Exam 64: Propulsion and Mixing of Food in the Alimentary Tract
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Exam 64: Propulsion and Mixing of Food in the Alimentary Tract33 Questions
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Mass movements are often stimulated after a meal by distention of the stomach and distention of the duodenum. Mass movements often lead to which of the following?
(Multiple Choice)
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Parasympathetic stimulation can increase intestinal motility because parasympathetic stimulation increases slow wave frequency.
(Multiple Choice)
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Ileocecal sphincter tone decreases (relaxes) after distention of which structure?
(Multiple Choice)
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A person sustaining a stroke can have trouble swallowing because a stroke can cause damage to the swallowing center.
(Multiple Choice)
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Which one of the following manometric recordings illustrates normal function of the esophagus at mid-thoracic level before and after swallowing (arrow)? The dashed lines represent a pressure of 0 mm Hg. 

(Short Answer)
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Which one of the following manometric recordings illustrates normal function of the esophagus at a point below the diaphragm before and after swallowing (arrow)? The dashed lines represent a pressure of 0 mm Hg. 

(Short Answer)
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Which of the following occur during the act of vomiting? Lower\nobreakspaceEsophageal Upper\nobreakspaceEsophageal Abdominal Diaphragm Sphincter Sphincter Muscles A. Contract Contract Contract Contract B. Contract Contract Relax Relax C. Relax Contract Contract Relax D. Relax Relax Contract Contract E. Relax Relax Relax Relax
(Short Answer)
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A newborn boy does not pass meconium in the first 24 hours. His abdomen is distended, and he begins vomiting. Various other tests lead to a diagnosis of Hirschsprung's disease. An obstruction is most likely to be found in which portion of the gut?
(Multiple Choice)
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A 39-year-old man has from chest pain when he eats, especially meat. He also belches excessively and has heartburn. His wife complains about his bad breath. The radiograph shows a dilated esophagus, and achalasia is suspected. Esophageal manometry confirms the diagnosis. Which one of the pressure tracings given below was taken at the lower esophageal sphincter of this patient before and after swallowing (arrow)? The dashed line represents a pressure of 0 mm Hg. 

(Short Answer)
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The main mixing movement of the stomach is which of the following?
(Multiple Choice)
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A 43-year-old medical student suffers severe damage to the conus medullaris in an accident. He initiates defecation by inserting a balloon-tipped Foley catheter into his rectum and inflating the balloon with a 50 mL syringe. Which reflex is stimulated by the balloon in this patient?
(Multiple Choice)
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The diagram shows manometric recordings from a patient before and after pelvic floor training. A balloon placed in the rectum was inflated (arrows) and deflated repeatedly. Tracing Z is a manometric recording obtained from the external anal sphincter before and after pelvic floor training. Which of the following best describe the origin of tracing X?
(Multiple Choice)
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The ileocecal junction functions as a valve and a sphincter. Ileocecal sphincter tone increases after distention of which of the following?
(Multiple Choice)
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