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Chapter 23- Digestive System

front 1

The mechanical and chemical receptors that control digestive activity are located ________.

back 1

B) in the walls of the tract organs

front 2

The function of the hepatic portal circulation is to ________.

back 2

B) collect absorbed nutrients for metabolic processing or storage

front 3

The chemical and mechanical processes of food breakdown are called ________.

back 3

A) digestion

front 4

When we ingest large molecules such as lipids, carbohydrates, and proteins, they must
undergo catabolic reactions whereby enzymes split these molecules. This series of reactions is
called ________.

back 4

C) chemical digestion

front 5

The sheets of peritoneal membrane that hold the digestive tract in place are called ________.

back 5

A) mesenteries

front 6

From the esophagus to the anal canal, the walls of every organ of the alimentary canal are
made up of the same four basic layers. Arrange them in order from the lumen.

back 6

D) mucosa, submucosa, muscularis externa, and serosa

front 7

The structure known as the fauces is the ________.

back 7

D) passageway between the oral cavity and the pharynx

front 8

The epithelial membrane called the mucosa ________.

back 8

D) contains the lamina propria

front 9

The capillaries that nourish the epithelium and absorb digested nutrients lie in the ________.

back 9

D) lamina propria

front 10

The plicae circulares and intestinal villi are found in which of the four layers of the alimentary
tube wall?

back 10

A) mucosa

front 11

The structures that produce new cells for the mucosa of the small intestine are the ________.

back 11

C) intestinal crypts

front 12

The absorptive effectiveness of the small intestine is enhanced by increasing the surface area of
the mucosal lining. Which of the following accomplish this task?

back 12

A) plicae circulares and intestinal villi

front 13

Select the statement that is true concerning primary teeth.

back 13

C) There are 20 primary teeth, and by 24 months of age most children have all 20.

front 14

Which of the following is true concerning the number and type of permanent teeth?

back 14

A) There are 32 permanent teeth, and the wisdom teeth are the last to emerge.

front 15

Which of the following is not true of saliva?

back 15

B) contains enzymes that begin the breakdown of proteins

front 16

The salivary glands are composed of which two types of secretory cells?

back 16

C) serous cells and mucous cells

front 17

The solutes contained in saliva include ________.

back 17

D) electrolytes, digestive enzyme, mucin, lysozyme, wastes, and IgA

front 18

In addition to storage and mechanical breakdown of food, the stomach ________.

back 18

A) initiates protein digestion and denatures proteins

front 19

Chyme is created in the ________.

back 19

B) stomach

front 20

Hydrochloric acid is secreted by which of the secretory cells of the stomach?

back 20

B) parietal cells

front 21

Gastrin, histamine, endorphins, serotonin, cholecystokinin, and somatostatin are hormones or
paracrines that are released directly into the lamina propria. Which of the following cell types
synthesize and secrete these products?

back 21

A) enteroendocrine cells

front 22

There are three phases of gastric secretion. The cephalic phase occurs ________.

back 22

A) before food enters the stomach and is triggered by aroma, sight, or thought

front 23

Peristaltic waves are ________.

back 23

D) waves of muscular contractions that propel contents from one point to another

front 24

Gastrin is a digestive hormone that is responsible for the stimulation of acid secretions in the
stomach. These secretions are stimulated by the presence of ________.

back 24

B) protein and peptide fragments

front 25

Pepsinogen, a digestive enzyme, is secreted by the ________.

back 25

A) chief cells of the stomach

front 26

You have just eaten a meal high in complex carbohydrates. Which of the following enzymes
will help to digest the meal?

back 26

B) amylase

front 27

The ducts that deliver bile and pancreatic juice from the liver and pancreas, respectively, unite
to form the ________.

back 27

D) hepatopancreatic ampulla

front 28

The enzymatic breakdown of any type of food molecule is called ________.

back 28

C) hydrolysis

front 29

Short-chain triglycerides found in foods such as butterfat molecules in milk are split by a
specific enzyme in preparation for absorption. Which of the following enzymes is responsible?

back 29

C) lipase

front 30

Parietal cells of the stomach produce ________.

back 30

C) hydrochloric acid

front 31

Hepatocytes do not ________.

back 31

A) produce digestive enzymes

front 32

Which of the following is not a phase of gastric secretion?

back 32

D) enterogastric

front 33

Which vitamin requires intrinsic factor in order to be absorbed?

back 33

A) B12

front 34

Chief cells ________.

back 34

C) are found in the basal regions of the gastric glands

front 35

Chemical digestion reduces large complex molecules to simpler compounds by the process of
________.

back 35

B) catabolism

front 36

The ________ contains lobules with sinusoids (lined with macrophages) that lead to a central
venous structure

back 36

A) liver

front 37

If an incision has to be made in the small intestine to remove an obstruction, the first layer of tissue to be cut is the ________.

back 37

A) serosa

front 38

The terminal portion of the small intestine is known as the ________.

back 38

B) ileum

front 39

The dental formula for an adult is 2-1-2-3. What does the 1 stand for?

back 39

D) canine tooth

front 40

Digestion of which of the following would be affected the most if the liver were severely
damaged?

back 40

A) lipids

front 41

________ is locally regulated in the blood by the active form of vitamin D, which acts as a
cofactor

back 41

D) Calcium

front 42

Important peritoneal folds do not include the ________.

back 42

D) round ligament

front 43

The lamina propria is composed of ________.

back 43

A) loose connective tissue

front 44

________ is/are not important as a stimulus in the gastric phase of gastric secretion

back 44

B) Carbohydrates

front 45

Pancreatic amylase does not get to the small intestine via the ________.

back 45

C) cystic duct

front 46

The function of the goblet cells is to ________.

back 46

B) produce mucus that protects parts of the digestive organs from the effects of powerful
enzymes needed for food digestion

front 47

Under normal conditions, the gastric mucosa pours out as much as ________.

back 47

C) 2 to 3 liters of gastric juice per day

front 48

Nervous control of gastric secretion is provided by ________.

back 48

B) the vagus nerve and enteric plexus

front 49

Which of the following are types of papillae on the tongue that contain taste buds?

back 49

A) fungiform and circumvallate

front 50

Which of the following produce intrinsic factor?

back 50

A) parietal cells

front 51

Which of the following enzymes is specific for proteins?

back 51

C) trypsin

front 52

Surgical cutting of the lingual frenulum would occur in which part of the body?

back 52

A) tongue

front 53

A fluid secreted into the small intestine during digestion that contains cholesterol,
emulsification agents, and phospholipids is ________.

back 53

A) bile

front 54

The layer of the digestive tube that contains blood vessels, lymphatic nodes, and a rich supply
of elastic fibers is the ________.

back 54

B) submucosa

front 55

Which of the following is not characteristic of the large intestine? It ________.

back 55

C) is longer than the small intestine

front 56

Tooth structure includes ________.

back 56

C) a thin periodontal ligament that holds the tooth in place

front 57

The propulsion of food down the gastrointestinal tract includes ________.

back 57

A) the pharyngeal-esophageal phase, an involuntary process

front 58

Select the correct statement about the regulation of gastric secretion.

back 58

C) Gastric secretion can be stimulated before food has entered the mouth

front 59

Paneth cells ________.

back 59

C) secrete enzymes that kill bacteria

front 60

Select the correct statement about digestive processes.

back 60

C) Chyme entering the duodenum can decrease gastric motility via the enterogastric reflex

front 61

Chemical digestion in the small intestine involves ________.

back 61

B) cholecystokinin (CCK), an intestinal hormone responsible for gallbladder contraction

front 62

Select the correct statement about absorption.

back 62

C) If intact proteins are transported across the villus epithelium, an immune response may
be generated.

front 63

Select the correct statement about electrolyte absorption.

back 63

D) Iron and calcium are absorbed mostly by the duodenum

front 64

You have just eaten french fries, buttered toast, ice cream, and whole milk. Which of the
following glands would be active in helping you to digest this food?

back 64

A) the pancreas

front 65

The ingestion of a meal high in fat content would cause which of the following to occur?

back 65

C) Bile would be released from the gallbladder to emulsify the fat in the duodenum.

front 66

The mucosa of the developing alimentary tube comes from ________.

back 66

C) endoderm

front 67

A baby is admitted to the hospital with a history of projectile vomiting after each feeding. On
examination, it is found that the sphincter controlling food passage from the stomach to the
duodenum is thickened and does not open readily. Because of the babyʹs loss of gastric juice,
his blood probably indicates ________.

back 67

C) alkalosis

front 68

Hormones or paracrines that inhibit gastric secretion include ________.

back 68

B) secretin

front 69

Which of these is not part of the splanchnic circulation?

back 69

B) inferior vena cava

front 70

Which of these is not a component of saliva?

back 70

D) nitric oxide

front 71

There are some 20 known pathogens found in the large intestine; our Ig ________
antibody-mediated response restricts them from going beyond the mucosa and causing
problems.

back 71

B) IgA