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  • Question 1 - Which of the following is NOT a pancreatic enzyme? ...

    Correct

    • Which of the following is NOT a pancreatic enzyme?

      Your 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
      33.3
      Seconds

  • Question 2 - Where in the course of the gastrointestinal tract does the first significant digestion...

    Incorrect

    • Where in the course of the gastrointestinal tract does the first significant digestion of fat begin in a normal human being?

      Your Answer: Mouth

      Correct Answer: Duodenum

      Explanation:

      The enzyme lipase which is responsible for digestion of fat is secreted by the exocrine pancreas in the 2nd part of the duodenum at the point where the pancreatic duct opens. It opens together with the common bile duct which contains bile that emulsify fat aiding in digestion. The oesophagus, stomach and mouth do not contain enzymes related to fat digestion.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      10.9
      Seconds

  • Question 3 - H+ ions used in the production of acid by parietal cells is produced...

    Correct

    • H+ ions used in the production of acid by parietal cells is produced with the help of which enzyme?

      Your Answer: Carbonic anhydrase ii

      Explanation:

      Carbonic anhydrase enzyme catalyses the rapid interconversion of carbon dioxide and water to bicarbonate and protons (or vice versa). This is a reversible reaction that takes place in the gastric parietal cells.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      19.8
      Seconds

  • Question 4 - Dietary starch is mainly: ...

    Incorrect

    • Dietary starch is mainly:

      Your Answer: Fructose

      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
      Seconds

  • Question 5 - The oligosaccharidases responsible for further digestion of starch after breakdown by the above...

    Correct

    • The oligosaccharidases responsible for further digestion of starch after breakdown by the above mentioned enzymes is located where?

      Your Answer: Brush border of small intestine

      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 known as the brush border. Thus, the enzymes embedded in those microvilli are referred to as brush border enzymes.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      21.2
      Seconds

  • Question 6 - Portal vein receives its blood from all the following except: ...

    Correct

    • Portal vein receives its blood from all the following except:

      Your Answer: Kidney

      Explanation:

      The portal vein receives blood from the intestines via the superior and inferior mesenteric veins, from stomach via the gastric veins and from the spleen and pancreas via splenic vein. The kidney is supplied by the renal artery and drains into the renal vein into the inferior venacava.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      7.2
      Seconds

  • Question 7 - Which of the following would provide relief from nausea and vomiting? ...

    Correct

    • Which of the following would provide relief from nausea and vomiting?

      Your Answer: Cannabinoids

      Explanation:

      Ondansetron, chlorpromazine and haloperidol are effective antiemetic agents. Corticosteroids, cannabinoids, and benzodiazepines, alone or in combination with 5-HT3 and D2 antagonists, are also useful in the treatment of vomiting produced by chemotherapy.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      8.4
      Seconds

  • Question 8 - Anti-gastroesophageal reflux mechanisms include the following except: ...

    Incorrect

    • Anti-gastroesophageal reflux mechanisms include the following except:

      Your Answer: The sling fibers of the stomach

      Correct 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
      44
      Seconds

  • Question 9 - Bile contains: ...

    Correct

    • Bile contains:

      Your Answer: Bile acids, phosphatidylcholine, cholesterol

      Explanation:

      The main components of bile include bile acids or bile salts, phospholipids; mainly phosphatidylcholine, cholesterol, bilirubin, inorganic salts; potassium, sodium and bicarbonate.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      18.6
      Seconds

  • Question 10 - Two types of gallstones are: ...

    Correct

    • Two types of gallstones are:

      Your Answer: Calcium and cholesterol

      Explanation:

      Cholesterol stones are the most common gallstones followed by calcium carbonate and bilirubinate.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      8.5
      Seconds

  • Question 11 - 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: Isomaltase

      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
      20.3
      Seconds

  • Question 12 - The chief cells of the stomach secrete which of the following? ...

    Incorrect

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

      Your Answer: Histamine

      Correct Answer: Pepsinogens

      Explanation:

      A gastric chief cell (or peptic cell, or gastric zymogenic cell) is a type of cell in the stomach that releases pepsinogen and gastric lipase.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      43.3
      Seconds

  • Question 13 - Cholesterol is synthesized in all of these organs EXCEPT? ...

    Incorrect

    • Cholesterol is synthesized in all of these organs EXCEPT?

      Your Answer: Adrenal cortex

      Correct Answer: Stomach

      Explanation:

      The liver primarily synthesizes about 20-25% of the total daily cholesterol. Cholesterol is also synthesized to smaller extents in the adrenal glands, reproductive organs (as cholesterol is the precursor of sex hormones), skin and is also produced in the intestines.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      12.2
      Seconds

  • Question 14 - Which of the following initiates migrating motor complex ...

    Correct

    • Which of the following initiates migrating motor complex

      Your Answer: Motilin

      Explanation:

      Migrating motor complexes (MMC) are thought to be partially regulated by motilin, which is initiated in the stomach as a response to vagal stimulation, and does not directly depend on extrinsic nerves.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      15.3
      Seconds

  • Question 15 - A patient with a VIPoma (VIP secreting tumour) is likely to exhibit which...

    Correct

    • A patient with a VIPoma (VIP secreting tumour) is likely to exhibit which of the following?

      Your Answer: Severe diarrhoea

      Explanation:

      Vasoactive inhibitory peptide (VIP) is found in the nerves innervating the GIT. It markedly stimulates the secretion of intestinal electrolytes and also with them water. This results in secretary diarrhoea. Along with that it also relaxes intestinal smooth muscle including the sphincters, it also results in dilation of the peripheral blood vessels and along with this its also inhibits gastric acid secretions. A VIPoma will exaggerate all this.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      15.7
      Seconds

  • Question 16 - The following can cause steatorrhea except ...

    Incorrect

    • The following can cause steatorrhea except

      Your Answer: Lipase deficiency

      Correct Answer: Diseases that destroy the endocrine portion of the pancreas

      Explanation:

      Dietary fats and lipids are usually efficiently digested and over 90% absorbed. Impaired digestion or absorption can result in fatty stools. Possible causes include exocrine (not endocrine) pancreatic insufficiency, with poor digestion from lack of lipases, loss of bile salts, which reduces micelle formation, and small intestinal disease producing malabsorption. Various other causes including certain medicines that block fat absorption, or indigestible or excess oil/fat in diet.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      36.1
      Seconds

  • Question 17 - Concerning protein digestion: ...

    Incorrect

    • Concerning protein digestion:

      Your Answer: Maximal acid secretion correlates with pepsinogen 2

      Correct Answer: Most protein digestion occurs in the duodenum

      Explanation:

      Human pepsinogens can be divided into two immunochemically distinct groups: Pepsinogen I (PG I) and Pepsinogen II (PGII). PG I is secreted mainly by chief cells in the fundic mucosa whereas PGII is secreted by the pyloric glands and the proximal duodenal mucosa. Maximal acid secretion correlates with PG I. Most protein digestion occurs in the duodenum/jejunum. Pepsin functions best in an acidic environment and specifically at a pH of 1.5 to 3.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      56.1
      Seconds

  • Question 18 - Intrinsic Factor is released by, ...

    Correct

    • Intrinsic Factor is released by,

      Your Answer: Parietal cell

      Explanation:

      Intrinsic factor (IF), also known as gastric intrinsic factor (GIF), is a glycoprotein produced by the parietal cells of the stomach. It is necessary for the absorption of vitamin B12 (cobalamin) later on in the small intestine.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6.2
      Seconds

  • Question 19 - 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
      21.9
      Seconds

  • Question 20 - Interruption of the entero-hepatic circulation causes: ...

    Incorrect

    • Interruption of the entero-hepatic circulation causes:

      Your Answer: Formation of gallstones due to stasis

      Correct Answer: The amount of fat in the stool to be increased

      Explanation:

      Enterohepatic circulation refers to the circulation of biliary acids, bilirubin, drugs, or other substances from the liver to the bile, followed by entry into the small intestine, absorption by the enterocyte and transport back to the liver. One of the causes of the interruption of enterohepatic circulation is the resection of the ileum where fat is mainly absorbed. Fat malabsorption results in increased fat in stools. Pale stools and dark urine is caused by obstruction of the biliary ductal system especially the common bile duct where urobilin and stercobilin are formed.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      43.4
      Seconds

  • Question 21 - Which of the following is the most common route of hepatitis B transmission...

    Incorrect

    • Which of the following is the most common route of hepatitis B transmission worldwide?

      Your Answer: Sexual transmission

      Correct Answer: Perinatal transmission

      Explanation:

      The virus is transmitted by exposure to infectious blood or body fluids. Infection around the time of birth or from contact with other people’s blood during childhood is the most frequent method by which hepatitis B is acquired in areas where the disease is common. In areas where the disease is rare, intravenous drug use and sexual intercourse are the most frequent routes of infection. Perinatal transmission is the most common and without intervention, a mother who is positive for HBsAg has a 20% risk of passing the infection to her offspring at the time of birth. This risk is as high as 90% if the mother is also positive for HBeAg.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      12.5
      Seconds

  • Question 22 - Where is the myenteric plexus (Auerbach’s plexus) located in the GIT? ...

    Correct

    • Where is the myenteric plexus (Auerbach’s plexus) located in the GIT?

      Your Answer: Between the outer longitudinal and middle circular muscle layers.

      Explanation:

      A part of the enteric nervous system, the myenteric plexus exists between the longitudinal and circular layers of muscularis externa in the gastrointestinal tract. It is found in the muscles of the oesophagus, stomach, and intestine.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      13.5
      Seconds

  • Question 23 - Which three parietal cell agonists bind at the basolateral membrane at specific receptors...

    Correct

    • Which three parietal cell agonists bind at the basolateral membrane at specific receptors respectively: M3 , H2 , CCK-B, to stimulate acid secretion?

      Your Answer: Acetylcholine, histamine , gastrin

      Explanation:

      The three agonists of parietal cell secretion are gastrin, acetylcholine and histamine. Parietal cells are responsible for the secretion of HCl and intrinsic factor.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      24.1
      Seconds

  • Question 24 - The channel that coalesces the small pancreatic duct radicles before joining the common...

    Incorrect

    • The channel that coalesces the small pancreatic duct radicles before joining the common bile duct is known as the:

      Your Answer: Ampulla of Vater

      Correct Answer: Duct of Wirsung

      Explanation:

      The small ducts from the pancreas coalesce into a single duct known as the pancreatic duct or the duct of Wirsung. It usually joins the bile duct at the ampulla of Vater before entering the duodenum.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      27.7
      Seconds

  • Question 25 - Cells responsible for completely renewing the epithelium of the intestine are located: ...

    Correct

    • Cells responsible for completely renewing the epithelium of the intestine are located:

      Your Answer: At the base of the crypts

      Explanation:

      Epithelial cells are renewed every 4-5 days through a process of renewal and migration. Renewal relies on proliferative cells or stem cells that reside at the crypt base of the intestinal glands. Crypts are epithelial invasions into the underlying connective tissue.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6.7
      Seconds

  • Question 26 - One function of the liver is synthesis and storage of protein. Which of...

    Incorrect

    • One function of the liver is synthesis and storage of protein. Which of the following will result in hypoalbuminemia?

      Your Answer: Sepsis

      Correct Answer: All of the above

      Explanation:

      Both trauma and sepsis cause an acute inflammatory response causing plasma leakage of albumin. Nephropathy causes leakage of albumin from glomeruli and excretion of albumin in urine known as albuminuria. A hypercatabolic state is characterized by increased circulating catabolic hormones and increase break down of proteins.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      25.9
      Seconds

  • Question 27 - Where in the gastrointestinal tract are valvulae conniventes? ...

    Correct

    • Where in the gastrointestinal tract are valvulae conniventes?

      Your Answer: Jejunum

      Explanation:

      The circular folds (valves of Kerckring or valvulae conniventes) are large valvular flaps projecting into the lumen of the small intestine.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      24.6
      Seconds

  • Question 28 - The central veins in the liver: ...

    Correct

    • The central veins in the liver:

      Your Answer: Coalesce to form the hepatic vein

      Explanation:

      The central veins coalesce to form the hepatic vein which in turn drains into the inferior vena cava. The portal vein mainly carries blood from different parts of the GIT and is not drained to the inferior vena cava.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      25.4
      Seconds

  • Question 29 - The cells that secrete HCL are found in which part of the stomach?...

    Incorrect

    • The cells that secrete HCL are found in which part of the stomach?

      Your Answer: Antrum

      Correct Answer: Body

      Explanation:

      The stomach can be divided in to different regions. Cardia, fundus, body, antrum and pylorus from proximal end to distal end respectively. Different cell types are distributed accordingly among the regions of the stomach. Cells that secret HCl in the gastric mucosa are known as parietal cells and are abundant in the gastric body region. They have receptors for acetylcholine stimulated via the vagus nerve, histamine receptors and gastrin receptors which stimulate gastric acid secretion. G cells that secret gastrin are abundant in the antrum.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      8.6
      Seconds

  • Question 30 - The parasympathetic innervation of the parotid salivary gland arrives from the salivary nuclei:...

    Correct

    • The parasympathetic innervation of the parotid salivary gland arrives from the salivary nuclei:

      Your Answer: CN IX

      Explanation:

      Parasympathetic presynaptic nerve fibers from the glossopharyngeal nerve (CN IX) synapse in the otic ganglion and the postsynaptic parasympathetic nerve fibers pass to the parotid gland via the auriculotemporal nerve.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Gastrointestinal (16/30) 53%
Medicine (16/30) 53%
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