26.3 Lower Gastrointestinal Tract and Associated Accessory Digestive Organs
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Questions and Answers

What symptoms may an individual with faltering liver function experience?

  • Fatigue, weight loss, and nausea (correct)
  • Fatigue, weight gain, and headache
  • Back pain, dizziness, and blurry vision
  • Pain in the left upper quadrant, fever, and sweating

How is liver cirrhosis confirmed?

  • By blood tests for liver enzymes
  • Through an MRI of the liver
  • By performing a liver biopsy (correct)
  • Through a CT scan of the liver

What is a common complication of advanced liver cirrhosis?

  • Shortness of breath
  • Joint pain
  • Muscle weakness
  • Jaundice (correct)

What causes ascites in individuals with liver cirrhosis?

<p>Decreased albumin production (B)</p> Signup and view all the answers

Why does intense itching occur in individuals with liver cirrhosis?

<p>When bile products are deposited in the skin (B)</p> Signup and view all the answers

How is end-stage liver cirrhosis typically treated?

<p>Through a liver transplant (D)</p> Signup and view all the answers

What is the function of segmentation in the small intestine?

<p>To mix chyme, accessory digestive organ secretions, and intestinal juice (A)</p> Signup and view all the answers

What initiates the muscular contractions responsible for segmentation in the small intestine?

<p>Pacemaker cells (interstitial cells of Cajal) (D)</p> Signup and view all the answers

How does segmentation differ from peristalsis in terms of movement?

<p>Segmentation involves back-and-forth mixing, peristalsis involves forward movement (C)</p> Signup and view all the answers

Where are the pacemaker cells responsible for initiating segmentation located?

<p>Between the smooth muscle layers of the muscularis in the small intestine wall (D)</p> Signup and view all the answers

At what rate do pacemaker cells depolarize in the duodenum compared to the ileum?

<p>The rate is higher in the duodenum (about 12–14 times per minute) compared to the ileum (about 8–9 times per minute) (D)</p> Signup and view all the answers

How do electrical signals spread through smooth muscle cells during segmentation?

<p>Via gap junctions to allow single-unit smooth muscle to contract (C)</p> Signup and view all the answers

What does a hepatic lobule in the liver look like in cross-section?

<p>A side view of a bicycle wheel (C)</p> Signup and view all the answers

Which blood vessel delivers oxygenated blood to the liver?

<p>Hepatic artery (A)</p> Signup and view all the answers

What is the main function of hepatic sinusoids in the liver lobules?

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

Which source provides deoxygenated and nutrient-rich blood to the liver?

<p>Hepatic portal vein (C)</p> Signup and view all the answers

What is the approximate percentage of blood volume delivered to the liver by the hepatic portal vein?

<p>75% (A)</p> Signup and view all the answers

How do the hepatic artery and hepatic portal vein branch into smaller vessels?

<p>Form components of portal triads (B)</p> Signup and view all the answers

What is the surgical procedure for the removal of the gallbladder called?

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

What function of bile is lost after the gallbladder is removed?

<p>Storage of bile (C)</p> Signup and view all the answers

What organ continues to produce bile even after the removal of the gallbladder?

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

Which cells in the pancreas produce and secrete hormones like insulin and glucagon?

<p>Endocrine cells (A)</p> Signup and view all the answers

What is the approximate length of the pancreas?

<p>6 to 7 inches (C)</p> Signup and view all the answers

Which type of disorders can have serious effects on the ability to digest and absorb nutrients?

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

What type of gland is the pancreas?

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

Which cells does pancreatic cancer most commonly originate from?

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

What is a major risk factor for pancreatic cancer that can double the risk?

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

Why is early detection important for the prognosis of pancreatic cancer?

<p>It allows for more favorable outcomes (A)</p> Signup and view all the answers

Why is early detection of pancreatic cancer difficult?

<p>Lack of a screening test and nonspecific symptoms (D)</p> Signup and view all the answers

What is the approximate length of the large intestine from its origin to its termination?

<p>~1.5 meters (~5 feet) (D)</p> Signup and view all the answers

What is the primary region within the small intestine for nutrient absorption?

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

Which region of the small intestine forms approximately three-fifths of its length?

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

Which sphincter controls the entry of materials from the small intestine into the large intestine?

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

What structures in the small intestine increase surface area for absorption?

<p>Circular folds (A)</p> Signup and view all the answers

What are macroscopic structures formed by both the mucosal and submucosal tunics of the small intestine?

<p>Circular folds (A)</p> Signup and view all the answers

Which term refers to the last region of the small intestine?

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

Which type of cells contribute to the process of digestion by producing intestinal juice in the small intestine?

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

What is the function of mucin produced by goblet cells in the small intestine?

<p>Lubricating and protecting the intestinal lining (D)</p> Signup and view all the answers

Where are the invaginations of the mucosa that secrete intestinal juice located?

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

Which type of cells secrete hormones into the blood in the small intestine?

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

What is the function of intestinal glands (crypts of Lieberkühn) in the small intestine?

<p>Secreting intestinal juice (C)</p> Signup and view all the answers

What is the role of microvilli in the small intestine?

<p>Projecting into the intestinal lumen (B)</p> Signup and view all the answers

What is the primary function of bile in relation to lipid digestion?

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

Where is bile stored, concentrated, and released from?

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

Which organ has three tunics - inner mucosa, middle muscularis, and external serosa?

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

What is the purpose of the cystic duct connected to the gallbladder?

<p>Connecting to the common bile duct (C)</p> Signup and view all the answers

How does bile contribute to lipid digestion in the gastrointestinal tract?

<p>By mechanically breaking down lipids into smaller aggregates (C)</p> Signup and view all the answers

Which structure controls the flow of bile into and out of the gallbladder?

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

What type of reflex is the defecation reflex?

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

Which action is required for conscious regulation of defecation?

<p>Relaxation of the external anal sphincter (A)</p> Signup and view all the answers

What initiates the defecation reflex?

<p>Sensory perception of stretch in the rectum (A)</p> Signup and view all the answers

What is a common cause of constipation according to the text?

<p>Low fiber diet (D)</p> Signup and view all the answers

Which maneuver is associated with conscious regulation of defecation?

<p><strong>Valsalva</strong> maneuver (A)</p> Signup and view all the answers

What is a common side effect of general anesthesia related to bowel function?

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

What term is used to describe the presence of gallstones in the gallbladder?

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

Which risk factor is NOT associated with the development of gallstones?

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

What symptom is typically experienced when a gallstone becomes lodged in the neck of the cystic duct?

<p>Severe pain (biliary colic) (C)</p> Signup and view all the answers

Which region of the body may an individual perceive pain if a gallstone lodges in the neck of the cystic duct?

<p>Right hypochondriac region (B)</p> Signup and view all the answers

If a gallstone leaves the gallbladder and enters the biliary apparatus, what term is used to describe this condition?

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

Apart from women, what other demographic group has a higher prevalence of gallstones?

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

What is the hallmark symptom of Crohn disease?

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

In ulcerative colitis, which part of the intestine is primarily affected?

<p>Rectum and descending colon (A)</p> Signup and view all the answers

Which layer of the intestinal wall is primarily affected by inflammation in Crohn disease?

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

What distinguishes Crohn disease from ulcerative colitis in terms of affected regions?

<p>Crohn disease involves areas of healthy intestine between diseased sections. (D)</p> Signup and view all the answers

Which of the following is NOT a symptom commonly associated with inflammatory bowel disease (IBD)?

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

What distinguishes ulcerative colitis from Crohn disease in terms of affected regions?

<p>Ulcerative colitis causes inflammation in specific areas of the intestines. (C)</p> Signup and view all the answers

Which gastrointestinal disorder is associated with a higher risk of colon cancer?

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

What are the symptoms of irritable bowel syndrome (IBS)?

<p>Crampy abdominal pain, bloating, constipation, and diarrhea (C)</p> Signup and view all the answers

What is the approximate prevalence of irritable bowel syndrome (IBS) in the United States?

<p>1 in every five people (C)</p> Signup and view all the answers

How can most people control the symptoms of irritable bowel syndrome (IBS)?

<p>Reducing stress, changing diet, and using certain medications (A)</p> Signup and view all the answers

Which digestive disorder is being studied for treatment using fecal transplants?

<p>Irritable bowel syndrome (IBS) (A)</p> Signup and view all the answers

What distinguishes ulcerative colitis from Crohn disease in terms of inflammation location?

<p>In ulcerative colitis, inflammation is confined to the mucosa. (D)</p> Signup and view all the answers

What is the primary role of microvilli in the small intestine?

<p>Digestion of nutrients immediately before absorption (B)</p> Signup and view all the answers

Where are brush border enzymes located in the small intestine?

<p>Embedded in the microvilli (B)</p> Signup and view all the answers

How do villi in the small intestine contribute to absorption?

<p>By increasing the surface area for absorption (A)</p> Signup and view all the answers

What is the function of a lacteal within a villus?

<p>Absorption of lipids and lipid-soluble vitamins (C)</p> Signup and view all the answers

Which structure in the small intestine contains an arteriole, capillaries, and a venule?

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

In which part of the small intestine are villi most numerous and larger?

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

What is the main function of the hepatopancreatic sphincter located within the ampulla of Vater?

<p>To regulate the flow of bile and pancreatic juice into the duodenum (B)</p> Signup and view all the answers

Which hormone stimulates the relaxation and opening of the hepatopancreatic sphincter to allow the flow of bile and pancreatic juice into the duodenum?

<p>Cholecystokinin (CCK) (A)</p> Signup and view all the answers

What percentage of an adult's body weight does the liver typically constitute?

<p>Exactly 2% (C)</p> Signup and view all the answers

What is located at the porta hepatis of the liver?

<p>An opening where blood vessels, lymphatics, and nerves enter and exit the liver (D)</p> Signup and view all the answers

Which statement accurately describes the liver's role in digestion?

<p>The liver secretes bile that aids in lipid digestion (A)</p> Signup and view all the answers

What is regulated by the hepatopancreatic sphincter located within the ampulla of Vater?

<p>Release of accessory gland secretions like bile and pancreatic juice (A)</p> Signup and view all the answers

What is the role of pacemaker cells in the small intestine?

<p>Spread electrical signals via gap junctions for segmentation (C)</p> Signup and view all the answers

How does the depolarization rate of pacemaker cells differ between the duodenum and ileum?

<p>Depolarization rate varies depending on the segment of the small intestine (B)</p> Signup and view all the answers

Which region of the small intestine has the most frequent rhythm of muscular contraction for segmentation?

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

What is the primary function of segmentation in the small intestine?

<p>Thoroughly mix chyme and digestive secretions (B)</p> Signup and view all the answers

How do pacemaker cells contribute to the back-and-forth motion of segmentation?

<p>Generate electrical signals for muscular contractions (D)</p> Signup and view all the answers

In what way does segmentation differ from peristalsis in terms of intestinal movement?

<p>Segmentation pushes content forward, while peristalsis mixes chyme (C)</p> Signup and view all the answers

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