Digestive Physiology

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Anatomy › Digestive Physiology

Questions 1 - 10
1

The presence of fat and protein in the small intestine stimulates the release of which hormone that acts to decrease gastric emptying.

Cholecystokinin (CCK)

Gastrin

Motilin

Secretin

Glucagon

Explanation

CCK is a gastrointestinal hormone that acts to decrease gastric emptying when stimulated by the presence of fat and protein. This hormone also has a direct effect on the brain centers responsible for hunger to reduce further eating. The majority of other gastrointestinal hormones are stimulated by the presence of fat.

2

Which of the following is the start of the gastrointestinal tract?

Mouth

Stomach

Pharynx

Esophagus

Explanation

The mouth is the start of the gastrointestinal tract. It is the site of both mechanical and chemical digestion via chewing, and saliva, respectively. Saliva contains the enzyme amylase that breaks down carbohydrates.

3

The presence of fat and protein in the small intestine stimulates the release of which hormone that acts to decrease gastric emptying.

Cholecystokinin (CCK)

Gastrin

Motilin

Secretin

Glucagon

Explanation

CCK is a gastrointestinal hormone that acts to decrease gastric emptying when stimulated by the presence of fat and protein. This hormone also has a direct effect on the brain centers responsible for hunger to reduce further eating. The majority of other gastrointestinal hormones are stimulated by the presence of fat.

4

Which of the following is the start of the gastrointestinal tract?

Mouth

Stomach

Pharynx

Esophagus

Explanation

The mouth is the start of the gastrointestinal tract. It is the site of both mechanical and chemical digestion via chewing, and saliva, respectively. Saliva contains the enzyme amylase that breaks down carbohydrates.

5

Which of the following sections of the digestive system is NOT involved in chemical digestion?

Esophagus

Mouth

Stomach

Small intestine

Explanation

The mouth, stomach, and small intestine all contain enzymes that help chemically digest food. The mouth contains salivary amylase to digest carbohydrates. The stomach contains pepsin to digest proteins. The small intestine contains numerous enzymes from pancreatic secretions that digest carbohydrates, fats, and proteins.

The esophagus serves to transport food from the mouth to the stomach via smooth muscle contractions. No chemical digestion takes place in the esophagus, and no digestive enzymes are secreted into this region.

6

Which of the following sections of the digestive system is NOT involved in chemical digestion?

Esophagus

Mouth

Stomach

Small intestine

Explanation

The mouth, stomach, and small intestine all contain enzymes that help chemically digest food. The mouth contains salivary amylase to digest carbohydrates. The stomach contains pepsin to digest proteins. The small intestine contains numerous enzymes from pancreatic secretions that digest carbohydrates, fats, and proteins.

The esophagus serves to transport food from the mouth to the stomach via smooth muscle contractions. No chemical digestion takes place in the esophagus, and no digestive enzymes are secreted into this region.

7

Which of the following are not secreted by the pancreas?

Pepsin

Trypsin

Lipase

Amylase

Bicarbonate

Explanation

The pancreas is responsible for secreting digestive enzymes into the small intestine. These enzymes are responsible for digesting lipids (lipase), proteins (trypsin), nucleic acids (nucleases), and starches (amylase). In addition, the pancreas secretes bicarbonate to help neutralize the acids coming from the stomach. Pepsin's zymogen, pepsinogen is released by chief cells in the stomach, and gets activated by the acid that is also produced by the stomach (by parietal cells).

8

Which of the following are not secreted by the pancreas?

Pepsin

Trypsin

Lipase

Amylase

Bicarbonate

Explanation

The pancreas is responsible for secreting digestive enzymes into the small intestine. These enzymes are responsible for digesting lipids (lipase), proteins (trypsin), nucleic acids (nucleases), and starches (amylase). In addition, the pancreas secretes bicarbonate to help neutralize the acids coming from the stomach. Pepsin's zymogen, pepsinogen is released by chief cells in the stomach, and gets activated by the acid that is also produced by the stomach (by parietal cells).

9

A resection of the ileum (third portion of the small intestine) would likely result in which of the following conditions?

Vitamin B12 deficiency

Iron deficiency

Peptic ulcer disease

Type I diabetes

Type II diabetes

Explanation

Vitamin B12 absorption requires intrinsic factor (IF), which is a protein secreted by the parietal cells of the stomach. When vitamin B12 binds to IF, it is able to be absorbed by the body in the terminal ileum. Therefore, removal of the ileum would likely result in a vitamin B12 deficiency, since the body cannot absorb the B12-IF complex.

10

Which stomach cell is responsible for the activation of pepsinogen?

Parietal cells

Chief cells

Goblet cells

G cells

Explanation

Pepsinogen is an inactive enzyme that is released into the stomach lumen by chief cells. Parietal cells are responsible for secreting hydrochloric acid. This acid will cleave the pepsinogen and make it an active enzyme, pepsin, which can then cleave peptide bonds and begin protein digestion.

Goblet cells secrete mucus to protect the epithelium of the stomach from the acid in the lumen. G cells secrete gastrin, which promotes the secretion of hydrochloric acid and pepsinogen.

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