(Source: http://www.siumed.edu/)
4. The muscular layer of blood vessels is
A. Cardiovascular System and Lymphatics called:
d. heart.
8. Endothelium is:
e. stomach.
a. simple squamous epithelial tissue.
b. stratified squamous epithelial tissue. 12. Which cell junction, located at intercalated
disks, is responsible for electrical
c. simple cuboidal epithelial tissue. communication between cardiac muscle
cells?
d. stratified cuboidal epithelial tissue.
a. macula adherens.
e. simple columnar epithelial tissue
b. zonula adherens.
b. thymus.
18. Purkinje fibers:
c. lymph nodes.
a. generate electrical impulses.
d. bone marrow.
b. conduct electrical impulses through
e. tonsils. the myocardium.
17. The sino-atrial (SA) node, the atrio- a. cardiac muscle fibers.
ventricular (AV) node, and the Purkinje
fibers of the myocardium all consist of b. hyaline cartilage.
specialized:
c. loose areolar connective tissue.
a. endothelial cells.
d. fibrocollagenous and fibroelastic
b. fibroblasts. connective tissue.
d. blood vessels within the walls of the 25. The junctions that are the basis for electrical
blood vessels. conduction from one cardiac muscle cell to
another are:
e. blood vessels of the endocardium.
a. desmosomes.
c. lymph vessels.
23. Which of the following features is a normal
component of epicardium but NOT of d. arterio-venous anastomoses.
endocardium?
e. venules.
a. adipocytes
d. spleen.
29. Fenestrated endothelium is found in:
e. lymph node.
a. endocrine organs.
e. basal cell.
7. Small sero-mucous glands may be found in
the mucosa of the:
4. The most numerous cell type in the
olfactory epithelium, whose nuclei are
a. nasal cavity. b. crypts of pharyngeal tonsils.
c. trachea. d. trachea.
d. bronchi. e. alveoli.
8. In which of the following are goblet cells a. cuboidal cells that secrete
most frequent? surfactant.
b. mesothelium.
15. Non-ciliated cuboidal cells in bronchiole
epithelium that are thought to be involved c. pseudostratified columnar
in absorption or secretion are called: epithelium.
c. goblet cells.
19. C-shaped rings that form the framework of
d. basal cells. the trachea and help keep it open are
composed of:
e. Type I cells.
a. fibro-elastic tissue.
b. bronchus
c. larynx 4. Lamina propria typically differs from ordinary
loose connective tissue by including:
d. bronchiole a. abundant adipose tissue.
b. mucous glands.
e. none of the above c. numerous white blood cells.
d. serous glands.
e. densely interwoven collagen fibers.
64. In which region(s) of the GI tract are there 69. The submandibular and sublingual glands are:
tubular mucous glands in the mucosa? a. serous glands, secreting a watery solution of
a. upper esophagus enzymes and immunoglobulins but not mucus.
b. cardiac and pyloric stomach b. mucous glands, secreting mucus but not
c. duodenum digestive enzymes.
d. ileum c. mixed glands, producing both serous and
e. appendix mucous secretions.
65. In which region of the GI tract is the 70. Minor salivary glands are mixed, secreting
longitudinal muscle of the muscularis arranged into mainly mucus but also some serous product. Minor
distinct longitudinal bundles (taenia)? salivary glands are found:
a. stomach a. in the cheeks (buccal glands).
b. duodenum b. in the lips (labial glands).
c. jejunum c. in the soft palate (palatine glands).
d. ileum d. in the tongue (lingual glands).
e. colon e. all of the above.
IV. Glands associated with the GI tract. 71. Tissue from which of the following is often
poorly preserved in autopsy specimens, because it
66. Glandular ducts are typically lined by which self-destructs soon after death due to post-mortem
type of epithelium? release of its stored secretory product of
a. simple squamous epithelium proteolytic enzymes?
b. stratified squamous, keratinized epithelium a. submaxillary and sublingual glands
c. stratified squamous, non-keratinized b. esophageal glands
epithelium c. duodenal (Brunner’s) glands
d. simple cuboidal, simple columnar, or d. parotid glands.
stratified cuboidal epithelium e. pancreas
e. any of the above
72. The parotid gland and the pancreas are both
67. Ducts may be distinguished from secretory compound acinar glands, served by a branching
tissue because cells lining ducts: duct system. Morphological differences between
a. form a stratified epithelium. parotid and pancreas include which of the
following? a. esophageal glands.
a. Islets of endocrine tissue occur in the b. cardiac glands.
pancreas but not the parotid. c. fundic glands.
b. Adipocytes are scattered commonly through d. pyloric glands.
the stroma of the parotid but not that of the e. duodenal (Brunner’s) glands.
pancreas.
c. Centroacinar cells (initial duct cells appearing 79. Which of the following lacks clearly
within acini) occur in most pancreatic acini but not differentiated ducts (i.e., consists almost entirely of
those of parotid. secretory cells)?
d. all of the above. a. minor salivary glands
b. parotid gland
73. Esophageal glands are located: c. esophageal glands
a. in the mucosa. d. gastric glands
b. in the submucosa. e. pancreas
c. in the serosa.
d. in the adventitia. 80. Which of the following glands is primarily a
e. deep to the wall of the esophagus proper. protected site for mitotic activity rather than a
tissue specialized for secretion?
74. Gastric glands are located: a. parotid salivary glands.
a. in the mucosa of the stomach. b. esophageal glands.
b. in the submucosa of the stomach. c. gastric (fundic) glands.
c. in the serosa of the stomach. d. duodenal (Brunner’s) glands.
d. deep to the stomach wall proper. e. intestinal crypts (of Lieberkuhn).
e. more than one of the above.
81. Which of the dimensions is about 1-2
75. Duodenal (Brunner’s) glands are located: millimeters? (Think about actual sizes as you can
a. in the mucosa of the duodenum. see them in gross lab and with your unaided eye on
b. in the submucosa of the duodenum. microscope slides, and also the sizes of familiar
c. in the adventitia of the posterior duodenal cells like the RBC. Remember, having a reasonable
wall. intuition about size can help you notice many
d. deep to the wall of the duodenum. significant departures from normal or expected
e. more than one of the above. structure.)
a. The thickness of the stomach wall (all layers).
76. The pancreas is located: b. The thickness of the gastric mucosa.
a. in the mucosa of the small intestine. c. The height of the stomach’s surface epithelial
b. in the submucosa of the small intestine. cells.
c. in the serosa of the small intestine. d. The diameter of a parietal cell.
d. deep to the wall of the small intestine proper. e. The length of microvilli.
77. Intestinal crypts of Lieberkuhn are located: 82. The length of intestinal villi is about:
a. in the mucosa of the small intestine. a. 10-20 millimeters.
b. in the submucosa of the small intestine. b. 0.5-1.0 millimeters.
c. in the serosa of the small intestine. c. 20-50 microns.
d. deep to the wall of the small intestine proper. d. 1-2 microns.
e. 50-100 nanometers.
e. more than one of the above.
83. The length of microvilli is about:
78. All of the following are primarily mucous- a. 10-20 millimeters.
secreting glands EXCEPT: b. 0.5-1.0 millimeters.
c. 20-50 microns. 88. Which of the following is characteristic of
d. 1-2 microns. serous (enzyme-secreting) cells?
e. 50-100 nanometers. a. polarized cytoplasm, with distinct apical and
basal regions
84. The principal secretory product for cells of b. extensive rough endoplasmic reticulum in
Brunner’s (duodenal) glands is: basal cytoplasm
a. acid mucus. c. supranuclear Golgi apparatus
b. alkaline mucus. d. zymogen vesicles occupying apical cytoplasm
c. proteolytic and other digestive enzymes. e. all of the above
d. lysosomal enzymes.
e. any one of several duodenal hormones. 89. In H&E stained tissue sections, the basal
cytoplasm in enzyme-secreting (serous) cells
typically appears:
a. red or pink.
b. blue or purple.
c. yellow or brown.
V. Specialized cell types of GI tract d. black.
e. clear or only weakly stained.
85. Which of the following is characteristic of
mucus-secreting cells? 90. Contractile epithelial cells which, under
a. polarized cytoplasm, with distinct apical and autonomic neural control, help expel product from
basal regions glandular acini and ducts are called:
b. rough endoplasmic reticulum in basal a. myoepithelial cells.
cytoplasm b. mucous cells.
c. supranuclear Golgi apparatus c. interlobular duct cells.
d. large, mucus-containing vesicles occupying d. intralobular duct cells.
apical cytoplasm e. enteroendocrine cells.
e. all of the above
91. The epithelial cells lining striated intralobular
86. Which the following stains is used to ducts:
demonstrate mucus (as well as basement a. are usually simple cuboidal or columnar cells.
membranes and glycogen)? b. have relatively eosinophilic cytoplasm
a. hematoxylin containing numerous mitochondria.
b. eosin c. have basal cell membranes extensively folded
c. periodic acid Schiff (PAS) to increase the surface that contains active ion
d. Golgi silver pump molecules.
e. Mucus can only be stained d. are specialized for concentrating secretory
immunohistochemically. products in the duct lumen.
e. All of the above.
87. In H&E stained tissue sections, the mucus-
containing secretory vesicles in mucous cells 92. Cells which secrete HCl into the stomach are
typically appear: called:
a. red or pink. a. goblet cells.
b. blue or purple. b. chief (zymogenic) cells.
c. yellow or brown. c. parietal (oxyntic) cells.
d. black. d. enterocytes.
e. clear or only weakly stained. e. Paneth cells.
93. Cells which secrete pepsinogen into the 98. Which of the following cells is most directly
stomach are called: responsible for protecting the stomach mucosa
a. goblet cells. from attack by acid and proteolytic enzymes?
b. chief (zymogenic) cells. a. gastric chief cells
c. parietal (oxyntic) cells. b. gastric parietal cells
d. Kupffer cells. c. enteroendocrine cells
e. Paneth cells. d. Paneth cells
e. gastric surface mucous cells
94. Enteroendocrine cells, an inconspicuous but
important epithelial cell type, occur: 99. Which of the following cell types is
a. only in the stomach (especially its pyloric characterized by extensive basal rough endoplasmic
region). reticulum, a supranuclear Golgi apparatus and
b. only in the small intestine. apical zymogen vesicles?
c. only in the colon. a. pancreatic acinar cell
d. only in the gall bladder. b. Brunner’s gland cell
e. mainly in the stomach (especially its pyloric c. intestinal goblet cell
region) and in the small intestine, but also d. intestinal absorptive cell (enterocyte)
elsewhere along the GI tract (and also along e. centroacinar cell
respiratory passages).
100. The principal function for intestinal goblet cells
95. Which of the following cell types is is:
characterized by a large nucleus (sometimes two a. secreting digestive enzyme.
nuclei) surrounded by prominent eosinophilic b. secreting one of several various hormones.
cytoplasm containing very many mitochondria and c. secreting mucus.
an intracellular canaliculus? d. absorbing nutrients.
a. gastric chief cells e. mitotic activity for continuing replacement of
b. gastric parietal cells surface epithelium.
c. enteroendocrine cells
d. Paneth cells 101. The principal function for most surface
e. Kupffer cells epithelial cells in the small intestine (enterocytes)
is:
96. Which of the following cell types is a. secreting digestive enzyme.
characterized by secretory vesicles concentrated in b. secreting one of several various hormones.
basal cytoplasm, near the basement membrane? c. secreting mucus.
a. gastric chief cells d. absorbing nutrients.
b. gastric parietal cells e. mitotic activity for continuing replacement of
c. enteroendocrine cells surface epithelium.
d. Paneth cells
e. gastric surface mucous cells 102. The principal function for intestinal
enteroendocrine cells is:
97. Which of the following cell types is a. secreting digestive enzyme.
characterized by extensive basal rough endoplasmic b. secreting one of several various hormones.
reticulum, a supranuclear Golgi apparatus and c. secreting mucus.
apical zymogen vesicles? d. absorbing nutrients.
a. gastric chief cells e. mitotic activity for continuing replacement of
b. gastric parietal cells surface epithelium.
c. enteroendocrine cells
d. gastric surface mucous cells 103. The principal function for cells lining the sides
e. gastric mucous neck cells of intestinal crypts of Lieberkuhn is:
a. secreting digestive enzyme. 109. Undifferentiated, mitotically active epithelial
b. secreting one of several various hormones. cells which can replace or regenerate the epithelial
c. secreting mucus. lining of the stomach are located:
d. absorbing nutrients. a. among mucous cells of the gastric surface.
e. supplying replacement cells for epithelium of b. along the sides of gastric pits.
villi. c. in the lamina propria.
d. in the neck region of gastric glands.
104. The principal secretory product for the Paneth e. at the deep ends (bottoms) of gastric glands.
cells clustered at the ends of intestinal crypts is:
a. mucus. 110. Columnar cells which extend across the
b. pepsinogen. thickness of a stratified squamous epithelium, and
c. trypsinogen. which have apical microvilli and basal synaptic
d. any one of several intestinal hormones. vesicles associated with afferent nerve endings, are
e. lysosomal enzymes. characteristic of:
a. taste buds in the tongue.
105. The principal secretory product for the b. lingual and palatine tonsils.
epithelial cells forming pancreatic islets (of c. the upper third of the esophagus.
Langerhans) is: d. the lower third of the esophagus.
a. mucus. e. the anal canal.
b. pepsinogen.
c. trypsinogen. 111. Which of the following connective tissue cell
d. any one of several islet hormones. types is not typical of lamina propria?
e. lysosomal enzymes. a. lymphocyte
b. fibroblast
106. The principal secretory product for the c. macrophage
pancreatic acinar cells is: d. mast cell
a. acid mucus. e. adipocyte
b. alkaline mucus.
c. proteolytic and other digestive enzymes. 112. The mucosal surface of the stomach is
d. any one of several acinar hormones. protected from digestion by:
e. lysosomal enzymes. a. stratified squamous epithelial cells.
b. surface mucous cells.
107. The principal secretory product for cells of c. chief cells.
Brunner’s (duodenal) glands is: d. parietal cells.
a. acid mucus. e. alkaline secretions from Brunner’s glands.
b. alkaline mucus.
c. proteolytic and other digestive enzymes. 113. Absorptive epithelial cells of the small
d. any one of several acinar hormones. intestine (enterocytes) are characterized by:
e. lysosomal enzymes. a. apical brush border composed of microvilli.
b. a glycocalyx containing various digestive
108. Undifferentiated, mitotically active epithelial enzymes.
cells which can replace or regenerate the epithelial c. junctional complexes (terminal bars), which
lining of the small intestine are located: include tight junctions that separate apical from
a. at the tips of villi. lateral cell membranes.
b. along the entire villous surface. d. cytoplasm with a supranuclear Golgi
c. in the lamina propria. apparatus, many mitochondria, lysosomes, and
d. along the wall of intestinal crypts. extensive smooth and rough endoplasmic
e. at the ends (bottoms) of intestinal crypts. reticulum.
e. all of the above.
114. Goblet cells in the intestine differ from bulge on one side of the cell.
enterocytes by having: d. all of the above.
a. a more basally located nucleus.
b. fewer microvilli. 119. With H&E stain, many columnar epithelial cells
c. large vacuoles of mucus that stain poorly with display a weakly stained region in the cytoplasm
routine acidic and basic dyes (like H&E). above the nucleus. This pale supranuclear region
d. a shape which is narrow basally and broad represents the location of the:
apically. a. vesicles containing stored mucus.
e. all of the above. b. chylomicrons.
c. Golgi apparatus.
115. The basal basophilia of serous (enzyme- d. microvilli.
secreting) cells results from the presence in basal e. mitochondria.
cytoplasm of:
a. extensive rough endoplasmic reticulum. 120. The cytoplasm of gastric parietal cells stains
b. extensive smooth endoplasmic reticulum. pink with H&E because:
c. extensive Golgi apparatus. a. the cytoplasm is highly acidic.
d. many mitochondria. b. the cytoplasm is highly basic.
e. numerous folds of the plasma membrane. c. the secretory vesicles are highly acidic.
d. the numerous mitochondria, needed for the
116. Which of the following is not a distinguishing highly energetic H+/Cl- ion pump, are acidophilic.
characteristic of a parasympathetic neuron cell
body in a ganglion of Meissner’s or Auerbach’s 121. Intensely basophilic bodies in the epithelial
plexus? lining of intestinal crypts, usually located toward
a. relatively large diameter the apical end of the columnar cells, represent:
b. round, large, euchromatic nucleus a. mucus vesicles.
c. prominent, single nucleolus b. ribosomes.
d. cytoplasmic acidophilia c. chylomicrons.
e. location in submucosa or between circular d. lipofuscin granules.
and longitudinal layers of muscularis e. condensed chromatin of mitotic figures.
128. The vessel which brings oxygenated, arterial 134. Hepatic sinusoids are lined by:
blood from the heart into the liver, with branches in a. nothing; they are free spaces between
each portal area, is the: hepatic cords.
a. hepatic artery. b. stratified squamous epithelium.
b. portal vein. c. endothelium, like any other vascular channel.
d. simple cuboidal epithelium. 141. Kupffer cells are most similar to:
e. simple columnar epithelium. a. lymphocytes.
b. hepatocytes.
135. The endothelium lining hepatic sinusoids is: c. neutrophils.
a. continuous. d. macrophages.
b. fenestrated. e. bile canaliculi.
c. open-ended.
d. impermeable to large molecules. 142. Kupffer cells are found most commonly within
e. nonexistent. the:
a. gall bladder.
136. What fluid flows within hepatic sinusoids? b. portal canals.
a. bile c. hepatic sinusoids.
b. lymph d. central vein.
c. venous blood from intestine and spleen e. bile ducts.
d. arterial blood from hepatic artery
e. mixed arterial and venous blood 143. Hepatocyte function includes all of the
following EXCEPT:
137. Between liver sinusoidal endothelium and the a. drug detoxification.
basal surfaces of hepatocytes is the: b. protein synthesis.
a. bile canaliculus. c. gluconeogenesis.
b. space of Disse. d. urea formation by deamination of amino
c. sinusoidal lumen. acids.
d. portal canal. e. breakdown of hemoglobin.
e. central vein.
144. Macrophages in the spleen and Kupffer cells in
138. The basal surface of hepatocytes is bathed by the liver perform which of the following functions?
blood plasma as it flows freely through: a. drug detoxification
a. bile canaliculi. b. antibody secretion
b. portal canals. c. mass storage of glycogen
c. the space of Disse. d. exocrine secretion
d. the central veins. e. breakdown of hemoglobin
e. the portal veins.
145. Hepatocytes are:
139. Blood cells (both RBCs and leukocytes) are a. lymphoid tissue.
retained by the sinusoidal endothelium and do not b. epithelial tissue.
normally enter the: c. muscle tissue.
a. hepatic artery. d. adipose tissue.
b. lumen of hepatic sinusoids. e. nervous tissue.
c. space of Disse.
d. central veins. 146. The shape of hepatocytes is best described as:
e. portal veins. a. cuboidal.
b. columnar.
140. A tiny passage between adjacent hepatocytes, c. squamous.
lying entirely within a hepatic cord, is called a: d. fusiform.
a. bile canaliculus. e. stellate, with many branches.
b. space of Disse.
c. sinusoidal lumen. 147. Hepatocytes are characterized by:
d. portal canal. a. round nuclei (occasionally paired).
e. central vein. b. plentiful rough and smooth endoplasmic
reticulum. d. hepatocyte parenchyma.
c. many mitochondria. e. a sympathetic ganglion.
d. numerous lysosomes.
e. all of the above. 154. Like the small intestine, the gall bladder:
a. is lined by columnar cells with a brush border
148. In normal, H&E stained material, the of microvilli.
cytoplasm of hepatocytes appears: b. has goblet cells in the mucosal epithelium.
a. unstained. c. has crypts with Paneth cells at the bottom.
b. deep pink. d. has villi with lacteals in the core.
c. dark blue or purple. e. has a distinct muscularis mucosa, and is
d. yellow, brown or black. further surrounded by two distinct layers of circular
e. green or sky blue. and longitudinal muscle.
149. Endocrine secretory products of hepatocytes 155. Although the gall bladder lining superficially
include all of the following EXCEPT: resembles the mucosa of the small intestine, the
a. glucose (from glycogen). gall bladder lacks:
b. serum albumin. a. an epithelial lining.
c. prothrombin. b. columnar cells.
d. conjugated bilirubin and bile acids. c. microvilli.
e. fibrinogen. d. lamina propria.
e. a muscularis mucosa, crypts, villi, and goblet
150. Exocrine secretory products of hepatocytes cells.
include which of the following?
a. glucose (from glycogen)
b. serum albumin
c. prothrombin
d. conjugated bilirubin and bile acids
e. fibrinogen