Gastric Fluid

Question 1

Produces HCl and intrinsic factor

Answer 1

Parietal cells

Question 2

Produces pepsinogen

Answer 2

Chief cells

Question 3

Specialized G cells

Answer 3

Gastrin

Question 4

Foveolar cell

Answer 4

Mucus that protects the stomach wall from acid

Question 5

Tube that passes through the nose

Answer 5

Levin tube

Question 6

Tube that passes through the mouth

Answer 6

Rehfuss tube

Question 7

Total gastric secretion during unstimulated, fasting state

Answer 7

Basal Acid Output (BAO)

Question 8

Duration of collection for BAO

Answer 8

1 hr (four 15-min specimens or a single hour can be used)

Question 9

BAO collection for insulin hypoglycemia test time

Answer 9

2 hr collection

Question 10

Total gastric secretion after gastric stimulation

Answer 10

Maximum Acid Output (MAO)

Question 11

Pentagastrin and histamine collection for MAO time

Answer 11

1 hr (at 15-min intervals)

Question 12

Test meals for Ewald’s

Answer 12

Bread, Weak Tea, Water

Question 13

Test meal for Boas

Answer 13

Oatmeal

Question 14

Test meal for Riegel

Answer 14

Beef steak and mashed potato

Question 15

Chemical stimulants for gastric tests (most preferred)

Answer 15

Pentagastrin

Question 16

To assess vagotomy procedure, what stimulant is used

Answer 16

Insulin

Question 17

Pernicious anemia BAO, MAO, and BAO/MAO ratio

Question 18

Normal BAO, MAO, BAO/MAO ratio

Answer 18

2.5 (BAO), 25.0 (MAO), 10% ratio

Question 19

Duodenal ulcer BAO, MAO, Ratio

Answer 19

5.0 (BAO), 30.0 (MAO), 17%

Question 20

Normal gastric color

Answer 20

Pale, gray, slightly mucoid

Question 21

Normal volume of gastric fluid

Answer 21

20-50 mL

Question 22

Abnormal fasting specimen gastric fluid amount

Answer 22

> 50 mL

Question 23

After Ewald’s meal, normal range of gastric fluid

Answer 23

20-60 mL (up to 120 mL)

Question 24

After alcohol test meal or histamine stimulation gastric fluid volume

Answer 24

45 to 150 mL

Question 25

Failure to produce a pH < 6.0 following gastric stimulation

Answer 25

Anacidity (Pernicious anemia)

Question 26

Gastric fluid pH does not fall even after gastric stimulation (absence of free HCl)

Answer 26

Achlorhydria

Question 27

Diagenex tubeless test specimen

Answer 27

Urine

Question 28

Principle of Diagenex test

Answer 28

A blue-colored dye (Azure-A) is complexed with an ion-exchange resin, Azure-A is released in proportion to free HCl, absorbed into the blood, and excreted in urine; The amount of excreted dye in urine is an indicator of gastric HCl secretory activity.