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NBME Histology Practice Test
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Pancreatic acinar cells secrete digestive enzymes. What is a characteristic cytoplasmic feature of these cells?
Large lipid droplets
Abundant mitochondria with basophilic cytoplasm and no granules
Eosinophilic cytoplasm with perinuclear clear area
Basally located nuclei with basophilic cytoplasm and apical zymogen granules
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Correct Answer:
Basally located nuclei with basophilic cytoplasm and apical zymogen granules
Explanation:
Pancreatic acinar cells are professional secretory cells of the exocrine pancreas. They synthesize large amounts of digestive enzyme precursors and package them into membrane-bound zymogen granules that sit at the apical part of the cell, ready to be released into the duct system. To support this heavy protein production, these cells have abundant rough endoplasmic reticulum, which makes the cytoplasm appear basophilic on staining. The nucleus is typically located toward the base of the cell, which leaves room for the busy apical region filled with secretory granules. This combination—basally located nuclei, basophilic cytoplasm from the rough ER, and apical zymogen granules—best matches the characteristic cytoplasmic feature of pancreatic acinar cells.
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