Anatomy and physiology proctored exam

Anatomy and physiology proctored exam

Total Questions : 48

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Question 1: View

Specific enteroendocrine cells of the stomach, called G cells, are stimulated by partially digested proteins, caffeine, and rising pH. When stimulated, G cells secrete

Explanation

A. Gastrin: G cells secrete gastrin, a hormone that stimulates parietal cells to produce hydrochloric acid and promotes gastric motility. It is released in response to food components like peptides, caffeine, and a rise in pH.
B. Pepsin: Pepsin is an enzyme that digests proteins, but it is secreted as pepsinogen by chief cells, not G cells.
C. Ghrelin: Ghrelin is a hunger-stimulating hormone, secreted primarily by cells in the stomach fundus, not by G cells.
D. Hydrochloric acid: Hydrochloric acid is secreted by parietal cells, not G cells.


Question 2: View

The bolus is liquefied in the

and it is now called chyme.

Explanation

A. Stomach: The stomach mixes the food with gastric juices, converting the solid bolus into a semi-liquid substance called chyme.
B. Small intestine: The small intestine receives chyme but does not liquefy the bolus.
C. Mouth: The mouth forms the bolus through mastication and saliva, but it does not produce chyme.
D. Esophagus: The esophagus only transports the bolus via peristalsis and plays no role in liquefying it.


Question 3: View

Which of the following is (are) NOT important as a stimulus in the gastric phase of gastric secretion?

Explanation

A. Peptides: Peptides in the stomach stimulate G cells to release gastrin, which enhances gastric secretion.
B. Distention: Stretch receptors in the stomach wall respond to distention and activate gastric secretions via reflexes.
C. Low acidity: A rise in pH (low acidity) following food entry triggers gastrin release.
D. Carbohydrates: Carbohydrates do not significantly stimulate gastric secretions; proteins are the primary stimulus during the gastric phase.


Question 4: View

Hepatocytes do NOT

Explanation

A. Store fat-soluble vitamins: Hepatocytes store vitamins A, D, E, and K.
B. Detoxify toxic chemicals: Hepatocytes metabolize and detoxify substances like drugs and alcohol.
C. Process nutrients: They metabolize carbohydrates, lipids, and proteins, modifying absorbed nutrients.
D. Produce digestive enzymes: Hepatocytes do not produce digestive enzymes; that is the role of the pancreas and other gastrointestinal organs.


Question 5: View

All of the following are true of swallowing (deglutition) except one. Select the statement that is NOT true of swallowing.

Explanation

A. The voluntary phase of swallowing takes place within the mouth: The oral phase is under voluntary control and involves tongue movement to push the bolus to the oropharynx.
B. The epiglottis assists in propelling food into the trachea: This is incorrect. The epiglottis prevents food from entering the trachea by covering the glottis during swallowing; it does not propel food.
C. The involuntary portion of swallowing takes place in the pharynx: After the oral phase, swallowing becomes involuntary, involving reflexive contractions of pharyngeal muscles.
D. The mouth, pharynx and esophagus all take part in swallowing: All three structures are involved in the three phases of deglutition: oral, pharyngeal, and esophageal.


Question 6: View

The

phase is associated with food stretching the stomach and activating myenteric and vagovagal reflexes, which in turn stimulate gastric secretions.

Explanation

A. Cephalic: The cephalic phase occurs before food enters the stomach, triggered by sight, smell, or thought of food, and stimulates gastric secretion via the vagus nerve.
B. Gastric: The gastric phase begins when food enters and stretches the stomach, triggering myenteric and vagovagal reflexes that stimulate acid and enzyme secretion.
C. Intestinal: The intestinal phase involves chyme entering the duodenum, which moderates gastric activity, mostly inhibitory.
D. Gastrointestinal: “Gastrointestinal” is a general term and not one of the specific phases of gastric secretion.
E. Mesenteric: “Mesenteric” refers to the mesentery (tissue supporting the intestines), not a phase of digestion.


Question 7: View

The surface of the tongue is covered with

and has bumps called stratified squamous epithelium, where many taste buds can be found.

Explanation

A. Keratinized; lingual papillae: The dorsal surface of the tongue is lined with keratinized stratified squamous epithelium, especially in areas subject to friction, and contains lingual papillae that house taste buds.
B. Keratinized; lingual frenulum: The lingual frenulum is the fold under the tongue, not a bump or papilla.
C. Nonkeratinized; lingual papillae: The top of the tongue is typically keratinized, not nonkeratinized, due to exposure to friction.
D. Nonkeratinized; tonsils: Tonsils are not part of the tongue's surface epithelium and don’t contain taste buds.
E. Nonkeratinized; vallate papillae: Vallate papillae are a type of lingual papillae, but the overall surface is keratinized, not nonkeratinized.


Question 8: View

The

gland is an extrinsic salivary gland, whereas the gland is an

Explanation

A. Intrinsic salivary gland: This is a general category, not a pair of specific glands, so it doesn't answer the two-part question.
B. Lingual; labial: Both lingual and labial glands are intrinsic (minor) salivary glands.
C. Submandibular; lingual: The submandibular gland is one of the major extrinsic salivary glands, while lingual glands are minor intrinsic glands located in the tongue.
D. Submandibular; sublingual: Both are extrinsic salivary glands.
E. Sublingual; parotid: Both are extrinsic glands; the parotid is the largest.
F. Lingual; sublingual: Lingual is intrinsic; sublingual is extrinsic, so the order here is reversed.


Question 9: View

Which of the following is not a trigger for mass movements of the colon?

Explanation

A. The gastrocolic reflex: Triggered by food entering the stomach, it stimulates mass movement in the colon.
B. The duodenocolic reflex: Triggered by chyme entering the duodenum, this reflex stimulates colon contractions.
C. Chyme filling the duodenum: This activates the duodenocolic reflex, promoting mass movement.
D. Chyme filling the stomach: This activates the gastrocolic reflex.
E. The colorectal reflex: This reflex is involved in the defecation process-it responds to rectal filling, not in initiating mass movement in the colon. It is not a trigger for mass movement.


Question 10: View

A child with restricted tongue movement may have a surgery that involves the cutting of the

Explanation

A. Terminal sulcus: This is a V-shaped groove on the tongue that marks the division between the anterior and posterior tongue-not related to tongue mobility.
B. Lingual frenulum: This is a fold of mucous membrane under the tongue that may be too short or tight in some children (ankyloglossia or “tongue-tie”), limiting movement. Surgery may involve cutting this to free the tongue.
C. Uvula: The uvula is part of the soft palate and plays a role in speech and swallowing, not tongue movement.
D. Palatine tonsils: These are lymphatic tissues in the oropharynx and have no role in tongue movement.


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