Abdominal Pain and Bowel Sounds Assessment

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Questions and Answers

What is the primary function of the stratum basale layer of the epidermis?

  • To produce melanin for skin pigmentation
  • To provide sensory receptors
  • To divide and give rise to all other epidermal layers (correct)
  • To act as a barrier against pathogens

Which of the following is NOT a characteristic of the keratin protein structure?

  • Composed of hydrophobic amino acid residues
  • Arranged in a right-handed alpha-helical coil
  • Held together by hydrogen bonds and disulfide bridges
  • Contains a high proportion of positively charged amino acids (correct)

What is the significance of the coiled-coil structure in keratin protein?

  • It enhances the ability to form disulfide bridges
  • It increases the flexibility of the protein
  • It allows for the formation of protofibrils and microfibrils (correct)
  • It provides the necessary rigidity for the formation of horn and nails

What is the primary difference between abdominal pain and tenderness?

<p>Abdominal pain is present regardless of palpation, while tenderness is pain elicited by palpation. (D)</p> Signup and view all the answers

How do the number of disulfide bonds in keratin affect its physical properties?

<p>Increased disulfide bonds lead to greater hardness and rigidity (C)</p> Signup and view all the answers

Which of the following conditions is most likely associated with decreased (hypoactive) bowel sounds?

<p>Bowel obstruction (B)</p> Signup and view all the answers

Which of the following is NOT a function of the stratum basale layer of the epidermis?

<p>Providing a barrier against water loss from the body (B)</p> Signup and view all the answers

What is the recommended duration for listening to bowel sounds before assuming their absence?

<p>There is no specific recommended duration mentioned. (C)</p> Signup and view all the answers

Which of the following conditions can present with abdominal pain, despite originating from outside the abdominal cavity?

<p>Both myocardial infarction and pneumonia (D)</p> Signup and view all the answers

What is the relationship between the alpha-helical and coiled-coil structures in keratin?

<p>The alpha-helix is a right-handed coil, while the coiled-coil is left-handed (A)</p> Signup and view all the answers

Which of the following terms refers to the presence of an enlarged organ in the abdomen?

<p>Organomegaly (C)</p> Signup and view all the answers

Which cranial nerve is responsible for the innervation of the parotid salivary gland?

<p>Cranial Nerve IX (A)</p> Signup and view all the answers

Which of the following is NOT a major function of Cranial Nerve X (the vagus nerve)?

<p>Regulation of the sympathetic nervous system (B)</p> Signup and view all the answers

What is the purpose of stimulating the posterior aspect of the pharynx to test the function of Cranial Nerve IX?

<p>To elicit a gag reflex, which is mediated by Cranial Nerve IX (D)</p> Signup and view all the answers

What is the significance of the term 'vagus' in the name 'vagus nerve' (Cranial Nerve X)?

<p>It indicates that the nerve wanders or projects to a wide variety of organs in the body (D)</p> Signup and view all the answers

Why is the test of stimulating the posterior pharynx to assess Cranial Nerve IX function not considered the most helpful?

<p>Because many healthy people have a diminished gag reflex, making the test unreliable (C)</p> Signup and view all the answers

What type of sensory input does Cranial Nerve X (the vagus nerve) receive from the aortic baroreceptors and chemoreceptors?

<p>Autonomic sensory input (D)</p> Signup and view all the answers

What is the approximate location of the amygdala and hippocampus?

<p>Limbic structures (B)</p> Signup and view all the answers

Which brain structure serves to refine and regulate behaviors or movements?

<p>Basal Ganglia (B)</p> Signup and view all the answers

Which part of the brain is responsible for relaying information from sensory receptors to the cortex?

<p>Thalamus (C)</p> Signup and view all the answers

What is the general function of the cerebellum in the brain?

<p>Adjusts movements based on sensory input (D)</p> Signup and view all the answers

Where are the cell bodies that activate skeletal muscles located in the spinal cord?

<p>Ventral horns (D)</p> Signup and view all the answers

What happens when basal ganglia lose function?

<p>Random, purposeless movements occur (B)</p> Signup and view all the answers

Which part of the brain adjusts movements based on information from receptors sensing joint position and movement?

<p>Cerebellum (C)</p> Signup and view all the answers

Which structures lie below the cortex close to the middle of the parietal and temporal lobes?

<p>Basal Ganglia (A)</p> Signup and view all the answers

What major roles does the hypothalamus play in the brain?

<p>Regulates body temperature and controls endocrine system (A)</p> Signup and view all the answers

What is the function of the limbic structures in the brain?

<p>Regulating emotion and memory formation (B)</p> Signup and view all the answers

Which of the following pathways is responsible for transmitting proprioceptive information from the muscles and joints to the cerebellum?

<p>Spinocerebellar tract (C)</p> Signup and view all the answers

Which of the following is NOT a function of reflexes?

<p>Facilitating voluntary, purposeful movements (C)</p> Signup and view all the answers

In the stretch reflex, what is the role of the muscle spindle?

<p>It senses muscle stretch and activates the agonist muscle (B)</p> Signup and view all the answers

Which of the following is a cause of an absent deep tendon reflex (DTR)?

<p>Damage to sensory or motor nerves innervating the tested muscle (B)</p> Signup and view all the answers

What is the significance of an 'upgoing' plantar reflex during a neurological exam?

<p>It suggests damage to the corticospinal input to the lower limb (A)</p> Signup and view all the answers

Which of the following pathways carries information from proprioceptors to the postcentral gyrus of the parietal lobe?

<p>Dorsal column-medial lemniscal system (B)</p> Signup and view all the answers

What is the primary role of the cerebellum in the motor system?

<p>Adjusting and refining the motor plan (A)</p> Signup and view all the answers

Which of the following pathways carries motor information from the primary motor cortex to the skeletal muscles?

<p>Corticospinal tract (B)</p> Signup and view all the answers

Which of the following statements about the corticospinal tract is correct?

<p>The anterior corticospinal tract controls movements of the trunk (B)</p> Signup and view all the answers

Which of the following reflexes is activated when a tendon is stretched?

<p>Tendon reflex (A)</p> Signup and view all the answers

What is the primary function of the hair root plexus, which contains very sensitive mechanoreceptors?

<p>To provide proprioceptive feedback about hair movement (C)</p> Signup and view all the answers

What is the role of the arrector pili muscle in relation to the hair shaft?

<p>To pull the hair shaft into a more erect position (D)</p> Signup and view all the answers

Which phase of the hair growth cycle is characterized by the arrested growth and regression of the hair bulb?

<p>Catagen (C)</p> Signup and view all the answers

What is the role of the epidermal stem cells located in the outer layer of the hair follicle during the hair growth cycle?

<p>They give rise to the matrix of the new hair bulb during the anagen phase (A)</p> Signup and view all the answers

What is the primary function of the hypodermis or subcutaneous tissue layer?

<p>To store excess fat and insulate the body (A)</p> Signup and view all the answers

What is the significance of the coiled-coil structure in the keratin protein?

<p>It facilitates the packing of keratin filaments (A)</p> Signup and view all the answers

What is the yellow pigment from plants in the diet?

<p>Carotene (B)</p> Signup and view all the answers

What skin condition is characterized by a relatively 'blue' appearance due to deoxygenation?

<p>Cyanosis (C)</p> Signup and view all the answers

Which skin lesion is described as a solid bump with a round-topped appearance?

<p>Papule (B)</p> Signup and view all the answers

What skin lesion is characterized by being round, solid, and containing no fluid?

<p>Nodule (D)</p> Signup and view all the answers

Which pigment is produced by melanocytes and can range from pale yellow to black?

<p>Melanin (B)</p> Signup and view all the answers

Which skin lesion is described as being serous fluid-filled?

<p>Vesicle (C)</p> Signup and view all the answers

What is the primary function of Cranial Nerve VIII?

<p>Regulating balance and hearing (A)</p> Signup and view all the answers

What is the sequence of events that occurs during the transmission of sound waves to the cochlea?

<p>Sound waves → vibration of tympanic membrane → movement of auditory ossicles → vibrations in cochlear fluid → hair cell movement → electrical impulses (D)</p> Signup and view all the answers

Which of the following best describes the function of the auditory ossicles (malleus, incus, stapes) in the middle ear?

<p>Amplify the amplitude of sound vibrations (C)</p> Signup and view all the answers

What is the primary role of the hair cells in the cochlea?

<p>Transduce mechanical vibrations into electrical impulses (A)</p> Signup and view all the answers

Which part of the brain is responsible for the perception of sound after receiving signals from Cranial Nerve VIII?

<p>Temporal lobe (B)</p> Signup and view all the answers

Which area of the frontal lobe is primarily responsible for planning and executing complex motor plans?

<p>The anterior portions and precentral gyrus (B)</p> Signup and view all the answers

What is the primary function of the postcentral gyrus in the parietal lobe?

<p>all of the above (D)</p> Signup and view all the answers

Which structure in the temporal lobe plays a crucial role in the formation of new memories, in cooperation with the limbic structures below it?

<p>The association cortex (A)</p> Signup and view all the answers

Which area of the occipital lobe is responsible for associating visual stimuli with actual objects or concepts?

<p>The association cortex (B)</p> Signup and view all the answers

Which of the following structures is primarily responsible for the formation and processing of new memories?

<p>All of the above (D)</p> Signup and view all the answers

Where are memories most likely to be stored in the cerebrum?

<p>In the cortex areas close to the associated sensations (B)</p> Signup and view all the answers

Which of the following statements accurately describes the role of the alimentary canal?

<p>It is responsible for propulsion, secretion, digestion, absorption, and immune function. (B)</p> Signup and view all the answers

Which of the following statements accurately describes the structure of the alimentary canal wall?

<p>The mucosa contains the lamina propria, which is the site of blood and lymphatic vessels. (A)</p> Signup and view all the answers

Which of the following statements accurately describes the function of the stomach?

<p>It secretes acid and enzymes to aid in protein digestion and kills ingested bacteria. (B)</p> Signup and view all the answers

Which of the following statements accurately describes the structure and function of the small intestine?

<p>It is the site of most chemical digestion, absorption, and secretion in the alimentary canal. (B)</p> Signup and view all the answers

Which of the following statements accurately describes the function of the large intestine?

<p>It has a negligible role in nutrient absorption and is primarily responsible for water absorption and stool storage. (D)</p> Signup and view all the answers

Which of the following statements accurately describes the function of the liver?

<p>It is involved in detoxification, protein synthesis, and the storage of vitamins and minerals. (C)</p> Signup and view all the answers

Which of the following statements accurately describes the function of the pancreas?

<p>It secretes digestive enzymes and hormones that impact nutrient metabolism. (C)</p> Signup and view all the answers

Which of the following statements accurately describes the function of the peritoneal cavity?

<p>It is a fluid-filled gap between the abdominal wall and the organs within the abdomen. (D)</p> Signup and view all the answers

Which of the following statements accurately describes the structure of the esophagus?

<p>It has an adventitia layer instead of a serosa layer. (A)</p> Signup and view all the answers

Which of the following statements accurately describes the function of the plexuses in the alimentary canal wall?

<p>Auerbach's plexus regulates secretions and conveys sensory information about the lumen. (D)</p> Signup and view all the answers

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