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chapter 24 digestive system

front 1

___________ is the physiological process that moves a nutrient from the outside to the inside of the body.

A. Ingestion
B. Compaction
C. Digestion
D. Absorption
E. SecretionAbsorption

back 1

D

front 2

The serous membranes that suspend the stomach and intestines from the abdominal wall are called

A. mesenteries.
B. mucosae.
C. submucosae.
D. muscularis mucosae.
E. muscularis externa.

back 2

A

front 3

These nutrients are all absorbed without being digested except

A. water.
B. vitamins.
C. proteins.
D. minerals.
E. cholesterol.

back 3

C

front 4

These are all accessory organs of the digestive system except

A. tongue.
B. liver.
C. pancreas.
D. salivary glands.
E. spleen.

back 4

E

front 5

Each of the following lists some of the tissue layers of the digestive tract. Which one has them in correct order from lumen to external surface?

A. lamina propria, muscularis mucosae, submucosa, muscularis externa, serosa
B. serosa, lamina propria, submucosa, muscularis mucosae, muscularis externa
C. mucosa, submucosa, muscularis mucosae, muscularis externa, lamina propria
D. mucosa, muscularis mucosae, submucosa, muscularis externa, lamina propria
E. mucosa, submucosa, muscularis externa, lamina propria, serosa

back 5

A

front 6

The small intestine is suspended from the abdominal wall by

A. the falciform ligament.
B. the mesentery.
C. the greater omentum.
D. the lesser omentum.
E. the esophageal hiatus.

back 6

B

front 7

Chemical digestion breaks down ____________ into _____________.

A. proteins; nucleotides
B. amino acids; proteins
C. polysaccharides; amino acids
D. nucleic acids; nucleotides
E. fatty acids; cholesterol

back 7

D

front 8

The ___________ regulates digestive tract motility, secretion, and blood flow, and its neurons are found in the ____________.

A. autonomic nervous system; serosa
B. central nervous system; muscularis externa and muscularis mucosae
C. enteric nervous system; submucosa and muscularis externa
D. visceral sensory division; muscularis externa and submucosa
E. visceral motor division; mucosa and submucosa

back 8

C

front 9

The surface of the tongue is covered with ____________ stratified squamous epithelium, and has bumps called __________________, site of taste buds.

A. keratinized; lingual papillae
B. keratinized; lingual frenulum
C. nonkeratinized; lingual papillae
D. nonkeratinized; tonsils
E. nonkeratinized; vallate papillae

back 9

C

front 10

Infants have ________________ deciduous teeth, whereas adults have ________________ permanent teeth.

A. 20; 32
B. 16; 20
C. 28; 20
D. 32; 20
E. 32; 32

back 10

A

front 11

From superficial to deep, these are the structures found in a typical tooth.

A. cementum, root canal, enamel
B. enamel, root canal, dentin
C. dentin, enamel, cementum
D. enamel, dentin, pulp
E. crown, enamel, dentin

back 11

D

front 12

These are normally found in saliva except

A. mucus.
B. lysozyme.
C. amylase.
D. lipase.
E. protease.

back 12

E

front 13

The ______________ gland is an extrinsic salivary gland, whereas the ______________ gland is an intrinsic salivary gland.

A. lingual; labial
B. submandibular; lingual
C. submandibular; sublingual
D. sublingual; parotid
E. lingual; sublingual

back 13

B

front 14

The swallowing center is located in

A. the mouth.
B. the oropharynx.
C. the esophagus.
D. the medulla oblongata.
E. the enteric nervous system.

back 14

D

front 15

The buccal phase of swallowing is under _____________ control and the pharyngo-esophageal phase is ______________.

A. central nervous system; also controlled by the central nervous system
B. central nervous system; controlled by autonomic reflexes
C. autonomic nervous system; controlled by autonomic reflexes
D. voluntary; also voluntary
E. involuntary; also involuntary

back 15

A

front 16

Acid reflux into the esophagus ("heartburn") is normally prevented by

A. pharyngeal constrictors.
B. the upper esophageal sphincter.
C. the lower esophageal sphincter (LES).
D. esophageal glands.
E. pharyngeal and buccal sphincters.

back 16

C

front 17

Hydrochloric acid (HCl) is secreted by ____________ cells.

A. mucous
B. regenerative (stem)
C. parietal
D. chief
E. enteroendocrine

back 17

C

front 18

____________, which is secreted by ___________ cells, is necessary for Vitamin B12 absorption.

A. Intrinsic factor; parietal
B. Bile salts; chief
C. Lecithin; hepatic
D. Hydrochloric acid; parietal
E. Enterokinase; mucous

back 18

A

front 19

Pepsinogen is produced by ____________ and is activated by ___________.

A. chief cells; carbonic anhydrase (CAH) secreted by parietal cells
B. chief cells; hydrochloric acid (HCl) secreted by parietal cells
C. parietal cells; hydrochloric acid (HCl) secreted by chief cells
D. parietal cells; carbonic anhydrase (CAH) secreted by chief cells
E. enteroendocrine cells; carbonic anhydrase (CAH) secreted by parietal cells

back 19

B

front 20

Why are several digestive enzymes secreted as zymogens?

A. because this saves one step in their synthesis
B. because gastric cells do not have the necessary enzymes for their synthesis
C. so they start digesting intracellular proteins of the gastric cells more quickly
D. so they act only in the stomach lumen and do not digest intracellular proteins
E. so they can start digesting dietary proteins more quickly

back 20

D

front 21

The enterogastric reflex serves to

A. relax the stomach in preparation for swallowed food.
B. stimulate acid and enzyme secretion when food enters the stomach.
C. stimulate intestinal motility when there is food in the stomach.
D. inhibit gastric motility when there is chyme in the small intestine.
E. relax the ileocecal valve when chyme is on its way to the colon.

back 21

D

front 22

______________ is a hormone, whereas ________________ is an enzyme.

A. Enterokinase; pepsin
B. Gastrin; secretin
C. Gastrin; cholecystokinin (CCK)
D. Gastric lipase; histamine
E. Secretin; pepsin

back 22

E

front 23

_____________ is associated with food stretching the stomach and activating myenteric and vagovagal reflexes, which in turn stimulate gastric secretions.

A. The cephalic phase
B. The gastric phase
C. The intestinal phase
D. The gastrointestinal phase
E. The mesenteric phase

back 23

B

front 24

The organ that stores excess glucose and releases it later into the blood is

A. the pancreas.
B. the stomach.
C. the liver.
D. the spleen.
E. the small intestine.

back 24

C

front 25

A hepatic (portal) triad consists of

A. right, left, and common hepatic ducts.
B. common hepatic duct, cystic duct, and bile duct.
C. the hepatic portal vein and two hepatic ducts.
D. bile ductule, branch of hepatic artery, and branch of hepatic portal vein.
E. a central vein, hepatic lobule, and hepatic sinusoid.

back 25

D

front 26

Of the following components of bile, only _____________ has/have a digestive function.

A. bile salts
B. bilirubin
C. cholesterol
D. phospholipids
E. neutral fats

back 26

A

front 27

The _______________ synthesizes bile acids by metabolizing ____________________.

A. duodenum; neutral fats
B. ileum; bilirubin
C. gallbladder; cholesterol
D. pancreas; bile salts
E. liver; cholesterol

back 27

E

front 28

Pancreatic enzymes are secreted in response to the hormone

A. insulin.
B. cholecystokinin (CCK).
C. secretin.
D. glucagon.
E. gastrin.

back 28

B

front 29

Which of these is not a component of the pancreatic juice?

A. trypsinogen
B. chymotrypsinogen
C. deoxyribonuclease
D. sodium bicarbonate
E. enterokinase

back 29

E

front 30

Which of these nutrients is absorbed by the lacteals of the small intestine?

A. triglycerides
B. amino acids
C. glucose
D. minerals
E. water-soluble vitamins

back 30

A

front 31

Which of the following enzymes functions at the lowest pH?

A. salivary amylase
B. pancreatic amylase
C. pepsin
D. trypsin
E. dipeptidase

back 31

C

front 32

Which of these is the site of contact digestion?

A. gastric pits
B. surface of the gastric mucosa
C. intestinal crypts
D. brush border of the small intestine
E. cytoplasm in the cells of the small intestine

back 32

D

front 33

The small intestine has a very large absorptive surface associated with all these structures except

A. circular folds (plicae circulares).
B. intestinal length.
C. microvilli.
D. villi.
E. rugae.

back 33

E

front 34

The migrating motor complex

A. milks the chyme toward the colon.
B. allows a bolus to move down the esophagus.
C. churns and mixes residue in the descending colon.
D. churns and mixes a bolus with gastric juices.
E. propels pancreatic juice down the pancreatic duct.

back 34

A

front 35

The ______________ of the small intestine is/are similar to the _________________ of the stomach.

A. villi; pyloric glands
B. rugae; Peyer patches
C. intestinal crypts; gastric pits
D. goblet cells; parietal cells
E. pyloric sphincter; ileocecal valve

back 35

C

front 36

Carbohydrate digestion begins in the ______________, whereas protein digestion begins in the ______________.

A. liver; small intestine
B. small intestine; stomach
C. mouth; stomach
D. mouth; small intestine
E. stomach; small intestine

back 36

B

front 37

____________ break(s) down _______________.

A. Lactase; glucose
B. Peptidases; proteins
C. Lipases; micelles
D. Lactose; lactase
E. Nucleases; nucleotides

back 37

B

front 38

The sodium-glucose transport protein (SGLP)

A. is a uniport carrier.
B. is an antiport carrier.
C. uses solvent drag to transport glucose and sodium.
D. transports glucose and sodium from the intestinal lumen into the epithelial cells.
E. transports glucose from the intestinal lumen into the epithelial cells, and sodium in the opposite direction.

back 38

D

front 39

Amino acids and monosaccharides are absorbed in the ____________, and fatty acids are absorbed in the _______________.

A. small intestine; large intestine
B. small intestine; liver
C. stomach; small intestine
D. stomach; large intestine
E. small intestine; small intestine too

back 39

E

front 40

Lecithin prepares fats for hydrolysis by forming

A. triglycerides, fatty acids, and glycerol.
B. low density lipoproteins (LDL).
C. chylomicrons.
D. emulsification droplets.
E. micelles.

back 40

D

front 41

Proteins are digested by different enzymes acting in the following sequence

A. pepsin, trypsin, carboxypeptidase, dipeptidase.
B. pepsin, trypsin, dipeptidase, carboxypeptidase.
C. trypsin, pepsin, carboxypeptidase, dipeptidase.
D. trypsin, pepsin, dipeptidase, carboxypeptidase.
E. dipeptidase, carboxypeptidase, pepsin, trypsin.

back 41

A

front 42

___________ transport lipids to the surface of the intestinal absorptive cells, which process them into _________________.

A. Fat droplets; micelles
B. Fat droplets; chylomicrons
C. Micelles; fat globules
D. Micelles; chylomicrons
E. Fat globules; micelles

back 42

D

front 43

The three most abundant classes of nutrients are

A. carbohydrates, proteins, and minerals.
B. fats, proteins, and carbohydrates.
C. proteins, nucleic acids, and carbohydrates.
D. triglycerides, starches, and proteins.
E. proteins, fats, and minerals.

back 43

B

front 44

The muscle tone of the ________________ along the colon contracts it lengthwise, causing its walls to bulge and form pouches called _______________.

A. circular folds; ceca
B. taeniae coli; haustra
C. haustra; taeniae coli
D. internal sphincters; omental (epiploic) appendages
E. internal sphincters; ceca

back 44

B

front 45

Bacterial flora carry out all of the following except

A. digest most of the proteins we get in the diet.
B. synthesize vitamin K.
C. produce some of the gases found in flatus.
D. digest cellulose.
E. form part of the feces.

back 45

A

front 46

Bacteria constitute about __________% of the dry weight of the feces.

A. 2
B. 14
C. 30
D. 55
E. 80

back 46

C

front 47

Defecation is stimulated by

A. the chemical composition of the feces.
B. bacterial flora in the feces.
C. water content of the feces.
D. lipid content in the feces.
E. stretching of the rectum.

back 47

E

front 48

the _______________ regulates the flow of contents from stomach to the duodenum

A. gastric rugae
B. antrum
C.pyloric spintcher
D. fundic region

back 48

C

front 49

Which of the following is not associated with the large absorptive surface of the small intestine?

A. Circular folds (plicae circulares)
B. Intestinal length
C. Microvilli
D. taste buds

back 49

D

front 50

The movement of colonic contents from one puckered section to another is called __________.

A. the gastrocolic reflex
B. the duodenocolic reflex
C. mass movement
D. haustral contraction

back 50

D

front 51

A 41 Y/O Female comes to the ER with abdominal pain in her right upper quadrant(RUQ) that refers to her right shoulder blade. the patient is obese andher clinical history shows she is taking birth control pill what is the most likely diagnosis
A. gallstones
B. kidney stones
C. prostate cancer
D. breast cancer

back 51

A

front 52

the following are exocrine enzymes produced by the pancreas except

A. glucagon
B. lipase
C. amylase
D. protease

back 52

A

front 53

substances lie asprine and cortisol can cause gastric ulcers by

A. inhibiting the production of HCL in the duodenum
B. inhibiting the production of mucus in the ascending colon
C. inhibiting the production of mucus in the stomach
D. inhibiting the production of gastrin in the rectum

back 53

C

front 54

breakdown of erythrocytes by the spleen will produce ________ which will be then process by the ________ for easier degradation

A. bilirubin ; liver
B. bilirubin ; small intestine
C. insulin ; pancreas
D. glucagon ; gallbladder

back 54

A

front 55

a 40 year old male with long history of alcoholism is admitted to the hospital . upon examination the physician notices hepatomegaly ascites and icteric pigmentation visibile on the skin and sclera the reason is :

A. the pancreas is obstructed and not making enough bilirubin
B. the large intestine is wide open and making too much HCL
C. the liver is not making albumin and the portal vein is obstructed
D. the stomach is obstructed and producing too much mucus

back 55

C

front 56

why is this patient showing icteric pigmentation

A. Because bilirubin is building up as a consequence of colon cancer
B. because gastrin is building up as a consequence of stomach cancer
C. because bilirubin is building up as a consequence of liver cirrhosis
D. because intrinsic factor is building up as a consequence of esophageal cancer

back 56

C