False-negative direct urease tests for Helicobacter pylori are: ( Select one that does not apply)

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Upper Gastrointestinal System NCLEX Questions Questions

Question 1 of 5

False-negative direct urease tests for Helicobacter pylori are: ( Select one that does not apply)

Correct Answer: A

Rationale: After proton pump inhibitor and antibiotic therapy it is best to wait a month before repeat endoscopy for gastric biopsy and urease testing. The same is true of the urea breath test which is a convenient noninvasive alternative. A urease test at the time of haematemesis will usually be negative. Even after definite eradication of Helicobacter pylori, serology will remain positive for months. ELISA testing would confirm a true positive urease test.

Question 2 of 5

In an autotrophic organism, substance B functions as a

Correct Answer: A

Rationale: In autotrophs (e.g., plants), substance B (likely glucose from photosynthesis diagrams) is a source of energy for cellular processes. It's not a hormone , vitamin , or vague biotic resource .

Question 3 of 5

Digestion takes place in a long tube-like canal called the alimentary canal, or the digestive tract. Food travels through these organs in the following order:

Correct Answer: A

Rationale: The correct digestive order is mouth, gullet (esophagus), stomach, small intestine, large intestine, rectum, making A correct. B reverses small/large intestine, C misplaces esophagus, and D misorders stomach and gullet.

Question 4 of 5

If sodium bicarbonate (NaHCO3) is not released as part of the pancreatic juice, the pH of the

Correct Answer: D

Rationale: Sodium bicarbonate neutralizes acidic chyme in the small intestine; without it, the small intestine remains acidic, making D correct.

Question 5 of 5

Which of the following is an effect of gastric secretions on digestion?

Correct Answer: D

Rationale: Gastric secretions include pepsin, which breaks proteins into peptides, making D correct.

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