What enzyme is activated by HCI in the gastric phase?
Amylase
Pepsin
Lipase
Trypsin
The Correct Answer is B
A. Amylase: Salivary amylase is actually inactivated by the highly acidic environment of the stomach. Its optimal pH is neutral, and the presence of hydrochloric acid denatures the enzyme. It does not participate in gastric chemical digestion.
B. Pepsin: Chief cells secrete the inactive zymogen pepsinogen. Upon contact with hydrochloric acid, a portion of the molecule is cleaved to reveal the active site of pepsin. This protease then begins the hydrolysis of dietary proteins.
C. Lipase: Gastric lipase is secreted in an active form and is relatively acid-stable. It does not require hydrochloric acid for its activation, although it operates within the acidic gastric environment. Its activity focuses on the hydrolysis of short-chain triglycerides.
D. Trypsin: This pancreatic protease is activated in the duodenum by the enzyme enteropeptidase. It is never found in the stomach and would be denatured by the gastric pH. Its role is restricted to the alkaline small intestine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"}}
Explanation
|
Patient |
Medication |
|
Patient is being treated for acute constipation. |
Polyethylene Glycol |
|
Patient with IBS-C |
Linaclotide |
|
Patient with IBS-D |
Imodium |
Polyethylene Glycol:This osmotic laxative is prescribed for patients experiencing acute constipation to soften stool and facilitate evacuation. It increases the water content within the colon through osmotic pressure. It is used for short-term symptomatic relief.
Linaclotide:This guanylate cyclase-C agonist is indicated for patients with IBS-C to increase intestinal fluid secretion and motility. It also reduces visceral pain by decreasing the activity of pain-sensing nerves. It addresses both constipation and abdominal discomfort.
Imodium:Loperamide is an opioid-receptor agonist used for patients with IBS-D to slow intestinal transit. By increasing the residence time of chyme, it allows for greater water resorption and reduced stool frequency. It treats the hypermotility associated with diarrhea.
Correct Answer is D
Explanation
A. Aorta:This is the primary systemic artery that carries oxygenated blood away from the heart. It does not receive venous drainage from any organ. Blood flow in the aorta is always moving toward the peripheral tissues.
B. Superior vena cava:This large vein drains the head, neck, and upper extremities into the right atrium. It is located superior to the diaphragm and does not receive blood from the liver. Hepatic drainage occurs via the inferior vessel.
C. Hepatic artery:This vessel is a branch of the celiac trunk that delivers oxygenated blood to the liver parenchyma. It is an inflow vessel rather than an outflow vessel. It provides the liver with its nutrient and oxygen supply.
D. Inferior vena cava:This is the terminal vessel for all venous drainage below the diaphragm. The hepatic veins emerge from the posterior surface of the liver to join this vessel directly. It then returns the blood to the heart.
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