What is the role of the small intestine’s MALT?

Answer Explanation

d) all of the above

- Correct: All of the listed processes occur in the mouth:

a) Ingestion: The mouth is the entry point for food into the digestive system. Ingestion refers to the act of taking food or drink into the mouth.

b) Mechanical digestion: Mechanical digestion involves the physical breakdown of food into smaller pieces through actions such as chewing and mixing with saliva. In the mouth, the teeth tear and grind food into smaller particles, which increases the surface area for chemical digestion.

c) Chemical digestion: Chemical digestion involves the breakdown of food into smaller molecules by enzymes and other chemicals. In the mouth, salivary glands secrete saliva, which contains the enzyme amylase. Amylase begins the chemical breakdown of carbohydrates, converting starches into simpler sugars such as maltose.

Therefore, all of the processes listed—ingestion, mechanical digestion, and chemical digestion—occur in the mouth during the initial stages of digestion.

Answer Explanation

a) mouth

- Correct: The chemical digestion of starch begins in the mouth. Salivary amylase, an enzyme secreted by the salivary glands, initiates the breakdown of starch molecules into maltose and other smaller carbohydrate molecules. This process begins as soon as food enters the mouth and continues as it is mixed with saliva during chewing and swallowing.

b) esophagus

- Incorrect: The esophagus is not directly involved in the chemical digestion of starch. It serves primarily as a conduit for the passage of food from the mouth to the stomach via peristaltic contractions.

c) stomach

- Incorrect: While some minor digestion may occur in the stomach due to the presence of salivary amylase from swallowed saliva, the stomach is not the primary site of starch digestion. Its acidic environment inhibits the activity of salivary amylase, so significant starch digestion does not occur there.

d) small intestine

- Incorrect: Starch digestion continues in the small intestine, primarily in the duodenum, but it does not begin there. Enzymes such as pancreatic amylase and brush border enzymes further break down starch into simpler sugars in the small intestine.

Answer Explanation

A. plicae circulares

- Correct: The small intestine possesses permanent folds along its length known as plicae circulares, also called circular folds or valvulae conniventes. These folds are permanent transverse ridges of the mucosa and submucosa that project into the lumen of the small intestine. They increase the surface area for absorption and digestion by slowing the passage of chyme and increasing contact between chyme and the intestinal lining, facilitating nutrient absorption.

B. haustra

- Incorrect: Haustra are pouches or sacculations formed by the muscularis externa of the colon (large intestine), not the folds of the small intestine.

C. villi

- Incorrect: Villi are finger-like projections of the mucosa of the small intestine that extend into the lumen. While villi increase the surface area for absorption, they are not permanent folds along the length of the small intestine.

D. intestinal crypts

- Incorrect: Intestinal crypts, also known as crypts of Lieberkühn, are invaginations of the epithelium located between villi in the mucosa of the small intestine. They contain stem cells that continuously divide and give rise to new epithelial cells, helping to replenish the epithelial lining of the intestine. Crypts are not permanent folds along the length of the small intestine.