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PCOL 838 Final (2)

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Exam of 9 pages for the course Pathophysiology EXAM 4 UTA at Pathophysiology EXAM 4 UTA (PCOL 838 Final (2))

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PCOL 838 Final
what are the four major iselet cell types and their functions? - ANS-- beta cells = secrete
insulin (60%)

- alpha cells = secrete glucagon (30%)

- delta cells = secrete somatostatin (10%)

- pancreatic polypeptide secreting cell (1%)

what is the effect of alpha cells (glucagon) on other islet cells? - ANS-it stimulates beta
cells (insulin) and delta cells (somatostatin)

what is the effect of delta cells (somatostatin) on other islet cells? - ANS-it inhibits beta
cells (insulin) and alpha cells (glucagon)

what is the effect of beta cells (insulin) on other islet cells? - ANS-it inhibits alpha cells
(glucagon)

what do beta cells secrete?

a. insulin

b. glucagon

c. somatostatin - ANS-a. insulin

what do alpha cells secrete?

a. insulin

b. glucagon

c. somatostatin - ANS-b. glucagon

what do delta cells secrete?

a. insulin

, b. glucagon

c. somatostatin - ANS-c. somatostatin

what does the presence of C peptide mean? - ANS-it means insulin is being made

what is the effect of insulin responsive cells (IRCs) on the body? - ANS-- liver and
muscle = decrease gluconeogenesis and glycogenolysis

- adipocytes = increased lipogenesis and adipogenesis

how is glucose transported into the cell? - ANS-GLUT4 transporter fuses with the
membrane and causes glucose uptake

what is the end result of PI3K signaling?

a. necrosis

b. phagocytosis

c. apoptosis

d. entosis - ANS-c. apoptosis

(T/F) insulin inhibits glucose uptake, glycogen and protein synthesis in muscles -
ANS-false, it stimulates

what is the effect of insulin on adipocytes? - ANS-insulin inhibits fatty acid oxidation in
the liver, which produces acetoacetone and 3-hydroxybutyrate (both used by brain when
glucose is not available)

what are some adverse effects of insulin deficiency? - ANS-- glycosuria

- decreased glucose uptake = diuresis

- increased protein catabolism = nitrogen in urine

- increased lipolysis = ketoneuria
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