Which of these cells in the stomach secrete mucus?

Correct Answer: C

Rationale: The correct answer is C: mucous neck cells. These cells secrete mucus to protect the stomach lining from the acidic environment and aid in lubrication. Parietal cells secrete hydrochloric acid, chief cells secrete pepsinogen, and enteroendocrine cells secrete hormones like gastrin. Mucous neck cells are specifically responsible for mucus secretion in the stomach, making them the correct choice.

Correct Answer: A

Rationale: The correct answer is A: Hyperglycemia. GIP (gastric inhibitory polypeptide) is released in response to food intake to stimulate insulin release and inhibit glucagon secretion, leading to reduced blood glucose levels. Excessive GIP production from a tumor can result in excessive insulin release, causing hypoglycemia. This is why the correct answer is hyperglycemia. Choices B, C, and D are incorrect as they do not align with the physiological effects of GIP.

Correct Answer: C

Rationale: The correct answer is C because if the oesophageal muscles are not working, dysphagia to solids and liquids would occur. This is because the muscles are responsible for peristalsis, which is the wave-like contractions that push food down the esophagus. Choice A is incorrect because gravity alone cannot compensate for muscle dysfunction. Choice B is incorrect as water swallowing also requires proper muscle function. Choice D is incorrect as vomiting is not directly related to oesophageal muscle dysfunction.

Correct Answer: B

Rationale: The correct answer is B because a filling defect on a barium examination indicates that something is protruding into the lumen, displacing the barium. This means there is an abnormality or mass present that prevents the barium from flowing uniformly. Choice A is incorrect because a filling defect does not necessarily indicate local dilation or outpouching. Choice C is incorrect because it combines both A and B, which is not always the case. Choice D is incorrect as there is indeed something causing the barium to be displaced in the lumen.

Correct Answer: C

Rationale: The correct answer is C: small intestine. Primary carcinoma is least common in the small intestine due to its relatively lower exposure to carcinogens and slower cellular turnover compared to other segments like the colon. The esophagus is prone to carcinoma due to chronic irritation from acid reflux. The stomach is susceptible due to factors like Helicobacter pylori infection and dietary habits. The colon is at higher risk due to frequent exposure to fecal carcinogens. In summary, the small intestine has the least incidence of primary carcinoma due to lower exposure to risk factors.