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Digestion and Absorption — Practice Questions with Answers

30 free MCQs on Digestion and Absorption with worked answers and explanations. The digestive tract, digestive enzymes, hormonal control of digestion, and liver function. High NEET weightage.

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Below are 30 practice questions on Digestion and Absorption, sorted Easy → Hard. Tap “Show answer & explanation” under any question to check yourself. Want the full theory first? Read the Digestion and Absorption notes.

Labeled diagram of the human digestive system showing mouth, esophagus, stomach, liver, pancreas, small intestine, and large intestine

The human digestive system. Image: LadyofHats (Mariana Ruiz), Public Domain, via Wikimedia Commons.

Easy — 10 questions

Q1.

Which enzyme begins protein digestion in the stomach?

  • A Amylase
  • B Pepsin
  • C Lipase
  • D Trypsin
Show answer & explanation

Answer: B. Pepsin

Why: Pepsin is the main protein-digesting enzyme in the stomach. It is activated from pepsinogen by HCl.

Q2.

The main site of digestion and absorption is the:

  • A Stomach
  • B Large intestine
  • C Small intestine
  • D Liver
Show answer & explanation

Answer: C. Small intestine

Why: Most chemical digestion and nutrient absorption occurs in the small intestine (duodenum, jejunum, ileum) via villi.

Q3.

Bile is produced by the _____ and stored in the _____:

  • A Pancreas, liver
  • B Liver, gall bladder
  • C Stomach, liver
  • D Gall bladder, pancreas
Show answer & explanation

Answer: B. Liver, gall bladder

Why: Bile is produced by the liver and stored in the gall bladder. It emulsifies (breaks up) fat droplets for digestion.

Q4.

The enzyme salivary amylase digests:

  • A Proteins, broken down later in the stomach
  • B Fats, emulsified later by bile in the intestine
  • C Starch (carbohydrates)
  • D DNA, broken down by nucleases in the intestine
Show answer & explanation

Answer: C. Starch (carbohydrates)

Why: Salivary amylase in saliva begins digestion of starch (polysaccharide) in the mouth, breaking it into maltose.

Q5.

The wave-like muscular contractions that move food along the alimentary canal are called:

  • A Deglutition
  • B Egestion
  • C Peristalsis
  • D Emulsification
Show answer & explanation

Answer: C. Peristalsis

Why: Peristalsis refers to the rhythmic contraction and relaxation of muscles in the gut wall that pushes food forward through the digestive tract.

Q6.

Pepsinogen, the inactive precursor of pepsin, is secreted by cells of the:

  • A Liver
  • B Salivary glands
  • C Pancreas
  • D Gastric glands
Show answer & explanation

Answer: D. Gastric glands

Why: Peptic (chief) cells of gastric glands secrete pepsinogen, which is converted to active pepsin by hydrochloric acid in the stomach.

Q7.

The pancreas releases digestive enzymes into the small intestine through the:

  • A Pancreatic duct
  • B Bile duct alone
  • C Cystic duct
  • D Hepatic duct
Show answer & explanation

Answer: A. Pancreatic duct

Why: Pancreatic juice, containing enzymes like trypsin, amylase and lipase, reaches the duodenum through the pancreatic duct.

Q8.

Finger-like projections that increase the surface area of the small intestine for absorption are called:

  • A Villi
  • B Crypts
  • C Cilia
  • D Rugae
Show answer & explanation

Answer: A. Villi

Why: Villi are tiny finger-like projections of the intestinal lining that greatly increase surface area for the absorption of digested nutrients.

Q9.

The undigested and unabsorbed remains of food are eliminated from the body through a process called:

  • A Assimilation
  • B Deglutition
  • C Egestion
  • D Ingestion
Show answer & explanation

Answer: C. Egestion

Why: Egestion is the elimination of undigested, unabsorbed food residue as faeces through the anus.

Q10.

Bile, though it contains no digestive enzymes, helps in fat digestion mainly by:

  • A Converting absorbed dietary fats into glucose units
  • B Neutralising stomach acid before it enters the duodenum
  • C Breaking fat molecules directly into fatty acids and glycerol
  • D Emulsifying fat globules to raise the surface area for lipase
Show answer & explanation

Answer: D. Emulsifying fat globules to raise the surface area for lipase

Why: Bile salts emulsify large fat globules into smaller droplets, increasing the surface area available for pancreatic lipase to act upon.

Medium — 10 questions

Q11.

Peristalsis is the movement of:

  • A Blood pumped through arteries by cardiac muscle contraction
  • B Food through the digestive tract by rhythmic muscle contractions
  • C Air drawn through bronchi by diaphragm contraction
  • D Lymph propelled through vessels by one-way valves
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Answer: B. Food through the digestive tract by rhythmic muscle contractions

Why: Peristalsis: coordinated, rhythmic smooth muscle contractions that propel food through the gastrointestinal tract.

Q12.

The portal vein carries blood from:

  • A Heart to liver via the hepatic artery branch
  • B Intestines (nutrient-rich blood) to liver for processing
  • C Liver to heart through the hepatic vein
  • D Kidneys to heart via the renal vein and vena cava
Show answer & explanation

Answer: B. Intestines (nutrient-rich blood) to liver for processing

Why: Hepatic portal vein: carries nutrient-rich blood from digestive organs (stomach, intestines) directly to the liver for metabolism.

Q13.

Conjugation of bilirubin in the liver involves:

  • A Deamination of bilirubin's amino groups to form urea for excretion
  • B Attachment to glucuronic acid for water-solubility and bile excretion
  • C Esterification of bilirubin with fatty acids for adipose storage
  • D Direct packaging of unconjugated bilirubin into bile salts
Show answer & explanation

Answer: B. Attachment to glucuronic acid for water-solubility and bile excretion

Why: Bilirubin (from RBC breakdown) is conjugated with glucuronic acid in liver (becoming water-soluble), excreted in bile, and gives feces brown color.

Q14.

Secretin hormone from the duodenum stimulates the pancreas to:

  • A Release zymogen-rich enzyme juice to digest proteins and fats
  • B Secrete bicarbonate juice to neutralize stomach acid
  • C Produce more insulin from pancreatic beta cells
  • D Increase peristaltic contractions along the duodenal wall
Show answer & explanation

Answer: B. Secrete bicarbonate juice to neutralize stomach acid

Why: Secretin: released by S cells in duodenum when acid enters. Stimulates pancreas to secrete bicarbonate (NaHCO3) to neutralize HCl.

Q15.

The main role of the large intestine is:

  • A Protein digestion via pancreatic and intestinal enzymes
  • B Lipid absorption through intestinal villi
  • C Water and electrolyte reabsorption
  • D Mainly vitamin synthesis by resident gut bacteria
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Answer: C. Water and electrolyte reabsorption

Why: The large intestine (colon) primarily reabsorbs water and electrolytes from indigestible food, forming feces. Gut bacteria also produce some vitamins.

Q16.

Salivary amylase begins the digestion of starch in the mouth, breaking it down into:

  • A Glucose mainly in most observed cases
  • B Maltose and smaller polysaccharides
  • C Amino acids and peptides under typical physiological conditions
  • D Fatty acids and glycerol according to standard texts
Show answer & explanation

Answer: B. Maltose and smaller polysaccharides

Why: Salivary amylase hydrolyzes starch into smaller polysaccharides and maltose, though this digestion is incomplete since the enzyme is inactivated by stomach acid.

Q17.

Which accessory organ of digestion produces bile, which is then stored and concentrated in the gall bladder?

  • A Spleen
  • B Pancreas
  • C Salivary glands
  • D Liver
Show answer & explanation

Answer: D. Liver

Why: The liver continuously produces bile, which is stored and concentrated in the gall bladder until needed for fat digestion in the duodenum.

Q18.

In the stomach, pepsin acts optimally in a highly acidic environment maintained mainly by secretions from:

  • A Mucous neck cells, which secrete pepsinogen
  • B Parietal cells, which secrete hydrochloric acid
  • C Goblet cells, which secrete bicarbonate
  • D Chief cells, which secrete only mucus
Show answer & explanation

Answer: B. Parietal cells, which secrete hydrochloric acid

Why: Parietal cells of the gastric glands secrete hydrochloric acid, creating the highly acidic environment in which pepsin can act effectively on proteins.

Q19.

Villi and microvilli in the small intestine primarily function to:

  • A Secrete digestive enzymes directly into the gut lumen in general clinical practice
  • B Propel the food bolus forward through peristalsis as frequently documented
  • C Increase the surface area available for absorption of digested food
  • D Store fat reserves within the intestinal wall in most reference accounts
Show answer & explanation

Answer: C. Increase the surface area available for absorption of digested food

Why: Villi (finger-like projections) and microvilli (on individual epithelial cells) greatly increase the surface area of the small intestine, enhancing absorption of digested nutrients.

Q20.

Following protein digestion, the resulting amino acids are mainly absorbed into the:

  • A Lymphatic vessels of the large intestine
  • B Lacteals within the intestinal villi
  • C Blood capillaries within the intestinal villi
  • D Bile duct leading to the gall bladder
Show answer & explanation

Answer: C. Blood capillaries within the intestinal villi

Why: Amino acids, being water-soluble, are absorbed into the blood capillaries of the villi and transported via the hepatic portal vein to the liver, unlike fats, which are absorbed into lacteals.

Hard — 10 questions

Q21.

Cholecystokinin (CCK) is released from I-cells of duodenum in response to:

  • A Carbohydrate digestion products alone, triggering salivary amylase secretion reflexively each time
  • B Fat and protein in duodenum; it stimulates pancreatic enzyme secretion and gall bladder contraction
  • C Mechanical distension from water intake alone, activating duodenal stretch receptors directly
  • D Glucose concentration sensed mainly by enteroendocrine K-cells located nearby in the gut
Show answer & explanation

Answer: B. Fat and protein in duodenum; it stimulates pancreatic enzyme secretion and gall bladder contraction

Why: CCK: released by duodenal I-cells when fat and protein enter. Stimulates pancreatic acinar cells (enzymes: lipase, protease), gall bladder contraction, and hepatic bile secretion.

Q22.

The hepatic first-pass effect refers to:

  • A The liver filtering nitrogenous waste products out of the blood before that blood ever reaches the kidneys for excretion
  • B Orally ingested drugs being metabolized by the gut wall and liver before reaching systemic circulation, reducing bioavailability
  • C Gradual drug accumulation occurring within hepatocytes specifically caused by an unusually slow rate of biliary clearance
  • D Hepatic synthesis of various plasma proteins that happen to structurally resemble certain pharmaceutical drug compounds
Show answer & explanation

Answer: B. Orally ingested drugs being metabolized by the gut wall and liver before reaching systemic circulation, reducing bioavailability

Why: First-pass metabolism: drugs absorbed from intestine enter portal circulation, passing through liver before reaching systemic circulation. Liver enzymes (CYP450) metabolize the drug, often significantly reducing bioavailability.

Q23.

Trypsinogen secreted by the pancreas is activated to trypsin in the duodenum by:

  • A Pepsin carried over from the stomach into the duodenum
  • B Hydrochloric acid secreted by gastric parietal cells
  • C Enterokinase, an enzyme produced by the intestinal mucosa
  • D Bile salts released from the gall bladder
Show answer & explanation

Answer: C. Enterokinase, an enzyme produced by the intestinal mucosa

Why: Enterokinase, secreted by the duodenal mucosa, cleaves trypsinogen into active trypsin, which then activates other pancreatic zymogens in a cascade.

Q24.

Bile salts aid fat digestion mainly by:

  • A Neutralizing the acidity of fats entering the duodenum under typical physiological conditions
  • B Emulsifying large fat globules into smaller droplets, increasing surface area for lipase action
  • C Activating pepsinogen in the stomach before fats reach the duodenum in most observed cases
  • D Directly hydrolyzing triglycerides into fatty acids and glycerol under most conditions studied
Show answer & explanation

Answer: B. Emulsifying large fat globules into smaller droplets, increasing surface area for lipase action

Why: Bile salts emulsify fats, breaking large globules into smaller droplets and increasing the surface area available for pancreatic lipase to act on.

Q25.

Most digested monosaccharides and amino acids are absorbed from the small intestine into the blood by:

  • A Passive diffusion driven purely by their concentration gradient
  • B Bulk endocytosis of luminal fluid by enterocytes
  • C Active, energy-dependent transport across the intestinal epithelium
  • D Direct transport through intercellular gaps between enterocytes
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Answer: C. Active, energy-dependent transport across the intestinal epithelium

Why: Glucose and amino acids are largely absorbed by active transport (often coupled to sodium ion gradients) across the intestinal mucosa, allowing absorption even against a concentration gradient.

Q26.

Gastrin secreted by G-cells of the stomach mucosa primarily stimulates:

  • A Bicarbonate-rich pancreatic juice secretion
  • B Contraction of the gall bladder to release bile
  • C Secretion of HCl and pepsinogen by gastric glands
  • D Relaxation of the lower esophageal sphincter
Show answer & explanation

Answer: C. Secretion of HCl and pepsinogen by gastric glands

Why: Gastrin stimulates gastric glands to secrete HCl and pepsinogen, and also promotes gastric motility, aiding protein digestion in the stomach.

Q27.

Why is pepsinogen secreted as an inactive zymogen rather than as active pepsin?

  • A It ensures pepsin is mainly activated once it reaches the duodenum, away from the stomach in general clinical practice
  • B It prevents the enzyme from digesting the stomach's own protein-rich gastric lining before reaching the lumen
  • C It allows pepsinogen to also act as a hormone signalling acid secretion as frequently documented in most reference accounts
  • D It allows pepsinogen to function optimally at the neutral pH found inside chief cells according to standard texts
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Answer: B. It prevents the enzyme from digesting the stomach's own protein-rich gastric lining before reaching the lumen

Why: Secreting pepsin as inactive pepsinogen protects the stomach's own epithelial lining from autodigestion; HCl converts pepsinogen to active pepsin only within the gastric lumen.

Q28.

Vitamin B12 absorption in the ileum specifically requires:

  • A Direct transport coupled to sodium-glucose cotransporters
  • B Conjugation with bile salts in the duodenum
  • C Binding to intrinsic factor secreted by gastric parietal cells
  • D Hydrolysis by pancreatic amylase before uptake
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Answer: C. Binding to intrinsic factor secreted by gastric parietal cells

Why: Vitamin B12 must bind intrinsic factor, secreted by gastric parietal cells, to form a complex that is recognized and absorbed by specific receptors in the ileum.

Q29.

Chyme entering the duodenum from the stomach is strongly acidic. Its pH is raised mainly by:

  • A Mucus secreted by Brunner's glands alone
  • B Bile pigments released from the liver
  • C Reabsorption of acid by the duodenal epithelium
  • D Bicarbonate ions secreted in pancreatic juice
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Answer: D. Bicarbonate ions secreted in pancreatic juice

Why: Pancreatic juice is rich in bicarbonate ions, which neutralize the acidic chyme as it enters the duodenum, creating a suitable pH for pancreatic enzyme activity.

Q30.

Lacteals present in the villi of the small intestine are primarily responsible for absorbing:

  • A Glucose and other monosaccharides
  • B Digested fats in the form of chylomicrons
  • C Water and electrolytes from the lumen
  • D Amino acids derived from protein digestion
Show answer & explanation

Answer: B. Digested fats in the form of chylomicrons

Why: Lacteals are lymphatic capillaries within intestinal villi that absorb chylomicrons (packaged triglycerides) formed after fat digestion, transporting them via lymph before they enter the blood.