A. appendicitis
B. gallstones
C. constipation
D. diarrhea
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D) diarrhea
- Correct: Diarrhea is a disorder of the digestive system that can cause severe dehydration. Diarrhea is characterized by frequent, loose, or watery bowel movements, often accompanied by abdominal cramps, bloating, and urgency. It occurs when the intestines fail to properly absorb water or when excess fluid is secreted into the intestines. Diarrhea can lead to significant fluid loss and electrolyte imbalance, resulting in dehydration, particularly if not promptly treated by replenishing lost fluids and electrolytes.
A) appendicitis
- Incorrect: Appendicitis is inflammation of the appendix, a small pouch located near the junction of the small and large intestines. While appendicitis can cause symptoms such as abdominal pain, fever, and vomiting, it is not directly associated with dehydration.
B) gallstones
- Incorrect: Gallstones are hardened deposits that form in the gallbladder and can cause symptoms such as abdominal pain, nausea, and jaundice. While gallstones can lead to complications such as obstruction of the bile duct, they are not directly associated with dehydration.
C) constipation
- Incorrect: Constipation refers to infrequent bowel movements or difficulty passing stool, often characterized by hard, dry stools that are difficult to pass. While severe constipation can cause discomfort and complications such as fecal impaction, it is not directly associated with dehydration.
Therefore, the Correct Answer is D.
In the stomach:
A. muscles churn and mix the food with acids and enzymes
B. glands make 3 quarts of digestive juices each day
C. food leaves as a thick liquid called chyme
D. all of the above
The Correct Answer is D.d. all of the above
- Correct: All of the statements are true regarding the stomach:
a. muscles churn and mix the food with acids and enzymes: The stomach has muscular walls that contract and relax to mechanically churn and mix food with gastric juices, including hydrochloric acid and various enzymes (such as pepsin) that aid in the digestion of proteins.
b. glands make 3 quarts of digestive juices each day: The gastric glands in the lining of the stomach produce gastric juice, which contains hydrochloric acid, enzymes (such as pepsinogen), mucus, and intrinsic factor. These glands collectively secrete about 2 to 3 liters (quarts) of gastric juice per day.
c. food leaves as a thick liquid called chyme: After mixing with gastric juices and undergoing partial digestion in the stomach, food is transformed into a semi-liquid mixture called chyme. Chyme is then gradually released from the stomach into the small intestine for further digestion and absorption.
Therefore, all of the statements accurately describe processes that occur in the stomach.
A disorder of the digestive system that can cause severe dehydration is known as
A. appendicitis
B. gallstones
C. constipation
D. diarrhea
The Correct Answer is D.D) diarrhea
- Correct: Diarrhea is a disorder of the digestive system that can cause severe dehydration. Diarrhea is characterized by frequent, loose, or watery bowel movements, often accompanied by abdominal cramps, bloating, and urgency. It occurs when the intestines fail to properly absorb water or when excess fluid is secreted into the intestines. Diarrhea can lead to significant fluid loss and electrolyte imbalance, resulting in dehydration, particularly if not promptly treated by replenishing lost fluids and electrolytes.
A) appendicitis
- Incorrect: Appendicitis is inflammation of the appendix, a small pouch located near the junction of the small and large intestines. While appendicitis can cause symptoms such as abdominal pain, fever, and vomiting, it is not directly associated with dehydration.
B) gallstones
- Incorrect: Gallstones are hardened deposits that form in the gallbladder and can cause symptoms such as abdominal pain, nausea, and jaundice. While gallstones can lead to complications such as obstruction of the bile duct, they are not directly associated with dehydration.
C) constipation
- Incorrect: Constipation refers to infrequent bowel movements or difficulty passing stool, often characterized by hard, dry stools that are difficult to pass. While severe constipation can cause discomfort and complications such as fecal impaction, it is not directly associated with dehydration.
Which phase of deglutition involves contraction of the longitudinal muscle layer of the muscularis?
A. voluntary phase
B. buccal phase
C. pharyngeal phase
D. esophageal phase
The Correct Answer is A.a) voluntary phase
- Correct: The voluntary phase of deglutition (swallowing) involves the initial voluntary movement of food from the mouth into the pharynx. During this phase, the tongue pushes the food bolus backward toward the oropharynx. Contraction of the longitudinal muscle layer of the muscularis propels the food bolus into the pharynx, which is part of the voluntary control of swallowing.
b) buccal phase
- Incorrect: The buccal phase of deglutition involves the initial formation of the food bolus and its movement toward the oropharynx by the coordinated action of the tongue and muscles of the cheeks. It does not involve contraction of the longitudinal muscle layer of the muscularis.
c) pharyngeal phase
- Incorrect: The pharyngeal phase of deglutition is involuntary and occurs when the food bolus reaches the pharynx. It involves the sequential contraction of muscles in the pharyngeal wall to propel the food bolus downward toward the esophagus. The contraction of the longitudinal muscle layer of the muscularis is not a significant component of the pharyngeal phase.
d) esophageal phase
- Incorrect: The esophageal phase of deglutition involves the passage of the food bolus through the esophagus and into the stomach. Peristaltic waves of contraction and relaxation of the muscularis propels the food bolus along the length of the esophagus. The contraction of the longitudinal muscle layer of the muscularis primarily occurs during the voluntary phase of deglutition, not the esophageal phase.
Pancreatic juice ________.
A. deactivates bile.
B. is secreted by pancreatic islet cells.
C. buffers chyme.
D. is released into the cystic duct.
The Correct Answer is C.c) buffers chyme.
- Correct: Pancreatic juice contains bicarbonate ions, which act as buffers to neutralize the acidic chyme entering the duodenum from the stomach. This neutralization is essential for maintaining the optimal pH for the activity of digestive enzymes in the small intestine.
a) deactivates bile.
- Incorrect: Pancreatic juice does not deactivate bile. Bile is not deactivated in the digestive process; instead, it aids in the emulsification and digestion of fats in the small intestine.
b) is secreted by pancreatic islet cells.
- Incorrect: Pancreatic juice is secreted by exocrine cells called pancreatic acinar cells, not by pancreatic islet cells. Pancreatic islet cells secrete hormones such as insulin and glucagon, which regulate blood glucose levels.
d) is released into the cystic duct.
- Incorrect: Pancreatic juice is released into the duodenum through the pancreatic duct, not the cystic duct. The cystic duct connects the gallbladder to the common bile duct, allowing bile to be released into the duodenum when needed for digestion.
During gastric emptying, chyme is released into the duodenum through the ________.
A. esophageal hiatus
B. pyloric antrum
C. pyloric canal
D. pyloric sphincter
The Correct Answer is C.c) pyloric sphincter
- Correct: During gastric emptying, chyme (partially digested food) is released from the stomach into the duodenum through the pyloric sphincter. The pyloric sphincter is a muscular valve located at the junction between the stomach and the duodenum. It regulates the passage of chyme from the stomach into the small intestine, allowing for controlled release and preventing backflow of intestinal contents into the stomach.
a) pyloric antrum
- Incorrect: The pyloric antrum is the lower portion of the stomach that leads into the pyloric canal. It is involved in mixing and churning food, but it does not regulate the release of chyme into the duodenum.
b) pyloric canal
- Incorrect: The pyloric canal is the narrow portion of the stomach that connects the pyloric antrum to the pyloric sphincter. It is involved in directing chyme toward the pyloric sphincter for release into the duodenum, but it is not the site of chyme release itself.
The esophageal hiatus is an opening in the diaphragm through which the esophagus passes as it descends from the thoracic cavity into the abdominal cavity. It is not directly involved in gastric emptying.
Which of these is involved in the chemical digestion of protein?
A. pancreatic amylase
B. trypsin
C. sucrase
D. pancreatic nuclease
The Correct Answer is B.b) trypsin
- Correct: Trypsin is an enzyme involved in the chemical digestion of protein. It is secreted as trypsinogen by the pancreas and activated to its active form, trypsin, by enterokinase in the duodenum. Trypsin breaks down proteins into smaller peptides by cleaving peptide bonds between specific amino acids.
a) pancreatic amylase
- Incorrect: Pancreatic amylase is an enzyme involved in the digestion of carbohydrates (starches). It breaks down starch molecules into maltose and other simpler sugars.
c) sucrase
- Incorrect: Sucrase is an enzyme involved in the digestion of disaccharide sugars, specifically sucrose. It catalyzes the hydrolysis of sucrose into its constituent monosaccharides, glucose, and fructose.
d) pancreatic nuclease
- Incorrect: Pancreatic nuclease is an enzyme involved in the digestion of nucleic acids (DNA and RNA). It breaks down nucleic acid molecules into their component nucleotides.
Which of the following organs is supported by a layer of adventitia rather than serosa?
A. esophagus
B. stomach
C. small intestine
D. large intestine
The Correct Answer is A.a) esophagus
- Correct: The esophagus is supported by a layer of adventitia rather than serosa. The adventitia is a connective tissue layer that covers organs and structures that are not located within the peritoneal cavity. In the case of the esophagus, it lies behind the trachea and heart and passes through the diaphragm before connecting to the stomach. Since it is located outside the peritoneal cavity, it is covered by adventitia instead of serosa, which is the visceral peritoneum that covers organs within the abdominal cavity.
b) stomach
- Incorrect: The stomach is supported by a layer of serosa, which is the visceral peritoneum covering organs within the abdominal cavity.
c) small intestine
- Incorrect: The small intestine is supported by a layer of serosa, which is the visceral peritoneum covering organs within the abdominal cavity.
d) large intestine
- Incorrect: The large intestine is supported by a layer of serosa, which is the visceral peritoneum covering organs within the abdominal cavity.
The pancreas, liver, and gallbladder help digestion in these ways, respectively:
A. making enzymes; making bile and processing nutrients; and storing bile
B. producing saliva; digesting carbohydrates; and eliminating waste
C. producing hormones; producing enzymes; and eliminating waste
D. making acids; producing digestive juices; and storing enzymes
The Correct Answer is A.a. making enzymes; making bile and processing nutrients; and storing bile
- Correct: The pancreas, liver, and gallbladder help digestion in the following ways:
1. The pancreas produces and secretes digestive enzymes into the small intestine to aid in the breakdown of carbohydrates, proteins, and fats. These enzymes include amylase (for carbohydrates), proteases (for proteins), and lipases (for fats).
2. The liver produces bile, a digestive fluid that emulsifies fats by breaking them down into smaller droplets, which increases the surface area for enzymes to act upon. The liver also processes nutrients absorbed from the small intestine, including carbohydrates, proteins, and fats.
3. The gallbladder stores and concentrates bile produced by the liver. When needed for digestion, the gallbladder releases bile into the small intestine via the common bile duct to aid in the emulsification and digestion of fats.
Therefore, option a accurately describes the roles of the pancreas, liver, and gallbladder in digestion.
Where does the majority of chemical digestion in the stomach occur?
A. fundus and body
B. cardia and fundus
C. body and pylorus
D. body
The Correct Answer is A.a) fundus and body
- Correct: The majority of chemical digestion in the stomach occurs in the fundus and body regions. These regions contain gastric glands that secrete hydrochloric acid (HCl), pepsinogen, and mucus. Hydrochloric acid creates an acidic environment necessary for the activation of pepsinogen to pepsin, which is responsible for the digestion of proteins. Additionally, the stomach churns and mixes food with gastric juices in the fundus and body, facilitating the breakdown of food particles and the mixing of digestive enzymes with the food bolus.
b) cardia and fundus
- Incorrect: While the fundus region is involved in chemical digestion due to the presence of gastric glands, the cardia region primarily serves as the entry point of the esophagus into the stomach and does not significantly contribute to chemical digestion.
c) body and pylorus
- Incorrect: While the body region of the stomach is involved in chemical digestion, the pylorus region is primarily responsible for regulating the passage of partially digested food (chyme) into the small intestine through the pyloric sphincter. The pylorus region does not contribute significantly to chemical digestion.
d) body
- Incorrect: While the body region of the stomach is involved in chemical digestion, the majority of chemical digestion occurs in both the fundus and body regions. The body region alone does not represent the entirety of where chemical digestion occurs in the stomach.
Which of these cells secrete hormones?
A. parietal cells
B. mucous neck cells
C. enteroendocrine cells
D. chief cells
The Correct Answer is C.c) enteroendocrine cells
- Correct: Enteroendocrine cells are specialized cells located in the epithelium of the gastrointestinal tract that secrete hormones. These hormones play various roles in the regulation of digestion, nutrient absorption, and other physiological processes. Examples of hormones secreted by enteroendocrine cells include gastrin, secretin, cholecystokinin (CCK), and ghrelin.
a) parietal cells
- Incorrect: Parietal cells are found in the gastric glands of the stomach and secrete hydrochloric acid (HCl) and intrinsic factor, but they do not secrete hormones.
b) mucous neck cells
- Incorrect: Mucous neck cells are found in the gastric glands of the stomach and secrete mucus, which helps protect the stomach lining from the acidic environment, but they do not secrete hormones.
d) chief cells
- Incorrect: Chief cells are found in the gastric glands of the stomach and secrete pepsinogen, the precursor to the enzyme pepsin, which plays a role in protein digestion. Chief cells do not secrete hormones.