Digestive Physiology MCQs – 34 MCQs | Kenya MBChB

34 Year 2: GIT Physiology exam questions on Digestive Physiology MCQs for medical students. Includes MCQs, answers, explanations and written questions. Sample:

This MCQ set contains 34 questions on Digestive Physiology MCQs in the Year 2: GIT Physiology unit. Each question includes the correct answer and a detailed explanation for active recall and exam preparation.

Q1: Question 1 About some GIT hormones (true or false): - (

  1. A. Gastrin is released as a result of stomach distension and vagal stimulation. - (
  2. B. Secretin stimulates the pancreatic acinar cells to secrete enzymes. - (
  3. C. Pancreozymin is itself CCK and it has a structural relationship to gastrin. - (
  4. D. Secretin causes excessive gastric secretion and accelerates gastric emptying.

Correct answer: A – Gastrin is released as a result of stomach distension and vagal stimulation. - (

Gastrin is released by stomach distension and vagal stimulation. CCK (cholecystokinin) was previously called pancreozymin and shares structural similarities with gastrin. Secretin primarily stimulates bicarbonate and water secretion from pancreatic duct cells, not enzyme secretion from acinar cells. Secretin inhibits gastric secretion and slows gastric emptying.

Q2: Question 2 VIP causes (true or false): - (

  1. A. Stimulation of the intestinal cells to secrete water and electrolytes. - (
  2. B. Inhibition of gastric secretion. - (
  3. C. Relaxation of the lower esophageal sphincter. - (
  4. D. Peripheral vasoconstriction.
  5. E. stimulates intestinal water and electrolyte secretion and inhibits gastric acid secretion. It causes vasodilation and doesn't significantly affect the

Correct answer: A – Stimulation of the intestinal cells to secrete water and electrolytes. - (

VIP (Vasoactive Intestinal Peptide) stimulates intestinal water and electrolyte secretion and inhibits gastric acid secretion. It causes vasodilation and doesn't significantly affect the lower esophageal sphincter.

Q3: Stimulation of Gastrointestinal Secretion include: - (

  1. A. Chemical stimuli. - (
  2. B. Tactile stimulation. - (
  3. C. A and
  4. D. - (
  5. E. Distension. - (

Correct answer: A – Chemical stimuli. - (

GIT secretion is stimulated by chemical stimuli (pH, nutrients), tactile stimulation (mechanical contact), and distension.

Q4: The Secretin hormone: - (

  1. A. Is secreted by the pancreas. - (
  2. B. Is released by the pyloric mucos
  3. C. - (
  4. D. Contracts the gall bladder wall. - (
  5. E. Increases the pancreatic secretion of water and HCO3-.

Correct answer: E – Increases the pancreatic secretion of water and HCO3-.

Secretin is released by S cells in the duodenal mucosa in response to acid. Its primary function is to stimulate pancreatic secretion of bicarbonate and water to neutralize acidic chyme.

Q5: The GIT is controlled by: - (

  1. A. Its own intrinsic nervous system (Auerbach's and Meissner's plexuses). - (
  2. B. The sympathetic N.S. - (
  3. C. The parasympathetic N.S. - (
  4. D. Only B &
  5. E. - (

Correct answer: A – Its own intrinsic nervous system (Auerbach's and Meissner's plexuses). - (

The GIT has complex neural control involving the enteric nervous system (intrinsic control via myenteric and submucosal plexuses) and extrinsic control via both sympathetic and parasympathetic systems.

Q6: Question 6 Inhibition of the myenteric plexus leads to which of the following? - (

  1. A. Increased secretion of secretin from the duodenum. - (
  2. B. Decreased gut motility. - (
  3. C. Hyperacidity in the stomach. - (
  4. D. Diarrhe
  5. E.

Correct answer: B – Decreased gut motility. - (

The myenteric plexus (Auerbach's plexus) primarily controls gut motility. Its inhibition decreases peristalsis.

Q7: The secretion of gastrin ceases (stops): - (

  1. A. When the stomach is distended by meal. - (
  2. B. When the pH of the gastric content is decreased below 2. - (
  3. C. If the fundic mucosa is anesthetize
  4. D. - (
  5. E. If the vagi are stimulate

Correct answer: B – When the pH of the gastric content is decreased below 2. - (

Gastrin secretion is inhibited by very low pH (below 2) as a negative feedback mechanism to prevent excessive acid production.

Q8: Question 8 Stimulation of submucosal plexus results in an increase in which of the following? - (

  1. A. Motility of the gut. - (
  2. B. Secretion of the gut. - (
  3. C. Sphincter ton
  4. D. - (
  5. E. Stomach pH.

Correct answer: B – Secretion of the gut. - (

The submucosal plexus (Meissner's plexus) primarily controls glandular secretions and local blood flow.

Q9: Secretin: - (

  1. A. Is a GIT hormone secreted from the pylorus. - (
  2. B. Stimulates a pancreatic secretion rich in enzymes. - (
  3. C. Acts as powerful cholagogu
  4. D. - (
  5. E. Is secreted as a result of vagus nerve stimulation. - (

Correct answer: A – Is a GIT hormone secreted from the pylorus. - (

Secretin is released from S cells in the duodenal mucosa when acidic chyme enters the duodenum. It stimulates bicarbonate-rich pancreatic secretion and inhibits gastric secretion.

Q10: About the GIT hormones affecting gastric function: - (

  1. A. CCK and Secretin increase both gastric secretion and motility. - (
  2. B. Gastrin secretion is stimulated by the digestive products of fat. - (
  3. C. Gastrin inhibits gastric secretion and delays gastric emptying. - (
  4. D. GIP and VIP inhibit gastric secretion. - (
  5. E. Somatostatin is a powerful stimulator to both gastric secretion and motility.

Correct answer: D – GIP and VIP inhibit gastric secretion. - (

GIP (Glucose-dependent Insulinotropic Peptide) and VIP both inhibit gastric secretion. CCK and secretin inhibit gastric function, while gastrin stimulates it.

Q11: Question 11 Cholecystokinin: - (

  1. A. Release is stimulated by protein hydrolysates in the lumen of the small intestin
  2. B. - (
  3. C. Is released from gastric mucosal cells. - (
  4. D. Release is stimulated by distension of the colon. - (
  5. E. A and C are correct.
  6. F.

Correct answer: A – Release is stimulated by protein hydrolysates in the lumen of the small intestin

CCK is released from I cells in the duodenal mucosa in response to protein hydrolysates and fats in the small intestine.

Q12: A major part of the gall bladder contractions are due to: - (

  1. A. Sympathetic contraction of the viscus. - (
  2. B. The overfilling of the gall bladder with bil
  3. C. - (
  4. D. The rate of cholesterol synthesis and excretion by the liver. - (
  5. E. A hormone synthesized by duodenal mucos

Correct answer: E – A hormone synthesized by duodenal mucos

CCK, synthesized by duodenal mucosa, is the primary stimulus for gallbladder contraction.

Q13: Question 13 The major factor that stimulates the release of Secretin into the blood stream is: - (

  1. A. An acid pH of the chyme entering the duodenum. - (
  2. B. The parasympathetic stimuli. - (
  3. C. Peptones in the gastric chyme that enter the duodenum. - (
  4. D. A stomach full of digested contents.

Correct answer: A – An acid pH of the chyme entering the duodenum. - (

Secretin is specifically released in response to acidic chyme (pH < 4.5) entering the duodenum.

Q14: Question 14 It is known that gastrin: - (

  1. A. It is a large protein molecule, somewhat similar in size to pepsin. - (
  2. B. Is not secreted by empty stomach when peristaltic movements may be quite forceful. - (
  3. C. Reaches the secretory cells of the fundus of the stomach through the blood and not through the lumen. - (
  4. D. Promotes the secretion of pepsin, but not that of HCl.

Correct answer: C – Reaches the secretory cells of the fundus of the stomach through the blood and not through the lumen. - (

Gastrin is released from G cells in the antrum and reaches parietal cells in the fundus via the bloodstream (endocrine action). It stimulates both acid and pepsinogen secretion.

Q15: It is known that secretin: - (

  1. A. It is a large protein hormone synthesized by the pancreas, together with pancreozymin. - (
  2. B. Is a small polypeptide synthesized by the intestinal mucos
  3. C. - (
  4. D. Neutralizes directly the acid chyme that passes through the pylorus. - (
  5. E. Has an optimal activity at a pH equal to 8.4.

Correct answer: B – Is a small polypeptide synthesized by the intestinal mucos

Secretin is a small polypeptide hormone synthesized by S cells in the duodenal mucosa. It stimulates bicarbonate secretion to neutralize acid.

Q16: Secretin is released by: - (

  1. A. Acid in the duodenum. - (
  2. B. Acid in the urin
  3. C. - (
  4. D. S cells in the duodenal mucos
  5. E. Distension of the colon. - (

Correct answer: D – S cells in the duodenal mucos

Secretin is released by S cells located in the duodenal mucosa in response to acidic chyme.

Q17: Question 17 Concerning the gastrin hormone: - (

  1. A. It is secreted at the pyloric antrum and reaches the fundus through the gastric lumen. - (
  2. B. It promotes the secretion of pepsin, but not HCl. - (
  3. C. Its secretion stimulated by secretin and GIP. - (
  4. D. It is structurally similar to CCK. - (
  5. E. It has +ve feedback relation with gastric acidity.
  6. F.

Correct answer: D – It is structurally similar to CCK. - (

Gastrin and CCK belong to the same hormone family and share structural similarities. Gastrin travels through blood and has negative feedback with acid.

Q18: About the GIP, all the following are true except: - (

  1. A. It is secreted from the duodenal mucos
  2. B. - (
  3. C. It has +ve feedback effect on gastric secretion and motility. - (
  4. D. Its release is stimulated by presence of excess fat. - (
  5. E. It inhibits both gastric secretion and motility. - (

Correct answer: C – It has +ve feedback effect on gastric secretion and motility. - (

GIP (Glucose-dependent Insulinotropic Peptide) inhibits gastric secretion and motility.

Q19: About Cholecystokinin-pancreozymin (CCK), all the following are true except: - (

  1. A. It is GIT hormone secreted by the duodenal mucosa in response to presence of fat or protein digestive products. - (
  2. B. It causes contraction of the gall bladder wall being a natural cholagogu
  3. C. - (
  4. D. It produces a pancreatic secretion rich in enzymes. - (
  5. E. It potentiates the action of secretin on the pancreas. - (

Correct answer: C – - (

CCK inhibits gastric motility but stimulates small intestinal motility.

Q20: The GIT hormones are characterized by all the following except: - (

  1. A. They are secreted by APUD system and are divided into 2 families on the basis of their structural similarity. - (
  2. B. They are secreted in response to specific physiological stimuli during digestion. - (
  3. C. Their effects are abolished by cutting the nervous connections of GIT. - (
  4. D. They affect areas in GIT that may be far away from the sites of their releas
  5. E. - (

Correct answer: C – Their effects are abolished by cutting the nervous connections of GIT. - (

GIT hormones work through the bloodstream (endocrine action) and their effects are not abolished by cutting nerve connections.

Q21: About the GRP, all the followings are true except: - (

  1. A. It inhibits the intestinal motility (through liberating gastrin). - (
  2. B. It increases the gastric secretion (through liberating gastrin). - (
  3. C. It increases the pancreatic secretion (through liberating gastrin). - (
  4. D. It is found in the hypothalamus (in addition to GIT). - (
  5. E. It is the neurotransmitter of the vagal nerve endings that terminate on G cells.

Correct answer: A – It inhibits the intestinal motility (through liberating gastrin). - (

GRP (Gastrin-Releasing Peptide) stimulates gastrin release, which increases gastric and pancreatic secretion. It does not significantly inhibit intestinal motility.

Q22: Concerning the gastrin, all the following are true except: - (

  1. A. It is a polypeptide hormone that is secreted in several chemical forms. - (
  2. B. It is released from almost the whole GIT mucosa and its secretion is stimulated by vagal stimulation. - (
  3. C. It has a trophic effect on gastric mucosa and increases the gastric motility. - (
  4. D. Its release is stimulated by gastric distension and inhibited by presence of excess acid in pyloric antrum. - (
  5. E. It stimulates insulin secretion from pancreas. - (F) It is released only during gastric phase of gastric secretion and increases the secretion of only

Correct answer: A – It is a polypeptide hormone that is secreted in several chemical forms. - (

Gastrin is released during cephalic, gastric, and intestinal phases and affects both parietal (oxyntic) and chief cells.

Q23: Question 23 All the followings are correct about gastrin except: - (

  1. A. It is stimulated by distension of antrum. - (
  2. B. It is stimulated by insulin-induced hypoglycemi
  3. C. - (
  4. D. Its secretion is increased by secretin.
  5. E.

Correct answer: D – Its secretion is increased by secretin.

Secretin inhibits gastrin secretion as part of the negative feedback control of gastric acid.

Q24: Question 24 A patient with trigeminal lesion would have the greatest difficulty with which of the following? - (

  1. A. Swallowing. - (
  2. B. Chewing. - (
  3. C. Receptive relaxation of the upper esophageal sphincter. - (
  4. D. Secondary peristalsis in the esophagus.

Correct answer: B – Chewing. - (

The trigeminal nerve (CN V) provides motor innervation to the muscles of mastication.

Q25: Mastication is important because: - (

  1. A. Minimizes the mechanical damage to the gut mucos
  2. B. - (
  3. C. Allows the salivary enzymes to act for a longer tim
  4. D. Increases the surface area of the food particles. - (
  5. E. Destroys the protective coating present around some foods. - (

Correct answer: B – - (

Mastication reduces particle size, increases surface area for enzymes, and breaks down protective coatings.

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