The liver facilitates the conjugation of bilirubin with glucuronic acid, resulting in the formation of bilirubin glucuronide. The primary objective of this process is to:
- A. Convert bilirubin into a form suitable for storage within the body
- B. Generate bile salts required for the absorption of lipids
- C. Enable the transportation of bilirubin in the blood to sites where it can be utilized
- D. Render bilirubin water-soluble, facilitating its excretion in the urine
Correct Answer: D
Rationale: Conjugation makes bilirubin water-soluble, allowing its excretion in bile and urine, preventing accumulation.
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When suggesting menu options to a group of senior citizens, the nurse is careful to include which of the following choices that would enhance normal physiology and prevent the problem of constipation?
- A. Whole grains
- B. Highly spiced or flavored foods
- C. Limiting fluids
- D. Salads and fresh fruits
Correct Answer: A
Rationale: Whole grains increase fiber intake, promoting bowel regularity and preventing constipation.
All enzymes involved in protein digestion are:
- A. secreted by the pancreas
- B. activated by HCl
- C. present in the stomach
- D. secreted in an inactive form
Correct Answer: D
Rationale: Protein-digesting enzymes like pepsinogen and trypsinogen are secreted in an inactive form and activated later.
Which layer of GI tract forms the innermost lining and continuously secretes mucus?
- A. serosa
- B. muscularis externa
- C. muscularis mucosa
- D. mucosa
Correct Answer: D
Rationale: The mucosa is the innermost layer of the GI tract, lined with epithelial cells that secrete mucus to protect the tract and lubricate food passage.
Which of the following would MOST directly affect the operations of the digestive system?
- A. osteoporosis
- B. liver damage
- C. heart attack
- D. kidney failure
Correct Answer: B
Rationale: Liver damage directly impacts digestion by reducing bile production, essential for fat breakdown.
In stomach after physical and chemical digestion food is called:-
- A. Chyme
- B. Chyle
- C. Amino acid
- D. Bolus
Correct Answer: A
Rationale: Food in the stomach after digestion is called chyme.