriorly passing through the neck, thorax and diaphragm and leads to a ‘J’ shaped bag like structure called stomach. A muscular sphincter (gastro-oesophageal) regulates the opening of oesophagus into the stomach. The oesophageal hiatus is an opening in the diaphragm through which the oesophagus and the vagus nerve pass. * In oesophagus digestive glands are absent, only mucous glands are present in mucosa and submucosa. * The length of oesophagus depends on length of neck so the longest Oesophagus is present in Giraffe. STOMACH * It is situated on left side of abdominal cavity. It is the widest part of alimentary canal. It is a bag like muscular structure, J shaped in empty condition. The stomach contains four parts (Cardiac, Fundus, Body, Pylorus) - A cardiac portion into which the oesophagus opens, a fundus region, body main central region and a pyloric portion which opens into the first part of small intestine. It has two orifices (opening) (i) Cardiac orifice is joined by the lower end of the oesophagus. (ii) Pyloric orifice opens into the duodenum. * Stomach is covered by layer of peritoneum. Fat tissues and lymph tissue deposits on the peritoneum. Such type of peritoneum are called Ommentum. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Se ss io n * E ALLEN * Pre-Medical : Biology 9 Left curved surface of stomach is called greater ommentum. Right curved surface of stomach is called lesser ommentum. Hiatus Cardiac orifice Diaphragm Pyloric orifice CA Canal AN RU Fun dus IAC BODY UM LO TR PY RD S Mucous membrane of the stomach is thick. In empty stomach numerous temporary longitudinal folds are found in mucosa of stomach called rugae. They disappear when stomach is distended. 0- 21 Gastric Glands :- These are numerous microscopic, simple branched tubular glands formed by the invagination of epithelium in the stomach. The following types of cells are present in the epithelium of the gastric glands. 02 1. Mucous neck cells Out of these four types of cells, 3 major types of cells are (a) mucous neck cells (b) oxyntic or parietalcells (c) Chief cells or peptic cells or zymogencells :2 2. Entero endocrine cells ss io 4. Chief cells or peptic cells or Zymogen cells n 3. Oxyntic cells or parietal cells Se secrete Mucous cells ¾¾¾® mucus - protect inner lining of stomach by action of HCl E Consist of 4 types of cells Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Enteroendocrine cells G-cells ¾® Gastrin - stimulate the secretion of gastric juice D-cells ¾® Somatostatin EC-cells ¾® Serotonin - Vasoconstrictor ¾® Histamine - Vasodilator Parietal cells ¾® Castle Intrinsic Factor - helps in absorption of vitamin B 12. (Oxyntic cells) ¾® HCl (pH = 2 to 3) (1) inactivate ptyaline (2) Kill bacteria present in bolus (3) Convert inactive enzymes into active enzymes (4) Provide acidic medium in stomach (5) Softens food particles (Peptic cells) Chief cells (Zymogen cells) Gastric amylase (negligible role in starch digestion) Gastric lipase - convert 1% emulsified fats already present in our food into fatty acids and glycerol Pepsinogen Prorennin (In infants) Pepsin HCl Rennin Proteins Soluble milk protein casein Insoluble Ca-paracaseinate 10 ALLEN Pre-Medical : Biology INTESTINE It is divided into two part (i) Small intestine (ii) Large intestine SMALL INTESTINE * Small intestine is distinguishable into three regions, a ‘C’ shaped duodenum, a long coiled middle portion jejunum and a highly coiled ileum. The opening of the stomach into the duodenum is guarded by the pyloric sphincter. * For absorption of digested food a very large surface area is required. Therefore some adaptations are present here. (a) Great length of the intestine. (b) Villi and microvilli. (c) Plicae circulares (valves of Kerckring) (valvulae conniventes) LARGE INTESTINE Ileum opens into the large intestine. * Large intestine (Larger in diameter) – Large intestine is differentiated into three parts caecum, colon and rectum. * The lower end of the ileum opens on the Posteromedial aspect of the Ileo-caecal junction. The Ileocaecal opening is guarded by Ileocaecal valve. Caecum is a small blind sac. Which hosts some symbiotic microorganisms. * About 2 cm below the ileocaecal orifice, a worm like structure arises from the caecum called as vermiform appendix.It is a vestigeal organ. Caecum is well developed in rabbit and other mammals but is vestigeal in human. COLON * Caecum continues in colon, which is the middle part of large intestine. * The longitudinal muscle coat forms three ribbon like bands called Taeniae coli. Due to the presence of taeniae, pouch like structure develops in Lumen of colon called as Haustra. Colon has following parts in human – an ascending, a transverse, descending part and a sigmoid or pelvic colon. RECTUM * This colon then continues in a uniform tube called Rectum. (Storage chamber for faeces) * Rectum open into a small bag like structure called anal-canal. ANAL – CANAL * Anal canal opens outside by anus. Anus is controlled by anal sphincter. Two types of anal sphincter are found at the opening of anus.. * Two types of sphincter muscles are found in Anal canal. Internal Anal sphincter ¾® Involuntary External Anal sphincter ¾® Voluntary Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Se ss io n :2 02 0- 21 * E ALLEN Pre-Medical : Biology BEGINNERS BOX-1 ANATOMY OF ALIMENTARY CANAL Dental formula of adult man is (1) 13. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 E (4) 11 (2) 22 (3) 32 (4) 12 (2) Glottis (3) Epiglottis (3) Glottis The hardest constituent of the tooth is- (4) Gullet 21 (2) Larynx (3) Bone (2) Acrodont (3) Pleurodont 0- (2) Dentine :2 02 Types of teeth in human - (4) Pulp (4) Homodont n Posterior part of soft palate, hangs down in pharynx, called(2) Tonsils (3) Velum Palati (4) Jacobson's organ (3) By palatine (4) None of these Nasal chambers and buccal cavity are seperated by(2) By palate Cheek teeth are(1) Inscisors and Canines (2) Canines and Premolars (3) Premolars and Molar (4) Canines and Molars Presence of water amount in enamel is (2) 75 - 80 % (3) 40 - 50 % What do you mean by the process of digestion ? (1) Conversion of complex substances into simpler form (2) Absortion of monomers by the body (3) Conversion of monomers into polymers (4) Absorption of water and food 15. (4) Pharynx Which of the following is a common passage in swallowing food and breathing- (1) 90 - 92 % 14. (3) 8 The structure which prevents entry of food into wind pipe during swallowing in mammals is- (1) By uvula 12. (2) 3 (4) Epithelium being resistant to HCl (1) Palatine 11. (4) taeniae (3) HCl being dilute (1) Thecodont 10. (3) zymogen cells (2) Neutrilizatioin of HCl by alkaline gastric juice. (1) Enamel 9. 2132 2132 (1) Mucus secretion covering the epithelium (1) Pharynx 8. (4) The cells of the epithelial lining in the vertebrate stomach are not damaged by HCl because of- (1) Larynx 7. (2) crypts of lieberkuhn io 6. 2123 2124 Number of teeth which are monophyodont in man is(1) 4 5. (3) pH of stomach in human is about(1) 7 4. 2123 2122 In Colon, constrictions of its wall form a series of small pockets called(1) haustra 3. (2) ss 2. 2123 2123 Se 1. What is frenulum ? (1) It is the fold by which tongue is attached to the floor of oral cavity. (2) It is an adenoid which is present on pharyngeal wall (3) It is a tonsil like structure on the lateral walls of palate (4) It is V-shaped furrow which divides the surfaces of tongue (4) » 3 % 11 12 ALLEN Pre-Medical : Biology HISTOLOGY OF ALIMENTARY CANAL Unilayered Epithelium in Stomach, duodenum, jejunum, ileum Simple columnar Simple columnar glandular Scgbbe form glandular epithelium form brush border Epithelium form Long-Pointed Villi Blunt-Villi Gastric Glands Multilayered Epithelium Mucosa Epithelium Lamina Propria of Reticular Fibrous CT Muscularis mucosa Crypts of Lieberkuhn Circular Longitudinal Circular Longitudinal Circular Longitudinal Circular Longitudinal Paneth cells } Peyer's patches Muscularis Layers Brunner's Submucosa of Areolar Glands CT rich in blood vessels, Lymph vessels and nerve fibres Branches of Sympathetic and parasympathetic nerve fibres (Meissner's nerve plexus) Oblique Circular Circular Circular Circular Circular Nerve Fibres Branches of Sympathetic and parasympathetic nerve fibres (Auerbach nerve plexus) Longitudinal Longitudinal Serosa-Made up of simple squamous epithelium or mesothelium Areolar + WFCT called tunica adventitia Longitudinal Longitudinal Longitudinal SSE + Fats + Lymph Tissues = Ommentum Serosa Serosa Oesophagus Stomach Duodenum Jejunum and Ileum 21 Wall of alimentary canal is made up of four layer (outer to inner) Serosa : It is outer most layer of gut (it is called tunica adventitia in oesophagus) serosa is made up of a thin mesothelium (visceral peritoneum) with some connective tissue. Tunica adventitia is made up of white fibrous connective tissue and areolar connective tissue. (2) Muscle layer : It is formed by circular inner layer and longitudinal outer layer of smooth muscle. Thickest layer is found in stomach (maximum peristalsis) and thinest layer in rectum (minimum peristalsis). (3) Sub mucosa : It is loose connective tissue layer with blood vessels, lymph vessels and nerves. (4) Mucosa : It is the inner most layer of gut which contains the secretory and absorptive cells. Se It is differentiated into 3 parts. ss io n :2 02 0- (1) * It is made up of longitudinal and circular muscles. * It has important role in exposing of surface area for the absorption * They also provide support to the folds of alimentary canal. Middle part :- It's called lamina propria it contains few modified lymphatic tissue which provides immunity ex. peyer's patches . * It is made up of reticulate and fibrous connective tissue. Innermost part :- Called mucosal layer. * In oesophagus this layer is made up of non keratinised stratified squamous epithelium. * Except oesophagus this layer is single layer thick, which is made up of columnar mucous epithelium. * This layer makes the lining of lumen of Alimentary canal. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Outer part :- Called mucosa muscularis. E ALLEN Pre-Medical : Biology 13 * This layer makes the folds of alimentary canal. * Folds of oesophagus are less developed, whereas folds of stomach are finger shaped and develop as gland called gastric gland. * Folds of small intestine are conical shaped called Villi. Small slit like space is found at the base of villi. These spaces are called crypts of Lieberkuhn * Villi of duodenum are small blunt. * Villi of Jejunum and Ileum are long and pointed. * Maximum villi are found in Jejunum. Serosa Inner-circular Outer-longitudinal Muscularis Sub-mucosa Mucosa Lumen They are small spherical multicellular glands. * They open into crypts of lieberkuhn with the help of fine tubules. * These glands are found in the submucoa of duodenum. * They synthesize and secrete the non enzymatic alkaline secretion of intestinal juice. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 ss io n :2 02 0- * Paneth Cells :- E 21 Brunners Gland :- These cells are found in mucosal layer of cypts of Lieberkuhn of jejunum. * They are unicellular glands. * They synthesize and secrete Lysozyme and defensin. * The secretory substances of Brunners glands and crypts of Lieberkuhn are combindly called intestinal juice or succus entericus. Se * Peyer's patches :* They are small lymph nodes which are found in the mucosa of small intestine (Jejunum and Ileum more in number). They are also called intestinal tonsils and provide immunity. Nerve supply :Two types of Nerve plexus are found in muscle of alimentary canal. Auerbach's Nerve plexus (myentric plexus) this nerve plexus is found between longitudinal muscles and circular muscles, it control muscle contraction Meissner's Nerve plexus found between circular muscles and sub mucosa but in stomach it is found between oblique muscle & submucosa. 14 ALLEN Pre-Medical : Biology BEGINNERS BOX-2 HISTOLOGY OF ALIMENTARY CANAL Peyer's patches produce(1) Enterokinase 4. (1) Estrogen (2) Prolactin, parathormone (3) Extradiol, progesterone (4) None Brunner's gland are found in which of the following layers : (1) Submucosa of stomach (2) Mucosa of ileum (3) Submucosa of duodenum (4) Mucosa of oesophagus The crypts of lieberkuhn secret : (1) gastrin 5. (4) succus entricus (2) Duodenum (3) Intestine (4) Stomach (2) Stomach (3) oesophagus (4) All of these Out of four layers of alimentary canal, which one forms villi, (finger-like projection)? (1) Serosa 8. (3) cholecystokinin Crypts of Lieberkuhn are present in :(1) intestine 7. (2) rennin Brunner's glands are located in : (1) Oesophagus 6. (4) Trypsin Duodenum has characteristic Brunner's glands which secrete – 21 3. (3) Mucous (2) Mucosa (3) Submucosa 0- 2. (2) Lymphocyte (4) Muscularis Small finger-like projection, which produce numerous microscopic projections are supplied with a network of 02 1. (2) blood capillaries only :2 (1) blood capillaries and lacteal (3) lacteal only (4) a large lymphoid vessel and valves io n DIGESTIVE GLANDS- ss The digestive glands associated with the alimentary canal include the salivary glands, the liver and the pancreas. Se SALIVARY GLANDS- Saliva is mainly produced by three pairs of salivary glands, the parotids (cheek), the sub maxillary/sub mandibular (lower jaw) and the sub linguals (below the tongue). These glands are situated outside the buccal cavity, secrete salivary juice into the buccal cavity. In human 3 pairs of salivary glands are present. Parotid Submaxillary Sublingual 1. Location Below ear (cheek) Jaw angle (lower jaw) Below tongue 2. Number 1 pair 1 pair 1 pair 3. Duct Stenson's duct Wharton's duct (longest salivary duct) Duct of Rivinus or Bartholin's duct (smallest salivary duct) 4. Secretion Saliva + Enzymes Saliva Saliva 5. Special point Largest salivary gland and viral infection cause Mumps. Secrete maximum amount of saliva Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Salivary Glands : 3 Pairs E ALLEN Pre-Medical : Biology 15 Composition of saliva : Salivary glands are not present in whale and frog. * Water-99.5 % * Mucus , starch -digesting Ptyalin enzyme, lysozyme and thiocyanates and few ions like sodium, potasium, chloride, IgA antibody, urea and uric acid etc., are present. * Ptyalin is secreted mainly by the parotid gland. Lysozyme and Thiocyanates mainly kill bacteria. They also check the growth of bacteria in bucco-pharyngeal cavity. * Salivation is stimulated by cranial nerve VII & IX. Sympathetic nervous system decreases the secretion of saliva while parasympathetic nervous system increases the secretion of saliva. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Se ss io n :2 02 0- 21 LIVER E * It develops from endoderm. (Weight 1.2 to 1.5 kg). In human it is found in right side of abdominal cavity, below the diaphragm. * The liver is the largest gland of body. * It is made up of two lobes, left and right lobe. Left lobe is smaller than right lobe. Right lobe forms 5/6 of the liver & left lobe forms 1/6 of liver. * Right and left liver lobes are separate from each other by the falciform ligament, (Fibrous C.T.) which is made up of fold of peritoneum. * Right and left hepatic duct develop from right and left liver lobe. Both these ducts combine to form a Common Hepatic duct. 16 ALLEN Pre-Medical : Biology The hepatic lobules are the structural and functional units of liver containing hepatic cells arranged in the form of cords. Each lobule is covered by a thin connective tissue sheath called the Glisson’s capsule. The bile secreted by the hepatic cells passes through the hepatic ducts and is stored and concentrated in a thin muscular sac called the gall bladder. The duct of gall bladder (cystic duct) along with the hepatic duct from the liver forms the common bile duct The bile duct and the pancreatic duct open together into the duodenum as the common hepato-pancreatic duct which is guarded by a sphincter called the sphincter of Oddi. * Gall bladder is situated below right lobe of liver. Gall bladder is not present in lemprey, whale and horse. * Cystic duct of gall bladder is connected to common hepatic duct to form a common bile duct also called ductus choledocus. FUNCTIONS OF LIVER :- (Liver is known as biological and chemical factory of the body). Most of the biochemical functions of the body are done by the liver. 1. Secretion & synthesis of bile - This is the main function of liver. Bile is yellowish-green, alkaline fluid. In bile juice, bile salts, sodium bicarbonate, glycocholate, taurocholate, bile pigments, cholesterol, Lecithin etc. are present. Bile salts help in emulsification of fats. Bile prevents the food from decomposition. It kills the harmful bacteria. Carbohydrate Metabolism- The main centre of carbohydrate metabolism is liver. Following steps are related with carbohydrate metabolism- 21 2. 02 0- Glycogenesis- The conversion and storage of extra amount of glucose into glycogen from the digested food is :2 called glycogenesis. The main stored food in the liver is glycogen. n Glycogenolysis- The conversion of glycogen into glucose again when glucose level in blood falls down is called ss io glycogenolysis. Se Gluconeogenesis- At the time of need, liver converts non-carbohydrate compounds (e.g Amino acids, fatty acids) into glucose. This conversion is called gluconeogenesis. This is the neo-formative process of glucose. Glyconeogenesis : Synthesis of glycogen from lactic acid (which comes from muscles) is called glyconeogenesis. This is the neo-formative process of glucose. Storage of fats- Liver stores fats in a small amount. Hepatic cells play an important role in fat metabolism. The storage of fat increases in the liver of alcohol addict persons (Fatty liver). This stored fat decreases the activity of liver. The damage of liver due to alcohol intake is called Alcoholic Liver cirrhosis. 4. Deamination and Urea formation- Deamination of amino acids is mainly done by liver (Amino acid ® NH3) Liver converts ammonia (more toxic) into urea (less toxic) through ornithine cycle. The spoilage of liver, the ammonia level in the animal body increases and ultemately the animal dies. 5. Purification of blood- Kupffer cells of liver & splenocytes of spleen are the phagocytic cells, helps in phagocytosis of dead blood cells and bacteria from the blood. 6. Synthesis of plasma proteins- Many types of proteins are present in blood plasma. All the proteins except Gama-globulins are synthesized in the liver. Chemically antibodies are gama globulins formed by lymphocytes. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 3. E ALLEN 7. Pre-Medical : Biology 17 Synthesis of heparin- Heparin is a natural anticoagulant (mucopolysaccharide). Some heparin is also formed by basophills (granulated WBC) and mast cells. 8. Synthesis of Vitamin-A- The liver changes b-carotene into vitamin -A b- carotene is a photosynthetic pigment which is obtain from yellow part of fruits. It is abundantly found in carrot. 9. Liver stores vitamins A,D,E,K,B12 10. Storage of minerals- Liver stores iron, copper, zinc, cobalt, molybdenum etc. Liver is a good source of iron. 11. Haemopoiesis- The formation of blood cells is called haemopoesis. In embryonic stage R.B.C and WBC are formed by liver 12. Secretion of enzymes- Some enzymes are secreted by liver, participate in metabolism of proteins, fats and carbohydrates e.g. Dehydrogenase, cytochrome oxidase etc. 13. Prothrombin and fibrinogen proteins are also formed in hepatic cells. These help in blood clotting. 14. Factors I, II, V, VII , IX and X are formed in liver, which are responsible for blood clotting. Deficiency of selenium, causes liver necrosis. BILE-JUICE 02 0- 21 In the middle part of the duodenum bile-juice is secreted. The parenchyma cells of the liver produce bile-juice and it is stored in the Gall- bladder. Bile-juice does not contain any digestive enzyme. Therefore it is not a true digestive juice (Pseudodigestive juice). Compostion of Bile-juice :- Bile-juice is a greenish (Biliverdin) yellow (Bilirubin) coloured alkaline fluid. :2 Composition of liver bile. 98% io H2O ss 8.0 Se pH n Liver bile organic constituents are bile acid , bile pigment, cholesterol, Lecithin, inorganic constituents Na+, K+ etc. Bile-pigments are the excretory-substances of the liver. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Bile-salts are of two types – E (a) Inorganic- salts- Bile-juice contains NaCl, Na2CO3, NaHCO3 etc in it. Inorganic salts neutralize the acidity of the food and make the medium basic. It is necessary for the medium to become basic because the pancreatic-juices enzymes can act only in basic -medium. (b) Organic- salts- Organic salts like Na-glycocholate and Na-taurocolate are found in Bile juice. The main function of these salts is the emulsification of fats. Because pancreatic Lipase can act only on emulsified fats. Bile salts also help in the absorption of fats and fat-soluble vitamins (A,D,E,K) Bile salts combine with fats, cholestrol, phospholipid (lecithin) and these vitamins to form compounds called Micelles. Which are absorbed rapidly. In the form of micelles cholestrol and phospholipid (lecithin) remain soluble. 18 ALLEN Pre-Medical : Biology FUNCTION OF BILE JUICE : * * * * * * * * * * Neutralization of HCl. Its sodium neutralizes HCl of chyme (semifluid food found in the stomach). Emulsification. Sodium glycocholate and sodium taurocholate are bile salts which break the large fat droplets into the smaller ones. Absorption of fat and fat-soluble vitamins. Its salts help in the absorption of fat (fatty acids and glycerol) and fat-soluble vitaminS (A, D, E and K). Excretion. Bile pigments (billirubinand biliverdin) are excretory products. Prevention of decomposition. Bile is alkaline hence it prevents the decomposition of food preventing the growth of bacteria on it. Stimulation of peristalsis. Bile increases peristalsis of the intestine. Activation of Lipase. Bile contains no enzyme but activates the enzyme lipase. Bile-pigments, cholesterol and Lecithin are the excretory substances found in Bile-juice. Gall-Stone- Sometimes the passage inside the bile-duct gets blocked or becomes narrow, so the cholesterol gets deposited or precipitated in the gall-bladder. This is termed as the Gall-stone (cholelithiasis). Obstructive Jaundice - If the passage of bile is blocked then the amount of bilirubin increases in the blood. So the yellowish colouration of body like skin, cornea and nails appear yellow. Urine also becomes yellow. PANCREAS (Sweet bread) It develop from endoderm, which is soft, lobulated and elongated organ. * It is divided into head, neck, body and tail regions. * It is made up of numerous acini. Acini is a group of secretory cells surrounding a cavity. Each acini is lined by 21 * 02 * 0- pyramidal shaped cells. These acinar cells secrete the enzyme of pancreatic juice. Each acini opens into pancreatic ductule. Many pancreatic ductule combine to form main Pancreatic duct :2 (duct of Wirsung). The main Pancreatic duct is join with the bile duct to form the hepatopancreatic ampulla n which opens into duodenum. The accessory Pancreatic duct (duct of Santorini) opens into duodenum with Some group of endocrine cells are also found in between groups of acini called islets of Langerhan's. These Se * ss io separate openings located above the opening of major Pancreatic duct. islets secrete insulin & glucagon hormone. So this gland is exocrine as well as endocrine (Heterocrine). Its 99% part is exocrine while 1% part is endocrine. * In humans both bile duct and pancreatic duct combine to form common duct called as Hepato-Pancreatic ampulla. Ampulla of Vater opens into middle part of Duodenum and is controlled by sphincter of Oddi while bile duct is controlled by sphincter of Boyden PANCREATIC JUICE * Pancreozymin stimulates the acini and glandular cells so pancreatic juice is secreted. * The pancreatic-juice is secreted by the exocrine cells of the pancreas. * Pancreatic juice is highly odouriferous, colourless basic fluid which contains enzymes and salts. Composition of Pancreatic JuiceTotal amount in man = 1 litre to 1.5 litre/day, Water = 98%, pH = 7.5-8.3, Pancreatic juice contains only inorganic-salts. Salts = 2% Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 duct. The terminal end of common duct is swollen and is called as Ampulla of Vater or hepato pancreatic E ALLEN Pre-Medical : Biology BEGINNERS BOX-3 DIGESTIVE GLANDS (3) Specialized area, pituitary (4) Small tubules, kidney Ptyalin is secreted by __________ and work in __________ medium. (1) Stomach, acidic (2) Salivary gland, alkaline (3) Pancreas, alkaline (4) Bile, alkaline In pancreas, pancreatic juice and hormone are secreted by(1) Same cells (2) Different Cells (3) Same cells at different times (4) None of these. Largest gland of body - 5. (3) Liver Insulin is secreted by pancreatic cells(1) a-cells 6. (2) Duodenum (4) Thyroid 21 (1) Pancreas 0- 4. (2) Ductless glands, pancreas (2) b-cells (3) Delta cells (4) Gama cells 02 3. (1) Modified lymph glands, pancreas Which substance of saliva destroy the harmful bacteria(2) Chyme (3) Lysozyme (4) Secretin Which of the following is not a function of liver :- Se 7. ss io (1) Cerumin :2 2. Islets of langerhans __________ and are found in __________. n 1. (1) Deamination (3) Synthesis of plasma protein Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 8. E 9. (4) Storage of fat soluble vitamin The glucose is converted into glycogen in liver and stored in : (1) Liver (2) Liver and muscles (3) Liver and spleen (4) Spleen and muscles Kupffer cells are found in : (1) Liver 10. (2) Bile storage (2) Kidney (3) Heart The major site of protein breakdown to form free amino acids, is in the (1) Kidney (2) Spleen (3) Intestine (4) Bone-marrow (4) Blood 19 ALLEN Pre-Medical : Biology PHYSIOLOGY OF DIGESTION Digestion is divided in two ways-Mechanical digestion and Chemical digestion. Mechanical digestion takes place in mouth and small intestine. DIGESTION IN ORAL CAVITY Food enters through mouth food is tasted in oral cavity and mixed with saliva, tongue mixes the food with saliva. This food with saliva is called bolus. This saliva (pH 6.8 – 7.0) contains water (99.5%) and electrolytes (Na+, K+, Cl–, HCO3–, Thiocynate). Mechanical digestion :– * In mouth teeth, tongue and lips have important role in machanical digestion through the process of chewing or mastication. Chemical digestion :* In this type of digestion saliva mix with food particles. * Saliva contain 99.5% water & 0.5% salts. * These salts are organic and inorganic type. Mucin :* It is a glycoprotein. It lubricates the food particles. It helps in the swallowing of food. Ptyalin Starch ¾¾¾¾® Maltose 02 * 0- 21 * Bicarbonates present in saliva neutralize the acidity of food. Lysozyme :* It is an enzyme which kills the harmful bacteria. Due to this reason saliva is a antiseptic lotion. Thiocynate :* It is a special salt which kills the harmful bacteria. So it is called bacteriocidal salt. Ptyalin (Salivary amylase) :- :2 Ptyalin is found in human saliva, because human food is mainly made up of starch. Ptyalin digest only ripe n and cooked starch. It does not digest the raw starch, 30% starch in buccal cavity is digested by ptyalin. io Ptyalin is absent in saliva of rabbit and carnivorous animal, because food of rabbit is mainly made up ss of cellulose whereas carnivore food mainly contain proteins. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Se 20 E ALLEN * Pre-Medical : Biology 21 Bolus is pushed inward through the pharynx into the oesophagus this process is called swallowing or deglutition. It is coordinated activity of tongue, soft palate, pharynx and oesophagus. * The tongue blocks the mouth, part of soft palate and uvula close off the internal nasal opening nose and larynx rises so that epiglottis closes off the trachea food move downward into the oesophagus A travelling wave of constrictions called peristalsis pushes the Bolus (food) downward. * Digestive enzymes are absent in Oesophagus but salivary amylase continue to function upto the last of Oesophagus. The cardiac sphincter/ Gastroesophageal sphincter opens allowing the passage of bolus food to the stomach. Gastroesophageal sphincter normaly remains closed and does not allow food contents of the stomach to move n :2 02 0- 21 back. Se DIGESTION IN STOMACH ss io PERISTALSIS IN OESOPHAGUS The stomach stores the food for 4-5 hours. The food mixes thoroughly with the acidic gastric juice of the stomach by the churning movements of its muscular wall and is called the chyme. The proenzyme pepsinogen, Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 on exposure to hydrochloric acid gets converted into the active enzyme pepsin, the proteolytic enzyme of the stomach. Pepsin converts proteins into proteoses and peptones (peptides). The mucus and bicarbonates present E in the gastric juice play an important role in lubrication and protection of the mucosal epithelium from excoriation by the highly concentrated hydrochloric acid. Food reaches in stomach and then G-cells secrete gastrin hormone, which stimulates secretion of gastric juice. Gastric juice secretion is controlled by neural hormonal method and by chemical substances. Composition of Gastric juice : Secretion = 2000 ml to 3000 ml per day Water = 99.5% HCl = 0.2 - 0.3% pH = 1.5 to 2.5 (very acidic) rest = mucus water, HCl and gastric enzymes (Pepsinogen, Prorennin, Gastric Lipase etc.). 22 ALLEN Pre-Medical : Biology Functions of HCl – 1. The main function of HCl (activater) is to convert inactive enzymes (zymogens) into active enzymes. Pepsinogen ¾ ¾® Pepsin. HCl Prorennin ¾ ¾® Rennin. HCl 2. It destroys all the bacteria present in the food. 3. HCl stops the action of saliva on food. In stomach, the medium is highly acidic. 4. It dissolves the hard portions of the food and makes it soft. * Pepsinogen and Prorennin are inactive enzymes. Digestion by Rennin (Chymosin) - * Rennin is active in the childhood stage of mammals only. It converts milk into curd like substance (clot the milk) and then digests it. In adult stages, it is inactive. * Rennin, acts on milk protein casein. Casein is a soluble protein. * In presence of Rennin, casein gets converted into insoluble Ca-paracaseinate. This process is termed as Curdling of milk. After becoming insoluble, milk can remain in the stomach for a longer time. (clotting/ 0- 21 coagulation/curdling of milk is done by HCl, pepsin and chymotrypsin in human) . 02 Digestion by Pepsin- :2 Inactive pepsinogen on getting proper pH converts into active pepsin. Pepsin is endopeptidase, which break n proteins into small molecules. ss Digestion by Gastric Lipase- Se Pep sin io Proteins ¾ ¾¾® Peptones + Proteoses + Peptides. * It converts fats into fatty-acids and glycerols. It is secreted in a less amount so less digestion of fats takes place here. * This lipase acts on emulsified fat and convert it into fatty acid & glycerol. 1% emulsified fat is present in the food. * Peristalsis continues during the process of digestion so the gastric -juice mixes properly with the food. Due to stomach is called chyme. * After short intervals, the pyloric orifice keeps on opening and closing so the chyme is fed into the intestine in installments. DIGESTION OF FOOD IN SMALL INTESTINE* In small intestine mechanical and chemical digestion occurs. Mechanical Digestion : Food reaches to different parts of alimentary canal by peristalsis. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 peristalsis the food is converted into a paste. This form of food which is thick, acidic & semidigested in the E 2 l l 3 7 4 N Se Duocrinin - Stimulate Brunners glands for syn/sec of non-enzymatic part of intestinal juice Enterocrinin - Stimulate crypts of lieberkuhn or syn/sec of enzymatic part of intestinal juice Villikinin - Increase the activity of villi ENTEROENDOCRINE CELLS OF INTESTINE decomposition Prevent food from Activate pancreatic lipase Helps in emulsification of fats. l ININ ATOCR HEP ETION OF BILE J UIC E S ECR IS & l Also called pseudodigestive juice Inhibit the action of HCl l BILE JUICE - pH 8.0 ; alkaline in nature ES TH N SY ss 8 OF n AC IN I io PA NC 02 1 0- 5 21 HCl in Chyme l AT YM Increase peristalsis in intestine Decrease peristalsis in stomach Proteins Peptones Proteoses STIM SO ULATED CELL F Nucleosides Nucleotides Sucrose Lactose Maltose Dipeptides 11 Nucleotides Nucleosidases Nucleotidases Sucrase Lactase Maltase Dipeptidases Nitrogen bases + Pentose Sugar Nucleosides + Phosphate Group Glucose + Fructose Glucose + Galactose Glucose + Glucose Amino acids 12 Nucleosides Monoglycerides Disaccharides Dipeptides DIGESTION IN JEJUNUM AND ILEUM Biomicromolecules are digested in presence of intestinal juice Nucleic acids Diglycerides Nucleases Pancreatic Lipase Pancreatic amylase Trypsin/Chymotrypsin Carboxypeptidase Polysaccharides (starch) Fats 10 DIGESTION IN DUODENUM Biomacromolecules are digested in presence of bile juice and pancreatic juice l l VIP - Vasoactive Intestinal Peptide Decrease the secretion of gastric juice in stomach 9 GIP - Gastric Inhibitory Peptide (Glucose dependent insulinotrophic peptide) Stimulate pancreas for syn/sec of non-enzymatic part of pancreatic juice Inhibit the secretion of HCl in stomch so also called fireman of small intestine NZ CCK-PZ FE RE AS FO SYN/SEC O R :2 6 l l PHYSIOLOGY OF DIGESTION P A RT OF PANC REATIC JUICE Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 C PZ OR SEC ER F KRE C ADD ICE TI O JU L B LE I STIMULATE G AL OF L B E IC ALLEN Pre-Medical : Biology 23 24 ALLEN Pre-Medical : Biology DIGESTION IN DUODENUM : Pancreatic, a - Amylase : Amylase and Amylopsin dissociates starch into Maltose. Majority of starch breaks up into the duodenum. Pancreatic amylase ® Maltose Starch ¾¾¾¾¾¾¾ (Amylopsin) Protein digestion in duodenum Dipeptides and Amino acids Procarboxypeptidase Carboxypeptidase Duodenal mucosa Pancreatic juice Trypsinogen Trypsin Entrokinase + Ca+2 Large peptides Chymotrypsinogen Chymotrypsin Proteins Fat digesting enzyme - In pancreatic-juices various Fat-digesting enzymes are found which are collectively called steapsin. (I) Pancreatic Lipase- It converts triglyceride into monoglyceride,fatty acid, glycerol. (II) Cholesterol esterase- It digests cholesterol esters. These esters are made up of cholesterol and fatty-acids Like- Lanolin, (cholesterol and Palmitic acid). (III) Phospholipase- These digest phospholipids. DNase and RNase - Digestion of DNA and RNA. In duodenum, digestion of biomacro molecules takes place in the presence of bile juice and pancreatic juice. :2 02 0- 21 DIGESTION IN JEJUNUM AND ILEUM Some hormones like duocrinin, enterokinin stimulate the crypts of Leiberkuhn to secrete Succus-entericus or intestinal juice. This succus entericus mainly contains water (99%) and digestive enzymes (<1%). Succus-entericus mainly contains the following enzymesPeptidase or Erepsin - This is a type of Exopeptidase. It converts oligopeptides into amino-acids. Disaccharidases * Sucrose * Maltose Maltase Glucose + Glucose * Lactose Lactase Glucose + Galactose ss io n Glucose + Fructose Se Sucrase (Invertase) Intestinal Lipase- This fat-digesting enzyme converts fats into fatty-acids and glycerol. Fat Lipase Fatty acid + Glycerol Nucleotidase ® Nucleosides + Phosphate (i) Nucleotides ¾¾¾¾¾¾¾ Nucleosidase ® Pentose + Nitrogen base (ii) Nucleosides ¾¾¾¾¾¾¾ * * DIGESTION IN CAECUM :In herbivores, the symbiotic bacteria and protozoans present in the caecum help in digestion of cellulose into glucose. So the digestion of cellulose takes place in caecum by the process of decomposition. This decomposition process is very slow. So very less amount of cellulose is digested at a time in caecum. In the last part of the large intestine faeces is temporarily stored. Maximum digestion of food – Duodenum. While digestion of food complete in – Ileum. Maximum absorption of food in – Jejunum. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Nucleotidase and Nucleosidase - These act in the following way:- E Bile juice ss SALIVARY GLAND io n STOMACH OESOPHAGUS (1) STARCH pH = 6.8 Contain ptyalin (Salivary amylase) MALTOSE Se :2 02 0- 21 Gastric (2) amylase Gastric Lipase convert 1% emulsified (inactive) fats into fatty acids and Glycerol HCL inactivate (3) Pepsin Proteins Proteoses + Fo od ptyalin GALL-BLADDER + Peptones G J u a ice = st HCL convert inactive S CHYric Concentration PANCREAS proteases into ME and storage of active one M DNase, RNase bile juice Dipeptides and Pancreatic amylase, Pancreatic Bile juice emulsify amino acid Lipase, Trypsinogen, A fats CARBOXY Chymotripsinogen, (4) Pancreatic lipase PEPTIDASE procarboxy peptidase Tryglyceride L (6) PROCARBOXY DNA by DNase Monoglycerides (7) PEPTIDASE LARGE RNA by RNase + T E TRYPSINOGEN PEPTIDES Fatty acids + Glycerol N enterokinase L TRYPSIN I (8) S Pancreatic I Maltose (5) STARCH CHYMO Amylase N T TRYPSINOGEN T CHYMO E I 4,5,6,7,8 in duodenum PROTEINS TRYPSIN S T I N maltase (9) Maltose Glucose + Glucose N A L 9 to 15 in jejunum and ileum A E lactase R L (10) Lactose Glucose + Galactose G J Sucrase U (11) Sucrose Glucose + Fructose E C I E dipeptidase I (12) Dipeptides Amino acids N intestinal lipase T (13) Monoglycerides Fatty acids + Glycerol ES nucleotidases (14) Nucleotides Nucleosides + PO3– 4 T I NE nucleosidases (15) Nucleosides N2 bases + Pentose sugar Liver Physiology of digestion PROTEINS FATS STARCH SALIVA pH =1 .5 E –3 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 ALLEN Pre-Medical : Biology ted es g i d i al Un ater m 25 26 ALLEN Pre-Medical : Biology BEGINNERS BOX-4 PHYSIOLOGY OF DIGESTION 1. Bilirubin and bilivirdin are found in(1) Blood 2. (2) sugar (3) protein (4) fat (2) Protein (3) Fat (4) Cane sugar The digestion of cellulose in rabbit and other herbivorous mammals takes place in(1) Vermiform appendix 5. (4) None of these. Amylase enzyme acts on the (1) Starch 4. (3) Saliva Casien present in milk,which is (1) bacterium 3. (2) Bile (2) Colon (3) Caecum (4) Ileum Peristaltic movements found in different parts of alimentary canal In which one of these there is least peristalsis(1) Stomach (4) lactose (2) Sucrose into glucose and fructose (3) Starch into maltose (4) Starch into sucrose Trypsin is secreted by(3) Liver 0- (2) Stomach 21 (1) Glucose into sucrose Proteins are broken down into amino acids in(1) Buccal cavity 10. (3) Trypsin The enzyme invertase hydrolase- (1) Pancreas 9. (2) Rennin 02 8. (4) Oesophagus Milk protein is curdled into calcium paracaesinate by(1) Maltose 7. (3) rectum (2) Stomach (3) Intestine :2 6. (2) duodenum (4) Ileum (4) Rectum Digestion of starch starts from the mouth, whearas ...A... is the site of digestion mainly for ...B... Choose the io n correct combination of options to complete the given statement. Se (3) A-small intestine; B-protein ss (1) A-stomach; B-protein (2) A-stomach; B-starch (4) A-small intestine; B-starch BEGINNERS BOX-5 PHYSIOLOGY OF DIGESTION 1. Herbivorous animals can digest cellulose because (2) Bacteria present in their caecum help in digestion of cellulose. (3) Gastric juice has a digestive enzyme for cellulose digestion. (4) Alimentary canal is very long. 2. Digestion of carbohydrate is affected by(1) Amylopsin 3. 4. (2) Lipase (3) Erepsin (4) Pepsin Ptyalin cannot work in stomach, because it becomes(1) Inactive due to HCl (2) Inactive due to Renin (3) Inactive due to Pepsin (4) None of these What is the important function of bile(1) For digestion by emulsification of fats (2) Elimination of excretory products (3) For digestion by enzymes (4) Coordination of digestive activities Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 (1) Their molar and premolar teeth can crush and grind the food. E ALLEN 5. 6. 7. 8. 9. 10. Pre-Medical : Biology 27 Some proteolytic enzymes are(1) Trypsin, Erepsin, Pepsin (2) Amylase, Lipase, Zymase (3) Ampylopsin, Steapsin, Ptyalin (4) Urease, Dehydrogenase, Zymase Bacteria entering with contaminated food are killed in stomach by (1) Pepsin (2) Renin (3) Sodium bicarbonate (4) HCl Chymotrypsin is(1) Proteolytic enzyme (2) Fat digestive enzyme (3) Vitamin (4) Hormone Emulsification of fats by bile takes place in(1) Duodenum (2) Liver (3) Stomach (4) Intestine Which of the following secretions gets mixed with the food (hydrolysed) in the small instestine? (1) Bile, pancreatic juices and intestinal juices (2) Pancreatic juices, intestinal juices and gastric juices. (3) Gastric juices, intestinal juices and biles (4) Bile, gastric juices and salivary juices What is the major site for the conversion of proteins into free amino acids? (1) Spleen (3) Intestine (2) Liver (4) Kidney DIGESTIVE JUICES Saliva Composition Functions Water (99.5%), Solids (0.5%) Keeps the mouth moist. Inorganic and organic salts, Helps in formation of bolus. 02 Splits starch into maltose. Protein digestion up to peptone and proteoses Inorganic and organic salts, mucin, Enzymes : pepsinogen, rennin, lipase etc Milk degestion :2 Water (99.5%), Solids (0.5%) HCl (0.2 – 0.3%) Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 E ss io n Gastric Juice 0- - Ptyalin, mucin 21 Name of the juice Inorganic and organic constituents, Enzymes : trypsinogen, Chymotrypsinogen, Procarboxy peptidase, nucleases, lipase Digestion of carbohydrates, proteins and fats Bile Juice Inorganic salts, bile salts, bile pigments (Bilirubin, Biliverdin), Cholesterol Helpuful in digestion of lipid Water 99% and Solid 1% Activator : Enterokinase Enzymes : Erepsin, nucleotidases, sucrase, maltase, lactase, lipase. Digestion of all type of food. Intestinal juice Se Pancreatic juice Removes the acidity. REGULATION OF DIGESTION The activities of the gastro-intestinal tract are under neural and hormonal control for proper coordination of different parts. The sight, smell and/or the presence of food in the oral cavity can stimulate the secretion of saliva. Gastric and intestinal secretions are also, similarly, stimulated by neural signals. The muscular activities of different parts of the alimentary canal can also be moderated by neural mechanisms, both local and through CNS. Hormonal control of the secretion of digestive juices is carried out by the local hormones produced by the gastric and intestinal mucosa. 28 ALLEN Pre-Medical : Biology ABSORPTION OF DIGESTED FOOD Absorption is the process by which the end products of digestion pass through the intestinal mucosa into the blood or lymph. It is carried out by passive, active or facilitated transport mechanisms. Small amounts of monosacharides like glucose, amino acids and some of electrolytes like chloride ions are generally absorbed by simple diffusion. The passage of these substances into the blood depends upon the concentration gradients. However, some substances like glucose and amino acids are absorbed with the help of the carrier proteins. This mechanism is called the facilitated transport. Transport of water depends upon the osmotic gradient. Active transport occurs against the concentration gradient and hence requires energy. Various nutrients like amino acids, monosacharides like glucose, electrolytes like Na+ are absorbed into the blood by this mechanism. Fatty acids and glycerol being insoluble, cannot be absorbed into the blood. They are first incorporated into small droplets called micelles which move into the intestinal mucosa. They are re-formed into very small protein coated fat globules called the chylomicrons which are transported into the lymph vessels (lacteals) in the villi. These lymph vessels ultimately release the absorbed substances into the blood stream. Absorption of substances takes place in different parts of the alimentary canal, like mouth, stomach, small intestine and large intestine. However, maximum absorption occurs in the small intestine. A summary of absorption (sites of absorption and substances absorbed) is given in table. The Summary of Absorption in Different Parts of Digestive System Small Intestine Principal organ for absorption of nutrients. The digestion is completed here and the final products of digestion such as glucose, fructose, fatty acids, glycerol and amino acids are absorbed through the mucosa into the blood stream and lymph. Large Intestine Absorption of water, some minerals and drugs takes place. n :2 02 0- 21 Stomach Absorption of water, simple sugars, and alcohol etc. takes place. Se ss io Mouth drugs Certain coming in contact with the mucosa of mouth and lower side of the tongue are absorbed into the blood capillaries lining them. ABSORPTION IN DUODENUM : In duodenum iron and calcium ions are absorbed. ABSORPTION IN JEJUNUM : Maximum absorption of food takes place in jejunum. (Fats does not follow entero hepatic circulation) Glucose Glucose + Na+ L–amino acids D-amino acids Fats are absorbed into lacteals in the form of chylomicrons L Folds of mucosa Blood capillaries A C T Liver Hepatic portal vein Hepatic Vein Mesenteric Vein Inferior Vena Cava Superior Vena Cava E A L Lymph Vessels Left Thoracic Lymph duct Left Subclavian Vein Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Enterocyte Mucous cell Microvilli E ALLEN Pre-Medical : Biology 29 Caloric value : * The amount of heat liberated from complete combustion of 1 gm food in a bomb calorimeter (a closed metal chamber filled with O2) is its gross calorific value or gross energy value (G.C.V.). * The actual amount of energy liberated in the human body due to combustion of 1 gm of food is the physiologic value (P.V.) of food. Food substance G.C.V. P.V. (in K.cal/gm) (in K.cal/gm) Carbohydrate 4.1 4.0 Protein 5.65 4.0 Fats 9.45 9.0 ASSIMILATION OF FOOD : • Glucose ¾® Glycogen in liver (Glycogenesis) (Glycogen is stored food material) • Whenever required, Glycogen ¾® Glucose (Glycogenolysis) • Amino acids and fats ¾® Glucose in liver (Gluco neogenesis) • Lactic acid formed in muscles ¾® Glycogen in liver by Glyconeogenesis • Stored in body, help in insulation and thermoregulation. • Rich source of energy 02 0- 21 Glucose is instant source of energy. Minerals, water and vitamins plays vital role in many vital processes of body. ss (4) Fats - • :2 (3) Carbohydrates n (2) io (1) The absorbed substances finally reach the tissues which utilise them for their activities. This process is called assimilation. Proteins and amino acids - Amino acids are not stored in body as they are highly reactive so converted into proteins which are building blocks of body. Se EGESTION : The digestive wastes, solidified into coherent faeces in the rectum initiate a neural reflex causing an urge or desire for its removal. The egestion of faeces to the outside through the anal opening (defaecation) is a voluntary process and is carried out by a mass peristaltic movement. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Faecal matter is yellowish brown in color due to the presence of two pigments (Stercobilin, Urobilin). These two are formed due to degradation of bile pigments. Foul smell in excreta is due to the presence of CH4, NH3, E indole, scatole, tryphtophan and H2S. BEGINNERS BOX-6 1. 2. ABSORPTION OF DIGESTED FOOD Amino acids are absorbed in(1) Blood capillaries of villi (2) Wall of rectum (3) lacteals and blood capillaries of villi (4) lacteals of villi Absorption of digested food chiefly occurs in(1) Stomach (3) Small Intestine (2) Colon (4) Large Intestine Excess amino acids are deaminated & converted into urea in (1) Kidneys (3) Lactelas in jejunum (4) Blood capillaries in deodenum (2) absorption (3) assimilation (4) egestion Process of absorption of nutrients in carried out by (1) passive transport (2) facilitated transport (3) active transport (4) all of the above By which process, glucose and amino acids are absorbed in the small intestine? (2) Passive transport (3) Osmosis (4) Selective absorption 21 (1) Active transport What is the main site of amino acids absorption in human's small intestine? (1) Duodenum (2) Jejunum (3) Ileum Absorption of fat occurs through the process of (2) passive transport (3) osmosis (4) simple diffusion io (1) active transport (4) Both (1) and (2) ss DISORDERS OF DIGESTIVE SYSTEM PEM Dietary deficiencies of proteins and total food calories are widespread in many underdeveloped countries of South and South-east Asia, South America, and West and Central Africa. Protein-energy malnutrition (PEM) may affect large sections of the population during drought, famine and political turmoil. This happened in Bangladesh during the liberation war and in Ethiopia during the severe drought in mid-eighties. PEM affects infants and children to produce Marasmus and Kwashiorkar. Marasmus is produced by a simultaneous deficiency of proteins and calories. It is found in infants less than a year in age, if mother’s milk is replaced too early by other foods which are poor in both proteins and caloric value. This often happens if the mother has second pregnancy or childbirth when the older infant is still too young. In Marasmus, protein deficiency impairs growth and replacement of tissue proteins; extreme emaciation of the body and thinning of limbs results, the skin becomes dry, thin and wrinkled. Growth rate and body weight decline considerably. Even growth and development of brain and mental faculties are impaired. Kwashiorkar is produced by protein deficiency unaccompanied by calorie deficiency. It results from the replacement of mother’s milk by a high calorielow protein diet in a child more than one year in age. Like marasmus, kwashiorkor shows wasting of muscles, thinning of limbs, failure of growth and brain development. But unlike marasmus, some fat is still left under the skin; moreover, extensive oedema and swelling of body parts are seen. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 10. (2) Lacteals in colon 0- 9. (4) Maltose 02 8. (3) Galactose Removal of waste from body in the form of undigested food in called (1) digestion 7. (2) Fructose Fats are absorbed in ________ (1) Lacteals in stomach 6. (4) Pancreas __________ is the instant source of energy. (1) Glucose 5. (3) Spleen :2 4. (2) liver n 3. ALLEN Pre-Medical : Biology Se 30 E ALLEN Pre-Medical : Biology 31 Old man's face Wasted muscles Wasted mucles Fat present Very little fat Underweight Very underweight Oedema No Oedema Two types of inadequate nutrition. (a) Kwashiorkor (b) Marasmus Kwashiorkar Marasmus Occur in child more than one year of age Occur in child below one year 2. Deficiency of proteins only Deficiency of protein and calories both 3. Extensive oedema No oedema 4. Subcutaneous fat is still present Subcutaneous fat disappear 5. Wasting of muscles and thining of limbs occur Extreme emaciation of body and thining of limbs occur 6. Skin appear to be swollen 7. Underweight children 02 0- 21 1. :2 Skin is dry and wrinkled io n Severely emaciated 1. Se ss In both kwashiokar and marasmus physical growth and mental development is effected. Hypercholesterolemia (Overnutrition) – It is caused due to intake of excess of saturated fat such as butter, ghee, red meat, egg. Cholesterol level in blood rises abnormally (hypercholesterolemia) this may cause thrombosis and heart attack. 2. Obesity (Overnutrition) – It is caused by excessive intake of high caloric nutrients such as sugar, honey and Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 saturated fat. Fat accumulates in the tissue. This may cause high blood pressure, diabetes and heart diseases. E Regular exercise and taking of green leafy vegetable are recommended to such persons. 3. Hypervitaminosis (Overnutrition) – It is caused by excessive intake of vitamin. Such as excess of vitamin D causes deposition of calcium in soft tissue. Excess of vitamin A causes lack of appetite, itching rash etc. Hypervitaminosis of 'D'-Nausea, anorexia, hypercalcaemia, hyperphosphetemia, calcification of soft tissue. 4. Fluorosis – It is caused by excessive intake of fluorine. It is characterised by mottled (brownish discolouration) teeth. 5. The inflammation of the intestinal tract is the most common ailment due to bacterial or viral infections. The infections are also caused by the parasites of the intestine like tape worm, round worm, thread worm, hook worm, pin worm, etc. 32 ALLEN Pre-Medical : Biology 6. Jaundice: The liver is affected, skin and eyes turn yellow due to the deposit of bile pigments. 7. Vomiting: It is the ejection of stomach contents through the mouth. This reflex action is controlled by the vomit centre in the medulla. A feeling of nausea precedes vomiting. 8. Diarrhoea: The abnormal frequency of bowel movement and increased liquidity of the faecal discharge is known as diarrhoea. It reduces the absorption of food. 9. Constipation: In constipation, the faeces are retained within the rectum as the bowel movements occur irregularly. 10. Indigestion: In this condition, the food is not properly digested leading to a feeling of fullness. The causes of indigestion are inadequate enzyme secretion, anxiety, food poisoning, over eating, and spicy food BEGINNERS BOX-7 DISORDERS Kwashiorkar disease is due to deficiency of : (1) protein Continued consumption of a diet rich in butter, red meat and eggs for a long period may lead to : (2) kidney stones (3) hypercholesterolmia (4) urine laden with ketone bodies 21 (1) vitamin A toxicity 0- Marasmus disease is caused due to : (1) Protein deficiency (2) Obesity (3) Dwarfism (4) Deficiency of vitamins Food is one of the basic requirment of all living organisms. The major component of our food are carbohydrates, proteins and fats. Food provides energy and organic materials for growth and repair of tissues. Deficiency of food will lead to protein energy malnutrition (PEM). Se ss io 4. (4) hormone 02 3. (3) sugar n 2. (2) fat :2 1. Which one of the following disease is characterized by PEM ? 6. (b) Kwashiorkar with wasted muscles (c) Marasmus with old man's face (d) Marasmus with oedema. (1) a, b (3) c, d (4) a, b, c Balanced diet is diet rich in carbohydrates, mild in protein and low in fats with essential vitamins and minerals. Deficiency of proteins in diet of a children between age group of 1 to 3 will not lead of following symptoms. (1) Wasted muscles (2) Oedema (3) Dwarfism (4) Prominent ribs Hypernutrition of which one of the following will read to itching rashes : (1) Proteins 7. (2) b, c (2) Vitamin-D (3) Fats (4) Vitamin -A Brownish discolouration of teeth is due to : (1) Hypointake of flourine (2) Hyperintake of vitamin-C (3) Hyperintake of flourine (4) Hypointake of vitamin-C Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 5. (a) Marasmus with changes in hair E ALLEN Match the Column I & Column II correctly : Column I 9. A Marasmus (i) Itiching rashes B Kwashiorkar (ii) Increase chance of thrombosis C Hypercholes terolmia (iii) Old man's face D Hypervitaminosis-A (iv) Oedema (1) A - (iii), B - (ii), C - (iii), D - (iv) (2) A - (iii), B - (iv), C - (ii), D - (i) (3) A - (iii), B - (iv), C - (i), D - (ii) (4) A - (i), B - (iv), C - (iii), D - (ii) The abnormal frequent movement of the bowl and increased liquidity of the faeces is called (1) vomiting 10. Column II (2) indigestion (3) constipation (4) diarrhoea The inflammation of intestinal tract is due to the infection of which microganism? (3) fungus (2) virus (4) both (1) and (2) 0- (1) bacteria 21 8. Pre-Medical : Biology Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 E B1 Thiamine B2 Riboflavin vitamin-G or Yellow Enzyme Cyano - Cobalamine B12 C D E K :2 n io Se Vitamin Common name A Retinol (2) Water soluble vitamin : B-complex and 'C' ss Earliest extracted vitamin = Vitamin - B1 Vitamins are following types – (1) Fat soluble vitamin : A, D, E, K 02 VITAMINS Ascorbic Acid Calciferol Tocopherol/Antisterility/ Beauty Vitamin Menadione/Phylloquinone Deficeincy disease Nightblindness (Nyctalopia) Xeropthalmia Dermatitis Beri-beri/Polyneuritis /Cardio vascular atrophy Cheilosis, Glossitis, Keratitis Pernicious anaemia (Megaloblastic anaemia) Scurvy, Anaemia, Joint pain Rickets in Children and Osteomalacia in Adults Macrocytic Anaemia, Muscular dystrophy Severe bleeding 33 ALLEN Pre-Medical : Biology An overview of the action of major digestive enzymes Enzyme Site of Action Substrate Products of Action Salivary Juice (Salivary Gland) Salivary amylase or Ptyalin Buccal cavity Starch Disaccharides (few) Proteins Large peptides Gastric Juice (Stomach) Pepsin Stomach Pancreatic Juice (Pancreas) Pancreatic a-amylase Small intestine Starch Disaccharides Trypsin Small intestine Proteins Large peptides Chymotrypsin Small intestine Proteins Large peptides Carboxypeptidases Small intestine Large peptides Amino-acid Lipase Small intestine Triglycerides Monoglycerides fatty acids, Nucleases Small intestine Nucleic acids Nucleotides Intestinal Juice (Small Intestine) Small intestine Peptidase Small intestine Disaccharidases Small intestine Nucleotidase Small intestine Nucleosidases Lipase Trypsin Amino-acid Oligopeptides Amino acids Disaccharides Monosaccharides Nucleotides Nucleosides phosphoric acid Small intestine Nucleosides Sugars, purines pyrimidines Small intestine Triglycerides Monoglycerides, glycerol, fatty acids ss io n :2 02 Large peptides SUMMARY The digestive system of humans consists of an alimentary canal and associated digestive glands. The alimentary canal consists of the mouth, buccal cavity, pharynx, oesophagus, stomach, small intestine, large intestine, rectum and the anus. The accessory digestive glands include the salivary glands, the liver (with gall bladder) and the pancreas. Inside the mouth the teeth masticates the food, the tongue tastes the food and manipulates it for proper mastication by mixing with the saliva. Saliva contains a starch digestive enzyme, salivary amylase that digests the starch and converts it into maltose (disaccharide). The food then passes into the pharynx and enters the oesophagus in the form of bolus, which is further carried down through the oesophagus by peristalsis into the stomach. In stomach mainly protein digestion takes place. Absorption of simple sugars, alcohol and medicines also takes place in the stomach. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Aminopeptidase Trypsinogen 21 Small intestine 0- Enteropeptidase or enterokinase Se 34 E ALLEN Pre-Medical : Biology 35 E Nucleosidases (DNase and RNase) Nucleases Pancreatic Lipase Nucleotideses, Stimulation of peristalisis etc. Amylase HCl Lactase, Procarboxypeptidase, Gastric Lipase Maltase, fat-soluble vitamins Trypsinogen, Rennin (Amylase) Chymotrypsinogen, Pepsin Ptaylin Pancreatic Secretion Gastric Secretion Salivary Secretion Sympathetic (Decreases secretion of digestive juices) Parasympathetic (Increases secretion of digestive juices) Sucrase, and Absorption of Intes tinal lipase Emulsifiation of Fats Dipeptidase 21 Bile Secretion 002 :2 n io Secretion for Digestion Se ss DIGESTIVE SYSTEM Structure N E R V O U S S Y S T E M Oesophagus Pharynx Mouth Succus Entericus Intestinal Peristalsis Gastric movements. Peristalsis in oesophagus Mastication of food M E C H A N I C Liver, Gall bladder, Pancreas, Salivary glands Rectum Anal canal Large intestine (colon) Small intestine Stomach Ascending Ileum Jejunum Duodenum Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Summary of Digestive System Transverse Descending Sigmoid The chyme (food) enters into the duodenum portion of the small intestine and is acted on by the pancreatic juice, bile and finally by the enzymes in the succus entericus, so that the digestion of carbohydrates, proteins and fats is completed. The food then enters into the jejunum and ileum portions of the small intestine. Carbohydrates are digested and converted into monosaccharides like glucose. Proteins are finally broken down into amino acids. The fats are converted to fatty acids and glycerol. The digested end products are absorbed into the body through the epithelial lining of the intestinal villi. The undigested food (faeces) enters into the caecum of the large intestine through ileo-caecal valve, which prevents the back flow of the faecal matter. Most of the water is absorbed in the large intestine. The undigested food becomes semi-solid in nature and then enters into the rectum, anal canal and is finally egested out through the anus. Heterodont (Different types of teeth endodermal MP MUSCLES HISTOLOGY NERVE ss E Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 APICAL FOR A MEN PERIODANTAL LIGAMENT · GASTRIC GLANDS · · · MULTILAYERED EPITHELIUM Brunner's glands Peyers patches Panethcells Pyloric Orifice Pyloric sphincter U M :2 Food move downward due to regular contraction and relaxation of oesophagus called peristalsis Cardiac/Gastrooesophagial sphincter H 0- S U G A 02 Aleum Jejunum G Opens on posteriomedial aspect of caecum ith W mm O Stomach consist of Fundus part Cardiac part Cardiac orifice 21 Longest oesophagus is in Giraffe S E P GULLET Common passage for food and air Dorsal opening which continues into oesophagus · Secret maximum saliva SUBMANDIBULAR GLANDS O X N SUBLINGUAL GLANDS · Smallest salivary glands below tongue Digestive glands are absent but starch continue to digest upto the last end of oesophagus. Salivary amylase is inactivated by HCl in stomach Length of oesophagus depend on length of neck of organism O RY A PH r cu esser CANL BODY NAL n Blunt Villi are in duodenum whereas long and pointed in jejunum and ileum CEMENT-65% inorganic substance PULP-CAVITY io Villi Crypts of Lieberkuhn UCT W H 'S D o n ARTON duct) y ge s t lvar sa -DUCT PAROTID PAROTID - GLAND · Largest salivary glands · Viral infection called mumps · Present near ear · Secret ptyalin (Salivary amylase) 3. Intestinal phase 2. Gastric phase Cranial nerves on of gastric juice is mediated by X pair of nerves ¯ secretion of gastric juice. Secreti secretion of Gastric juice and sympathetic 1. Cephalic phase - Parasympathetic nerves ­ Three phases of release of Gastric juice are :- + rest other (enzymes, hormones, mucus) Consists of 99.5% water + 0.2% to 0.3% HCl GASTRIC JUICE food mainly contain protein · Ptyalin is not present in carnivores as their because its food mainly contain cellulose · Ptyalin is not present in saliva of rabbit SALIVA + FOOD = BOLUS Maltose + dextrin STARCH (30%) Lysozyme bactericidal in nature Thiocynate Glycoprotein mucin-lubricate food particles Salivary amylase SALIVARY - GLAND Secrete Saliva which contain - 99.5% water and 0.5% electrolytes + other substances Pre-Medical : Biology ROOT NECK ENAMEL-96% inorganic substance DENTINE-69% inorganic substance CANALICULI STRUCTURE OF TOOTH :- OF CROWN SEROSA When fats + lymph tissues are deposited called ommentum SEROSA PLEXUS MUSCLES MP PLEXUS NF BV LV P R O P R I A S M U C O S A MUSCLES SEROSA ALIMENTARY CANAL Tunica adventia of white fibrous CT N A L A R I Se Tee ora th in l ca vity also contain highly muscular tongue; attached to floor of oral cavity by frenulum. Contain papillia. EPIGLOTTIS (Cartilagenous flap prevent entry of food into Glottis) Opening of windpipe (Glottis) Thecodont (Teeth in sockets) NF NF BV BV MP LV MP LV OBLIQUE MUSCLES MEISSNER'S AUERBACH'S LONGITUDINAL CIRCULAR NF BV LV L A M I M U S C U RECTUM ANAL CANAL ectodermal ANUS SOFT PALATE HARD-PALATE are incisors, canines, · Lips are movable as premolars, molars) Lower lip orbicularis oris (with dental formula muscles are present. 2123/2123) · Lips are immovable in WHALE and DUCK BILLED PLATYPUS Diphyodont ORIGIN OF ALIMENTARY CANAL (Teeth appear twice in life time) MOUTH ectodermal Upper lip Outer part with sebaceous glands Inner part with serous glands guarded by lips in front. MOUTH is a transverse slit like aperture ure vat SUBMUCOSA R COMPARATIVE T A NUM MUCOSA RV CU Consist of hardest substance of animal-enamel (contain maximum amount of inorganic substances) (L REATE R G en rea t tu er m 36 ALLEN N DUODE ALLEN Pre-Medical : Biology ANSWER KEY Que. 3 2 4 4 5 1 11 2 12 3 13 4 14 1 15 1 A ns. 1 2 2 4 3 3 4 4 Que. Ans. 1 2 2 2 3 2 Que. 1 2 2 3 1 2 Que. A ns. B EGINNE R 'S B OX-2 BEGINNER'S BOX-3 B EGINNE R 'S B OX-4 B EGINNE R 'S B OX-5 B EGINNE R 'S B OX-6 A ns. Que. A ns. Que. A ns. Que. A ns. 7 1 8 1 5 2 6 1 7 2 8 1 4 3 5 2 6 3 7 2 3 1 4 3 5 3 6 2 2 1 3 1 4 1 5 1 1 1 2 3 3 2 4 1 1 1 2 3 3 1 4 2 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\02-DIGEST-E.P65 Se ss io n :2 02 B EGINNE R 'S B OX-7 Que. 6 3 E 9 1 10 3 8 2 9 1 10 3 7 2 8 1 9 3 10 1 6 4 7 1 8 1 9 1 10 3 5 3 6 4 7 4 8 1 9 4 10 4 5 4 6 4 7 3 8 2 9 4 10 4 21 2 1 0- B EGINNE R 'S B OX-1 1 1 A ns. 37 ALLEN Pre-Medical : Biology Build Up Your Understanding EXERCISE-I (Conceptual Questions) 10. 3. 4. Which cells of mucous layer of stomach secrete pepsinogen (1) Chief cell (2) Goblet cell (3) Parietal cell (4) Oxyntic cell DS0004 Innermost layer of mucosa is made up of columnar epithelium except :(1) Oesophagus (2) Duodenum (3) Intestine (4) Stomach DS0005 How many teeth in man grows twice in life : (1) 32 (2) 28 (3) 20 (4) 12 DS0006 (2) Cells of Acini and Islets of langarhans resp. (3) Istets of langeshans and cells of Acius resp. (4) None of these. DS0012 11. 12. 13. 14. 7. 8. 9. (3) Duodenum (4) Thyroid Which substance destroy the harmful bacteria(1) Cerumin (2) Chyme (3) HCl (4) Secretin One of the following is not a constituent of saliva :(1) Bicorbonate (2) Lysozyme (3) Glucose (4) Immunoglobulin DS0015 What statement is wrong about bile ? (2) Is stored in the gall bladder (3) Is important only for normal digestion of sugar (4) None of above DS0016 15. Which of the following is a function of gall bladder:(1) Deamination Se (2) Bile storage (3) Synthesis of plasma protein In human being sphincter of Oddi is situated in :(1) Common bile duct (2) Ampulla of vater (3) Main pancreatic duct (4) Common hepatic duct DS0009 Ptyalin is secreted by(1) Stomach (3) Pancreas (2) Liver (1) Is necessary for fat digestion DS0007 DIGESTIVE GLANDS (1) Pancreas DS0014 n io In human which teeth help in cutting ? (1) Canine (2) Incisor (4) Premolar (3) Molar ss 6. C-shaped widest part of intestine DS0013 :2 5. Enamel of teeth is secreted by :(1) Ameloblast (2) Odontoblast (3) Osteoblast (4) Osteoclast DS0002 (1) Islets of langerhans 0- 2. Parietal cells of mucosa in stomach secretes : (2) Pepsin (1) Mucin (3) HCl (4) All of the above DS0001 02 1. In pancreas, pancreatic juice and hormone are secreted by- 21 ALIMENTARY CANAL (MOUTH TO ANUS) (2) Salivary gland (4) Bile DS0010 Ptyalin, an enzyme work in saliva in (1) Alkaline medium (2) almost neutral medium (3) Acidic medium (4) all media (4) Storage of fat soluble vitamin DS0017 16. Crypts of Leiberkuhn are found in between the villi. They secrete : (1) Glucagon (2) Succus entericus (3) Insulin (4) None DS0018 17. Parotid salivary glands are present : (1) Below the tongue (2) Below the ears (3) Below the eye orbits (4) In the angle between two jaws DS0011 DS0019 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 38 E ALLEN 18. Pre-Medical : Biology Specific cells found in liver are : (1) Enterocyte cells (2) Beta cells (3) Hepatic cells (4) Islets of Langerhans DS0021 39 26. Digestion of carbohydrate is affected by(1) Amylopsin (2) Lipase (3) Erepsin (4) Pepsin DS0030 27. Trypsin is secreted by(1) Pancreas (3) Liver PHYSIOLOGY OF DIGESTION AND OTHERS (2) Stomach (4) Ileum DS0031 19. Casein present in milk,which is (1) bacterium (2) sugar (3) protein (4) fat 28. Proteins are broken down into amino acids in(1) Buccal cavity (2) Stomach (3) Intestine (4) Rectum DS0032 29. Which reserve food is consumed by man during starvation :(1) Fat (2) Protein (3) Glucose (4) Vitamin DS0033 30. Ptyalin cannot work in stomach, because it becomes(1) Inactive due to HCl (2) Inactive due to renin (3) Inactive due to pepsin (4) None of these DS0034 21. Liver cells secrete(1) amylopsin (3) lipase Peristaltic movements found in different parts of alimentary canal. In which one of these there is least peristalsis(1) Stomach (2) Duodenum (3) Rectum (4) Oesophagus DS0026 31. ss Milk protein is curdled into calcium paracaseinate by (1) Maltose (2) Rennin (3) Trypsin (4) lactose DS0027 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 Se 23. io n :2 22. (2) trypsin (4) bile and no enzyme DS0025 0- Amylase enzyme acts on the (1) Starch (2) Protein (3) Fat (4) Cane sugar DS0024 02 20. 21 DS0023 E 24. What is the important function of bile(1) For digestion by emulsification of fats (2) Elimination of excretory products (3) For digestion by enzymes (4) Coordination of digestive activities DS0035 32. The enzyme invertase hydrolyses(1) Glucose into sucrose Some proteolytic enzymes are(1) Trypsin, Erepsin, Pepsin (2) Amylase, Lipase, Zymase (3) Ampylopsin, Steapsin, Ptyalin (4) Urease, Dehydrogenase, Zymase DS0036 (2) Sucrose into glucose and fructose (3) Starch into maltose 33. Succus entericus is secreted by(1) Gastric glands (2) Islets of langerhans (3) Crypts of lieberkuhn & Brunner's gland (4) Goblet cells DS0037 34. Glycogen is stored in(1) Blood (3) Lungs (4) Starch into sucrose DS0028 25. Amino acids are absorbed in(1) Blood capillaries of villi (2) Wall of rectum (3) lacteals and blood capillaries of villi (4) lacteals of villi DS0029 (2) Liver (4) Kidney DS0038 35. 36. ALLEN Pre-Medical : Biology Chymotrypsin is(1) Proteolytic enzyme (3) Vitamin 45. Function of HCl in stomach is to(1) Kill micro-organism of food (2) Facilitate absorption of food (3) Dissolve hormones secreted by gastric glands (4) Active trypsinogen to trypsin DS0049 46. Enzyme maltase in human gut acts on food at a pH of (1) More than 7to change starch into maltose. (2) Less than 7 to change starch into maltose. (3) More than 7 to change maltose into glucose. (4) Less than 7 to change maltose into glucose. DS0050 Simple sugar of blood is(1) Dextrin (2) Lactose (3) Sucrose (4) Glucose (2) Fat digestive enzyme (4) Hormone DS0039 Emulsification of fats by bile takes place in(1) Duodenum (2) Liver (3) Stomach (4) Intestine DS0040 37. Absorption of digested food chiefly occurs in(1) Stomach (2) Colon (3) Small Intestine (4) Large Intestine DS0041 38. The enzyme trypsinogen is secreted from(1) Duodenum (2) Pancreas (3) Liver (4) Stomach DS0042 47. 39. Enzyme pepsin acts upon food at a pH of about(1) 3 to split proteins (2) 2 to split carbohydrate (3) 7 to change protein into peptones (4) 2 to change protein in amino acids DS0043 48. 40. Our food mainly contains(1) Carbohydrates (2) Cellulose (3) Sucrose (4) Glucose DS0051 21 002 :2 49. n DS0044 io Which one is differ from the category of other three(1) Gastrin (2) Glucagon (3) Secretin (4) Ptyalin DS0045 50. 42. 43. 44. A carbohydrate splitting enzyme is secreted by (1) Liver (2) Zymogen cells of gastric glands (3) Spleen (4) Crypts of Lieberkuhn DS0046 Stomach is the main site for the digestion of (1) Fats (2) Carbohydrate (3) Protein (4) All of these DS0047 The hormone involved in the discharge of pancreatic juice in mammal is called(1) Gastrin (2) Secretin (3) Secretin & CCK (4) Enterogasterone DS0048 Enterokinase stimulates which of the following(1) Pepsinogen (2) Trypsin (3) Pepsin (4) Trypsinogen DS0053 Maximum digestion of food take place in – (1) Stomach (3) Colon Se ss 41. During prolonged starvation, body derives nutrition from storage of (1) Liver and adipose tissue (2) Spleen (3) Liver and lungs (4) Subcutaneous fat and Pancreas DS0052 (2) Jejunum (4) Duodenum DS0054 51. Absence of which of these in bile will make fat digestion difficult(1) Cholesterol (2) Bile salts (3) Pigment (4) Acids DS0055 52. Pancreatic juice is released into(1) Duodenum (2) Ileum (3) Stomach (4) Jejunum. DS0056 53. The enzyme that catalyse the changing of emulsified fats to fatty acids and glycerol is(1) Pepsin (2) Lipase (3) Amylase (4) Sucrose DS0057 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 40 E ALLEN 54. Point out the odd one(1) Rennin (3) Calcitonin Pre-Medical : Biology 63. (2) Secretin (4) Oxytocin DS0058 Muscular contraction of alimentary canal are(1) Circulation (2) Deglutition (3) Churning (4) Peristalsis DS0068 65. Fatty acids and glycerol are first absorbed by(1) Lymph vessels (2) Blood (3) Blood capillaries (4) Hepatic portal Vein DS0069 66. During prolonged fasting(1) First fats are used up, followed by carbohydrate from liver and muscles, and protein in the end (2) First carbohydrate are used up, followed by fat and proteins towards end (3) First lipids, f ollo wed by proteins and carbohydrates towards end. (4) None of the above DS0070 (2) Liver (4) Blood DS0060 57. 64. Cholecystokinin is secretion of (1) Duodenum that causes contraction of gall bladder (2) Goblet cells of ileum stimulates secretion of succus entricus (3) Liver and controls secondary sex characters (4) Stomach that stimulates pancreas to release juice DS0061 Enzyme trypsinogen is changed to trypsin by (1) Gastrin (2) Enterogastrone (3) Enterokinase (4) Secretin DS0062 59. Castle's intrinsic factor is connected with internal absorption of(1) Pyridoxine (2) Riboflavin (3) Thiamine (4) Cobalamine DS0063 60. Maximum number of enzymes occur in(1) Omnivorous (2) Herbivores (3) Carnivores (4) None of the above DS0064 61. Cholesterol is synthesized in(1) Brunner's gland (2) Liver (3) Spleen (4) Pancreas 67. Which of the following is absorbed in ileum(1) Fat (2) Bile salts (3) Vit-K (4) Glucose DS0071 68. Which food substance is absorbed, without digestion(1) Carbohydrates (2) Proteins (3) Vitamins (4) Fats DS0072 69. Mucus is secreted by the :(1) Stomach (2) Duodenum (3) Large intestine (4) All of the above DS0073 70. Water absorption is mainly occur in :(1) Colon (2) Intestine (3) Stomach (4) Appendix Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 E Se ss io n :2 58. 21 Bile is formed in(1) Gall bladder (3) Spleen DS0067 0- 56. Pancreatic lipase acts upon(1) Glycogen (2) Triglycerides (3) Dissacharides (4) Polypeptides DS0059 DS0065 62. Rennin acts on(1) Milk changing casein into calcium paracaseinate at 7.2 - 8.2 pH (2) Proteins in stomach DS0074 71. (3) Fat in intestine (4) Milk, changing casein into calcium paracaseinate at 1-3 pH DS0066 Lacteals take part in (1) Digestion of milk (2) Absorption of fat (3) Digestion of lactic acid (4) None of the above 02 55. 41 Which of the following absorbed in proximal intestine:(1) Iron (2) Sodium (3) Bile salts (4) Vitamin B12 DS0075 74. Lactose composed of :(1) Glucose + galactose (2) Glucose + fructose (3) Glucose + glucose (4) Glucose + mannose DS0078 75. If for some reason the parietal cells of the gut epithelium become partially non-functional, what is likely to happen ? (1) The pH of stomach will fall abruptly (2) Steapsin will be more effective (3) Proteins will not be adequately hydrolysed by pepsin into proteoses and peptones (4) The pancreatic enzymes and specially the trypsin and lipase will not work efficiently DS0079 In stomach after physical and chemical digestion food is called:(1) Chyme (2) Chyle (3) Amino acid (4) Bolus DS0080 (3) Sucrose 82. 83. 84. 85. 86. n 80. Stool of a person contain whitish grey colour due to malfunction of which type of organ: (1) Pancreas (2) Spleen (3) Kidney (4) Liver DS0084 Glucose and galactose unite to form (1) Maltose (2) Sucrose (3) Isomaltose (4) Lactose DS0088 Gastric enzyme pepsin acts only in acidic medium with in a limited pH concentration. It varies: (1) 1.20 to 1.80 (2) 1.00 to 1.50 (3) 2.00 to 2.50 (4) 1.50 to 2.60 DS0089 Stomach in vertebrates is the main site for digestion of : (1) Proteins (3) Fats ss In mammals, milk is digested by action of(1) Rennin (2) Amylase (3) Intestinal bacteria (4) Invertase DS0083 Hydrolysis of lipid yields :(1) Fats (2) Fatty acids and glycerol (3) Mannose and glycerol DS0087 87. A person who is eating rice. His food contains (1) Cellulose (2) Starch (3) Lactose (4) Protein DS0082 79. (4) Amino acid DS0086 (4) Maltose and fatty acid io 78. Fully digested food reaches to liver by (1) Hepatic portal vein (2) Hepatic artery (3) Hepatic vein (4) All the above DS0081 If all the peptide bonds of protein are broken, then the remaining part is :(1) Amide (2) Oligosaccharide (3) Polypeptide Se 77. (4) Galactose DS0085 :2 76. Which of the following is a dissacharide : (1) Glucose (2) Fructose (2) Carbohydrates (4) Nucleic acids DS0090 The chief function of bile is to : (1) Digest fat by enzymatic action (2) Emulsify fats for digestion (3) Eliminate waste products (4) Regulate digestion of proteins DS0091 88. The toxic substance are detoxicated in the human body by : (1) Lungs (2) Kidneys (3) Liver (4) Stomach DS0092 89. The end product of carbohydrate metabolism is : (1) CO2 and H2O (2) NH3 and CO2 (3) NH3 and H2O (4) CO2 DS0093 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 Jaundice is a disorder of : (1) Skin and eyes (2) Digestive system (3) Circulatory system (4) Excretory system DS0077 81. 21 73. Substances which are not related with hepatic portal circulation :(1) Amino acid (2) Fatty acid (3) Glucose (4) Fructose DS0076 0- 72. ALLEN Pre-Medical : Biology 02 42 E ALLEN Pre-Medical : Biology End products of protein hydrolysis are : (1) Mixture of amino acids (2) Sugars (3) Peptides (4) 25 amino acids DS0095 Ptyalin is an enzyme of (1) Salivary juice (2) Pancreatic juice (3) Intestinal juice (4) None of these DS0096 92. 93. The hormone 'secretin' stimulates secretion of (1) Pancreatic juice (2) Intestinal juice (3) Salivary juice (4) Gastric juice DS0097 Which one of the following amino acids is not found in proteins ? (1) Arginine (2) Ornithine (3) Aspartic acid (4) Tyrosine DS0098 95. Succus entericus is also called are: (1) Gastric juice (2) Intestinal juice (3) Bile juice (4) Saliva DS0099 96. Just as hydrochloric acid is for pepsinogen, so is the: (1) haemoglobin to oxygen (2) enterokinase to trypsinogen (3) bile juice to fat (4) glucagon to glycogen DS0100 n io ss Se Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 E 97. Where the lysozymes are found : (1) In saliva and tears both (2) In tears (3) In saliva (4) In mitochondria DS0101 98. 100. Pancreatic juice is : (1) Alkaline in nature (2) Acidic in nature (3) Neutral in nature (4) Both acidic and alkaline in nature DS0104 101. Bilirubin and Biliverdin are present in : (1) Pancreatic Juice (2) Saliva (3) Bile juice (4) Intestinal juice DS0105 102. The amount of gastric juice secreted per day from man's stomach is about : (1) 500 ml. to 1000 ml (2) 2000 ml to 3000 ml (3) 100 ml to 500 ml (4) 10 ml to 15 ml DS0106 103. The function of enterogasterone hormone is : (1) to control excretion (2) to inhibit gastric juice secretion (3) regulate the absorption of food (4) to stimulate gastric glands to release gastric juice DS0107 :2 94. Trypsin differs from pepsin because it digests : (1) Carbohydrate in alkaline medium in stomach (2) Protein, in alkaline medium in stomach (3) Protein, in acidic medium of stomach (4) Protein, in alkaline medium in duodenum DS0103 21 91. 99. 0- The muscular contraction in the alimentary canal is known as : (1) Systole (2) Diastole (3) Peristalsis (4) Spasm DS0094 02 90. 43 The major site of protein breakdown to form free amino acids, is in the (1) Kidney (2) Spleen (3) Intestine (4) Bone-marrow DS0102 104. What is the common passage for bile and pancreatic juices (1) Ampulla of Vater (2) Ductus Choledochus (3) Duct of Wirsung (4) Duct of Santorini DS0108 105. Pepsinogen is secreted from : (1) argentaffin cells (2) goblet cells (3) chief cells (4) parietal cells DS0109 106. Cells of the pancreas is not digested by their own enzymes because : (1) enzymes are secreted in inactive form (2) cells are lined by mucous membrane (3) enzymes are released only when needed (4) none of the above DS0110 ALLEN Pre-Medical : Biology 0- 21 115. Another substance of the category of glucose, sucrose and maltose is(1) Myoglobin (2) Starch (3) Amino acids (4) Haemoglobin DS0119 116. A person with bleeding gums should daily take(1) Milk (2) Carrots (3) Lemons (4) Butter DS0120 117. Rickets is a disease of which category(1) Infective disease (2) Deficiency disease (3) Communicable disease (4) Inheritable disease DS0121 118. Thiamine is another name for(1) Vit B2 (2) Vit A (3) Vit B1 (4) Vit B Complex DS0122 119. Vit D is also called(1) Calciferol (2) Ascorbic acid (3) Retinol (4) Folic Acid DS0123 120. In mammals carbohydrate are stored in the form of(1) Lactic acid in muscles (2) Glycogen in liver and muscles (3) Glucose in liver and muscles (4) Glycogen in liver and spleen DS0124 121. Which pairing is not correct(1) Vit D -Rickets (2) Vit K - Sterility (3) Thiamine - Beri-Beri (4) Niacin - Pellagra DS0125 122. Beri-Beri, Scurvy and Rickets are respectively caused by deficiency of (1) B, D & C (2) B, C & D (3) D, B & A (4) A, D & C DS0127 123. Vit K is a required for(1) Change of Prothrombin to thrombin (2) Synthesis of Prothrombin (3) Change of Fibrinogen to Fibrin (4) Formation of thromboplastin DS0128 124. Vitamin which induces maturation of R.B.C.:(1) B1 (2) A (3) B12 (4) D DS0131 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 Se ss io n :2 107. Secretin : (1) Stimulates enzymes secretion by pancreas, inhibits acid secretion in stomach, stimulates gall bladder (2) Stimulates bicarbonate secretion by pancreas, inhibits acid secretion in stomach, stimulates bicarbonate secretion by liver (3) Stimulates acid secretion in stomach, potentiates action of CCK, inhibits intestinal movement (4) Stimulates gall bladder, inhibits acid secretion in stomach, stimulates bicarbonate secretion by pancreas DS0111 108. Vitamins are (1) Inorganic substances and can't be synthesized by animals. (2) Inorganic substances and can be synthesized by animals. (3) Organic substances which cannot mostly be synthesized by animals. (4) Organic substances which can mostly be synthesized by animals. DS0112 109. Which should not be eaten too much during hot months(1) Vitamins (2) Fats (3) Mineral salts (4) Proteins DS0113 110. To get ample supply of carbohydrates, one should eat (1) Meat (2) Gram (3) Carrots (4) Rice DS0114 111. Protein are mainly required in the body for(1) Growth (2) Repair (3) Both of these (4) None of these DS0115 112. A person deficient in Rhodopsin (visual pigment) should take(1) Tomatoes (2) Radish (3) Carrot (4) Guavas DS0116 113. Rickets is caused by the deficiency of(1) Vit A (2) Vit C (3) Vit D (4) Vit B DS0117 114. Pernicious anaemia is caused by deficiency of vitamin(1) C (2) B1 (3) B12 (4) B6 DS0118 02 44 E ALLEN Pre-Medical : Biology 130. In adults the deficiency of vitamin D causes : (1) Rickets (2) Beri-beri (3) Scurvy (4) Osteomalacia DS0137 131. Which of the following vitamin synthesise in animal body by bacteria : (1) C (2) A (3) E (4) B12 DS0138 132. Marasmus disease is caused due to : (1) Protein deficiency (2) Obesity (3) Dwarfism (4) Deficiency of vitamins DS0139 133. Which of the following does not belong to vitamin B group : (1) Riboflavin (2) Niacin (3) Cyanocobalamine (4) Tocopherol DS0140 134. Certain B vitamins are: (1) Enzymes (2) Co-enzymes (3) Hormone (4) Digestive substance DS0141 135. Deficiency of thiamine causes : (1) Beri-beri (2) Rickets (3) Caries (4) Pellagra DS0142 136. Vitamin C is helpful in the : (1) Formation of visual pigment (2) Growth of bones (3) Treatment of pernicious anaemia (4) Wound healing DS0143 125. Which one is wrong pair :(1) Scurvy – Vitamin C (2) Rickets – Vitamin D (3) Night blindness – Vitamin A (4) Beriberi – Vitamin K 126. Which one is correctly matched :(1) Vit. E – Tocoferol (2) Vit. D – Riboflavin (3) Vit. B – Calciferol (4) Vit. A – Thiamine DS0132 DS0133 127. Vitamin–C is :– (1) Ascorbic acid (3) Phosphoric acid 2 3 4 5 6 3 1 1 1 3 Que. 16 17 18 19 Ans. 2 2 3 3 Que. 31 32 33 34 35 0- 02 :2 n io 1 Ans. ANSWER KEY 8 9 10 11 12 13 14 15 2 2 2 2 2 3 3 3 3 2 20 21 22 23 24 25 26 27 28 29 30 1 4 3 2 2 1 1 1 3 1 1 36 37 38 39 40 41 42 43 44 45 Se 7 ss Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 E Que. 21 (2) Citric acid (4) Glutamic acid DS0134 128. Which one of the following is the correct matching of a vitamin, its nature and its deficiency disease : (1) Vitamin K–Fat soluble–Beri–Beri (2) Vitamin A–Fat soluble–Beri–Beri (3) Vitamin K– Water soluble–Pellagra (4) VitaminA – Fat soluble–Night blindness DS0135 129. Scurvy disease is due to : (1) Presence of h-factor in blood (2) Deficiency of vitamin E (3) Virus (4) Deficiency of vitamin C DS0136 EXERCISE-I (Conceptual Questions) 45 Ans. 1 1 3 2 1 1 3 2 1 1 4 4 3 3 1 Que. 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Ans. 3 4 1 4 4 2 1 2 1 2 2 1 3 4 1 Que. 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 Ans. 2 4 2 4 1 2 2 3 4 2 1 2 2 1 3 Que. 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 Ans. 1 1 2 1 4 3 4 2 4 4 1 2 3 1 3 Que. 91 1 92 1 93 1 94 2 95 2 96 2 97 1 98 3 99 4 100 1 101 3 102 2 103 2 104 1 105 3 107 108 109 110 111 112 113 114 115 116 117 118 119 120 2 3 2 4 3 3 3 3 2 3 2 3 1 2 122 123 124 125 126 127 128 129 130 131 132 133 134 135 2 2 3 4 1 1 4 4 4 4 1 4 2 1 Ans. Que. 106 Ans. 1 Que. 121 Ans. 2 Que. 136 Ans. 4 ALLEN Pre-Medical : Biology AIPMT/NEET EXERCISE-II (Previous Year Questions) 5. AIPMT 2007 1. A young infant that feed entirely on mother's milk which is white in colour but the stools which the infant Which one of the following is a fat-soluble vitamin and its related deficiency disease ? (1) Calciferol – Pellagra (2) Ascorbic acid – Scurvy (3) Retinol – Xerophthalmia (4) Cobalamine – Beri-beri passes out is quite yellowish. This yellow colour due to ? (1) Pancreatic juice poured into duodenum (2) Intestinal juice (3) Bile pigments passed through bile juice (4) Undigested milk protein casein DS0145 AIPMT 2008 2. Which one of the following is the correct matching of the site of action on the given substrate, the enzyme acing upon it and the end product ? (1) Small intestine:Proteins (2) Stomach : Fats Pepsin Lipase DS0149 6. Amino acids AIPMT 2015 micelles 7. Trypsin :2 02 0- µAmylase (4) Small intestine : Starch Disaccharide (Maltose) DS0146 8. n What will happen if the secretion of parietal cells of gastric glands is blocked with an inhibitor ? (1) In the absence of HCl secretion, inacitve pepsinogen is not converted into the active enzyme pepsin (2) Enterokinase will not be released from the duodenal mucosa and so trypsinogen is not converted to trypsin (3) Gastric juice will be deficient in chymosin (4) Gastric juice will be deficient in pepsinogen DS0147 NEET-I 2016 In the stomach, gastric acid is secreted by the :- io (3) peptic cells ss Se DS0154 (1) gastrin secreting cells (2) parietal cells (4) acidic cells DS0155 9. Which of the following guards the opening of hepatopancreatic duct into the duodenum ? (1) Semilunar valve (2) Ileocaecal valve (3) Pyloric sphincter (4) Sphincter of Oddi AIPMT 2009 4. Gastric juice of infants contains :(1) nuclease, pepsinogen, lipase (2) pepsinogen, lipase, rennin (3) amylase, rennin, pepsinogen (4) maltase, pepsinogen, rennin 21 (3) Duodenum : Triglycerides monoglycerides 3. AIPMT 2014 The initial step in the digestion of milk in humans is carried out by ? (1) Lipase (2) Trypsin (3) Rennin (4) Pepsin DS0153 DS0156 Which one of the following pairs of food components in humans reaches the stomach totally undigested? (1) Starch and cellulose (2) Protein and starch (3) Starch and fat (4) Fat and cellulose DS0148 10. NEET-II 2016 Which hormones do stimulate the production of pancreatic juice and bicarbonate? (1) Cholecystokinin and secretin (2) Insulin and glucagon (3) Angiotensin and epinephrine (4) Gastrin and insulin DS0157 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 46 E ALLEN Pre-Medical : Biology NEET(UG) 2017 (1) Stomach (2) Kidneys (3) Intestine (4) Heart (a) Crypts of Lieberkuhn (i) Pancreas Which cells of "Crypts of Lieberkuhn" secrete antibacterial lysozyme ? (1) Paneth cells (2) Zymogen cells (3) Kupffer cells (4) Argentaffin cells DS0160 The hepatic portal vein drains blood to liver from : 18. DS0256 13. (b) Glisson's Capsule (ii) Duodenum Which of the following options best represents the (c) Islets of Langerhans (iii) Small intestine enzyme composition of pancreatic juice ? (d) Brunner's Glands (iv) Liver Select the correct option from the following : (a) (b) (c) (d) (1) (iii) (i) (ii) (iv) (2) (ii) (iv) (i) (iii) (3) (iii) (iv) (i) (ii) (4) (iii) (ii) (i) (iv) DS0258 NEET(UG) 2019 (ODISHA) (1) amylase, pepsin, trypsinogen, maltase (2) peptidase, amylase, pepsin, rennin (3) lipase, amylase, trypsinogen, procarboxypeptidase (4) amylase, peptidase, trypsinogen, rennin io n Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 E 16. Which of the following terms describe human dentition ? (1) Thecodont, Diphyodont, Homodont (2) Thecodont, Diphyodont, Heterodont (3) Pleurodont, Monophyodont, Homodont (4) Pleurodont, Diphyodont, Heterodont DS0165 Se 15. ss NEET(UG) 2018 Match the items given in column I with those in column II and choose the correct option : 02 19. :2 14. DS0161 A baby boy aged two years is admitted to play school and passes through a dental check - up. The dentist observed that the boy had twenty teeth. Which teeth were absent? (1) Canines (2) Pre-molars (3) Molars (4) Incisors DS0162 21 12. NEET(UG) 2019 Identify the cells whose secretion protects the lining of gastro-intestinal tract from various enzymes :(1) Chief Cells (2) Goblet Cells (3) Oxyntic Cells (4) Duodenal Cells DS0257 Match the following structures with their respective location in organs : 17. 0- 11. 20. Column-I Column-II (a) Rennin (i) Vitamin B12 (b) Enterokinase (ii) Facilitated transport (c) Oxyntic cells (iii) Milk proteins (d) Fructose (iv) Trypsinogen (1) a-iii, b-iv, c-ii, d-i (2) a-iv, b-iii, c-i, d-ii (3) a-iv, b-iii, c-ii, d-i (4) a-iii, b-iv, c-i, d-ii DS0259 Kwashiorkor disease is due to :- Which of the following gastric cells indirectly help (1) Simultaneous deficiency of proteins and fats in erythropoiesis ? (2) Simultaneous deficiency of proteins and calories (1) Chief cells (2) Mucous cells (3) Deficiency of carbohydrates (3) Goblet cells (4) Parietal cells (4) Protein deficiency not accompained by calorie deficiency DS0260 DS0166 ANSWER KEY EXERCISE-II (Previous Year Questions) Que. Ans. Que. Ans. 47 1 3 2 4 3 1 4 4 5 3 16 4 17 2 18 3 19 4 20 4 6 3 7 2 8 2 9 4 10 1 11 1 12 3 13 3 14 2 15 2 ALLEN Pre-Medical : Biology Master Your Understanding EXERCISE-III (Analytical Questions) EXERCISE-III(A) (NCERT BASED QUESTIONS) 1. 6. Select the correct statements. (a) Salivary glands situated just outside the buccal cavity. (b) Liver is the largest digestive gland. (c) Hepatic duct not arises from gall bladder. (d) Sphincter of Oddi can regulate the released of pancreatic and bile juice in duodenum. (1) a, b, c & d (2) a, b & d (3) b, c & d (4) a, b & c DS0177 7. The process of digestion is accomplished by :(1) Mechanical process (2) Chemical process (3) Electrical process (4) Both 1 & 2 DS0178 8. Which of the following helps in lubricating and adhering the masticated food particles into a bolus. (1) Salivary amylase (2) Mucous (3) Secretion of lachrymal gland (4) Gastric juice DS0179 Select the incorrect statements :(a) alimentary canal begins with an anterior cavity called buccal cavity. (b) tooth is embedded in a socket of mandible bone only. (c) human shows strict diphyodont type of dentition. (d) oesophagus and the trachea open into the pharynx. (1) a, b, c & d (2) a, b & c (3) a, c & d (4) a, b & d DS0172 2. The oesophagus is a thin, long tube which extends _____ passing through the neck. (1) anteriorly (3) horizontally (4) obliquely 21 (2) posteriorly In human __________ is a small blind sac, which (2) Colon (3) Rumen (4) All of these n (1) Caecum :2 hosts some symbiotic micro-organism. ss io DS0174 9. Which of the following electrolytes is/are present in saliva of human? (1) Na+ (2) K+ (3) Cl– (4) above all DS0180 10. Select the correct statements. Select the correct structural sequence of alimentary Se 4. 02 3. 0- DS0173 canal facing from inside to outside. (1) Serosa ® Muscularis ® Submucosa ® Mucosa (2) Muscularis® Serosa ® Mucosa ® Submucosa (3) Mucosa® Submucosa ® Muscularis ® Serosa (4) Submucosa ® Mucosa ® Muscularis ® Serosa Chymotrypsin (1) Trypsinogen ¾¾¾¾¾ ® Trypsin DS0175 5. Pepsin (2) Procarboxypeptidase ¾¾¾¾ ® carboxypeptidase All of the following are correct with respect to Ptylin (3) Proamylase ¾¾¾ ® Amylase intestine of human except. (1) Colon having ascending, descending and HCl (4) Pepsinogen ¾¾¾ ® Pepsin transverse part. DS0181 (2) Duodenum is C-shaped structure (3) Taeneae & haustra is present all along the length of intestine. (4) Highly developed villi is restricted to small intestine. DS0176 11. Select the odd with respect to enzymes present in adult human. (1) Rennin (2) Renin (3) Trypsin (4) Pepsin DS0182 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 48 E ALLEN 12. Pre-Medical : Biology Which of the following is not produced by the brush 16. 49 Find out the correct match from the following table :- border cells of the intestinal mucosa. (1) dipeptidases Column-I (2) nucleosidases (2) lipases Column-II Column-III A Goblet cells Mucus Prevent mucosa layer from damage of HCl B Lysozyme Saliva Antibacterial agent C Saliva Subparotid gland Secrete salivary amylase HCl Stimulate gastric lipase (4) steapsin DS0183 13. All of the following is correct w.r.t. large intestine except. (1) No significant digestive activity. (2) Absorption of some water (3) Absorption of certain minerals. D Oxyntic cells (4) Absorption of remaining glucose and amino acid. DS0184 14. In which of the following disease liver is affected, skin and eyes turn yellow due to the deposition of (1) Only 'A' (2) A and B (3) Only C (4) C and D DS0187 (1) Vomiting 17. 02 regarding digestion and absorption of food in (3) Diarrhoea human beings :- :2 (4) Dysentry io n DS0185 ss Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 E Coloum I amylase in our oral cavity proenzyme trypsinogen Se Match the following : (a) About 90% of starch is hydrolysed by salivary (b) Entero-endocrine cells in our stomach secrete the EXERCISE-III(B) (ANALYTICAL QUESTIONS) 15. Which of the following statements is/are incorrect 0- (2) Jaundice 21 bile pigments. (c) Vitamin-D is produced in human body in skin (d) Bile salts act as activator of pancreatic lipase Coloum II (1) Two, a and b (A) Salivary gland (i) Trypsinogen (2) Two, a and c (B) Stomach (ii) Bile pigments (3) Two, a and d (C) Pancreas (iii) Saliva (4) Three, a, b and d (D) Intestine (iv) Erepsin (E) Gall bladder (v) Gastric juice DS0188 18. Largest internal organ of the body is :(1) Skin (1) A-v, B-iii, C-i, D-ii, E-iv (2) Liver (2) A-iii, B-v, C-i, D-iv, E-ii (3) Pancreas (3) A-iv, B-iii, C-ii, D-i, E-v (4) Small intestine (4) A-ii, B-v, C-i, D-ii, E-iv DS0186 DS0189 ALLEN Pre-Medical : Biology 50 19. Identify A, B, C and D and choose correct option regarding their number in upper jaw :- 22. Conversion of large fat globules into smaller globule is :- A B C (1) Emulsification (2) Digestion (3) Assimilation (4) Specification DS0193 23. D Micelle formation occurs in :(1) Enterocyte (2) Duodenum A B D (1) Incisor-2 Canine-2 Premolar-2 Molar-3 (2) Incisor-4 Canine-4 Premolar-8 Molar-12 (3) Incisor-4 Canine-2 Premolar-4 Molar-6 (4) Incisor-2 Canine-1 Premolar-2 Molar-3 (3) Lacteals (4) Pancreas DS0194 24. Chymotrypsinogen is produced by (1) Liver (2) Pancreas (3) Stomach (4) Duodenum DS0195 DS0190 Identify the correct match from the column I, II and III. (2) gastrin Column-III Salivary gland a Lacteal i Emulsification of fat B Villi b Goblet cells ii One pair C Intestinal epithelium c Bile juice iii Absorption of fat D Liver d Sub maxillary gland iv Mucous (4) none of these 26. DS0196 n io Read the following statements (A-D) (A) The stomach stores the food for 4-5 hours (B) The food mixes throughly with the acidic intestinal juice (C) Trypsinogen is activated by an enzymeenterogastrone, secreted by the intestinal mucosa (D) Renin is enzyme found in gastric juice of infants which helps in digestion of milk protein How many of the above statements are wrong ? (1) Four (2) One (3) Two (4) Three DS0192 because : (1) Liver stores excess of protein (3) Liver stores excess of starch ss DS0191 A person addict for alcohol gets his liver destroyed (2) Liver stores excess of fat (4) Liver stores excess of glycogen Se (1) A-d-i, B-a-iii, C-b-iv, D-c-ii (2) A-d-ii, B-a-iii, C-b-iv, D-c-i (3) A-a-ii, B-d-iv, C-b-iii, D-c-i (4) A-b-i, B-a-ii, C-c-iii, D-d-iv (3) cholecystokinin 0- A 21. (1) citric acid + acetyl Co-A 21 Column-II Contraction of gall bladder is carried by : 02 Column-I 25. :2 20. DS0197 27. Anti-sterility vitamin is : (1) Vitamin B12 (2) Vitamin D (3) Vitamin E (4) Vitamin A DS0198 28. The longitudinal muscular folds of inner wall of stomach are called : (1) Papilla of vater (2) Rugae (3) Villi (4) Fissure DS0199 29. Gastric rugae are found in (1) Kidney (2) Liver (3) Nephron (4) Stomach DS0200 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 C E ALLEN 30. Pre-Medical : Biology Trypsinogen is : 39. Which of the following vitamins are fat soluble? (1) A, B, C, K (2) A, B, D, E (3) A, D, E, K (4) A, D, C, K DS0210 40. The organ in human body where Brunner's glands are present ? (1) Large intestine (2) Small intestine (3) Liver (4) Kidney DS0211 41. 'Crypts of Lieberkuhn' are found in : (1) gall bladder (2) liver (3) pancreas (4) intestinal wall (1) Hormone secreted by mucosa (2) Enzyme secreted by mucosa (3) Inactive enzyme secreted by pancreas (4) Secreted by endocrine gland related to digestion DS0201 31. 32. 33. Part of bile juice useful in digestion is : (1) Bile salt (2) Bile pigment (3) Bile matrix (4) All of them DS0202 From which of the following pepsin is secreted : (1) Lungs (2) Stomach (3) Salivary gland (4) Sebaceous gland DS0203 Secretin hormone stimulates : (1) Gastric glands (2) Pancreas (3) Gall bladder (4) Crypts of Lieberkuhn DS0212 42. 43. 21 Fint out the correctly matched pair : (1) Pepsinogen ® Zymogenic cells (2) HCl ® Goblet cells (3) Mucus ® Oxyntic cells (4) Pancreatic juice ® Salivary glands 0- 35. n io Castle interinsic factor helps in absorption of (1) Vitamin - B12 (2) Vitamin - B6 (3) Vitamin - A (4) Vitamin - C DS0216 45. Pancreatic juice contain bicarbonate which is secreted by : (1) paneth cells (2) goblet cell (3) kupffer's cell (4) aciner cell DS0217 46. Identify the false statement : (1) oesophagus does not secrete any enzyme (2) gall bladder concentrate bile juice (3) human teeth are thecodont (4) there are two pairs of salivary glands in humans Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 Se ss 44. E DS0206 38. Among mammals, a significant role in the digestion of milk is played by : (1) Rennin (2) Invertase (3) Amylase (4) Intestinal bacteria DS0207 pH of gastric juice is : (1) 2 (2) 4 (3) 6 (4) 8 DS0208 Which of the following hormone helps in secretion of HCl from stomach ? (1) renin (2) gastrin (3) secretin (4) somatostatin DS0209 The main digestive function of enterokinase is : (1) conversion of pepsinogen into pepsin (2) conversion of trypsinogen into trypsin (3) conversion of trypsin into trypsinogen (4) stimulation of the gastric glands to secrete gastric juice DS0214 02 Prorennin is secreted by : (1) zymogen cells (2) sertoli cells (3) Islets of langerhans (4) hepatacytes DS0205 :2 34. 37. Glisson's capsule is asociated with : (1) liver (2) pancreas (3) lungs (4) kidney DS0213 DS0204 36. 51 DS0218 47. Pepsinogen is activated by (1) Castle intrinsic factor (2) HCl (3) Bile juice (4) Enterokinase DS0219 Column I Column II A. Hepatic lobule i. Submucosal glands B. Brunner's glands ii. Base of villi C. Crypts of lieberkuhn iiii. Glisson's capsule D. Sphincter of Oddi iv. Gall bladder E. Cystic duct v. Hepatopancreatic duct vi. Serous glands D E v iv vi i v iv ii i DS0220 (1) (2) (3) (4) A iii v iii iv B vi ii i vi C ii iii ii v Which an organ is affected in jaundice ? (1) Stomach (2) Pancreas (3) Liver (4) Parotid glands DS0221 50. Secretin and cholecystokinin are digestive hormones. They are secreted by : (1) Oesophagus (2) Ileum (3) Duodenum (4) Pyloric stomach DS0222 Kwashiorkar disease is due to deficiency of : (1) protein (2) fat (3) sugar (4) hormone DS0226 55. Carbohydrate digestion occurs first in which structure? (1) mouth (2) intestine (3) stomach (4) none of these DS0227 56. Enzyme pepsin acts in : (1) acidic medium in the pancreas (2) acidic medium in the stomach (3) intestine (4) mouth DS0228 57. Bile secretion is proportional to the concentration of : (1) protein (2) fat (3) carbohydrate (4) none of these DS0229 58. Digestive enzymes are : (1) hydrolase (3) transferase Protein deficiency leads to : (1) Kwashiorkar (2) Marasmus (3) Cretinism (4) both (1) and (2) DS0231 60. Pepsinogen is secreted by : (1) chief-cells (2) oxyntic cells (3) mast cells (4) parietal cells DS0232 61. In mammals the teeth are (a) of different types (b) embedded in the cuplike socket in the jaw bones (c) two sets present throughout life The condition are referred as : (1) heterodont, thecodont, diphyodont (2) thecodont, heterodont, diphyodont (3) diphyodont, thecodont, heterodont (4) heterodont, diphyodont, thecodont DS0233 Se (1) bile is secreted by liver (2) stomach is divided into two parts (3) parietal cell lie in wall of stomach (4) liver is the largest gland of human body DS0223 52. Which part of body secretes the hormone secretin? (1) stomach (2) oesophagus (3) illeum (4) duodenum DS0224 53. Which one is correct about the "rennin" ? (1) It helps in digestion of milk-sugar. (2) It is found in gastric juice of adult human. (3) It is proteolytic enzyme found in saliva. (4) It is found in gastric juice of infants. DS0225 (2) oxido-reductase (4) none of these DS0230 59. io Identify the false statement ? ss 51. n :2 49. 54. Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 Find out the correct match : 21 48. ALLEN 0- Pre-Medical : Biology 02 52 E ALLEN 53 Which of the following process will be affected by the absence of enterokinase? (1) Lipid ® Fatty acid + glycerol (2) Dipeptides ® Amino acid (3) Proteoses ® Dipeptide (4) Amylose ® Maltose DS0234 Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 Se ss io n :2 02 0- 21 62. Pre-Medical : Biology E EXERCISE-III (Analytical Questions) Que. Ans. Que. Ans. Que. Ans. Que. Ans. Que. Ans. ANSWER KEY 1 2 2 2 3 1 4 3 5 3 6 1 7 4 8 2 9 4 10 4 11 1 12 4 13 4 14 2 15 2 16 2 17 1 18 2 19 3 20 2 21 4 22 1 23 2 24 2 25 3 26 2 27 3 28 2 29 4 30 3 31 1 32 2 33 2 34 1 35 1 36 1 37 1 38 2 39 3 40 2 41 4 42 1 43 2 44 1 45 4 46 4 47 2 48 3 49 3 50 3 51 2 52 4 53 4 54 1 55 1 56 2 57 2 58 1 59 4 60 1 61 1 62 3 ss io n :2 02 021 Pre-Medical : Biology E Z:\NODE02\B0B0-BA\TARGET\BIO\ENG\MODULE_7\03-DIGESTION AND ABSORPTION_EXE.P65 Se 54 ALLEN IMPORTANT NOTES