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chapter 20 test review
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111
Physiology
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11/22/2012

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Term
1) Which of the following is NOT a basic process of the gastrointestinal system?
A) digestion
B) filtration
C) absorption
D) secretion
E) motility
Definition
filtration
Term
2) Which of the following is the correct order of the layers of the gastrointestinal tract wall, from lumen to external surface?
A) mucosa  submucosa  muscularis externa  serosa
B) serosa  muscularis externa  submucosa  mucosa
C) serosa  mucosa  submucosa  muscularis externa
D) mucosa  submucosa  serosa  muscularis externa
E) submucosa  mucosa  serosa  muscularis externa
Definition
mucosa  submucosa  muscularis externa  serosa
Term
3) Which of the following correctly lists the three portions of the mucosa?
A) serosa, muscularis mucosae, muscularis externa
B) adventitia, muscularis externa, mucous membrane
C) muscularis mucosae, mucous membrane, submucosa
D) mucous membrane, lamina propria, muscularis mucosae
E) adventitia, lamina propria, muscularis externa
Definition
mucous membrane, lamina propria, muscularis mucosae
Term
4) Enterocytes of the mucous membrane of the mucosal layer are classified as ________ cells if they secrete fluids and enzymes into the lumen and ________ cells if they release hormones into the bloodstream.
A) endocrine : absorptive
B) exocrine : endocrine
C) endocrine : exocrine
D) absorptive : endocrine
E) exocrine : absorptive
Definition
exocrine : endocrine
Term
5) What layer of the mucosa is connective tissue that contains blood vessels and lymphatic vessels?
A) serosa
B) submucosal plexus
C) mucous membrane
D) lamina propria
E) muscularis mucosae
Definition
lamina propria
Term
6) What is the thin layer of smooth muscle cells whose contraction stirs the lumenal contents and promotes contact with the mucosal membrane?
A) muscularis mucosae
B) muscularis externae
C) muscularis internae
D) serosa
E) myenteric plexus
Definition
muscularis mucosae
Term
7) What layer of the gastrointestinal wall is a thick layer of connective tissue that provides the gastrointestinal tract with much of its elasticity and distensibility?
A) peritoneum
B) mesentery
C) serosa
D) lamina propria
E) submucosa
Definition
submucosa
Term
8) The enteric nervous system receives its inputs from ________.
A) autonomic neurons only
B) somatic motor neurons only
C) sensory neurons in the wall of the gastrointestinal tract only
D) both autonomic neurons and sensory neurons in the wall of the gastrointestinal tract
E) both somatic motor neurons and sensory neurons in the wall of the gastrointestinal tract
Definition
both autonomic neurons and sensory neurons in the wall of the gastrointestinal tract
Term
9) The muscularis externa contains which of the following muscle groups?
A) an inner circular layer capable of slow-wave potentials only
B) an outer longitudinal layer that requires neural input for contraction
C) a muscularis mucosae, which lubricates as it contracts
D) both an inner circular and an outer longitudinal layer
E) an inner circular and outer longitudinal layer, and a muscularis mucosae
Definition
both an inner circular and an outer longitudinal layer
Term
10) Where do slow-wave potentials occur?
A) myenteric plexus
B) submucosal plexus
C) muscularis mucosae
D) inner circular muscle layer of the muscularis externa
E) outer longitudinal muscle layer of the muscularis externa
Definition
inner circular muscle layer of the muscularis externa
Term
11) The ________ is a layer of epithelial cells on the outer side of the serosa that secretes a watery lubricating fluid that makes it easier for organs to slide past one another.
A) submucosa
B) myenteric plexus
C) mesentery
D) mesothelium
E) endothelium
Definition
mesothelium
Term
12) What membrane lines the abdominal cavity?
A) serosa
B) peritoneum
C) mesothelium
D) mesenteries
E) adventitia
Definition
peritoneum
Term
13) What is the technical word for chewing?
A) mastication
B) micturition
C) segmentation
D) haustration
E) accommodation
Definition
mastication
Term
14) As the food is broken into smaller pieces in the mouth, it is combined with ________ that facilitates its movement down the esophagus.
A) gastric juices
B) amylase
C) saliva
D) pancreatic juices
E) chyme
Definition
saliva
Term
15) What is a ring of skeletal muscle that regulates the movement of a bolus into the esophagus?
A) glottis
B) epiglottis
C) upper esophageal sphincter
D) lower esophageal sphincter
E) pyloric sphincter
Definition
upper esophageal sphincter
Term
16) Gastric reflux occurs when material flows backwards through which of the following structures?
A) glottis
B) epiglottis
C) upper esophageal sphincter
D) lower esophageal sphincter
E) pyloric sphincter
Definition
lower esophageal sphincter
Term
17) What is a mixture of food particles with gastric juice called?
A) bolus
B) fundus
C) chyme
D) saliva
E) gastric secretions
Definition
chyme
Term
18) The flow of chyme from the stomach to the small intestine is regulated by the ________.
A) glottis
B) epiglottis
C) lower esophageal sphincter
D) pyloric sphincter
E) gastroileal sphincter
Definition
pyloric sphincter
Term
19) What are rugae?
A) folds in the small intestine that increase the surface area for absorption
B) folds in the large intestine that increase the surface area for absorption
C) folds in the stomach that can flatten to expand the stomach volume
D) a motility pattern of the large intestine
E) a motility pattern of the stomach
Definition
folds in the stomach that can flatten to expand the stomach volume
Term
20) What cells secrete pepsinogen into the lumen of the stomach?
A) Goblet
B) G
C) Parietal
D) Chief
E) Neck
Definition
Chief
Term
21) What cells function to secrete hydrogen ions into the lumen of the stomach?
A) Goblet
B) Parietal
C) Chief
D) Neck
E) G
Definition
Parietal
Term
22) What do parietal cells secrete?
A) hydrogen ions only
B) pepsinogen only
C) intrinsic factor only
D) both hydrogen ions and pepsinogen
E) both hydrogen ions and intrinsic factor
Definition
both hydrogen ions and intrinsic factor
Term
23) What do neck cells of gastric pits secrete?
A) hydrogen ions
B) pepsinogen
C) intrinsic factor
D) gastrin
E) mucus
Definition
mucus
Term
24) Which of the following is NOT a normal function of the high acidity of the stomach?
A) activate pepsin
B) denature proteins
C) destroy foodborne bacteria
D) activate vitamin B12
E) protect against illness
Definition
activate vitamin B12
Term
25) Once the chyme begins to enter the duodenum, it must first be ________ before any of the enzymes in the pancreatic juices can be activated.
A) neutralized
B) acidified
C) dehydrated
D) hydrated
E) phosphorylated
Definition
neutralized
Term
26) What protects the stomach wall from the acidic lumenal contents?
A) a layer of parietal cells
B) the gastric mucosal barrier
C) the presence of rugae
D) the gastric coat
E) a layer of adipose tissue lining the gastric mucosa
Definition
the gastric mucosal barrier
Term
27) To increase the absorptive efficiency of the small intestine, the surface area of the mucosa is increased by the presence of folds in the wall called ________, and projections of the cell membrane called ________.
A) microvilli : villi
B) villi : microvilli
C) lacteals : rugae
D) rugae : lacteals
E) microvilli : lacteals
Definition
villi : microvilli
Term
28) Which of the following is the correct order of the components of the small intestine, from stomach to colon?
A) ileum  jejunum  duodenum
B) jejunum  duodenum  ileum
C) duodenum  ileum  jejunum
D) jejunum  ileum  duodenum
E) duodenum  jejunum  ileum
Definition
duodenum  jejunum  ileum
Term
29) A lacteal is a ________ located in ________.
A) nerve : myenteric plexus
B) nerve : submucosal plexus
C) capillary : villus
D) lymphatic vessel : villus
E) patch of immune tissue : submucosa
Definition
lymphatic vessel : villus
Term
30) What is the brush border?
A) microvilli from parietal cells
B) microvilli from epithelial cells lining the small intestine
C) villi from parietal cells
D) villi from epithelial cells lining the small intestine
E) villi from epithelial cells lining the stomach
Definition
microvilli from epithelial cells lining the small intestine
Term
31) What do the secretory cells in the crypts of Lieberkuhn's secrete?
A) gastric juice
B) intestinal juice
C) succus entericus
D) pancreatic juice
E) bile
Definition
succus entericus
Term
32) Blood from the intestinal capillaries drains into what blood vessel before entering the hepatic portal vein?
A) hepatic artery
B) mesenteric vein
C) hepatic vein
D) coeliac vein
E) intestinal vein
Definition
mesenteric vein
Term
33) What region of the colon serves primarily as a storage depot for whatever material remains in the lumen after absorption has occurred?
A) ascending
B) transverse
C) descending
D) sigmoid
E) resected
Definition
sigmoid
Term
34) What is the primary function of the colon?
A) further digest fats within the chyme
B) reduce the volume of the chyme
C) further digest protein within the chyme
D) further absorb carbohydrates
E) regulate absorption of carbohydrates and amino acids
Definition
reduce the volume of the chyme
Term
35) Which of the following structures is NOT part of the large intestine?
A) colon
B) cecum
C) rectum
D) anus
E) vermiform appendix
Definition
anus
Term
36) Which of the following sphincters is composed of skeletal muscle?
A) pyloric sphincter only
B) upper esophageal sphincter only
C) external anal sphincter only
D) both the pyloric and upper esophageal sphincters
E) both the upper esophageal and external anal sphincters
Definition
both the upper esophageal and external anal sphincters
Term
37) Which of the following is NOT one of the components of saliva?
A) bicarbonate ions
B) mucus
C) lipases
D) amylases
E) lysozymes
Definition
lipases
Term
38) Which of the following is NOT one of the components of exocrine pancreatic secretions?
A) digase
B) lipase
C) amylase
D) protease
E) nuclease
Definition
digase
Term
39) What enzymes secreted by the exocrine pancreas degrade fats?
A) Proteases
B) Digases
C) Amylases
D) Lipases
E) Nucleases
Definition
Lipases
Term
40) Which of the following secretes a bicarbonate-rich fluid?
A) salivary glands only
B) pancreas only
C) liver only
D) both salivary glands and pancreas
E) salivary glands, pancreas, and liver
Definition
salivary glands, pancreas, and liver
Term
41) Which of the following secretes lipase?
A) salivary glands
B) pancreas
C) liver
D) both salivary glands and pancreas
E) pancreas and liver
Definition
pancreas
Term
42) Which of the following is NOT one of the functions of the liver?
A) secretion of bile
B) synthesis of albumin
C) removal of aged erythrocytes
D) secretion of enzymes for digestion
E) synthesis and modification of hormones
Definition
secretion of enzymes for digestion
Term
43) What degradation by-product of hemoglobin is removed from the liver (and thereby the body) in bile?
A) lipoproteins
B) bilirubin
C) iron
D) urea
E) uric acid
Definition
bilirubin
Term
44) In order to convert amino acids to fatty acids and/or gluconeogenic precursors, an ammonium ion must be removed in the liver and converted to ________ before being excreted by the kidneys.
A) urea
B) uric acid
C) bilirubin
D) ammonia
E) nitrogen
Definition
urea
Term
45) Which of the following is NOT one of the wastes that is eliminated by the liver in bile?
A) bilirubin
B) trace metals
C) urea
D) certain drugs
E) cholesterol
Definition
urea
Term
46) Which of the following is NOT one of the hormone-related functions of the liver?
A) secrete hormone binding proteins
B) hormone degradation
C) hormone modification
D) hormone synthesis
E) hormone storage
Definition
hormone storage
Term
47) The flow of bile from the liver and juices from the exocrine pancreas converge at what structure?
A) bile duct
B) common bile duct
C) ampulla of Vater
D) common hepatic duct
E) gallbladder
Definition
ampulla of Vater
Term
48) One side of a hepatocyte faces the blood while the other faces what?
A) sinusoid
B) bile canaliculus
C) enterocyte
D) acinar cells
E) common hepatic duct
Definition
bile canaliculus
Term
49) What is the functional unit of the liver?
A) lobule
B) hepatocyte
C) bile canaliculi
D) sinusoid
E) lobe
Definition
lobule
Term
50) What are liver sinusoids?
A) the site of bile synthesis
B) the pathway for bile to exit the liver
C) blood-filled cavities that exchange material with the hepatocytes
D) bile-filled cavities that exchange material with the hepatocytes
E) air-filled cavities in the liver
Definition
blood-filled cavities that exchange material with the hepatocytes
Term
51) What are Kupffer cells?
A) macrophages in the liver
B) hepatocytes
C) cells of the stomach that secrete hydrogen ions
D) cells lining the Crypts of Lieberkuhns
E) cells lining the pancreatic duct
Definition
macrophages in the liver
Term
52) The enzyme amylase is able to cleave glycogen and starch into ________.
A) disaccharides only
B) monosaccharides only
C) limit dextrins only
D) both disaccharides and limit dextrins
E) both monosaccharides and disaccharides
Definition
both disaccharides and limit dextrins
Term
53) Which of the following is NOT an enzyme that acts on the products of amylase digestion of glycogen and starch?
A) glucoamylase
B) sucrase
C) maltase
D) galactase
E) dextinase
Definition
galactase
Term
54) The absorption of glucose involves ________ across the apical membrane and ________ across the basolateral membrane.
A) facilitated diffusion: facilitated diffusion
B) simple diffusion : facilitated diffusion
C) secondary active transport : facilitated diffusion
D) secondary active transport : secondary active transport
E) secondary active transport : primary active transport
Definition
secondary active transport : facilitated diffusion
Term
55) Where are enzymes that breakdown disaccharides located?
A) in the lumen of the small intestine
B) on the apical membrane of enterocytes
C) inside enterocytes
D) on the basolateral membrane of enterocytes
E) in the lumen of the large intestine
Definition
on the apical membrane of enterocytes
Term
56) The absorption of fructose across the apical membrane of the lumenal epithelial cells occurs through what process?
A) facilitated diffusion
B) diffusion
C) sodium-linked secondary active transport
D) primary active transport
E) paracellular transport
Definition
facilitated diffusion
Term
57) The digestion of proteins begins in the ________ with the activation of the zymogen ________.
A) small intestine : trypsinogen
B) stomach : pepsinogen
C) mouth : pepsinogen
D) small intestine : chymotrypsinogen
E) stomach : procarboxypeptidase
Definition
stomach : pepsinogen
Term
58) What enzyme is responsible for cleavage of the amino acid at the amine portion of the peptide fragment?
A) carboxypeptidase
B) trypsin
C) chymotrypsin
D) enterokinase
E) aminopeptidase
Definition
aminopeptidase
Term
59) What enzyme activates procarboxypeptidase?
A) carboxypeptidase
B) trypsin
C) pepsin
D) enterokinase
E) aminopeptidase
Definition
trypsin
Term
60) Proteolytic enzymes secreted in pancreatic juice are stored in secretory cells of the pancreas as ________.
A) pepsinogen
B) limit dextrins
C) zymogens
D) bile salts
E) chylomicrons
Definition
zymogens
Term
61) What enzyme cleaves trypsinogen to trypsin?
A) chymotrypsin
B) pepsin
C) enterokinase
D) procarboxypeptidase
E) amylase
Definition
enterokinase
Term
62) Many individual amino acids enter the epithelial cells that line the lumen of the digestive tract via what transport process?
A) paracellular transport
B) simple diffusion
C) primary active transport
D) sodium-linked secondary active transport
E) facilitated diffusion
Definition
sodium-linked secondary active transport
Term
63) In order to begin the process of fat digestion, the fat globules must be ________.
A) emulsified by lipases
B) emulsified by trypsin
C) emulsified by bile salts
D) coalesced by bile salts
E) coalesced by lipase
Definition
emulsified by bile salts
Term
64) Emulsification aids in the digestion of fats by ________.
A) increasing the surface area of the fat globule exposed to enzymes
B) beginning the process of degrading the triglycerides within the fat globule
C) increasing the number of fat globules
D) the ability of bile salts to activate lipases that digest fats
E) increasing the number of hydrophobic residues on the surface of the fat globule
Definition
increasing the surface area of the fat globule exposed to enzymes
Term
65) Pancreatic lipase degrades triglycerides into ________.
A) a monoglyceride and 1 free fatty acid
B) a triglyceride whose free fatty acids have been shortened 2 carbons at a time
C) a glycerol and 3 free fatty acids
D) a diglyceride and 1 free fatty acid
E) a monoglyceride and 2 free fatty acids
Definition
a monoglyceride and 2 free fatty acids
Term
66) Digestion products of lipases are readily exchanged in the lumen with ________.
A) cholesterol
B) polysaccharides
C) chylomicrons
D) micelles
E) low-density lipoproteins
Definition
micelles
Term
67) Bile salts are recycled by the ________.
A) mesenteric arteries
B) hepatic arteries
C) enterohepatic circulation
D) biliary circulation
E) common bile duct
Definition
enterohepatic circulation
Term
68) The products of fat degradation are absorbed in the small intestines by what transport process?
A) sodium-linked secondary active transport
B) simple diffusion
C) primary active transport
D) facilitated diffusion
E) paracellular transport
Definition
simple diffusion
Term
69) Once the degradation products of triglycerides have entered the epithelial cells that line the small intestines, they ________.
A) cross the basolateral membrane and enter the circulation where they will be embedded into a chylomicron
B) are reassembled into triglycerides and released into the blood where they can be incorporated into chylomicrons
C) are reassembled into triglycerides and packaged by the Golgi apparatus into micelles
D) are reassembled into triglycerides and packaged by the Golgi apparatus into chylomicrons
E) are further degraded to glycerol and a free fatty acid, which are packaged by the Golgi apparatus into chylomicrons
Definition
are reassembled into triglycerides and packaged by the Golgi apparatus into chylomicrons
Term
70) Lipids are absorbed as ________ into ________.
A) fatty acids and monoglycerides : mesenteric capillaries
B) micelles : mesenteric capillaries
C) chylomicrons : mesenteric capillaries
D) chylomicrons : lacteals
E) micelles : lacteals
Definition
chylomicrons : lacteals
Term
71) Vitamin B12 is absorbed in the ________ through ________.
A) jejunum : complexing with intrinsic factor
B) duodenum : facilitated diffusion
C) ileum : complexing with intrinsic factor
D) duodenum : cotransport with sodium
E) jejunum : facilitated diffusion
Definition
ileum : complexing with intrinsic factor
Term
72) A lack of intrinsic factor can result in ________.
A) pernicious anemia
B) aplastic anemia
C) diarrhea
D) diabetes
E) immune suppression
Definition
pernicious anemia
Term
73) The absorption of sodium throughout the small intestine is driven by ________ transport and is typically linked to the absorption of ________.
A) active : chloride
B) passive : bicarbonate
C) active : bicarbonate
D) active : glucose
E) passive : glucose
Definition
active : chloride
Term
74) In the jejunum, bicarbonate is ________, while in the ileum and colon, bicarbonate is ________.
A) absorbed : absorbed
B) absorbed : secreted
C) secreted : secreted
D) secreted : absorbed
E) absorbed : not transported in either direction
Definition
absorbed : secreted
Term
75) Carbonic anhydrase is located in which of the following structures?
A) salivary glands only
B) parietal cells only
C) lumen of the small intestine only
D) both salivary glands and parietal cells
E) both parietal cells and lumen of the small intestine
Definition
both parietal cells and lumen of the small intestine
Term
76) Which of the following substances does NOT require the interaction with a protein in the intestinal tract to be absorbed?
A) fat-soluble vitamins
B) vitamin B12
C) calcium
D) iron
E) sodium
Definition
fat-soluble vitamins
Term
77) The central component of the long reflex pathway typically involves the ________ nervous system, which acts to promote an increase in gastrointestinal activity.
A) parasympathetic
B) sympathetic
C) somatic
D) enteric
E) intrinsic
Definition
parasympathetic
Term
78) Gastric-phase control of gastrointestinal function refers to its site of origin, which is what?
A) the pancreas
B) the central nervous system
C) the stomach
D) the intestines
E) the colon
Definition
the stomach
Term
79) Which of the following is NOT one of the hormones released by the gastrointestinal tract that regulates its function?
A) gastrin
B) cholecystokinin
C) secretin
D) glucose inhibitory peptide
E) glucose-dependent insulinotropic peptide
Definition
glucose inhibitory peptide
Term
80) Which of the following is an enterogastrone?
A) gastrin
B) cholecystokinin
C) epinephrine
D) monoglyceride
E) bile
Definition
Term
81) What does the secretion of leptin cause?
A) increased motility of the gastrointestinal tract
B) increased pancreatic secretion into the gastrointestinal tract
C) decreased gastric secretion into the gastrointestinal tract
D) increased bile secretion
E) decreased sensation of hunger
Definition
Term
82) What causes leptin secretion to increase?
A) increased gluconeogenesis in liver cells
B) increased glycogenolysis in skeletal muscle cells
C) increased storage of calories in adipose cells
D) decreased synthesis of triglycerides in adipose cells
E) decreased synthesis of glycogen in liver cells
Definition
Term
83) Obesity predisposes a person for development of all of the following diseases EXCEPT ________.
A) diabetes mellitus type 1
B) atherosclerosis
C) heart disease
D) liver disease
E) hypertension
Definition
Term
84) A person is considered obese if their body fat composition is what percentage above normal?
A) 10
B) 20
C) 30
D) 40
E) 50
Definition
Term
85) What cell type secretes resistin?
A) adipocytes only
B) hepatocytes only
C) G cells only
D) macrophages only
E) adipocytes and macrophages
Definition
Term
86) The increase in absorbed nutrients in blood will cause secretion of what hormone to increase, thereby decreasing the sensation of hunger?
A) gastrin
B) insulin
C) cholecystokinin
D) secretin
E) glucagon
Definition
Term
87) The presence of food in the duodenum will cause secretion of what hormone to increase, thereby decreasing the sensation of hunger?
A) gastrin
B) insulin
C) cholecystokinin
D) secretin
E) glucagon
Definition
Term
88) ________ ions are produced within the parietal cells and transported across the apical membrane via an active transporter while, at the same time, ________ moves across the apical membrane through ion channels.
A) Hydrogen : sodium
B) Bicarbonate : chloride
C) Bicarbonate : hydrogen
D) Hydrogen : chloride
E) Hydrogen : bicarbonate
Definition
Term
89) Which of the following is a gastric-phase stimulus for acid secretion?
A) distension of the stomach and the act of swallowing
B) chewing and the act of swallowing
C) distension of the stomach and the presence of protein digestion products in the lumen of the stomach
D) chewing, swallowing, and the presence of protein digestion products in the lumen of the stomach
E) the presence of fat and protein digestion products in the lumen of the stomach
Definition
Term
90) Which of the following is NOT responsible for the decrease in parietal and chief cell secretion that occurs as food enters the small intestines?
A) decreased stomach pH
B) decreased distension of the stomach
C) lower concentration of digestive components
D) increased osmolarity of duodenal components
E) decreased fats and acids in the duodenum
Definition
Term
91) In response to the presence of food within the duodenum, the increased release of what hormone will primarily stimulate an increase in enzyme secretion from the exocrine pancreas?
A) insulin
B) gastrin
C) cholecystokinin
D) secretin
E) glucose-dependent insulinotropic peptide
Definition
Term
92) In response to the presence of food within the duodenum, the increased release of what hormone will primarily stimulate an increase in bicarbonate secretion from the exocrine pancreas?
A) insulin
B) gastrin
C) cholecystokinin
D) secretin
E) glucose-dependent insulinotropic peptide
Definition
Term
93) The secretion of cholecystokinin is primarily regulated by which of the following?
A) carbohydrate digestion products
B) protein digestion products and fat presence in the duodenum
C) distention of the duodenum
D) acid and amino acid content of the chyme
E) opening of the pyloric sphincter
Definition
Term
94) The secretion of secretin is primarily regulated by which of the following?
A) carbohydrate digestion products
B) protein digestion products and fat
C) distention of the duodenum
D) acid content of the duodenum
E) opening of the pyloric sphincter
Definition
Term
95) Which of the following are mechanisms by which cholecystokinin (CCK) facilitates digestion of fats?
A) stimulation of lipase and bile secretion
B) stimulation of gallbladder contraction and relaxation of the sphincter of Oddi
C) stimulation of lipase secretion and gallbladder contraction
D) stimulation of bile secretion and liver contraction
E) stimulation of bile secretion and contraction of the sphincter of Oddi
Definition
Term
96) What is the main hormone that stimulates bile secretion?
A) cholecystokinin
B) insulin
C) secretin
D) glucagon
E) gastrin
Definition
Term
97) In the intestine, smooth muscle cell contraction ________.
A) is graded by the extent of depolarization for slow waves until an action potential is generated
B) is graded by the extent of depolarization for slow waves whether an action potential is generated or not
C) requires an action potential and is therefore graded by frequency of action potentials
D) requires an action potential but is graded by slow wave height
E) is stimulated by motor neurons
Definition
Term
98) What causes peristalsis?
A) contraction of the circular muscle layer and relaxation of the longitudinal muscle at the same segment
B) relaxation of the circular muscle layer and contraction of the longitudinal muscle at the same segment
C) contraction of circular muscle layer and relaxation of the longitudinal muscle in the proximal segment coupled to the contraction of longitudinal muscle and relaxation of the circular muscle in the distal segment
D) relaxation of circular muscle layer and contraction of the longitudinal muscle in the proximal segment coupled to the relaxation of longitudinal muscle and contraction of the circular muscle in the distal segment
E) contraction of both the circular muscle layer and longitudinal muscle in the proximal segment coupled to the relaxation of both the circular muscle layer and longitudinal muscle in the distal segment
Definition
Term
99) What causes segmentation?
A) contraction of the circular muscle at one intestinal segment coupled with its relaxation at adjoining segments
B) contraction of longitudinal muscle at one intestinal segment coupled with its relaxation at adjoining segments
C) contraction of the circular muscle at one intestinal segment coupled with contraction of the longitudinal muscle at adjoining segments
D) contraction of both the circular and longitudinal layers of muscle at one segment coupled with the relaxation of both at adjoining segments
E) relaxation of circular muscle layer and contraction of the longitudinal muscle at one segment coupled to the relaxation of longitudinal muscle and contraction of the circular muscle in the adjoining segments
Definition
Term
100) What does propelling food to the back of the mouth with the tongue initiate?
A) swallowing reflex
B) chewing reflex
C) bolus formation
D) peristalsis
E) receptive relaxation
Definition
Term
101) What does entry of the bolus into the esophagus initiate by stimulating stretch receptors?
A) the swallowing reflex
B) the chewing reflex
C) bolus formation
D) peristalsis
E) receptive relaxation
Definition
peristalsis
Term
102) What is the decrease in rugae folding within the stomach in advance of the arrival of a bolus of food called?
A) esophageal reflex relaxation
B) gastric expansion
C) receptive relaxation
D) peristaltic relaxation
E) gastric unfolding
Definition
receptive relaxation
Term
103) The peristaltic waves of the stomach will result in ________ if the pyloric sphincter is closed.
A) an inhibition of further waves
B) stimulation of hormone secretion from the duodenum
C) the formation of a bolus
D) some of the chyme being forced into the duodenum even
E) the mixing of the chyme
Definition
the mixing of the chyme
Term
104) Which of the following describes events of the migrating motility complex in the stomach?
A) mild fundic contractions accompanied by pyloric relaxation
B) intense antral contractions accompanied by pyloric contraction
C) intense antral contractions accompanied by pyloric relaxation
D) mild antral contractions accompanied by pyloric relaxation
E) intense fundic contractions accompanied by pyloric contraction
Definition
intense antral contractions accompanied by pyloric relaxation
Term
105) Where does peristalsis occur?
A) esophagus only
B) stomach only
C) small intestine only
D) both stomach and small intestine
E) esophagus, stomach, and small intestine
Definition
esophagus, stomach, and small intestine
Term
106) Which of the following increases gastric motility?
A) distension of the stomach
B) cholecystokinin and secretin
C) increased osmolarity of duodenal contents
D) distension of the intestines
E) increased fat content in the lumen of the duodenum
Definition
distension of the stomach
Term
107) What is the function of segmentation in the small intestines?
A) the opening of the pyloric valve
B) releasing bile from the gall bladder
C) releasing pancreatic juices
D) propelling the chyme
E) mixing the chyme
Definition
mixing the chyme
Term
108) What reflex protects the small intestine by inhibiting contractions while the intestines are injured or severely distended?
A) intestino-intestinal reflex
B) ileogastric reflex
C) gastroileal reflex
D) colonocolonic reflex
E) gastrocolic reflex
Definition
intestino-intestinal reflex
Term
109) What reflex stimulates the motility of the ileum in response to the presence of chyme in the stomach?
A) intestino-intestinal reflex
B) ileogastric reflex
C) gastroileal reflex
D) colonocolonic reflex
E) gastrocolic reflex
Definition
gastroileal reflex
Term
109) What reflex stimulates the motility of the ileum in response to the presence of chyme in the stomach?
A) intestino-intestinal reflex
B) ileogastric reflex
C) gastroileal reflex
D) colonocolonic reflex
E) gastrocolic reflex
Definition
colonocolonic reflex
Term
111) What is a mass movement?
A) a segmentation-like wave in the large intestine that causes the elimination of contents as feces
B) a peristaltic-like wave in the large intestine that causes the elimination of contents as feces
C) a segmentation-like wave in the large intestine that mixes the contents
D) a peristaltic-like wave in the large intestine that propels the contents toward the rectum
E) another name for defecation
Definition
a peristaltic-like wave in the large intestine that propels the contents toward the rectum
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