Study Questions - Dr. Freeman (36Q) Flashcards
(89 cards)
Which one of the following is incorrect regarding salivary secretion in animals?
a. Salivary ducts modify composition, especially at low flow rates
b. Mastication of food stimulates parotid salivary secretion in horses
c. Parotid saliva is low in calcium in horses
d. Pharyngeal stimulation increases parotid salivary secretion in ruminants
e. Saliva has a high concentration of bicarbonate in ruminants
c. Parotid saliva is low in calcium in horses
Which of the following is TRUE about salivary gland secretions in veterinary physiology? Saliva:
a. flows in response to adrenergic stimulation
b. contributes chloride to form HCl in the stomach
c. from the parotid gland is mainly serous
d. contributes significantly to fat digestion
e. provides buffer for duodenal contents
c. from the parotid gland is mainly serous
Which one of the following would play a critical role in esophageal emptying in a horse with an obstruction in the mid esophagus?
a. gastric reflux
b. mucus production from the esophageal mucosa
c. secondary peristalsis
d. administration of atropine
e. a low pH diet to increase salivation
c. secondary peristalsis
Control of secretion in the alimentary tract often involves negative feedback loops in which the secreted product blocks secretion or production of the secretagogue that stimulates its secretion. Which one of the following is an example of this process?
a. secretin blocks its own secretions
b. trypsin blocks the secretion of cholecystokinin
c. lipase blocks the secretion of secretin
d. all enzymes block the secretion of cholecystokinin
e. amylase blocks the secretion of gastrin
b. trypsin blocks the secretion of cholecystokinin (and secretin - occurs when there are decreased proteins)
The following is a list of statements about pancreatic enzyme activities. Identify one that is incorrect.
a. trypsin activates prolipase to lipase
b. pancreatic amylase is responsible for digestion of starch
c. secretion of proteolytic enzymes as zymogens protects the pancreas
d. trypsinogen is activated by enteropeptidase in the duodenal mucosa
e. pancreatic lipase is responsible for digestion of fat
a. trypsin activates prolipase to lipase
The following is a list of statements about secretion by glandular cells. Identify one that is incorrect.
a. secretor vesicles are released from apical surface of a pancreatic acinar cell
b. cyclic nucleotides, polyphosphoinositides, and calcium ions are intracellular messengers that respond to hormones
c. extracellular agents that initiate secretion are neurotransmitters and hormones
d. the proteases of the pancreas are released into the acinus in the active form
e. activation of a secretory cell by a hormone from an adjacent cell is a paracrine response
d. the proteases of the pancreas are released into the acinus in the active form
Complete this statement correctly. Trypsin:
a. is secreted in its active form by the pancreas
b. is responsible for fat digestion in the jejunum
c. degrades CCK-releasing factor
d. secretion is inhibited by cholecystokinin
e. activates enteropeptidase in the duodenum
c. degrades CCK-releasing factor
Which of the following groups of organs provides bicarbonate to buffer gastric contents as they enter the duodenum?
a. liver, parotid glands, duodenum
b. liver, pancreas, kidneys
c. parotid glands, pancreas, duodenum
d. liver, pancreas, duodenum
e. duodenum, pancreas, kidneys
d. liver, pancreas, duodenum
Which of the following statements about the 3 mechanisms of communication that mediate response in the gastrointestinal tract is true?
a. the 3 mechanisms are paracrine, exocrine, and neurocrine
b. afferent vagal fibers are usually the final pathway to neurocrine effects
c. for an endocrine mediator, communication with the target cell is by local diffusion
d. for a paracrine mediator, communication with the target cell involves diffusion into the intestinal lumen
e. acetylcholine release from nerve endings usually mediates the response to a neurocrine effect
e. acetylcholine release from nerve endings usually mediates the response to a neurocrine effect
Identify the correct association between a hormone and a response from the pancreas
a. secretin and increased enzyme secretion
b. cholecytoskinin and increased water secretion in the horse
c. gastrin and increased electrolyte secretion in the horse
d. VIP and increased enzyme secretion
e. secretion and zymogen activation in the lumen
f. somatostatin and increased enzyme secretion
c. gastrin and increased electrolyte secretion in the horse
Which pair of the following glands or organs responds to secretin (as they contribute to alkalization of duodenal contents)?
a. liver, parotid glands
b. pancreas, kidneys
c. pancreas, duodenum
d. liver, duodenum
e. liver, pancreas
e. liver, pancreas
Complete the sentence correctly. Conjugation of bile salts
a. increases the pKa of bile acids
b. is primarily with taurine in cats
c. increases passive absorption of bile salts by the small intestine
d. makes bile salts insoluble in intestinal contents
e. forms adeno- and tauro- conjugated bile salts
b. is primarily with taurine in cats
Bile salt dependent flow of bile involves
a. the enterohepatic circulation of bile salts
b. synthesis of 94% of the bile pool daily
c. colonic absorption of secondary bile salts
d. active transport of bile by the jejunum
e. passive transport of bile in the ileum
a. the enterohepatic circulation of bile salts
The salt and water component of bile involves all but one of the following. Which is incorrect?
a. secretin
b. water and ion content of the bile
c. bicarbonate secretion
d. the bile ducts
e. conjugation of bile salts
e. conjugation of bile salts
Alkalinization of duodenal contents is important for which one of the following gastrointestinal functions?
a. gall bladder contraction
b. secretin secretion
c. digestive enzyme activity
d. CCK secretion
e. conversion of trypsin to chymotrypsin
c. digestive enzyme activity
Which of the following relationships between structure and function in the gastrointestinal tract is correct?
a. crypts and chloride secretion
b. Brunner’s glands and hormone secretion
c. colon and nutrient absorption
d. colon and bile salt absorption
e. villi and disaccharide absorption
a. crypts and chloride secretion
Other correct answers:
- brunner gland’s and mucus secretion
- colon and water absorption
- villi and amino acid absorption
Micellar solubilization is directly involved in one of the following steps in fat digestion and absorption. Identify the correct answer:
a. Re-esterification of fatty acids and mono glycerides to form chylomicrons
b. diffusion of fatty acids and mono glycerides through the unstirred layer
c. absorption of micelles to release their contents into the cell
d. facilitates transport of fatty acids and mono glycerides in the lymphatics
e. facilitates reabsorption of bile salts by the ileum
b. diffusion of fatty acids and mono glycerides through the unstirred layer
Which of the following statements about absorption of nutrients by intestine and coupling of the absorption step to another brush border process, such as cotransport or digestion, is correct?
a. dipeptides and tripeptides must be hydrolyzed to amino acids to be absorbed
b. amino acid absorption is enhanced by cotransport with potassium
c. monosaccharides are converted to disaccharides for absorption
d. fructose uses a Na-independent transport system called GLUT5
e. brush border enzymes produce the final products for fat absorption
d. fructose uses a Na-independent transport system called GLUT5
e. brush border enzymes produce the final products for fat absorption (would be correct if it said for protein and starch digestion)
Which of the following statements about salt and water absorption by the GI tract is incorrect?
a. the tightness of a tissue is determined by permeability of its paracellular pathway
b. cotransport with Na is important for absorption of many nutrients and ions
c. the Na-K pump provides the low intracellular concentration of Na that enhances is absorption
d. because it is a tight epithelium, water absorption by the jejunum is very efficient
e. water diffuses into the intercellular space in response to Na absorption
d. because it is a tight epithelium, water absorption by the jejunum is very efficient (colon would be correct)
Which one of the following statements about digestion and absorption of nutrients by the intestine is incorrect?
a. protein digestion products can be absorbed as dipeptides, tripeptides, and AAs
b. nursing animals have lactase in the small intestine that decrease in activity with age, and lactose intolerance develops
c. disaccharides and oligosaccharides are converted to monosaccharides for absorption
d. net iron absorption is enhanced when plasma iron and iron stores in the body are high
e. calcium absorption is enhanced through synthesis of a calcium-binding protein
d. net iron absorption is enhanced when plasma iron and iron stores in the body are high
Which one of the following statements is false?
a. in hepatic insufficiency, neurotoxic effect of ammonia become evident
b. complex carbs that are indigestible in the small intestine can be used to prevent colonic absorption of ammonia
c. micellar solubilization facilitates the movement of fatty acids across an unstirred water layer
d. a low plasma iron induces synthesis of iron-binding protein in migrating epithelial cells
e. 1,25-dihydroxycholecalciferol induces synthesis of calcium binding protein that facilitates calcium movement out of the cell
f. colonic bacteria produce urease that converts urea to ammonia
d. a low plasma iron induces synthesis of iron-binding protein in migrating epithelial cells
Which one of the following statements about ion absorption by the intestine is true?
a. the negative intracellular electrical charge does not favor chloride entry into the cell
b. most sodium crosses intestinal epithelium through tight junctions at the base of the cells
c. the sodium concentration inside the cell is higher than it is outside
d. secondary active transport is characterized by Na exchange for Cl
e. net water movement is an active process independent of Na ion transport
a. the negative intracellular electrical charge does not favor chloride entry into the cell
Which one of the following is true about small intestinal diarrhea induced by E. coli enterotoxin?
a. the excess secretion is caused by stimulation of cyclic AMP in the colon
b. stimulation of cyclic AMP by the enterotoxin increases Na secretion by villus cells
c. the fluid loss can be treated by oral solutions that contain glucose
d. fluid loss is exacerbated by villous blunting caused by enterotoxin
e. the enterotoxin blocks the sodium/glucose cotransporter
c. the fluid loss can be treated by oral solutions that contain glucose
Which one of the following is incorrect about the absorptive anatomy of the intestine?
a. microvilli project from apices of surface epithelial cells, and they contribute to surface digestion and absorption in the SI
b. villi are finger-like projections of mucosa that are found in the small and large intestines
c. individual cells are joined by tight junctions below the apical surface of cells
d. intercellular spaces between cells can fill with water and Na that the cells have absorbed
e. immature cells migrate from the crypts and acquire properties of mature cells as they approach the villus tip
b. villi are finger-like projections of mucosa that are found in the small and large intestines