Nokea
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.
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Following a diagnosis of Zollinger-Ellison syndrome, a 70-year-old woman undergoes gastrectomy. Her physician informs her that she will require lifelong intramuscular vitamin B12 injections. Which specific type of cells' absence is responsible for the need for vitamin replacement?
- A. Chief cells
- B. G cells
- C. Goblet cells
- D. Parietal cells
Correct Answer: D
Rationale: Parietal cells produce intrinsic factor, necessary for vitamin B12 absorption; their absence after gastrectomy necessitates B12 injections.
Based on knowledge of anatomy and physiology, are there any diet considerations that the student should include in the teaching plan?
- A. Low-fat, enzyme-supplemented diet
- B. High-fiber diet only
- C. Low-protein diet
- D. No dietary changes needed
Correct Answer: A
Rationale: Post-pancreatectomy, a low-fat diet with enzyme supplements is necessary due to impaired digestion.
If for some reason the parietal cells of the gut epithelium become partially nonfunctional, what is likely to happen?
- A. The pH of stomach will fall abruptly
- B. Steapsin will be more effective
- C. Proteins will not be adequately hydrolysed by pepsin into proteoses and peptones
- D. The pancreatic enzymes and specially the trypsin and lipase will not work efficiently
Correct Answer: C
Rationale: Parietal cells secrete HCl; if nonfunctional, the stomach pH rises, reducing pepsin's protein digestion efficiency.
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.
During prolonged fasting-
- A. First fats are used up, followed by carbohydrate from liver and muscles, and protein in the end
- B. First carbohydrate are used up, followed by fat and proteins towards end
- C. First lipids, followed by proteins and carbohydrates towards end.
- D. None of the above
Correct Answer: B
Rationale: In fasting, carbohydrates (glycogen) are used first, followed by fats, and then proteins.