Drive - pancreas Flashcards

1
Q

What 2 broad types can the functions of the pancreas be spilt into?

A

exocrine and endocrine

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2
Q

Give an example of an exocrine function of the pancreas:

A

Acini of the pancreas produces digestive enzymes (which are released via the pancreatic duct)

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3
Q

Give an example of an endocrine function of the pancreas:

A

Islet of Langerhans produce insulin and glucagon which help regulate blood glucose levels

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4
Q

What do the acinar cells release and what do these do?

A

Pro-enzymes = carbohydrate, protein and lipid breakdown

Bicarbonate = neutralise chyme in duodenum.

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5
Q

What do alpha cells in the pancreas secrete?

A

Glucagon = raises blood glucose

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6
Q

What do beta cells in the pancreas secrete?

A

Insulin = lowers blood glucose

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7
Q

What do delta cells in the pancreas cells secrete?

A

Somatostatin = inhibits both glucagon and insulin secretion

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8
Q

What supplies blood to the head of the pancreas?

A

The superior mesenteric artery

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9
Q

What provides venous drainage to the pancreas?

A

The splenic vein

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10
Q

What cells of the pancreas secrete HCO3-?

A

Duct cells (the epithelium lining the ducts)

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11
Q

Name 2 functions of the HCO3- secreted by the pancreas?

A

Protect the duodenal mucosa

Buffer the material entering the duodenum to a pH suitable for enzyme action

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12
Q

Describe the importance of secretin in HCO3- action: (2)

A

Stimulates the secretion of HCO3-

Increases the action of CCK

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13
Q

Describe the importance of CCK: (4)

A

Stimulate the secretion of digestive enzymes

Increases the action of secretin

Stimulates contraction of the gall bladder

Relaxes the sphincter of Oddi

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14
Q

Why is it important that the pancreas produce zymogens rather than the active form of the enzyme?

A

To prevent autodigestion

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15
Q

What is the activation of zymogens in the intestinal epithelial cells mediated by?

A

Enterokinase

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16
Q

What do the PP cells in the islets of Langerhans produce?

A

Pancreatic polypeptide

17
Q

What are the 3 phases that control pancreatic exocrine secretion?

A

Intestinal phase
Cephalic phase
Gastric phase

18
Q

What initiates the cephalic phase of pancreatic exocrine secretion?

A

The sensory experience of seeing and eating food –> primarily involves vagus nerve stimulation of the acinar cells

19
Q

What initiates the gastric phase of pancreatic exocrine secretion?

A

The presence of food within the stomach –> primarily involves vagus nerve stimulation of the acinar cells