In most regions of the GI tract (exceptions are oral cavity and stomach), smooth muscle fibers of the muscularis are arranged into:

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NCLEX Questions on Gastrointestinal System Questions

Question 1 of 5

In most regions of the GI tract (exceptions are oral cavity and stomach), smooth muscle fibers of the muscularis are arranged into:

Correct Answer: A

Rationale: The correct answer is A because in most regions of the GI tract, the smooth muscle fibers of the muscularis are arranged into inner circular and outer longitudinal layers. This arrangement allows for peristalsis, the coordinated contraction and relaxation of the muscles to move food along the digestive tract. The inner circular layer constricts the lumen, while the outer longitudinal layer shortens the tube. This arrangement is consistent throughout the GI tract to facilitate the smooth movement of food. Choice B is incorrect because the outer circular and inner longitudinal layers are not the typical arrangement in the GI tract. Choice C is incorrect because although there are circular and longitudinal layers, their relative position does not vary significantly from region to region. Choice D is incorrect as it describes a meshwork pattern which is not typical of the muscularis arrangement in the GI tract.

Question 2 of 5

Tubular invaginations (crypts, pits or glands) occurring within the mucosa (embedded in lamina propria), are not characteristic of the:

Correct Answer: A

Rationale: Rationale: 1. The esophagus lacks crypts, pits, or glands within its mucosa. 2. Esophageal mucosa is lined with stratified squamous epithelium, not glandular epithelium. 3. Crypts, pits, or glands are present in the stomach, duodenum, ileum, and jejunum. 4. These structures play roles in secretion, absorption, and protection. Summary: - A: Esophagus does not have crypts or glands, making it the correct choice. - B, C, D: Stomach, duodenum, ileum, and jejunum have crypts or glands within their mucosa, making them incorrect choices.

Question 3 of 5

Choose the best description of the esophagus.

Correct Answer: A

Rationale: The correct answer is A because the esophagus is lined with nonkeratinized stratified squamous epithelium, which provides protection against abrasion and friction from food boluses. The relatively unspecialized lamina propria supports the epithelium and allows for nutrient and waste exchange. The submucosa contains scattered mucous glands that secrete mucus to aid in swallowing. Choice B is incorrect because the esophagus does not have keratinized epithelium, and it does not contain serous glands in the submucosa. Choice C is incorrect because although the esophagus has nonkeratinized stratified squamous epithelium, it does not typically have lymph nodules in the lamina propria. Choice D is incorrect because the esophagus does not have keratinized epithelium or lymph nodules in the lamina propria.

Question 4 of 5

Choose the best description of the appendix.

Correct Answer: D

Rationale: The correct answer is D because it accurately describes the anatomy of the human appendix. The appendix has a mucosa with short tubular invaginations but no villi, which helps in increasing the surface area for immune response. The epithelium of the appendix does contain many goblet cells, which secrete mucus to protect the tissue. The lamina propria of the appendix is packed with lymphoid tissue containing numerous germinal centers, indicating its role in immune function. Now, let's analyze the other choices: A: This description does not mention the presence of goblet cells in the epithelium, which is incorrect. B: This description states that the lamina propria is unspecialized, which is inaccurate as the appendix contains lymphoid tissue. C: This description lacks the presence of goblet cells in the epithelium, which is incorrect. In summary, choice D is the best description of the appendix as it accurately depicts its anatomical features related to immune

Question 5 of 5

In which of the following regions of the GI tract does the mucosa most closely resemble that of the colon, but with more lymphoid tissue?

Correct Answer: D

Rationale: The correct answer is D: appendix. The mucosa of the appendix closely resembles that of the colon but with more lymphoid tissue due to its role in the immune system. The appendix contains a high concentration of lymphoid tissue which helps in the immune response. The stomach (A) has gastric pits and glands for digestion, the duodenum (B) is involved in nutrient absorption, and the jejunum (C) is primarily responsible for nutrient absorption. Therefore, the appendix is the correct answer as it matches the description provided in the question.

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