Nokea
The submucosa of the GIT
- A. Is important for protection
- B. Helps with absorption and secretion
- C. Contains an outer and inner layer
- D. Is between the serosa and muscularis externa
Correct Answer: B
Rationale: The submucosa of the GIT is rich in blood vessels, nerves, and lymphatic vessels, aiding in absorption and secretion of nutrients and fluids. The submucosa is not primarily responsible for protection (choice A). It does not contain distinct outer and inner layers (choice C). The submucosa is located between the mucosa and muscularis externa, not the serosa (choice D). Therefore, the correct answer is B as it aligns with the known functions and characteristics of the submucosa.
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Where does the majority of chemical digestion in the stomach occur?
- A. fundus and body
- B. cardia and fundus
- C. body and pylorus
- D. body
Correct Answer: A
Rationale: The majority of chemical digestion in the stomach occurs in the fundus and body regions. These areas contain gastric glands that secrete hydrochloric acid and pepsinogen, which break down proteins. The fundus and body also mix and churn food to create chyme. The cardia and pylorus do not play a significant role in chemical digestion. The cardia is the entry point of the stomach and mainly responsible for food entry, while the pylorus regulates the release of chyme into the small intestine. The body region alone does not have as many gastric glands compared to the fundus and is mainly involved in mixing and storing food.
Cholesterol is a major component of atherosclerotic plaque. Cholesterol carried by ______ is linked to coronary heart disease.
- A. micelle
- B. chylomicron
- C. low-density lipoprotein (LDL)
- D. high-density lipoprotein (HDL)
Correct Answer: C
Rationale: The correct answer is C: low-density lipoprotein (LDL). LDL is often referred to as "bad cholesterol" because it carries cholesterol from the liver to the cells, leading to the buildup of plaque in the arteries, which can result in coronary heart disease. Micelles are small lipid structures, not carriers of cholesterol. Chylomicrons are large lipoprotein particles that transport dietary fats, not primarily cholesterol. HDL is known as "good cholesterol" as it helps remove cholesterol from the bloodstream back to the liver for excretion, reducing the risk of atherosclerosis.
Which one of the connective tissue sheets listed below consists of two layers of serous membranes with a thin layer of connective tissue between them and attaches to the small intestine?
- A. lesser omentum
- B. mesentery proper
- C. greater omentum
- D. falciform ligament
Correct Answer: B
Rationale: The correct answer is B: mesentery proper. The mesentery proper consists of two layers of serous membranes with a thin layer of connective tissue between them, and it attaches to the small intestine. This structure provides support and allows for movement of the small intestine.
A: The lesser omentum attaches the stomach to the liver, not the small intestine.
C: The greater omentum is a large apron-like structure that hangs down from the stomach and covers the intestines, but it does not specifically attach to the small intestine.
D: The falciform ligament attaches the liver to the diaphragm and anterior abdominal wall, not the small intestine.
Gastrin hormone:
- A. Released from the duodenum.
- B. Stimulates HCL secretion.
- C. inhibits stomach emptying.
- D. All of the above are correct.
Correct Answer: B
Rationale: The correct answer is B: Gastrin stimulates HCL secretion. Gastrin is a hormone released from the stomach, not the duodenum. It acts to increase the secretion of hydrochloric acid (HCL) in the stomach, aiding in digestion. Gastrin also accelerates stomach emptying, contrary to choice C. Therefore, options A and C are incorrect. Choice D is incorrect as well because only option B is correct.
Which action will the nurse include in the plan of care for a patient who is being admitted with Clostridium difficile?
- A. Teach the patient about proper food storag
- C. Order a diet without dairy products for the patient.
- D. Place the patient in a private room on contact isolation.
Correct Answer: D
Rationale: The correct answer is D: Place the patient in a private room on contact isolation. This is important because Clostridium difficile is highly contagious, spread through contact with infected feces. Isolating the patient helps prevent the spread. A: Teaching about food storage is irrelevant to managing C. difficile. B: Administering medications is not mentioned in the question. C: Ordering a diet without dairy is not the priority; isolation is key to prevent transmission.