Nokea
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.
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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.
Why is pepsin not secreted into the stomach?
- A. Because it would digest the stomach
- B. It is secreted into the stomach
- C. Because it would be inactivated by the acid in the stomach
- D. It is secreted into the intestine
Correct Answer: B
Rationale: Pepsin is secreted into the stomach as pepsinogen by chief cells and activated by stomach acid. It does not digest the stomach due to the protective mucus layer.
The greater omentum does not participate in:
- A. secretion of enzymes
- B. support and cushioning of the viscera
- C. storage of lipids
- D. protection against the spread of infection
Correct Answer: A
Rationale: The greater omentum provides structural support, lipid storage, and protection against infection spread, but it does not secrete enzymes.
Which is the possible cause of a urinary tract infection?
- A. bacteria in the urinary system
- B. calcium buildup in the kidney
- C. prostate enlargement
- D. kidney stones
Correct Answer: A
Rationale: Bacteria in the urinary system are the most common cause of urinary tract infections.
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.