Chapter 23 – Flashcards
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The mechanical and chemical receptors that control digestive activity are located ________.
A) in the glandular tissue that lines the organ lumen
B) in the walls of the tract organs
C) in the pons and medulla
D) only in the esophagus because this is the only part of the tract that needs to change to accommodate food passage
answer
B
question
The chemical and mechanical processes of food breakdown are called ________.
A) digestion
B) absorption
C) ingestion
D) secretion
answer
A
question
When we ingest large molecules such as lipids, carbohydrates, and proteins, they must undergo catabolic reactions whereby enzymes split these molecules. This series of reactions is called ______.
A) absorption
B) secretion
C) chemical digestion
D) mechanical digestion
answer
C
question
The sheets of peritoneal membrane that hold the digestive tract in place are called ________.
A) mesenteries
B) lamina propria
C) serosal lining
D) mucosal lining
answer
A
question
From the esophagus to the anal canal, the walls of every organ of the alimentary canal are made up of the same four basic layers. Arrange them in order from the lumen.
A) muscularis externa, serosa, mucosa, & submucosa
B) serosa, mucosa, submucosa, & muscularis externa
C) submucosa, serosa, muscularis externa, & mucosa
D) mucosa, submucosa, muscularis externa, & serosa
answer
D
question
The structure known as the fauces is the ________.
A) submaxillary gland
B) epiglottis
C) thyroid gland
D) passageway between the oral cavity and the pharynx
answer
D
question
The epithelial membrane called the mucosa ____.
A) absorbs mucus, digestive enzymes, and hormones
B) absorbs the end products of digestion into the lymphatic system
C) fights infectious disease
D) contains the lamina propria
answer
D
question
The capillaries that nourish the epithelium and absorb digested nutrients lie in the ________.
A) muscularis mucosae
B) serosa
C) adventitia
D) lamina propria
answer
D
question
The plicae circulares and intestinal villi are found in which of the four layers of the alimentary tube wall?
A) mucosa
B) serosa
C) adventitia
D) lamina propria
answer
A
question
The structures that produce new cells for the mucosa of the small intestine are the ________.
A) lacteals
B) cilium
C) intestinal crypts
D) microvilli
answer
C
question
The absorptive effectiveness of the small intestine is enhanced by increasing the surface area of the mucosal lining. Which of the following accomplish this task?
A) plicae circulares and intestinal villi
B) the vast array of digestive enzymes
C) Brunnerʹs glands
D) the rugae
answer
A
question
Select the statement that is true concerning primary teeth.
A) There are 27 primary teeth, and the molars are permanent.
B) There are 24 primary teeth, and no new primary teeth appear after 13 months.
C) There are 20 primary teeth, and by 24 months of age most children have all 20.
D) There are 32 primary teeth, and most children lose these teeth due to decay because they are never very strong.
answer
C
question
Which of the following is true concerning the number and type of permanent teeth?
A) There are 32 permanent teeth, and the wisdom teeth are the last to emerge.
B) There are 27 permanent teeth, and the first molars are usually the last to emerge.
C) The number of permanent teeth is always equal to the number of primary teeth.
D) The number of upper permanent teeth is not equal to the number of lower permanent teeth.
answer
A
question
Which of the following is not true of saliva?
A) cleanses the mouth
B) contains enzymes that begin the breakdown of proteins
C) moistens food and aids in compacting of the bolus
D) dissolves food chemicals so they can be tasted
answer
B
question
The salivary glands are composed of which two types of secretory cells?
A) goblet cells and squamous epithelial cells
B) parietal cells and glial cells
C) serous cells and mucous cells
D) cuboidal epithelium and ciliated columnar cells
answer
C
question
The solutes contained in saliva include ________.
A) only salts and minerals
B) only proteases and amylase
C) mucin, lysozyme, electrolytes, salts, and minerals
D) electrolytes, digestive enzyme, mucin, lysozyme, wastes, and IgA
answer
D
question
In addition to storage and mechanical breakdown of food, the stomach ________.
A) initiates protein digestion and denatures proteins
B) is the first site where absorption takes place
C) is the only place where fats are completely digested
D) is the first site where chemical digestion of starch takes place
answer
A
question
Chyme is created in the ________.
A) mouth
B) stomach
C) esophagus
D) small intestine
answer
B
question
Hydrochloric acid is secreted by which of the secretory cells of the stomach?
A) chief cells
B) parietal cells
C) serous cells
D) mucous neck cells
answer
B
question
Gastrin, histamine, endorphins, serotonin, cholecystokinin, and somatostatin are hormones that are released directly into the lamina propria. Which of the following cell types synthesize and secrete these products?
A) enteroendocrine cells
B) parietal cells
C) zymogenic cells
D) mucous neck cells
answer
A
question
There are three phases of gastric secretion. The cephalic phase occurs ________.
A) before food enters the stomach and is triggered by aroma, sight, or thought
B) immediately after food enters the stomach, preparing the small intestine for the influx of a variety of nutrients
C) at the end of a large meal, and the juices secreted are powerful and remain in the GI tract for a long period of time
D) when the meal is excessively high in acids and neutralization is required
answer
A
question
Peristaltic waves are ________.
A) segmental regions of the gastrointestinal tract
B) churning movements of the gastrointestinal tract
C) pendular movements of the gastrointestinal tract
D) waves of muscular contractions that propel contents from one point to another
answer
D
question
Gastrin is a digestive hormone that is responsible for the stimulation of acid secretions in the stomach. These secretions are stimulated by the presence of ________.
A) starches and complex carbohydrates
B) protein and peptide fragments
C) simple carbohydrates and alcohols
D) fatty acids
answer
B
question
Pepsinogen, a digestive enzyme, is secreted by the ________.
A) chief cells of the stomach
B) parietal cells of the duodenum
C) Brunnerʹs glands
D) goblet cells of the small intestine
answer
A
question
You have just eaten a meal high in complex carbohydrates. Which of the following enzymes will help to digest the meal?
A) gastrin
B) amylase
C) cholecystokinin
D) trypsin
answer
B
question
The ducts that deliver bile and pancreatic juice from the liver and pancreas, respectively, unite to form the ______.
A) portal vein
B) pancreatic acini
C) bile canaliculus
D) hepatopancreatic ampulla
answer
D
question
The enzymatic breakdown of any type of food molecule is called ________.
A) diffusion
B) active transport
C) hydrolysis
D) denatured
answer
C
question
Short-chain triglycerides found in foods such as butterfat molecules in milk are split by a specific enzyme in preparation for absorption. Which of the following enzymes is responsible?
A) rennin
B) pepsin
C) lipase
D) cholecystokinin
answer
C
question
Parietal cells of the stomach produce ________.
A) mucin
B) pepsinogen
C) hydrochloric acid
D) rennin
answer
C
question
Hepatocytes do not ________.
A) produce digestive enzymes
B) process nutrients
C) store fat-soluble vitamins
D) detoxify
answer
A
question
Which of the following is not a phase of gastric secretion?
A) cephalic
B) gastric
C) intestinal
D) enterogastric
answer
D
question
Which vitamin requires intrinsic factor in order to be absorbed?
A) B12
B) K
C) A
D) C
answer
A
question
Chief cells ________.
A) occur in the intestine
B) produce HCl
C) are found in the basal regions of the gastric glands
D) produce mucin
answer
C
question
Chemical digestion reduces large complex molecules to simpler compounds by the process of ________.
A) mastication
B) catabolism
C) anabolism
D) fermentation
answer
B
question
The ________ contains lobules with sinusoids (lined with macrophages) that lead to a central venous structure.
A) liver
B) spleen
C) pancreas
D) stomach
answer
A
question
If an incision has to be made in the small intestine to remove an obstruction, the first layer of tissue to be cut is the ________.
A) serosa
B) mucosa
C) muscularis externa
D) submucosa
answer
A
question
The terminal portion of the small intestine is known as the ________.
A) duodenum
B) ileum
C) jejunum
D) pyloric sphincter
answer
B
question
The dental formula for an adult is 2-1-2-3. What does the 1 stand for?
A) incisor tooth
B) molar tooth
C) premolar tooth
D) canine tooth
answer
D
question
Digestion of which of the following would be affected the most if the liver were severely damaged?
A) lipids
B) carbohydrates
C) proteins
D) starches
answer
A
question
________ is locally regulated in the blood by the active form of vitamin D, which acts as a cofactor.
A) Iron
B) Sodium
C) Phosphorus
D) Calcium
answer
D
question
Important peritoneal folds do not include the ________.
A) omenta
B) peritoneum
C) mesentery
D) round ligament
answer
D
question
The lamina propria is composed of ________.
A) loose connective tissue
B) dense irregular connective tissue
C) dense regular connective tissue
D) reticular connective tissue
answer
A
question
________ is/are not important as a stimulus in the gastric phase of gastric secretion.
A) Distension
B) Carbohydrates
C) Peptides
D) Low acidity
answer
B
question
Pancreatic amylase does not get to the small intestine via the ________.
A) accessory pancreatic duct
B) main pancreatic duct
C) cystic duct
D) hepatopancreatic ampulla
answer
C
question
The function of the goblet cells is to ________.
A) absorb nutrients from digested food and store them for future use
B) produce mucus that protects parts of the digestive organs from the effects of powerful enzymes needed for food digestion
C) secrete buffers in order to keep the pH of the digestive tract close to neutral
D) provide protection against invading bacteria and other disease-causing organisms that enter the digestive tract in food
answer
B
question
Under normal conditions, the gastric mucosa pours out as much as ________.
A) 10 liters of gastric juice per hour
B) 1 pint of gastric juice following each meal
C) 2 to 3 liters of gastric juice per day
D) 6 liters of gastric juice when the meal is unusually heavy in fats
answer
C
question
Nervous control of gastric secretion is provided by ________.
A) somatic neurons in the spinal cord
B) the vagus nerve and enteric plexus
C) the rubrospinal tracts
D) the reticulospinal and vestibulospinal tracts
answer
B
question
Which of the following are types of papillae on the tongue that contain taste buds?
A) fungiform and circumvallate
B) palatine and circumvallate
C) circumvallate and filiform
D) fungiform, circumvallate, and filiform
answer
A
question
Which of the following produce intrinsic factor?
A) parietal cells
B) zymogenic cells
C) mucous neck cells
D) enteroendocrine cells
answer
A
question
Which of the following enzymes is specific for proteins?
A) dextrinase
B) amylase
C) trypsin
D) lipase
answer
C
question
Surgical cutting of the lingual frenulum would occur in which part of the body?
A) tongue
B) esophagus
C) nasal cavity
D) salivary glands
answer
A
question
A fluid secreted into the small intestine during digestion that contains cholesterol, emulsification agents, and phospholipids is ________.
A) bile
B) pancreatic juice
C) intestinal juice
D) gastric juice
answer
A
question
The layer of the digestive tube that contains blood vessels, lymphatic nodes, and a rich supply of elastic fibers is the ________.
A) mucosa
B) submucosa
C) muscularis externa
D) serosa
answer
B
question
Which of the following is not characteristic of the large intestine? It ________.
A) does not contain villi
B) exhibits external muscular bands called teniae coli
C) is longer than the small intestine
D) has haustra
answer
C
question
Tooth structure includes ________.
A) the dentin, which is the hardest substance in the body
B) a root covered with enamel
C) a thin periodontal ligament that holds the tooth in place
D) pulp, an avascular connective tissue filling the hollow cavity of the tooth
answer
C
question
The propulsion of food down the gastrointestinal tract includes ________.
A) the pharyngeal-esophageal phase, an involuntary process
B) deglutition, which is the elimination of undigested materials
C) the buccal phase, an involuntary phase controlled by swallowing centers in the medulla and pons
D) the gastric phase, activated by distension of the stomach receptors
answer
A
question
Select the correct statement about the regulation of gastric secretion.
A) Vagus stimulation of the stomach results in decreased secretion of gastric juice.
B) The presence of food in the stomach prevents hormonal control of gastric secretion.
C) Gastric secretion can be stimulated before food has entered the mouth.
D) Gastric secretion is enhanced by very low pH (below a pH of 2).
answer
C
question
Paneth cells ________.
A) are more common in the ileum than in the jejunum
B) are absorptive cells in the small intestine
C) secrete enzymes that kill bacteria
D) are located next to the lacteal in a villus
answer
C
question
Select the correct statement about digestive processes.
A) Enterogastrone is a hormone that helps increase gastric motility.
B) Pepsin is an enzyme produced by the stomach for the purpose of starch digestion.
C) Chyme entering the duodenum can decrease gastric motility via the enterogastric reflex.
D) All commonly ingested substances are significantly absorbed by the mucosa of the stomach.
answer
C
question
Chemical digestion in the small intestine involves ________.
A) a significant amount of enzyme secretion by the intestinal mucosa
B) cholecystokinin (CCK), an intestinal hormone responsible for gallbladder contraction
C) secretions from the spleen that contain all enzymes necessary for complete digestion
D) bile salts that help emulsify carbohydrates so that they can be easily digested by enzymatic action
answer
B
question
Select the correct statement about absorption.
A) Eighty percent of ingested materials have been absorbed by the end of the large intestine.
B) Carbohydrates diffuse across the villus epithelium and are then actively transported into blood capillaries.
C) If intact proteins are transported across the villus epithelium, an immune response may be generated.
D) Amino acid transport is linked to chloride transport.
answer
C
question
Select the correct statement about electrolyte absorption.
A) Chlorine ion absorption is coupled to glucose and amino acid transport.
B) Potassium moves across the epithelium by active transport.
C) If vitamin B is not present, calcium is not absorbed.
D) Iron and calcium are absorbed mostly by the duodenum.
answer
D
question
You have just eaten french fries, buttered toast, ice cream, and whole milk. Which of the following glands
would be active in helping you to digest this food?
A) the pancreas
B) the buccal glands
C) the thyroid gland
D) the parotid glands
answer
A
question
The ingestion of a meal high in fat content would cause which of the following to occur?
A) Severe indigestion would occur, caused by the lack of sufficient digestive enzymes.
B) This type of food would cause secretion of gastrin to cease, causing digestive upset.
C) Bile would be released from the gallbladder to emulsify the fat in the duodenum.
D) The acid secretions from the stomach would be sufficient to digest this food.
answer
C
question
The mucosa of the developing alimentary tube comes from ________.
A) ectoderm
B) mesoderm
C) endoderm
D) pachyderm
answer
C
question
A baby is admitted to the hospital with a history of projectile vomiting after each feeding. On examination, it is found that the sphincter controlling food passage from the stomach to the duodenum is thickened and does not open readily. Because of the babyʹs loss of gastric juice, his blood probably indicates ________.
A) acidosis
B) ketosis
C) alkalosis
D) dysphagia
answer
C
question
Hormones that inhibit gastric secretion include ________.
A) ACh
B) secretin
C) gastrin
D) histamine
answer
B
question
Which of these is not part of the splanchnic circulation?
A) hepatic portal vein
B) inferior vena cava
C) superior mesenteric artery
D) celiac artery
answer
B
question
Which of these is not a component of saliva?
A) lysozyme
B) a cyanide compound
C) defensins
D) nitric oxide
answer
D
question
From the esophagus to the anal canal, the walls of every organ of the alimentary canal are made up of the same four basic layers. Arrange them in order from the lumen.
serosa, mucosa, submucosa, and muscularis externa
muscularis externa, serosa, mucosa, and submucosa
submucosa, serosa, muscularis externa, and mucosa
mucosa, submucosa, muscularis externa, and serosa
answer
mucosa, submucosa, muscularis externa, and serosa
question
Parietal cells of the stomach produce ________.
hydrochloric acid
mucin
rennin
pepsinogen
answer
hydrochloric acid
question
There are three phases of gastric secretion. The cephalic phase occurs ________.
immediately after food enters the stomach, preparing the small intestine for the influx of a variety of nutrients
before food enters the stomach and is triggered by aroma, sight, or thought
at the end of a large meal, and the juices secreted are powerful and remain in the GI tract for a long period of time
when the meal is excessively high in acids and neutralization is required
answer
before food enters the stomach and is triggered by aroma, sight, or thought
question
Choose the incorrect statement regarding bile.
Bile contains enzymes for digestion.
Bile functions to emulsify fats.
Bile is both an excretory product and a digestive secretion.
Bile functions to carry bilirubin formed from breakdown of worn-out RBCs.
answer
Bile contains enzymes for digestion.
question
Gastrin, histamine, endorphins, serotonin, cholecystokinin, and somatostatin are hormones or paracrines that are released directly into the lamina propria. Which of the following cell types synthesize and secrete these products?
parietal cells
enteroendocrine cells
mucous neck cells
zymogenic cells
answer
enteroendocrine cells
question
Select the statement that is true concerning primary teeth.
There are 27 primary teeth, and the molars are permanent.
There are 32 primary teeth, and most children lose these teeth due to decay because they are never very strong.
There are 20 primary teeth, and by 24 months of age most children have all 20.
There are 24 primary teeth, and no new primary teeth appear after 13 months.
answer
There are 20 primary teeth, and by 24 months of age most children have all 20.
question
Chief cells ________.
occur in the intestine
produce mucin
are found in the basal regions of the gastric glands
produce HCl
answer
are found in the basal regions of the gastric glands
question
Pancreatic amylase does not get to the small intestine via the ________.
hepatopancreatic ampulla
accessory pancreatic duct
cystic duct
main pancreatic duct
answer
cystic duct
question
The absorptive effectiveness of the small intestine is enhanced by increasing the surface area of the mucosal lining. Which of the following accomplish this task?
the vast array of digestive enzymes
the rugae
Brunner's glands
plicae circulares and intestinal villi
answer
plicae circulares and intestinal villi
question
Paneth cells ________.
are located next to the lacteal in a villus
secrete enzymes that kill bacteria
are more common in the ileum than in the jejunum
are absorptive cells in the small intestine
answer
secrete enzymes that kill bacteria
question
Digestion of which of the following would be affected the most if the liver were severely damaged?
proteins
carbohydrates
starches
lipids
answer
lipids
question
Chyme is created in the ________.
stomach
small intestine
esophagus
mouth
answer
stomach
question
Which of these is not a component of saliva?
lysozyme
a cyanide compound
nitric oxide
defensins
answer
nitric oxide
question
The chemical and mechanical processes of food breakdown are called ________.
secretion
digestion
ingestion
Absorption
answer
digestion
question
A fluid secreted into the small intestine during digestion that contains cholesterol, emulsification agents, and phospholipids is ________.
bile
gastric juice
intestinal juice
pancreatic juice
answer
bile
question
Gastrin is a digestive hormone that is responsible for the stimulation of acid secretions in the stomach. These secretions are stimulated by the presence of ________.
simple carbohydrates and alcohols
protein and peptide fragments
fatty acids
starches and complex carbohydrates
answer
protein and peptide fragments
question
Which of the following is not a factor that helps create the stomach mucosal barrier?
tight junctions of epithelial mucosa cells
thick coating of bicarbonate-rich mucus
rennin
replacing of damaged epithelial mucosa cells
answer
rennin
question
The capillaries that nourish the epithelium and absorb digested nutrients lie in the ________.
serosa
lamina propria
muscularis mucosae
adventitia
answer
lamina propria
question
Surgical cutting of the lingual frenulum would occur in which part of the body?
nasal cavity
tongue
salivary glands
esophagus
answer
tongue
question
If an incision has to be made in the small intestine to remove an obstruction, the first layer of tissue to be cut is the ________.
mucosa
serosa
muscularis externa
submucosa
answer
serosa
question
In addition to storage and mechanical breakdown of food, the stomach ________.
initiates protein digestion and denatures proteins
is the only place where fats are completely digested
is the first site where absorption takes place
is the first site where chemical digestion of starch takes place
answer
initiates protein digestion and denatures proteins
question
The enzymatic breakdown of any type of food molecule is called ________.
diffusion
hydrolysis
active transport
denatured
answer
hydrolysis
question
Which of the following is an essential role played by large intestine bacteria?
synthesize vitamin K and B-complex vitamins
synthesize vitamins C and D
produce gas
absorb bilirubin
answer
synthesize vitamin K and B-complex vitamins
question
Which of these is not part of the splanchnic circulation?
celiac artery
hepatic portal vein
superior mesenteric artery
inferior vena cava
answer
inferior vena cava
question
Hormones or paracrines that inhibit gastric secretion include ________.
ACh
secretin
histamine
gastrin
answer
secretin
question
The ducts that deliver bile and pancreatic juice from the liver and pancreas, respectively, unite to form the ________.
hepatopancreatic ampulla
bile canaliculus
portal vein
pancreatic acini
answer
hepatopancreatic ampulla
question
The dental formula for an adult is 2-1-2-3. What does the 1 stand for?
premolar tooth
molar tooth
incisor tooth
canine tooth
answer
canine tooth
question
The salivary glands are composed of which two types of secretory cells?
serous cells and mucous cells
cuboidal epithelium and ciliated columnar cells
parietal cells and glial cells
goblet cells and squamous epithelial cells
answer
serous cells and mucous cells
question
The lamina propria is composed of ________.
loose connective tissue
reticular connective tissue
dense regular connective tissue
dense irregular connective tissue
answer
loose connective tissue
question
The sheets of peritoneal membrane that hold the digestive tract in place are called ________.
serosal lining
lamina propria
mucosal lining
mesenteries
answer
mesenteries
question
________ is locally regulated in the blood by the active form of vitamin D, which acts as a cofactor.
Phosphorus
Iron
Sodium
Calcium
answer
Calcium
question
A baby is admitted to the hospital with a history of projectile vomiting after each feeding. On examination, it is found that the sphincter controlling food passage from the stomach to the duodenum is thickened and does not open readily. Because of the baby's loss of gastric juice, his blood probably indicates ________.
acidosis
dysphagia
alkalosis
ketosis
answer
alkalosis
question
Select the correct statement about electrolyte absorption.
If vitamin B is not present, calcium is not absorbed.
Iron and calcium are absorbed mostly by the duodenum.
Potassium moves across the epithelium by active transport.
Chlorine ion absorption is coupled to glucose and amino acid transport.
answer
Iron and calcium are absorbed mostly by the duodenum.
question
Which hormone causes an increased output of enzyme-rich pancreatic juice and stimulates gallbladder contraction to release bile?
gastrin
cholecystokinin
secretin
gastric inhibitor peptide
answer
cholecystokinin
question
Nervous control of gastric secretion is provided by ________.
somatic neurons in the spinal cord
the rubrospinal tracts
the reticulospinal and vestibulospinal tracts
the vagus nerve and enteric plexus
answer
the vagus nerve and enteric plexus
question
Which vitamin requires intrinsic factor in order to be absorbed?
K
C
B12
A
answer
B12
question
Peristaltic waves are ________.
waves of muscular contractions that propel contents from one point to another
segmental regions of the gastrointestinal tract
pendular movements of the gastrointestinal tract
churning movements of the gastrointestinal tract
answer
waves of muscular contractions that propel contents from one point to another
question
The terminal portion of the small intestine is known as the ________.
jejunum
ileum
pyloric sphincter
duodenum
answer
ileum
question
The ingestion of a meal high in fat content would cause which of the following to occur?
The acid secretions from the stomach would be sufficient to digest this food.
This type of food would cause secretion of gastrin to cease, causing digestive upset.
Severe indigestion would occur, caused by the lack of sufficient digestive enzymes.
Bile would be released from the gallbladder to emulsify the fat in the duodenum.
answer
Bile would be released from the gallbladder to emulsify the fat in the duodenum.
question
Hepatocytes do not ________.
process nutrients
detoxify
store fat-soluble vitamins
produce digestive enzymes
answer
produce digestive enzymes
question
Select the correct statement about the regulation of gastric secretion.
Gastric secretion can be stimulated before food has entered the mouth.
The presence of food in the stomach prevents hormonal control of gastric secretion.
Vagus stimulation of the stomach results in decreased secretion of gastric juice.
Gastric secretion is enhanced by very low pH (below a pH of 2).
answer
Gastric secretion can be stimulated before food has entered the mouth.
question
Select the correct statement about digestive processes.
Chyme entering the duodenum can decrease gastric motility via the enterogastric reflex.
All commonly ingested substances are significantly absorbed by the mucosa of the stomach.
Pepsin is an enzyme produced by the stomach for the purpose of starch digestion.
Enterogastrone is a hormone that helps increase gastric motility.
answer
Chyme entering the duodenum can decrease gastric motility via the enterogastric reflex.
question
What part of the tooth bears the force of chewing?
cementum
pulp
crown
enamel
answer
enamel
question
There are some 20 known pathogens found in the large intestine; our Ig ________ antibody-mediated response restricts them from going beyond the mucosa and causing problems.
A) D
B) A
C) M
D) E
answer
IgA