Pancreas, Liver & Exocrine Secretion

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Questions and Answers

Which component of pancreatic exocrine secretion is responsible for neutralizing the acidity of chyme entering the duodenum?

  • Lipases
  • Amylases
  • Proteases
  • Alkaline juice (HCO3-) (correct)

Cholecystokinin (CCK) stimulates acinar secretion in the pancreas. What primary characteristic of chyme entering the duodenum triggers the release of CCK from duodenal APUD cells?

  • Presence of bile pigments
  • Low pH
  • High concentration of proteins and fats (correct)
  • High concentration of carbohydrates

Besides CCK, which other substance or nerve stimulation enhances acinar secretion by acting on the same receptors or via a different mechanism?

  • Secretin release from jejunal cells
  • Chylomicrons in lymphatics
  • Gastrin and Vagus nerve stimulation (correct)
  • Bile acids in hepatic portal blood

How does the liver contribute to the process of lipid digestion and absorption, and where do the re-synthesized lipids go?

<p>By producing bile acids to emulsify fats in the small intestine; exported to lymphatics as chylomicrons. (B)</p> Signup and view all the answers

What is the fate of bile acids after they have aided in the digestion and absorption of fats in the small intestine?

<p>They are actively reabsorbed in the terminal ileum and returned to the liver. (B)</p> Signup and view all the answers

Which substance stimulates duct cells to secrete HCO3-?

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

What is the primary role of trypsinogen, chymotrypsin, elastase, and carboxypeptidase secreted by the pancreas?

<p>Breaking down proteins (A)</p> Signup and view all the answers

What is the role of pancreatic amylases in digestion?

<p>Breaking down carbohydrates (A)</p> Signup and view all the answers

Which of the following is a key function of the liver related to blood composition and detoxification?

<p>Energy metabolism, detoxification, and plasma protein synthesis (B)</p> Signup and view all the answers

How does CCK impact the action of secretin?

<p>CCK facilitates the action of secretin. (D)</p> Signup and view all the answers

Flashcards

Pancreatic Exocrine Secretion

The exocrine pancreas secretes alkaline juice and enzymes (proteases, amylases, and lipases) for digestion.

Acinar Secretion Stimulation

Acinar secretions are stimulated by cholecystokinin (CCK) released from duodenal APUD cells, triggered by chyme rich in proteins and fats.

Duct Secretion

Duct cells secrete bicarbonate (HCO3-) stimulated by secretin which is released from jejunal cells in response to low pH.

Liver functions

The liver is the largest single organ which performs energy metabolism, detoxification, and production of plasma proteins.

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Chylomicrons

Epithelial cells re-synthesize lipids, export them to lymphatics as chylomicrons and transport them in blood to tissues.

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Bile Secretion

Bile acids and alkaline juice are secreted by the liver for digestion and excretion of bile pigments.

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Study Notes

Pancreas & Exocrine Secretion

  • The exocrine pancreas releases alkaline juice and enzymes.
  • Proteases, amylases, and lipases are key enzymes secreted.
  • Proteases include trypsin(ogen), chymotrypsin, elastase, and carboxypeptidase.
  • Acinar secretion is stimulated by cholecystokinin (CCK).
  • CCK release is triggered by chyme rich in proteins and fats, during the 'intestinal phase'.
  • Gastrin and the vagus nerve (via acetylcholine) also stimulate acinar secretion during the 'cephalic' phase.
  • Duct cells secrete HCO3- (bicarbonate).
  • Secretin, released from jejunal cells due to low pH, stimulates bicarbonate secretion.
  • CCK facilitates secretin's action.

Liver Function

  • The liver, the largest single organ, performs diverse functions.
  • The liver plays roles in blood, energy metabolism, detoxification, and plasma protein production.
  • The liver contributes to gut function through bile secretion (0.25-1.0 L/day).
  • Bile contains bile acids and alkaline juice, which aid in digestion.
  • The liver excretes bile pigments.
  • Epithelial cells process fatty acids to resynthesize lipids.
  • Lipids are exported to lymphatics as chylomicrons.
  • Chylomicrons are lipids coated with polar protein and phospholipid for blood transport.
  • Bile acids continue to the terminal ileum for active reabsorption by the epithelium.
  • Reabsorbed bile acids return in hepatic portal blood.
  • Hepatocytes actively take up and re-secrete bile acids into canaliculi.

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