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tq1 Flashcards

1
Q

Lypolysis occurs in the

A

small intestine

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2
Q

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

A

fat

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3
Q

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

A

Gastric Inhibitory Peptid (GIP)

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4
Q

Achlorhydria is present when:

A

the gastric pH never falls below and after

pentagastrin stimulation.

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5
Q

Which part of the GI tract is essential for life?

A

Small Intestine

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6
Q

Colicky pain is characterized by:

A

Pain that is interspersed with pain free intervals.

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7
Q

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

A

GIP, CCK,

Secretin.

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8
Q

Which gland does not secrete saliva

A

Submental

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9
Q

All of the following are accessory organs except :

A

spleen

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10
Q

Food remain the stomach for

A

2-3 hrs

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11
Q

Enzymes from the gallbladder dump into the

A

duodenum

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12
Q

In the gastro0intestinal tract all of the absorption occurs in the

A

small intestine

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13
Q

Which is not a muscular layer of the stomach?

A

Transverse

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14
Q

GI wall is primarily smooth muscle except:

A

upper 1/3 of esophagus and anal

sphincter.

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15
Q

Which is not a mucous membrane secretion?

A

Sweat

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16
Q

Mucous membrane of the GI tract are lined with

A

cilia

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17
Q

Bile facilitates the digestion of

A

fat

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18
Q

Function of the gallbladder is to

A

store bile

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19
Q

Cervical –

A

parasympathetic to splenic flexure

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20
Q

Mid thoracic T12 –

A

sympathetic to upper GI

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21
Q

Lumbars –

A

sympathetic to lower GI

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22
Q

Sacrum –

A

post ganglionic sympathetic to lower GI

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23
Q

Not a mechanical stimulus of the GI Glands

A

obstruction of gut

24
Q

Vagotomy causes what effect upon glandular secretions

A

decreased glandular

secretions

25
Q

Myentenz or Aurbach’s plexus controls

A

GI movement

26
Q

Not a function of submucosal or meiner’s plexus:

A

penstalsis

27
Q

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

A

Dyspepsia

28
Q

Gastric inhibitory peptide causes:

A

decreased acidity of the stomach

29
Q

All may be causes for acites except

A

duodenal ulcer

30
Q

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

A

Gallbladder

31
Q

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

A

Appendicitis

32
Q

Bluish discoloration of the skin around the flank is called

A

turner sign

33
Q

Symptom associated with Hirschsprung disease?

A

Constipation

34
Q

Which med does not cause constipation?

A

Cholinergic

35
Q

Hematemesis is a patient with known peptic ulcer disease indicates

A

bleeding ulcer

36
Q

Obstipation refers to?

A

Absence of passage of stool and flatus and characteristic of

bowel obstruction

37
Q

Rebound tenderness on palpation of abs indicates

A

Peritoneal inflammation

38
Q

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

A

Melenmesis

39
Q

Odynophagia specifically indicates

A

pain with swallowing

40
Q

Test used to localize site of B12 deficiency?

A

Schilling Test

41
Q

Proper order for abdominal evaluation =

A

Inspect, Auscultate, Percuss, Palpate

42
Q

3 types of ab pain?

A

Viseral, Parietal, Referred

43
Q

Most common SE disorder encountered

A

IBD

44
Q

2 leading causes of massive lower GI bleeding?

A

Colonic cancer and hemorrhoids

45
Q

D-xylose test is for ruling out

A

Small bowel disease

46
Q

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

A

Intestinal Phase

47
Q

Most common manifestation of esophageal disease?

A

Heartburn

48
Q

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

A

Diet

high in carbs

49
Q

Protein Digestion –

A

by pepsin, first in the stomach

50
Q

Ligament of Treitz –

A

90% of major GI bleeds

51
Q

Celiac Artery –

A

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

52
Q

Superior Mesenteric Artery –

A

to splenic flexure

53
Q

Ulcerative Colitis-

A

IBD, rectum and left colon

54
Q

Malabsorption –

A

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

55
Q

Gerd –

A

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

GE (6 decks)

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