System Function: Digestion - Massage and Bodywork Licensing Examination Mblex

  1. What is the sphincter that regulates chyme release from stomach into the duodenum?
    Pyloric sphincter. It controls the rate of chyme passage to the small intestine, allowing time for neutralization and digestion.
  2. What are villi?
    Fingerlike mucosal projections that increase absorptive surface area. Villi contain blood vessels and lacteals to transport absorbed nutrients, maximizing contact with digested material.
  3. Which digestive process is the mechanical breakdown of food by chewing and stomach churning?
    Mechanical digestion. This process physically reduces food particle size to increase surface area for enzymatic action and facilitate swallowing.
  4. What is the term for rhythmic, wave-like contractions that propel food through the GI tract?
    Peristalsis. These contractions create pressure gradients that move boluses of food along the digestive tract efficiently.
  5. Which organ stores and concentrates bile for release into the small intestine?
    Gallbladder. It concentrates bile by absorbing water and stores it until hormonal signals trigger release via the common bile duct.
  6. Identify the three sections of the small intestine in correct order from stomach to large intestine.
    Duodenum, jejunum, ileum. These segments progressively handle digestion and absorption, with the duodenum receiving chyme and the ileum completing nutrient uptake.
  7. What is the name of the muscular tube that carries food from pharynx to stomach?
    Esophagus. It uses peristaltic waves to transport the food bolus from the pharynx to the stomach via gravity and muscle action.
  8. Which salivary enzyme begins starch digestion in the mouth?
    Salivary amylase (ptyalin). This enzyme hydrolyzes starch into maltose and dextrins, starting carbohydrate digestion in an alkaline environment.
  9. What is the acidic secretion of the stomach that denatures proteins and kills many microbes?
    Hydrochloric acid (HCl). Produced by parietal cells, it creates a low pH environment to activate pepsinogen and provide antimicrobial protection.
  10. What is the primary function of saliva in digestion?
    Lubricates food and begins carbohydrate digestion. Saliva moistens food for easier swallowing and contains amylase to initiate starch breakdown into maltose.
  11. What is the main role of pancreatic bicarbonate in the duodenum?
    Neutralizes acidic chyme from the stomach. Bicarbonate raises the pH of chyme to an optimal level for intestinal enzyme activity and protects the mucosa.
  12. Which stomach enzyme begins protein digestion by breaking proteins into peptides?
    Pepsin. Activated from pepsinogen in acidic conditions, it cleaves peptide bonds to initiate protein catabolism.
  13. Which digestive process is the chemical breakdown of food by enzymes, acids, and bile?
    Chemical digestion. Enzymes and other chemicals break down complex molecules into simpler forms that can be absorbed by the body.
  14. What is the term for localized intestinal mixing contractions that move chyme back and forth?
    Segmentation. These contractions enhance mixing of food with digestive juices without net forward movement, aiding nutrient absorption.
  15. What are microvilli?
    Microscopic projections on enterocytes forming the brush border. Microvilli expand the apical surface of absorptive cells, housing brush border enzymes for final digestion steps.
  16. Which hormone stimulates pancreatic enzyme secretion in response to fats and proteins in chyme?
    Cholecystokinin (CCK). Released by duodenal cells, it promotes enzyme secretion from the pancreas to digest fats and proteins effectively.
  17. Which hormone stimulates pancreatic bicarbonate secretion in response to acidic chyme?
    Secretin. Produced in response to low duodenal pH, it stimulates bicarbonate release to neutralize stomach acid.
  18. What is the sphincter at the junction of the esophagus and stomach called?
    Lower esophageal (cardiac) sphincter. This sphincter relaxes to allow food entry into the stomach and contracts to prevent reflux of gastric contents.
  19. Which organ produces bile?
    Liver. Hepatocytes synthesize bile salts from cholesterol to support fat digestion and elimination of waste products.
  20. Which organ secretes digestive enzymes and bicarbonate into the duodenum?
    Pancreas. Acinar cells produce enzymes for macronutrient breakdown, while ductal cells secrete bicarbonate to buffer acidity.

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