Chapter 43 Flashcards

1
Q

What are the 2 exocrine glands?

A

The pancreas and the salivary glands

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2
Q

What are acinar cells?

A

Specialized protein-synthesizing cells

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3
Q

What are duct cells?

A

Epithelial cells that are specialized for fluid and electrolyte transport

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4
Q

What are goblet cells?

A

Produce mucin in exocrine glands (pancreas, salivary glands)

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5
Q

How is acinar cell secretion regulated?

A

Cholecystokinin and muscarinic receptors

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6
Q

What is the major second messenger system that controls secretion from acinar cells?

A

Ca2+

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7
Q

What are the 4 second messenger systems of acinar cells?

A

Ca2+, cAMP, cGMP, and effectors

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8
Q

In addition to proteins, what else do acinar cells secrete?

A

A plasma-like fluid

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9
Q

The pancreatic duct cell secretes?

A

Secretes isotonic NaHCO3

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10
Q

Secretin works through which second messenger system in the pancreatic duct cell?

A

cAMP

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11
Q

Acetylcholine works through which second messenger system in the pancreatic duct cell?

A

Ca2+

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12
Q

Secretin and acetylcholine both stimulate what end result in the pancreatic duct cell?

A

HCO3- secretion

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13
Q

Which channels on the apical border of the pancreatic duct cell is important for neurohormonal regulation?

A

Chloride channels

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14
Q

What else can pancreatic duct cells secrete besides isotonic bicarbonate?

A

Glycoproteins

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15
Q

What is pancreatic juice?

A

A protein-rich, alkaline-rich solution

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16
Q

In the fasting state, the concentrations of pancreatic enzymes ___?

A

Oscillate at low levels

17
Q

Duodenal I cells secrete what?

A

Cholecystokinin

18
Q

Cholecystokinin from duodenal I cells stimulate what?

A

Enzyme secretion by the acini cells

19
Q

S cells secrete what?

20
Q

Secretin secretion from S cells stimulates what?

A

HCO3- and fluid secretion by the duct cells

21
Q

A meal triggers what 3 phases?

A
  1. Cephalic phase
  2. Gastric phase
  3. Intestinal phase
22
Q

The digestive enzymes in the pancreas digest what food molecules?

A

Carbohydrates and proteins, but not lipids

23
Q

What can inhibit pancreatic secretion?

A

Fat that enters the distal part of the small intestine

24
Q

What are the two most important neural pathways for acinar cell secretion?

A

Cholinergic and adrenergic neural pathways

25
Q

What two second messenger systems stimulate acinar cell secretion?

A

cAMP and Ca2+

26
Q

What do salivary duct cells produce?

A

Hypotonic fluid that is rich in KHCO3 and poor in NaCl

27
Q

Salivary cells can secrete and also reuptake what?

28
Q

Parasympathetic stimulation of salivary cells causes what?

A

Decreases Na+ reabsorption

29
Q

What happens when salivary cells are stimulated by aldosterone?

A

Increases in Na+ reabsoprtion

30
Q

Based on protein concentrations of saliva, what are the 3 types of secretions from salivary cells?

A

Serous, seromucous, or mucous

31
Q

What is the composition of saliva when there is low flow rate?

A

Hypotonic and rich in K+

32
Q

What is the composition of saliva when there is a high flow rate?

A

Plasma level tonicities

33
Q

Salivary secretion increases with sympathetic or parasympathetic stimulation?

A

Parasympathetic stimulation