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Receptor-mediated endocytosis removes ________ molecules from plasma, delivering cholesterol to the tissues.


A) VLDL
B) LDL
C) HDL
D) triglycerides

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

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If prosecretin, the inactive form of the hormone secretin, is produced improperly and cannot be converted to the active form as a result, how will this affect the intestine and the pancreas during digestion?


A) Alkaline pancreatic juice will not be released from the pancreas as chyme is emptied into the duodenum. Peptic ulcers may result.
B) Enzyme-rich pancreatic juice will not be released from the pancreas as chyme is emptied into the duodenum. Proteins, fats, carbohydrates, and nucleic acids will not be digested.
C) Cholecystokinin will not be released from the intestinal wall, so the acid of the chyme will not be neutralized. The duodenum will form peptic ulcers due to acid erosion.
D) Acute pancreatitis will occur, as secretin will form within the pancreas and cause pancreatic juices to begin to digest pancreatic tissues.

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

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Pancreatic digestive secretions are regulated by


A) bile salts.
B) cholesterol.
C) cholecystokinin.
D) the amount of food eaten.

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

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The ________ reflex regulates the rate at which chyme leaves the stomach.

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The alimentary canal extends, in its entirety, from


A) the mouth to the large intestine.
B) the stomach to the small intestine.
C) the liver to the gallbladder.
D) the mouth to the anus.

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

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Emily, a newborn, was miserable and vomiting frequently. An X-ray revealed hypertrophic pyloric stenosis. The problem in Emily's digestive system, before surgery helped her, was 


A) an overgrowth of the stomach wall that narrows the opening between the esophagus and stomach.
B) overgrowth of muscle that blocked the passageway from the stomach to the small intestine.
C) a genetic defect resulting in the absence of the pyloris.
D) an abnormally large peptic ulcer near the opening of the esophagus into the stomach.

E) A) and B)
F) All of the above

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The liver


A) forms glucose from noncarbohydrates.
B) stores vitamin C.
C) produces red blood cells.
D) secretes chymotrypsin.

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

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The tissues turning yellow (jaundice) is due to the accumulation of


A) cholesterol.
B) bile pigments.
C) carotene.
D) hemoglobin A.

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

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Carrie is being examined by her dentist, who notices that she has many cavities (caries) . When she tells him about her dental regimen, he explains to her that she doesn't brush her teeth often enough to remove the bacteria that ________, which is why she has so many cavities.


A) infect the gums, causing dental caries
B) destroy the gums so that the teeth loosen
C) metabolize carbohydrates in food, producing acidic by-products that damage enamel and dentin
D) directly secrete acids that dissolve enamel

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

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Bile salts aid the absorption of ________ vitamins.

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The process by which bile breaks down fat globules into smaller droplets is ________.

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Peristalsis occurs in the digestive tract


A) from the pharynx to the anus.
B) in the stomach and small intestine only.
C) in the small and large intestines only.
D) in the stomach, small intestine, and large intestine.

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

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During the defecation reflex, the


A) diaphragm is lowered.
B) glottis is opened.
C) abdominal wall muscles relax.
D) internal abdominal pressure is decreased.

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

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Ankyloglossia is a condition in which the tongue is almost completely anchored to the floor of the mouth along its midline. This causes the sufferer to have extreme difficulty talking and manipulating food during the process of mastication. The abnormal overgrowth of what structure would cause this condition?


A) The vestibule
B) The epiglottis
C) The palatine tonsil
D) The lingual frenulum

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

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Heartburn is usually caused by the effects of gastric juice on the


A) heart.
B) esophagus.
C) stomach.
D) small intestine.

E) A) and D)
F) All of the above

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VLDL molecules are produced in which organ?


A) Pancreas
B) Liver
C) Kidneys
D) Stomach

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

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Bile is composed of HCl, pepsin, mucus, and intrinsic factor.

A) True
B) False

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The common hepatic duct and the cystic duct unite to form the


A) common bile duct.
B) hepatic duct.
C) hepatopancreatic duct.
D) pancreatic duct.

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

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Which is not a function of the liver?


A) Maintaining blood glucose concentration
B) Formation of urea
C) Secretion of bile
D) Secretion of insulin

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

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Which of the following is the correct sequence for the digestion and absorption of lipids? 1. Formation of chylomicrons 2) Emulsification by bile 3) Diffusion through the epithelial cell membrane 4) Hydrolysis by pancreatic lipase 5) Movement into lacteal ducts


A) 4, 3, 2, 1, 5
B) 2, 4, 3, 1, 5
C) 2, 1, 4, 3, 5
D) 3, 2, 4, 5, 1

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

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