Pancreas Flashcards

1
Q

Pancreas develops from…

A

The primitive foregut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pancreas is a mixed 90% exocrine-10% endocrine gland that produces, what?

A

Digestive enzymes and hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pancreas Acini (exocrine pancreas) Distinugishing Feature

A

centeroacinar cells in the center are the the same cell type as intercallated ducts (endpoint).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pancreas Acinar Cells Exhibit marked polarity in their structure
-What are they?

A
  • Centroacinar cells
  • Intercalated Duct
  • Lumen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Destinguishing factor of Exocrine Pancrease

A

Centroacinar Cells and absence of Striated ducts– DONT confuse with Salivary glands which DONT have these cells but have striated ducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Each Acinar cell is capable of producing…

A

20 different enzymes or proenzymes (zymogens)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cholecystokinin stimulates…

A
  • enzyme secretion from pancreatic acinar cells

- Stimulates Contraction of Gall Bladder and relaxation of sphincter of Oddi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Secretin produced by duodenum targets centroacinar and intercalated duct cells to promote…

A
  • Water and HCO3 secretion

- Secretin stimulates cholangiocytes to secrete water and bicarbonate into bile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Prevention of autodigestion in the pancreas

A
  1. Zymogen (inactive proenzyme)
  2. Membrane Bound-so not immediately available to digest
  3. Production of trypsin inhibitors copackaged in secretory granules
  4. Requires enterokinase activation in duodenum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Zymogens are inactive ….?

A

Proenzymes- they are inactive so that they dont immediately start digesting enzymes in the pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Centroacinar and intercalated duct cells contribute to what?

A

A bicarbonate-rich (alkaline) fluid (pH>8)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A bicarbonate-rich fluid (pH>8) contributes to what?

A

Contributes to and carries pancreatic secretions from the acinar cells (sphincter oddi->duodenum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Alpha Cells Function

A

Glucagon-Secreting cells-Secrete glucagon which INCREASE blood glucose level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Beta Cells-FUNCTION

A

Insulin- Secreting Cells secrete insulin which DECREASE blood glucose levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Post translational changes occur in the…

A

RER and Golgi before the final insulin molecule is formed!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Delta Cells

A

Somatostatin-Secreting Cells secrete somatostatin which inhibits other islet cells

17
Q

PP cells- FUNCTION

A

Pancreatic polypeptide -secreting (PP cells)- secrete pancreatic polypeptide which may inhibit the exocrine pancreas

Function not quite known

18
Q

2 most common causes of acute pancreatitis

A
  • Gall Stones

- Alcoholism

19
Q

What does cancer in the head of the pancreas commonly obstruct?

A

The bile duct- which can be relieved with stents

20
Q

What are Insulinomas?

A

Tumors involving beta cells of the islets.