Pancreas exocrine secretion Flashcards

1
Q

What is the Difference between exocrine and endocrine secretion?

A

Exocrine- secretes substances into a ductus system
Endocrine- secretes substance directly into the blood

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2
Q

What ion does the pancreas secrete to neutralise stomach acid in the small intestine?
What rate does it produce at?

A

Bicarbonate ion
1 litre/24 hours

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3
Q

What are 2 Functions of Bicarbonate in the duodenum?

A

Protects duodenal mucosa
Buffers duodenal contents to optimise pH for enzyme digestion

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4
Q

What are the two proteases secreted by the pancreas? How are they stored?

A

Trypsin and Chymotrypsin
Stored as proenzymes which are Trypsinogen and Chymotrypsinogen

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5
Q

What activates Trypsinogen to produce trypsin?
What activates Chymotrypsinogen to produce chymotrypsin?

A

Enterokinase converts trypsinogen into trypsin
Trypsin converts chymotrypsinogen into chymotrypsin

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6
Q

What does the exocrine pancreas secrete that converts triglycerides into monoglycerides?

A

Lipases

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7
Q

What innervates enzyme secretion in the cephalic stage? What does this cause to be released and from where?

A

Vagus nerve
Gastrin, G cells

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8
Q

What 3 hormones are released in the intestinal stage of enzyme secretion in the exocrine pancreas?

A

Secretin
Cholecystokinin
Gastrin

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9
Q

What stimulates the hormone Cholecystokinin?

A

HCL, proteins and fats entering duodenum

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10
Q

Where is Cholecystokinin produced?

A

I cells (Duodenum and Jejunum)

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11
Q

5 Actions of Cholecystokinin?

A

Pancreatic enzyme and bicarbonate secretion
Gallbladder contraction
Inhibition of Gastric acid secretion
Delays gastric emptying

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12
Q

What stimulates the hormone secretin?

A

Low duodenal pH

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13
Q

Where is secretin produced?

A

S cells in small intestine

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14
Q

Action of secretin?

A

Pancreatic juices and bicarbonate secretion

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15
Q

Pancreatic exocrine insufficiency 4 symptoms?

A

Maldigestion, Diarrhoea, Steatorrhoea (Excess of fat in faces) and weight loss

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16
Q

How many adults in the UK develop PEI?

A

11,000

17
Q
A