tq1

Question 1

Lypolysis occurs in the

Answer 1

small intestine

Question 2

CCK is released in response to which nutrient in the meal?

Answer 2

fat

Question 3

Which substance stimulates the release and synthesis of insulin by the beta cells in the
pancreatic islet?

Answer 3

Gastric Inhibitory Peptid (GIP)

Question 4

Achlorhydria is present when:

Answer 4

the gastric pH never falls below and after

pentagastrin stimulation.

Question 5

Which part of the GI tract is essential for life?

Answer 5

Small Intestine

Question 6

Colicky pain is characterized by:

Answer 6

Pain that is interspersed with pain free intervals.

Question 7

The following are involved in hormonal control of the GI function :

Answer 7

GIP, CCK,

Secretin.

Question 8

Which gland does not secrete saliva

Answer 8

Submental

Question 9

All of the following are accessory organs except :

Answer 9

spleen

Question 10

Food remain the stomach for

Answer 10

2-3 hrs

Question 11

Enzymes from the gallbladder dump into the

Answer 11

duodenum

Question 12

In the gastro0intestinal tract all of the absorption occurs in the

Answer 12

small intestine

Question 13

Which is not a muscular layer of the stomach?

Answer 13

Transverse

Question 14

GI wall is primarily smooth muscle except:

Answer 14

upper 1/3 of esophagus and anal

sphincter.

Question 15

Which is not a mucous membrane secretion?

Answer 15

Sweat

Question 16

Mucous membrane of the GI tract are lined with

Answer 16

cilia

Question 17

Bile facilitates the digestion of

Answer 17

fat

Question 18

Function of the gallbladder is to

Answer 18

store bile

Question 19

Cervical –

Answer 19

parasympathetic to splenic flexure

Question 20

Mid thoracic T12 –

Answer 20

sympathetic to upper GI

Question 21

Lumbars –

Answer 21

sympathetic to lower GI

Question 22

Sacrum –

Answer 22

post ganglionic sympathetic to lower GI

Question 23

Not a mechanical stimulus of the GI Glands

Answer 23

obstruction of gut

Question 24

Vagotomy causes what effect upon glandular secretions

Answer 24

decreased glandular

secretions

Question 25

Myentenz or Aurbach’s plexus controls

Answer 25

GI movement

Question 26

Not a function of submucosal or meiner’s plexus:

Answer 26

penstalsis

Question 27

Condition with mainly upper abdominal/ epigastric symptoms such as pain, bloating, nausea, burping, heartburn, etc....

Answer 27

Dyspepsia

Question 28

Gastric inhibitory peptide causes:

Answer 28

decreased acidity of the stomach

Question 29

All may be causes for acites except

Answer 29

duodenal ulcer

Question 30

Which might you not expect to find in the left upper quadrant?

Answer 30

Gallbladder

Question 31

20 yr old med. student with pain in right lower quadrant, what must you rule out?

Answer 31

Appendicitis

Question 32

Bluish discoloration of the skin around the flank is called

Answer 32

turner sign

Question 33

Symptom associated with Hirschsprung disease?

Answer 33

Constipation

Question 34

Which med does not cause constipation?

Answer 34

Cholinergic

Question 35

Hematemesis is a patient with known peptic ulcer disease indicates

Answer 35

bleeding ulcer

Question 36

Obstipation refers to?

Answer 36

Absence of passage of stool and flatus and characteristic of | bowel obstruction

Question 37

Rebound tenderness on palpation of abs indicates

Answer 37

Peritoneal inflammation

Question 38

Vomiting of “coffee grounds” material that represents blood altered by gastric juices is known as

Answer 38

Melenmesis

Question 39

Odynophagia specifically indicates

Answer 39

pain with swallowing

Question 40

Test used to localize site of B12 deficiency?

Answer 40

Schilling Test

Question 41

Proper order for abdominal evaluation =

Answer 41

Inspect, Auscultate, Percuss, Palpate

Question 42

3 types of ab pain?

Answer 42

Viseral, Parietal, Referred

Question 43

Most common SE disorder encountered

Answer 43

IBD

Question 44

2 leading causes of massive lower GI bleeding?

Answer 44

Colonic cancer and hemorrhoids

Question 45

D-xylose test is for ruling out

Answer 45

Small bowel disease

Question 46

Which phase of digestion is induced when the gastric meal encounters the duodenal mucosa?

Answer 46

Intestinal Phase

Question 47

Most common manifestation of esophageal disease?

Answer 47

Heartburn

Question 48

Does NOT interfere with formation of Alkaline mucosal barrier in the stomach?

Answer 48

Diet | high in carbs

Question 49

Protein Digestion –

Answer 49

by pepsin, first in the stomach

Question 50

Ligament of Treitz –

Answer 50

90% of major GI bleeds

Question 51

Celiac Artery –

Answer 51

supply of blood to first part of the small and large intestine

Question 52

Superior Mesenteric Artery –

Answer 52

to splenic flexure

Question 53

Ulcerative Colitis-

Answer 53

IBD, rectum and left colon

Question 54

Malabsorption –

Answer 54

increase fecal excretion of fat, deficiency of vitamins, minerals, carbs, proteins.

Question 55

Gerd –

Answer 55

substernal burning, esophageal reflux, hiatal hernia (worst supine, best sitting)