Mid last Flashcards

1
Q

What is responsible for the most elasticity of the lung?*

  1. Elastic forces of the lung tissue determined by elastin and collagen fibers
  2. Lung smooth muscle elasticity
  3. Plasma membrane folds in epithelium cells
  4. Surface tension of the fluid that lines the inside walls of the alveoli and other lung spaces

5.Elasticity of alveoli capillary plexus

A

4.Surface tension of the fluid that lines the inside walls of the alveoli and other lung spaces

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2
Q

How does the gas exchange take place between alveoli and pulmonary blood?*

As result of active transport

As result of co-transport.

As result of simple diffusion

As result of facilitated diffusion

As result of pinocytosis

A

As result of simple diffusion

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3
Q

Compared to plasma, saliva has the highest relative concentration of which of the following ions under basal conditions?*

Bicarbonate

Chloride

Potassium

Sodium

A

Potassium

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4
Q

Biopsies are taken from the antral and duodenal mucosa of a 65-year-old woman. Which of the following hormones can be found in tissue homogenates from both locations?*

  1. Cholecystokinin (CCK)
  2. Glucose-dependent insulinotropic peptide (GLIP) (also called gastric inhibitory peptide)
  3. Gastrin
  4. Motilin
  5. Secretin
A

3.Gastrin

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5
Q

How many layers are there in the respiratory membrane?*

A.Only one alveolar epithelium layer.

B.Two layers consisting of a layer of fluid and alveolar epithelium

C.Four layers consisting of combination of plasma membrane and fluid

D.Five layers consisting of combination of plasma membrane and fluid.

E.Six layers that include epithelial cells, endothelial membrane, and interstitial space.

A

E.Six layers that include epithelial cells, endothelial membrane, and interstitial space

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6
Q

What percentage of the oxygen transported from the lungs to tissues is carried by the hemoglobin normally?*

5%

20%

40%

67%

97%

A

97

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7
Q

Gastric emptying is regulated to ensure the chyme enters the duodenum at an appropriate rate. Which of the following factors promotes gastric emptying?*

Anorexia nervosa

Antral peristalsis

Bulimia nervosa

Obesity

Scleroderma

A

Antral peristalsis

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8
Q

What is the value of intracellular partial pressure of O2 (PO2) relative to PO2 in surrounding peripheral capillaries?*

Intracellular PO2 always higher than PO2 in peripheral capillaries.

Intracellular PO2 always lower than PO2 in peripheral capillaries.

Intracellular PO2 always equals PO2 in peripheral capillaries.

Intracellular PO2 changes unpredictably relative to PO2 in peripheral capillaries.

Can’t be determined.

A

Intracellular PO2 always lower than PO2 in peripheral capillaries.

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9
Q

The proenzyme pepsinogen is secreted mainly from which of the following structures?*

Acinar cells of the pancreas

Ductal cells of the pancreas

Epithelial cells of the duodenum

Gastric glands of the stomach

A

Gastric glands of the stomach

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10
Q

What kind of change does take place in the oxygen-hemoglobin dissociation curve during the Bohr effect?*

When the blood passed through peripheral tissues the O2-hemoglobin dissociation curve shifts to the right and downward, in the lungs, on other hand, the curve shifts left and upward.

When blood passed through peripheral tissues the O2-hemoglobin dissociation curve shifts to left and upward, in the lungs, on other hand, the curve right and downward.

The O2-hemoglobin dissociation curve shifts only to the right and downward when the blood circulates through the lung and peripheral tissues.

Only amplitude of the O2-hemoglobin dissociation curve changes during blood circulation through peripheral tissues.

Only steepness of the O2-hemoglobin dissociation curve changes during blood circulation through peripheral tissues.

A

When the blood passed through peripheral tissues the O2-hemoglobin dissociation curve shifts to the right and downward, in the lungs, on other hand, the curve shifts left and upward.

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11
Q

What does happen during inspiration?*

Alveolar pressure becomes positive.

Pleural pressure becomes more negative.

Pleural pressure becomes positive.

The diaphragm relaxes.

The abdominal muscles contract.

A

Pleural pressure becomes more negative.

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12
Q

Which of the following can both damage the gastric mucosal barrier and stimulate gastric acid secretion?*

Bile salts

Epidermal growth factor

Gastrin

Helicobacter pylori

Mucous

A

Helicobacter pylori

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13
Q

19-year-old man is fed intravenously for several weeks following a severe automobile accident. The intravenous feeding leads to atrophy of the gastrointestinal mucosa most likely because the blood level of which of the following hormones is reduced?*

Cholecystokinin only

Gastrin only

Secretin only

Gastrin and cholecystokinin

Gastrin and secretin

Secretin and cholecystokinin

A

Gastrin only

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14
Q

Which of the following can virtually eliminate the secretion of acid during the gastric phase?*

Antiacids

Antigastrin antibodies

Atropine

Histamine H2 blocker

Proton pump inhibitor

A

Proton pump inhibitor

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15
Q

What does the inspiratory capacity equal?*

The inspiratory reserve volume

The inspiratory reserve volume plus the tidal volume plus the expiratory reserve volume

The tidal volume plus the inspiratory reserve volume

The tidal volume plus the residual volume

The vital capacity plus the residual volume.

A

The tidal volume plus the inspiratory reserve volume

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16
Q

Digestion of which of the following foodstuffs is impaired to the greatest extent in patients with achlorhydria?*

Carbohydrate

Fat

Protein

Lipid

A

Protein

17
Q

45-year-old man presents with abdominal pain. Abdominal x-rays were suggestive of a perforated viscus. Endoscopy revealed a chronically perforated gastric ulcer, through which the liver was visible. Which of the following is a forerunner to gastric ulcer formation?*

Back-leak of hydrogen ions

Mucus secretion

Proton pump inhibition

Tight junctions between cells

Vagotomy

A

Back-leak of hydrogen ions

18
Q

Parasympathetic stimulation increases gastrointestinal motility and sympathetic stimulation decreases motility. The autonomic nervous system controls gut motility by changing which of the following?*

Gastrin secretion

Pacemaker discharge frequency

Secretin secretion

Slow wave frequency

Spike potential frequency

A

Spike potential frequency

19
Q

65-year-old man eats a healthy meal. Approximately 40 min later the ileocecal sphincter relaxes and chyme moves into the cecum. Gastric distention leads to relaxation of the ileocecal sphincter by way of which reflex?*

Enterogastric reflex

Gastroileal reflex

Gastrocolic reflex

Intestino-intestinal reflex

Rectosphincteric reflex

A

Gastroileal reflex

20
Q

What is diffusing capacity for oxygen of the respiratory membrane in the average young man under resting conditions?*

About 21 ml/min/mm Hg.

About 10 ml/min/mm Hg.

About 41 ml/min/mm Hg.

About 61 ml/min/mm Hg.

About 5 ml/min/mm Hg.

A

About 21 ml/min/mm Hg.

21
Q

What is diffusing capacity for oxygen of the respiratory membrane in the average young man under resting conditions?*

About 21 ml/min/mm Hg.

About 10 ml/min/mm Hg.

About 41 ml/min/mm Hg.

About 61 ml/min/mm Hg.

About 5 ml/min/mm Hg.

A

About 21 ml/min/mm Hg.