Nokea
A client is to have a sigmoidoscopy to examine the sigmoid area of the gastrointestinal system. In teaching the client about the procedure, the nurse would explain that the purpose of the procedure is to examine the:
- A. Distal large intestine
- B. Stomach and small intestine
- C. Liver
- D. Pancreas
Correct Answer: A
Rationale: A sigmoidoscopy examines the sigmoid colon, part of the distal large intestine.
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Which nerve is primarily responsible for the neural control of the gastric phase, including the stimulation of gastric secretions?
- A. Facial nerve
- B. Vagus nerve
- C. Glossopharyngeal nerve
- D. Spinal accessory nerve
Correct Answer: B
Rationale: The vagus nerve (cranial nerve X) is the primary nerve responsible for parasympathetic control of the stomach, stimulating gastric secretions and motility during the gastric phase.
Pancreatic juice contains a protein-splitting enzyme called:
- A. trypsin
- B. zymogen
- C. pepsin
- D. amylase
Correct Answer: A
Rationale: Trypsin is a pancreatic enzyme that digests proteins.
All about vermilion zone (free red margin) of lip is true EXCEPT:
- A. Covered by modified mucous membrane
- B. The epith covering has clear keratin superficial layer.
- C. Show deep & numerous dermal papilla
- D. Show NO skin appendages.
Correct Answer: A
Rationale: The vermilion zone is covered by modified skin, not a mucous membrane, though it lacks skin appendages and has a thin keratin layer.
Surface mucous cells show the following EXCEPT:
- A. Found in the isthmus of the fundic glands.
- B. Contain PAS +ve secretory granules.
- C. Secrete acidic mucous.
- D. Continuous with the covering epith of the stomach
Correct Answer: C
Rationale: Surface mucous cells secrete neutral to alkaline mucus, not acidic mucus, to protect the gastric mucosa.
Homeostasis has 3 parts. What is the general term for the 1st?
- A. Controller
- B. Effector
- C. Receptor
- D. Transporter
Correct Answer: C
Rationale: Receptors detect changes in the internal environment as the first step in homeostasis.