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________ ions help to regulate the pH of saliva.

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The hormone secretin


A) converts trypsinogen to trypsin.
B) activates chymotrypsin.
C) stimulates release of pancreatic juice.
D) inhibits the action of pancreatic lipase.

E) C) and D)
F) A) and D)

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Most recipients of cholecystectomies have difficulty digesting fatty foods after the procedure. This is due to the lack of emulsification of lipids during the process of digestion, which makes it harder for lipase to access and break down fats. This means that ________ are not being efficiently released into the small intestine during digestion.

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The ________ is the part of the digestive tract that has the most lymph nodules and bacteria.


A) duodenum
B) jejunum
C) ileum
D) colon

E) A) and D)
F) B) and C)

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The cecum is located at the inferior end of the descending colon.

A) True
B) False

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Chisel-shaped teeth are ________.

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An extracorporeal liver assist device was surgically implanted into Sam. This deviceΒ is very similar to


A) an artificial heart.
B) artificial skin.
C) kidney dialysis.
D) a blood transfusion.

E) None of the above
F) A) and D)

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The functions of saliva include


A) moistening, binding and building up food particles; beginning chemical digestion of carbohydrates; and cleansing the esophagus.
B) moistening, binding and dissolving food particles; beginning chemical digestion of proteins; and cleansing the esophagus.
C) moistening, binding and building up food particles; beginning mechanical digestion of fats; and cleansing the teeth and mouth.
D) moistening, binding and dissolving food particles; beginning chemical digestion of carbohydrates; and cleansing the teeth and mouth.

E) A) and B)
F) None of the above

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A genetic mutation prevents the parietal cells of the gastric glands from secreting their typical products. What effect would this have on digestion within the stomach?


A) The stomach would not produce a protective mucus coating and would digest itself.
B) Somatostatin would be secreted, so all digestion would be halted.
C) Pepsinogen would not be secreted, so protein digestion would not occur within the stomach.
D) Hydrochloric acid would not be produced, so pepsinogen would not be activated to form pepsin.

E) A) and B)
F) A) and C)

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Which is not an involuntary part of the swallowing reflex?


A) Muscles pull the pharynx upward toward the food.
B) The epiglottis closes off the top of the trachea.
C) The tongue presses against the uvula and soft palate.
D) The tongue rolls chewed food into a bolus and pushes it to the oropharynx.

E) B) and C)
F) A) and B)

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Which is not a factor that may affect the rate of absorption of certain medications with age?


A) Slowing of the exit of chyme from the stomach
B) Slowing peristalsis
C) Thinning of the stomach lining
D) Loss of power in mastication

E) B) and D)
F) None of the above

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Peristalsis mixes food in small segments of the alimentary canal with digestive enzymes.

A) True
B) False

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Loperamide is a medication used to slow and stop diarrhea. It inhibits nervous signalling to the large intestine, relaxing the smooth muscles within the intestinal wall and preventing intestinal contents from moving forward. The large peristaltic waves inhibited by loperamide are________.

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The pyloric sphincter serves as a valve that controls the movement of food between the esophagus and stomach.

A) True
B) False

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The movement of chyme through the small intestine is increased by parasympathetic impulses and is inhibited by sympathetic impulses.

A) True
B) False

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The digestive system


A) ingests food, propels food, mechanically and chemically breaks down food, absorbs nutrients, and defecates the remainder.
B) mechanically and chemically assembles food from absorbed nutrients.
C) sends cellular debris to lysosomes.
D) absorbs nutrients in the mouth, pharynx, esophagus and stomach, and releases nutrients in the intestines.

E) A) and B)
F) B) and D)

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Large, fixed phagocytes in the lining of the hepatic sinusoids are ________ cells.

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The enterogastric reflex begins in the stomach and ends in the small intestine.

A) True
B) False

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The organs of the alimentary canal are innervated by sympathetic as well as by parasympathetic nerve fibers.

A) True
B) False

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David has sustained severe damage to his liver in a car accident. Digestion of which nutrient will be most affected?


A) Carbohydrates
B) Lipids
C) Proteins
D) Vitamins

E) A) and C)
F) A) and B)

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