Large Intestine: Anatomy, Histology, Physiology

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30 Questions

Which part of the large intestine does not have folds or villi?

Rectum

Which artery supplies the proximal ascending colon?

Right colic artery

Which part of the large intestine is innervated by sympathetic nerves from T6-T12 and L1-L3?

Transverse colon

Which part of the large intestine has many deep crypts and intestinal glands in its mucosa?

Descending colon

Which part of the large intestine has appendices epiploicae within the serosa?

Sigmoid colon

Which part of the large intestine lacks absorbent villi but has simple columnar epithelium with many goblet cells?

Ascending colon

Which of the following is a major anatomical component of the large intestine?

Appendix

What is the function of mucin in the large intestine?

Add mucus to convert undigested material into feces

What is the role of the sympathetic and parasympathetic nerves in the large intestine?

Parasympathetic nerves control submucosal blood flow

What is the main function of the large intestine in producing SCFA, Vitamin K, and Biotin?

Convert Undigested Material into Feces

Which reflex aids in moving material from the stomach into the large intestine?

Gastrocolic reflex

What is the main clinical feature of Irritable Bowel Syndrome (IBS)?

Persistent Diarrhea

What is the primary driver for water absorption in the large intestine?

Sodium absorption

Which type of movement in the large intestine involves simultaneous contraction of smooth muscle over large areas?

Mass action contraction

In which congenital disorder are ganglions absent in myenteric and submucosal plexuses in the distal colon?

Hirschsprung Disease

Which reflex allows for the passage of chyme from the small intestine to the large intestine?

Gastroileal reflex

What is the function of mucin proteins secreted by the large intestine?

Create a mucus layer on epithelial cells

How does the Gastrocolic reflex in the large intestine respond to the presence of food in the stomach?

Stimulates large waves of peristalsis

What part of the large intestine is most prone to perforation?

Descending colon

Which ligaments provide support to the lower portion of the rectum?

Lateral ligament

What anatomical structure separates the rectum from the prostate and seminal vesicles or vagina?

Denonvilliers' fascia

If the fascia anterior to the rectum is defective, what condition can develop?

Rectocele

Which nerves innervate the rectum?

Parasympathetic nerves

What kind of muscle makes up the external anal sphincter?

Skeletal muscle

What initiates a reflex contraction of the rectal muscles during defecation?

Distention of the rectum

Which mechanism is responsible for the electroneutral absorption of NaCl in the intestines?

Exchange of Na+ for H+

What causes the relaxation of the internal anal sphincter during defecation?

Inhibitory signals from the sacral parasympathetic nervous system

What is the role of the external anal sphincter during defecation?

To relax voluntarily

Which nerve is responsible for the innervation of the external anal sphincter during defecation?

Pudendal nerve

How is fecal continence maintained in the body?

Both sphincters are tonically active

This e-learning quiz provides an overview of the anatomy, histology, and physiology of the large intestine, including common diseases like Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD). It covers the major anatomical components, vessels supplying the large intestine, and related structures like the rectum and anal canal.

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