Intrinsic factor is required for the absorption of vitamin __in the small intestine.
B6
D
C
B12
The Correct Answer is D
A. B6: Vitamin B6, or pyridoxine, is a water-soluble vitamin absorbed primarily in the jejunum through passive diffusion. It does not require a specific gastric carrier protein for its uptake. Its absorption is independent of parietal cell secretions.
B. D: Vitamin D is a fat-soluble vitamin that requires bile salts and micelle formation for absorption in the small intestine. It is absorbed alongside dietary lipids. It does not utilize intrinsic factor for its transport or mucosal entry.
C. C: Vitamin C, or ascorbic acid, is absorbed in the distal small intestine via sodium-dependent active transport (SVCT1 and SVCT2). It does not form a complex with gastric proteins. Its bioavailability is unrelated to intrinsic factor levels.
D. B12: Cyanocobalamin must bind to intrinsic factor, a glycoprotein secreted by gastric parietal cells, to resist degradation. This complex is specifically recognized by receptors in the terminal ileum for endocytosis. Without intrinsic factor, B12 absorption is impossible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A person drinks a lot of water quickly:Rapid water ingestion does not typically stimulate excessive salivation beyond what is needed for swallowing. The salivary glands respond more to gustatory and olfactory stimuli than to volume. Hydration status remains the primary regulator here.
B. A person sees delicious food but cannot eat it:Visual and olfactory stimuli activate the parasympathetic nervous system via the salivary nuclei in the medulla. This causes a significant increase in watery, enzyme-rich saliva in anticipation of mastication. This is the classic cephalic response.
C. A person is experiencing dehydration:Dehydration triggers the sympathetic nervous system to reduce salivary secretion to conserve body water. This results in xerostomia, or a dry mouth, rather than overproduction. It is a protective mechanism against fluid loss.
D. A person is giving a public speech:Stress and anxiety associated with public speaking activate the sympathetic "fight or flight" response. This leads to the production of thick, mucus-rich saliva and a dry sensation. It does not cause excessive watery drooling.
Correct Answer is D
Explanation
A. A mixture of digested food and bile, formed in the small intestine:By the time food enters the small intestine and mixes with bile, it is already considered chyme. Bile facilitates emulsification but is not the primary agent of chyme formation. Chyme originates more proximally.
B. A sugar-based fluid produced in the mouth during chewing:The product formed in the mouth is a bolus, which consists of masticated food and saliva. It is not yet acidic or liquefied. The transformation into chyme requires gastric acid and muscular contractions.
C. A byproduct of nutrient absorption in the large intestine:The material in the large intestine is referred to as fecal matter or stool. Chyme is the precursor to this, existing primarily in the stomach and small intestine. The colon removes water from chyme.
D. A partially digested, acidic mixture created by mechanical churning in the stomach:Chyme results from the mechanical action of gastric smooth muscle mixing the bolus with hydrochloric acid and pepsin. This process liquefies food into a creamy, semi-fluid mass. It is the form in which food exits the stomach.
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