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chapter 24

front 1

1) Each of the following organs is a component of the digestive tract, except the
A) stomach.
B) pharynx.
C) esophagus.
D) bladder.
E) colon.

back 1

D

front 2

2) Which of the following is an accessory organ of digestion?
A) appendix
B) pancreas
C) spleen
D) colon
E) esophagus

back 2

B

front 3

3) Digestion refers to the
A) progressive dehydration of indigestible residue.
B) mechanical breakdown of food.
C) chemical breakdown of food.
D) B and C only
E) A, B, and C

back 3

D

front 4

4) Which of the following is not a function of the digestive system?
A) mechanical processing
B) absorption
C) compaction
D) ingestion
E) filtration

back 4

E

front 5

5) The lamina propria and mucous epithelium are components of the
A) serosa.
B) adventitia.
C) muscularis mucosa.
D) mucosa.
E) submucosa.

back 5

D

front 6

6) Which of these descriptions best matches the term myenteric plexus?
A) component of mucosa
B) sensory neural network
C) secretes a watery fluid
D) coordinates activity of muscularis externa
E) loose connective tissue layer containing blood vessels

back 6

D

front 7

6) Which of these descriptions best matches the term myenteric plexus?
A) component of mucosa
B) sensory neural network
C) secretes a watery fluid
D) coordinates activity of muscularis externa
E) loose connective tissue layer containing blood vessels

back 7

D

front 8

8) The ________ are double sheets of peritoneal membrane that suspend the visceral organs and carry nerves,
lymphatics, and blood vessels.
A) serosa
B) adventitia
C) mesenteries
D) fibrosa
E) lamina propria

back 8

C

front 9

9) Sensory nerve cells, parasympathetic ganglia, and sympathetic postganglionic fibers can be found in the
A) mucosa.
B) serosa.
C) adventitia.
D) submucosal plexus.
E) lamina propria.

back 9

D

front 10

10) Sandwiched between the layer of circular and longitudinal muscle in the muscularis externa is the
A) mucosa.
B) submucosa.
C) muscularis mucosa.
D) myenteric plexus.
E) submucosal plexus.

back 10

D

front 11

11) Large blood vessels and lymphatics are found in the
A) mucosa.
B) submucosa.
C) muscularis.
D) adventitia.
E) serosa.

back 11

B

front 12

12) The layer of loose connective tissue that directly supports the digestive epithelium is the
A) lamina propria.
B) muscularis mucosae.
C) submucosa.
D) submucosal plexus.
E) myenteric plexus.

back 12

A

front 13

13) A stratified squamous epithelial lining can be found in all of the following, except in the
A) anal canal.
B) esophagus.
C) stomach.
D) oropharynx.
E) oral cavity.

back 13

C

front 14

14) A feature of the digestive epithelium that assists expansion of the organ is the presence of
A) transitional cells.
B) plicae.
C) elastic cells.
D) rugae.
E) both B and D

back 14

E

front 15

15) Which of these descriptions best matches the term submucosal plexus?
A) component of mucosa
B) sensory neural network
C) secretes a watery fluid
D) coordinates activity of muscularis externa
E) loose connective tissue layer containing blood vessels

back 15

B

front 16

16) Waves of muscular contractions that propel the contents of the digestive tract are called
A) segmentation.
B) pendular movements.
C) peristalsis.
D) churning movements.
E) mastication.

back 16

C

front 17

17) Powerful peristaltic contractions that occur a few times each day in the colon are called
A) segmentation.
B) pendular movements.
C) haustral churning.
D) defecation.
E) mass movements.

back 17

E

front 18

18) The activities of the digestive system are regulated by
A) hormones.
B) parasympathetic and sympathetic neurons.
C) the contents of the digestive tract.
D) intrinsic nerve plexuses.
E) all of the above

back 18

E

front 19

19) The functions of the oral cavity include all of the following, except
A) analysis of material before swallowing.
B) mechanical processing of food.
C) lubrication.
D) absorption of monosaccharides.
E) digestion of carbohydrates.

back 19

D

front 20

20) ________ pair(s) of salivary glands secrete into the oral cavity.
A) One
B) Two
C) Three
D) Four
E) Six to Ten

back 20

C

front 21

21) The ________ gland empties into the oral cavity at the level of the second upper molar.
A) submaxillary
B) submandibular
C) parotid
D) sublingual
E) vestibular

back 21

C

front 22

22) A structure that helps prevent food from entering the pharynx prematurely is the
A) uvula.
B) pharyngeal arch.
C) palatoglossal arch.
D) palatopharyngeal arch.
E) epiglottis.

back 22

A

front 23

23) Functions of the tongue include all of the following, except
A) mechanical processing of food.
B) manipulation of food.
C) sensory analysis of food.
D) aiding in speech.
E) partitioning the oropharynx from the nasopharynx.

back 23

E

front 24

24) The bulk of each tooth consists of a mineralized matrix similar to that of bone called
A) enamel.
B) cementum.
C) dentin.
D) pulp.
E) periodontium.

back 24

C

front 25

25) The chamber within a tooth that contains blood vessels and nerves is the
A) enamel.
B) cementum.
C) dentin.
D) pulp cavity.
E) periodontium.

back 25

D

front 26

26) The root of a tooth is covered by
A) enamel.
B) cementum.
C) dentin.
D) pulp.
E) the root canal.

back 26

B

front 27

27) The crown of a tooth is covered by
A) enamel.
B) cementum.
C) dentin.
D) pulp.
E) periodontium

back 27

A

front 28

28) During deglutition,
A) the soft palate elevates.
B) the larynx elevates and the epiglottis closes.
C) the lower esophageal sphincter opens.
D) all of the above
E) A and C only

back 28

D

front 29

29) Which of the following is false about secretions from the salivary glands?
A) are mostly water
B) help control bacterial populations in the mouth
C) help lubricate the oral cavity and its contents
D) contain enzymes for the digestion of polysaccharides
E) contain enzymes for the digestion of disaccharides

back 29

E

front 30

30) The roof of the oral cavity is formed by the
A) vestibule.
B) hard palate.
C) soft palate.
D) A, B, and C
E) B and C only

back 30

E

front 31

31) The space between the cheeks or lips and the teeth is called the
A) pharynx.
B) larynx.
C) fauces.
D) vestibule.
E) dip sulcus.

back 31

D

front 32

32) The ridge of oral mucosa that surrounds the base of a tooth is the
A) vestibule.
B) gingiva.
C) alveolus.
D) uvula.
E) faux

back 32

B

front 33

33) The connection of the anterior portion of the tongue to the underlying epithelium is the
A) uvula.
B) faux.
C) lingual frenulum.
D) labial frenulum.
E) glossal septum.

back 33

C

front 34

34) The uvula is located at the
A) posterior of the tongue.
B) margin of the vestibule.
C) base of a tooth.
D) posterior margin of the soft palate.
E) margin of the oropharynx and the laryngopharynx.

back 34

D

front 35

35) ________ are blade-shaped teeth that function in cutting or clipping.
A) Canines
B) Bicuspids
C) Cuspids
D) Incisors
E) Molars

back 35

D

front 36

36) ________ are pointed teeth that are adapted for tearing and slashing.
A) Incisors
B) Bicuspids
C) Premolars
D) Cuspids
E) Molars

back 36

D

front 37

37) ________ are teeth with flattened crowns and prominent ridges that are adapted for crushing and grinding.
A) Molars
B) Cuspids
C) Eye teeth
D) Canines
E) Dentins

back 37

A

front 38

38) The esophagus has several variations from the standard plan of the gut tube. These include
A) epithelium of mucosa is stratified squamous.
B) epithelium of mucosa is simple columnar.
C) muscularis externa may be striated muscle.
D) A and C only
E) B and C only

back 38

D

front 39

39) Functions of the stomach include all of the following, except
A) storage of ingested food.
B) denaturation of proteins.
C) initiation of protein digestion.
D) absorption of triglycerides.
E) mechanical breakdown of food.

back 39

D

front 40

40) Parietal cells secrete
A) pepsinogen.
B) gastrin.
C) mucus.
D) hydrochloric acid.
E) enteropeptidase.

back 40

D

front 41

41) Chief cells secrete
A) pepsinogen.
B) gastrin.
C) mucus.
D) hydrochloric acid.
E) intrinsic factor.

back 41

A

front 42

42) G cells of the stomach secrete
A) cholecystokinin.
B) secretin.
C) gastrin.
D) enteropeptidase.
E) pepsin.

back 42

C

front 43

43) Which region of the stomach does the esophagus connect to?
A) fundus
B) cardia
C) body
D) antrum
E) pylorus

back 43

B

front 44

44) The portion of the stomach that is superior to the junction between the stomach and the esophagus is the
A) cardia.
B) pylorus.
C) fundus.
D) antrum.
E) body.

back 44

C

front 45

45) The part of the stomach that functions as a mixing chamber for food and secretions is the
A) body.
B) antrum.
C) pylorus.
D) cardia.
E) fundus.

back 45

A

front 46

46) The region of the stomach that empties into the duodenum is the
A) antrum.
B) fundus.
C) body.
D) cardia.
E) pylorus.

back 46

E

front 47

47) The prominent ridges in the lining of the empty stomach are called
A) cardia.
B) papillae.
C) rugae.
D) plicae.
E) villi.

back 47

C

front 48

48) The greater omentum is
A) the entrance to the stomach.
B) attached to the stomach at the lesser curvature.
C) important in the digestion of fats.
D) a fatty sheet that hangs like an apron over the abdominal viscera.
E) a sheet of mesentery that attaches to the liver.

back 48

D

front 49

49) Gastric pits are
A) ridges in the body of the stomach.
B) involved in absorption of liquids from the stomach.
C) openings into gastric glands.
D) acid scars in the esophagus.
E) hollows where proteins are stored.

back 49

C

front 50

50) The enzyme pepsin digests
A) carbohydrates.
B) proteins.
C) lipids.
D) nucleic acids.
E) vitamins.

back 50

B

front 51

51) An enzyme secreted by the gastric mucosa of a newborn that coagulates milk proteins is
A) pepsin.
B) trypsin.
C) gastrin.
D) rennin.
E) cholecystokinin.

back 51

D

front 52

52) Lacteals
A) increase the surface area of the mucosa of the small intestine.
B) carry absorbed fats to the lymphatic system.
C) produce new cells for the mucosa of the small intestine.
D) secrete digestive enzymes.
E) produce milk.

back 52

B

front 53

53) Plicae and intestinal villi
A) increase the surface area of the mucosa of the small intestine.
B) carry products of digestion that will not pass through the walls of blood capillaries.
C) produce new cells for the mucosa of the small intestine.
D) secrete digestive enzymes.
E) produce hormones.

back 53

A

front 54

54) Submucosal glands that secrete mucus are characteristic of the
A) duodenum.
B) jejunum.
C) ileum.
D) pancreas.
E) liver.

back 54

A

front 55

55) The duodenal ampulla receives secretions from the
A) duodenum and the jejunum.
B) duodenum and the pylorus.
C) common bile duct and the pancreatic duct.
D) duodenum and the pancreatic duct.
E) duodenum and the bile duct.

back 55

C

front 56

56) The villi are most developed in the
A) stomach.
B) duodenum.
C) jejunum.
D) gall bladder.
E) cecum.

back 56

C

front 57

57) Peyer patches are characteristic of the
A) stomach.
B) duodenum.
C) jejunum.
D) ileum.
E) colon.

back 57

D

front 58

58) Which of these enhance the absorptive effectiveness of the small intestine?
A) the plicae circulares
B) the villi
C) the microvilli
D) intestinal movements
E) all of the above

back 58

E

front 59

59) Brunner glands are characteristic of the
A) stomach.
B) duodenum.
C) jejunum.
D) ileum.
E) colon.

back 59

B

front 60

60) The pylorus empties into the
A) ileum.
B) colon.
C) cecum.
D) jejunum.
E) duodenum.

back 60

E

front 61

61) The middle segment of the small intestine is the
A) ileum.
B) duodenum.
C) jejunum.
D) pylorus.
E) cecum.

back 61

C

front 62

62) The portion of the small intestine that attaches to the cecum is the
A) haustrum.
B) appendix.
C) ileum.
D) duodenum.
E) jejunum.

back 62

C

front 63

63) Plicae circulares are
A) ridges in the wall of the stomach.
B) circumferential folds in the mucosa and submucosa of the small intestine.
C) fingerlike projections on the surface of the mucosa of the small intestine.
D) sacculations in the colon.
E) abnormal structures formed by excessive pressure in the small intestine

back 63

B

front 64

64) An intestinal hormone that stimulates mucus secretion by the submucosal duodenal glands is
A) secretin.
B) cholecystokinin.
C) enterocrinin.
D) GIP.
E) gastrin.

back 64

C

front 65

65) The intestinal hormone that stimulates the pancreas to release a watery, bicarbonate-rich fluid is
A) enterocrinin.
B) secretin.
C) cholecystokinin.
D) GIP.
E) gastrin.

back 65

B

front 66

66) An intestinal hormone that stimulates the gallbladder to release bile is
A) enteropeptidase.
B) secretin.
C) cholecystokinin.
D) GIP.
E) gastrin.

back 66

C

front 67

67) An intestinal hormone that stimulates the release of insulin from the pancreatic islet cells is
A) enterocrinin.
B) enteropeptidase.
C) secretin.
D) cholecystokinin.
E) gastric inhibitory peptide (GIP).

back 67

E

front 68

68) An intestinal hormone that stimulates gastric secretion is
A) secretin.
B) cholecystokinin.
C) enteropeptidase.
D) gastrin.
E) gastric inhibitory peptide (GIP).

back 68

D

front 69

69) Which of these descriptions best matches the term gastrin?
A) where pancreatic juice and bile enter duodenum
B) carries absorbed sugars and amino acids
C) stimulates pancreas to secrete bicarbonate-rich fluid
D) causes gall bladder to contract
E) stimulates gastric secretion

back 69

E

front 70

70) The human liver is composed of ________ lobe(s).
A) one
B) two
C) three
D) four
E) two large, four small

back 70

D

front 71

71) The fusion of the hepatic duct and the cystic duct forms the
A) hepatic portal vein.
B) porta hepatis.
C) common bile duct.
D) common pancreatic duct.
E) bile canaliculus.

back 71

c

front 72

72) In the center of a liver lobule there is a
A) hepatic duct.
B) portal area.
C) sinusoid.
D) central vein.
E) portal vein.

back 72

d

front 73

73) The exocrine portion of the pancreas is composed of
A) islets of Langerhans.
B) pancreatic crypts.
C) pancreatic acini.
D) pancreatic lobules.
E) triads.

back 73

c

front 74

74) Each of the following is a function of the liver, except
A) synthesis and secretion of bile.
B) antibody production.
C) synthesis of plasma proteins.
D) inactivation of toxins.
E) storage of glycogen and iron reserves.

back 74

b

front 75

75) The basic functional unit of the liver is the
A) hepatocyte.
B) Kupffer cell.
C) lobule.
D) portal area.
E) bile canaliculus.

back 75

c

front 76

76) ________ are arranged within a lobule of the liver into a series of plates converging toward a central vein.
A) Kupffer cells
B) Hepatocytes
C) Bile canaliculi
D) Portal areas
E) Hepatic ducts

back 76

b

front 77

77) The Kupffer cells of the liver
A) destroy RBCs.
B) destroy bacteria.
C) present antigens.
D) are phagocytic.
E) all of the above

back 77

e

front 78

78) The pancreas produces
A) lipases and amylase.
B) nucleases.
C) peptidases and proteinases.
D) all of the above
E) A and C only

back 78

d

front 79

79) The pancreas produces ________-digesting enzymes in the form of proenzymes.
A) carbohydrate
B) protein
C) sugar
D) lipid
E) nucleic acid

back 79

b

front 80

80) The structure that marks the division between the right and left lobes of the liver is the
A) lesser omentum.
B) greater omentum.
C) falciform ligament.
D) ligamentum teres.
E) hepatic ligament.

back 80

c

front 81

Bile is stored in the
A) liver.
B) duodenum.
C) pancreas.
D) gallbladder.
E) appendix

back 81

d

front 82

82) During the cephalic phase of gastric secretion,
A) the stomach responds to distention.
B) secretin inhibits parietal and chief cells.
C) there is an increased flow of action potentials along the vagus nerve to the stomach.
D) the intestinal reflex inhibits gastric emptying.
E) production of gastric juice slows down.

back 82

c

front 83

83) The gastric phase of gastric secretion is triggered by the
A) sight, thought, or smell of food.
B) entry of food into the stomach.
C) entry of chyme into the small intestine.
D) entry of chyme into the large intestine.
E) release of cholecystokinin and secretin by the small intestine

back 83

b

front 84

84) All of the following are true of the intestinal phase of gastric digestion, except that it
A) precedes the gastric phase.
B) functions to control the rate of gastric emptying.
C) involves both neural and endocrine reflexes.
D) helps ensure that the functions of the small intestine proceed with relative efficiency.
E) begins when chyme enters the small intestine

back 84

a

front 85

85) Enzymes secreted by the pancreas include
A) trypsin (as trypsinogen).
B) amylase.
C) lactase.
D) A and B only
E) A, B, and C

back 85

d

front 86

86) The gastroileal reflex
A) empties the duodenum.
B) promotes gastric secretion.
C) decreases peristaltic activity.
D) moves some chyme to the colon.
E) is relayed through the CNS.

back 86

d

front 87

87) Nutrients are absorbed by all of the following, except
A) active transport.
B) diffusion.
C) facilitated diffusion.
D) cotransport.
E) osmosis.

back 87

e

front 88

88) Functions of the large intestine include
A) absorption of bile salts.
B) absorption of vitamins.
C) resorption of water and compaction of feces.
D) all of the above.
E) B and C only

back 88

E

front 89

89) At the hepatic flexure, the colon becomes the
A) ascending colon.
B) transverse colon.
C) descending colon.
D) sigmoid colon.
E) rectum.

back 89

b

front 90

90) Approximately the last 15 cm of the digestive tract is the
A) anus.
B) anal canal.
C) rectum.
D) sigmoid colon.
E) rectal column.

back 90

c

front 91

91) Haustra are
A) expansible pouches of the colon.
B) strips of muscle in the colon.
C) glands in the large intestine that secrete mucus.
D) the source of colon hormones.
E) compact feces stored in the rectum.

back 91

a

front 92

92) The taenia coli are
A) tears of the colon.
B) longitudinal bands of smooth muscle in the colon wall.
C) ridges in the mucosa of the colon.
D) polyps that obstruct the sigmoid colon.
E) tumors normally confined in the sigmoid colon.

back 92

b

front 93

93) The saclike structure that joins the ileum at the ileocecal valve is the
A) appendix.
B) sigmoid colon.
C) rectum.
D) haustra.
E) cecum.

back 93

e

front 94

94) A small, wormlike structure attached to the posteromedial surface of the cecum is the
A) haustra.
B) pancreas.
C) gallbladder.
D) appendix.
E) ileum.

back 94

d

front 95

95) Movements unique to the large intestine are ________ movements.
A) peristaltic
B) segmentation
C) mass
D) pendular
E) writhing

back 95

c

front 96

96) The enzyme amylase digests
A) peptides.
B) polysaccharides.
C) disaccharides.
D) triglycerides.
E) nucleotides.

back 96

b

front 97

97) An enzyme that digests proteins into peptides is
A) lipase.
B) amylase.
C) nuclease.
D) maltase.
E) trypsin.

back 97

e

front 98

98) Carbohydrate digestion begins in the
A) mouth.
B) esophagus.
C) stomach.
D) duodenum.
E) ileum.

back 98

a

front 99

99) Products of fat digestion are transported initially by
A) capillaries.
B) veins.
C) lymphatic vessels.
D) the interstitial fluid.
E) the arterioles.

back 99

c

front 100

100) The absorption of some sugars in the small intestine involves
A) osmosis.
B) diffusion.
C) cotransport.
D) phagocytosis.
E) pinocytosis.

back 100

c

front 101

101) The digestive tract is also referred to as the
A) alimentary canal.
B) esophagus.
C) GI tract.
D) both A and C
E) all of the above

back 101

d

front 102

102) The ________ supports all but 25 cm of the small intestine and provides stability and limited movement.
A) falciform ligament
B) greater omentum
C) mesentery proper
D) lesser omentum
E) diaphragm

back 102

c

front 103

103) This organ is primarily responsible for water absorption.
A) small intestine
B) esophagus
C) large intestine
D) stomach
E) anus

back 103

c

front 104

104) Which of the following contains adipose tissue and provides padding for the anterior and lateral portions of
the abdomen?
A) falciform ligament
B) greater omentum
C) mesentery proper
D) lesser omentum
E) diaphragm

back 104

b

front 105

105) Which of these descriptions best matches the term cholecystokinin (CCK)?
A) where pancreatic juice and bile enter duodenum
B) carries absorbed sugars and amino acids
C) stimulates pancreas to secrete bicarbonate-rich fluid
D) causes gall bladder to contract
E) stimulates gastric secretion

back 105

d

front 106

106) The ________ mechanically digests ingested food.
A) small intestine
B) esophagus
C) large intestine
D) stomach
E) anus

back 106

d

front 107

107) Which layer of the digestive tract has a dense irregular connective tissue that surrounds the muscularis
mucosae?
A) submucosa
B) digestive epithelium
C) muscularis mucosae
D) lamina propria
E) mucosa

back 107

a

front 108

108) Which organ is responsible for dehydration and compaction of indigestible materials?
A) small intestine
B) esophagus
C) large intestine
D) stomach
E) anus

back 108

c

front 109

109) The serous membrane that lines the peritoneal cavity
A) secretes peritoneal fluid.
B) decreases friction.
C) lubricates the cavity.
D) prevents irritation.
E) all of the above

back 109

e

front 110

110) Which of the following contains a remnant of the fetal umbilical vein?
A) falciform ligament
B) greater omentum
C) mesentery proper
D) lesser omentum
E) diaphragm

back 110

a

front 111

111) Which of the following is not a component of the hepatic triad found at the edges of a liver lobule?
A) hepatic artery
B) bile duct
C) central vein
D) hepatic portal vein
E) None of the aboveNall are present in the hepatic triad.

back 111

C

front 112

112) Which of the following is classified as being either squamous or columnar?
A) submucosa
B) digestive epithelium
C) muscularis mucosae
D) lamina propria
E) mucosa

back 112

e

front 113

113) Approximately ________ liters of fluid are secreted and reabsorbed into the digestive system each day.
A) 5
B) 10
C) 2
D) 1
E) 7

back 113

e

front 114

114) Identify the salivary gland that secretes a watery mixture rich in salivary amylase and bicarbonate ion.
A) mandibular
B) sublingual
C) lingual
D) submandibular
E) parotid

back 114

e

front 115

115) The double-layer sheets of serous membrane that support the viscera are called
A) peritoneal sheets.
B) mesenteries.
C) ascites.
D) the diaphragm.
E) the dorsal and ventral frenulums

back 115

b

front 116

116) What provides access for blood vessels entering and leaving the liver?
A) falciform ligament
B) greater omentum
C) mesentery proper
D) lesser omentum
E) diaphragm

back 116

d

front 117

117) Which layer of the digestive tract directly underlies the epithelium?
A) submucosa
B) digestive epithelium
C) muscularis mucosae
D) lamina propria
E) lymphoid nodules

back 117

d

front 118

118) All of the following contain mucous cells in the epithelium, except the
A) stomach.
B) transverse colon.
C) esophagus.
D) small intestine.
E) large intestine.

back 118

c

front 119

119) Which of the following is surrounded by a serosa?
A) rectum
B) pharynx
C) esophagus
D) small intestine
E) oral cavity

back 119

d

front 120

120) Gastrin secretion in response to elevated luminal pH is an example of
A) neural stimulation.
B) local stimulation.
C) muscular stimulation.
D) hormone stimulation.
E) none of the above

back 120

b

front 121

121) ________ are also known as canines.
A) Bicuspids
B) Incisors
C) Molars
D) Secondary teeth
E) Cuspids

back 121

e

front 122

122) The oral mucosa has ________ epithelium.
A) simple squamous
B) stratified squamous
C) pseudostratified
D) stratified columnar
E) transitional

back 122

b

front 123

123) The ________ salivary glands are covered by the mucous membrane in the floor of the mouth.
A) mandibular
B) sublingual
C) lingual
D) submandibular
E) parotid

back 123

b

front 124

124) Which of these statements about the tongue is false?
A) dorsal surface covered with papillae
B) composed of large extrinsic and small intrinsic muscles
C) lingual frenulum attaches ventral surface to floor of oral cavity
D) secretes lingual lipase
E) secretes salivary amylase

back 124

e

front 125

125) Which of these descriptions best matches the term duodenal ampulla?
A) where pancreatic juice and bile enter duodenum
B) carries absorbed sugars and amino acids
C) stimulates pancreas to secrete bicarbonate-rich fluid
D) causes gall bladder to contract
E) stimulates gastric secretion

back 125

a

front 126

126) Which of the following is a function of the tongue?
A) manipulation to assist with chewing
B) mechanical processing
C) sensory analysis
D) secretion of mucins
E) all of the above

back 126

e

front 127

127) Which salivary gland produces a serous secretion containing large amounts of salivary amylase?
A) mandibular
B) sublingual
C) lingual
D) submandibular
E) parotid

back 127

e

front 128

128) Absorption of glucose from the gut lumen depends on
A) the sodium-potassium pump in the basolateral membrane of the epithelial cell.
B) cotransporter proteins in the apical membrane of the epithelial cell.
C) higher sodium ion concentration in the lumen than in the epithelial cell.
D) A and B only
E) A, B, and C

back 128

e

front 129

129) Functions of teeth include
A) tearing.
B) crushing.
C) cutting.
D) clipping.
E) all of the above

back 129

e

front 130

130) ________ crush and grind food.
A) Bicuspids
B) Incisors
C) Molars
D) Cuspids
E) both A and C

back 130

e

front 131

131) The part of the digestive tract that plays the primary role in the digestion and absorption of nutrients is the
A) cecum.
B) jejunum.
C) stomach.
D) duodenum.
E) colon.

back 131

b

front 132

132) The hormone that stimulates secretion and contraction by the stomach is
A) gastrin.
B) enteropeptidase.
C) secretin.
D) cholecystokinin.
E) CCK.

back 132

a

front 133

133) The essential functions of the liver include
A) metabolic regulation.
B) hematological regulation.
C) bile production.
D) all of the above
E) A and C only

back 133

d

front 134

134) If the lingual frenulum is too restrictive, an individual
A) has a condition called ankyloglossia.
B) has difficulty eating.
C) cannot speak normally.
D) all of the above
E) A and C onlyd

back 134

d

front 135

135) Increased secretion by all the salivary glands results from
A) sympathetic stimulation.
B) hormonal stimulation.
C) parasympathetic stimulation.
D) myenteric reflexes.
E) hunger.

back 135

c

front 136

136) The secretion of acid and enzymes by the gastric mucosa is controlled and regulated by
A) the central nervous system.
B) short reflexes coordinated in the stomach wall.
C) digestive tract hormones.
D) A, B, and C
E) A and C only

back 136

d

front 137

137) At the splenic flexure, the colon becomes the
A) ascending colon.
B) transverse colon.
C) descending colon.
D) sigmoid colon.
E) rectum.

back 137

c

front 138

138) Blockage of the common hepatic duct would interfere with digestion of
A) proteins.
B) fats.
C) disaccharides.
D) complex carbohydrates.
E) vitamins.

back 138

b

front 139

139) During deglutition, which of the following phases is not present?
A) voluntary
B) pharyngeal
C) laryngeal
D) esophageal
E) None of the above.ȱȱAll are phases in deglutition.

back 139

c

front 140

140) A disease that attacks and disables the myenteric plexus would
A) increase intestinal motility.
B) decrease intestinal motility.
C) increase gastric secretion.
D) decrease gastric secretion.
E) interfere with both intestinal motility and gastric secretion

back 140

b

front 141

141) Muscles known as the pharyngeal constrictors function in
A) mastication.
B) moving the tongue.
C) swallowing.
D) esophageal peristalsis.
E) opening the cardiac sphincter.

back 141

c

front 142

142) All of the following are true of the lining of the stomach, except that it
A) has a simple columnar epithelium.
B) is covered by a thick, viscous mucus.
C) is constantly being replaced.
D) contains gastric pits.
E) recycles bile.

back 142

e

front 143

143) Which of the following is greater?
A) the pH of the blood in gastric veins during digestion of a large meal
B) the pH of the blood in gastric veins following a 24-hour fast
C) Can be either.
D) Blood pH is constant because of buffering.

back 143

a

front 144

144) Enterogastric reflexes
A) inhibit gastric motility.
B) inhibit gastric secretion.
C) are triggered by chyme entering the duodenum.
D) involve the enteric nervous system.
E) all of the above

back 144

e

front 145

145) The part of the small intestine most likely to develop an ulcer from exposure to gastric juice is the
A) pylorus.
B) duodenum.
C) ileum.
D) caecum.
E) jejunum.

back 145

b

front 146

146) In response to the arrival of acid chyme in the duodenum, the
A) blood levels of secretin rise.
B) blood levels of cholecystokinin fall.
C) blood levels of gastrin rise.
D) blood levels of enterocrinin fall.
E) both C and D

back 146

a

front 147

147) A blockage of the ducts from the parotid glands would
A) reduce delivery of saliva.
B) cause mumps-like swelling of the face.
C) interfere with carbohydrate digestion in the mouth.
D) A, B, and C
E) B and C only

back 147

d

front 148

148) In response to the hormone secretin, the pancreas secretes a fluid
A) rich in enzymes.
B) rich in bicarbonate ion.
C) rich in bile.
D) rich in mucus.
E) that contains only amylase.

back 148

b

front 149

149) In response to the hormone cholecystokinin, the pancreas secretes a fluid
A) rich in enzymes.
B) rich in bicarbonate.
C) rich in bile.
D) rich in mucus.
E) that contains only amylase.

back 149

a

front 150

150) If digestion of a carbohydrate results in equal amounts of glucose and galactose, this carbohydrate is probably
A) sucrose.
B) maltose.
C) lactose.
D) cellulose.
E) glycogen.

back 150

c

front 151

151) All of the following are true of the process known as cotransport, except that
A) only neutral compounds such as sugars are transported.
B) more than one molecule or ion is moved through the cell membrane at one time.
C) ATP is not required by the transport protein.
D) saturation phenomenon can be observed.
E) molecules can be moved against a concentration gradient.

back 151

a

front 152

152) Parietal cells secrete
A) pepsinogen.
B) gastrin.
C) mucus.
D) intrinsic factor.
E) vitamin B12.

back 152

d

front 153

153) The stomach is able to distend a great deal as it receives food because of all of the following, except that
A) there is a great deal of loose tissue in the form of rugae.
B) the smooth muscle of the stomach is very elastic.
C) the hormone gastrin relaxes stomach smooth muscle.
D) sympathetic stimulation decreases the tonus of the gastric smooth muscle.
E) the gastric smooth muscle is very extensible.

back 153

c

front 154

154) A drug that blocks the action of carbonic anhydrase in parietal cells would result in
A) a lower pH during gastric digestion.
B) a higher pH during gastric digestion.
C) decreased production of pepsinogen by chief cells.
D) increased protein digestion in the stomach.
E) decreased gastrin production.

back 154

b

front 155

155) A drug that blocks the action of the hormone cholecystokinin would affect
A) acid production by the stomach.
B) the composition of pancreatic secretions.
C) the delivery of bile.
D) B and C only
E) A, B, and C

back 155

e

front 156

156) An obstruction of the common bile duct often results in
A) undigested fat in the feces.
B) jaundice.
C) inability to digest protein.
D) A and B only
E) A, B, and C

back 156

d

front 157

157) If the pancreatic duct was obstructed, you would expect to see elevated blood levels of
A) bilirubin.
B) amylase.
C) cholecystokinin.
D) secretin.
E) gastrin.

back 157

b

front 158

158) Mary had her stomach mostly removed to try to overcome obesity. As a result you would expect Mary to be at
risk for
A) protein malnutrition.
B) pernicious anemia.
C) diarrhea.
D) dehydration.
E) an ulcer.

back 158

b

front 159

159) Tom has hepatitis, an inflammation of the liver. Which of the following symptoms would you expect to observe
in Tom?
A) jaundice
B) elevated levels of blood glucose
C) impaired digestion of protein
D) blood in the feces
E) overproduction of blood plasma albumin

back 159

a

front 160

160) Tony is a chronic alcoholic with cirrhosis of the liver, a condition in which liver cells die and are replaced by
connective tissue. Which of the following signs would you expect to observe in Tony?
A) increased clotting time
B) jaundice
C) portal hypertension and ascites
D) all of the above
E) B and C only

back 160

d