Gallbladder And Pancreas Flashcards

0
Q

What leads to the contraction of the gallbladder

A

Release of cholecystokinin due to fat in the duodenum

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1
Q

Functions of the gallbladder

A
Storage of bile 
Concentration of bile 
Absorption of bile salts 
Excretion of cholesterol 
Secretion of mucus
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2
Q

What is the name for the spasm of smooth muscle of the gallbladder wall

A

Biliary colic

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3
Q

What is acute cholecystitis?

A

Inflammation of the gallbladder

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4
Q

Name the duct that transports bile into the duodenum

A

Above the cystic duct- common hepatic duct

Below the cystic duct- common bile duct

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5
Q

Name the lymph drainage of the gallbladder

A

To the cystic duct in calot’s triangle

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6
Q

Is the pancreas peritoneal or retroperitoneal?

A

Retro

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7
Q

What is the name of the part of the head of the pancreas that extends behind the superior mesenteric vessels?

A

Unicate process

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8
Q

Name the two ducts of the pancreas

A

Main pancreatic duct

Accessory pancreatic duct

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9
Q

Exocrine enzymes produced by the pancreas

A

Trypsinogen
Chymotrypsinogen
Pancreatic lipase and amylase
Cholesterol esterase

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10
Q

Two endocrine molecules produced by the pancreas with locations

A

Alpha cells produce glucagon

Beta cells produce insulin

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11
Q

How does biliary disease present

A
Gallstones 
Present with pain in RUQ 
Nausea 
Anorexia 
Jaundice 
Pyrexia
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12
Q

Treatment for biliary disease

A

Laparoscopic cholecystectomy

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13
Q

Name the phase which is responsible for the initiation of digestion

A

Cephalic phase

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14
Q

Three types of cells of the pancreas

A

Duct cells
Acinar cells
Islet cells

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15
Q

Most common causes of pancreatitis

A

Gallstones

Alcohol

16
Q

Diagnosis of pancreatitis

A

Usually blood levels of enzymes

17
Q

What are bile salts made up of?

A

Bile acids and glycine/taurine

18
Q

Presentation of pancreatic cancer

A

Relentless pain upper abdo through to back
Weight loss
Painless jaundice

19
Q

Testing for pancreatic cancer

A
Imaging with biopsy 
CT 
ERCP 
EUS 
Serum tumour markers Ca 19-9
20
Q

An increase of serum IgG4 is associated with what

A

Autoimmune pancreatitis

21
Q

Symptoms of pancreatic insufficiency

A
Maldigestion 
Malabsorption 
Diarrhoea 
Steatorrhea 
Weight loss 
Deficiency of fat soluble vitamins A D E K