Nokea
The part of the stomach that meets the esophagus at the gastroesophageal sphincter is the:
- A. fundus
- B. cardia
- C. pylorus
- D. body
Correct Answer: B
Rationale: The cardia is the part of the stomach closest to the esophagus.
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The term used to describe the stomach's expansion to accommodate volume without any rise in intraluminal pressure is referred to as:
- A. Vomiting
- B. Activation of osmoreceptors
- C. Folding inward (invagination)
- D. Relaxation in response to stimulation (receptive relaxation)
Correct Answer: D
Rationale: Receptive relaxation allows the stomach to expand as food enters, mediated by the vagus nerve, without increasing pressure.
Which of the following statements best describes the migrating motor complex (MMC)?
- A. It is responsible for the peristaltic movement of food along the entire gastrointestinal tract
- B. It is a cyclic pattern of motility that primarily occurs during the postprandial (after-meal) period
- C. It involves segmental contractions that aid in the mixing and breakdown of food particles
- D. It occurs during fasting and clears residual contents from the stomach and small intestine
Correct Answer: D
Rationale: The MMC is a fasting-state motility pattern that clears residual contents, regulated by motilin, not active postprandially.
Which of the following secretions is NOT produced by gastric glands?
- A. hydrochloric acid
- B. intrinsic factor
- C. pepsin
- D. sebum
Correct Answer: D
Rationale: Sebum is an oily substance produced by sebaceous glands in the skin, not by gastric glands, which secrete HCl, intrinsic factor, and pepsin.
Where are the osmoreceptors located?
- A. Kidney
- B. Hypothalamus
- C. Pituitary
- D. Liver
Correct Answer: B
Rationale: Osmoreceptors in the hypothalamus detect blood osmolarity changes.
What role does the stomach play in the maintenance of normal vitamin B12 levels?
- A. Produces intrinsic factor
- B. Absorbs vitamin B12
- C. Stores vitamin B12
- D. Converts vitamin B12
Correct Answer: A
Rationale: The stomach's parietal cells produce intrinsic factor, necessary for vitamin B12 absorption in the ileum.