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Retired NBME 21 Answers

nbme21/Block 4/Question#28 (reveal difficulty score)
A 56-year-old man undergoes surgical ...
Release of cholecystokinin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—madojo(212)
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  • CholecystokinIn is secreted from the I cells of the duodenum and jejunum.
  • Gastrin is released from the G cells of the antrum of the stomach.
  • IF is secreted by the stomach and absorbed in the terminal ileum with B12.
  • Pepsin is secreted from the chief cells of the stomach and plays a role in protein digestion.
  • Secretion of VIP increases intestinal water and electrolyte secretion by acting on the parasympathetic ganglia
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nobody  PAGE 365 FA 2019 +2
mumenrider4ever  FA 2020 pg. 371 +
ali_hassan  pg. 365 2018 +



 -4  upvote downvote
submitted by โˆ—hayayah(1212)
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Although half these hormones can actually also be secreted from the duodenum, the duodenum is associated the most with CCK release.

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didelphus  Gastrin, intrinsic factor, and pepsin are secreted by the stomach. VIP is synthesized in neurons, so CCK (from I cells of duodenum) would be most directly affected by a duodenectomy. +25
teepot123  fa 19 pg 365 +



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