Deck 16: The Digestive System
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Deck 16: The Digestive System
1

Use Figure 16-1 to identify the labeled part.
Label F represents which structure?
A) circular fold
B) submucosa
C) muscularis externa
D) serosa
E) mucosa
D
2
Which layer of the digestive tract consists of dense irregular connective tissue?
A) submucosa
B) muscularis externa
C) lamina propria
D) muscularis mucosae
E) mucosa
A) submucosa
B) muscularis externa
C) lamina propria
D) muscularis mucosae
E) mucosa
A
3
Which of the following is an accessory organ of digestion?
A) stomach
B) liver
C) spleen
D) colon
E) esophagus
A) stomach
B) liver
C) spleen
D) colon
E) esophagus
B
4
The layer of the digestive tract that underlies the mucosal epithelium and consists of areolar connective tissue is the
A) lamina propria.
B) submucosa.
C) muscularis.
D) serosa.
E) adventitia.
A) lamina propria.
B) submucosa.
C) muscularis.
D) serosa.
E) adventitia.
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5
Which of the following consists of double sheets of serous membrane and provides a pathway for blood vessels,nerves,and lymphatic vessels?
A) lamina propria
B) serosa
C) adventitia
D) submucosa
E) mesenteries
A) lamina propria
B) serosa
C) adventitia
D) submucosa
E) mesenteries
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6

Use Figure 16-1 to identify the labeled part.
Label C represents which structure?
A) circular fold
B) submucosa
C) muscularis externa
D) serosa
E) mucosa
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7
Ingestion refers to the
A) progressive dehydration of indigestible residue.
B) input of food into the digestive tract through the mouth.
C) chemical breakdown of food.
D) absorption of nutrients in the gut.
E) mixing of nutrients with digestive enzymes.
A) progressive dehydration of indigestible residue.
B) input of food into the digestive tract through the mouth.
C) chemical breakdown of food.
D) absorption of nutrients in the gut.
E) mixing of nutrients with digestive enzymes.
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8

Use Figure 16-1 to identify the labeled part.
Label H represents which structure(s)?
A) mucosal glands
B) muscularis mucosa
C) submucosal glands
D) mucous epithelium
E) lamina propria
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9

Use Figure 16-1 to identify the labeled part.
Label E represents which structure?
A) circular fold
B) submucosa
C) muscularis externa
D) serosa
E) mucosa
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10
Contraction of the ________ layers of the intestinal wall functions to both agitate materials and propel them along the digestive tract.
A) mucosa
B) submucosa
C) serosa
D) muscularis externa
E) adventitia
A) mucosa
B) submucosa
C) serosa
D) muscularis externa
E) adventitia
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11

Use Figure 16-1 to identify the labeled part.
Label G represents which structure?
A) circular fold
B) submucosa
C) muscularis externa
D) serosa
E) mucosa
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12
The release of water,acids,enzymes,and buffers by the digestive epithelium is called
A) digestion.
B) secretion.
C) excretion.
D) absorption.
E) ingestion.
A) digestion.
B) secretion.
C) excretion.
D) absorption.
E) ingestion.
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13
The lamina propria is a component of the
A) serosa.
B) muscularis.
C) submucosa.
D) mucosa.
E) adventitia.
A) serosa.
B) muscularis.
C) submucosa.
D) mucosa.
E) adventitia.
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14
The oral cavity,pharynx,esophagus,and anus are lined by
A) pseudostratified ciliated columnar epithelium.
B) cuboidal epithelium.
C) stratified squamous epithelium.
D) simple epithelium.
E) simple columnar epithelium.
A) pseudostratified ciliated columnar epithelium.
B) cuboidal epithelium.
C) stratified squamous epithelium.
D) simple epithelium.
E) simple columnar epithelium.
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15

Use Figure 16-1 to identify the labeled part.
Label D represents which structure?
A) circular fold
B) submucosa
C) muscularis externa
D) serosa
E) mucosa
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16
The movement of small organic molecules,electrolytes,vitamins,and water across the digestive epithelium and into the interstitial fluid of the digestive tract is called
A) secretion.
B) ingestion.
C) digestion.
D) absorption.
E) excretion.
A) secretion.
B) ingestion.
C) digestion.
D) absorption.
E) excretion.
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17
The oral cavity,pharynx,esophagus,and rectum have an adventitia in place of the
A) mucosa.
B) lamina propria.
C) serosa.
D) muscularis externa.
E) submucosa.
A) mucosa.
B) lamina propria.
C) serosa.
D) muscularis externa.
E) submucosa.
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18

Use Figure 16-1 to identify the labeled part.
Label B represents which structure(s)?
A) circular folds
B) submucosa
C) muscularis externa
D) serosa
E) mucosa
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19
The muscularis externa layer contains nerves referred to as the
A) muscularis nerves.
B) submucosal plexus.
C) enteric nerves.
D) myenteric plexus.
E) circular plexus.
A) muscularis nerves.
B) submucosal plexus.
C) enteric nerves.
D) myenteric plexus.
E) circular plexus.
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20

Use Figure 16-1 to identify the labeled part.
Label A represents which structure(s)?
A) myenteric plexus
B) mesenteric artery and vein
C) lymphatic vessel
D) submucosal plexus
E) mucosal gland
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21

Use Figure 16-1 to identify the labeled part.
Label K represents which structure(s)?
A) mucosal glands
B) muscularis mucosa
C) villi
D) submucosal glands
E) lamina propria
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22
Which of the following produces secretions with mostly buffers and mucus,but few enzymes?
A) parotid and submandibular salivary glands
B) parotid salivary glands only
C) sublingual and parotid salivary glands
D) submandibular and sublingual salivary glands
E) pancreas and parotid salivary glands
A) parotid and submandibular salivary glands
B) parotid salivary glands only
C) sublingual and parotid salivary glands
D) submandibular and sublingual salivary glands
E) pancreas and parotid salivary glands
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23
The salivary glands that produce secretions rich in salivary amylase are the
A) sublingual glands.
B) submandibular glands.
C) lingual glands.
D) parotid glands.
E) submaxillary glands.
A) sublingual glands.
B) submandibular glands.
C) lingual glands.
D) parotid glands.
E) submaxillary glands.
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24

Use Figure 16-1 to identify the labeled part.
Label N represents which structure?
A) muscularis mucosa
B) circular muscle layer
C) longitudinal muscle layer
D) submucosal gland
E) mucosal gland
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25

Use Figure 16-1 to identify the labeled part.
Label I represents which structure(s)?
A) mucosal glands
B) muscularis mucosa
C) villi
D) mucous epithelium
E) lamina propria
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26

Use Figure 16-1 to identify the labeled part.
Label L represents which structure(s)?
A) mucosal glands
B) mucosa
C) villi
D) mucous epithelium
E) lamina propria
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27

Use Figure 16-1 to identify the labeled part.
Label O represents which structure(s)?
A) myenteric plexus
B) artery and vein
C) lymphatic vessel
D) submucosal plexus
E) mucosal glands
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28

Use Figure 16-1 to identify the labeled part.
Label M represents which structure?
A) muscularis mucosa
B) circular muscle layer
C) longitudinal muscle layer
D) submucosal gland
E) mucosal gland
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29
Which type of teeth is used for clipping and cutting?
A) cuspids
B) bicuspids
C) canines
D) molars
E) incisors
A) cuspids
B) bicuspids
C) canines
D) molars
E) incisors
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30

Use Figure 16-1 to identify the labeled part.
Label J represents which structure(s)?
A) mucosal glands
B) mucosa
C) villi
D) mucous epithelium
E) lamina propria
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31

Use Figure 16-1 to identify the labeled part.
Label Q represents which structure(s)?
A) myenteric plexus
B) artery and vein
C) lymphatic vessel
D) submucosal plexus
E) mucosal glands
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32

Use Figure 16-1 to identify the labeled part.
Label S represents which structure(s)?
A) myenteric plexus
B) artery and vein
C) lymphatic vessel
D) submucosal plexus
E) mucosal glands
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33
Which of the following covers the dentin,providing protection and firmly anchoring the periodontal ligament?
A) root
B) enamel
C) cementum
D) gingiva
E) blood vessels and nerves
A) root
B) enamel
C) cementum
D) gingiva
E) blood vessels and nerves
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34

Use Figure 16-1 to identify the labeled part.
Label P represents which structure(s)?
A) myenteric plexus
B) artery and vein
C) lymphatic vessel
D) submucosal plexus
E) mucosal glands
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35

Use Figure 16-1 to identify the labeled part.
Label R represents which structure?
A) muscularis mucosa
B) circular muscle layer
C) longitudinal muscle layer
D) submucosal gland
E) mucosal gland
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36

Use Figure 16-1 to identify the labeled part.
Label T represents which structure?
A) muscularis mucosa
B) circular muscle layer
C) longitudinal muscle layer
D) submucosal gland
E) mucosal gland
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37
Salivary amylase functions to digest
A) proteins.
B) lipids.
C) cellulose.
D) nucleic acids.
E) carbohydrates.
A) proteins.
B) lipids.
C) cellulose.
D) nucleic acids.
E) carbohydrates.
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38
Chewing is called
A) segmentation.
B) pendulum movements.
C) peristalsis.
D) ingestion.
E) mastication.
A) segmentation.
B) pendulum movements.
C) peristalsis.
D) ingestion.
E) mastication.
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39
The ________ are conical teeth used for tearing or slashing.
A) incisors
B) cuspids
C) bicuspids
D) molars
E) premolars
A) incisors
B) cuspids
C) bicuspids
D) molars
E) premolars
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40
Which of the following lies under the skin covering the lateral and posterior surfaces of the mandible?
A) sublingual salivary gland
B) parotid salivary glands
C) exocrine pancreas
D) frenulum
E) submandibular salivary glands
A) sublingual salivary gland
B) parotid salivary glands
C) exocrine pancreas
D) frenulum
E) submandibular salivary glands
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41
Dental plaque
A) anchors teeth to their bony sockets.
B) protects teeth from bacteria-induced tooth decay.
C) is calcified organic matter on the surface of teeth.
D) consists of food particles trapped in a sticky matrix.
E) forms a bone-like protective layer.
A) anchors teeth to their bony sockets.
B) protects teeth from bacteria-induced tooth decay.
C) is calcified organic matter on the surface of teeth.
D) consists of food particles trapped in a sticky matrix.
E) forms a bone-like protective layer.
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42
Functions of the tongue include
A) sensory analysis of food.
B) production of salivary antibodies such as IgA.
C) production of salivary amylase.
D) absorption of nutrients.
E) secretion of buffers and mucus.
A) sensory analysis of food.
B) production of salivary antibodies such as IgA.
C) production of salivary amylase.
D) absorption of nutrients.
E) secretion of buffers and mucus.
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43
The first set of teeth to appear are the ________ teeth.
A) permanent
B) succession
C) secondary
D) impacted
E) deciduous
A) permanent
B) succession
C) secondary
D) impacted
E) deciduous
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44
The ________ duct empties into the vestibule at the level of the second upper molar.
A) submaxillary
B) submandibular
C) parotid
D) sublingual
E) vestibular
A) submaxillary
B) submandibular
C) parotid
D) sublingual
E) vestibular
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45
Which is the second phase of the swallowing process,beginning when the bolus comes into contact with the palatal arches?
A) pharyngeal phase
B) buccal phase
C) duodenal phase
D) esophageal phase
E) gastric phase
A) pharyngeal phase
B) buccal phase
C) duodenal phase
D) esophageal phase
E) gastric phase
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46
The ________ are teeth with flattened crowns and prominent ridges that are adapted for grinding,crushing,and mashing.
A) molars
B) cuspids
C) eyeteeth
D) canines
E) incisors
A) molars
B) cuspids
C) eyeteeth
D) canines
E) incisors
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47
Which of the following statements regarding the muscularis externa of the esophagus is true?
A) The upper third portion of the esophagus consists of smooth muscle, the middle third portion is a mixture of smooth and skeletal muscles, and the lower third consists of skeletal muscle.
B) The entire muscularis of the esophagus consists of skeletal muscle only.
C) The entire muscularis of the esophagus consists of smooth muscle only.
D) The upper third portion of the esophagus consists of smooth muscle, and the remaining portion is a mixture of skeletal and smooth muscles.
E) The upper third portion of the esophagus consists of skeletal muscle, the middle third portion is a mixture of skeletal and smooth muscles, and the lower third consists of smooth muscle.
A) The upper third portion of the esophagus consists of smooth muscle, the middle third portion is a mixture of smooth and skeletal muscles, and the lower third consists of skeletal muscle.
B) The entire muscularis of the esophagus consists of skeletal muscle only.
C) The entire muscularis of the esophagus consists of smooth muscle only.
D) The upper third portion of the esophagus consists of smooth muscle, and the remaining portion is a mixture of skeletal and smooth muscles.
E) The upper third portion of the esophagus consists of skeletal muscle, the middle third portion is a mixture of skeletal and smooth muscles, and the lower third consists of smooth muscle.
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48
The bulk of a tooth consists of a mineralized matrix similar to that of bone called
A) enamel.
B) cementum.
C) dentin.
D) pulp.
E) periodontium.
A) enamel.
B) cementum.
C) dentin.
D) pulp.
E) periodontium.
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49
The roof of the oral cavity is formed by the
A) vestibule.
B) hard and soft palate.
C) palatal arches.
D) upper labium.
E) pharynx.
A) vestibule.
B) hard and soft palate.
C) palatal arches.
D) upper labium.
E) pharynx.
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50
The first place in which mechanical processing of food takes place is the
A) oral cavity.
B) esophagus.
C) stomach.
D) large intestine.
E) small intestine.
A) oral cavity.
B) esophagus.
C) stomach.
D) large intestine.
E) small intestine.
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51
The space between the cheeks or lips and the teeth is called the
A) pharynx.
B) larynx.
C) epiglottis.
D) vestibule.
E) cheek.
A) pharynx.
B) larynx.
C) epiglottis.
D) vestibule.
E) cheek.
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52
Which phase of swallowing begins with compression of the bolus against the hard palate?
A) esophageal
B) gastric
C) buccal
D) pharyngeal
E) duodenal
A) esophageal
B) gastric
C) buccal
D) pharyngeal
E) duodenal
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53
The pH of saliva is
A) highly basic.
B) slightly basic.
C) neutral.
D) slightly acidic.
E) very acidic.
A) highly basic.
B) slightly basic.
C) neutral.
D) slightly acidic.
E) very acidic.
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54
The esophagus passes through a hole in the diaphragm called the
A) esophageal hiatus.
B) cardia.
C) pylorus.
D) upper esophageal sphincter.
E) lower esophageal sphincter.
A) esophageal hiatus.
B) cardia.
C) pylorus.
D) upper esophageal sphincter.
E) lower esophageal sphincter.
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55
Which of the following contains a crystalline form of calcium phosphate and is the hardest biologically manufactured substance?
A) enamel
B) cementum
C) dentin
D) pulp
E) periodontium
A) enamel
B) cementum
C) dentin
D) pulp
E) periodontium
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56
The digestion of carbohydrates and lipids begins in the
A) oral cavity.
B) esophagus.
C) stomach.
D) small intestine.
E) large intestine.
A) oral cavity.
B) esophagus.
C) stomach.
D) small intestine.
E) large intestine.
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57
The largest area of the stomach is called the
A) fundus.
B) pylorus.
C) cardia.
D) body.
E) sphincter.
A) fundus.
B) pylorus.
C) cardia.
D) body.
E) sphincter.
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58
Secondary dentition results in a permanent tooth count of
A) 32.
B) 24.
C) 21.
D) 40.
E) 38.
A) 32.
B) 24.
C) 21.
D) 40.
E) 38.
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59
The root of a tooth is anchored by the
A) pulp.
B) periodontal ligament.
C) the root canal.
D) enamel.
E) dentin.
A) pulp.
B) periodontal ligament.
C) the root canal.
D) enamel.
E) dentin.
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60
Ducts from which of the following open into the mouth behind the teeth on either side of the lingual frenulum?
A) sublingual salivary glands
B) pancreas
C) submandibular salivary glands
D) parotid salivary glands
E) lingual salivary glands
A) sublingual salivary glands
B) pancreas
C) submandibular salivary glands
D) parotid salivary glands
E) lingual salivary glands
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61
Hydrochloric acid keeps the stomach contents at a pH of
A) 6.5-8.0.
B) 1.5-2.0.
C) 4.5-6.0.
D) 7.0.
E) 3.5-5.0.
A) 6.5-8.0.
B) 1.5-2.0.
C) 4.5-6.0.
D) 7.0.
E) 3.5-5.0.
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62
Which gastric enzyme functions to coagulate milk,thus slowing its passage through the stomach?
A) intrinsic factor
B) pepsinogen
C) rennin
D) gastric lipase
E) hydrochloric acid
A) intrinsic factor
B) pepsinogen
C) rennin
D) gastric lipase
E) hydrochloric acid
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63
Which of the following digestive enzymes is produced by the stomachs of newborns,but not adults?
A) trypsin
B) CCK
C) intrinsic factor
D) gastric lipase
E) pepsin
A) trypsin
B) CCK
C) intrinsic factor
D) gastric lipase
E) pepsin
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64
During the cephalic phase of gastric secretion,
A) the stomach responds to distention and a decrease in pH.
B) the release of secretin inhibits parietal and chief cell action.
C) the parasympathetic division of the ANS is active.
D) the intestinal reflex inhibits gastric emptying.
E) local reflexes in the submucosal and myenteric plexuses activate.
A) the stomach responds to distention and a decrease in pH.
B) the release of secretin inhibits parietal and chief cell action.
C) the parasympathetic division of the ANS is active.
D) the intestinal reflex inhibits gastric emptying.
E) local reflexes in the submucosal and myenteric plexuses activate.
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65
During the gastric phase of gastric secretion,which of the following stimulates stomach contractions?
A) secretin
B) HCl
C) pepsinogen
D) gastrin
E) trypsin
A) secretin
B) HCl
C) pepsinogen
D) gastrin
E) trypsin
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66
The esophagus connects to the smallest part of the stomach,known as the
A) body.
B) antrum.
C) pylorus.
D) cardia.
E) fundus.
A) body.
B) antrum.
C) pylorus.
D) cardia.
E) fundus.
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67
In the fundus and body of the stomach,gastric glands extend deep into the
A) adventitia.
B) lamina propria.
C) serosa.
D) muscularis externa.
E) submucosa.
A) adventitia.
B) lamina propria.
C) serosa.
D) muscularis externa.
E) submucosa.
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68
Besides proteins,which of the following is (are)a potent stimulator(s)of gastrin?
A) caffeine and small doses of alcohol
B) parasympathetic innervation
C) the sight and smell of food
D) chyme entering the duodenum
E) chyme entering the esophagus
A) caffeine and small doses of alcohol
B) parasympathetic innervation
C) the sight and smell of food
D) chyme entering the duodenum
E) chyme entering the esophagus
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69
Which statement regarding the regulatory controls of the intestinal phase of gastric secretion is true?
A) Neural controls are excitatory, but endocrine controls are inhibitory.
B) Endocrine controls are excitatory, but neural controls are inhibitory.
C) There are no regulatory controls during the intestinal phase.
D) Most neural and endocrine controls are excitatory.
E) Most neural and endocrine controls are inhibitory.
A) Neural controls are excitatory, but endocrine controls are inhibitory.
B) Endocrine controls are excitatory, but neural controls are inhibitory.
C) There are no regulatory controls during the intestinal phase.
D) Most neural and endocrine controls are excitatory.
E) Most neural and endocrine controls are inhibitory.
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70
The lesser omentum is
A) a major portion of the stomach.
B) attached to the stomach at the greater curvature.
C) important in the digestion of fats.
D) a fatty sheet that hangs like an apron over the abdominal viscera.
E) a mesentery that extends from the stomach to the liver.
A) a major portion of the stomach.
B) attached to the stomach at the greater curvature.
C) important in the digestion of fats.
D) a fatty sheet that hangs like an apron over the abdominal viscera.
E) a mesentery that extends from the stomach to the liver.
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71
The region of the stomach superior to the cardia is the
A) rugae.
B) pylorus.
C) fundus.
D) antrum.
E) body.
A) rugae.
B) pylorus.
C) fundus.
D) antrum.
E) body.
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72
Intrinsic factor aids the absorption of ________ across the intestinal lining.
A) vitamin C
B) vitamin B₁₂
C) vitamin D
D) vitamin K
E) vitamin B₅
A) vitamin C
B) vitamin B₁₂
C) vitamin D
D) vitamin K
E) vitamin B₅
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73
The gastric phase of gastric secretion begins with
A) the sight, thought, or smell of food.
B) the arrival of food in the stomach.
C) the entry of chyme into the small intestine.
D) the entry of chyme into the large intestine.
E) the release of cholecystokinin and secretin by the small intestine.
A) the sight, thought, or smell of food.
B) the arrival of food in the stomach.
C) the entry of chyme into the small intestine.
D) the entry of chyme into the large intestine.
E) the release of cholecystokinin and secretin by the small intestine.
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74
Rugae are
A) mucosal ridges in the stomach.
B) involved in absorption of liquids from the stomach.
C) pockets in the lining of the stomach that contain secretory cells.
D) located in the esophagus.
E) present when the stomach is at maximum distention.
A) mucosal ridges in the stomach.
B) involved in absorption of liquids from the stomach.
C) pockets in the lining of the stomach that contain secretory cells.
D) located in the esophagus.
E) present when the stomach is at maximum distention.
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75
The intestinal lining bears a series of transverse folds called
A) rugae.
B) mucous glands.
C) villi.
D) circular folds.
E) microvilli.
A) rugae.
B) mucous glands.
C) villi.
D) circular folds.
E) microvilli.
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76
In the duodenum,submucosal glands secrete which of the following?
A) brush border enzymes
B) an alkaline mucus
C) pepsin
D) secretin
E) cholecystokinin
A) brush border enzymes
B) an alkaline mucus
C) pepsin
D) secretin
E) cholecystokinin
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77
Chief cells secrete
A) pepsinogen.
B) gastric amylase.
C) cholecystokinin.
D) hydrochloric acid.
E) intrinsic factor.
A) pepsinogen.
B) gastric amylase.
C) cholecystokinin.
D) hydrochloric acid.
E) intrinsic factor.
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78
Gastrin causes
A) inhibition of HCl secretion.
B) increases in the secretion of chief cells and parietal cells.
C) the conversion of pepsin into pepsinogen.
D) the upper esophageal sphincter to open.
E) the pyloric sphincter to alternately open and close.
A) inhibition of HCl secretion.
B) increases in the secretion of chief cells and parietal cells.
C) the conversion of pepsin into pepsinogen.
D) the upper esophageal sphincter to open.
E) the pyloric sphincter to alternately open and close.
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79
Which major layer of the stomach contains an extra layer that adds strength and assists in the formation of chyme?
A) serosa
B) mucosa
C) adventitia
D) submucosa
E) muscularis externa
A) serosa
B) mucosa
C) adventitia
D) submucosa
E) muscularis externa
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80
Parietal cells secrete intrinsic factor and
A) pepsinogen.
B) gastric lipase.
C) pancreatic amylase.
D) hydrochloric acid.
E) cholecystokinin.
A) pepsinogen.
B) gastric lipase.
C) pancreatic amylase.
D) hydrochloric acid.
E) cholecystokinin.
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