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GI Physiology Review

Total questions: 23

Worksheet time: 18mins

Name
Class
Date
1.

Which of the following substances is

released from neurons in the GI tract and

produces smooth muscle relaxation?

a)

Secretin

b)

Gastrin

c)

CCK

d)

VIP

e)

GIP

2.

Which of the following is the site of

secretion of intrinsic factor?

a)

Gastric Antrum

b)

Gastric Fundus

c)

Duodenum

d)

Ileum

e)

Colon

3.

Vibrio cholerae causes diarrhea because it

a)

Increases HC03- secretory channels in

intestinal epithelial cells

b)

increases CI- secretory channels in crypt

cells

c)

prevents the absorption of glucose and

causes water to be retained in the intestinal

lumen isosmotically

d)

inhibits cyclic adenosine monophosphate

(cAMP) production in intestinal

epithelial cells

e)

inhibits inositoll,4,5-triphosphate (IP3)

production in intestinal epithelial cells

4.

Cholecystokinin (CCK) has some gastrin like

properties because both CCK and

gastrin

a)

are released from G cells in the stomach

b)

are released from I cells in the

duodenum

c)

are members of the secretin-homologous

family

d)

have five identical C-terminal amino

acids

e)

have 90% homology of their amino acids

5.

Which of the following is transported in

intestinal epithelial cells by aNa+ -dependent

co transport process?Which of the following is transported in

intestinal epithelial cells by aNa+ -dependent

co transport process?

a)

Fatty acids

b)

Triglycerides

c)

Fructose

d)

Alanine

e)

Oligopeptides

6.

A 49-year-old male patient with severe

Crohn disease has been unresponsive to

drug therapy and undergoes ileal resection.

After the surgery, he will have steatorrhea

because

a)

the liver bile acid pool increases

b)

chylomicrons do not form in the intestinal lumen

c)

micelles do not form in the intestinal

lumen

d)

dietary triglycerides cannot be

digested

e)

the pancreas does not secrete lipase

7.

Cholecystokinin (CCK) inhibits

a)

gastric emptying

b)

pancreatic HC03- secretion

c)

pancreatic enzyme secretion

d)

contraction of the gallbladder

e)

relaxation of the sphincter of Oddi

8.

Which of the following abolishes

"receptive relaxation" of the stomach?

a)

Parasympathetic stimulation

b)

) Sympathetic stimulation

c)

Vagotomy

d)

Administration of gastrin

e)

Administration of vasoactive intestinal

peptide (VIP)

9.

Secretion of which of the following substances

is inhibited by low pH?

a)

Secretin

b)

Gastrin

c)

Cholecystokinin (CCK)

d)

Vasoactive intestinal peptide (VIP)

e)

Gastric inhibitory peptide (GIP)

10.

Which of the following is the site of

secretion of gastrin?

a)

Gastric antrum

b)

Fundus

c)

Duodenum

d)

Ileum

e)

Colon

11.

Micelle formation is necessary for the

intestinal absorption of

a)

glycerol

b)

galactose

c)

vitamin D

d)

Bile salts

12.

Which of the following changes occurs

during defecation?

a)

Internal anal sphincter is relaxed

b)

External anal sphincter is contracted

c)

Rectal smooth muscle is relaxed

d)

Intra-abdominal pressure is lower than

when at rest

e)

Segmentation contractions predominate

13.

Which of the following is characteristic

of saliva?

a)

Hypotonicity relative to plasma

b)

A lower HC03- concentration than plasma

c)

The presence of proteases

d)

Secretion rate that is increased by

vagotomy

e)

Modification by the salivary ductal cells

involves reabsorption ofK+ and HC03-

14.

Which of the following substances is

secreted in response to an oral glucose load?

a)

Secretin

b)

Gastrin

c)

CCk

d)

VIP

e)

GIP

15.

Which of the following is true about the

secretion from the exocrine pancreas?

a)

It has a higher CI- concentration than

does plasma

b)

It is stimulated by the presence ofHC03-

in the duodenum

c)

Pancreatic HCQ3- secretion is increased

by gastrin

d)

Pancreatic enzyme secretion is increased

by cholecystokinin {CCK)

e)

It is hypotonic

16.

Which of the following substances must

be further digested before it can be absorbed

by specific carriers in intestinal cells'?

a)

Fructose

b)

Sucrose

c)

Alanine

d)

Dipeptides

e)

Tripeptides

17.

Slow waves in small intestinal smooth

muscle cells are

a)

action potentials

b)

phasic contractions

c)

tonic contractions

d)

oscillating resting membrane

potentials

e)

oscillating release of cholecystokinin

(CCK)

18.

A 24-year-old male graduate student

participates in a clinical research study on

intestinal motility. Peristalsis of the small

intestine

a)

mixes the food bolus

b)

is coordinated by the central nervous

system (CNS)

c)

involves contraction of circular smooth

muscle behind and in front of the food

bolus

d)

involves contraction of circular smooth

muscle behind the food bolus and relaxation

of circular smooth muscle in front

of the bolus

e)

involves relaxation of circular and longitudinal

smooth muscle simultaneously

throughout the small intestine

19.

A 38-year-old male patient with a

duodenal ulcer is treated successfully

with the drug cimetidine. The basis for

cimetidine's inhibition of gastric H

secretion is that it

a)

blocks muscarinic receptors on parietal

cells

b)

blocks H2 receptors on parietal cells

c)

increases intracellular cyclic adenosine

monophosphate (cAMP) levels

d)

blocks H+,K+-adenosine triphosphatase

(ATPase)

e)

enhances the action of acetylcholine

(ACh) on parietal cells

20.

Which of the following substances inhibits

gastric emptying?

a)

Secretin

b)

Gastrin

c)

CCK

d)

VIP

e)

GIP

21.

When parietal cells are stimulated, they

secrete

a)

HCl and intrinsic factor

b)

HCl and pepsinogen

c)

HCl and HC03-

d)

HC03- and intrinsic factor

e)

mucus and pepsinogen

22.

A 44-year-old woman is diagnosed with

Zollinger-Ellison syndrome. Which of the

following findings is consistent with the

diagnosis?

a)

Decreased serum gastrin levels

b)

increased serum insulin levels

c)

Increased absorption of dietary lipids

d)

Decreased parietal cell mass

e)

Peptic ulcer disease

23.

Which of the following is the site of

Na+-bile acid cotransport?

a)

Antrum

b)

Fundus

c)

Duodenum

d)

Ileum

e)

Colon