Deck 33: Structure and Function of the Digestive System
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Deck 33: Structure and Function of the Digestive System
1
The ileum and jejunum are suspended by folds of the peritoneum known as the _____ that contains an extensive vascular and nervous network.
A) Myenteric plexus
B) Mesentery
C) Auerbach fold
D) Meissner plexus
A) Myenteric plexus
B) Mesentery
C) Auerbach fold
D) Meissner plexus
Mesentery
2
Absorption of nutrients from the intestine occurs initially through the:
A) Mesentery
B) Villi
C) Lamina propria
D) Splenic veins
A) Mesentery
B) Villi
C) Lamina propria
D) Splenic veins
Villi
3
The vermiform appendix is attached to the:
A) Duodenum
B) Ileum
C) Cecum
D) Sigmoid colon
A) Duodenum
B) Ileum
C) Cecum
D) Sigmoid colon
Cecum
4
The nursing student is teaching a class to second graders.The student would correctly identify that food moves down the esophagus via the process termed:
A) Peristalsis
B) Retropulsion
C) Haustral segmentation
D) Defecation
A) Peristalsis
B) Retropulsion
C) Haustral segmentation
D) Defecation
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5
The colon receives splanchnic blood flow from which artery(ies)?
A) Celiac
B) Superior and inferior mesenteric
C) Hepatic and portal
D) Omental
A) Celiac
B) Superior and inferior mesenteric
C) Hepatic and portal
D) Omental
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6
The ________ sphincter controls the movement of chyme from the sigmoid colon into the rectum?
A) Oddi
B) Ileocecal
C) O'Beirne
D) Internal anal
A) Oddi
B) Ileocecal
C) O'Beirne
D) Internal anal
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7
Which reflex inhibits gastric motility when the ileum becomes overdistended?
A) Ileogastric
B) Gastroduodenal
C) Gastroileal
D) Colonointestinal
A) Ileogastric
B) Gastroduodenal
C) Gastroileal
D) Colonointestinal
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8
Digested fats are primarily absorbed into the:
A) Lacteals
B) Central arterioles
C) Lamina propria
D) Villus capillaries
A) Lacteals
B) Central arterioles
C) Lamina propria
D) Villus capillaries
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9
A new drug is being tested that is known to inhibit parasympathetic nervous system activity.It is expected that the salivary glands will become:
A) Hyperactive
B) Hypoactive
C) Atrophied
D) Enlarged
A) Hyperactive
B) Hypoactive
C) Atrophied
D) Enlarged
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10
Which sphincter prevents reflux of digested material from the colon into the small intestine?
A) Haustral
B) Lower esophageal
C) Pyloric
D) Ileocecal valve
A) Haustral
B) Lower esophageal
C) Pyloric
D) Ileocecal valve
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11
The patient asks how the GI system works.The nurse would identify that autonomic and hormonal control are involved in GI motility and:
A) Defecation
B) Swallowing
C) Mastication
D) Digestive enzyme secretion
A) Defecation
B) Swallowing
C) Mastication
D) Digestive enzyme secretion
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12
Mucus production to form the mucosal barrier in the stomach is stimulated by the release of:
A) Somatostatin
B) Gastrin
C) Prostaglandins
D) Histamine
A) Somatostatin
B) Gastrin
C) Prostaglandins
D) Histamine
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13
The nursing faculty is discussing digestion and indicates it begins in the mouth with salivary
-amylase (ptyalin)that initiates the digestion of:
A) Proteins
B) Carbohydrates
C) Fats
D) Amino acids

A) Proteins
B) Carbohydrates
C) Fats
D) Amino acids
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14
A young male student becomes very hungry during class.He begins thinking of a cheeseburger and fries,his favorite meal.These thoughts will trigger which phase of gastric secretion?
A) Cephalic
B) Caudal
C) Enteral
D) Intestinal
A) Cephalic
B) Caudal
C) Enteral
D) Intestinal
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15
For the patient experiencing esophageal reflux,the nurse would expect which sphincter to be malfunctioning?
A) Pyloric
B) Lower esophageal
C) Upper esophageal
D) Gastric
A) Pyloric
B) Lower esophageal
C) Upper esophageal
D) Gastric
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16
Which of the following liver cells are phagocytic?
A) Glisson
B) Kupffer
C) Meissner
D) Lieberkühn
W
A) Glisson
B) Kupffer
C) Meissner
D) Lieberkühn
W
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17
The chemist analyzing a sample of normal saliva would expect it to reveal which immunoglobulin?
A) IgG
B) IgD
C) IgE
D) IgA
A) IgG
B) IgD
C) IgE
D) IgA
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18
The capillaries of the liver are more commonly known as hepatic:
A) Canaliculi
B) Ducts
C) Sinusoids
D) Papillae
A) Canaliculi
B) Ducts
C) Sinusoids
D) Papillae
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19
Which cells of the gastric glands secrete hydrochloric acid?
A) Chief
B) Parietal
C) Zymogenic
D) Surface epithelial
A) Chief
B) Parietal
C) Zymogenic
D) Surface epithelial
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20
The _____ reflex initiates propulsion in the entire colon,usually during or immediately after eating.
A) Gastrocolic
B) Ileocolic
C) Duodenocolic
D) Cephalocolic
A) Gastrocolic
B) Ileocolic
C) Duodenocolic
D) Cephalocolic
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21
The patient asks the student to explain what the gastrointestinal (GI)tract actually does.The student would be correct in telling the patient the GI tract performs which of the following processes? (Select all that apply.)
A) Absorption of digested food
B) Chemical breakdown of food particles
C) Erythropoiesis
D) Mechanical breakdown of food particles
E) Secretion of mucus
A) Absorption of digested food
B) Chemical breakdown of food particles
C) Erythropoiesis
D) Mechanical breakdown of food particles
E) Secretion of mucus
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22
Which information indicates the nurse understands digestion? During the cephalic and gastric phases of digestion,gallbladder contraction is mediated by branches of the:
A) Sympathetic nervous system
B) Somatic nervous system
C) Vagus nerve
D) Glossopharyngeal nerve
A) Sympathetic nervous system
B) Somatic nervous system
C) Vagus nerve
D) Glossopharyngeal nerve
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23
The function of the acinar cells of the pancreas is to secrete:
A) Bicarbonate
B) Enzymes
C) Mucus
D) Electrolytes
A) Bicarbonate
B) Enzymes
C) Mucus
D) Electrolytes
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24
Parasympathetic stimulation to the pancreas will cause which of the following reactions?
A) Hormonal inhibition
B) Enzyme secretion
C) Vasoconstriction
D) Decreased bicarbonate production
A) Hormonal inhibition
B) Enzyme secretion
C) Vasoconstriction
D) Decreased bicarbonate production
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25
The exocrine portion of the pancreas contains:
A) Alpha cells
B) Beta cells
C) Ducts
D) Islets of Langerhans
A) Alpha cells
B) Beta cells
C) Ducts
D) Islets of Langerhans
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26
In the liver,free bilirubin moves from the plasma in the sinusoids into the hepatocytes,where it is converted into:
A) Unconjugated bilirubin
B) Biliverdin
C) Conjugated bilirubin
D) Urobilinogen
A) Unconjugated bilirubin
B) Biliverdin
C) Conjugated bilirubin
D) Urobilinogen
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27
Which sphincter,when it relaxes,allows bile to flow into the duodenum?
A) Pyloric sphincter
B) Sphincter of Oddi
C) Ampulla of Vater
D) Ileocecal valve
A) Pyloric sphincter
B) Sphincter of Oddi
C) Ampulla of Vater
D) Ileocecal valve
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28
The pancreas produces which substance to prevent the premature activation of proteolytic enzymes in the pancreas?
A) Bicarbonate
B) Carboxypeptidase
C) Secretin
D) Trypsin inhibitor
A) Bicarbonate
B) Carboxypeptidase
C) Secretin
D) Trypsin inhibitor
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29
A 70-year-old male reports frequent GI problems.His primary care provider explains that during aging many GI processes decrease,including (select all that apply):
A) Gastric juice secretion
B) Gallbladder function
C) Hepatic regeneration
D) Efficiency of drug metabolism
E) Mucosal barrier protection
A) Gastric juice secretion
B) Gallbladder function
C) Hepatic regeneration
D) Efficiency of drug metabolism
E) Mucosal barrier protection
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30
The primary bile acids are synthesized from _______ by hepatocytes lining the bile canaliculi.
A) Lecithin
B) Fatty acids
C) Cholesterol
D) Testosterone
A) Lecithin
B) Fatty acids
C) Cholesterol
D) Testosterone
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