NCLEX : NCLEX

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #13 : General Biology

Where does lipid digestion begin?

Possible Answers:

The duodenum

The stomach

The jejunum

The ileum

Correct answer:

The duodenum

Explanation:

While a small amount of fat digestion may occur in the mouth via the action of lingual lipase, the majority of lipid digestions begins in the duodenum. The presence of fat in the small intestine triggers release of pancreatic lipase, which enters the duodenum via the pancreatic duct. Fat digestion does not occur in the stomach.

Example Question #14 : Gastrointestinal Physiology

Which of the following structures controls the release of pancreatic enzymes and bile into the duodenum?

Possible Answers:

The ileocecal valve

The pyloric sphincter

The sphincter of Oddi

The ampulla of vater

Correct answer:

The sphincter of Oddi

Explanation:

The pancreatic duct and common bile duct come together at the ampulla of vater, allowing for the combination of pancreatic enzymes and bile. This combination is released into the duodenum via the relaxation of the sphincter of Oddi, a muscular ring at the end of the ampulla. The sphincter of Oddi also prevents any back-flow of duodenal contents into the ampulla.

The pyloric sphincter controls flow of chyme between the stomach and the duodenum, while the ileocecal valve separates the small and large intestine. 

Example Question #15 : Gastrointestinal Physiology

Lipids are transported out of the digestive tract via what system?

Possible Answers:

The hepatic system

The lymphatic system

The circulatory system

The excretory stsyem

Correct answer:

The lymphatic system

Explanation:

Lipids are transported out of the digestive system via lacteals, lymphatic capillaries within the vilii of the small intestine that absorb fatty acids in the form of chylomicrons. They are then transported through the lymphatic system and re-enter the blood stream via the thoracic duct.

The hepatic system produces bile, a vital part of lipid digestion, but it does not absorb lipids. Nor does the excretory system, which is not really a single system but rather a collection of organ systems including the kidney, skin, liver, and colon.

Example Question #16 : General Biology

Where is gastrin produced?

Possible Answers:

Chief cells of the stomach

Beta-islet cells of the pancreas

Parietal cells of the stomach

G cells of the stomach

Correct answer:

G cells of the stomach

Explanation:

Gastrin is produced by the G cells of the stomach. Parietal cells of the stomach secrete hydrochloric acid, while chief cells secrete pepsinogen and chymosin. Beta-islet cells of the pancreas produce glucagon. 

Example Question #17 : General Biology

 The hydrolysis of oligosaccharides into disaccharides occurs in what part of the digestive tract?

Possible Answers:

The duodenum

The ileum

The jejunum

The stomach

Correct answer:

The duodenum

Explanation:

The hydrolysis of oligosaccharides into disaccharides occurs in the duodenum, after the addition of pancreatic amylase from the pancreatic duct.   

Example Question #321 : Nclex

What is the function of gastrin in the digestive tract?

Possible Answers:

All of these are true

Increases gall bladder emptying

Triggers parietal cells to release 

Triggers chief cells to secrete pepsinogen

Correct answer:

All of these are true

Explanation:

Gastrin, a peptide hormone released by G-cells of the stomach, has many functions in digestion. It triggers parietal cells to release , it increases gastric motility, it triggers chief cells to secrete pepsinogen, and it stimulates the gallbladder to release bile. 

Example Question #22 : Other General Biology

Which of the following is not a brush border enzyme?

Possible Answers:

All of these are brush border enzymes

Lactase

Carboxypeptidase

Sucrase

Correct answer:

All of these are brush border enzymes

Explanation:

The intestinal brush border is the microvilli-covered surface of the small intestine. It is where a large part of the digestive process occurs, aided by brush-border enzymes such as sucrase, maltase, lactase, and carboxypeptidase. 

Example Question #322 : Nclex

Which of the following is not an enzyme secreted by the pancreas?

Possible Answers:

Carboxypeptidase

Lipase

Insulin

Amylase

Correct answer:

Insulin

Explanation:

Insulin, while secreted by the pancreas, is not an enzyme. Rather it is a peptide hormone that plays a role in lipid and blood sugar metabolism.

The other enzymes listed are all pancreatic enzymes that play a role in digestion. Amylase breaks down carbohydrates, while lipase and sterol esterase break down fats. Carboxypeptidase is an enzyme that removes the final amino acid group from a protein.

Example Question #323 : Nclex

What cells of the stomach secrete hydrochloric acid ?

Possible Answers:

M cells

Parietal cells

Chief cells

Foveolar cells

Correct answer:

Parietal cells

Explanation:

 is secreted by parietal cells of the stomach. Chief and foveolar cells of the stomach secrete pepsinogen and mucus respectively, and M cells are not stomach cells, but rather intestinal cells involved in mucosa-associated lymphoid tissues, or MALT. 

Example Question #324 : Nclex

Mastication and peristalsis are examples of what type of digestion?

Possible Answers:

Physical

Mechanical

Oral

Chemical

Correct answer:

Mechanical

Explanation:

The two main forms of digestion and chemical and mechanical. Mechanical digestion involves the physical crushing, mixing, and breaking down of food particles into small pieces or slurries. Mechanical digestion primarily occurs with mastication and is carried out to some degree by peristaltic contractions of the stomach and intestine. Chemical digestion is the further breakdown of food particles into their molecular parts. This is carried out primarily via enzymes, HCl, and bile.

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