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Anatomy: Digestive system – page 2

38 Anatomy MCQs on Digestive system with answers and explanations.

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Q21MediumDigestive system

The myenteric (Auerbach) plexus, which controls gut peristalsis, lies within which layer?

Answer: C. Between muscle layers of the muscularis externa

The myenteric plexus lies between circular and longitudinal muscle layers. The submucosal (Meissner) plexus is in the submucosa and controls secretion.

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Q22MediumDigestive system

At what vertebral level does the oesophagus pass through the diaphragm?

Answer: B. T10

The oesophageal hiatus is at T10. The inferior vena cava passes at T8 and the aorta at T12.

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Q23MediumDigestive system

The adult anal canal is approximately how long?

Answer: D. About 4 cm

The anal canal is about 3.8–4 cm long, running from the anorectal junction to the anus; the rectum above is about 12 cm.

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Q24MediumDigestive system

The caecum, ascending colon and most of the transverse colon are supplied by which artery?

Answer: C. Superior mesenteric artery

The superior mesenteric artery supplies midgut derivatives up to the distal third of the transverse colon; the inferior mesenteric supplies the hindgut.

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Q25MediumDigestive system

The caecum receives blood through the ileocolic branch of which artery?

Answer: C. Superior mesenteric artery

The ileocolic artery, a branch of the superior mesenteric, supplies the caecum and appendix. Rectal arteries supply the rectum and anal canal.

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Q26MediumDigestive system

Voluntary control of the external anal sphincter is provided by which nerve?

Answer: A. Pudendal nerve

The pudendal nerve (S2–S4), via its inferior rectal branch, supplies the external anal sphincter and perineal skin.

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Q27MediumDigestive system

Which statement about the stomach is correct?

Answer: C. The lesser omentum attaches to its lesser curvature

The lesser omentum links the lesser curvature to the liver; the greater omentum hangs from the greater curvature. The stomach lies mainly in the left upper quadrant.

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Q28MediumDigestive system

Most ingested and secreted water is reabsorbed in the:

Answer: D. Small intestine

About 80–90% of water entering the gut is absorbed in the small intestine; the colon absorbs most of the remainder.

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Q29MediumDigestive system

About three-quarters of the blood entering the liver arrives through which vessel?

Answer: C. Hepatic portal vein

The portal vein delivers about 75% of hepatic inflow (nutrient-rich); the hepatic artery supplies about 25%, carrying most of the oxygen. Hepatic veins drain the liver.

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Q30MediumDigestive system

The artery supplying the gallbladder usually arises from the right hepatic artery. What is it called?

Answer: D. Cystic artery

The cystic artery normally branches from the right hepatic artery. The left gastric and splenic arteries arise from the coeliac trunk.

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Q31MediumDigestive system

The abdominal aorta forms part of the stomach bed. To which surface of the stomach is it related?

Answer: A. Posterior surface

The stomach bed, behind the posterior surface, includes the pancreas, left kidney, spleen and aorta.

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Q32MediumDigestive system

Which structures pass through the porta hepatis?

Answer: B. Portal vein, hepatic artery and hepatic ducts

The porta hepatis transmits the portal vein, hepatic artery proper branches and hepatic ducts, plus nerves and lymphatics. Hepatic veins leave posteriorly.

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Q33MediumDigestive system

Which type of lingual papilla, the most numerous on the tongue, carries NO taste buds?

Answer: D. Filiform papillae

Filiform papillae are mechanical and lack taste buds. Circumvallate, fungiform and foliate papillae carry taste buds, which also occur on the soft palate, pharynx and epiglottis.

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Q34MediumDigestive system

Which tissue covering the tooth root gives attachment to periodontal ligament fibres, anchoring the tooth in its socket?

Answer: D. Cementum

Cementum coats the root and holds the periodontal ligament fibres that tie the tooth to the alveolar bone. Enamel covers the crown; dentine and pulp form the tooth's interior.

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Q35MediumDigestive system

Saliva entering the mouth through a duct opposite the upper second molar comes from which gland?

Answer: D. Parotid gland

The parotid (Stensen's) duct opens on the buccal mucosa opposite the upper second molar. Submandibular ducts open beside the lingual frenulum, and sublingual glands open along the floor of the mouth.

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Q36MediumDigestive system

Which segment of the intestine is the longest?

Answer: D. Ileum

The ileum forms about the distal three-fifths of the small intestine (roughly 3 m or more). The jejunum is shorter, the duodenum only about 25 cm, and the large intestine about 1.5 m.

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Q37MediumDigestive system

The cystic vein drains blood from which organ?

Answer: B. Gallbladder

Cystic veins from the gallbladder drain into the portal vein or directly into the liver. 'Cystic' here refers to the gallbladder, not the urinary bladder.

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Q38MediumDigestive system

Which muscular valve controls the flow of bile and pancreatic juice into the duodenum?

Answer: D. Sphincter of Oddi

The sphincter of Oddi surrounds the ampulla of Vater and regulates bile flow; Wirsung is the main pancreatic duct.

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