Digestion

25 July 2022
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Triglycerides _______.
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are digested by lipase are lipids are fats dissolve poorly in water *****All of the above are true.
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Adding bile to triglycerides _______.
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increases the surface area of the triglycerides
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Which of following does NOT secrete a lipase?
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the small intestine
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Prior to lipase digestion of triglycerides, the solution would be _______.
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more basic
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When BAPNA is hydrolyzed, it _______.
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changes from colorless to yellow
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Pepsin is classified as _______.
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an enzyme and a peptidase
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Pepsin is secreted by _______.
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chief cells
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The building blocks for peptides are _______.
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amino acids
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The substrate of lipase is _______.
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triglyceride
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Why is gastric lipase NOT as active as pancreatic lipase?
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The pH of the stomach is too low and no bile is present in the stomach.
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Enzymes are _______.
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made of protein and are catalysts (they are not permanently changed by the substrate)
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The substance that the enzyme acts on is called its _______.
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substrate
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Amylase is secreted by _______.
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both the salivary glands and the pancreas
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Maltose is a _______.
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disaccharide
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The optimal pH for pepsin activity is ______
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2
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Pepsin is _______.
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a peptidase, an enzyme that digests protein and a protein that digests protein
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What occurred when pepsin was boiled?
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It was inactivated.
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Which chemical activates the transformation of trypsinogen to trypsin?
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enteropeptidase Enteropeptidase is a protein produced by and bound to the membranes of intestinal cells. Contact with this protein converts trypsinogen to trypsin, the active form of the enzyme
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The outermost tissue layer of the alimentary canal is the __________.
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serosa
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Which layer of the stomach contains the gastric pits that secrete mucous, acid, and digestive enzymes?
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mucosa The mucosa of the stomach contains the epithelial lining and the gastric pits, which extend down into the mucosa but do not penetrate the submucosa.
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Which of the following is least involved in the mechanical breakdown of food, digestion or absorption of nutrients?
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the esophagus
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Which of the following is true concerning the number and type of permanent teeth?
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There are 32 permanent teeth, and the wisdom teeth are the last to emerge.
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The mechanical and chemical receptors that control digestive activity are located ________.
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in the walls of the tract organs
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Which enzyme(s) is/are responsible for the chemical breakdown of carbohydrates?
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amylases Amylases hydrolyze carbohydrate chains
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Which of the following produce intrinsic factor?
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parietal cells
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A doctor consulting a patient that recently has had their gall bladder removed would likely advise ________.
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eating foods that are low in fat
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One of the direct consequences of lactose intolerance is ______.
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increased osmotic pressure of the large intestine contents Osmotic pressure is the tendency of water to move into a cell by osmosis (diffusion of water). Recall that the rate of osmosis is dictated by the concentration of non-diffusible solutes in a solution.
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Which of the following enzymes would be most active in the presence of a high concentrations of protein fragments?
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trypsin
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The _____ is the serous membrane that covers the abdominal organs.
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The visceral peritoneum covers the external surface of most digestive organs.
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Select the correct statement about electrolyte absorption.
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Iron and calcium are absorbed mostly by the duodenum.
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Which of the following propels food residue over large areas of the colon three to four times a day?
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mass movement
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How would you classify chewing food?
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mechanical breakdown
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All but one of the following is a function of the low pH found in the stomach. Select the description below that does not reflect a role of stomach acid. A)The stomach's acid catabolically breaks down foodstuffs in preparation for absorption. B)Stomach acid denatures proteins making the polypeptide chain more accessible to pepsin digestive enzymes. C)Many potentially harmful bacteria will be prevented entry to the small intestine by stomach acid. D)Low pH converts pepsinogen to its active form, pepsin.
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The stomach's acid catabolically breaks down foodstuffs in preparation for absorption.
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Select the correct statement about absorption. A)Amino acid transport is linked to chloride transport. B)In the rare case that intact, whole proteins are transported across the mucosal endothelium, an immune response may be generated. C)Carbohydrates diffuse across the mucosal endothelium and are then actively transported into blood capillaries. D)Eighty percent of ingested materials have been absorbed by the end of the large intestine.
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In the rare case that intact, whole proteins are transported across the mucosal endothelium, an immune response may be generated.
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The dental formula for an adult is 2-1-2-3. What does the 1 stand for?
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canine tooth
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Choose the answer that best describes the liver's role in lipid digestion.
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The liver creates bile, a soapy compound that emulsifies lipids.
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Drag the terms to complete the summary of Mrs. F's protein problems.
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The normal osmolarity of intracellular and extracellular fluid is 300 mOsm, which makes them isotonic. Normal cell and plasma osmolarity is best illustrated by diagram number 1. Mrs. F's liver is no longer producing enough plasma protein so her blood has become hypotonic to her cells. This is best illustrated by diagram number 3. Because Mrs. F's cells are hypertonic to her plasma, water will move into the cells by osmosis, causing her tissues to swell.
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Which of the liver functions below is most likely to affect Mrs. F's K+ levels? She has low levels of K+
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The liver destroys aldosterone. Good! When you think about K+, you should think about aldosterone right away. Aldosterone is the hormone that activates the Na+/K+ exchange in the kidneys, moving 3 Na+ into the blood and 2 K+ into the urine. The liver stops this process by destroying the aldosterone. If the liver cannot destroy aldosterone fast enough, the Na+/K+ exchange will continue to run, and K+ will be lost in the urine. This is sometimes called "potassium wasting." Because potassium controls nerve and muscle firing, this loss of potassium could cause decreased reflexes, weakness, and-finally-fatal heart arrhythmias. In addition, Mrs. F will be moving too much Na+ from her urine into her blood-and because there is more solute entering her blood than her urine, water will also move from her urine into her blood, increasing her blood volume. That is why she has high blood pressure, and it may also make her edema worse. As you care for Mrs. F, you will need to be aware of these potential problems and watch carefully (so you can catch them early if they develop). The liver does regulate blood glucose, but that does not affect K+ levels.
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Which of the liver functions below is most likely to affect Mrs. F's clotting?
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Good! The liver is vital for proper blood clotting. First, the liver synthesizes plasma proteins, including many clotting factors. Second, if the liver fails to produce bile, fat and fat-soluble vitamins cannot be absorbed effectively from the diet. Vitamin K is an essential clotting factor. And there is a third reason...
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All of the following are true of swallowing (deglutition) except one. Select the statement that is not true of swallowing. A)The epiglottis assists in propelling food into the trachea. B)The mouth, pharynx and esophagus all take part in swallowing. C)The involuntary portion of swallowing takes place in the pharynx. D)The voluntary phase of swallowing takes place within the mouth.
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The epiglottis assists in propelling food into the trachea.
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When a baby ingests breast milk, the milk's IgA antibodies may be absorbed into the baby's bloodstream because ______.
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many pepsinogen molecules remain unchanged
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Which of these is not a component of saliva?
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a cyanide derivative
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Which area of the stomach adjoins the small intestine?
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pylorus
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Which water-soluble vitamins are absorbed in the small intestines?
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B complex and C vitamins
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The function of the goblet cells is to ________.
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produce mucus that protects parts of the digestive organs from the effects of powerful enzymes needed for food digestion
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__________ can result if food passes too slowly through the large intestine.
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Constipation
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Carbohydrates are digested into __________.
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monosaccharides
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Which of the following constitute a portal triad?
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a bile duct along with a portal venule and arteriole
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The sight of food can trigger a series of events that results in the release of gastric juice. All but one of the following is true in regards to the previous statement. Select the one answer that is not true.
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The motor nerves of this pathway are part of the sympathetic division of the autonomic nervous system.
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Select the description below that illustrates a difference between a sphincter and circular muscle.
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A sphincter is a thickening of circular muscle that can prevent the movement of digesting materials while circular muscle is involved in propulsion digesting material.
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Most absorption of nutrients occurs in the __________.
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jejunum
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Choose the incorrect statement regarding bile. A)Bile contains enzymes for digestion. B)Bile functions to carry bilirubin formed from breakdown of worn-out RBCs. C)Bile functions to emulsify fats. D)Bile is both an excretory product and a digestive secretion.
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Bile contains enzymes for digestion.
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Which organ of the digestive tract is the body's major digestive organ?
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small intestine
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Pepsinogen, an inactive digestive enzyme, is secreted by the ________.
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chief cells of the stomach
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The lamina propria is composed of ________.
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loose connective tissue
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Which major process involves the removal of water from intestinal contents?
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Absorption (absorption is the passage of digested end products and water from the lumen of the GI tract through the mucosal cells into blood or lymph)
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Short-chain triglycerides found in foods such as butterfat molecules in milk are split by a specific enzyme in preparation for absorption. Which of the following enzymes is responsible?
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lipase
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Which of the following is the primary physiological function of the large intestine?
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water absorption and feces elimination
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Which of the following does NOT describe a basic regulator of digestive control? A) Digestive effectors are smooth muscle and glands. B) pH, stretch, and osmolarity are some of the inputs that can initiate digestive responses. C) conscious neural control D) Short reflexes act locally in the GI tract.
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conscious neural control
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Fat absorption through the plasma membrane of epithelial cells ________.
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occurs by simple diffusion because lipids are able to penetrate the hydrophobic fatty acid tails within the plasma membrane
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A mumps viral infection of the two parotid glands may ______.
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spread to the other salivary glands
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What structural modification of the small intestine slows the movement of chyme through the lumen?
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circular folds
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Which of the following are NOT correctly matched? A) nuclease: DNA and RNA digestion B) amylase: carbohydrate digestion C) protease: lipid digestion D) lipase: fat digestion
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protease: lipid digestion
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How are fats absorbed into the lymph?
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in the form of chylomicrons
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Increase output of pancreatic juice rich in bicarbonate ions?
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secretin
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Increases output of enzymatic-rich pancreatic juice?
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cholecystokinin
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Increase HCl secretion and stimulates contraction of intestinal muscle?
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gastrin
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Stimulates insulin release and mildly inhibits HCl production?
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gastric inhibitory peptide
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Which of the following is the major process or function that occurs in the stomach?
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mechanical digestion
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You have just eaten a meal high in complex carbohydrates. Which of the following enzymes will help to digest the meal?
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amylase
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Peristaltic waves are ________.
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waves of muscular contractions that propel contents from one point to another
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Bile salts bind at their hydrophobic regions to large fat globules within the chyme that enters the duodenum. Bile salts break up the fat globule into smaller fat droplets. This role of bile salts is best described as ________.
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lipid emulsification
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What control mechanism opens the gastroesophageal sphincter?
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peristalsis in the esophagus
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What muscle forms the labia of the mouth and controls most lip movement, including puckering?
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orbicularis oris
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Which of the following is NOT a means of mechanically breaking down food? churning peristalsis segmentation mastication
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Peristalsis is a physical process used for propulsion, or movement, through the GI tract.
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Hormones or paracrines that inhibit gastric secretion include ________.
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secretin
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Which of the following is not a common risk factor for acid reflux disease? being overweight or obese snacking near bedtime eating fatty or spicy foods sitting upright after a meal
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sitting upright after a meal
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What is the condition called where a proximal portion of the stomach pushes through an opening in the diaphragm, allowing stomach acid to pass into the esophagus?
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hiatal hernia
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From the esophagus to the anal canal, the walls of every organ of the alimentary canal are made up of the same four basic layers. Arrange them in order from the lumen.
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mucosa, submucosa, muscularis externa, and serosa
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Which layer of the digestive tract controls digestive propulsion?
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muscularis externa The smooth muscles in the muscularis work to make the propulsive movements called peristalsis.
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How many total permanent teeth should an adult have, assuming none have been lost or removed?
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32
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Generally the hormones secretin and cholecystokinin which are released by duodenal enteroendocrine cells will ________.
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slow the activities of the stomach
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The ________ contains lobules with sinusoids (lined with macrophages) that lead to a central venous structure.
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liver
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Which of the following is NOT a function of saliva? A) Saliva dissolves food chemicals so that they can be tasted. B) Saliva cleanses the mouth. C) Saliva moistens food and helps compact it into a bolus. D) Saliva contains enzymes that begin the chemical breakdown of proteins.
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Saliva contains enzymes that begin the chemical breakdown of proteins. Saliva contains components with functions ranging from starch breakdown to fighting bacterial infection, but it does not contain any enzymes that digest protein.
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Woman gets sick after eating fatty foods. Whites of her eyes are yellow, Tenderness on right side of abdomen. BP and HR normal. Based on this initial assessment, what organs do you think might be involved in this woman's illness, and why? Choose the two most likely organs involved in her illness.
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1. Liver, because of the yellow coloration in her eyes, which indicates that the liver is not processing bilirubin. 2. Gall bladder, because it stores bile and might be related to the bilirubin buildup in her blood.
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Red blood cells contain the protein
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Hemoglobin
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When red blood cells are old or injured, the spleen breaks them down and converts the heme from their hemoglobin into
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Bilirubin
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The liver further converts it into ____________, which is stored in the ___________.
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1. Bile 2. Gall bladder
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When you eat fat, the cells of your small intestine release the hormone
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cholecystokinin
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Contraction of the ___________ forces the _______ into the _______________, where it emulsifies fats and aids in their digestion.
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1. Gall bladder 2. bile 3. duodenum
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The nurse asked whether she has noticed a change in her stools. The woman answered that they were hard to flush (they float) and kind of gray-looking. Why did the nurse ask about stools?
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Someone with difficulty converting bilirubin into bile will have trouble digesting fats, and they will go out in the stool.
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Why might a gallstone affect the pancreas?
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A gallstone that blocks the hepatopancreatic ampulla (ampulla of Vater) will block the release of digestive enzymes from the pancreas.
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The nurse noticed the following: She was pale, sweating, and had cool, clammy skin. Her heart rate was high and so was her blood pressure. She had no detectible bowel sounds. What part of the autonomic system was activated in this patient?
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Sympathetic system because severe pain activates the fight or flight response, which has all the effects she exhibits.
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After her surgery to remove her gallbladder and clear the obstructed bile duct, the woman recovered uneventfully, and her pancreatitis resolved. Now she wants to know what this surgery has done to her ability to produce bile and digest food. What is the answer?
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Her liver will still make bile, but she will have a limited ability to store it (the bile duct may stretch to take on some of this role), so she may not be able to process large amounts of fat in a single meal.