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"Heartburn" following a large meal is usually due to pressure of the stomach against the heart.

A) True
B) False

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Polysaccharides must be broken down to disaccharides in order to be absorbed.

A) True
B) False

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Segmentation of the small intestine:


A) occurs only between meals,and functions to stimulate the secretion of gastrin and the resulting mass-movements that empty the large intestine.
B) occurs at a rate of 3 contractions per minute throughout the small intestine,although the strength of contractions is much greater in the ileum,which has a much thicker layer of smooth muscle in its walls.
C) functions mainly to prevent any forward movement of chyme,so that all digestion and absorption is complete before undigestible materials move into the jejunum.
D) are peristaltic movements that sweep undigestible materials out of the small intestine between meals.
E) mixes chyme with digestive enzymes,brings food molecules near the wall for absorption,and slowly moves small intestine contents toward the cecum.

F) D) and E)
G) None of the above

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Which of the following statements regarding neural regulation of gastrointestinal function is TRUE?


A) Networks of neurons in the wall of the GI tract innervate the wall's smooth muscle.
B) Smooth muscle of the GI tract is innervated by both sympathetic and autonomic motor nerves.
C) If the autonomic nerves to the GI tract were cut,digestion and absorption of food could no longer take place.
D) The nerve plexus of the GI tract exists in a single layer,just outside of the serosa.
E) There are no afferent neuronal pathways from the GI tract to the central nervous system.

F) D) and E)
G) None of the above

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In general,sympathetic stimulation increases gastric secretion and motility,while parasympathetic stimulation decreases these two processes.

A) True
B) False

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Voluntary control of defecation requires learning to keep the external anal sphincter smooth muscle contracted.

A) True
B) False

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Which of the following would be most likely to cause metabolic acidosis?


A) severe vomiting
B) severe diarrhea
C) hyperventilation
D) hypoventilation
E) traveling to high altitude

F) A) and E)
G) D) and E)

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Food mixed with digestive juices in the stomach is called chyme.

A) True
B) False

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Short chains of amino acids and some intact proteins are absorbed from the small intestine.

A) True
B) False

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Flatus is primarily a result of air being swallowed with food.

A) True
B) False

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Iron is stored in the body mainly as a protein-iron storage complex called:


A) glycogen.
B) hemochromatosis.
C) ferris wheel.
D) transferrin.
E) ferritin.

F) B) and C)
G) B) and D)

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Which of these is a secretion of the endocrine portion of the pancreas?


A) trypsinogen
B) enterokinase
C) amylase
D) bicarbonate
E) insulin

F) A) and B)
G) None of the above

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Which of the following is the most potent inhibitor (directly or indirectly) of gastric motility and emptying?


A) fat in the duodenum
B) acid in the stomach
C) carbohydrate in the stomach
D) gastrin
E) distension of the stomach

F) C) and D)
G) A) and E)

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Which of the following is NOT a part of the swallowing reflex?


A) Respiration is inhibited.
B) The glottis closes.
C) The upper esophageal sphincter relaxes.
D) The lower esophageal sphincter relaxes.
E) The pyloric sphincter relaxes.

F) A) and B)
G) D) and E)

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Which of the following statements concerning secretin is correct?


A) The most potent stimulus for secretin secretion is the presence of fat in the duodenum.
B) Secretin is the most potent stimulus for pancreatic digestive enzyme secretion.
C) Secretin is the most potent stimulus for pancreatic HCO3- secretion.
D) Secretin stimulates secretion by the parietal and chief cells.
E) Secretin stimulates gastrin secretion by parietal cells.

F) A) and B)
G) B) and C)

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Which of the following is NOT true about gallstones?


A) They cause lactose intolerance.
B) They cause pain.
C) They cause impaired fat digestion.
D) They cause general nutritional deficiencies.
E) They cause jaundice.

F) A) and B)
G) B) and D)

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Any agent that interferes with water absorption or that causes water secretion into the gastrointestinal tract can cause diarrhea.

A) True
B) False

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The main source of enzymes that cleave disaccharides into monosaccharides is:


A) the pancreas.
B) the liver.
C) gastric secretory cells.
D) the luminal membrane of epithelial cells in the small intestine.
E) the salivary glands.

F) All of the above
G) B) and E)

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Glucose absorption across the luminal membrane of intestinal epithelial cells occurs by secondary active transport.

A) True
B) False

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Which of the following breakfasts would likely remain in the stomach longest?


A) toast,orange juice,and coffee
B) fried eggs,bacon,and hash browns
C) a bowl of cereal with skim milk
D) a boiled egg,toast,and juice
E) The type of meal has no effect on the rate of gastric emptying.

F) A) and D)
G) C) and D)

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