Nokea
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.
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Kupffer's cells are found in ______________.
- A. Liver.
- B. Pancreas.
- C. Small intestine.
- D. Large intestine.
Correct Answer: A
Rationale: Kupffer cells are specialized macrophages located in the liver, where they play a role in filtering blood and immune response.
Which of the following is a function of gall bladder?
- A. Deamination
- B. Bile storage
- C. Synthesis of plasma protein
- D. Storage of fat soluble vitamin
Correct Answer: B
Rationale: The gall bladder stores bile produced by the liver.
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.
Based on knowledge of anatomy and physiology, are there any diet considerations that the student should include in the teaching plan?
- A. Low-fat, enzyme-supplemented diet
- B. High-fiber diet only
- C. Low-protein diet
- D. No dietary changes needed
Correct Answer: A
Rationale: Post-pancreatectomy, a low-fat diet with enzyme supplements is necessary due to impaired digestion.
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.