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COURSE Human body’s support, movement and use of nutrients 2.00 B2 35% Understand the body’s use of nutrients 2.08 B2 6% Understand the functions and disorders of the digestive system What are the functions of the digestive system? How do the functions of chemical and physical digestion interrelate? What are the common disorders of the digestive system? How are disorders of the digestive system treated? How do you relate the body’s use of nutrients to the digestive system? 7240 Health Science I ESSENTIAL STANDARD OBJECTIVE ESSENTIAL QUESTIONS Unit A Unpacked Content I. II. Functions of the digestive system A. Mouth 1. Tongue 2. Teeth 3. Salivary glands 4. Palate 5. Uvula B. Pharynx C. Esophagus D. Stomach 1. Fundus 2. Body 3. Pylorus 4. Cardiac Sphincter 5. Pyloric Sphincter E. Small intestine 1. Duodenum 2. Jejunum 3. Ileum F. Pancreas G. Liver H. Gallbladder I. Large intestine 1. Cecum 2. Veriform appendix 3. Ascending colon 4. Transverse colon 5. Descending colon 6. Sigmoid colon 7. Rectum 8. Anus Processes of digestion A. Chemical B. Physical C. Absorption 7240 Health Science I Summer 2012 180 III. IV. D. Elimination Relevance of nutrition to the digestive system A. Electrolytes B. Vitamins Common disorders of the digestive system and their treatments A. Anorexia B. Caries C. Cholecystitis D. Cirrhosis E. Cleft palate F. Constipation G. Diarrhea H. Gastroenteritis I. Gastroesophageal reflux disease J. Hepatitis K. Irritable bowel syndrome L. Peptic ulcers 7240 Health Science I Summer 2012 181 ACTIVITIES 1. 2. 3. 4. Functions of the Digestive System Distribute the handout. Present the Power Point presentation, slides 1-22. Student will record notes and classroom discussion on the handout, identifying the functions of the digestive organs. Match the Function Distribute the handout. Students will match terms with the appropriate response. Note: This can be used for homework or class work. Grade the handout and review with students. Students will use the handout as study tool and resource. Process of Digestion Distribute the handout. Students may use textbook to answer the questions in their own words. Allow appropriate amount of time for students to complete the handout. May collaborate with a partner, if desired. Facilitate class discussion for students to share their responses. Common Disorders of the Digestive System Distribute the handout. Present the Power Point presentation, slides 23 - 37. Student will record notes and classroom discussion on the handout. 7240 Health Science I RELEVANCY TO OBJECTIVE Students will UNDERSTAND (B2) the functions of the digestive system. RESOURCES 2.08 Understand the functions and disorders of the digestive system Power Point presentation, slides 1-22 2.08 Functions of the Digestive System Handout Students will REMEMBER (A1) the functions of the digestive system. 2.08 Match the Function Handout Students will UNDERSTAND (B2) the functions of the digestive system. 2.08 Process of Digestion Handout Students will UNDERSTAND (B2) disorders of the digestive system. 2.08 Understand the functions and disorders of the digestive system Power Point presentation, slides 23 - 37 2.08 Common Disorders of the Digestive System Summer 2012 182 ACTIVITIES RELEVANCY TO OBJECTIVE 5. 6. Facilitate discussion by asking students which specialists may be involved to treat disorders of the digestive system. Students will use the handout as a study tool and resource. Students may use the back of the handout as necessary to record responses. Mystery Diagnosis Distribute the handout. Students will read the scenario and answer the questions. Facilitate discuss of by asking students to discuss possible preventative measures for gastric disorders. Students will use handout as a study tool and resource. Students may record class discussion on the back of the handout as necessary. Choose MyPlate Assign students to explore SuperTracker at chooseMyplate.gov. Students should complete the inventory options to develop their personalized nutrition and physical activity plan. Follow the directions as given at the web site to assess their current nutrition, activity and general health status. Student will use My Reports 7240 Health Science I RESOURCES Handout Students will UNDERSTAND (B2) disorders of the digestive system. 2.08 Mystery Diagnosis Handout Students will UNDERSTAND (B2) the digestive system’s use of nutrients. Computer access Summer 2012 https://www.choosemypla te.gov/SuperTracker/defa ult.aspx 183 ACTIVITIES 7. 8. 9. RELEVANCY TO OBJECTIVE to document completion of this assignment. Discuss the body’s use of nutrients. Body Processes and Students will UNDERSTAND Nutrients (B2) the digestive system’s use of nutrients. Distribute the handout. Students will use the textbook, reference books, and/or internet sources to complete the chart. List the nutrients that are needed to carry out the body function and foods that contain the nutrients. Facilitate discussion and clear up misconceptions. 2.08 Understand the Students will UNDERSTAND functions and disorders of (B2) the digestive system. the digestive system Assessment Distribute the assessment. Allow students the class time to complete the assessment. Grade papers and return to students as soon as possible. 3.01 Remember the Students will REMEMBER structures of the (A1) the structures of the integumentary system integumentary system. preparation Assign students to use their textbooks to read about the integumentary system. Students should be given an assignment to complete to facilitate learning. Note: This could be an assignment from the materials provided or as provided by the teacher.) Review and return these 7240 Health Science I Summer 2012 RESOURCES 2.04 Body Processes and Nutrients Handout 2.08 Understand the functions and disorders of the digestive system Assessment as prepared by the teacher or as provided Textbook Notebook OR Materials provided 184 ACTIVITIES RELEVANCY TO OBJECTIVE RESOURCES materials to students prior to beginning the next objective. 7240 Health Science I Summer 2012 185 2.08 Functions of the Digestive System Handout Name________________ Date_________________ Directions: Record notes and classroom discussion of functions of the digestive system on the handout while viewing the PowerPoint presentation. ______________________ ______________________ ______________________ ____________________________ ____________________________ ____________________________ ____________________________ _______________ _______________ _______________ _______________ ______ ____________________________ ____________________________ ______________________ ______________________ ______________________ _____________________ _____________________ _____________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ _______________________ _______________________ Processes of Digestion A. Chemical ________________________________________________________ B. Physical _________________________________________________________ C. Absorption _______________________________________________________ D. Elimination _______________________________________________________ 7240 Health Science I Summer 2012 186 2.08 Match the Function Handout Name________________ Date_________________ Directions: Match the terms in Column A to their meaning in Column B. Column A Column B A. Regulates food passage from the ______ 1. Absorption stomach to the duodenum ______ 2. Trypsin B. Contractions of smooth muscle that helps move food through the ______ 3. Mastication digestive tract ______ 4. Peristalsis ______ 5. Bile ______ 6. Flatulence ______ 7. Glycogen C. Stores vitamins A, D, and B complex D. Emulsifies fat and is produced by the liver E. Polysaccharide stored in the liver ______ 8. Liver F. Passing of substance into the body tissues & fluids ______ 9. Enzymes G. Helps digest fatty foods ______ 10. Cardiac sphincter ______ 11. Pyloric sphincter ______ 12. Gallbladder ______ 13. Chyme ______ 14. Palate ______ 15. Large intestine H. Pancreatic enzyme that breaks down proteins into amino acids I. Excessive gas in the digestive tract J. The act of chewing K. Chemical substances that promote chemical reactions during digestion L. Circular muscle; controls passage of food into stomach M. Semi liquid food found in the large intestine N. Separates the oral cavity from the nasal cavity O. Water re-absorption 7240 Health Science I Summer 2012 187 2.08 Match the unction Handout Name________________ Date_________________ KEY Directions: Match the terms in Column A to their meaning in Column B. Column A ___F___ 1. Column B Absorption ___H___ 2. Trypsin A. Regulates food passage from the stomach to the duodenum ___J___ 3. Mastication B. Contractions of smooth muscle that helps move food through the digestive tract ___B___ 4. Peristalsis C. Stores vitamins A, D, and B complex ___D___ 5. Bile D. Emulsifies fat and is produced by the liver ___I ___ 6. Flatulence ___E___ 7. Glycogen E. Polysaccharide stored in the liver F. Passing of substance into the body tissues & fluids ___C___ 8. Liver G. Helps digest fatty foods ___M___ 9. Enzymes ___L___ 10. Cardiac sphincter H. Pancreatic enzyme that breaks down proteins into amino acids I. Excessive gas in the digestive tract ___A___ 11. Pyloric sphincter J. The act of chewing ___G___ 12. Gallbladder ___N___ 13. Chyme K. Chemical substances that promote chemical reactions during digestion ___O___ 14. Palate L. Circular muscle; controls passage of food into stomach ___P___ 15. Large intestine M. Semi liquid food found in the large intestine N. Separates the oral cavity from the nasal cavity O. Water re-absorption 7240 Health Science I Summer 2012 188 2.08 Process of Digestion Handout Name________________ Date_________________ Directions: Answer the following questions in your own words. Participate in class discussion to share responses. 1. Compare mechanical and chemical digestion. 2. Describe the process that saliva is responsible for in the mouth. 3. Explain what happens to the food in the stomach. 4. Chyme leaves the stomach and enters into the small intestine. Describe the chemical reactions that occur. 5. The gall bladder and pancreas are 2 accessory organs that assist in digestion. Explain how the pancreatic juice gets to the duodenum and what the enzymes do at this point. 6. Describe the location and function of the 3 main accessory organs. 7. Explain how the large intestine finishes the digestive process. 7240 Health Science I Summer 2012 189 2.08 Common Disorders of the Digestive System Handout Name________________ Date_________________ Directions: Use this handout to record notes and class discussion while viewing the PowerPoint presentation. Disorder Signs & Symptoms Treatment Anorexia Caries Cholecystitis Cirrhosis Cleft palate Constipation Diarrhea Gastroenteritis Gastroesophogeal reflux disease Hepatitis Irritable bowel syndrome Peptic ulcers 7240 Health Science I Summer 2012 190 2.08 Mystery Diagnosis Handout Name________________ Date_________________ Directions: Read the scenario and answer the following questions. You may record class discussions on the back of the handout as necessary. CC: HPI: PE: Labs: Imaging: A 50 year-old woman presents with chest pain and burping exacerbated by eating. The patient states that her symptoms are worsened when she lies down. She has a 30 year history of smoking (1/2 pack per day), and is currently being treated with diltiazem for hypertension. VS: BP = 146/92, HR = 82, RR = 18. Physical examination reveals a tender epigastrium on deep palpation. Endoscopy obtained mucosal biopsies show changes to the normal esophageal mucosa. A barium swallow study reveals refluxed barium back into the esophagus from the stomach. 1. What does the word “exacerbated” mean? 2. Where is the epigastric region of the abdomen? 3. Which of the vital signs is abnormal? What is the correct medical term for this normal vital sign? 4. What is an endoscope? 5. Is this patient’s chest pain caused by a cardiac (heart) condition? (Give your reasons) 6. What conditions other than cardiac disease can commonly cause chest pain? 7. Why does this patient’s pain worsen when lying down? 8. What is your diagnosis for this patient? 7240 Health Science I Summer 2012 191 2.08 Mystery Diagnosis Handout Name________________ Date_________________ KEY Directions: Read the scenario and answer the following questions. You may record class discussions on the back of the handout as necessary. CC: HPI: PE: Labs: Imaging: A 50 year-old woman presents with chest pain and burping exacerbated by eating. The patient states that her symptoms are worsened when she lies down. She has a 30 year history of smoking (1/2 pack per day), and is currently being treated with diltiazem for hypertension. VS: BP = 146/92, HR = 82, RR = 18. Physical examination reveals a tender epigastrium on deep palpation. Endoscopy obtained mucosal biopsies show changes to the normal esophageal mucosa. A barium swallow study reveals refluxed barium back into the esophagus from the stomach. 1. What does the word “exacerbated” mean? 2. Where is the epigastric region of the abdomen? 3. Which of the vital signs is abnormal? What is the correct medical term for this normal vital sign? 4. What is an endoscope? 5. Is this patient’s chest pain caused by a cardiac (heart) condition? (Give your reasons) 6. What conditions other than cardiac disease can commonly cause chest pain? 10. Why does this patient’s pain worsen when lying down? 11. What is your diagnosis for this patient? GERD 7240 Health Science I Summer 2012 192 2.08 Body Processes and Nutrients Handout Name________________ Date_________________ Directions: Use your text, reference, and/or internet sources to complete the chart. List the nutrients that are needed to carry out the body function and foods that contain the nutrients. Nutrient Body Process CHO/Protein/ Lipids Vitamin Mineral Food(s) Normal bone & teeth Normal blood clotting Nucleic acid synthesis Cellular respiration Night Vision/Vision Nervous System Normal growth Red blood cell synthesis Primary source of energy Wound Healing 7240 Health Science I Summer 2012 193 2.08 Body Processes and Nutrients Handout KEY Name________________ Date_________________ Directions: Use your text, reference, and/or internet sources to complete the chart. List the nutrients that are needed to carry out the body processes and what foods contain the nutrients. Nutrient Body Process CHO/Protein/ Vitamin Mineral Food(s) Lipids C, D Calcium Fluorine Phosphorous Normal blood clotting K Calcium Nucleic acid synthesis B12 Folic Acid Cellular respiration B2 (riboflavin) E Night Vision/Vision A,C, E Omega-3 Zinc Nervous System B1, B12 Calcium Potassium Sodium A, B3(niacin) Folic Acid C, D Magnesium Zinc B12 C, E Folic Acid Iron Normal bone & teeth Normal growth Protein Protein Red blood cell synthesis Primary source of energy Carbohydrates (CHO’s) Lipids Wound Healing Protein 7240 Health Science I Milk, liver, brain, beef, egg yolk, salmon, yeast, green vegetables, mushrooms, veal Cheese, eggs, milk, fish, meat, cereal, enriched bread Chromium Magnesium A, C Summer 2012 Milk; cheese; dark green vegetables; dried legumes; sardines; shellfish; meat Green leafy vegetables; cereal; milk; cheese; shellfish Sulfur Zinc Margarine; green & yellow vegetables; milk, eggs, liver; citrus fruits; tomatoes; potatoes; whole wheat; shellfish Chicken, fish, meat, whole grain cereals & breads, egg yolk, salmon; cheese, vegetables, fruits, table salt Whole grains; green leafy vegetables; citrus fruits; meats; nuts; eggs; legumes; milk; cheese; Citrus fruits; milk; salmon; beef; dark green vegetables; whole wheat; eggs; mushrooms; shrimp Meats; clams; wholegrain cereals; vegetable oils; green leafy vegetables; nuts; fruit; brown rice/pasta Meats; eggs; milk; cheese; nuts; shellfish; wheat bran; butter; green & yellow vegetables 194 2.08 Prototype Assessment Items Note: These items illustrate the types of items used in the item bank for this objective. All items have been written to match the cognitive process of the understand verb in the objective. Questions require students to interpret, summarize or explain safety procedures. These exact questions will not be used on the secured test, but questions in similar formats will be used. These assessment items may be used as prototypes by teachers and students to generate similar items to comprise formative assessments for you classroom. This strategy is especially helpful during the field test year when classroom item banks are not available. Results of formative assessment should be used to diagnose levels of mastery, determine if re-teaching is needed, and guide further instruction. 1. Marvin is experiencing a burning sensation after eating. His symptoms are worse after eating chocolate and fried foods. What digestive system disorder does Marvin have? A. Colitis B. Colon cancer C. Diverticulitis D. GERD D 2. The patient presented at the doctor’s office with a complaint of vomiting. The doctor noted abdominal swelling and jaundice. This patient’s condition is: A. Anorexia B. Cholecystitis C. Cirrhosis D. Gastroenteritis C 3. The person experiencing periods of diarrhea alternating with constipation likely has: A. Anorexia B. Cirrhosis C. Hepatitis D. Irritable bowel syndrome D 7240 Health Science I Summer 2012 195