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  • Question 1 - A patient with achalasia ...

    Correct

    • A patient with achalasia

      Your Answer: Has decreased production of vasoactive intestinal polypeptide (VIP)

      Explanation:

      Oesophageal achalasia is an oesophageal motility disorder involving the smooth muscle layer of the oesophagus and the lower oesophageal sphincter (LES). It is characterized by incomplete LES relaxation, increased LES tone, and lack of peristalsis of the oesophagus (inability of smooth muscle to move food down the oesophagus) in the absence of other explanations like cancer or fibrosis. In achalasia, there is loss of nitric oxide (NO) and vasoactive intestinal polypeptide (VIP) releasing inhibitory neurons.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      50.8
      Seconds

  • Question 2 - Dietary starch is mainly: ...

    Incorrect

    • Dietary starch is mainly:

      Your Answer: Glucose

      Correct Answer: Amylopectin

      Explanation:

      Dietary starch consists of two types of molecules: the linear and helical amylose and the branched amylopectin. Starch generally contains 20 to 25% amylose and 75 to 80% amylopectin by weight but depends in the plant. Glycogen, the glucose store of animals, is a more branched version of amylopectin.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      9.7
      Seconds

  • Question 3 - The end product of trehalase action on oligosaccharides is ...

    Incorrect

    • The end product of trehalase action on oligosaccharides is

      Your Answer: A molecule of glucose and a molecule of fructose

      Correct Answer: Two glucose molecules

      Explanation:

      Disaccharides are glycoside hydrolases, enzymes that break down certain types of sugars called disaccharides into simpler sugars called monosaccharides.Examples of disaccharides:Lactase (breaks down lactose into glucose and galactose)Maltase (breaks down maltose into 2 glucoses)Sucrase (breaks down sucrose into glucose and fructose)Trehalase (breaks down trehalose into 2 glucoses)

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      5.3
      Seconds

  • Question 4 - The enzyme located on the brush border of the small intestine activating the...

    Incorrect

    • The enzyme located on the brush border of the small intestine activating the proteolytic enzymes for further digestion of proteins is called?

      Your Answer: Chymotrypsin

      Correct Answer: Enterokinase

      Explanation:

      Enterokinase is a brush border enzyme of the duodenum that activates proteolytic enzymes for further digestion of proteins. Trypsinogen is converted to trypsin by the action of enterokinase. Trypsin and chymotrypsin are secreted by the pancreatic acinar cells and are enzymes that aid in protein digestion. Pepsin is secreted by chief cells of the gastric mucosa. Procarboxydase is the inactive form of carboxypeptidase which is converted to its active form by trypsin and is secreted by pancreatic acinar cells.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      23.6
      Seconds

  • Question 5 - Where does most fat digestion begin? ...

    Incorrect

    • Where does most fat digestion begin?

      Your Answer: Jejunum

      Correct Answer: Duodenum

      Explanation:

      Digestion of some fats can begin in the mouth where lingual lipase breaks down some short chain lipids into diglycerides. However fats are mainly digested in the small intestine (in the duodenum). The presence of fat in the small intestine produces hormones that stimulate the release of pancreatic lipase from the pancreas and bile from the liver which helps in the emulsification of fats for absorption of fatty acids.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      5
      Seconds

  • Question 6 - Which of the following is a product of D cells ...

    Correct

    • Which of the following is a product of D cells

      Your Answer: Somatostatin

      Explanation:

      Somatostatin is secreted by D cells, HCL and intrinsic factor secreted by parietal cells. Trefoil peptides are secreted by mucus secreting goblet cells and gastrin releasing peptide (grp) by post-ganglionic fibers of the vagus nerve (which innervate the G cells of the stomach).

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6.7
      Seconds

  • Question 7 - Somatostatin is responsible for? ...

    Correct

    • Somatostatin is responsible for?

      Your Answer: Decreased gastrin release

      Explanation:

      Somatostatin is an inhibitory hormone secreted from the D cells of the Pancreatic Islets. It causes the inhibition of gastrin (decreasing stomach acid production), CCK (decreasing gallbladder motility), gastrin inhibitory peptide and secretin. Gastrin production is also inhibited by secretin, GIP, VIP, glucagon and calcitonin.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      3.3
      Seconds

  • Question 8 - Which glucose transporter is responsible for the uptake of dietary glucose from the...

    Incorrect

    • Which glucose transporter is responsible for the uptake of dietary glucose from the gut?

      Your Answer: SGLT2

      Correct Answer: SGLT1

      Explanation:

      SGLT 1 is responsible for the uptake of glucose via secondary active transport from the small intestine and the renal tubules.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      316.9
      Seconds

  • Question 9 - Which of the following enzymes is mainly responsible for the hydrolysis of polysaccharide...

    Incorrect

    • Which of the following enzymes is mainly responsible for the hydrolysis of polysaccharide 1:6a linkages?

      Your Answer: Trehalase

      Correct Answer: Isomaltase

      Explanation:

      Isomaltase is mainly responsible for hydrolysis of 1:6α linkages. Along with maltase and sucrase, it also breaks down maltotriose and maltose.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      9.7
      Seconds

  • Question 10 - In addition to its role in digestion and absorption of fats, bile: ...

    Incorrect

    • In addition to its role in digestion and absorption of fats, bile:

      Your Answer: Takes part in bilirubin metabolism

      Correct Answer: Is the major excretory route for lipid-soluble waste products

      Explanation:

      The end product of haem metabolism is bilirubin and jaundice is caused by increased bilirubin levels in the blood. Gallstones are mainly caused by cholesterol and bile pigments. Bile is the main route of excretion for lipid soluble waste products whereas urine is the main route of excretion of water soluble waste products.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      22.2
      Seconds

  • Question 11 - Which of the following is NOT a pancreatic enzyme? ...

    Incorrect

    • Which of the following is NOT a pancreatic enzyme?

      Your Answer: Colipase

      Correct Answer: Pepsinogen 1

      Explanation:

      Pancreatic juice, composed of the secretions of both ductal and acinar cells, is made up of the following digestive enzymes:Trypsinogen, which is an inactive(zymogenic) protease that, once activated in the duodenum into trypsin, breaks down proteins at the basic amino acids. Trypsinogen is activated via the duodenal enzyme enterokinase into its active form trypsin.Colipase is a protein co-enzyme required for optimal enzyme activity of pancreatic lipase. It is secreted by the pancreas in an inactive form, procolipase, which is activated in the intestinal lumen by trypsin.Chymotrypsinogen, which is an inactive (zymogenic) protease that, once activated by duodenal enterokinase, breaks down proteins at their aromatic amino acids. Chymotrypsinogen can also be activated by trypsin.Carboxypeptidase, which is a protease that takes off the terminal amino acid group from a proteinSeveral elastases that degrade the protein elastin and some other proteins.Pancreatic lipase that degrades triglycerides into fatty acids and glycerol.Sterol esterasePhospholipaseSeveral nucleases that degrade nucleic acids, like DNase and RNase.Pancreatic amylase that breaks down starch and glycogen which are alpha-linked glucose polymers.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      11.9
      Seconds

  • Question 12 - Absorption of fructose is via: ...

    Incorrect

    • Absorption of fructose is via:

      Your Answer: Primary active transport

      Correct Answer: Facilitated diffusion

      Explanation:

      Dietary fructose may be ingested as a monosaccharide or as a disaccharide. Sucrose is hydrolysed by sucrase to produce equal amounts of glucose and fructose and in this form, is usually completely absorbed. Fructose is mostly absorbed in the small intestine through GLUT-5 transporter mediated facilitative diffusion. This is an energy independent process.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      4.8
      Seconds

  • Question 13 - Protein digestion starts in the stomach by which enzyme? ...

    Correct

    • Protein digestion starts in the stomach by which enzyme?

      Your Answer: Pepsin

      Explanation:

      Pepsinogen is the inactive form of pepsin which is secreted by gastric chief cells and is converted to pepsin, in the presence of gastric HCL. Pepsin is a peptidase that breaks down proteins into smaller peptides.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      7.9
      Seconds

  • Question 14 - During the gastric phase, the acid secretion process is stimulated in the G...

    Correct

    • During the gastric phase, the acid secretion process is stimulated in the G cells by?

      Your Answer: Vagal stimulation, distention of the stomach wall, oligopeptides in the stomach

      Explanation:

      Before the meal enters into the stomach, the amount of secretion is limited. Swallowing of a food bolus triggers the release of gastrin. Once in the stomach, the meal physically distends the stomach activating the stretch receptors and initiating the vago vagal reflex amplifying the secretion during the gastric phase.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      18.6
      Seconds

  • Question 15 - All of the following constitute small intestinal brush border enzymes except: ...

    Incorrect

    • All of the following constitute small intestinal brush border enzymes except:

      Your Answer: Sucrase

      Correct Answer: Alpha-amylase

      Explanation:

      The final step in digestion of carbohydrates, which is conversion of disaccharides to absorbable monosaccharides occurs on the small intestinal epithelial cells. The enzymes responsible for this final stage of digestion are not freely found in the intestinal lumen, but they are found as integral membrane proteins in the plasma membrane of the epithelial cell. The apical plasma membrane of the intestinal epithelial cell has numerous microvilli which extend from the cell known as the brush border. Thus, the enzymes embedded in those microvilli are referred to as brush border enzymes. All these enzymes except alfa amylase are brush border enzymes. Alfa amylase is secreted by pancreatic acinar cells.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      7
      Seconds

  • Question 16 - Which of the following forms an important constituent of the brush border on...

    Correct

    • Which of the following forms an important constituent of the brush border on the microvilli of the intestinal epithelium?

      Your Answer: Hydrolases

      Explanation:

      There are certain enzymes which are part of the brush border cells including hydrolases also known as the brush border hydrolases. They perform the final step in digestion of certain nutrients.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      13.2
      Seconds

  • Question 17 - In the gastric mucosa, which of the following cells is known to secrete...

    Incorrect

    • In the gastric mucosa, which of the following cells is known to secrete gastric lipase?

      Your Answer: Enterochromaffin-like cell

      Correct Answer: Chief cell

      Explanation:

      Chief cells produce pepsinogen and gastric lipase. Parietal cells produce stomach acid and intrinsic factor.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      36.5
      Seconds

  • Question 18 - What is the function of migrating motor complex ...

    Incorrect

    • What is the function of migrating motor complex

      Your Answer: Stimulate peristalsis following ingestion of food

      Correct Answer: Clears the gut of luminal contents in preparation of the next meal

      Explanation:

      Migrating motor complexes (MMC) are waves of electrical activity that sweep through the intestines in a regular cycle during fasting. These motor complexes trigger peristaltic waves, which facilitate transportation of indigestible substances such as bone, fiber, and foreign bodies from the stomach, through the small intestine, past the ileocecal sphincter, and into the colon. The MMC occurs every 90–120 minutes during the interdigestive phase (between meals), and is responsible for the rumbling experienced when hungry. It also serves to transport bacteria from the small intestine to the large intestine, and to inhibit the migration of colonic bacteria into the terminal ileum.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      63.5
      Seconds

  • Question 19 - At rest, proton pumps are sequestered within the parietal cell in a series...

    Incorrect

    • At rest, proton pumps are sequestered within the parietal cell in a series of membrane compartments known as:

      Your Answer: Microvilli

      Correct Answer: Tubulovesicles

      Explanation:

      The gastric H, K-ATPase pump, which pumps gastric acid (HCl), in the resting state is found in cytoplasmic tubular membranes. In the stimulated state this pump moves from the tubulovesicles to the apical membrane.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      14.7
      Seconds

  • Question 20 - The lower oesophageal sphincter is under neural control. Which of the following causes...

    Incorrect

    • The lower oesophageal sphincter is under neural control. Which of the following causes contraction of the intrinsic sphincter?

      Your Answer: Both B and C

      Correct Answer: Acetylcholine

      Explanation:

      The lower oesophageal sphincter (LOS) is a specific region of the oesophageal circular smooth muscle. It allows the passage of a food bolus to the stomach and prevents the reflux of gastric contents into the oesophagus. The tone of the LOS is myogenic in origin and depends on smooth muscle properties that lead to the opening of Ca2+ channels but can also be modulated by enteric motor neurons, the parasympathetic and sympathetic extrinsic nervous system and several neurohumoral substances. Nitric oxide causes LOS relaxation. Acetylcholine and tachykinins are involved in the LOS contraction.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      14.4
      Seconds

  • Question 21 - Which two ducts form the ampulla of Vater? ...

    Incorrect

    • Which two ducts form the ampulla of Vater?

      Your Answer: The common bile duct and the pancreatic duct of Vater

      Correct Answer: The common bile duct and the pancreatic duct of Wirsung

      Explanation:

      The ampulla of Vater, also known as the hepatopancreatic ampulla or the hepatopancreatic duct, is formed by the union of the pancreatic duct and the common bile duct. The ampulla is specifically located at the major duodenal papilla.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      20.5
      Seconds

  • Question 22 - Which of the following is responsible for transporting both glucose and fructose into...

    Correct

    • Which of the following is responsible for transporting both glucose and fructose into the interstitium?

      Your Answer: GLUT 2

      Explanation:

      Absorption of glucose involves transport from the intestinal lumen, across the epithelium and into blood. The transporter that carries glucose and galactose into the enterocyte is the sodium-dependent hexose transporter, known as SGLT1. As the name indicates, this molecule transports both glucose and sodium ions into the cell. Once absorbed into the enterocyte, glucose must be exported from the cell into blood. Sodium is rapidly shuttled out in exchange for potassium by Na+/K+ ATPase pumps on the basolateral membrane, and that process maintains the electrochemical gradient across the epithelium. Glucose, galactose and fructose are transported out of the enterocyte into the interstitium and in turn into the blood through another hexose transporter (called GLUT-2) in the basolateral membrane. These monosaccharides then diffuse down a concentration gradient into capillary blood.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      11.3
      Seconds

  • Question 23 - Almost all of the protein that appears in the stool is: ...

    Correct

    • Almost all of the protein that appears in the stool is:

      Your Answer: Comes from bacteria and cellular debris

      Explanation:

      75% of faecal weight is water. By dry weight 30% of faeces is bacteria,10-20% is fat and 2-3% proteins. Almost all proteins ingested are absorbed in the gut.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      9.1
      Seconds

  • Question 24 - The pressure in the sinusoids is normally: ...

    Incorrect

    • The pressure in the sinusoids is normally:

      Your Answer: Higher than portal venous pressure

      Correct Answer: Lower than portal venous pressure

      Explanation:

      The direction of transport of nutrients in the portal vein occurs from the portal vein to the hepatic sinusoids. Thus, he pressure of sinusoids should be lower than the pressure of he portal vein.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      11.1
      Seconds

  • Question 25 - The parietal cells of the stomach secrete which of the following? ...

    Incorrect

    • The parietal cells of the stomach secrete which of the following?

      Your Answer: Pepsinogens

      Correct Answer: Hydrochloric acid

      Explanation:

      Parietal cells are the epithelial cells that secrete hydrochloric acid (HCl) and intrinsic factor. These cells are located in the gastric glands found in the lining of the fundus and in the body of the stomach.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      10.3
      Seconds

  • Question 26 - Anti-gastroesophageal reflux mechanisms include the following except: ...

    Correct

    • Anti-gastroesophageal reflux mechanisms include the following except:

      Your Answer: Peristaltic movements of the oesophagus

      Explanation:

      The lower oesophageal sphincter contracts preventing reflux of acid into the oesophagus. The sling muscles of the stomach, the crura of the diaphragm and the phreno-oesophageal ligament all play an important role in constricting the lower portion of the oesophagus and preventing reflux. Peristaltic movements do not stop the acid reflux.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      3.8
      Seconds

  • Question 27 - Role of bile salts in digestion of fats include ...

    Correct

    • Role of bile salts in digestion of fats include

      Your Answer: Reduce surface tension, emulsification and transportation

      Explanation:

      Bile acts to some extent as a surfactant reducing surface tension, helping to emulsify the lipids in food. Bile salt anions are hydrophilic on one side and hydrophobic on the other side; consequently, they tend to aggregate around droplets of lipids (triglycerides and phospholipids) to form micelles, with the hydrophobic sides towards the fat and hydrophilic sides facing outwards. The hydrophilic sides are negatively charged, and this charge prevents fat droplets coated with bile from re-aggregating into larger fat particles.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      10.6
      Seconds

  • Question 28 - Which of the following statements correctly describes a function of the parasympathetic innervation...

    Incorrect

    • Which of the following statements correctly describes a function of the parasympathetic innervation of the GI tract.

      Your Answer: Glucose, ph, osmolality, movement of material, stretch and level of contractile strength are monitored by efferent parasympathetic fibers.

      Correct Answer: Parasympathetic cholinergic activity increases the activity of intestinal smooth muscle

      Explanation:

      The parasympathetic nerves stimulate peristalsis and relax the sphincters; they also stimulate secretion. Acetylcholine is the neurotransmitter of the parasympathetic system.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      3.2
      Seconds

  • Question 29 - Sympathetic supply to the stomach is derived from ...

    Correct

    • Sympathetic supply to the stomach is derived from

      Your Answer: T5-T9 spinal segments via the coeliac ganglion

      Explanation:

      Parasympathetic innervation to the stomach is from the vagus nerve and the sympathetic innervation is from the T5-T9 spinal segments via the coeliac ganglion through the greater splanchnic nerve.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      29.8
      Seconds

  • Question 30 - The first enzyme carbohydrates encounter in the digestive tract is? ...

    Incorrect

    • The first enzyme carbohydrates encounter in the digestive tract is?

      Your Answer: Sucrase

      Correct Answer: Amylase

      Explanation:

      Carbohydrate digesting enzymes are known as amylase. Salivary amylase or ptyalin is the first enzyme to begin carbohydrate digestion in he oral cavity. Amylose is a component of carbohydrates and is not an enzyme. Isomaltase, maltase and sucrase are enzymes found in the small intestines that digest disaccharides like maltose and sucrose to monosaccharides.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6.2
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Gastrointestinal (11/30) 37%
Medicine (11/30) 37%
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