What is the role of the small intestine’s MALT?

A. fundus and body

B. cardia and fundus

C. body and pylorus

D. body

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.

A. small intestine

B. gallbladder

C. liver

D. pancreas

d) pancreas

- Correct: Most fat-digesting enzymes, such as pancreatic lipase, are produced in the pancreas. Pancreatic lipase is secreted by the pancreas into the small intestine, specifically the duodenum, where it plays a crucial role in the digestion of dietary fats. Additionally, other enzymes involved in fat digestion, such as pancreatic colipase and phospholipase, are also produced by the pancreas.

a) small intestine

- Incorrect: While some fat-digesting enzymes are present in the small intestine, the majority of these enzymes are produced by the pancreas and delivered to the small intestine via the pancreatic duct.

b) gallbladder

- Incorrect: The gallbladder stores and concentrates bile produced by the liver, but it does not produce fat-digesting enzymes. Bile stored in the gallbladder contains bile salts, which aid in the emulsification and digestion of fats, but they are not enzymes themselves.

c) liver

- Incorrect: The liver produces bile, which contains bile salts that aid in fat digestion by emulsifying large fat globules into smaller droplets, but it does not produce fat-digesting enzymes. The liver also plays a role in lipid metabolism and the synthesis of lipoproteins but does not produce enzymes directly involved in fat digestion.

A. Short reflexes are provoked by nerves near the GI tract.

B. Short reflexes are mediated by the enteric nervous system.

C. Food that distends the stomach initiates long reflexes.

D. Long reflexes can be provoked by stimuli originating outside the GI tract.

c) Food that distends the stomach initiates long reflexes.

- False: This statement is false. Food that distends the stomach initiates short reflexes, not long reflexes. Short reflexes are local reflexes that are mediated by the enteric nervous system, which consists of a network of neurons within the walls of the digestive tract. When food stretches or distends the stomach, sensory neurons in the stomach wall detect this mechanical stimulus and initiate short reflexes that regulate local gastrointestinal functions, such as gastric motility and secretion.

A. liver

B. pancreas

C. stomach

D. small intestine

A) liver

- Correct: Urea is produced in the liver as a result of the breakdown of amino acids. Amino acids are the building blocks of proteins, and when proteins are metabolized for energy or other purposes, their constituent amino acids are broken down in a process called deamination. During deamination, the amino groups (-NH2) are removed from the amino acids, forming ammonia (NH3). The liver converts ammonia into urea through a series of biochemical reactions known as the urea cycle. Urea is then excreted by the kidneys in the urine, helping to remove nitrogenous waste from the body.

B) pancreas

- Incorrect: The pancreas is an organ involved in the production of digestive enzymes and hormones such as insulin and glucagon. It is not primarily responsible for the production of urea from the breakdown of amino acids.

C) stomach

- Incorrect: The stomach is primarily involved in the mechanical and chemical digestion of food, particularly proteins. While protein digestion begins in the stomach with the action of gastric juices containing enzymes such as pepsin, urea production from the breakdown of amino acids occurs mainly in the liver.

D) small intestine

- Incorrect: The small intestine is primarily involved in the absorption of nutrients from digested food, rather than the production of urea from the breakdown of amino acids. While some amino acids may be absorbed in the small intestine, urea production primarily occurs in the liver.

A. nutrients

B. amylase

C. saliva

D. sphincters

a. nutrients

- Correct: The digestive system breaks down food into nutrients. These nutrients include carbohydrates, proteins, fats, vitamins, minerals, and water, which are essential for various physiological functions in the body. Once broken down into nutrients through mechanical and chemical digestion, these substances are absorbed by the intestines and transported via the bloodstream to cells throughout the body for energy production, growth, repair, and other metabolic processes.

b. amylase

- Incorrect: Amylase is an enzyme involved in the digestion of carbohydrates. It is produced by salivary glands in the mouth and by the pancreas and helps break down complex carbohydrates into simpler sugars. While amylase is an important component of the digestive process, it is not the end product of digestion.

c. saliva

- Incorrect: Saliva is a fluid secreted by salivary glands in the mouth. It contains water, electrolytes, mucus, and enzymes such as amylase. Saliva helps moisten food, initiate the digestion of carbohydrates, and facilitate swallowing, but it is not the end product of digestion.

d. sphincters

- Incorrect: Sphincters are ring-like muscles that control the movement of materials through various parts of the digestive tract by opening and closing. While sphincters play a crucial role in regulating the flow of food and waste through the digestive system, they are not the end products of digestion.

A. appendicitis

B. gallstones

C. constipation

D. diarrhea

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.

A. manufacturing red blood cells

B. producing chemical compounds known as auxins

C. storing the carbohydrate reserve glycogen

D. synthesizing the hormone insulin

C) storing the carbohydrate reserve glycogen

- Correct: One of the functions of the liver in human adults is storing the carbohydrate reserve glycogen. Glycogen is a polysaccharide that serves as a storage form of glucose in the body. When blood glucose levels are high, such as after a meal, the liver takes up excess glucose and converts it into glycogen for storage. When blood glucose levels drop, such as between meals or during fasting, the liver breaks down glycogen and releases glucose into the bloodstream to maintain blood sugar levels within a normal range.

A) manufacturing red blood cells

- Incorrect: The primary site of red blood cell production (erythropoiesis) in adults is the bone marrow, not the liver. While the liver is involved in the production of blood proteins and components, such as albumin, clotting factors, and plasma proteins, it is not responsible for manufacturing red blood cells.

B) producing chemical compounds known as auxins

- Incorrect: Auxins are a class of plant hormones involved in various physiological processes, such as cell elongation, apical dominance, and root development. They are not produced by the liver in human adults.

D) synthesizing the hormone insulin

- Incorrect: Insulin is a hormone produced by the pancreas, not the liver. Insulin plays a crucial role in regulating blood sugar levels by facilitating the uptake of glucose into cells for energy production or storage. While the liver responds to insulin by regulating glucose metabolism and storage, it does not synthesize insulin itself.

A. plicae circulares

B. haustra

C. villi

D. intestinal crypts

A. plicae circulares

- Correct: The small intestine possesses permanent folds along its length known as plicae circulares, also called circular folds or valvulae conniventes. These folds are permanent transverse ridges of the mucosa and submucosa that project into the lumen of the small intestine. They increase the surface area for absorption and digestion by slowing the passage of chyme and increasing contact between chyme and the intestinal lining, facilitating nutrient absorption.

B. haustra

- Incorrect: Haustra are pouches or sacculations formed by the muscularis externa of the colon (large intestine), not the folds of the small intestine.

C. villi

- Incorrect: Villi are finger-like projections of the mucosa of the small intestine that extend into the lumen. While villi increase the surface area for absorption, they are not permanent folds along the length of the small intestine.

D. intestinal crypts

- Incorrect: Intestinal crypts, also known as crypts of Lieberkühn, are invaginations of the epithelium located between villi in the mucosa of the small intestine. They contain stem cells that continuously divide and give rise to new epithelial cells, helping to replenish the epithelial lining of the intestine. Crypts are not permanent folds along the length of the small intestine.

A. Both the internal and the skin temperatures reach 40ºC.

B. Both the internal and the skin temperatures increase by about 7ºC.

C. The skin temperature decreases to about 30ºC.

D. The internal temperature increases by about 1ºC.

D) The internal temperature increases by about 1ºC.

- Correct: As environmental temperature increases from 20ºC to 30ºC, the body's internal temperature tends to increase slightly. This is due to the body's thermoregulatory mechanisms, which work to maintain a relatively constant internal temperature (around 37ºC or 98.6ºF) despite fluctuations in environmental temperature. When the environmental temperature rises, the body responds by increasing blood flow to the skin and by initiating mechanisms such as sweating to dissipate heat and maintain thermal equilibrium. However, the increase in environmental temperature may result in a slight increase in internal temperature, typically by about 1ºC, as the body works to dissipate excess heat.

A) Both the internal and the skin temperatures reach 40ºC.

- Incorrect: A 10ºC increase in environmental temperature from 20ºC to 30ºC is not likely to cause both internal and skin temperatures to reach 40ºC. Such a significant increase would likely lead to heatstroke or hyperthermia, which can be life-threatening.

B) Both the internal and the skin temperatures increase by about 7ºC.

- Incorrect: A 10ºC increase in environmental temperature is not likely to cause both internal and skin temperatures to increase by about 7ºC. Such a large increase in temperature would be excessive and would likely lead to severe heat-related illnesses.

C) The skin temperature decreases to about 30ºC.

- Incorrect: In response to an increase in environmental temperature, the body typically increases blood flow to the skin and initiates mechanisms such as sweating to dissipate heat. This would not result in a decrease in skin temperature to match the environmental temperature of 30ºC.

A. parietal cells

B. mucous neck cells

C. enteroendocrine cells

D. chief cells

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.