Digestive System - Pancreas Quiz

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Questions and Answers

What is the primary function of the exocrine pancreas?

  • Secretes hormones directly into the bloodstream
  • Stores bile
  • Produces pancreatic enzymes (correct)
  • Regulates blood sugar levels

Which part of the pancreas is directly in contact with the duodenum?

  • Body
  • Neck
  • Tail
  • Head (correct)

Which duct allows pancreatic juice to reach the lumen of the duodenum?

  • Minor duct of Santorini
  • Main pancreatic duct (correct)
  • Cystic duct
  • Common bile duct

What percentage of the pancreas functions as an endocrine gland?

<p>1% (C)</p> Signup and view all the answers

What is the pH range of pancreatic juice?

<p>7.1 - 8.2 (C)</p> Signup and view all the answers

How is the secretion of pancreatic juice primarily regulated?

<p>By both neuronal and hormonal mechanisms (C)</p> Signup and view all the answers

Which substance activates trypsinogen in the gastrointestinal tract?

<p>Enterokinase (A)</p> Signup and view all the answers

What is the main role of glucagon produced by the pancreas?

<p>Increase blood sugar levels (B)</p> Signup and view all the answers

Which part of the pancreas extends to the upper left abdominal quadrant?

<p>Tail (A)</p> Signup and view all the answers

What prevents the self-digestion of the pancreas?

<p>Pancreatic enzymes are produced in inactive forms (B)</p> Signup and view all the answers

What role does secretin play when chyme rich in fats and proteins enters the duodenum?

<p>It increases production of pancreatic juice rich in bicarbonates. (A)</p> Signup and view all the answers

Which surface of the liver is primarily covered by visceral peritoneum?

<p>Diaphragmatic surface (A)</p> Signup and view all the answers

What percentage of the blood supply to the liver is provided by the portal vein?

<p>70% (B)</p> Signup and view all the answers

What is the primary function of bile produced by the liver?

<p>To assist in lipid absorption (A)</p> Signup and view all the answers

Which lobes of the liver are considered to belong to the left lobe functionally and structurally?

<p>Caudate and quadrate lobes (A)</p> Signup and view all the answers

What anatomical feature separates the left and right lobes of the liver?

<p>The falciform ligament (A)</p> Signup and view all the answers

What is the main functional cell type found in liver tissue?

<p>Hepatocytes (D)</p> Signup and view all the answers

What forms the interlobar triad around a hepatic lobule?

<p>Biliary canaliculi, hepatic artery, and portal vein branches (C)</p> Signup and view all the answers

What is the shape and arrangement of liver tissue within a hepatic lobule?

<p>Hexagonally shaped and organized (C)</p> Signup and view all the answers

How is venous blood collected from the liver after passing through hepatic lobules?

<p>By hepatic veins (A)</p> Signup and view all the answers

Flashcards

Pancreas Function

The pancreas is a combined endocrine and exocrine gland.

Endocrine Pancreas

Part of the pancreas that produces hormones like insulin and glucagon.

Exocrine Pancreas

Part of the pancreas that produces digestive enzymes and alkaline fluids.

Pancreatic Juice

A fluid containing enzymes and bicarbonate to aid digestion.

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Pancreatic Enzymes

Digestive enzymes made by the pancreas, e.g., trypsinogen, for protein digestion.

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Pancreatic Islets

Clusters of cells in the pancreas that produce hormones.

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Main Pancreatic Duct (Wirsung)

A duct carrying pancreatic juice to the duodenum.

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Regulation of Pancreatic Secretion

Controlling pancreatic output is done via nerves and hormones.

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Pancreatic Duct Opening

Pancreatic secretions flow into the duodenum through this opening.

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Pancreas Parts

The pancreas has a head, uncinate process, neck, body, and tail.

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Chyme in duodenum

When chyme rich in fats and proteins enters the duodenum, it triggers the release of secretin and CCK.

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Secretin's role

Secretin increases the production of pancreatic juice, which is rich in bicarbonates.

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CCK's role

CCK stimulates the release of pancreatic enzymes.

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Liver location

The liver is the largest abdominal organ, located in the upper right and left quadrants.

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Liver's function

The liver produces and secretes bile, essential for lipid absorption. It's also a major chemical processing center.

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Portal vein's role

The portal vein delivers about 70% of the blood to the liver. This blood comes from the digestive tract.

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Hepatic artery's role

The hepatic artery delivers the remaining 30% of blood to the liver. It provides structural support.

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Hepatocytes

Hepatocytes are the functional cells that make up liver tissue.

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Hepatic lobules

Hepatic lobules are hexagonal structures in the liver, containing hepatocytes.

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Biliary canaliculi

Biliary canaliculi are small channels that merge to form larger ducts, eventually carrying bile.

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Study Notes

Digestive System - Pancreas

  • The pancreas is a dual-gland organ with both endocrine and exocrine functions
  • Endocrine function: Releases hormones (insulin and glucagon) that regulate blood sugar levels
  • Exocrine function: Produces pancreatic enzymes and alkaline secretions, released into the duodenum
  • Pancreas sections: Head (contacts duodenum), Uncinate process, Neck, Body, and Tail (reaching the upper left abdomen)
  • Retroperitoneal position: Situated behind the peritoneum.
  • Pancreatic juice drainage: Through the main pancreatic duct (duct of Wirsung) and the minor/accessory duct (duct of Santorini)
  • Main pancreatic duct joins the common bile duct, forming the hepatopancreatic ampulla, which empties into the duodenum at the major duodenal papilla
  • Papilla controlled: By the sphincter of Oddi (opens/closes periodically)
  • Physiology: 99% of the pancreas is exocrine (acinar cells); 1% is endocrine (Islets of Langerhans)
  • Secretion: 1200-1500 ml per day. Water, salts, bicarbonate ions, and enzymes in pancreatic juice; pH range between 7.1 and 8.2
  • Pancreatic enzymes: Amylase (carbohydrates), trypsin/chymotrypsin/carboxypeptidase/elastase (proteins), lipase (fats), ribonuclease/deoxyribonuclease (nucleic acids)

Digestive System - Pancreatic Secretion Regulation

  • Regulated by: Neuronal and hormonal mechanisms
  • Cephalic and gastric phase: Vagus nerve stimulation influences pancreatic secretion
  • Duodenal phase: Chymue (rich in fats/proteins) entering duodenum triggers the release of secretin and CCK
  • Secretin: Increases bicarbonate-rich pancreatic juice production
  • Cholecystokinin (CCK): Stimulates pancreatic enzyme release
  • Inactivated forms prevent self-digestion. Enterokinase activates trypsinogen, forming trypsin within the GI tract.

Digestive System - Liver

  • Largest abdominal organ, located in the upper right and upper left quadrants
  • Produces and secretes bile into the duodenum, crucial for lipid absorption
  • Major chemical lab: Processes many nutrients and toxins
  • Portal venous system: Collects venous blood from the digestive tract and delivers it to the liver
  • Mostly intraperitoneal: Covered with visceral peritoneum
  • Two surfaces: Diaphragmatic (concave, smooth), and visceral (inferior, with various structures)
  • Lobes: Two primary lobes (left and right), additional quadrate and caudate lobes.
  • Blood Supply: 70% from portal vein; 30% from hepatic artery.

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