Digestion and Absorption — the Alimentary Canal, Enzymes and Where Each Nutrient is Absorbed
Where Each Enzyme Acts
| Site / juice | Enzyme | Acts on → gives |
|---|---|---|
| Mouth — saliva | Salivary amylase (ptyalin) | Starch → maltose; about 30% of starch is digested here |
| Stomach — gastric juice | Pepsin (from pepsinogen + HCl); rennin in infants | Proteins → peptones; rennin curdles milk casein |
| Duodenum — pancreatic juice | Trypsin, chymotrypsin, amylase, lipase | Proteins → peptides; starch → maltose; fats → di/monoglycerides |
| Small intestine — succus entericus | Maltase, lactase, sucrase, peptidases, lipase, nucleosidases | Finishes all classes to their absorbable monomers |
Absorption, Hormones and Disorders
- Glucose and amino acids are absorbed by active transport (against a gradient, needing energy); fructose and some others by facilitated diffusion; water by osmosis. The absorptive order along the canal: little in the mouth/stomach, maximum in the small intestine, water in the large intestine.
- The digestive hormones are all secreted by the mucosa: gastrin (stimulates HCl and pepsinogen), secretin (stimulates the pancreas to release bicarbonate), cholecystokinin/CCK (contracts gall bladder and stimulates pancreatic enzymes).
- Disorders worth naming: jaundice (liver, skin/eyes yellow with bile pigments), vomiting (reverse peristalsis, via the medulla), diarrhoea (increased motility, watery stool), constipation (faeces retained), and PEM — kwashiorkor (protein deficiency) and marasmus (protein + calorie deficiency).
Key takeaways
- Small intestine = most digestion + most absorption; large intestine mainly reabsorbs water; mouth and stomach mostly prepare food.
- Human teeth: thecodont, diphyodont, heterodont; dental formula 2123/2123 = 32 teeth; enamel is the hardest substance.
- Ptyalin (mouth) digests starch; pepsin (stomach, needs HCl) digests protein; pancreatic + intestinal juices finish all classes.
- Bile has NO enzyme — it emulsifies fat; HCl converts pepsinogen to pepsin and kills microbes; pancreatic enzymes need alkaline pH.
- Glucose and amino acids enter blood capillaries; fatty acids (as chylomicrons) enter the lacteal and travel by lymph.
- Hormones: gastrin → HCl; secretin → pancreatic bicarbonate; CCK → gall bladder contraction and pancreatic enzymes.
- Kwashiorkor = protein deficiency with oedema; marasmus = protein + calorie deficiency with wasting and no oedema.
- Villi and microvilli maximise absorptive area; the C-shaped duodenum receives both bile and pancreatic juice.
Practice questions (8)
Attempt each one before opening the answer. Every explanation names the tempting wrong option as well as the right one, because that is where marks are lost.
Bile is important for the digestion of fats although it contains no enzyme because it:
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Answer: A — Emulsifies fat into small droplets so lipase can act on more surface
Bile salts break large fat globules into a fine emulsion, multiplying the surface available to pancreatic lipase; bile has no enzyme and does not hydrolyse fat itself. It makes the medium alkaline, not acidic, and pepsinogen activation is the job of HCl in the stomach.Absorbed long-chain fatty acids reach the blood circulation by way of the:
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Answer: A — Lacteals and the lymphatic system
Fatty acids and glycerol are repackaged as chylomicrons inside the villus cells and pass into the lacteal, a lymph vessel, joining the blood only later. Water-soluble glucose and amino acids take the blood-capillary route instead, which is the distinction this question separates.The role of hydrochloric acid in the human stomach is to:
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Answer: A — Make the medium acidic so pepsinogen is converted to pepsin, and to kill microbes
HCl provides the low pH (~1.8) that activates pepsinogen to pepsin and destroys ingested microbes; it does not itself break peptide bonds. Emulsification is bile's job, and essentially no glucose is absorbed in the stomach.The permanent dental formula of an adult human, 2123/2123, gives a total of:
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Answer: A — 32 teeth
The formula counts one half of each jaw: 2 incisors, 1 canine, 2 premolars, 3 molars = 8 per quadrant, times four quadrants = 32. Twenty is the milk-teeth count (2102/2102), which the question deliberately offers as a distractor.Which hormone stimulates the pancreas to release bicarbonate-rich juice that neutralises the acid chyme?
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Answer: A — Secretin
Secretin, released by the duodenal mucosa when acid arrives, prompts bicarbonate secretion to neutralise the chyme. Gastrin drives HCl in the stomach — the opposite end of the process — insulin is a blood-glucose hormone, and rennin is a milk-curdling enzyme, not a hormone.A child fed a diet with adequate calories but very little protein develops oedema and a swollen belly. The condition is:
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Answer: A — Kwashiorkor
Adequate calories with a protein shortage, plus the tell-tale oedema, is kwashiorkor. Marasmus comes from a shortage of both protein and calories and shows wasting without oedema, so the swelling is the deciding clue; jaundice and scurvy are unrelated (bile pigments and vitamin C).Glucose and amino acids are absorbed from the intestinal lumen mainly by:
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Answer: A — Active transport, which requires energy
These nutrients are often absorbed against their concentration gradient, which needs carrier proteins and energy — active transport. Water follows by osmosis and fructose enters by facilitated diffusion, but glucose and amino acids are the standard examples of active uptake.Salivary amylase begins the digestion of which nutrient, and is inactivated where?
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Answer: A — Starch — inactivated by the acidic pH of the stomach
Ptyalin hydrolyses about 30% of starch to maltose in the mouth, then the stomach's acidic pH stops it working, so carbohydrate digestion pauses until the duodenum. Protein and fat digestion begin later (stomach and duodenum respectively), so those options misplace both the substrate and the site.