An individual has the following symptoms: jaundice, pale in color, liver with a buildup of connective tissue. This individual most likely has

Correct Answer: D

Rationale: The correct answer is D: cirrhosis. Jaundice, pale skin, and liver with connective tissue buildup are classic symptoms of cirrhosis - a condition characterized by scarring of the liver due to long-term damage. Jaundice occurs when the liver is unable to properly process bilirubin, leading to yellowing of the skin and eyes. The pale color can be due to anemia often seen in cirrhosis. The buildup of connective tissue is indicative of fibrosis and scarring in the liver. Gastritis (A) is inflammation of the stomach lining, pancreatitis (B) is inflammation of the pancreas, and gallstones (C) are solid particles that form in the gallbladder. These conditions do not typically present with the combination of symptoms described.

Correct Answer: D

Rationale: Rationale for Correct Answer D (Triglycerides must be emulsified and digested before fatty acids can be transported): 1. Triglycerides are large molecules that cannot be directly absorbed by the intestinal cells. 2. Emulsification breaks down triglycerides into smaller droplets, increasing the surface area for enzyme action. 3. Enzymatic digestion of triglycerides by lipases results in the release of fatty acids and monoglycerides. 4. These breakdown products are then absorbed by enterocytes in the small intestine. Summary of Why Other Choices are Incorrect: A: FABP and FAT/CD36 proteins are involved in fatty acid transport, not triglyceride digestion. B: Both medium and long-chain triglycerides are absorbed into the lymphatic system via chylomicrons. C: While mixed micelles aid in lipid absorption, they are not essential for the initial digestion of triglycerides.

Correct Answer: A

Rationale: The correct answer is A: regurgitation of the food into the oesophagus. The cardiac sphincter is located at the junction between the esophagus and the stomach. Its main function is to prevent the backflow of stomach contents into the esophagus. If the cardiac sphincter fails to function properly, it can lead to regurgitation, where stomach contents flow back into the esophagus, causing discomfort and potential damage to the esophageal lining. Summary: B: Loss of control of defecation is not related to the cardiac sphincter, as it primarily functions in the upper digestive tract. C: Movement of the bolus into the trachea is related to swallowing reflex and epiglottis function, not the cardiac sphincter. D: Rapid emptying from the stomach to the small intestine is controlled by the pyloric sphincter, not the cardiac sphincter.

Correct Answer: A

Rationale: The correct answer is A: it is converted into fat. Excess glucose not needed for immediate energy or stored as glycogen is converted into fat through a process called de novo lipogenesis in the liver. This occurs when glucose levels are high and glycogen stores are full. The liver converts the excess glucose into fatty acids and then into triglycerides for storage in adipose tissue. This process helps regulate blood glucose levels and prevents hyperglycemia. Other choices are incorrect: B: Glucose is not directly converted into protein. Proteins are synthesized from amino acids, not glucose. C: Releasing excess glucose back into the bloodstream would lead to high blood sugar levels, which is not a typical physiological response. D: Glucose is not simply degraded; it is either used for energy, stored as glycogen, or converted into fat when in excess.

Correct Answer: C

Rationale: The correct answer is C: Assist the client to the bedpan or toilet 30 minutes after meals. This intervention is appropriate as it aligns with the natural physiological process of bowel movements after meals, increasing the likelihood of successful evacuation. This timing can help establish a routine and promote regular bowel movements, potentially reducing episodes of fecal incontinence. Choice A is incorrect because administering a glycerin suppository may not address the underlying cause of fecal incontinence and may not promote regular bowel movements. Choice B is incorrect as inserting a rectal tube is an invasive intervention that should only be considered after less invasive methods have been exhausted. Choice D is incorrect as using incontinence briefs or adult-sized diapers only manages the symptoms without addressing the root cause or promoting bowel regularity.