Digestive System
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| the pharynx. | |||||||
| the gallbladder. | |||||||
| the esophagus. | |||||||
| the large intestine. | |||||||
2 | Nervous control of the GI tract would be impaired by damage to the | ||||||
| mucosa. | |||||||
| muscularis. | |||||||
| submucosa. | |||||||
| serosa. | |||||||
3 | Digestive enzymes are not secreted into | ||||||
| the esophagus. | |||||||
| the mouth. | |||||||
| the small intestine | |||||||
| the stomach. | |||||||
4 | Pepsin would be missing from the stomach contents of a person lacking | ||||||
| chief cells. | |||||||
| enterochromaffin-like cells. | |||||||
| goblet cells. | |||||||
| parietal cells. | |||||||
5 | Damage to the fundus would have the greatest effect on | ||||||
| mucus secretion. | |||||||
| pepsinogen secretion. | |||||||
| gastrin secretion. | |||||||
| histamine secretion. | |||||||
6 | The chyme entering the small intestine | ||||||
| is very basic. | |||||||
| is buffered by pancreatic bicarbonate secretion. | |||||||
| has not undergone any digestive processes. | |||||||
| passes through the cardiac sphincter. | |||||||
7 | Damage to which of the following would affect fat but not protein or carbohydrate absorption? | ||||||
| The microvilli. | |||||||
| Brunner's glands. | |||||||
| The lacteals. | |||||||
| The goblet cells. | |||||||
8 | Diarrhea may occur as a result of | ||||||
| decreased Na+ reabsorption by the large intestine. | |||||||
| decreased osmolarity of chyme entering the large intestine. | |||||||
| damage to the intestinal mucosa due to bacterial enterotoxins. | |||||||
| active transport of sodium chloride due to gluten consumption. | |||||||
9 | Bile | ||||||
| is synthesized by the gall bladder. | |||||||
| is stored in hepatic sinusoids. | |||||||
| is solely comprised of bile salts. | |||||||
| is required for maximal fat digestion and absorption. | |||||||
10 | The liver is responsible for secretion of all of the following except | ||||||
| ampicillin. | |||||||
| conjugated steroids. | |||||||
| penicillin. | |||||||
| streptomyocin. | |||||||
11 | The pancreas | ||||||
| is resistant to proteolytic digestion because of pancreatic trypsin inhibitor. | |||||||
| secretes bicarbonate to buffer the chyme. | |||||||
| secretes enzymes required for digestion of all macromolecules. | |||||||
| all of the above. | |||||||
12 | Inhibiting the secretion of cholecystokinin would | ||||||
| stimulate gastric motility. | |||||||
| stimulate gallbladder contraction. | |||||||
| stimulate pancreatic enzyme secretion. | |||||||
| stimulate HCl secretion by parietal cells. | |||||||
13 | Gastric acid secretion during the intestinal phase | ||||||
| is stimulated by vagal stimulation. | |||||||
| is inhibited by fat in the chyme. | |||||||
| is stimulated by gastrin secretion. | |||||||
| is stimulated by amino acids in the stomach. | |||||||
14 | Cholesterol removal and degradation is the primary function of the | ||||||
| chylomicrons. | |||||||
| high-density lipoproteins. | |||||||
| low-density lipoproteins. | |||||||
| very-low-density lipoproteins. | |||||||
15 | Which of the following enzymes is not bound to epithelial membranes of the small intestine? | ||||||
| Sucrase. | |||||||
| Aminopeptidase. | |||||||
| Carboxypeptidase. | |||||||
| Maltase. | |||||||
1 | Which gastrointestinal layer is characterized by having tough, fibrous connective tissue? | |||
| mucosa | ||||
| submucosa | ||||
| muscle | ||||
| serosa | ||||
2 | Which intestinal layer accounts for the action of the peristaltic waves? | |||
| serosa | ||||
| muscularis | ||||
| submucosa | ||||
| mucous | ||||
3 | The alimentary tube is around _____ meters long. | |||
| 2 | ||||
| 4 | ||||
| 6 | ||||
| 9 | ||||
4 | The _____ nervous system division usually stimulates and promotes digestion. | |||
| somatic | ||||
| sympathetic | ||||
| central | ||||
| parasympathetic | ||||
5 | The processes of chewing are referred to as _____. | |||
| churning | ||||
| mastication | ||||
| peristalsis | ||||
| deglutition | ||||
6 | The frenulum is the membrane attached to the inferior surface of the _____. | |||
| tongue | ||||
| stomach | ||||
| lips | ||||
| liver | ||||
7 | The following are true of the tongue except which one? | |||
| contains skeletal muscle | ||||
| attaches to hyoid bone | ||||
| attaches to temporal bone | ||||
| contains papillae | ||||
8 | The following areas contain tonsils except which one? | |||
| around the frenulum | ||||
| oral pharynx | ||||
| nasal pharynx | ||||
| root of tongue | ||||
9 | Which lymphatic areas are most commonly the site of inflammation? | |||
| Peyer's patches | ||||
| palatine tonsils | ||||
| lingual tonsils | ||||
| adenoids | ||||
10 | How many teeth will be produced in an average lifetime? | |||
| 20 | ||||
| 32 | ||||
| 30 | ||||
| 52 | ||||
11 | The term wisdom tooth refers to the _____ tooth. | |||
| incisor | ||||
| third molar | ||||
| second bicuspid | ||||
| first cuspid | ||||
12 | The portion of a tooth which lies within the mandible socket is called the _____. | |||
| dentin | ||||
| crown | ||||
| root | ||||
| cementum | ||||
13 | Which part of a tooth most closely resembles bone tissue? | |||
| enamel | ||||
| cementum | ||||
| dentin | ||||
| gingiva | ||||
14 | Which muscles constrict to prevent air from entering the esophagus during breathing? | |||
| superior constrictor | ||||
| middle constrictor | ||||
| inferior constrictor | ||||
| esophageal | ||||
15 | A hiatal hernia is a weakness in the _____ muscle, which allows a portion of the digestive tract to enter the thoracic cavity. | |||
| diaphragm | ||||
| stomach | ||||
| intestinal | ||||
| thoracic wall | ||||
16 | The _____ part of the stomach is the area the is connected to the esophagus. | |||
| cardiac | ||||
| pyloric | ||||
| fundus | ||||
| body | ||||
17 | The _____ prevents food from entering the small intestine. | |||
| cardiac sphincter | ||||
| pyloric valve | ||||
| ileo-colic valve | ||||
| sphincter of Oddi | ||||
18 | Gastric enzymes are secreted by the _____ cells. | |||
| chief | ||||
| goblet | ||||
| parietal | ||||
| oxyntic | ||||
19 | Proteins are digested or broken down by the _____ in the stomach. | |||
| pepsinogen | ||||
| pepsin | ||||
| hydrochloric acid | ||||
| lipase | ||||
20 | Parasympathetic stomach impulses cause all of the following except which one? | |||
| secretion of somatostatin | ||||
| inhibition of somatostatin | ||||
| secretion of gastrin | ||||
| promotes histamine | ||||
21 | Gastrin secretion will stop when the stomach pH reaches _____. | |||
| 7.0 | ||||
| 4.5 | ||||
| 1.5 | ||||
| 3.0 | ||||
22 | The alkaline tide occurs when _____ is excreted into the urine. | |||
| HCl | ||||
| H+ | ||||
| bicarbonate ions | ||||
| phosphate ions | ||||
23 | What is the stimulus for cholecystokinin release? | |||
| chyme | ||||
| lipids | ||||
| protein | ||||
| gastrin | ||||
24 | What blocks pancreatic secretions from entering the duodenum? | |||
| pyloric valve | ||||
| sphincter of Oddi | ||||
| the common bile duct | ||||
| cholecystokinin secretion | ||||
25 | Which of the following triggers the formation of the others? | |||
| trypsin | ||||
| enterokinase | ||||
| carboxypeptidase | ||||
| chymotrypsin | ||||
26 | Proteins are split by all of the following pancreatic factors except which one? | |||
| zymogen | ||||
| chymotrypsin | ||||
| trypsin | ||||
| carboxypeptidase | ||||
27 | Pancreatitis is mainly the result of _____ activity. | |||
| bile | ||||
| bacterial | ||||
| carboxypeptidase | ||||
| trypsin | ||||
28 | Which of the following are not active in the duodenum? | |||
| nuclease | ||||
| enterokinase | ||||
| pepsin | ||||
| amylase | ||||
29 | Secretin from the duodenum causes the pancreas to produce secretions rich in _____. | |||
| proteolytic enzymes | ||||
| amylase | ||||
| lipase | ||||
| bicarbonate | ||||
30 | Which of these is a hormone name? | |||
| trypsin | ||||
| ribonuclease | ||||
| cholecystokinin | ||||
| chymotrypsinogen | ||||
31 | The hormone which causes the pancreas to secrete an enzyme rich fluid is _____. | |||
| cholecystokinin | ||||
| secretin | ||||
| enterogastrone | ||||
| enterocrinin | ||||
32 | Which organ has the most metabolically active cells? | |||
| pancreas | ||||
| liver | ||||
| stomach | ||||
| small intestine | ||||
33 | Urea is synthesized by the liver following _____ metabolism. | |||
| carbohydrate | ||||
| protein | ||||
| lipid | ||||
| nucleic acid | ||||
34 | Ferritin is a globular protein that transports and stores ______ in the liver and blood. | |||
| glycogen | ||||
| lipids | ||||
| vitamin B12 | ||||
| iron | ||||
35 | Which of the following vitamins is not stored in the liver? | |||
| C | ||||
| D | ||||
| B12 | ||||
| A | ||||
36 | The liver stores ______ for energy. | |||
| nucleic acids | ||||
| glycogen | ||||
| glucose | ||||
| vitamins | ||||
37 | Which of the following is not a function of the adult liver? | |||
| glycogen storage | ||||
| detoxification | ||||
| synthesis of clotting proteins | ||||
| erythropoiesis | ||||
38 | The liver contains special blood channels termed _____. | |||
| sinusoids | ||||
| central vein | ||||
| hepatic cells | ||||
| portal veins | ||||
39 | The falciform ligament separates the right from _____ lobe. | |||
| quadrate | ||||
| left | ||||
| caudate | ||||
| pancreatic | ||||
40 | Which organ produces and secretes bile? | |||
| liver | ||||
| gallbladder | ||||
| pancreas | ||||
| duodenum | ||||
41 | The Kupffer cells are phagocytic cells found in the _____. | |||
| gallbladder | ||||
| pancreas | ||||
| intestine | ||||
| liver | ||||
42 | The buildup of bile pigment in tissues that can be caused by gallstones is _____. | |||
| hyperbilirubinemia | ||||
| obstructive jaundice | ||||
| hepatitis | ||||
| hepatocellular jaundice | ||||
43 | Which of the following are liver waste products? | |||
| bilirubin | ||||
| bile salts | ||||
| cholesterol | ||||
| electrolytes | ||||
44 | The _____ duct directly receives the fluids from the gallbladder. | |||
| cystic | ||||
| common bile | ||||
| hepatic | ||||
| common hepatic | ||||
45 | The common bile duct is formed by the merger of the hepatic and _____ ducts. | |||
| common hepatic | ||||
| cystic | ||||
| pancreatic | ||||
| Santorini | ||||
46 | The ampulla of Vater is the area that joins the common bile duct to the _____ duct. | |||
| hepatic | ||||
| pancreatic | ||||
| cystic | ||||
| common hepatic | ||||
47 | Gallbladder stones are medically referred to as a _____ condition. | |||
| cholecystitis | ||||
| cholecystectomy | ||||
| cholelithiasis | ||||
| cholesterol calculi | ||||
48 | Bile facilitates digestion by causing the _____ of fats. | |||
| hydrolysis | ||||
| digestion | ||||
| catalysis | ||||
| emulsification | ||||
49 | Bile salts combine with fatty acids to form complexes called _____ that facilitate absorption. | |||
| chylomicrons | ||||
| micelles | ||||
| globules | ||||
| lipoproteins | ||||
50 | Which of these is a water soluble vitamin? | |||
| D | ||||
| C | ||||
| E | ||||
| K | ||||
51 | Which of the following acts to inhibit acid production? | |||
| secretin | ||||
| somatostatin | ||||
| cholecystokinin | ||||
| gastrin | ||||
52 | Which area has the greatest amount of enzyme activity? | |||
| duodenum | ||||
| colon | ||||
| jejunum | ||||
| ileum | ||||
53 | The shortest section of the intestines is the _____. | |||
| colon | ||||
| duodenum | ||||
| ileum | ||||
| jejunum | ||||
54 | The membrane that hangs like an apron over the intestines is the _____. | |||
| mesentery | ||||
| visceral peritoneum | ||||
| parietal peritoneum | ||||
| greater omentum | ||||
55 | The finger-like extensions inside the small intestine are called _____ and increase the surface area. | |||
| microvilli | ||||
| villi | ||||
| lacteals | ||||
| lumens | ||||
56 | The _____ are vessels that project into the villi and absorb fatty substances. | |||
| lacteals | ||||
| lymphatics | ||||
| veins | ||||
| arteries | ||||
57 | The following belong together except which one? | |||
| small intestine | ||||
| large intestine | ||||
| plicae circulares | ||||
| crypts of Lieberkuhn | ||||
58 | Which of these does not belong with the others? | |||
| lipase | ||||
| sucrase | ||||
| maltase | ||||
| lactase | ||||
59 | Which is the only area that can digest a double sugar? | |||
| jejunum | ||||
| stomach | ||||
| duodenum | ||||
| pancreas | ||||
60 | Amylase could be found in all of these areas except which one? | |||
| mouth | ||||
| stomach | ||||
| duodenum | ||||
| pancreas | ||||
61 | Most of the absorption of nutrients occurs in the _____. | |||
| colon | ||||
| duodenum | ||||
| jejunum | ||||
| ileum | ||||
62 | Fatty acids and glycerol are released when _____ are broken down by liver or muscle cells. | |||
| micelles | ||||
| chylomicrons | ||||
| lacteals | ||||
| lipoproteins | ||||
63 | Which of the following is not readily absorbed in the small intestine? | |||
| Na+ | ||||
| Cl- | ||||
| K+ | ||||
| Mg++ | ||||
64 | The ileocecal valve prevents chyme from entering the _____. | |||
| large intestine | ||||
| small intestine | ||||
| stomach | ||||
| duodenum | ||||
65 | A peristaltic rush which results in a failure to absorb enough colon water results in _____. | |||
| constipation | ||||
| diarrhea | ||||
| cramps | ||||
| flatus | ||||
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