Obstruction of the hepatopancreatic sphincter impairs digestion by reducing the availability ofa. bile and HCl,b. HCl and intestinal juice,c. pancreatic juice and intestinal juice,d. pancreatic juice and bile.

Mr. Williams presents to your clinic with a complaint of abdominal pain in the right upper quadrant. He says that the pain worsens when he eats, particularly when he eats fatty meals. He has noticed that his stool has been an unusual clay color recently. You perform an ultrasound of his abdomen and find that gallstones are blocking his common bile duct, preventing bile from entering the duodenum.

c. Explain why his feces have become a clay color instead of a normal brown color.

Which of the following statements about bile is true?

The primary hormone that triggers the secretion of pancreatic juice and bile is:

a. gastric inhibitory peptide.

b. cholecystokinin.

c. motilin.

d. somatostatin.

Mr. Williams presents to your clinic with a complaint of abdominal pain in the right upper quadrant. He says that the pain worsens when he eats, particularly when he eats fatty meals. He has noticed that his stool has been an unusual clay color recently. You perform an ultrasound of his abdomen and find that gallstones are blocking his common bile duct, preventing bile from entering the duodenum.

a. Why are his symptoms worse when he consumes a high-fat meal? Would you expect his symptoms to worsen or lessen when he consumes a meal consisting only of carbohydrates? Explain.