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Chapter 24 Digestive System

front 1

The chemical breakdown of food into small organic fragments that can be absorbed by the digestive epithelium is __________.

back 1

Digestion

front 2

Which layer of the digestive tract is responsible for peristalsis and segmentation?

back 2

The muscularis externa contains muscle layers responsible for the processes of peristalsis and segmentation.

front 3

In the oral cavity, the digestive enzyme _________ is found in saliva and begins the digestion of _________.

back 3

amylase;starch

front 4

Which oral structure(s) is (are) responsible for manipulating food to assist in chewing and in the production of the enzyme lipase?

back 4

Tongue

front 5

Which type of tooth is responsible for clipping and cutting?

back 5

Incisor

front 6

Which regions of the pharynx serve as passageways for food on its way to the esophagus?

back 6

oropharynx and laryngopharynx

front 7

The lowest portion of the stomach, which forms the sharp curve of the J shape of the stomach, is the __________.

back 7

pylorus

front 8

Which of the following phases of gastric activity is caused by the sight, taste, or thought of food?

back 8

cephalic phase

front 9

What is the term for swallowing?

back 9

deglutition

front 10

A series of transverse folds in the small intestine that serve to increase the surface area for absorption are the __________.

back 10

plicae circulares

front 11

Which of the following is NOT produced by the gastric glands in the stomach of an adult?
intrinsic factor
rennin
pepsinogen
HCl

back 11

Rennin

front 12

Which of the following is NOT a region of the small intestine?
jejunum
ileum
cecum
duodenum

back 12

Cecum

front 13

What is the function of bile?

back 13

To emulsify lipids.

front 14

The pancreas produces digestive enzymes that digest __________.

back 14

carbohydrates, lipids, proteins, and nucleic acids

front 15

A small, slender structure that is attached to the large intestine and is dominated by lymphoid nodules is the __________.

back 15

appendix

front 16

The reflex that occurs in the large intestine and promotes the movement of feces toward the anus is the __________.

back 16

defecation reflex

front 17

Which of the following is NOT an effect of advancing age on the digestive system?
stronger peristaltic contractions, resulting in diarrhea
increase in peptic ulcers
increase in dental caries and gingivitis, resulting in loss of teeth
increase in the rate of digestive system cancer

back 17

Answer: stronger peristaltic contractions, resulting in diarrhea because
**Peristaltic contractions become weaker, resulting in constipation.**

front 18

Which of the following are NOT absorbed in the large intestine?

organic wastes, such as urobilinogens
water
certain vitamins, such as vitamin K
All of the listed substances are absorbed by the large intestine.

back 18

All of the listed substances are absorbed by the large intestine.

front 19

Which of the following does NOT digest a carbohydrate?
sucrase
pancreatic alpha-amylase
lactase
pancreatic lipase

back 19

pancreatic lipase

front 20

Which of the following does NOT digest a protein?
nuclease
trypsin
pepsin
enteropeptidase

back 20

nuclease

front 21

Put the following structures involved in bile transport in the proper order, from the liver to the gallbladder and on to the small intestine, by matching them (1) through (6):
Common bile duct
Bile ductules
Right and left hepatic ducts
Bile canaliculi
Common hepatic duct
Cystic duct

back 21

Bile canaliculi
Bile ductules
Right and left hepatic ducts
Common hepatic duct
Cystic duct
Common bile duct

front 22

Match the following cells and glands with their correct products:
Parietal Cell, Chief Cell, G cells, Intestinal glands, Brunner glands

back 22

Parietal Cell- HCl
Chief Cell- Pepsinogen
G cells- Gastrin
Intestinal glands-CCK (Cholecystokinin)
Brunner glands-Urogastrone

front 23

Match the following substrates and products with the enzyme that catalyzes the reaction:
1. Proteins to short-chain polypeptides
2. Dipeptides and tripeptides to amino acids
3. Trypsinogen to trypsin
4. A disaccharide to monosaccharides

back 23

1. Pepsin
2. Exopeptidase
3. Enteropeptidase
4. Lactase

front 24

This stimulates of increased motility in the stomach and the production of acids and enzymes.

back 24

Gastrin

front 25

Secreted when fats and especially glucose enters the intestine, this enzyme triggers the release of insulin at the pancreas.

back 25

Gastric inhibitory peptide

front 26

This is secreted when chyme is rich in lipids and partially digested proteins. It triggers the opening of the hepatopancreatic sphincter.

back 26

CCK (Cholecystokinin)

front 27

This is released when chyme enters the small intestine and it stimulates mucin production.

back 27

Enterocrinin

front 28

Match the organ of the digestive system with its function:
1. Mastication of food
2. Carries solid foods and liquids to the stomach
3. Bulk storage of ingested food, chemical and mechanical breakdown of ingested food, and production of the intrinsic factor
4. Digestion and absorption of nutrients
5. Reabsorption of water, absorption of important vitamins, and storage of fecal matter
6. Temporary storage of fecal matter

back 28

1. Teeth
2. Esophagus
3. Stomach
4. Small Intestine
5. Large intestine
6. Rectum

front 29

Which of the following is a function of the digestive tract?
excretion
absorption
ingestion
digestion
All of the listed responses are correct.

back 29

All of the listed responses are correct.

front 30

From the outside in, the correct order of the layers of the digestive tract is _________.

back 30

serosa, muscularis externa, submucosa, mucosa

front 31

The movements of the muscularis externa are coordinated by the _________.

back 31

myenteric plexus

front 32

Waves of smooth muscle contraction that propel materials along the digestive tract are called _________.

back 32

peristalsis

front 33

The mesentery that hangs like an apron from the lateral and inferior portion of the stomach is the _________.

back 33

greater omentum

front 34

Which layer of the digestive tract contains large blood vessels, lymphatics, and a network of nerve fibers called the plexus of Meissner?

back 34

submucosa

front 35

The lingual frenulum _________.
connects the tongue to the floor of the oral cavity
may need to be cut if the condition of ankyloglossia exists
is a thin fold of mucous membrane
All of the listed responses are correct.

back 35

All of the listed responses are correct.

front 36

Incisors are used for _________.

back 36

clipping or cutting

front 37

Which of the following statements is FALSE concerning the teeth?
1. A layer of a material called cementum covers the dentin of the root and attaches the tooth to the periodontal ligament.
2. Brushing your teeth and massaging your gums stimulate the growth of epithelial cells that attach to the tooth, thus promoting tooth attachment.
3. Dentin, the material that makes up the enamel of the teeth, is a type of spongy bone, thus giving the tooth its hardness.
4. The bicuspids have flattened crowns with prominent ridges used for crushing food.

back 37

Dentin, the material that makes up the enamel of the teeth, is a type of spongy bone, thus giving the tooth its hardness.

front 38

Which salivary glands produce a thick serous secretion containing large amounts of salivary amylase?

back 38

parotid glands

front 39

Which type of tooth is conical with a pointed tip and is used for tearing and slashing?

back 39

cuspids or canines

front 40

The mucosa and submucosa of the esophagus are folded _________.

back 40

to allow the expansion of the esophagus during the passage of a large bolus

front 41

What occurs during the pharyngeal phase of deglutition?

back 41

The larynx elevates, and the uvula and soft palate block the nasopharynx.

front 42

Which of the following is a function of the stomach?
mechanical breakdown of food
production of intrinsic factor
emulsification of fats
both mechanical breakdown of food and production of intrinsic factor

back 42

both mechanical breakdown of food and production of intrinsic factor

front 43

Chief cells secrete _________.

back 43

pepsinogen

front 44

When the stomach is empty, the mucosa is thrown into folds called _________.

back 44

rugae

front 45

When you walk into a Mexican restaurant and smell the savory aroma of fajitas, which phase of gastric activity is triggered?

back 45

cephalic phase

front 46

Peyer patches are _________.

back 46

lymphoid nodules located in the ileum

front 47

The wall of the small intestine bears a series of folds called the __________.

back 47

plicae circulares

front 48

The duodenum differs from the rest of the small intestine in that its submucosa contains many __________ that secrete mucus.

back 48

Brunner glands

front 49

The gastroenteric reflex stimulates motility __________.

back 49

along the entire length of the small intestine

front 50

Sympathetic stimulation __________.
stimulates submucosal glands
inhibits submucosal glands
stimulates peristalsis
None of the listed responses is correct.

back 50

inhibits submucosal glands

front 51

Concentrated crystals of minerals and salts in the gallbladder produce __________.

back 51

a condition called cholelithiasis

front 52

Pancreatic juice is __________.

back 52

alkaline

front 53

Which of the following is NOT a function of the liver?
metabolic regulation
bile production
hematologic regulation
immunologic regulation

back 53

immunologic regulation

front 54

Liver cells, or hepatocytes, receive blood from the __________.

back 54

both the hepatic artery and hepatic portal vein

front 55

Bile acts as __________.
an enzyme
a remover of toxins
an emulsifier
All of the listed responses are correct.

back 55

an emulsifier

front 56

Which of the following products of digestion is NOT taken up by capillaries in the small intestine?
chylomicrons
minerals
amino acids
simple sugars

back 56

chylomicrons

front 57

Which of the following is NOT a pancreatic enzyme?
lipase
alpha-amylase
trypsinogen
pepsinogen
nuclease

back 57

pepsinogen

front 58

Which of the following statements is FALSE regarding the Kupffer cells of the liver?
Kupffer cells are fixed macrophages of the immune system.
Kupffer cells have the ability to produce bile.
Kupffer cells have the ability to store heavy metals, such as tin and
mercury.
Kupffer cells phagocytize and process foreign materials passing by
them in the bloodstream.

back 58

Kupffer cells have the ability to produce bile.

front 59

Peyer patches are associated with which region of the intestine?

back 59

ileum

front 60

Treatment for a morbidly obese man includes surgery to reduce the length of his intestine. Which region of the small intestine should be removed to achieve greatest weight loss?

back 60

jejunum

front 61

The defecation reflex __________.

back 61

involves long and short reflexes and involves two positive feedback loops

front 62

The large intestine absorbs which of the following vitamins from colonic bacteria?
vitamin K
biotin
vitamin B5, or pantothenic acid
All of the listed responses are correct.

back 62

All of the listed responses are correct.

front 63

Of the 1500 mL of material that enters the large intestine on a daily basis, approximately how much water in the material is reabsorbed?

back 63

1300 mL

front 64

Which of the following occurs during the defecation reflex?

back 64

Parasympathetic centers in the sacral region of the spinal cord stimulate mass movements.

front 65

Fat-soluble vitamins move across the intestinal mucosa by __________.

back 65

diffusion

front 66

Which of the following is NOT a brush border enzyme?
amylase
maltase
lactase
dipeptidase

back 66

amylase

front 67

Fatty acids and monoglycerides interact with the bile salts in chyme to form small, lipid–bile salt complexes called __________.

back 67

micelles

front 68

Which of the following statements is FALSE concerning aging and the digestive system?
Motility decreases, and peristaltic contractions become weaker.
The rate of division of epithelial stem cells decreases.
Dehydration becomes less common as a result of the body's inability to
effectively rid itself of water.
Rates of cancer in the colon and stomach increase because immune
system activity decreases.

back 68

Dehydration becomes less common as a result of the body's inability to effectively rid itself of water.

front 69

True/False. The pharynx belongs to both the respiratory and digestive systems.

back 69

True. As air is inhaled it passes through the pharynx into the trachea, and as food is swallowed it passes through the pharynx into the esophagus.

front 70

True/False. Cuspids are cutting or clipping teeth.

back 70

False. Cuspids are tearing or slashing teeth.

front 71

True/False. A drop in the pH of the chyme coming from the stomach triggers the release of CCK.

back 71

False. CCK is a hormone released when chyme is full of fatty acids and triglycerides.

front 72

True/False. The haustra are formed by contraction of the taenia coli.

back 72

True. Expansion and elongation of the colon is accomplished by haustra; how do the haustra expand and elongate?

front 73

True/False. The region of the tooth between the crown and the root is called the gingival space.

back 73

False. The neck of the tooth is found between the crown and the root.

front 74

The muscularis externa propels materials from one portion of the digestive tract to the other by a series of wavelike contractions called peristalsis, while in most areas of the small intestine _____ movements churn and fragment digestive materials.

back 74

segmentation

front 75

Pancreatic juice is secreted by units known as pancreatic __________.

back 75

acini

front 76

__________ are proteolytic enzymes that break small peptide chains into amino acids.

back 76

Peptidases

front 77

The transverse folds that make up the intestinal lining and provide more surface area for absorption are called __________.

back 77

plicae circulares

front 78

The glycoprotein __________, necessary for vitamin B12 absorption, is produced in the stomach.

back 78

intrinsic factor

front 79

Which of the following digestive regions is responsible for the propulsion of materials into the esophagus?

back 79

pharynx

front 80

The active process that occurs when materials enter the digestive tract via the mouth is _________.

back 80

ingestion

front 81

Sympathetic stimulation of the muscularis externa promotes _________.

back 81

muscular inhibition and relaxation

front 82

Which of the following statements about peritonitis is FALSE?
It leads to inflammation of the digestive mucosa.
It is an inflammation of the peritoneal membrane.
It can be caused by bacteria entering the abdominal cavity during a
surgical procedure.
It could be caused by a burst appendix.

back 82

It leads to inflammation of the digestive mucosa.

front 83

Which of the following major layers of the digestive tract is described as a layer of dense irregular connective tissue filled with blood vessels and the plexus of Meissner?

back 83

submucosa

front 84

Strong contractions from the transverse colon to the rest of the large intestine that move the contents of the colon toward the sigmoid colon are called _________.

back 84

mass movements

front 85

Which of the following salivary glands produce salivary amylase, a carbohydrate-digesting enzyme?

back 85

both parotid glands and submandibular salivary glands

front 86

Which of the following is NOT a function of saliva?
lubrication of the mouth
initial digestion of proteins
initial digestion of carbohydrates
lubrication of food

back 86

initial digestion of proteins

front 87

The three pairs of salivary glands that secrete into the oral cavity include the _________.

back 87

parotid, sublingual, and submandibular

front 88

Crushing, mashing, and grinding of food are best accomplished by the action of the _________.

back 88

bicuspids

front 89

The three phases of deglutition are _________.

back 89

buccal, pharyngeal, and esophageal

front 90

On its way to the esophagus, food normally passes through the _________.
oropharynx and laryngopharynx
lower esophageal sphincter
pharyngeal sphincter
All of the listed responses are correct.

back 90

oropharynx and laryngopharynx

front 91

The pharyngeal muscles that push the food bolus toward the esophagus are the _________.

back 91

pharyngeal constrictor muscles

front 92

Solid food and liquids are carried from the pharyngeal region to the stomach by the _________.

back 92

esophagus

front 93

The inferior end of the esophagus normally remains in a state of active contraction that _________.

back 93

prevents the backflow of materials from the stomach into the esophagus

front 94

Gastric secretion is inhibited by _________.

back 94

secretin

front 95

Which of the following is secreted by the stomach?

back 95

gastrin

front 96

Which division of the small intestine contains the Brunner glands?

back 96

duodenum

front 97

Which of the following enzymes is NOT found in pancreatic juice?
pepsin
lipase
amylase
chymotrypsin

back 97

pepsin

front 98

Bile entering the gallbladder must pass through the _________.

back 98

cystic duct

front 99

Which hormone promotes the flow of bile and of pancreatic juice containing enzymes?

back 99

cholecystokinin

front 100

The longitudinal ribbons of smooth muscle visible on the outer surfaces of the colon just beneath the serosa are the _________.

back 100

taenia coli

front 101

The vermiform appendix is dominated by what type of lymphatic structures in the mucosa and submucosa?

back 101

lymphoid nodules

front 102

Which vitamins are liberated by bacterial action and absorbed in the large intestine?

back 102

biotin, pantothenic acid, and vitamin K

front 103

Which of the following organic nutrients are NOT absorbed by capillaries in the intestinal villi?
carbohydrates
lipids
proteins
None of the listed responses is correct.

back 103

lipids

front 104

The nutrients that can be absorbed without preliminary processing but may involve special transport mechanisms are _________.

back 104

water, electrolytes, and vitamins

front 105

The enzyme lactase, which digests lactose to glucose and galactose, is synthesized by _________.

back 105

the brush border of the small intestine

front 106

Which of the following is NOT a function of hydrochloric acid in the stomach?
facilitating protein digestion
killing microorganisms
breaking down disaccharides into monosaccharides
activating pepsin

back 106

breaking down disaccharides into monosaccharides

front 107

The intestinal epithelium absorbs monosaccharides by _________.

back 107

facilitated diffusion and cotransport mechanisms

front 108

When two fluids are separated by a selectively permeable membrane, water tends to flow into the solution that has the _________.

back 108

higher concentration of solutes (lesser concentration of water)

front 109

An error in swallowing could most likely be detected by the _________.

back 109

larynx

front 110

Many visceral smooth muscle networks show rhythmic cycles of activity in the absence of neural stimulation because of _________.

back 110

pacesetter cells that spontaneously depolarize and trigger contraction of entire muscular sheets

front 111

Why can a completely dry food bolus NOT be swallowed?

back 111

Friction with the walls of the esophagus makes peristalsis ineffective.

front 112

Gastric glands, which produce most of the gastric juice, are abundant in which of the following regions of the stomach?

back 112

both fundus and body

front 113

Which two factors play an important part in the movement of chyme from the stomach to the small intestine?

back 113

stomach distension and gastrin release

front 114

The plicae of the intestinal mucosa, which bears the intestinal villi, are structural features that _________.

back 114

increase the total surface area for absorption

front 115

The enteroendocrine cells of the intestinal crypts are responsible for producing which intestinal hormones?

back 115

cholecystokinin and secretin

front 116

Villikinin, motilin, and somatostatin are produced in the _________.

back 116

small intestine

front 117

The primary functions of intestinal juice include which of the following?
to moisten the chyme
to assist in buffering acids
to dissolve digestive enzymes and the products of digestion
All of the listed responses are correct.

back 117

All of the listed responses are correct.

front 118

Which of the following causes an immediate increase in the rates of glandular secretion and peristaltic activity in all segments of the small intestine?:

back 118

gastroenteric reflex

front 119

The primary effect of secretin is to cause _________.

back 119

an increase in secretion of bile and buffers by the liver and the pancreas

front 120

Which peptide hormone causes the release of insulin from the pancreatic islets?

back 120

GIP

front 121

How does the mucosa of the rectum compare with that of the colon and cecum?

back 121

The colon and cecum are lined with a simple columnar epithelium for absorption, whereas the rectum is lined with stratified squamous epithelium because it is next to an opening to the exterior.

front 122

The muscular sphincter that guards the entrance between the ileum and the cecum is the _________.

back 122

ileocecal valve

front 123

Which produces the LEAST number of contractions to force food through the digestive tract on a daily basis?

back 123

large intestine

front 124

What is the average composition of the fecal waste material?

back 124

75 percent water; 5 percent bacteria; 20 percent indigestible materials, inorganic matter, and epithelial remains

front 125

The hormone gastrin _________.

back 125

increases the activity of parietal and chief cells

front 126

The two positive feedback loops involved in the defecation reflex are _________.

back 126

stretch receptors in rectal walls, and the sacral parasympathetic system

front 127

The "doorway to the liver" (porta hepatis) is a complex that includes the _________.

back 127

bile duct, hepatic portal vein, and hepatic artery

front 128

Triglycerides coated with proteins create a complex known as a _________.

back 128

chylomicron