D3 Liver Flashcards

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1
Q

Where does the liver recieve oxygenated blood from?

A

Hepatic artery

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2
Q

Where does the liver send deoxygenated blood from?

A

Hepatic artery

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3
Q

Where does the liver send deoxygenated blood back to the heart through?

A

Hepatic vein

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4
Q

What is the function of the liver?

A

Responsible for storage and release of key nutrients
Responsible for detoxification of harmful substances
Produces plasma proteins to maintain stable osmotic conditions in the blood
Breakdown of red blood cells
Produces bile salts

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5
Q

What hexagonal histological structures is the liver made of?

A

Lobules

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6
Q

Describe different elements of a lobule

A

Has a central vein which feeds into the hepatic vein
Contains hepatocytes throughout
Has bile ducts
Has hepatic artery branches
Has branches of the portal vein

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7
Q

Where do the hepatic artery and portal vein branches in the lobules drain towards?

A

Sinusoids which exchange materials with the hepatocytes and drain into the central vein

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8
Q

What effect does glucagon have on the liver?

A

Causes the liver to breakdown glycogen into glucose and export it to the body

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9
Q

What effect does insulin have on the liver?

A

Causes the liver to take up glucose and store it as glycogen

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10
Q

What happens if the hepatic glucagon stores are depleted?

A

Liver synthesises glucose from other sources

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11
Q

What is the role of the liver in amino acid metabolism?

A

Removes the potentially toxic amine group and converts it into a harmless product (urea) which is excreted via the kidneys

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12
Q

Define transaminiation

A

The process by which the liver synthesises non-essential amino acids from surplus stock

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13
Q

What is the role of the liver in fat metabolism?

A

Converts excess carbohydrates and proteins into fatty acids and triglycerides and synthesises phospholipids and cholesterol

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14
Q

What is LDL?

A

Low density lipoprotein which transports cholesterol to body cells

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15
Q

What is HDL?

A

High density lipoprotein which transports cholesterol back to the liver wither for storage or conversion

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16
Q

What are bile salts made from?

A

Surplus cholesterol

17
Q

Where is excess bile stored?

A

Gall bladder

18
Q

What are the two steps of detoxification by the liver?

A

Toxins converted into less harmful chemical
Converted chemical attached to another substance

19
Q

What enzyme aids in the detoxification of harmful chemicals in the liver?

A

Cytochrome P450

20
Q

Why are compounds of converted chemicals which are no longer toxic usually attached to another system by the liver?

A

To increase the solubility to allow excretion through the kidney

21
Q

What are plasma proteins?

A

Proteins present in the bloodstream and produced by the liver (except immunoglobulins)

22
Q

What produces plasma proteins?

A

The rough ER of hepatocytes (they are then exported by the Golgi complex)

23
Q

What is the function of albumin?

A

Regulate osmotic pressure

24
Q

What is the function of globulins?

A

Participate in the immune system and can act as transport proteins

25
Q

What is the function of fibrinogens?

A

Involved in clotting

26
Q

Why is the lifespan of erythrocytes short?

A

Lack of nucleus

27
Q

Describe the breakdown of erythrocytes and haemoglobin recycling

A

Kupffer cells engulf red blood cells via phagocytosis and break down the haemoglobin into the globin and heme groups
Globin is digested to produce amino acids (for recycling or metabolism)
Heme group is broken down into bile pigment

28
Q

What happens to the iron in the heme group during recycling?

A

It can either be stored in the liver as ferritin or be transported to the bone marrow for new erythrocytes

29
Q

What causes jaundice?

A

Bilirubin excess in the body which leaks into the body

30
Q

What can cause bilirubin excess?

A

Liver disease (impaired removal)
Obstruction of the gall bladder (prevents the secretion of bile)
Damage to red blood cells (increased erythrocyte destruction)