Practice Exam for Test 2 Chapter 15

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Questions and Answers

Which of the following processes is NOT associated with gastrointestinal function?

  • Digestion
  • Filtration (correct)
  • Secretion
  • Motility
  • Absorption

Which is NOT a function performed by saliva?

  • Starch digestion
  • Enabling the sense of taste
  • Killing bacteria
  • Moistening and lubricating food for swallowing
  • Emulsifying lipids (correct)

A patient recently had bariatric surgery which removed 85% of stomach tissue and left them with a much reduced stomach volume. Which of the following is TRUE of the patient post-surgery?

  • They will not able to completely digest proteins and amino acids.
  • Their chyme will tend to become more acidic than before the surgery,
  • They will have a reduced ability to absorb water from meals.
  • They will have a reduced ability to form food into a bolus.
  • They will be able to store less ingested foods and will require smaller, more frequent meals. (correct)

Which occurs mainly in the small intestine?

<p>Acidic chyme is neutralized. (D)</p> Signup and view all the answers

What structure secretes the enzyme that breaks down starch to smaller carbohydrates?

<p>Pancreatic exocrine cells (B)</p> Signup and view all the answers

An individual has been diagnosed with pancreatic cancer. The first treatment is to remove 90% of pancreatic tissue surgically. Due to the loss of exocrine tissue, which of the following foods will the patient have more difficulty digesting post-surgery?

<p>All of the choices are correct. (D)</p> Signup and view all the answers

Which of the following statements regarding digestion and absorption of carbohydrates is TRUE?

<p>Digestible polysaccharides are broken down into the monosaccharides glucose, galactose, and fructose, which can be absorbed. (C)</p> Signup and view all the answers

You’re going hiking and want to pack emergency food in case you get lost or the hike takes longer than you anticipate. Your goal is to pack a food that will have the biggest increase on your blood glucose level to be able to supply your hiking muscles with glucose for cellular respiration. Which of the following foods will lead to the biggest and most immediate increase in blood glucose?

<p>A snack rich in digestible polysaccharides such as a cooked potato (C)</p> Signup and view all the answers

The main source of enzymes that cleave disaccharides into monosaccharides is

<p>the luminal membrane of epithelial cells in the small intestine. (D)</p> Signup and view all the answers

Which of the following molecules crosses the luminal membrane of intestinal cells by facilitated diffusion?

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

An individual is taking antacids every day. This habit is raising the stomach and duodenal pH close to neutral. Which of the following enzymes may have decreased activity?

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

Which of the following statements regarding protein digestion and absorption is TRUE?

<p>After absorption, the products of protein digestion are carried by blood directly to the liver. (B)</p> Signup and view all the answers

A patient has their gall bladder removed after developing several large gall stones. After surgery, they cannot release large batches of bile into the duodenum, instead, bile is added slowly in small amounts. What nutrient group might the patient have trouble digesting when consumed in larger quantities?

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

Which accurately describes lipase?

<p>It catalyzes the breakdown of triglycerides into monoglycerides and free fatty acids. (@)</p> Signup and view all the answers

Which of the following statements about the transport of the absorbed products of fat digestion is TRUE?

<p>Products of fat digestion first go to the lymph system, and then to the veins leading to the heart. (B)</p> Signup and view all the answers

A patient has their gall bladder removed after developing several large gall stones. After surgery, they cannot release large batches of bile into the duodenum, instead, bile is added slowly in small amounts. Which of the following might be TRUE?

<p>The patient may become deficient in fat-soluble vitamins such as vitamin E. (C)</p> Signup and view all the answers

Which of these is a function of intrinsic factor?

<p>It is secreted in the stomach, and a deficiency of it would cause anemia. (@)</p> Signup and view all the answers

A patient has just been diagnosed with anemia. The doctor kept talking about the digestive system and some item that was not being produced in adequate amounts, but the patient can’t remember what digestive secretion is to blame for the anemia. Which of the following is the most likely culprit?

<p>Intrinsic factor (@)</p> Signup and view all the answers

Which is NOT true about receptors that mediate digestive reflexes?

<p>They only activate feedforward pathways. (@)</p> Signup and view all the answers

Which of the following statements about neural control of digestion is FALSE?

<p>Parasympathetic stimulation inhibits GI exocrine gland secretions. (@)</p> Signup and view all the answers

Which of the following statements regarding neural regulation of gastrointestinal function is TRUE?

<p>Networks of neurons in the wall of the GI tract innervate the wall's smooth muscle. (A)</p> Signup and view all the answers

You are a new pediatrician seeing a patient diagnosed with a disease called megacolon. Back in medical school, you learned that megacolon can be characterized by partial paralysis of the nerves found within the wall of the GI system. Which of the following is likely to be among the patient's symptoms?

<p>Constipation and a swollen-looking belly (D)</p> Signup and view all the answers

Which of the following statements regarding hormonal regulation of gastrointestinal function is TRUE?

<p>An increase of H+ in the small intestine stimulates secretion of the hormone secretin, which in turn stimulates HCO3- secretion by the pancreas. (A)</p> Signup and view all the answers

Which of the following plays a central role in stimulating the secretion of the hormone gastrin?

<p>Distention of the stomach (C)</p> Signup and view all the answers

Which of the following would lead to an increase in the secretion of gastrin?

<p>An increase in the presence of peptides in the stomach (@)</p> Signup and view all the answers

Which is caused by increased levels of the hormone cholecystokinin?

<p>Contraction of the gallbladder (C)</p> Signup and view all the answers

Which of the following statements concerning secretin is correct?

<p>Secretin is the most potent stimulus for pancreatic HCO3- secretion. (C)</p> Signup and view all the answers

Which of the following statements regarding lipid digestion and absorption is TRUE?

<p>The presence of fatty acids in the duodenum stimulates the secretion of CCK, which in turn stimulates secretion of pancreatic enzymes. (A)</p> Signup and view all the answers

An individual is born with a mutation in the gene for CCK and produces and secretes an inactive form of this hormone. Which of the following would be TRUE of their digestion?

<p>A reduction in the release of pancreatic enzymes (A)</p> Signup and view all the answers

Which is TRUE regarding the three phases of the control of HCl secretion?

<p>In the intestinal phase, an increase in osmolarity of the contents of the duodenum decreases HCl secretion. (A)</p> Signup and view all the answers

Which of the following pathways is activated during the cephalic phase of gastrointestinal control?

<p>Parasympathetic nerves to enteric nervous system (D)</p> Signup and view all the answers

During the cephalic phase of gastric stimulation, which of the following does NOT occur?

<p>Gastrin is secreted into the gastric lumen. (C)</p> Signup and view all the answers

Which of the following is NOT a part of the swallowing reflex?

<p>The pyloric sphincter relaxes. (@)</p> Signup and view all the answers

The type of motility occurring in the esophagus during swallowing is called

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

Which of these are secretions of the parietal cells of the gastric mucosa?

<p>HCl and intrinsic factor (@)</p> Signup and view all the answers

Which of the following is secreted by the chief cells of the gastric mucosa?

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

Which occurs during the secretion of hydrochloric acid by gastric epithelial cells?

<p>Bicarbonate ions are secreted into the hepatic portal circulation. (B)</p> Signup and view all the answers

Which is TRUE regarding the secretion of HCl in the stomach?

<p>H+ is actively transported into the gastric lumen by ATPase pumps in epithelial cell apical membranes.</p> (A)</p> Signup and view all the answers

During the contractions of gastric emptying

<p>the pyloric sphincter closes to allow only a small amount of liquefied chyme to pass into the duodenum with each contraction of the stomach. (C)</p> Signup and view all the answers

Which of the following is the most potent inhibitor (directly or indirectly) of gastric motility and emptying?

<p>Fat in the duodenum (A)</p> Signup and view all the answers

Which of the following breakfasts would likely remain in the stomach longest?

<p>Fried eggs, bacon, and hash browns (B)</p> Signup and view all the answers

Segmentation of the small intestine

<p>mixes chyme with digestive enzymes, brings food molecules near the wall for absorption, and slowly moves small intestine contents toward the cecum. (@)</p> Signup and view all the answers

The primary kind of motility in the stomach during digestion of a meal is

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

You are working for an educational video company and you’ve been asked to go to the hospital imaging center to obtain video of segmentation. The imaging center technician asks you where in the GI tract she should image and when during digestion? You tell her that to obtain the best video of segmentation she should record

<p>the small intestine as chyme moves past the pyloric sphincter. (C)</p> Signup and view all the answers

Which is TRUE about gastric motility?

<p>The basic electrical rhythm of the gastric smooth muscle (three depolarizations per minute) is the same regardless of whether or not food is present. (A)</p> Signup and view all the answers

Bicarbonate is

<p>secreted into the interstitial fluid by gastric epithelial cells, and into the lumen by pancreatic duct cells. (D)</p> Signup and view all the answers

Following diagnosis with pancreatic cancer, a patient had a large portion of the pancreas removed. All of the following will now be found in lower amounts in the patient's GI tract, except one. Which of the following will NOT be affected?

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

Which of the following statements about pancreatic enzymes is FALSE?

<p>Except for trypsinogen, other proteolytic enzymes are secreted in active form. (D)</p> Signup and view all the answers

Following diagnosis with pancreatic cancer, a patient had a large portion of the pancreas removed. Which of the following substances will now be found in lower amounts?

<p>Trypsin (@)</p> Signup and view all the answers

Elizabeth suffers from a gastric ulcer. She experiences pain during the times when acid is released into the stomach. Which of the following times is Elizabeth likely to experience the most pain?

<p>During the digestion of a high-protein meal, such as a steak. (C)</p> Signup and view all the answers

Bile is synthesized and secreted by the

<p>liver. (@)</p> Signup and view all the answers

A person without a gallbladder

<p>cannot store bile. (B)</p> Signup and view all the answers

Kim had her gallbladder removed last month and has been experiencing some changes to her digestion. One thing that is particularly noticeable is that she has noticed

<p>her feces have a different color. (C)</p> Signup and view all the answers

In which region(s) of the GI tract do peristaltic contractions occur?

<p>All of these options are correct. (@)</p> Signup and view all the answers

The primary kind of motility in the small intestine during digestion of a meal is

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

Elizabeth has been diagnosed with a gastric ulcer. Carl has been diagnosed with a duodenal ulcer. Both of them are

<p>treated by interventions that inhibit acid secretion. (C)</p> Signup and view all the answers

Julia comes to see her doctor with a variety of symptoms. Her doctor eventually diagnoses her with gallstones. Which of the following was NOT one of Julia’s symptoms?

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

Which of the following would be most likely to cause metabolic alkalosis?

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

There is an E. coli outbreak in the town of Springfield when almost all the Springfield residents contracted food poisoning at a town hall meeting. E. coli causes severe diarrhea. The local Springfield pharmacy is ordering supplies to stock its shelves as its customers work their way through the outbreak. Which of the following would be helpful for the pharmacy to stock?

<p>Antacids to help the residents recover from acidosis (A)</p> Signup and view all the answers

Which of the following would be most likely to cause metabolic acidosis?

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

Lactose intolerance

<p>is an inability to digest milk sugar. (A)</p> Signup and view all the answers

Barry’s children seem to be struggling often with constipation. To help prevent it, their pediatrician recommends

<p>feeding the children foods with a high proportion of cellulose and other indigestible carbohydrates. (C)</p> Signup and view all the answers

A bacterium that has been associated with ulcers is

<p>Helicobacter pylori. (D)</p> Signup and view all the answers

The enzyme lactase

<p>is embedded in the luminal plasma membranes of intestinal epithelial cells. (C)</p> Signup and view all the answers

Which of the following is NOT characteristic of inflammatory bowel disease (IBD)?

<p>Pain relief when changing to a diet higher in fiber (B)</p> Signup and view all the answers

The exact causes of inflammatory bowel diseases continue to be explored, but it is relatively clear that

<p>it is likely to result from a combination of environmental and genetic factors. (B)</p> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

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