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Chapter 09 - The Digestive System

1.

Gastroenterology is the study of:


A. weight loss.
B. dietetics.
C. the olfactory system.
D. the digestive system.
E. the circulatory system.
Ans: D
Feedback: Gastroenterology is the study of the digestive system.
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.1.1
Page: 260

2.

Which of the following words means pertaining to the liver?


A. renal
B. hepatic
C. cardiac
D. hepatocellular
E. hepatitis
Ans: B
Feedback: Hepatic means pertaining to the liver. (R hepat = liver) (S ic = pertaining to)
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.1.4
Page: 275

3.

Four parts of the alimentary canal, in order, starting from the mouth, are the:
A. esophagus, stomach, small intestine, and large intestine.
B. stomach, esophagus, pharynx, and small intestine.
C. pharynx, large intestine, small intestine, and esophagus.
D. small intestine, stomach, large intestine, and liver.
E. liver, gallbladder, stomach, and large intestine.
Ans: A
Feedback: Four parts of the alimentary canal in order, following on after the mouth are theesophagus,
stomach, small intestine, and large intestine.
Difficulty: medium
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1
Lesson objectives: 9.1.3

Page: 260

4.

A physician who specializes in the diagnosis and treatment of diseases of the


digestive system is known as a(n):
A. dermatologist.
B. cardiologist.
C. gastroenterologist.
D. ophthalmologist.
E. periodontist.
Ans: C
Feedback: A gastroenterologist specializes in the diagnosis and treatment of diseases of the digestive system.
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.1.1
Page: 260

5.

Food elements are broken down into forms that can be transported to and
absorbed by cells. This process is called:
A. excretion.
B. secretion .
C. transfusion.
D. digestion.
E. absorption.
Ans: D
Feedback: Digestion is the process of breaking down food elements into forms that can be transported to and
absorbed by cells.
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1
Lesson objectives: 9.1.4
Page: 262

6.

Which of the following terms means treatment of obesity?


A. alimentary
B. bariatrics
C. mastication
D. elimination
E. deglutition
Ans: B
Feedback: Bariatrics is the treatment of obesity.
Difficulty: Medium
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3

Lesson objectives: 9.1.4.


Page: 261

7.

Which of the following terms means a condition involving the gums?


A. esophageal
B. laparoscopic
C. gingivitis
D. dental caries
E. glossodynia
Ans: C
Feedback: Gingivitis is a condition involving the gums. (gingiv = gum)
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.2
Lesson objectives: 9.2.3
Page: 266

8.

Which of the following terms means difficulty swallowing??


A. parotid
B. salivary
C. dysphasia
D. dysphagia
E. submandibular
Ans: D
Feedback: Dysphagia means difficulty swallowing. (phagia = swallowing)
Difficulty: Hard
Lesson: 9.2
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.2.3.
Page: 268

9.

The alimentary canal and accessory organs are the:


A. organelle.
B. cell.
C. tissue.
D. organ.
E. system.
Ans: E
Feedback: The alimentary canal and accessory organs are the digestive system.
Difficulty: medium
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1
Lesson objectives: 9.1.2
Page: 260

10.

The small and large intestines are part of the ___________________ system.
A. circulatory
B. integumentary
C. nervous
D. digestive
E. lymphatic
Ans: D
Feedback: The small and large intestines are part of the digestive system.
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.1.2
Page: 260

11.

Which of the following terms means an examination of the abdomen with an


endoscope?
A. laparoscopy
B. otoscopy
C. gastroscopy
D. panendoscopy
E. enteroscopy
Ans: A
Feedback: Laparoscopy is the examination of the abdomen with an endoscope. (lapar/o = abdomen in
general)
Difficulty: Medium
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.1.2
Page: 261

12.

Which of the following is the correct spelling of a term meaning the tube linking
the pharynx and the stomach?
A. esofagus
B. esophagis
C. easofagis
D. easophages
E. esophagus
Ans: E
Feedback: The correct spelling for the term meaning the tube linking the pharynx and the stomach is
esophagus.
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.1.2

Page: 261

13.

Peristalsis is:
A. the same as bariatric.
B. an excessive amount of fat in the body.
C. an excessive intake of food.
D. the contraction and relaxation of the intestinal wall to move food along the
digestive tract.
E. deglutition.
Ans: D
Feedback: Peristalsis is the contraction and relaxation of the intestinal wall to move food along the digestive
tract. (peri = around, stalsis = constrict)
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives: 9.1. 3
Page: 262

14.

Which of the following terms means pertaining to the digestive tract as a whole?
A. alimentary
B. esophageal
C. gastric
D. intestinal
E. segmental
Ans: A
Feedback: Alimentary means pertaining to the digestive tract as a whole.
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives: 9.1.3
Page: 261

15.

The term for a small projection is ______________, and its plural is


______________.
A. palate; palates
B. papila; papillas
C. papilla; papillae
D. plaque; plaques
E. pulp; pulpes
Ans: C
Feedback: Papilla is the singular term for a small projection. Its plural is papillae.
Difficulty: Hard
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.2.1.
Page: 265

16.

Celiac disease is a condition resulting from sensitivity to:


A. sugar
B. insulin
C. gluten
D. minerals
E. enzymes
Ans: C
Feedback: Celiac disease is a condition resulting from sensitivity to the protein gluten that is found in wheat,
rye, barley and oats..
Difficulty: Hard
Lesson: 9.5
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.5.1
Page: 279

17.

Emesis means to:


A. bite.
B. vomit.
C. swallow.
D. digest.
E. eliminate.
Ans: B
Feedback: Emesis means to vomit.
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.1.4
Page: 269

18.

What is the first part of the small intestine called?


A. splenic flexure
B. duodenum
C. pylorus
D. gastric pit
E. hepatic flexure
Ans: B
Feedback: The first part of the small intestine is called the duodenum..
Difficulty: Medium
Lesson: 9. 3
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1
Lesson objectives: 9.3.2.
Page: 270

19.

Mrs. Helen Schreiber has Sjgren syndrome, an autoimmune disease that affects
her salivary glands, stopping production of saliva. This leads to dry mouth,
difficulty in swallowing, and increased bacterial activity in the mouth, causing
gingivitis. Which best describes a patient with this syndrome?
A. Inflammation is not a complication.
B. The parotid and sublingual glands continue to function normally.
C. Dysphagia occurs.
D. The submandibular glands secrete excessively.
E. Digestion of starch with amylase leads to excessive growth of bacteria.
Ans: C
Feedback: Dysphagia (difficulty dys
Difficulty: Medium
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.1
Lesson objectives: 9.2.3.
Page: 265

20.

swallowing - phagia) is a complication of Sjgren syndrome.

The word with a prefix meaning underneath is:


A. triglyceride.
B. sublingual.
C. monosaccharide.
D. periodontal.
E. polysaccharide.
Ans: B
Feedback: The prefix sub- in the word sublingual means underneath; sublingual = under the tongue.
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.2.1
Page: 278

21.

What is the major source of energy for all cells?


A. hormones
B. enzymes
C. vitamins
D. glucose
E. minerals
Ans: D
Feedback: Glucose (sugar) is the major source of energy for all cells..
Difficulty: medium
Lesson: 9.5
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9. 5. 1
Page: 278

22.

Which of the following terms refers to a condition involving tissue around a


tooth?
A. gingival
B. submandibular
C. periodontitis
D. leukoplakia
E. hematemesis
Ans: C
Feedback: The word periodontitis refers to a condition involving (inflammation of) tissue around (= peri) a
tooth.(= odont
Difficulty: Hard
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.2.3
Page: 267

23.

Which of the following words means yellow staining of tissues?


A. jaundice
B. hemoglobin
C. glycosuria
D. hemoglobinuria
E. hemachromatosis
Ans: A
Feedback: Jaundice means yellow staining of tissues.
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Knowledge
Learning Outcome: 9.2
Lesson objectives: 9.4.1.
Page: 275

24.

The normal adult has _________ teeth.


A. 16
B. 24
C. 28
D. 32
E. 38
Ans: D
Feedback: The normal adult has 32 teeth.
Difficulty: Medium
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.2.1
Page:264

25.

The layers of a tooth, from hardest to softest, are:


A. dentin, enamel, pulp.
B. enamel, dentin, pulp.
C. enamel, pulp, dentin.
D. dentin, pulp, enamel.
E. pulp, dentin, enamel.
Ans: B
Feedback: The layers of a tooth, from hardest to softest, are enamel, dentin, and pulp.
Difficulty: Medium
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.2.1.
Page: 264

26.

The roof of the mouth is called the:


A. pharynx.
B. dentine.
C. saliva.
D. tongue.
E. palate.
Ans: E
Feedback: The palate is the roof of the mouth.
Difficulty: Medium
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.2.1
Page: 264

27.

Which of the following terms means beside the ear?


A. molar
B. periodontal
C. sublingual
D. parotid
E. hiatal
Ans: D
Feedback: Parotid means beside the ear. S/ -id having a particular quality, P par- beside, R ot- ear
Difficulty: Hard
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.3
Lesson objectives: 9.2.1
Page: 265

28.

An oral disorder occurring most often on the lip is associated with smoking or
chewing tobacco in 80% of those suffering from the condition. Which best
describes this disorder?
A. It occurs during the childbearing period.
B. Its cause is well understood.
C. It is a complication of bacterial infections.
D. It is called oral cancer.
E. Antibiotics will clear it up.
Ans: D
Feedback: Oral cancer is a mouth disorder occurring most often on the lip and associated with smoking or
chewing tobacco.
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.2.3.
Page: 266

29.

Which of the following words has a prefix meaning around?


A. periodontal
B. hematemesis
C. cyanotic
D. xanthochromic
E. leukoplakia
Ans: A
Feedback: The prefix peri- in the word periodontal means around. (around a tooth)
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.2.1
Page: 267

30.

The word halitosis means:


A. painful, burning tongue.
B. bad odor of the breath.
C. infection with Candida albicans.
D. bacterial destruction of teeth.
E. patch of abnormal tissue.
Ans: B
Feedback: Halitosis is bad breath. S/ -osis condition, R/ halit breath
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.2.3\
Page: 267

10

31.

Which of the following terms has a suffix meaning surgical excision?


A. cholangiography
B. gingival
C. gingivitis
D. gingivectomy
E. herniorrhaphy
Ans: D
Feedback: The suffix -ectomy in the word gingivectomy means surgical excision. (of the diseased gum tissue)
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.2.3
Page: 267

32.

The word meaning bacterial destruction of teeth is:


A. thrush.
B. plaque.
C. caries.
D. canker.
E. tartar.
Ans: C
Feedback: Caries is the bacterial destruction of teeth.
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.2.3.
Page: 267

33.

A synonym for swallowing is:


A. deglutition.
B. bolus.
C. regurgitation.
D. emesis.
E. mastication.
Ans: A
Feedback: Deglutition is a synonym for swallowing. R/ deglutit to swallow S/-ion action, condition
Difficulty: Medium
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives: 9.1.4
Page: 263

34

What is the name of the stomach exit area that leads to the bowel?

11

A.
B.
C.
D.

jejunum
pylorus
ileum
esophagus
E. anus

Ans: B
Feedback: The pylorus is the stomach exit area that leads to the bowel..
Difficulty: Hard
Lesson: 9.3
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.3.2.
Page: 271

35.

A hiatal hernia occurs when a portion of the stomach protrudes through the:
A. esophagus.
B. diaphragm.
C. oropharynx.
D. pyloric sphincter.
E. epiglottis.
Ans: B
Feedback: A hiatal hernia occurs when a portion of the stomach protrudes through the diaphragm.
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.2.3.
Page: 268

36.

Dilated veins of the esophagus are:


A. esophagitis.
B. esophageal sphincter.
C. esophageal varices.
D. gastroesophageal reflux.
E. hiatal hernia.
Ans: C
Feedback: Esophageal varices are dilated veins of the esophagus.
Difficulty: medium
Lesson: 9.2
Blooms Taxonomy: comprehension
Learning Outcome: 9.1
Lesson objectives: 9.2.3
Page: 268

37.

The RD in GERD stands for:


A. registered dietician.
B. retrograde dilation.
C. regurgitative destruction.
D. Roux-en-Y disease.
12

E. reflux disease.
Ans: E
Feedback: The RD in GERD stands for reflux disease. GERD stands for gastroesophageal reflux disease.
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.2.3
Page: 260

38.

A synonym for dental calculus is:


A. tartar.
B. leukoplakia.
C. plaque.
D. thrush.
E. caries.
Ans: A
Feedback: Tartar is a synonym for dental calculus.
Difficulty: Medium
Lesson: 9.2
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives: 9.2.3
Page: 266

39.

Which of the following terms means to protrude?


A. hiatal
B. hiatus
C. herniate
D. dysphagia
E. deglutition
Ans: C
Feedback: Herniate means to protrude.
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.2.3
Page: 268

40.

Which of the following terms means vomiting of red blood?


A. esophagitis
B. hematemesis
C. regurgitation
D. epiglottis
E. reflux
Ans: B
Feedback: Hematemesis is the vomiting of red blood. (hemat = blood

emesis = vomit0

13

Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.2.3
Page: 268

41.

Which of the following words means after a meal??


A. regurgitation
B. postprandial
C. pyorrhea
D. sublingual
E. periodontics
Ans: B
Feedback: The prefix post- in postprandial means after.
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.2.2.
Page: 269

42.

The virus that causes cold sores is abbreviated:


A. HSV-1.
B. HIV.
C. RSV.
D. SSA.
E. ESR.
Ans: A
Feedback: The virus that causes cold sores, the herpes simplex virus 1, is abbreviated HSV-1.
Difficulty: Easy
Lesson: 9.2
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.2.3
Page: 266

43.

In which of the following procedures is a rigid instrument used to examine the


anus and lower rectum?
A. endoscopy
B. anoscopy
C. dysphagia
D. digital exam
E. x-ray
Ans: B
Feedback: In anoscopy, a rigid instrument is used to examine the anus and lower rectum. It is also called a
proctoscopy.
Difficulty: Easy

14

Lesson: 9.3
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.3.2
Page: 288

44.

The adjective form of varix, meaning a dilated vein, is:


A. varices.
B. varical.
C. varicose.
D. varigeal.
E. varigous.
Ans: C
Feedback: The adjective form of varix is varicose.
Difficulty: Hard
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.2.3
Page: 269

45.

The word chyme means:


A. a digestive enzyme.
B. a semifluid, partially digested food.
C. a sticky secretion of mucous membranes.
D. acid indigestion.
E. an inflammation of the lining of the stomach.
Ans: B
Feedback: Chyme is a semifluid, partially digested food passed from the stomach into the duodenum..
Difficulty: medium
Lesson: 9.3
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.3.2
Page: 270

46.

Which of the following terms means a backward flow of food from the stomach
after a meal?
A. predisposition
B. malabsorption
C. posterior regurgitation
D. postprandial reflux
E. preeclampsia.
Ans: D
Feedback: Postprandial reflux is the backward flow of food from the stomach after (post) a meal.(prand)
Difficulty: Medium
Lesson: 9.2

15

Blooms Taxonomy: Comprehension


Learning Outcome: 9.2
Lesson objectives: 9.2.2
Page: 269

47.

Which of the following is a health care professional who would not be involved in
the diagnosis and treatment of problems in the GI system?
A. nutritionist
B. dietician
C. orthotist
D. periodontist
E. proctologist.
Ans: C
Feedback: An orthotist prepares and fits orthopedic appliances.
Difficulty: medium
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1
Lesson objectives: 9.1.1
Page: 259

48.

What do the tongue papillae contain?


A. taste buds
B. dentin
C. enamel
D. pulp
E. pus
Ans: A
Feedback: The papillae on the tongue contain the taste buds..
Difficulty: Medium
Lesson: 9.2
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives: 9.2.1
Page: 264

49.

Upset stomach with epigastric pain, nausea, and gas is:


A. dysphagia.
B. deglutition.
C. dyspepsia.
D. dyslexia.
E. canker.
Ans: C
Feedback: Dyspepsia is an upset stomach with epigastric pain, nausea, and gas.
Difficulty: Easy
Lesson: 9.3

16

Blooms Taxonomy: Comprehension


Learning Outcome: 9.1
Lesson objectives: 9.3.1.
Page: 273

50.

The segments of the small intestine, in order, starting from the pylorus, are:
A. ileum, jejunum, and duodenum.
B. jejunum, duodenum, and ileum.
C. jejunum, ileum, and duodenum.
D. duodenum, jejunum, and ileum.
E. duodenum, cecum, and ileum.
Ans: D
Feedback: The segments of the small intestine, starting from the pylorus, are the duodenum, jejunum, and
ileum.
Difficulty: Hard
Lesson: 9.3
Blooms Taxonomy: application
Learning Outcome: 9.1
Lesson objectives: 9.3.3
Page:272

51.

A slowly progressing inflammation of the liver is:


A. acute hepatitis.
B. chronic hepatitis.
C. chronic hepatoma.
D. acute cholelithiasis.
E. chronic hepatocellular adenoma.
Ans: B
Feedback: Chronic hepatitis is a slowly progressing inflammation of the liver.
Difficulty: Medium
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1

Lesson objectives: 9.4.1


Page: 274
52.

The instrument used to examine the stomach is the:


A. cytoscope.
B. microscope.
C. otoscope.
D. ophthalmoscope.
E. gastroscope.
Ans: E
Feedback: A gastroscope is an instrument used to examine the stomach. (gastr/o = stomach)
Difficulty: Easy
Lesson: 9.3
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3

17

Lesson objectives: 9.3.3.


Page: 273
53.

Which of the following words is accompanied by its correct plural?


A. villus, villi.
B. viscus, viscusses.
C. varix, varixes.
D. lipid, lipidii.
E. pancreas, pancreax.
Ans: A
Feedback: Villi is the correct plural of villus.
Difficulty: Medium
Lesson: 9.5
Blooms Taxonomy: Application
Learning Outcome: 9.2

Lesson objectives: 9.5.1


Page: 279
54.

The largest internal organ in the body is the:


A. pancreas.
B. liver.
C. kidney.
D. stomach.
E. gallbladder.
Ans: B
Feedback: The liver is the largest internal organ in the body.
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Knowledge
Learning Outcome:9.1
Lesson objectives: 9.4.1
Page: 274

55.

Bile is secreted by the ______________ into the _________________.


A. pancreas; stomach
B. salivary glands; mouth
C. stomach; chyme
D. liver; duodenum
E. small intestine; large intestine
Ans: D
Feedback: Bile is secreted by the liver into the duodenum.
Difficulty: Medium
Lesson: 9.4
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.4.1.
Page: 275

56.

Alcoholism is the most common cause of scarring of the liver, also known as:
A. cirrhosis.
18

B.
C.
D.
E.

serosis.
keratosis.
hepatocellular.
hepatoma.

Ans: A
Feedback: Cirrhosis means scarring of the liver.
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1

Lesson objectives: 9.4.1


Page: 274
57.

What is the most common blood-borne infection in the United States?


A. Hepatitis B Virus (HBV)
B. hepatitis A virus (HAV)
C. hepatitis C virus (HCV)
D. cirrhosis
E. pancreatitis
.
Ans: A
Feedback: The most common blood-borne infection in the United States is hepatitis B virus. (HBV).
Difficulty: medium
Lesson: 9.4
Blooms Taxonomy: comprehension
Learning Outcome: 9.3
Lesson objectives: 9.4.1
Page: 274

58.

A synonym for gallstones is:


A. cholelithiasis.
B. cholesterol.
C. hemachromatosis.
D. cirrhosis.
E. chyme.
Ans: A
Feedback: Cholelithiasis is the presence of stones in the gallbladder. (lith = stone)
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives l9.4.1
Page: 276

59.

What results from yellow staining of tissues with bile pigments, including
bilirubin?
A. cirrhosis
B. cynanosis
C. hepatitis
19

D. dyspepsia
E. jaundice
Ans: E
Feedback: Yellow staining of tissues with bile pigments, including bilirubin is called jaundice.
Difficulty: Hard
Lesson: 9.4
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.4.1
Page: 276

60.

Which of the following is a chronic, irreversible disease?


A. jaundice
B. hepatitis A
C. gingivitis
D. cirrhosis of the liver
E. gastritis
Ans: D
Feedback: Cirrhosis of the liver is a chronic, irreversible disease.
Difficulty: medium
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1
Lesson objectives: 9.4.1
Page: 274

61.

Which of the following terms has an element meaning flow?


A. peristalsis
B. postprandial
C. pyorrhea
D. endoscopic
E. extracorporeal
Ans: C
Feedback: The element -rrhea in pyorrhea means flow. (purulent discharge) The root pyo- means pus.
Difficulty: Medium
Lesson: 9..2
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.2.3
Page: 267

62.
The H in HAV, HBV, and
HCV stands for:
A. herpes.

20

B.
C.
D.
E.

hepatitis.
human.
hemoglobin.
hemolytic.

Ans: B
Feedback: The H in the abbreviations HAV, HBV, and HCV stands for hepatitis.
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives: 9.4.1
Page: 274

63.

Which of the following terms means pertaining to the liver?


A. hepatic
B. emulsion
C. emesis
D. portal
E. cholestatic
Ans: A
Feedback: Hepatic means pertaining to the liver.
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives: 9.4.1
Page: 275

64.

Which of the following terms means a condition involving the gallbladder?


A. gluconeogenesis
B. cholesterol
C. hemoglobinopathy
D. cholecystitis
E. hemolytic jaundice
Ans: D
Feedback: Cholecystitis is a condition involving the gallbladder. (itis = inflammation of)
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Application
Learning Outcome: 9.2

Lesson objectives: 9.4.1


Page: 276
65. _____________ is a symptom of many different diseases in the biliary tract and
liver.
A. fainting
B. nausea
C. icterus
D. vomiting

21

E. itchy skin
Ans: C
Feedback: Icterus is another name for jaundice. Jaundice is a symptom (yellow
tissues) of many different diseases in the biliary tract and liver.
Difficulty: hard
Lesson: 9.4
Blooms taxonomy: application
Learning Outcome: 9.1
Lesson objective: 9.1.2.
Page: 276
66.

The adjective form of bile is:


A. biliary.
B. bilious.
C. biliate.
D. bilbous.
E. bilient.
Ans: A
Feedback: The adjective form of bile is biliary. Suffix ary means pertaining to.
Difficulty: Medium
Lesson: 9.4
Blooms Taxonomy: Application
Learning Outcome: 9.2

Lesson objectives: 9.4.1


Page: 275
67.

If a patient is diagnosed with a perforated bowel what is present?


A. the bowel is necrotic
B. there is a hole through the wall of the bowel
C. the bowel is twisted
D. the bowel is obstructed
E. the bowel shrinks in size
Ans: B
Feedback: A perforated bowel means there is a hole in the wall of the bowel.
Difficulty: medium
Lesson: 9. 3
Blooms Taxonomy: comprehension
Learning Outcome: 9.1

Lesson objectives: 9.3.1


Page: 273
68.

The root -lith- in the word cholelithiasis means:


A. color.
B. ulcer.
C. cirrhosis.
D. tear.
E. stone.
22

Ans: E
Feedback: The root -lith- in the word cholelithiasis means stone. (gallstones)
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Knowledge
Learning Outcome: 9.2

Lesson objectives: 9.4.1


Page: 277
69.

What color does the element rubin denote?


A. yellow
B. black
C. rust colored
D. blue
E. red
Ans: C
Feedback: The element rubin, as in bilirubin, denotes the color of rust..
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: knowledge
Learning Outcome: 9.3

Lesson objectives: 9.4.1


Page: 275
70.

Which of the following terms means presence of a stone in the common bile
duct??
A. cirrhosis
B. cholestatic
C. cholesterol
D. choledocholithiasis
E. cholecystitis
Ans: D
Feedback: Choledocholithiasis is the presence of a stone in the common bile duct. (choledoch/o = common
bile duct).
Difficulty: Hard
Lesson: 9.4
Blooms Taxonomy: Application
Learning Outcome: 9.3
Lesson objectives: 9.4.1
Page: 277

71.

The term cholelithotomy, if deconstructed, means, in the correct order:


A. bile, stone, and surgical incision.
B. surgical incision, bile, and stone.
C. liver, stone, and excision.
D. stone, bile, and biopsy.
E. excision, bile, and liver.
Ans: A
Feedback: Chol/e means bile, -lith- means stone, and -otomy means surgical incision.

23

Difficulty: Medium
Lesson: 9.4
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.4.1
Page: 277

72.

The word cholelithiasis means:


A. the condition of having high cholesterol.
B. the procedure for destroying gallstones.
C. the condition of forming gallstones.
D. the condition of having gallstones.
E. any change in the function of the gallbladder.
Ans: D
Feedback: The word cholelithiasis means the condition of having gallstones.
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3
Lesson objectives: 9.4.1
Page: 277

73.

The surgical procedure of creating a union between two tubular structures is


called:
A. hemolytic
B. anastomosis
C. extracellular
D. intracellular
E. colonoscopy
Ans: B
Feedback: The surgical procedure of creating a union between two tubular structures is called anastomosis.
Difficulty: Easy
Lesson: 9.6
Blooms Taxonomy: Knowledge
Learning Outcome: 9.4
Lesson objectives: 9.6.2
Page: 288

74.

A cholecystectomy is:
A. an examination of the gallbladder.
B. an x-ray of the liver and gallbladder.
C. the surgical removal of the pancreas.
D. the surgical repair of a hiatal hernia.
E. the surgical removal of the gallbladder.
Ans: E
Feedback: A cholecystectomy is the surgical removal of the gallbladder.
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Application
Learning Outcome: 9.3

24

Lesson objectives: 9.4.1


Page: 277

75.

The prefix in exocrine means:


A. body.
B. pertaining to.
C. inside.
D. outside.
E. before.
Ans: D
Feedback: The prefix exo- in exocrine means outside.
Difficulty: Easy
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.4.1
Page: 277

76.

The adjective for stomach is:


A. gastric.
B. cecal.
C. alimentary.
D. ileostomy.
E. stomatitis.
Ans: A
Feedback: The adjective for stomach is gastric. (gastri = stomach)
Difficulty: easy
Lesson: 9. 1.
Blooms Taxonomy: Application
Learning Outcome: 9.2

Lesson objectives: 9.1.2.


Page: 261
77.

Two words that describe glands and are opposite in meaning are:
A. monosaccharide and polysaccharide.
B. exocrine and endocrine.
C. inferior and superior.
D. intracellular and extracellular.
E. pepsin and trypsin.
Ans: B
Feedback: Exocrine and endocrine describe glands and are opposite in meaning. (endo = within
outward)
Difficulty: medium
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.3

exo =

Lesson objectives: 9.4.1


Page: 261
78.

Which of the following terms is treatment for obesity?


25

A.
B.
C.
D.
E.

cholecystectomy
gastroscopy
laparoscopy
bariatric
endoscopy

Ans: D
Feedback: Bariatric treatment is for obesity..
Difficulty: Medium
Lesson: 9.1
Blooms Taxonomy: application
Learning Outcome: 9.2

Lesson objectives: 9.1.4.


Page: 261
79.

The patient has long-term symptoms with spasmodic episodes of diarrhea and
flatulence associated with greasy and pale stools and severe headaches and
fatigue.
This patient probably has:
A. hepatitis
B. celiac disease
C. periodontitis
D. thrush
E. dysphagia
Ans: B
Feedback: The symptoms mentioned are symptoms of celiac disease..
Difficulty: Hard
Lesson: 9.5
Blooms Taxonomy: Knowledge
Learning Outcome: 9.2
Lesson objectives: 9. 5. 2
Page: 278

80.

Which of the following is a disease in which intestinal uptake of nutrients is


impaired?
A. constipation
B. hemorrhoids
C. impaired glucose tolerance
D. malabsorption syndrome
E. gastrocolonic reflex
Ans: D
Feedback: Malabsorption syndrome is a disease in which intestinal uptake of nutrients is impaired.
Difficulty: Medium
Lesson: 9.5
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.5.2.
Page: 282

26

81.

What is the name of the blood vessel that carries blood from the intestines to the
liver?
A. hepatic vein
B. portal vein
C. colonic artery
D. carotid artery
E. coronary artery
Ans: B
Feedback: The portal vein carries blood from the intestines to the liver. .
Difficulty: Medium
Lesson: 9.5
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Learning objectives: 9.5.1
Page: 279

82.

Which of the following terms means infection of the stomach and intestine?
A. malnutrition
B. dyspepsia
C. stomatitis
D. gastroenteritis
E. flatulence
Ans: D
Feedback: Gastroenteritis is an infection (itis) of the stomach (gastr/o) and intestine. (enter/o)
Difficulty: Easy
Lesson: 9.1
Blooms Taxonomy: Application
Learning Outcome: 9.3

Lesson objectives: 9. 1. 4
Page: 282
83.

The examination of the tube to the stomach, the stomach, and the first part of the
small intestine is termed:
A. esophagogastroduodenoscopy.
B. colonoscopy.
C. angiography.
D. laparoscopy.
E. gastroesophagoscopy.
Ans: A
Feedback: Esophagogastroduodenoscopy is examination of the esophagus, the stomach, and the duodenum.
Difficulty: Medium
Lesson: 9.1
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1

Lesson objectives: 9.1.2


Page: 288

27

84.

Which of the following words has a prefix meaning complete?


A. disease
B. diarrhea
C. dysentery
D. malnutrition
E. defecation
Ans: B
Feedback: The prefix dia- in diarrhea means complete.
Difficulty: Hard
Lesson: 9.5
Blooms Taxonomy: Application
Learning Outcome: 9.2
Lesson objectives: 9.5.2
Page: 279

85.

What is secreted by the islet cells of the pancreas?


A. vitamins
B. glucose
C. insulin
D. glucagon
E. insulin and glucagon
Ans: E
Feedback: The pancreatic islet cells secrete both insulin and glucagon..
Difficulty: medium
Lesson: 9.4
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.4.1.
Page: 276

86.

What is the enzyme called that is produced by the stomach and breaks down
protein in the digestive process?
A. gastrin
B. intrinsic factor
C. glucose
D. glycogen
E. pepsin
Ans: E
Feedback: Pepsin is an enzyme produced in the stomach that breaks down protein..
Difficulty: medium
Lesson: 9.3
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.3.3
Page: 271

87.

A synonym for bend is:


A. reflux
B. flexure
28

C. fracture
D. fixation
E. vermiform
Ans: B
Feedback: Flexure is a synonym for bend.
Difficulty: Easy
Lesson: 9.6
Blooms Taxonomy: Comprehension
Learning Outcome: 9.
Lesson objectives: 9.6.1
Page: 285

88.

The segments of the large intestine, in order, from the end of the small intestine,
are:
A. transverse colon, descending colon, ascending colon, sigmoid colon.
B. ascending colon, descending colon, sigmoid colon, cecum.
C. cecum, ascending colon, transverse colon, descending colon, sigmoid colon.
D. cecum, transverse colon, descending colon, sigmoid colon, ascending colon.
E. sigmoid colon, descending colon, transverse colon, ascending colon.
Ans: C
Feedback: The segments of the large intestine, in order, from the end of the small intestine, are cecum,
ascending colon, transverse colon, descending colon, and sigmoid colon.
Difficulty: Medium
Lesson: 9.6
Blooms Taxonomy: Knowledge
Learning Outcome: 9.1
Lesson objectives: 9.6.1
Page: 284

89.

The word sigmoid means:


A. around.
B. shaped like a circle.
C. C-shaped.
D. S-shaped.
E. straight.
Ans: D
Feedback: The word sigmoid means S-shaped.
Difficulty: Easy
Lesson: 9.6
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.6.1
Page: 285

90.

The suffix in defecation means:


A. away from.
B. process.
C. pertaining to.

29

D. a condition.
E. resembling.
Ans: B
Feedback: The suffix -ation in defecation means process.
Difficulty: Easy
Lesson: 9.6
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.6.1.
Page: 285

91.

Where would you administer sublingual medication?


A. under the tongue
B. inside the cheek
C. on the hard palate
D. beside the ear
E. in a muscle
Ans: A
Feedback: Sublingual medication is administered under (sub) the tongue (lingu)
Difficulty: Medium
Lesson: 9.2
Blooms Taxonomy: Application
Learning Outcome: 9.2

Lesson objectives: 9.2.1


Page: 265
92.

Which of the following words means a procedure for removal of a mass of tissue
projecting into the bowel?
A. hemorrhoidectomy
B. polypectomy
C. cystectomy
D. appendectomy
E. diverticulosis
Ans: B
Feedback: A polypectomy is a procedure for removal of a mass of tissue projecting into the bowel.
Difficulty: medium
Lesson: 9.6
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2
Lesson objectives: 9.6.2
Page: 287

93.

An increasingly common disorder of the large intestine characterized by crampy


pains, gas, and changes in bowel habits is abbreviated:
A. GERD.
B. BM.
C. IBS.
30

D. IBM.
E. DRE.
Ans: C
Feedback: IBS, or irritable bowel syndrome, is a common disorder of the large intestine characterized by
cramps, gas, and changes in bowel habits.
Difficulty: medium
Lesson: 9.6
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3
Lesson objectives: 9.6.2
Page: 286

94.

The slipping of one part of bowel inside another to cause obstruction is:
A. proctitis.
B. gastrocolic reflex.
C. ulcerative colitis.
D. intussusception.
E. thrombosed.
Ans: D
Feedback: Intussusception is the slipping of one part of the bowel inside another.
Difficulty: Medium
Lesson: 9.6
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3

Lesson objectives: 9.6.2


Page: 286
95.

Which of the following terms contains two suffixes?


A. diverticulitis
B. hemorrhoidectomy
C. polypectomy
D. ileocecal
E. colostomy
Ans: B
Feedback: The word hemorrhoidectomy contains two suffixes: rrhoid = flow and ectomy = surgical
removal.
Difficulty: Hard
Lesson: 9.6
Blooms Taxonomy: application
Learning Outcome: 9.3
Lesson objectives: 9.6.2
Page: 287

96.

Which of the following terms means pertaining to the membrane that lines the
abdominal cavity?
A. fistula
B. peritoneal
C. digital
D. serosal
E. occult
31

Ans: B
Feedback: Peritoneal means pertaining to the membrane that lines the abdominal cavity.(the peritoneum)
Difficulty: Medium
Lesson: 9.6
Blooms Taxonomy: Comprehension
Learning Outcome: 9.2

Lesson objectives: 9.6.1


Page: 287
97.

The palpation of the rectum and prostate with a gloved finger inserted into the
anus is:
A. anoscopy.
B. a proctoscopic exam.
C. sigmoidoscopy.
D. a digital rectal exam.
E. interdigitation
Ans: D
Feedback: A digital rectal exam entails palpation of the rectum and prostate with a gloved finger inserted into
the anus.
Difficulty: Easy
Lesson: 9.6
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3

Lesson objectives: 9.6.2


Page: 288
98.

Enema means:
A. antagonistic.
B. hidden.
C. a surgically made union between two tubular structures.
D. the use of an endoscope.
E. injection of fluid into the rectum.
Ans: E
Feedback: An enema is an injection of fluid into the rectum.
Difficulty: Easy
Lesson: 9.6
Blooms Taxonomy: Knowledge
Learning Outcome: 9.3

Lesson objectives: 9.6.2


Page: 289
99.

A colostomy is a surgical procedure that creates an artificial opening from the


__________________ to the _______________________.
A. esophagus; stomach
B. stomach; large intestine
C. large intestine; outside of the body
D. stomach; outside of the body
E. small intestine; outside of the body

32

Ans: C
Feedback: A colostomy is a surgical procedure that creates an artificial opening from the large intestine to the
outside of the body.
Difficulty: medium
Lesson: 9.6
Blooms Taxonomy: Comprehension
Learning Outcome: 9.1

Lesson objectives: 9.6.2


Page: 289
100.

Appendicitis is the most common cause of acute abdominal pain in the right lower
quadrant. On palpation, tenderness over McBurney point suggests appendicitis. If
neglected, the inflamed appendix can perforate and lead to what
condition?
A. peritonitis
B. diverticulitis
C. proctitis
D. colitis
E. regional enteritis
Ans: A
Feedback: An inflamed appendix can perforate and lead to peritonitis (inflammation of the peritoneum - the
membrane that lines the abdominal cavity.
Difficulty: Medium
Lesson: 9.6
Blooms Taxonomy: application
Learning Outcome: 9.1
Lesson objectives: 9.6.2
Page: 287

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