Chapter 23: The Digestive System
Paneth cells ___.
secrete enzymes that kill bacteria
Select the correct statement about absorption.
A) Eighty percent of ingested materials have been absorbed by the end of the large intestine.
B) Amino acid transport is linked to chloride transport.
C) Carbohydrates diffuse across the villus epithelium and are then actively transported into blood capillaries.
D) If intact proteins are transported across the villus epithelium, an immune response may be generated.
D) If intact proteins are transported across the villus epithelium, an immune response may be generated.
Which teeth are best suited for cutting or nipping off pieces of food in the permanent dentition?
Incisors
Gastric juice does not typically cause a burning sensation within the stomach. But reflux of this gastric juice into the esophagus can cause a burning sensation. One reason why this occurs is that the esophagus ______.
secretes mucus that is not identical to stomach mucus
The sheets of peritoneal membrane that hold the digestive tract in place are called ________.
Mesentieries
Which component of bile emulsifies fats?
A) bile salts
B) stercobilin
C) cholesterol
D) bilirubin
A) Bile Salts
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?
A) pepsin
B) rennin
C) lipase
D) cholecystokinin
C) lipase
What is the major digestive function of the pancreas?
Production of digestive enzymes
The primary dentition consists of __________ teeth.
20
The __________ is the last segment of the small intestine.
Ileum
The absorptive effectiveness of the small intestine is enhanced by increasing the surface area of the mucosal lining. Which of the following accomplish this task?
A) plicae circulares, villi, and microvilli
B) the rugae and haustra
C) Brunner's glands and Peyer Patches
D) the vast array of digestive enzymes
A) plicae circulares, villi, and microvilli
What is a major function of pancreatic juice?
Neutralizing chyme entering the small intestine from the stomach
Pepsinogen, a digestive enzyme, is secreted by the ________.
Chief cells of the stomach
Which of these is not a component of saliva?
A) lysozyme
B) a cyanide derivative
C) defensins
D) nitric oxide
B) a cyanide derivative
An effective way to medically treat diarrhea would be to use a drug that ______.
Inhibits the activity of the myenteric nerve plexus
Select the statement that is true concerning primary teeth.
A) There are 24 primary teeth, and no new primary teeth appear after 13 months.
B) There are 20 primary teeth, and by 24 months of age most children have all 20.
C) There are 32 primary teeth, and by 36 months of age, most children have all 32.
D) There are 27 primary teeth, and the molars are permanent.
B) There are 20 primary teeth, and by 24 months of age most children have all 20.
Lesser omentum
Mesentery
Parietal Peritoneum
Transverse Mesocolon
Greater Omentum
Visceral Peritoneum
The function of the hepatic portal circulation is to ________.
collect absorbed nutrients for metabolic processing or storage
Right and left colic flexure
Haustrum
Epiploic Appendages
Teniae Coli
Ileocecal Valve
Appendix
Hydrochloric acid is secreted by which of the secretory cells of the stomach?
Parietal Cells
In the __________ phase of gastric secretion, chyme is moved into the duodenum.
Intestinal
Cholecystokinin
Increases output of enzymatic-rich pancreatic juice
Gastrin
Increases HCI secretion and stimulates contraction of intestinal muscle
Secretin
Increases output of pancreatic juice rich in bicarbonate ions.
Gastric Inhibitory Peptide
Stimulates insulin release and mildly inhibits HCI production
Most digestion and absorption of nutrients occur in the __________.
Small Intestine
Which of the following is not a factor that helps create the stomach mucosal barrier?
A) thick coating of bicarbonate-rich mucus
B) production of intrinsic factor
C) tight junctions of epithelial mucosa cells
D) replacing of damaged epithelial mucosa cells
B) production of intrinsic factor
Which histological layer of the digestive tract is composed primarily of epithelial tissue?
Mucosa
Saliva does NOT __________.
aid in the chemical digestion of proteins
Teeth
Hormones or paracrines that inhibit gastric secretion include ________.
Secretin
Which organ of the digestive tract is the body's major digestive organ?
Small Intestine
When we ingest large molecules such as lipids, carbohydrates, and proteins, they must undergo catabolic reactions whereby enzymes split these molecules. This series of reactions is called ________.
Chemical Digestion
Select the correct statement about electrolyte absorption.
A) Potassium moves across the epithelium by active transport.
B) Iron and calcium are absorbed mostly by the duodenum.
C) Chlorine ion absorption is coupled to glucose and amino acid transport.
D) If vitamin B is not present, calcium is not absorbed.
B) Iron and calcium are absorbed mostly by the duodenum.
There are some 20 known pathogens found in the large intestine; our Ig ________ antibody-mediated response restricts them from going beyond the mucosa and causing problems.
IgA
Stomach
Which of the following are mismatched?
A) lipase: fat digestion
B) nuclease: DNA and RNA digestion
C) protease: lipid digestion
D) amylase: carbohydrate digestion
C) protease: lipid digestion
Chief cells ________.
produce pepsinogen
Hyposalivation can be treated with a drug that ______.
stimulates muscarinic receptors in salivary gland serous cells
A baby is admitted to the hospital with a history of projectile vomiting after each feeding. On examination, it is found that the sphincter controlling food passage from the stomach to the duodenum is thickened and does not open readily. Because of the baby's loss of gastric juice, his blood probably indicates ________.
Alkalosis
How are fats absorbed into the blood?
In the form of chylomicrons
Which chemical activates the transformation of trypsinogen to trypsin?
Enteropeptidase
Which of the following are types of papillae on the tongue that contain taste buds?
A) circumvallate and filiform
B) palatine and circumvallate
C) fungiform and circumvallate
D) fungiform, circumvallate, and filiform
C) fungiform and circumvallate
Greater Omentum
Mesentery
Transverse Colon
Sigmoid Mesocolon
The __________ circulation includes all of the major abdominal arteries that serve the digestive organs.
Splanchnic
What is the function of the bacterial flora that inhabit the large intestine?
A) Bacterial flora release a bicarbonate-rich juice to help neutralize chyme from the stomach.
B) Bacterial flora emulsify fats.
C) Bacterial flora facilitate nutrient absorption.
D) Bacterial flora synthesize B-complex vitamins and some of the vitamin K needed by the liver.
D) Bacterial flora synthesize B-complex vitamins and some of the vitamin K needed by the liver.
Structures of the large intestine
T/F: The major means of propulsion through the alimentary canal is peristalsis.
TRUE
Which major process involves the elimination of indigestible substances from the body via the anus?
Defecation
The chemical and mechanical processes of food breakdown are called ________.
Digestion
What role of the stomach is essential to life?
production of intrinsic factor
Structures of the mouth
What is the opening to the mouth called?
Oral Orifice
What muscle forms the labia of the mouth?
Orbicularis Oris
If an incision has to be made in the small intestine to remove an obstruction, the first layer of tissue to be cut is the ________.
Serosa
The ________ contains lobules with sinusoids (lined with macrophages) that lead to a central venous structure.
Liver
Peristaltic waves are ________.
Waves of muscular contractions that propel contents from one point to another
The major function of the large intestine is to __________.
Absorb water
Which of the following inhibits salivation?
A) spicy foods
B) sight or smell of food
C) parasympathetic division of the autonomic nervous system
D) sympathetic division of the autonomic nervous system
D) sympathetic division of the autonomic nervous system
Structures of the mouth
The innermost tissue layer of the alimentary canal is the __________.
Mucosa
Which of the following is NOT a structural modification of the small intestine to increase surface area?
A) rugae
B) circular folds
C) villi
D) microvilli
A) rugae
T/F: Bacteria that reside in the large intestine make vitamin K.
TRUE
The __________ is the serous membrane that lines the abdominal body wall.
Parietal Peritoneum
The appendix contains masses of lymphoid tissue and therefore has leukocytes capable of attacking bacteria present in the appendix. But during appendicitis, bacteria trapped in the lumen of the appendix are not effectively attacked because ______.
There is an adequate blood supply to the appendix wall
Which layer of the alimentary canal contains the nerve supply of the enteric neurons that regulate digestive system activity?
Submucosa
Alimentary Canal
Which of the following enzymes is specific for proteins?
A) lipase
B) amylase
C) trypsin
D) dextrinase
C) trypsin
Which enzymes are responsible for the final chemical breakdown of carbohydrates, proteins, and nucleic acids?
Brush Border Enzymes
Which duct carries bile out of bile ducts in the liver?
Common Hepatic Duct
Hepatocytes do not ________.
produce digestive enzymes
Which vitamin requires intrinsic factor in order to be absorbed?
B12
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.
1. Mucosa
2. Submucosa
3. Muscularis externa
4. Serosa
T/F: The soft palate rises reflexively to open the nasopharynx when we swallow food.
FALSE
When a baby ingests breast milk, the milk's IgA antibodies may be absorbed into the baby's bloodstream because ______.
many pepsinogen molecules remain unchanged
Digestive Tract
How are most nutrients absorbed through the mucosa of the intestinal villa?
Active transport driven directly ot indirectly by metabolic energy
Digestion of which of the following would be affected the most if the liver were severely damaged?
A) Carbohydrates
B) Starches
C) Lipids
D) Proteins
C) Lipids
Nervous control of gastric secretion is provided by ________.
The vagus nerve and enteric plexus