Nokea
Which of the following is a function of bile?
- A. acidification of GI contents
- B. emulsification of GI contents
- C. enzymatic breakdown of fats
- D. speeding up GI transit time
Correct Answer: B
Rationale: Bile, produced by the liver, emulsifies fats, breaking them into smaller droplets to increase surface area for digestion by lipases.
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All about vermilion zone (free red margin) of lip is true EXCEPT:
- A. Covered by modified mucous membrane
- B. The epith covering has clear keratin superficial layer.
- C. Show deep & numerous dermal papilla
- D. Show NO skin appendages.
Correct Answer: A
Rationale: The vermilion zone is covered by modified skin, not a mucous membrane, though it lacks skin appendages and has a thin keratin layer.
Which of the following cells secrete pepsinogen?
- A. Parietal cells
- B. Alpha cells
- C. Chief cells
- D. Stem cells
Correct Answer: C
Rationale: Chief cells in the stomach are responsible for secreting pepsinogen, which is then activated to pepsin by the acidic environment created by HCl.
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.
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.
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.