Pancreatic Secretion Flashcards

1
Q

What neutralizes most of the gastric acid secretions

A

HCO3 (aqueous portion)

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2
Q

What cells secrete the aqueous portion of pancreatic secretions

A

Ductal cells

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3
Q

Major stimulant of ductal cells

A

Secretin

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4
Q

What cells secrete the pancreatic enzymes

A

Acinar cells

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5
Q

Major stimulants for acinar cells

A

CCK and Ach

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6
Q

Where are the granules located in the acinar cells

A

Basal membrane (unlike stomach)

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7
Q

How does CCK activate acinar cells

A

Initiates vagal-vagal reflexes (no CCK receptors in pancreas)

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8
Q

Where does almost all of the pancreatic HCO3 come from

A

blood

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9
Q

What channel does secretin act in ductal cells

A

Luminal Cl channels

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10
Q

What ions increase as pancreatic flow goes up? down?

A

HCO3 increases

Cl goes down

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11
Q

Two pancreatic enzymes that are secreted in active form?

A

Amylase and Lipase

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12
Q

What goes up in cephalic phase of pancreatic secretion?

A

Only pancreatic enzymes goes up (all via vagus nerve)

Only tiny increases in volume and bicarb

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13
Q

What gets activated in cephalic phase

A

Vagus gets Ach to activate acinar cells

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14
Q

When is secretin released?

A

When duodenal pH drops below 4.5

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15
Q

What does secretin effect?

A

Ductal cells

Ach also works to potentiate ductal cell activation

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16
Q

two things involved in pancreatic secretion potentiation for bicarb release

A

Secretin and phenylalanine