Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 145
Chapter 17: Digestive System Disorders
VanMeter and Hubert: Gould’s Pathophysiology for the Health Professions, 7th
Edition
MULTIPLE CHOICE
1. Which of the following cells in the gastric mucosa produce intrinsic factor and hydrochloric
acid?
a. Parietal cells
b. Chief cells
c. Mucous cells
d. Gastrin cells
ANS> A
2. Which of the following is the primary site for absorption of nutrients?
a. Stomach
b. Duodenum
c. Ileum
d. Ascending colon
ANS> C
3. When highly acidic chyme enters the duodenum, which hormone stimulates the release of
pancreatic secretions that contains very high bicarbonate ion content?
a. Gastrin
b. Secretin
c. Cholecystokinin
d. Histamine
ANS> B
4. Which of the following breaks protein down into peptides?
a. Amylase
b. Peptidase
c. Lactase
d. Trypsin
ANS> D
5. In which structure is oxygenated blood (arterial) mixed with unoxygenated blood (venous) so
as to support the functions of the structure?
a. Pancreas
b. Liver
c. Small intestine
d. Spleen
ANS> B
6. Which of the following stimulates increased peristalsis and secretions in the digestive tract?
a. Sympathetic nervous system
,Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 146
b. Vagus nerve
c. Increased saliva
d. Absence of food in the system
ANS> B
7. Which of the following is contained in pancreatic exocrine secretions?
a. Bicarbonate ion
b. Hydrochloric acid
c. Activated digestive enzymes
d. Insulin
ANS> A
8. The presence of food in the intestine stimulates intestinal activity but inhibits gastric activity
through the
a. defecation reflex.
b. enterogastric reflex.
c. vomiting reflex.
d. autodigestive reflex.
ANS> B
9. Which of the following processes is likely to occur in the body immediately after a meal?
a. Lipolysis
b. Ketogenesis
c. Gluconeogenesis
d. Glycogenesis
ANS> D
10. What does the term gluconeogenesis refer to?
a. Breakdown of glycogen to produce glucose
b. Conversion of excess glucose into glycogen for storage
c. Formation of glucose from protein and fat
d. Breakdown of glucose into carbon dioxide and water
ANS> C
11. Normally, proteins or amino acids are required to produce all of the following EXCEPT
a. peptide hormones.
b. clotting factors and antibodies.
c. cellular energy.
d. hemoglobin.
ANS> C
12. Which of the following statements applies to bile salts?
a. They give feces the characteristic brown color.
b. They are enzymes used to break down fats into free fatty acids.
c. They emulsify lipids and lipid-soluble vitamins.
d. They are excreted in the feces.
, Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 147
ANS> C
13. The visceral peritoneum
a. lines the abdominal wall.
b. hangs from the stomach over the loops of small intestine.
c. contains many pain receptors.
d. forms the outer covering of the stomach.
ANS> D
14. The early stage of vomiting causes
a. metabolic alkalosis.
b. metabolic acidosis.
c. increased respirations.
d. increased excretion of hydrogen ions.
ANS> A
15. Yellow or greenish stained vomitus usually indicates the presence of
a. bile.
b. blood.
c. protein.
d. bacteria.
ANS> A
16. Small, hidden amounts of blood in stool are referred to as
a. melena.
b. occult blood.
c. frank blood.
d. hematemesis.
ANS> B
17. Severe vomiting can lead to metabolic acidosis because of increased
a. ketones produced.
b. CO2 retained in the lungs and kidneys.
c. hypovolemia and lactic acid production.
d. metabolic rate.
ANS> C
18. Which of the following applies to the act of swallowing?
a. It requires coordination of cranial nerves V, IX, X, and XII.
b. It is entirely voluntary.
c. It is controlled by a center in the hypothalamus.
d. It does not affect respiration.
ANS> A
19. What does the defecation reflex require?
a. Stimulation bythe sympathetic nervous system
b. Contraction of the internal anal sphincter
Chapter 17: Digestive System Disorders
VanMeter and Hubert: Gould’s Pathophysiology for the Health Professions, 7th
Edition
MULTIPLE CHOICE
1. Which of the following cells in the gastric mucosa produce intrinsic factor and hydrochloric
acid?
a. Parietal cells
b. Chief cells
c. Mucous cells
d. Gastrin cells
ANS> A
2. Which of the following is the primary site for absorption of nutrients?
a. Stomach
b. Duodenum
c. Ileum
d. Ascending colon
ANS> C
3. When highly acidic chyme enters the duodenum, which hormone stimulates the release of
pancreatic secretions that contains very high bicarbonate ion content?
a. Gastrin
b. Secretin
c. Cholecystokinin
d. Histamine
ANS> B
4. Which of the following breaks protein down into peptides?
a. Amylase
b. Peptidase
c. Lactase
d. Trypsin
ANS> D
5. In which structure is oxygenated blood (arterial) mixed with unoxygenated blood (venous) so
as to support the functions of the structure?
a. Pancreas
b. Liver
c. Small intestine
d. Spleen
ANS> B
6. Which of the following stimulates increased peristalsis and secretions in the digestive tract?
a. Sympathetic nervous system
,Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 146
b. Vagus nerve
c. Increased saliva
d. Absence of food in the system
ANS> B
7. Which of the following is contained in pancreatic exocrine secretions?
a. Bicarbonate ion
b. Hydrochloric acid
c. Activated digestive enzymes
d. Insulin
ANS> A
8. The presence of food in the intestine stimulates intestinal activity but inhibits gastric activity
through the
a. defecation reflex.
b. enterogastric reflex.
c. vomiting reflex.
d. autodigestive reflex.
ANS> B
9. Which of the following processes is likely to occur in the body immediately after a meal?
a. Lipolysis
b. Ketogenesis
c. Gluconeogenesis
d. Glycogenesis
ANS> D
10. What does the term gluconeogenesis refer to?
a. Breakdown of glycogen to produce glucose
b. Conversion of excess glucose into glycogen for storage
c. Formation of glucose from protein and fat
d. Breakdown of glucose into carbon dioxide and water
ANS> C
11. Normally, proteins or amino acids are required to produce all of the following EXCEPT
a. peptide hormones.
b. clotting factors and antibodies.
c. cellular energy.
d. hemoglobin.
ANS> C
12. Which of the following statements applies to bile salts?
a. They give feces the characteristic brown color.
b. They are enzymes used to break down fats into free fatty acids.
c. They emulsify lipids and lipid-soluble vitamins.
d. They are excreted in the feces.
, Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 147
ANS> C
13. The visceral peritoneum
a. lines the abdominal wall.
b. hangs from the stomach over the loops of small intestine.
c. contains many pain receptors.
d. forms the outer covering of the stomach.
ANS> D
14. The early stage of vomiting causes
a. metabolic alkalosis.
b. metabolic acidosis.
c. increased respirations.
d. increased excretion of hydrogen ions.
ANS> A
15. Yellow or greenish stained vomitus usually indicates the presence of
a. bile.
b. blood.
c. protein.
d. bacteria.
ANS> A
16. Small, hidden amounts of blood in stool are referred to as
a. melena.
b. occult blood.
c. frank blood.
d. hematemesis.
ANS> B
17. Severe vomiting can lead to metabolic acidosis because of increased
a. ketones produced.
b. CO2 retained in the lungs and kidneys.
c. hypovolemia and lactic acid production.
d. metabolic rate.
ANS> C
18. Which of the following applies to the act of swallowing?
a. It requires coordination of cranial nerves V, IX, X, and XII.
b. It is entirely voluntary.
c. It is controlled by a center in the hypothalamus.
d. It does not affect respiration.
ANS> A
19. What does the defecation reflex require?
a. Stimulation bythe sympathetic nervous system
b. Contraction of the internal anal sphincter
