Physio: Pancreatic Hormone Flashcards

(38 cards)

1
Q

According to the source, which hormone secreted by the pancreatic islets acts as a paracrine regulator that inhibits both insulin and glucagon release from neighboring endocrine cells?
a) Insulin
b) Glucagon
c) Pancreatic polypeptide
d) Somatostatin

A

d) Somatostatin

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2
Q

The source states that insulin is initially synthesized as a larger peptide precursor. What is the name of this precursor before it is converted to proinsulin?

a) Preproinsulin
b) Proinsulin
c) C peptide
d) Alpha chain

A

a) Preproinsulin

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3
Q

Insulin consists of two peptide chains connected by disulfide bridges. What are these two chains called, according to the source?

a) A chain and C chain
b) Alpha chain and beta chain
c) Pro chain and Insulin chain
d) Disulfide chain and Peptide chain

A

b) Alpha chain and beta chain

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4
Q

The source describes insulin as having diverse metabolic effects. Which term is used to characterize the overall nature of most of these effects?
a) Catabolic
b) Inhibitory
c) Anabolic
d) Degenerative

A

c) Anabolic

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5
Q

Which of the following is explicitly listed as a primary target organ for insulin action in the source?

a) Kidney
b) Brain
c) Skeletal muscles
d) Pancreas

A

c) Skeletal muscles

Liver and adipose tissues as well.

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6
Q

According to the source, insulin is the only hormone in the body that performs which primary function regarding blood glucose?

a) Increases blood glucose levels
b) Stimulates gluconeogenesis
c) Inhibits glucose uptake by muscle
d) Lowers blood glucose levels

A

d) Lowers blood glucose levels

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7
Q

In skeletal muscle and adipose tissue, insulin stimulates glucose uptake. According to the source, this is primarily achieved by stimulating the translocation of which specific glucose transporter isoform to the cell membrane?

a) GLUT1
b) GLUT2
c) GLUT3
d) GLUT4

A

d) GLUT4

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8
Q

According to the source, how does the phosphorylation of glucose to glucose-6-phosphate inside the cell contribute to further glucose uptake?

a) It facilitates the transport of glucose-6-phosphate across the membrane
b) It activates the GLUT transporters to move more quickly
c) It keeps the concentration of free intracellular glucose low, favoring continued diffusion
d) It directly inhibits the action of glucagon

A

c) It keeps the concentration of free intracellular glucose low, favoring continued diffusion

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9
Q

Unlike skeletal muscle and adipose tissue, the source indicates that glucose uptake in the liver utilizes which glucose transporter isoform?
a) GLUT1
b) GLUT2
c) GLUT3
d) GLUT4

A

b) GLUT2

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10
Q

According to the source, is the GLUT2 transporter in the liver insulin-dependent?
a) Yes, its presence in the membrane requires insulin
b) Yes, its activity is directly regulated by insulin signaling
c) No, it is always present in the cell membrane regardless of insulin
d) Only its conversion of glucose is insulin-dependent

A

c) No, it is always present in the cell membrane regardless of insulin

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11
Q

Which of the following liver enzymes involved in glycogen metabolism is activated by insulin, according to the source?
a) Glycogen phosphorylase
b) Glucose-6-phosphatase
c) Glycogen synthase
d) Both glycogen phosphorylase and glucose-6-phosphatase

A

c) Glycogen synthase

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12
Q

Which liver enzyme, responsible for converting glucose to glucose-6-phosphate, is stimulated by insulin, indirectly contributing to increased glucose uptake in the liver?
a) Hexokinase
b) Fructokinase
c) Glucokinase
d) Glucose-6-phosphatase

A

c) Glucokinase

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13
Q

According to the source, insulin inhibits the synthesis of glucose from non-carbohydrate precursors such as amino acids, lactic acid, and glycerol. What is this metabolic process called?
a) Glycogenesis
b) Glycolysis
c) Glycogenolysis
d) Gluconeogenesis

A

d) Gluconeogenesis

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14
Q

In adipose tissue, insulin stimulates lipogenesis (synthesis of triglycerides). According to the source, which enzyme in the blood does insulin stimulate to supply free fatty acids to adipocytes for triglyceride synthesis?

a) Hormone-sensitive lipase
b) Adipocyte triglyceride lipase
c) Lipoprotein lipase
d) Glycerol phosphate acyltransferase

A

d) Glycerol phosphate acyltransferase

Also,
Pyruvate dehydrogenase
Actetyl coa carboxylase

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15
Q

According to the source, how does insulin influence hormone-sensitive lipase activity within adipocytes?
a) It activates hormone-sensitive lipase
b) It inhibits hormone-sensitive lipase
c) It has no effect on hormone-sensitive lipase
d) It increases the synthesis of hormone-sensitive lipase

A

b) It inhibits hormone-sensitive lipase

Insulin stimulates lipoprotein lipase.

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16
Q

According to the source, insulin stimulates protein synthesis in skeletal muscle primarily by increasing the uptake of what substances by muscle cells?
a) Glucose
b) Free fatty acids
c) Triglycerides
d) Amino acids

A

d) Amino acids

17
Q

Insulin inhibits protein catabolism by suppressing the activity of which type of cellular enzymes that degrade proteins, according to the source?
a) Proteasomal enzymes
b) Cytosolic enzymes
c) Lysosomal enzymes
d) Mitochondrial enzymes

A

c) Lysosomal enzymes

18
Q

According to the source, what type of receptor is the insulin receptor on the cell surface?
a) G protein-coupled receptor
b) Ligand-gated ion channel
c) Nuclear receptor
d) Enzyme-linked receptor

A

d) Enzyme-linked receptor

Name the enzyme.

20
Q

Upon insulin binding, the two monomers of the insulin receptor are brought together and undergo cross-phosphorylation. This phosphorylation occurs on which part of the receptor’s beta-subunit?
a) Extracellular insulin recognition site
b) Transmembrane domain
c) Cytosolic tyrosine kinase domain
d) Disulfide bridges

A

c) Cytosolic tyrosine kinase domain

21
Q

Activated, phosphorylated insulin receptor substrates (IRS proteins) then trigger intracellular cascade pathways. According to the source, what is a key downstream effect of these pathways related to glucose uptake?

a) Activation of gluconeogenesis enzymes
b) Translocation of glucose transporters from vesicles to the cell membrane
c) Inhibition of glycogen synthesis
d) Increased protein catabolism

A

b) Translocation of glucose transporters from vesicles to the cell membrane

22
Q

The source states that insulin secretion from pancreatic beta-cells is controlled by a negative feedback mechanism related to blood glucose levels. What happens to insulin secretion when blood glucose concentration increases?

A

Insulin secretion stimulates glucose uptake
Insulin secretion inhibits gluconeogenesis
Insulin secretion increases

23
Q

At the cellular level, insulin secretion from beta-cells is accomplished via exocytosis, which is stimulated by the entry of which ion?
a) Na+
b) K+
c) Ca2+
d) Cl-

24
Q

In the resting state, outward flux of which ion contributes to maintaining the negative resting membrane potential in pancreatic beta-cells, keeping the voltage-dependent Ca2+ channel closed?
a) Na+
b) K+
c) Ca2+
d) Cl-

25
According to the source, increased plasma glucose enters the beta-cell via the GLUT2 transporter and is metabolized to generate ATP. How does this increase in ATP lead to membrane depolarization? a) It inhibits the ATP-sensitive K+ channel, reducing outward K+ flux b) It activates the voltage-dependent Ca2+ channel directly c) It stimulates Na+ influx into the cell d) It promotes the synthesis of insulin granules
a) It inhibits the ATP-sensitive K+ channel, reducing outward K+ flux
26
Besides plasma glucose, which of the following substances or stimuli is listed in the source as increasing insulin secretion from beta-cells? a) Sympathetic nerve stimulation (alpha2-AR) b) Plasma fatty acids c) Plasma amino acids (after a protein-rich meal) d) Somatostatin
c) Plasma amino acids (after a protein-rich meal) Also.. GIT hormones, Parasympathetic nerves, increase blood glucose
27
Which type of nerves, when stimulated, increase insulin secretion from the pancreatic islets, according to the source? a) Sympathetic nerves b) Parasympathetic nerves c) Sensory nerves d) Motor nerves
b) Parasympathetic nerves
28
Glucagon is described in the source as a peptide hormone secreted by which type of pancreatic islet cells? a) Beta-cells b) Delta-cells c) F-cells d) Alpha-cells
d) Alpha-cells
29
The source states that glucagon produces effects that are antagonistic to those of insulin. Which term is used to characterize the overall nature of glucagon's metabolic effects? a) Catabolic b) Anabolic c) Synthetic d) Growth promoting
a) Catabolic
30
According to the source, what is the main action of glucagon regarding blood glucose levels? a) Lowering blood glucose levels b) Stimulating glucose uptake by muscle c) Stimulating glucose uptake by liver d) Increasing blood glucose levels
d) Increasing blood glucose levels
31
Which two metabolic processes in the liver are explicitly listed in the source as being stimulated by glucagon to increase blood glucose? a) Glycolysis and glycogenesis b) Gluconeogenesis and glycogenolysis c) Lipogenesis and protein synthesis d) Fatty acid synthesis and cholesterol synthesis
b) Gluconeogenesis and glycogenolysis
32
Glucagon acts through receptors on the cell surface. Which two target organs are specifically mentioned in the source as having glucagon receptors? a) Skeletal muscle and kidney b) Brain and adipose tissue c) Hepatocytes (liver) and adipocytes (adipose tissue) d) Pancreas and stomach
c) Hepatocytes (liver) and adipocytes (adipose tissue)
33
The glucagon receptor is coupled to G-proteins. Which two intracellular signaling pathways are mentioned in the source as being activated upon stimulation of the glucagon receptor? a) Tyrosine kinase and MAP kinase b) Adenylate cyclase/cAMP and Phospholipase C/inositoltrisphosphate c) Guanylate cyclase/cGMP and DAG/PKC d) Steroid receptor signaling
b) Adenylate cyclase/cAMP and Phospholipase C/inositoltrisphosphate
34
In the liver, glucagon stimulates the breakdown of glycogen. Which intracellular molecule, increased by glucagon receptor activation of adenylate cyclase via Gs-protein, activates protein kinase A to promote glycogen breakdown? a) IP3 b) DAG c) GTP d) cAMP
d) cAMP
35
According to the source, like insulin, glucagon secretion is controlled by a negative feedback mechanism related to blood glucose levels. What happens to glucagon secretion when blood glucose concentration decreases? a) Glucagon secretion decreases b) Glucagon promotes glycogen synthesis c) Glucagon secretion is stimulated d) Glucagon release is inhibited by insulin
c) Glucagon secretion is stimulated
36
Besides low blood glucose, which of the following is listed in the source as a mechanism that contributes to increased secretion of glucagon from pancreatic alpha-cells? a) Stimulation of parasympathetic nerves b) High plasma fatty acids c) Stimulation of sympathetic nerves (beta2-AR) d) Insulin secretion
c) Stimulation of sympathetic nerves (beta2-AR) Also, amino acids Norepinephrine and epinephrine Acetylcholine
37
The source describes insulin dominating in the fed state and glucagon dominating in the fasted state. In the fed state, anabolic reactions are favored. Which of the following is listed as an example of an anabolic reaction stimulated in the fed state? a) Glycogenolysis b) Gluconeogenesis c) Release of free fatty acids from adipose tissue d) Synthesis of proteins
d) Synthesis of proteins
38
List the factors that decrease glucagon secretion.
Somatostatin Insulin Fatty acids