BODY SYSTEMS IV MIDTERM 1

Which of the following does NOT regulate gastric acid secretion?
Vagus nerve stimulation
Gastrin
Cholecystokinin
Histamine
The artery of the midgut is the:
Celiac trunk
Inferior mesenteric
Superior mesenteric
Proper hepatic
Which region are goblet cells most numerous?
Esophagus
Stomach
Large intestine
Anus
Match the process associated with the Gastric intrinsic factor, which is produced by parietal cell in the gastric glands:
Digestion of carbohydrates
Absorption of vitamin B12
. Digestion of proteins
Transport of triglycerides into lacteals
All is true about esophagus, except
. Follows the curve of the vertebral column as it descends through the neck and mediastinum
Its superior third, the external layer consists of voluntary striated muscle
Has only internal longitudinal layer of muscle
All are true
The fundus of the stomach receives its arterial supply from the:
Common hepatic
Left gastroepiploic
Splenic
Inferior phrenic
. What are the modifications of the muscularis externa that is seen on the large intestine
Teniae coli
Plicae circulares
Villi
Striated border
Gallblader has all of the following, except:
. A major part in the fossa (body of gallbladder), which may be against the transverse colon and the superior part of the duodenum
a rounded end (fundus of gallbladder), which may project from the inferior border of the liver
A narrow part (neck of gallbladder) with mucosal folds forming the spiral fold
. All of the above are true
A patient who was admitted with symptoms of bowel obstruction, on examination revealed that the obstruction was caused by the compression of the bowel between the superior mesenteric artery and the aorta. The compressed bowel is most likely the
Jejunum
Ascending colon
Duodenum
Ileum
What does the interlobar fissure in the liver contain?
Ligamentum teres, and inferior vena cava adjacent to each other
Ligamentum teres superiorly, Ligamentum venosum inferiorly
None of the above
Ligamentum venosum superiorly, ligamentum teres inferiorly
Absorption of most of salt and water takes place in which of the following locations of GI tract
Jejunum
Duodenum
Large intestine
Stomach
All of the following inhibit appetite except?
Cholecystokinin
Cold weather conditions
Insulin
Gastrointestinal filling/stretch
. Which of the following cell types is present in the gastric glands of the pyloric stomach
Goblet cells
Paneth cells
Mucous neck cell
Chief cells
. Which of the following is located at the opening between the small and large intestines?
Cardiac sphincter
Ileocecal valve
Tricuspid valve
Ligament of Treitz
Which of the following is true about the enteric nervous system?
It is capable of responding independently to stimuli within the gastrointestinal tract
. All of the above
It is sometimes referred to as the "little brain"
Its function is regulated by the autonomic nervous system.
. 65 year-old female patient complains of weakness, numbness in the legs, loss of taste, diarrhea and hearing voices. She has been suffering from migraine and almost daily takes over the counter pain medication. On physical exam she has a smooth and swollen tongue, and a pale, yellowish skin. The complete blood count shows anemia. What type of anemia has this patient most probably have?
Iron-deficiency anemia
Sickle-cell anemia
Normocytic anemia
Macrocytic/megaloblastic anemia
Which of the following is attached by its posterior portion, extending between the mandible, hyoid, and the nearly vertical posterior surface of the tongue
Apex of the tongue
Body of the tongue
Root of the tongue
None of the above
Which of these hormones is a major stimulator of hunger:
A. GLIP
C. Ghrelin
Cholecystokinin
Alpha-MSH
Gastric distention leads to relaxation of the ileocecal sphincter by way of which reflex?
Rectosphincteric
Gastroileal
Gastrocolic
Intestino-intestinal
Passage of a bolus through the esophagus into the stomach depends on all of the following EXCEPT
Pharynogoesophegeal sphincter
Skeletal muscle in the esophageal muscularis externa
Gastroesophageal sphincter
Smooth muscle in the esophageal muscularis externa
A 55-year-old patient who had a chronic duodenal ulcer for many years was admitted to the hospital with signs of a severe internal hemorrhage. The ulcer perforated the posterior wall of the first portion of the duodenum and eroded an artery in that position. The damaged artery was:
Cystic
Gastroduodenal
Hepatic
Left gastric
Vitamin K absorbed in large in intestine is used by
Liver to synthesize coagulation factors
Skin to absorb sunlight
Lung to synthesize surfactant
Kidney to synthesize erythropoietin
Emptying gastric contents into the small intestine is strictly controlled. Which of the following is most acurately represents this concept?
High caloric meals empty faster
Higher acidity in the stomach results in a slower rate of emptying.
Tonicity of the gastric solution doesn't affect the rate of emptying.
Liquid and solid meals empty at the same rate.
The small intestine has three histologically distinct regions. Which of the following statements concerning the histological differences in the three regions is true?
Peyer patches are present only in the ileum
Lacteals are present only in the lamina propria of the ileum.
Ileum and two layers in the duodenum and jejunum
Brunner glands are located in the duodenum and jejunum but not the ileum.
Secretion of alkaline solution and bicarbonate in pancreas and liver is stimulated by which of the following hormones
Secretin
Alkaline phosphatase
Cholecystokinin
Gastric inhibitory peptide
The lesser omentum connects stomach to which structure
Spleen
Diaphragm
Liver
Oesophagus
Which of the following statements concerning the pancreas is FALSE?
Is surrounded by a capsule composed of delicate connective tissue
Its acinar cells contain a round, basally located
It possesses serous demilunes
It possesses islets of Langerhans
. Which of the following vein is joining the inferior mesenteric vein?
Inferior vena cava
Superior mesenteric
Splenic
Portal
All of the following can be a cause of peptic ulcer except
Proton pump inhibitors
Non-steroidal anti-inflamatory drugs (NSAID's)
Helicobacter pilori
Alcohol
Which of the following statements concerning the principal fiber bundles of the periodontal ligament is TRUE?
They extend from the cementum to the enamel
They are composed of collagen
They extend from one tooth to the next
They are composed of elastin
Which of the following lipoproteins are synthesized in enterocytes and transported through lymphatic channels
High-density lipoproteins (HDL)
Chylomicrons
Very low-density lipoproteins (VLDL)*
Intermediate-density lipoproteins (IDL)
The portion of the hepatic artery extending between the celiac trunk and the gastroduodenal artery is known as the
Common hepatic
Right hepatic
Middle hepatic
Left hepatic
Which of the following is characterized by the dilated superior part, limited inferiorly by the horizontal plane of the cardial orifice?
Fundus
Pyloric part
Cardia
Body Mass Index (BMI) of 30-35 is classified as
Morbid Obesity
Normal
Obesity
Overweight
Which of the following statements concerning liver sinusoids is TRUE?
They are continuous with bile canaliculi
They are lined by nonfenestrated endothelial cells
They deliver blood to the central vein
They deliver blood to the portal vein
Which of the following hormones is produced speficically in response to lipids and proteins in duodenum?
GLIP
Secretin
Somatostatin
Cholecystokinin
A patient was diagnosed with bleeding ulcer of the lesser curvature of the stomach. Which artery is most likely involved?
Gastroduodena
Left gastric
Right gastro-omental (epiploic)
Short gastrics
. Elevation of soft palate is dependent on all of the following, except:
Tensor Veli palatini
Levator Veli palatini
All of the above elevates the soft palate
Palatoglossus
Occlusion of the inferior mesenteric artery is seldom symptomatic because its territory may be supplied by branches of the:
Ileocolic
Right colic
Splenic
Middle colic
From right to left the horizontal duodenum crosses;
Right ureter, gonadal vessels, inferior vena cava, inferior mesenteric artery, aorta
Gonadal vessels, inferior vena cava, inferior mesenteric artery,
Gonadal vessels, inferior mesenteric artery, inferior vena cava, aorta
Right psoas, right ureter, inferior vena cava, inferior mesenteric artery
Secretin and cholecystokinin are produced and secreted by cells in the lining of the alimentary tract. Which of the following statements about these two substances is TRUE
They are produced by diffuse neuroendocrine cells (DNES cells) in the lining of the stomach and small intestine
They are digestive enzymes present within the lumen of the duodenum.
They are hormones that have target cells in the pancreas and biliary tract
They are produced by Brunner glands and released into the lumina of the crypts of Lieberkiihn
The peritoneal cavity contains which of the following?
Liver
Peritoneal fluid
Large intestine
Kidney
Which of the following statements about esophageal anatomy is correct?
The esophagus has two distinct muscle layers, an outer and an inner, which are smooth in the upper third and striated in the distal two thirds.
The esophagus has two distinct muscle layers, an outer, longitudinal one and an inner, circular one, which are striated in the upper third and smooth in the distal two thirds
In the stomach, hydrochloric acid (HCI) is secreted by:
HCl cells
Parietal cells
Goblet cells
Chief cells
Odontoblasts are responsible for the formation of which of the
Tooth crown only
Dentin
Cementum
Ename
All the following are the functions of bile except:
Alkalification of chyme
Digestion of lipid
. Excretion of bilirubin metabolites
Digestion of lipids
Where in GI tract are di- and tri-peptides digested to mono-peptides?
Stomach
Lumen of small intestinal*
Lumen of Large intestina
Cytoplasm/cytoplasm of gastric cells
A 34-year-old male patient complains of frequent vomiting, discomfort during swallowing, loss of appetite and weight, epigastric pain. A barium swallow scan shows dilated esophagus and almost no passage through lower esophageal sphincter (LES). Which of the following is true about this condition: (!!!)
Gastro-esophageal reflux disease (GERD) is a major caus
. Results from damage of myenteric plexus of esophagus*
It results from imbalance sympathetic and parasympathetic systems
Results from loss of peristalsis in esophagus
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