2 Exo Panc and salivary gland [1] Flashcards

1
Q

6 main constituents of saliva and their fxn

A
water
HCO3
Mucin
Amylase
Lysozyme, lactoferrin, IgA
Epidermal and nerve growth factors
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2
Q

Starch and fat digestion begins in the mouth with these two enzymes

A

amylase

lingual lipase

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3
Q

structure of salivary gland

A

Acini secrete fluid, electrolyte, enzymes
-bascially makes the saliva

Acini → intercalated duct → striated duct

Striated duct modifies the saliva

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4
Q

Myoepithelial cells of salivary gland↓

A

only found in salivary gland (not pancreatic)
- contractile muscle cells that facilitate secretion into acinus + intercalated ducts

Vomiting: need fast secretions

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5
Q

In saliva, as flow rate ↑s, NaCl reabsorption _____

A

↓s

no time to modify in striated ducts
More Na+ in Saliva (slightly hypotonic close to isotonic)
Rich in HCO3 (more secreted with faster flow)

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6
Q

In saliva, as flow rate ↓s, NaCl reabsorption _____

A

↑s

got time to adjust
lots of NaCl reabsorption - less NaCl in saliva
- HCO3- and K+ ions are secreted

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7
Q

Regulation of pancreatic secretions:
ACh is released from _____ nerves.
It stimulates the release of ______ enzymes from _____ cells

A

vagus and ENS

digestive enzymes, acinar cells

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8
Q

Regulation of pancreatic secretions:
Secretin is released from ______ cells in the ______ intestines in response to acid. It stimulates the release of ______ from ______ cells

A

endocrine cells
Proximal small intestines
a HCO3 rich soln from pancreatic duct cells

(the release of secretin is enhanced by CCK)
(it acts by increasing cAMP levels in the duct cells)

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9
Q

Regulation of pancreatic secretions:
CCK is released from _____ cells in the ________ in response to fats and proteins. It stimulates the release of ______ from ______ cells but has other effects in the duodenum

A
endocrine cells (like secretin)
Proximal small intestines (like secretin)
digestive enzymes from acinar cells (like ACh)
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10
Q

diff between Salivary and pancreatic secretion regulations

A

Salivary secretion is regulated by ANS

Pancreatic secretion is regulated by ANS and Hormones

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11
Q

Salivary acinus is very vascular. Increase in blood flow results in (pick one) concentrated/dilute saliva, that is modified by ____ cells

A

dilute
duct cells
- salivary ducts are fairly impermeable to water

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12
Q

which is more vascular, salivary acini or pancreatic acini?

A

salivary - responds to blood flow

pancreatic acini are not as vascular and respond to ACh and CCK

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13
Q

Ductal cells of the pancrease secrete what in response to secretin?

A

Water and Bicarb

salivary ducts are not very permeable to water

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14
Q

KHCO3 and NaHCO3 is rich in which juices, salivary or pancreatic?

A

KHCO3: saliva
(remember K+ and HCO3 are secreted with low flow into saliva)

NaHCO3: pancreas

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15
Q

Inactive proteases secreted by pancreas

A

Trypsinogen
Chymotrypsinogen

Proleastase
procarboxypeptidase

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16
Q
CCK is released from endocrine cells, what effect does it have on:
Gallbladder →
Pancreas →
Stomach →
Sphincter of Oddi →
A

Gallbladder → contraction
Pancreas → acinar secretion
Stomach → reduced emptying
(CCK indicates more food digestion than nl is necessary)
Sphincter of Oddi → relaxation (to release bile)

17
Q

8 different infxn/immunological salivary gland diseases

A
  1. mumps
  2. cytomegaloviral sialadenitis : inflmn of salivary gland
  3. bacterial sialadenitis: bact. infxn of sal gland
  4. sarcoidosis
  5. sjogren’s syndrome
  6. salivary lymphoepithelial lesion
  7. xerostomia or dry mouth
  8. Halitosis
18
Q

Benign salivary neoplasms

A
  1. mixed tumor (pleomorphic adenoma) sessile
  2. Monomorphic adenoma
  3. ductal papilloma
19
Q

Warthin’s tumor

A

benign papillary cystadenoma lymphomatosum
second most benign tumor of parotid gland

both LYMPHOID and ONCOCYTIC epithelial elements must be present to dx warthins

WHALE: Warthins Has Abundant Lymphoid + Epithelial

20
Q

Adenoid cystic carcinoma

A

swiss cheese pattern
second most common malignant tumor of salivary gland

Most common malignant tumor in submandibular, sublingual and MINOR salivary glands.

21
Q

8 endocrine pancreatic cancer

A
  1. gastrinoma (ZE synd)
  2. glucagonoma
  3. insulinoma
  4. nonfxnal islet cell tumor (NICT)
  5. somatostatinoma
  6. VIP releasing tumor
22
Q

Insulinoma

A

most common pancreatic neuroendocrine tumor

23
Q

8 Exocrine pancreatic cancer

A
  1. acinar cell carcinoma
  2. adenocarcinoma
  3. adenosquamous carcinoma
  4. intraductal papillary mucinous neoplasm
  5. Mucinous cystadenocarcinoma
  6. pancreatoblastoma