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Practice Exam 1 Digestive & Respiratory Systems Supplemental Instruction Iowa State University Leader: Course: Instructor: Date: Chelsea P AnS 214 Dr. Adur 9/12/16 1. Which of the following is not an accessory organ of the digestive system? a. Salivary glands b. Teeth c. Tongue d. Intestines 2. The major site for nutrient absorption is the _____. a. Mouth b. Small intestine c. Large intestine d. Stomach 3. Saliva contains enzymes that break down proteins. a. True b. False 4. Which of the following is not a function of the stomach? a. The stomach mechanically digests food. b. The stomach chemically digests carbohydrates. c. The stomach serves as a temporary holding area for ingested food. d. The stomach produces intrinsic factor. 5. The phases of gastric secretion from first to last are: a. Gastric phase, cephalic phase, intestinal phase. b. Intestinal phase, gastric phase cephalic phase. c. Cephalic phase, gastric phase, intestinal phase. d. Cephalic phase, intestinal phase, gastric phase. 6. The _______ is the first segment of the small intestine. a. Ileum b. Duodenum c. Ilium d. Jejunum 7. Digestion of carbohydrates and proteins by brush border enzymes occurs within the ______ of the small intestine. a. Villi b. Microvilli c. Circular folds d. Goblet cells Supplemental Instruction 1060 Hixson-Lied Student Success Center 294-6624 www.si.iastate.edu 8. Bile is stored and concentrated in the ______. a. Gallbladder b. Stomach c. Liver d. Pancreas 9. ______ is not found in pancreatic secretions. a. Bicarbonate b. Cholecystokinin (CCK) c. Procarboxypeptidase d. Chymotrypsinogen 10. Most water is absorbed in the ________. a. Small intestine b. Liver c. Stomach d. Large intestine 11. Pepsin enzymatically digests _____. a. Fat b. Protein c. Carbohydrate d. Nucleic acids 12. In order to prevent self-digestion of the pancreas, activation of pancreatic proteases occurs in the: a. Duodenum b. Pancreas c. Stomach d. Gallbladder 13. During the intestinal phase of gastric regulation: a. Hormones reduce chief cell activity. b. Secretin causes more HCl release. c. The gastroeneteric reflex reduces stomach activity. d. The stomach is initially stimulated and later inhibited. 14. What is the main organic molecule digested in the stomach? a. Proteins b. Lipids c. Carbohydrates d. Nucleic acids 15. The propulsive function that occurs in the esophagus is called: a. Segmentation b. Peristalsis c. Ingestion d. Swallowing 16. Which of the two following molecules form carbonic acid? a. H2O, Clb. Cl-, H+ c. HCO3 , CO2 d. CO2 , H2O 17. Which regulatory chemical stimulates gastric gland activity and motility? a. Gastrin b. Secretin c. Histamine d. CCK 18. What would be the effect of stripping the small intestines of their villi? a. Greater absorption of nutrients would occur. b. Decreased surface area for absorption. c. A duodenal ulcer d. The large intestine would take over as the primary absorptive site. 19. Which of the following products does the stomach produce? a. Bile and trypsin b. HCl and intrinsic factor c. Pepsinogen and secretin d. Mucous and amylase 20. The final product of carbohydrate digestion is: a. Glycogen b. Polysaccharides c. Monosaccharides d. Disaccharides 21. Which of the following cells produce HCl? a. Parietal cells b. G cells c. Chief cells d. Enteroendocrine cells 22. Which of the following cells produce pepsinogen? a. G cells b. Enteroendocrine cells c. Parietal cells d. Chief cells 23. Sympathetic stimulation speeds up digestive function. a. True b. False 24. The _________ phase of gastric secretion is considered a conditioned reflex. a. Intestinal b. Cephalic c. Esophageal d. Gastric 25. The arrival of chyme containing a mixture of fats, carbohydrates, and proteins into the duodenum over a period of time would cause: a. an increase in secretin release from the duodenum. b. diminished gallbladder contractions. c. a decrease in bicarbonate secretion from the pancreas. d. a parasympathetic reflex which would promote gastric contractions. 26. Trypsinogen is activated to trypsin by this brush border enzyme: a. Maltase b. Enterokinase c. Aminopeptidase d. Procarboxypeptidase 27. This nerve is said to drive digestive function: a. Vagus b. Enteric c. Gastric d. Duodenal 28. The functions of the liver include all of the following EXCEPT: a. produce bile. b. storing glucose as glycogen. c. producing vitamins A, C and K. d. degrading toxins and drugs from the blood. 29. Parasympathetic stimulation of the gastrointestinal tract will maintain normal peristalsis and gastric secretions. a. True b. False 30. Monogastric salivary glands produce all of the following EXCEPT: a. mucin b. salivary pepsin c. saliva d. Bicarbonate e. salivary amylase 31. All of the following are functions of cholecystokinin (CCK) EXCEPT: a. stimulates gallbladder contraction b. promotes secretion of pancreatic enzymes c. increases gastric HCl production d. induces the movement of bile into common bile duct e. causes hepatopancreatic sphincter to relax 32. Which of the following utilizes mechanical digestion? a. salivary glands b. liver c. pancreas d. stomach 33. When the salivatory nuclei in the brainstem receive neural input from touch and taste receptors in the mouth, salivation is increased. a. True b. False 34. Parietal cells use the enzyme carbonic anhydrase to cleave H+ ions from carbonic acid. a. True b. False 35. Air moves into the lungs because: a. The volume of the lungs decreases with inspiration. b. Contraction of the diaphragm decreases the volume of the pleural cavity. c. The gas pressure in the lungs becomes lower than the outside pressure as the diaphragm contracts. d. The thorax is muscular. 36. Alveolar ventilation rate is: a. The utilization rate of oxygen by alveolar cells to support metabolism. b. Movement of dissolved gases from the blood into the alveoli. c. The movement of air into and out of the alveoli during a particular time. d. The movement of dissolved gases from the alveoli to the blood. 37. In the alveoli, the partial pressure of oxygen is a. Much higher than PO2 of arterial blood. b. Lower than the PO2 of the venous blood. c. About 104 mmHg. d. Equal to that in the tissues. 38. Which respiratory measurement is normally the greatest? a. Expiratory reserve volume b. Vital capacity c. Tidal volume d. Inspiratory volume 39. Which of the following is NOT a function of the conducting zone? a. Warming of air b. Transport of air c. Cleansing of air d. Gas exchange 40. Anatomic dead space plus the nonfunctional alveolar space equals the physiologic dead space. a. True b. False 41. All of the following factors will cause the oxyhemoglobin dissociation curve to be lower EXCEPT: a. lower pH b. rising body temperature c. lower pO2 in tissues d. elevated 2,3-diphosphoglyceric acid levels e. lower carbon dioxide concentrations 42. Which of the following is not found in the lungs of mammals? a. Surfactant b. Microvilli c. Macrophages d. Alveoli 43. Which of the following are not contained in the respiratory zone? a. Alveoli b. respiratory bronchioles c. all of the above are parts of the respiratory zone d. alveolar ducts 44. All of the following are functions of the upper respiratory system except a. oxygenation of blood b. trapping of pollutants c. d. e. saturation of air with H2O secretion of mucus all of the above are correct 45. Which of the following terms is incorrectly matched to its descriptor? a. tidal volume - volume of air moving in & out during breathing times respiration rate b. vital capacity - maximum volume of air inspired after maximum expiration c. dead space – inspired air that never contributes to gas exchange d. all of the above are correct 46. Boyle's law a. delineates the direct relationship between volume and pressure b. states that the total pressure of a mixed gas is the sum of the partial pressures of its constituents c. explains why inspiration and expiration are possible d. explains why it is difficult to make soup at high altitude e. a and c are correct 47. Inspiration requires all of the following, except a. contraction of the diaphragm b. rise in thoracic volume c. rise in intrapulmonary pressure d. flow of air down is pressure gradient e. all of the following are required for inspiration 48. Expired air consists mostly of a. CO2 b. O2 c. Bicarbonate d. N2 e. H2O 49. The diaphragm is composed of smooth muscle. a. True b. False 50. Dalton’s Law a. That each gas in a mixture of gases exerts pressure in proportion to its percentage in the total mixture b. Explains why it is difficult to make soup at high altitude c. That the amount of gas that will dissolve in a liquid is proportional to the partial pressure of the gas. d. All of the above 51. Henry’s Law a. That each gas in a mixture of gases exerts pressure in proportion to its percentage in the total mixture b. Explains why it is difficult to make soup at high altitude c. That the amount of gas that will dissolve in a liquid is proportional to the partial pressure of the gas. d. All of the above 52. Hemoglobin is composed of what element? a. Copper b. Zinc c. Selenium d. Iron 53. What is the maximum number of oxygen molecules hemoglobin can bind? a. 4 b. 3 c. 2 d. 1 54. The mouth begins the start of primarily mechanical breakdown of foods and a small amount of chemical breakdown. 55. In the stomach, HCl produced by parietal cells converts pepsinogen to pepsin to breakdown protein. 56. Further digestion of fats occur in the small intestine due to bile salts. 57. One of the reasons the stomach does not digest itself is because it is lined with a thick mucus layer covering the luminal epithelium. 58. Carbon dioxide can be transported in the blood by being dissolved in a solution. Bound to hemoglobin or as bicarbonate ions in plasma. 59. Myoglobin is the protein found in skeletal and cardiac muscle. 60. Surfactant reduces the surface tension of alveolar fluid in an effort to avoid alveolar collapse. “Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time.” –Thomas A. Edison