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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