Review, and challenge, are an important part of learning. This quiz is part of a set that will span the abdominal physiology and anatomy to challenge your synoptic linking ability. Good luck!
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Gastrointestinal Physiology Review MCQ - Part 6
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Question 1 |
Stem 1 of 4
Familiarise yourself with the schematic below:
What is the specific region of the organ labelled?
Corpus | |
Fundus | |
Body | |
Neck |
Question 2 |
Stem 2 of 4
Were this region to be sufficiently inflammed as to touch parietal peritoneum, where would pain refer?T5 | |
T6 | |
T7 | |
T8 | |
Localised |
Question 3 |
Stem 3 of 4
Which sign elicits a positive finding of cholecystitis?Murphy's | |
McBurney's | |
Johnson's | |
Virchow's |
Question 4 |
Stem 4 of 4
Which of the following does not stimulate bile acid formation?Insulin | |
Glucagon | |
Bile salt | |
Secretin | |
Gastrin |
Question 5 |
Which of the following markers may you expect to be raised much more so than others in the above patient?
ALT | |
AST | |
Bilirubin | |
GGT |
Question 5 Explanation:
ALP and GGT are signs of cholestasis, which can indicate biliary tree pathology including gallbladder. Note that if the patient had an inflammed gallbladder, there would also be concomitant increase in generalised acute phase proteins from the liver also - but, realistically-speaking, the gallbladder specifics would be raised more.
Question 6 |
Enterohepatic circulation is responsible for the recycling of how much bile acid?
90% | |
80% | |
95% | |
70% |
Question 7 |
Stem 1 of 4
Patient presents with steatorrhoea, interscapular back pain and nausea.Which system will you ask focused questions on in the history?
Cardiovascular | |
Respiratory | |
Abdominal | |
Genitourinary |
Question 8 |
Stem 2 of 4
Which of the following is a common causative agent of the above symptoms?Fatty meal | |
Aortic aneurysm | |
IHD | |
Gallstones pancreatitis |
Question 9 |
Stem 3 of 4
Which hormone relaxes Oddi's sphincter?Gastrin | |
GDIP | |
CCK | |
Secretin | |
Histamine |
Question 9 Explanation:
The eponymously named sphincter above is the control valve for the outflow of the pancreatic, and biliary tree, through the ampulla of Vater into the second portion of the duodenum.
Question 10 |
Stem 4 of 4
Which of the following proteolytic enzymes will be in decrement in the intestinal lumen?Carboxypeptidase | |
Lipase | |
Amylase | |
Deoxyribonuclease |
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