Nokea
Match: Villi
- A. projections in the small intestine that absorb nutrients
- B. storage structures
- C. enzyme producers
- D. muscular layers
Correct Answer: A
Rationale: Villi are finger-like projections in the small intestine that increase surface area for efficient nutrient absorption.
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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.
One of the following is not true about the enteroendocrine cells:
- A. They are present in the stomach, small intestine and large intestine.
- B. They are of two types open and closed.
- C. They deliver their secretions only in the git lumen.
- D. They are also called argentaffine cells
Correct Answer: C
Rationale: Enteroendocrine cells release hormones into the bloodstream (endocrine function), not just the GIT lumen.
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.
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.
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.