Gastrointestinal Physiology Review MCQ – Part 6

Gastrointestinal Physiology Review MCQ – Part 6

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?
A
Corpus
B
Fundus
C
Body
D
Neck
Question 2

Stem 2 of 4

Were this region to be sufficiently inflammed as to touch parietal peritoneum, where would pain refer?
A
T5
B
T6
C
T7
D
T8
E
Localised
Question 3

Stem 3 of 4

Which sign elicits a positive finding of cholecystitis?
A
Murphy's
B
McBurney's
C
Johnson's
D
Virchow's
Question 4

Stem 4 of 4

Which of the following does not stimulate bile acid formation?
A
Insulin
B
Glucagon
C
Bile salt
D
Secretin
E
Gastrin
Question 5
Which of the following markers may you expect to be raised much more so than others in the above patient?
A
ALT
B
AST
C
Bilirubin
D
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?
A
90%
B
80%
C
95%
D
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?
A
Cardiovascular
B
Respiratory
C
Abdominal
D
Genitourinary
Question 8

Stem 2 of 4

Which of the following is a common causative agent of the above symptoms?
A
Fatty meal
B
Aortic aneurysm
C
IHD
D
Gallstones pancreatitis
Question 9

Stem 3 of 4

Which hormone relaxes Oddi's sphincter?
A
Gastrin
B
GDIP
C
CCK
D
Secretin
E
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?
A
Carboxypeptidase
B
Lipase
C
Amylase
D
Deoxyribonuclease
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About The Author

Daniel Mercer

Anatomist and Co-Founder of MedGuide