00
Correct
00
Incorrect
00 : 00 : 00
Session Time
00 : 00
Average Question Time ( Secs)
  • Question 1 - Cholinergic vagal supply to the SA and AV nodes results in slowing of...

    Incorrect

    • Cholinergic vagal supply to the SA and AV nodes results in slowing of the heart rate via:

      Your Answer: M1 muscarinic receptors

      Correct Answer: M2 muscarinic receptors

      Explanation:

      M2 muscarinic receptors are the receptors for the parasympathetic system to the SA and the AV node.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      13.4
      Seconds
  • Question 2 - What percentage of the cardiac output is delivered to the brain? ...

    Incorrect

    • What percentage of the cardiac output is delivered to the brain?

      Your Answer: 35%

      Correct Answer: 15%

      Explanation:

      Among all body organs, the brain is most susceptible to ischaemia. Comprising of only 2.5% of total body weight, the brain receives 15% of the cardiac output. Oxygen extraction is also higher with venous oxygen levels approximating 13 vol%, and arteriovenous oxygen difference of 7 vol%.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      14.5
      Seconds
  • Question 3 - Wernicke’s area: ...

    Incorrect

    • Wernicke’s area:

      Your Answer: Is concerned with fine tuning detailed and coordinated patterns for vocalization

      Correct Answer: Is concerned with comprehension of auditory and visual information

      Explanation:

      Wernicke’s area is located in the categorical hemisphere or left hemisphere in about 95% of right handed individuals and 60% of left handed individuals. It is involved in the comprehension or understanding of written and spoken language. In contrast Broca’s area is involved in production of language.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      26.4
      Seconds
  • Question 4 - A 34-year-old woman was diagnosed with multiple sclerosis two years ago. Her symptoms...

    Incorrect

    • A 34-year-old woman was diagnosed with multiple sclerosis two years ago. Her symptoms have been steadily deteriorating, with no intervals of remission in sight. Which of the following aspects of nerve conduction is disrupted by multiple sclerosis?

      Your Answer: Sodium channel function

      Correct Answer: Saltatory conduction

      Explanation:

      Local currents propagate action potentials down the axons of neurons. This local current flow following depolarisation results in the depolarisation of the neighbouring axonal membrane, and when this region approaches the threshold, more action potentials are generated and so forth. Due to the refractory period, portions of the membrane that have recently depolarized will not depolarize again, resulting in the action potential only being able to go in one direction. The square root of axonal diameter determines the velocity of the action potential; the axons with the biggest diameter have the quickest conduction velocities. When a neuron is myelinated, the speed of the action potential rises as well. The myelin sheath is an insulating coating that surrounds certain neural axons. By increasing membrane resistance and decreasing membrane capacitance, the myelin sheath improves conduction. This enables faster electrical signal transmission via a neuron, making them more energy-efficient than non-myelinated neuronal axons. Electrical impulses are quickly transmitted from one node to the next, causing depolarization of the membrane above the threshold and triggering another action potential, which is then transmitted to the next node. An action potential is rapidly conducted down a neuron in this manner. Saltatory conduction is the term for this. Multiple sclerosis is an example of a clinical disorder in which the myelin sheath is affected. It is an immune-mediated disorder in which certain nerve cells in the brain and spinal cord become demyelinated. The ability of some areas of the nervous system to properly transmit action potentials is disrupted by demyelination, resulting in a variety of neurological symptoms and indications.

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      26.7
      Seconds
  • Question 5 - The complete oxidation of 1 molecule of glucose to CO2 and H20 produces...

    Incorrect

    • The complete oxidation of 1 molecule of glucose to CO2 and H20 produces a total of __ATP.

      Your Answer: 34

      Correct Answer: 38

      Explanation:

      Textbooks often state that 38 ATP molecules can be made per oxidised glucose molecule during cellular respiration (2 from glycolysis, 2 from the Krebs cycle, and about 34 from the electron transport system). However, this maximum yield is never quite reached because of losses due to leaky membranes as well as the cost of moving pyruvate and ADP into the mitochondrial matrix, and current estimates range around 29 to 30 ATP per glucose.

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      11.8
      Seconds
  • Question 6 - Vasodilatation in skeletal muscle can be caused by: ...

    Correct

    • Vasodilatation in skeletal muscle can be caused by:

      Your Answer: Sympathetic cholinergic nerves

      Explanation:

      In skeletal muscles some fibers that cause vasodilation run with the nerves of the sympathetic system but are cholinergic in nature. These nerves are not active during rest but become active during exercise and stress.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      6.4
      Seconds
  • Question 7 - The internodal tract of Bachman: ...

    Incorrect

    • The internodal tract of Bachman:

      Your Answer: Is also called intermodal tract of Thorel

      Correct Answer: Connects the SA node to the AV node

      Explanation:

      Internodal tract of Bachman connects the SA node to the AV node conducting the electrical impulses generated from the SA node to the AV node and from the AV node to the rest of the electrical complex of the heart.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      16
      Seconds
  • Question 8 - Which of the following pathology terms refers to programmed cell death? ...

    Incorrect

    • Which of the following pathology terms refers to programmed cell death?

      Your Answer: Atrophy

      Correct Answer: Apoptosis

      Explanation:

      Apoptosis is described as programmed cell death. The cell release certain proapoptotic mediators that regulate this cell death.

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      23.7
      Seconds
  • Question 9 - What landmark divides the frontal and parietal lobes? ...

    Incorrect

    • What landmark divides the frontal and parietal lobes?

      Your Answer: Lateral fissure

      Correct Answer: Central sulcus

      Explanation:

      The central sulcus divides the frontal lobe from the parietal lobe. It contains the motor cells for the movement function of the body.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      12.9
      Seconds
  • Question 10 - Which enzyme facilitates the function of pancreatic lipase by increasing exposure of its...

    Incorrect

    • Which enzyme facilitates the function of pancreatic lipase by increasing exposure of its active site?

      Your Answer: Lipoprotein lipase

      Correct Answer: Colipase

      Explanation:

      Colipase is a co enzyme that optimize the activity of lipase by facilitating the exposure of its active sites.

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      6.6
      Seconds
  • Question 11 - The intestine is lined by: ...

    Incorrect

    • The intestine is lined by:

      Your Answer: Simple squamous epithelium

      Correct Answer: Simple columnar epithelium

      Explanation:

      In the small intestine, epithelium is simple columnar and specialised for absorption. The epithelium is arranged into villi, creating a brush border and increasing the area for absorption. The epithelium is simple columnar with microvilli.In the colon, epithelium is simple columnar and without villi. Goblet cells, which secrete mucous, are also present.

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      23.3
      Seconds
  • Question 12 - With regards to the Na+/K+ ATPase, which one of the following is correct?...

    Incorrect

    • With regards to the Na+/K+ ATPase, which one of the following is correct?

      Your Answer: 2 Na+ released into the extracellular fluid

      Correct Answer: 3 Na+ released into the extracellular fluid

      Explanation:

      Na+/K+ pump or sodium–potassium pump is an enzyme found in the plasma membrane. This pumping is active (i.e. it uses energy from ATP) and is important for cell physiology. Its simple function is to pump 3 sodium ions out for every 2 potassium ions taken in and since they both have equal ionic charges, this creates a electrochemical gradient between a cell and its exterior.

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      21.1
      Seconds
  • Question 13 - Cardiac muscle and skeletal muscle are alike, but there are a few key...

    Correct

    • Cardiac muscle and skeletal muscle are alike, but there are a few key variations. Which of the following is NOT a characteristic of skeletal muscle but is a characteristic of cardiac muscle?

      Your Answer: The presence of intercalated discs

      Explanation:

      Cardiac muscle is striated, and the sarcomere is the contractile unit, similar to skeletal muscle. Contracture is mediated by the interaction of calcium, troponins, and myofilaments, much as it occurs in skeletal muscle. Cardiac muscle, on the other hand, differs from skeletal muscle in a number of ways. In contrast to skeletal muscle cells, cardiac myocytes have a nucleus in the middle of the cell and sometimes two nuclei. The cells are striated because the thick and thin filaments are arranged in an orderly fashion, although the arrangement is less well-organized than in skeletal muscle. Intercalated discs, which work similarly to the Z band in skeletal muscle in defining where one cardiac muscle cell joins the next, are a very significant component of cardiac muscle. Adherens junctions and desmosomes, which are specialized structures that hold the cardiac myocytes together, are formed by the transverse sections. The lateral sections produce gap junctions, which join the cytoplasm of two cells directly, allowing for rapid action potential conduction. These critical properties allow the heart to contract in a coordinated manner, allowing for more efficient blood pumping. Cardiac myocytes have the ability to create their own action potentials, which is referred to as myogenic’. They can depolarize spontaneously to initiate a cardiac action potential. Pacemaker cells, as well as the sino-atrial (SA) and atrioventricular (AV) nodes, control this. The Purkinje cells and the cells of the bundle of His are likewise capable of spontaneous depolarization. While the bundle of His is made up of specialized myocytes, it’s vital to remember that Purkinje cells are not myocytes and have distinct characteristics. They are larger than myocytes, with fewer filaments and more gap junctions than myocytes. They conduct action potentials more quickly, allowing the ventricles to contract synchronously. Cardiac myocytes contract by excitation-contraction coupling, just like skeletal myocytes. Heart myocytes, on the other hand, utilise a calcium-induced calcium release mechanism that is unique to cardiac muscle (CICR). The influx of calcium ions (Ca2+) into the cell causes a ‘calcium spark,’ which causes more ions to be released into the cytoplasm. An influx of sodium ions induces an initial depolarisation, much as it does in skeletal muscle; however, in cardiac muscle, the inflow of Ca2+ sustains the depolarisation, allowing it to remain longer. Due to potassium ion (K+) inflow, CICR causes a plateau phase in which the cells remain depolarized for a short time before repolarizing. Skeletal muscle, on the other hand, repolarizes almost instantly. Comparison of skeletal and cardiac muscle: Skeletal muscle Cardiac muscle Striation Striated but arrangement less organised Multiple nuclei located peripherally Usually single nucleus (but can be two), located centrally Discs None Intercalated discs No Gap junctions Gap junctions No Pacemaker Pacemaker Electrical stimulation: Nervous system (excitation) Pacemaker (excitation)

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      20.9
      Seconds
  • Question 14 - Which of the following is NOT true of the parasympathetic control of the...

    Incorrect

    • Which of the following is NOT true of the parasympathetic control of the heart?

      Your Answer: It decreases conduction velocity via the AV node

      Correct Answer: It can be blocked by beta blockers

      Explanation:

      Parasympathetic fibers do not innervate the Beta receptors on the heart. They are innervated by the sympathetic nerve fibers. Then a beta blocker such as propranolol will block the sympathetic outflow and increase the parasympathetic tone of the heart.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      29
      Seconds
  • Question 15 - The amount of a substance taken up by an organ (or whole body)...

    Correct

    • The amount of a substance taken up by an organ (or whole body) per unit time is equal to the arterial level minus the venous level times the blood flow.” This statement describes:

      Your Answer: The Fick principle

      Explanation:

      The essence of the Fick principle is that blood flow to an organ can be calculated using a marker substance if the following information is known:- Amount of marker substance taken up by the organ per unit time- Concentration of marker substance in arterial blood supplying the organ- Concentration of marker substance in venous blood leaving the organ

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      3.1
      Seconds
  • Question 16 - Endolymph in the inner ear is rich in: ...

    Incorrect

    • Endolymph in the inner ear is rich in:

      Your Answer: Na

      Correct Answer: K

      Explanation:

      Cochlear fluids namely endolymph and perilymph have different compositions. Perilymph is a typical extracellular fluid, with ionic composition comparable to plasma or cerebrospinal fluid. The main cation is sodium. Endolymph is a totally unique extracellular fluid, with an ion composition unlike that which is found anywhere else in the body. The major cation in the endolymph is potassium and there is virtually no sodium.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      17.8
      Seconds
  • Question 17 - Which of the following associations is false? ...

    Correct

    • Which of the following associations is false?

      Your Answer: Mandibular nerve – foramen lacerum

      Explanation:

      – The olfactory nerves pass through the cribriform plate- The maxillary division of the trigeminal nerve passes through the foramen rotundum- The facial nerve passes through the stylomastoid foramen- The mandibular division of the trigeminal nerve pass through the foramen ovale- The glossopharyngeal nerve passes through the jugular foramen.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      9.8
      Seconds
  • Question 18 - Which of the following normally has a slow depolarizing “prepotential”? ...

    Correct

    • Which of the following normally has a slow depolarizing “prepotential”?

      Your Answer: Sinoatrial node

      Explanation:

      There are 2 main types of action potentials (AP) in the heart, the slow response and the fast response:The slow response is initiated by the slow calcium-sodium channels, found in the SA node (which is the natural pacemaker of the heart) and the conduction fibers of the AV node.The fast response occurs in the atrial and ventricles muscle cells and the purkinje fibers.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      8.2
      Seconds
  • Question 19 - The length of DNA is generally measured in terms of the number of:...

    Incorrect

    • The length of DNA is generally measured in terms of the number of:

      Your Answer: Hydrogen bonds

      Correct Answer: Base pairs

      Explanation:

      As DNA is made up of nucleotides, its length is measured by the number of base pairs in the DNA molecules.

    • This question is part of the following fields:

      • Genetics
      • Physiology
      13.5
      Seconds
  • Question 20 - What is the function of Activated protein C? ...

    Incorrect

    • What is the function of Activated protein C?

      Your Answer:

      Correct Answer: Inactivates factor Va

      Explanation:

      Protein C, also known as autoprothrombin IIA and blood coagulation factor XIV, is a zymogen, the activated form of which plays an important role in regulating anticoagulation, inflammation, cell death, and maintaining the permeability of blood vessel walls in humans and other animals. Activated protein C (APC) performs these operations primarily by proteolytically inactivating proteins Factor Va and Factor VIIIa.

    • This question is part of the following fields:

      • Haematology
      • Physiology
      0
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Cardiovascular (1/6) 17%
Physiology (4/19) 21%
Neurology (1/4) 25%
Cell Biology (1/5) 20%
Gastrointestinal (0/2) 0%
Genetics (1/1) 100%
Haematology (0/1) 0%
Passmed