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All Questions of Body Systems IV
BODY SYSTEMS IV MIDTERM 1 (Fall 2020-2021)
1. Which of the following does NOT regulate gastric acid secretion?
A. Histamine
B. Gastrin
C. Acetylcholine
D. Vagus nerve stimulation
E. Cholecystokinin
2. The artery of the midgut is the: (Quizlet)
A. Celiac trunk
B. Inferior mesenteric
C. Proper hepatic
D. Splenic
E. Superior mesenteric
3. Which region are goblet cells most numerous? (Internet)
A. Esophagus
B. Stomach
C. Small intestine
D. Large intestine
E. Anus
4. Match the process associated with the Gastric intrinsic factor, which
is produced by parietal cell in the gastric glands: (!!!)
A. Digestion of proteins
B. Digestion of carbohydrates
C. Absorption of vitamin B12
D. Transport of triglycerides into lacteals
5. All is true about esophagus, except: (Qbank)
A. Follows the curve of the vertebral column as it descends through the neck
and mediastinum.
B. Its superior third, the external layer consists of voluntary striated muscle
C. Passes through the esophageal hiatus in the muscular right crus of the
diaphragm, just to the left of the median plane at the level of the T10
vertebra
D. Has only internal longitudinal layer of muscle
E. All are true
6. The fundus of the stomach receives its arterial supply from the: (Internet)
A. Common hepatic
B. Inferior phrenic
C. Left gastroepiploic
D. Right gastric
E. Splenic
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7. What are the modifications of the muscularis externa that is seen on
the large intestine? (Internet)
A. Teniae coli
B. Crypts of Lieberkuhn
C. Plicae circulares
D. Striated border
E. Villi
8. Gallblader has all of the following, except: (Qbank)
A. a rounded end (fundus of gallbladder), which may project from the
inferior border of the liver,
B. a major part in the fossa (body of gallbladder), which may be against
the transverse colon and the superior part of the duodenum;
C. a narrow part (neck of gallbladder) with mucosal folds forming the spiral fold
D. All of the above are true
9. A patient who was admitted with symptoms of bowel obstruction, on
examination revealed that the obstruction was caused by the compression
of the bowel between the superior mesenteric artery and the aorta. The
compressed bowel is most likely the: (Internet)
A. Duodenum
B. Jejunum
C. Ileum
D. Ascending colon
E. Transverse colon
10. What does the interlobar fissure in the liver contain? (!!!)
A. Ligamentum teres, and inferior vena cava adjacent to each other*
B. Ligamentum venosum superiorly, ligamentum teres inferiorly
C. Ligamentum teres superiorly, Ligamentum venosum inferiorly
D. None of the above
11. Absorption of most of salt and water takes place in which of the
following locations of GI tract?
A. Jejunum
B. Stomach
C. Duodenum
D. Large intestine
E. Ileum
12. All of the following inhibit appetite except? (!!!)
A. Cholecystokinin
B. Gastrointestinal filling/stretch
C. Peptide YY
D. Insulin
E. Cold weather conditions*
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13. Which of the following cell types is present in the gastric glands of
the pyloric stomach? (Quizlet)
A. Goblet cells
B. Mucous neck cells
C. Paneth cells
D. Basal cells
E. Chief cells
14. Which of the following is located at the opening between the small
and large intestines?
A. Pyloric sphincter
B. Cardiac sphincter
C. Ileocecal valve
D. Tricuspid valve
E. Ligament of Treitz
15. Which of the following is true about the enteric nervous system?
A. It is capable of responding independently to stimuli within
the gastrointestinal tract.
B. Its function is regulated by the autonomic nervous system.
C. It is sometimes referred to as the "little brain".
D. It uses serotonin as its main neurotransmitter.
E. All of the above.
16. 65 year-old female patient complains of weakness, numbness in the legs, loss of
taste, diarrhea and hearing voices. She has been suffering from migraine and
almost daily takes over the counter pain medication. On physical exam she has a
smooth and swollen tongue, and a pale, yellowish skin. The complete blood count
shows anemia. What type of anemia has this patient most probably have? (!!!)
A. Normocytic anemia
B. Sickle-cell anemia
C. Microcytic anemia
D. Iron-deficiency anemia*
E. Macrocytic/megaloblastic anemia
17. Which of the following is attached by its posterior portion, extending
between the mandible, hyoid, and the nearly vertical posterior
surface of the tongue (Moore P.938-940)
A. Root of the tongue
B. Apex of the tongue
C. Body of the tongue
D. None of the above
18. Which of these hormones is a major stimulator of hunger:
, 1
A. GLIP
B. Somatostatin
C. Ghrelin
D. Alpha-MSH
E. Cholecystokinin
19. Gastric distention leads to relaxation of the ileocecal sphincter by
way of which reflex? (Guyton)
A. Enterogastric
B. Gastroileal
C. Gastrocolic
D. Intestino-intestinal
E. Rectosphincteric
20. During process of swallowing which structure is critical for determining
whether a bolus of food is small enough to be swallowed?
A. Palatopharyngeal folds
B. Upper esophageal sphincter
C. Epiglottis
D. Soft palate
E. Larynx
21. Histology PIC
A. Stomach
B. Jejunum
C. Ileum
D. Duodenum
22. Passage of a bolus through the esophagus into the stomach depends
on all of the following EXCEPT (!!!)
A. Pharynogoesophegeal sphincter
B. Peristaltic activity of the esophageal muscularis mucosae
C. Skeletal muscle in the esophageal muscularis externa*
D. Gastroesophageal sphincter
E. Smooth muscle in the esophageal muscularis externa
23. A 55-year-old patient who had a chronic duodenal ulcer for many years was
admitted to the hospital with signs of a severe internal hemorrhage. The
ulcer perforated the posterior wall of the first portion of the duodenum
and eroded an artery in that position. The damaged artery was:
A. Cystic
B. Gastroduodenal
C. Hepatic
D. Left gastric
24. Vitamin K absorbed in large in intestine is used by:
All Questions of Body Systems IV
BODY SYSTEMS IV MIDTERM 1 (Fall 2020-2021)
1. Which of the following does NOT regulate gastric acid secretion?
A. Histamine
B. Gastrin
C. Acetylcholine
D. Vagus nerve stimulation
E. Cholecystokinin
2. The artery of the midgut is the: (Quizlet)
A. Celiac trunk
B. Inferior mesenteric
C. Proper hepatic
D. Splenic
E. Superior mesenteric
3. Which region are goblet cells most numerous? (Internet)
A. Esophagus
B. Stomach
C. Small intestine
D. Large intestine
E. Anus
4. Match the process associated with the Gastric intrinsic factor, which
is produced by parietal cell in the gastric glands: (!!!)
A. Digestion of proteins
B. Digestion of carbohydrates
C. Absorption of vitamin B12
D. Transport of triglycerides into lacteals
5. All is true about esophagus, except: (Qbank)
A. Follows the curve of the vertebral column as it descends through the neck
and mediastinum.
B. Its superior third, the external layer consists of voluntary striated muscle
C. Passes through the esophageal hiatus in the muscular right crus of the
diaphragm, just to the left of the median plane at the level of the T10
vertebra
D. Has only internal longitudinal layer of muscle
E. All are true
6. The fundus of the stomach receives its arterial supply from the: (Internet)
A. Common hepatic
B. Inferior phrenic
C. Left gastroepiploic
D. Right gastric
E. Splenic
,1
7. What are the modifications of the muscularis externa that is seen on
the large intestine? (Internet)
A. Teniae coli
B. Crypts of Lieberkuhn
C. Plicae circulares
D. Striated border
E. Villi
8. Gallblader has all of the following, except: (Qbank)
A. a rounded end (fundus of gallbladder), which may project from the
inferior border of the liver,
B. a major part in the fossa (body of gallbladder), which may be against
the transverse colon and the superior part of the duodenum;
C. a narrow part (neck of gallbladder) with mucosal folds forming the spiral fold
D. All of the above are true
9. A patient who was admitted with symptoms of bowel obstruction, on
examination revealed that the obstruction was caused by the compression
of the bowel between the superior mesenteric artery and the aorta. The
compressed bowel is most likely the: (Internet)
A. Duodenum
B. Jejunum
C. Ileum
D. Ascending colon
E. Transverse colon
10. What does the interlobar fissure in the liver contain? (!!!)
A. Ligamentum teres, and inferior vena cava adjacent to each other*
B. Ligamentum venosum superiorly, ligamentum teres inferiorly
C. Ligamentum teres superiorly, Ligamentum venosum inferiorly
D. None of the above
11. Absorption of most of salt and water takes place in which of the
following locations of GI tract?
A. Jejunum
B. Stomach
C. Duodenum
D. Large intestine
E. Ileum
12. All of the following inhibit appetite except? (!!!)
A. Cholecystokinin
B. Gastrointestinal filling/stretch
C. Peptide YY
D. Insulin
E. Cold weather conditions*
,1
13. Which of the following cell types is present in the gastric glands of
the pyloric stomach? (Quizlet)
A. Goblet cells
B. Mucous neck cells
C. Paneth cells
D. Basal cells
E. Chief cells
14. Which of the following is located at the opening between the small
and large intestines?
A. Pyloric sphincter
B. Cardiac sphincter
C. Ileocecal valve
D. Tricuspid valve
E. Ligament of Treitz
15. Which of the following is true about the enteric nervous system?
A. It is capable of responding independently to stimuli within
the gastrointestinal tract.
B. Its function is regulated by the autonomic nervous system.
C. It is sometimes referred to as the "little brain".
D. It uses serotonin as its main neurotransmitter.
E. All of the above.
16. 65 year-old female patient complains of weakness, numbness in the legs, loss of
taste, diarrhea and hearing voices. She has been suffering from migraine and
almost daily takes over the counter pain medication. On physical exam she has a
smooth and swollen tongue, and a pale, yellowish skin. The complete blood count
shows anemia. What type of anemia has this patient most probably have? (!!!)
A. Normocytic anemia
B. Sickle-cell anemia
C. Microcytic anemia
D. Iron-deficiency anemia*
E. Macrocytic/megaloblastic anemia
17. Which of the following is attached by its posterior portion, extending
between the mandible, hyoid, and the nearly vertical posterior
surface of the tongue (Moore P.938-940)
A. Root of the tongue
B. Apex of the tongue
C. Body of the tongue
D. None of the above
18. Which of these hormones is a major stimulator of hunger:
, 1
A. GLIP
B. Somatostatin
C. Ghrelin
D. Alpha-MSH
E. Cholecystokinin
19. Gastric distention leads to relaxation of the ileocecal sphincter by
way of which reflex? (Guyton)
A. Enterogastric
B. Gastroileal
C. Gastrocolic
D. Intestino-intestinal
E. Rectosphincteric
20. During process of swallowing which structure is critical for determining
whether a bolus of food is small enough to be swallowed?
A. Palatopharyngeal folds
B. Upper esophageal sphincter
C. Epiglottis
D. Soft palate
E. Larynx
21. Histology PIC
A. Stomach
B. Jejunum
C. Ileum
D. Duodenum
22. Passage of a bolus through the esophagus into the stomach depends
on all of the following EXCEPT (!!!)
A. Pharynogoesophegeal sphincter
B. Peristaltic activity of the esophageal muscularis mucosae
C. Skeletal muscle in the esophageal muscularis externa*
D. Gastroesophageal sphincter
E. Smooth muscle in the esophageal muscularis externa
23. A 55-year-old patient who had a chronic duodenal ulcer for many years was
admitted to the hospital with signs of a severe internal hemorrhage. The
ulcer perforated the posterior wall of the first portion of the duodenum
and eroded an artery in that position. The damaged artery was:
A. Cystic
B. Gastroduodenal
C. Hepatic
D. Left gastric
24. Vitamin K absorbed in large in intestine is used by:
