Stomach Acid Secretion Quiz
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Questions and Answers

What is the primary function of the K+/H+ exchanger in parietal cells?

  • To secrete K+ ions into the stomach lumen
  • To exchange HCO3- for Cl- ions
  • To secrete H+ ions into the stomach lumen
  • To regulate the pH of the parietal cell cytoplasm (correct)
  • What is the primary function of the HCO3-/Cl- exchanger in parietal cells?

  • To secrete Cl- ions into the stomach lumen
  • To regulate the pH of the parietal cell cytoplasm
  • To exchange K+ for H+ ions
  • To secrete HCO3- ions into the stomach lumen (correct)
  • How does somatostatin inhibit acid secretion by parietal cells?

  • By reducing cAMP concentrations in parietal cells (correct)
  • By directly blocking the proton pump in parietal cells
  • By increasing cAMP concentrations in parietal cells
  • By stimulating the release of histamine from ECL cells
  • What is the primary cause of the 'alkaline tide' phenomenon?

    <p>The absorption of HCO3- from the stomach lumen into the bloodstream</p> Signup and view all the answers

    Which of the following is the most potent regulator of parietal cell acid secretion?

    <p>Histamine (from ECL cells)</p> Signup and view all the answers

    What is the primary mechanism by which drugs like omeprazole inhibit acid secretion by parietal cells?

    <p>By inhibiting the proton pump (H+/K+ ATPase)</p> Signup and view all the answers

    What is the primary cation associated with pancreatic secretions during active eating?

    <p>Na+</p> Signup and view all the answers

    In the pancreas during stimulation of secretion, what is the relationship between anions and cations?

    <p>Anions equal cations</p> Signup and view all the answers

    How is HCO3- transported into the lumen of the pancreatic duct?

    <p>By an HCO3-/Cl- exchanger</p> Signup and view all the answers

    What is the effect of cystic fibrosis on pancreatic duct cells?

    <p>Prevents release of HCO3</p> Signup and view all the answers

    What happens to the pancreatic juice's osmolality with increased flow rate?

    <p>Remains constant</p> Signup and view all the answers

    How is the byproduct H+ transported out of the duct cell?

    <p>By a Na/H exchanger</p> Signup and view all the answers

    What is the primary role of the K/H+ exchanger in parietal cells?

    <p>To transport K+ into the cell and H+ out of the cell into the stomach lumen</p> Signup and view all the answers

    What is the function of the HCO3-/Cl- exchanger in parietal cells?

    <p>To transport HCO3- out of the cell and Cl- into the cell</p> Signup and view all the answers

    What is the primary function of somatostatin in regulating gastric acid secretion?

    <p>Inhibits parietal cells from secreting HCl</p> Signup and view all the answers

    What is the 'alkaline tide' in the context of gastric acid secretion?

    <p>The increased blood pH due to the release of HCO3- from parietal cells</p> Signup and view all the answers

    Which of the following is true regarding the regulation of HCl secretion by parietal cells?

    <p>HCl secretion requires a high metabolic rate and ATP production in parietal cells</p> Signup and view all the answers

    What is the primary source of H+ ions for HCl secretion by parietal cells?

    <p>Conversion of CO2 and H2O into H2CO3 and subsequently into H+ and HCO3-</p> Signup and view all the answers

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