Which of these statements about reflexes in the GI tract is false?

A. gastrin

B. hydrochloric acid

C. pepsin

D. pepsinogen

b) hydrochloric acid

- Correct: Parietal cells, also known as oxyntic cells, secrete hydrochloric acid (HCl) into the stomach lumen. HCl plays a critical role in the digestive process by creating an acidic environment necessary for the activation of pepsinogen to pepsin and for the breakdown of food proteins. Parietal cells also secrete intrinsic factor, which is essential for the absorption of vitamin B12 in the small intestine.

a) gastrin

- Incorrect: Gastrin is a hormone secreted by G cells in the gastric glands of the stomach. It stimulates the secretion of gastric acid (HCl) by parietal cells and promotes gastric motility and emptying.

c) pepsin

- Incorrect: Pepsin is an enzyme that digests proteins by breaking them down into smaller peptides. Pepsin is formed from the precursor molecule pepsinogen, which is secreted by chief cells in the gastric glands. Parietal cells do not directly secrete pepsin.

d) pepsinogen

- Incorrect: Pepsinogen is the inactive precursor of pepsin. It is secreted by chief cells in the gastric glands of the stomach. Pepsinogen is activated to pepsin by the acidic environment created by hydrochloric acid secreted by parietal cells.

A. pancreas, liver, and gallbladder

B. esophagus, stomach, and intestines

C. colon, rectum, and anus

D. mouth, esophagus, and stomach

b. esophagus, stomach, and intestines

- Correct: The alimentary canal, or digestive tract, is made up of the esophagus, stomach, and intestines (both small and large). These organs form a continuous tube that extends from the mouth to the anus and is responsible for the digestion and absorption of food and the elimination of waste. The esophagus transports food from the mouth to the stomach through peristaltic contractions, while the stomach and intestines further digest food and absorb nutrients.

a. pancreas, liver, and gallbladder

- Incorrect: While the pancreas, liver, and gallbladder are important accessory organs that produce digestive enzymes and substances involved in digestion (such as bile), they are not part of the alimentary canal itself. Instead, they secrete their products into the alimentary canal to aid in digestion.

c. colon, rectum, and anus

- Incorrect: The colon, rectum, and anus are parts of the large intestine, which is a component of the alimentary canal. However, the alimentary canal is not solely composed of these organs; it also includes the esophagus, stomach, and small intestine.

d. mouth, esophagus, and stomach

- Incorrect: While the mouth, esophagus, and stomach are indeed part of the alimentary canal, they do not represent the entirety of it. The alimentary canal includes additional organs such as the small and large intestines, which are also involved in the digestion and absorption of food.

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. 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. haustra

B. lacteals

C. bacterial flora

D. intestinal glands

b) lacteals

- Correct: Villi are small, finger-like projections that extend into the lumen of the small intestine, increasing its surface area for absorption. Lacteals are specialized lymphatic vessels located within the villi. They play a crucial role in the absorption of dietary fats and fat-soluble vitamins. Lacteals absorb digested fats and fat-soluble nutrients and transport them through the lymphatic system to the bloodstream.

a) haustra

- Incorrect: Haustra are pouches or sacculations formed by the longitudinal muscle of the colon. They are characteristic features of the large intestine, particularly the colon, and are not directly associated with villi.

c) bacterial flora

- Incorrect: Bacterial flora (microbiota) refers to the diverse population of microorganisms inhabiting the gastrointestinal tract. While they play important roles in digestion, nutrient absorption, and immune function, they are not specifically associated with villi. They primarily inhabit the large intestine, where they aid in the fermentation of undigested carbohydrates and the production of certain vitamins.

d) intestinal glands

- Incorrect: Intestinal glands, also known as crypts of Lieberkühn or intestinal crypts, are invaginations of the epithelium located between the villi in the mucosa of the small intestine. They contain stem cells that continuously divide to replace the epithelial cells lining the intestine. While they are anatomically close to villi, they are distinct structures responsible for epithelial cell renewal and secretion of intestinal juices, but they are not directly associated with villi.

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. ingestion

B. mechanical digestion

C. chemical digestion

D. all of the above

d) all of the above

- Correct: All of the listed processes occur in the mouth:

a) Ingestion: The mouth is the entry point for food into the digestive system. Ingestion refers to the act of taking food or drink into the mouth.

b) Mechanical digestion: Mechanical digestion involves the physical breakdown of food into smaller pieces through actions such as chewing and mixing with saliva. In the mouth, the teeth tear and grind food into smaller particles, which increases the surface area for chemical digestion.

c) Chemical digestion: Chemical digestion involves the breakdown of food into smaller molecules by enzymes and other chemicals. In the mouth, salivary glands secrete saliva, which contains the enzyme amylase. Amylase begins the chemical breakdown of carbohydrates, converting starches into simpler sugars such as maltose.

Therefore, all of the processes listed—ingestion, mechanical digestion, and chemical digestion—occur in the mouth during the initial stages of digestion.

A. mouth

B. salivary glands

C. pancreas

D. liver

a) mouth

- Correct: The mouth is not considered an accessory digestive structure; it is an integral part of the alimentary canal (digestive tract). The mouth is where the process of digestion begins, as food is ingested, chewed, and mixed with saliva. Saliva, produced by the salivary glands, contains enzymes (such as amylase) that initiate the breakdown of carbohydrates. Once food is sufficiently broken down in the mouth, it is formed into a bolus and swallowed, entering the esophagus and continuing its journey through the digestive system.

b) salivary glands

- Incorrect: Salivary glands are accessory digestive structures that secrete saliva into the mouth. Saliva contains enzymes and lubricants that aid in the mechanical and chemical digestion of food.

c) pancreas

- Incorrect: The pancreas is an accessory digestive structure that plays a crucial role in digestion by producing and secreting digestive enzymes into the small intestine. These enzymes aid in the breakdown of carbohydrates, proteins, and fats.

d) liver

- Incorrect: The liver is also an accessory digestive structure that contributes to digestion by producing bile, which is stored in the gallbladder and released into the small intestine to aid in the emulsification and digestion of fats. Additionally, the liver plays a role in processing nutrients absorbed from the small intestine and regulating glucose metabolism.

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. 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.