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  • Question 1 - Which of the following is NOT an effect of a positive inotropic agent...

    Correct

    • Which of the following is NOT an effect of a positive inotropic agent on the heart?

      Your Answer: It decreases the rate of rise in ventricular blood pressure during systole

      Explanation:

      Inotropic agents increase the contractility of the heart as well as the rate of rise in ventricular blood pressure during systole, generating a greater pressure and increasing the stroke volume e.g. like catecholamines do.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      24.4
      Seconds
  • Question 2 - Coronary arteries arise from? ...

    Incorrect

    • Coronary arteries arise from?

      Your Answer: Ascending aorta

      Correct Answer: None of the above

      Explanation:

      Coronary arteries arise from the sinuses behind 2 of the cusps of the aortic valve at the root of aorta.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      26.6
      Seconds
  • Question 3 - Which of the following is a product of D cells ...

    Incorrect

    • Which of the following is a product of D cells

      Your Answer: HCL

      Correct Answer: Somatostatin

      Explanation:

      Somatostatin is secreted by D cells, HCL and intrinsic factor secreted by parietal cells. Trefoil peptides are secreted by mucus secreting goblet cells and gastrin releasing peptide (grp) by post-ganglionic fibers of the vagus nerve (which innervate the G cells of the stomach).

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      48.8
      Seconds
  • Question 4 - Which cells produce the immunoglobulin proteins involved in mediating humoral immunity? ...

    Incorrect

    • Which cells produce the immunoglobulin proteins involved in mediating humoral immunity?

      Your Answer: Helper T cells

      Correct Answer: Differentiated forms of B lymphocytes known as plasma cells

      Explanation:

      After the B cells have been activated by a certain antigens, they transform into plasma cells. These plasma cells are responsible for the generation of antibodies (or immunoglobulins Ig) which are also known as regulators of humoral immunity. There are fives classes of Ig: IgA, IgG, IgM, IgE and IgD

    • This question is part of the following fields:

      • Immunology
      • Physiology
      46.4
      Seconds
  • Question 5 - Generalized vasoconstrictors include: ...

    Incorrect

    • Generalized vasoconstrictors include:

      Your Answer: Carbon monoxide, prostacyclin, catecholamines

      Correct Answer: Norepinephrine, endothelin, angiotensin ii

      Explanation:

      Vasopressin, angiotensin II, adrenaline and endothelin are generalized vasoconstrictors.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      37
      Seconds
  • Question 6 - What is the protective hexametric sequence at the ends of chromosomes called? ...

    Incorrect

    • What is the protective hexametric sequence at the ends of chromosomes called?

      Your Answer: Axon

      Correct Answer: Telomere

      Explanation:

      Telomeres are non coding DNA plus proteins that are found at the end of the linear chromosomes. They maintain the integrity of the chromosomes and prevent their shortening.

    • This question is part of the following fields:

      • Genetics
      • Physiology
      20.2
      Seconds
  • Question 7 - What is the function of basic electrical rhythm ...

    Correct

    • What is the function of basic electrical rhythm

      Your Answer: To coordinate peristalsis and other motor activity

      Explanation:

      The basal or basic electrical rhythm (BER) or electrical control activity (ECA) determines the frequency of the contractions in the gastrointestinal (GI) tract, thus acting to coordinate peristalsis.

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      18.8
      Seconds
  • Question 8 - The term cardiac output refers to the amount of blood pumped by the...

    Correct

    • The term cardiac output refers to the amount of blood pumped by the heart in one minute. The rate in women is around 5 L/min, whereas in men is somewhat higher, around 5.5 L/min. Which of the equations below best describes cardiac output?

      Your Answer: Stroke volume x heart rate

      Explanation:

      Cardiac output (CO) is calculated by multiplying stroke volume (SV) by heart rate (HR): CO = HR x SV As a result, both stroke volume and heart rate are exactly proportional to cardiac output. There will be an increase in cardiac output if the stroke volume or heart rate increases, and a reduction in cardiac output if the stroke volume or heart rate lowers.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      29.4
      Seconds
  • Question 9 - A CT pulmonary angiography of a patient with a massive pulmonary embolus will...

    Correct

    • A CT pulmonary angiography of a patient with a massive pulmonary embolus will most likely show which of the following signs?

      Your Answer: Increased alveolar dead space

      Explanation:

      A CT pulmonary angiogram is an angiogram of the blood vessels of the lungs. It is a diagnostic imaging test used to check for pulmonary embolism. A pulmonary embolism is caused by a blood clot or thrombus that has become lodged in an artery in the lung and blocks blood flow to the lung. A patient with pulmonary embolism may feel an abrupt onset of pleuritic chest pain, shortness of breath, and hypoxia. Also, pulmonary embolism can result in alveolar dead space. Dead space represents the volume of ventilated air that does not participate in gas exchange. The alveolar dead space is caused by ventilation/perfusion imbalances in the alveoli. It is defined as the sum of the volumes of alveoli that are ventilated but not perfused. Aside from pulmonary embolism, smoking, bronchitis, emphysema, and asthma are among the other causes of alveolar dead space. The other types of dead space are the following: Anatomical dead space is the portion of the airways that conducts gas to the alveoli. This is usually around 150 mL, and there is no possibility of gas exchange in these areas. Physiological dead space is the sum of anatomical and alveolar dead spaces. Physiological dead space can account for up to 30% of the tidal volume.

    • This question is part of the following fields:

      • Physiology
      • Respiratory
      15.8
      Seconds
  • Question 10 - Regarding CSF: ...

    Incorrect

    • Regarding CSF:

      Your Answer: Blockage of the foramina results in a communicating hydrocephalus

      Correct Answer: Disruption of arachnoid villi function results in a communicating hydrocephalus

      Explanation:

      In normal adults CSF volume is around 125ml to 150ml. Turnover of the entire volume of cerebrospinal fluid is about 3 to 4 times a day. Composition of CSF is similar to that of plasma except that CSF is nearly protein-free compared with plasma and has different electrolyte levels. Blockage of the foramina causes an obstructive or non-communicating hydrocephalus. Communicating hydrocephalus or non-obstructive hydrocephalus is caused by impaired CSF reabsorption in the absence of any CSF flow obstruction.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      21.3
      Seconds
  • Question 11 - Which of the following statements is true regarding herpes simplex virus type I:...

    Incorrect

    • Which of the following statements is true regarding herpes simplex virus type I:

      Your Answer: It remains latent in the cervical dorsal root ganglion.

      Correct Answer: More than half of the population is infected.

      Explanation:

      HSV-1 is often acquired orally during childhood. It may also be sexually transmitted, including contact with saliva, such as kissing and mouth-to-genital contact (oral sex). HSV-2 is primarily a sexually transmitted infection, but rates of HSV-1 genital infections are increasing. HSVs may persist in a quiescent but persistent form known as latent infection, notably in neural ganglia. HSV-1 tends to reside in the trigeminal ganglia, while HSV-2 tends to reside in the sacral ganglia, but these are tendencies only, not fixed behaviour. The virus can be reactivated by illnesses such as colds and influenza, eczema, emotional and physical stress, gastric upset, fatigue or injury, by menstruation and possibly exposure to bright sunlight. Genital Herpes may be reactivated by friction. Shingles is due to a reactivation of varicella zoster virus (VZV).

    • This question is part of the following fields:

      • Infectious Diseases
      • Physiology
      31.6
      Seconds
  • Question 12 - Type 2 hypersensitivity is mediated by: ...

    Incorrect

    • Type 2 hypersensitivity is mediated by:

      Your Answer: IgE and mast cells

      Correct Answer: IgG, IgM & complement

      Explanation:

      In type II hypersensitivity the antibodies, IgG and IgM bind to antigens to form complexes that activate the classical pathway of complement to eliminate cells presenting foreign antigens.

    • This question is part of the following fields:

      • Immunology
      • Physiology
      17.9
      Seconds
  • Question 13 - The blood supply to the liver is by ...

    Incorrect

    • The blood supply to the liver is by

      Your Answer: Only hepatic portal vein

      Correct Answer: Hepatic artery and hepatic portal vein

      Explanation:

      The liver receives a dual blood supply from the hepatic portal vein and hepatic arteries. The hepatic portal vein delivers approximately 75% of the liver’s blood supply, and carries venous blood drained from the spleen, gastrointestinal tract, and its associated organs. The hepatic arteries supply arterial blood to the liver, accounting for the remaining quarter of its blood flow.

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      13
      Seconds
  • Question 14 - With regards to the function of the p53 protein produced by the p53...

    Incorrect

    • With regards to the function of the p53 protein produced by the p53 gene, which of the following statements is incorrect?

      Your Answer: It is a nuclear transcription factor that increases production of a protein that enhances cell cycle enzymes

      Correct Answer: It permits repair of mutations and other defects in RNA

      Explanation:

      P53 has many mechanisms of anticancer function and plays a role in apoptosis, genomic stability, and inhibition of angiogenesis. In its anti-cancer role, p53 works through several mechanisms:It can activate DNA repair proteins when DNA has sustained damage. Thus, it may be an important factor in aging.It can arrest growth by holding the cell cycle at the G1/S regulation point on DNA damage recognitionIt can initiate apoptosis (i.e., programmed cell death) if DNA damage proves to be irreparable.It is essential for the senescence response to short telomeres.

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      48.5
      Seconds
  • Question 15 - Following an action potential, cytosolic Ca2+ is increased. The binding of free Ca2+...

    Incorrect

    • Following an action potential, cytosolic Ca2+ is increased. The binding of free Ca2+ to troponin C results in all of the following except:

      Your Answer: Exposure of actin binding site for myosin

      Correct Answer: Weakening of the troponin i interaction with actin

      Explanation:

      At rest, troponin i is bound to actin and tropomyosin and covers the site where the myosin head interacts with actin. When Calcium enters into the muscle, it binds with troponin C and cause a structural change in troponin i which moves out of the myosin binding site and causes the cross bridges between the actin and myosin filaments to occur.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      16
      Seconds
  • Question 16 - Which statement is correct about the clinical state of methemoglobinemia? ...

    Incorrect

    • Which statement is correct about the clinical state of methemoglobinemia?

      Your Answer: Is present when the iron in the haemoglobin is in the Fe2+ state

      Correct Answer: May arise due to a hereditary deficiency of NADH.

      Explanation:

      Methaemoglobin is a form of haemoglobin that contains ferric [Fe3+] iron and has a decreased ability to bind oxygen. Spontaneously formed methaemoglobin is normally reduced by protective enzyme systems, e.g., NADH methaemoglobin reductase, hence a deficiency of NADH may result in increased levels of methaemoglobin

    • This question is part of the following fields:

      • Haematology
      • Physiology
      9.6
      Seconds
  • Question 17 - Which of the following proteins are NOT synthesized in the liver? ...

    Incorrect

    • Which of the following proteins are NOT synthesized in the liver?

      Your Answer: Acute-phase proteins

      Correct Answer: Steroid

      Explanation:

      Human steroidogenesis occurs in a number of locations:- Corticosteroids are produced in the adrenal cortex.- Oestrogen and progesterone are made primarily in the ovary and the placenta during pregnancy, and testosterone in the testes.- Testosterone is also converted to oestrogen to regulate the supply of each in females and males.- Some neurons and glia in the central nervous system (CNS) express the enzymes required for the local synthesis of pregnant neurosteroids, de novo or from peripheral sources.

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      44.8
      Seconds
  • Question 18 - Which statement is correct regarding mRNA? ...

    Incorrect

    • Which statement is correct regarding mRNA?

      Your Answer: mRNAs are polymers of nucleosides containing a ribose-phosphate unit attached to a base.

      Correct Answer: mRNAs are mainly found in the nucleus and cytoplasm of a cell.

      Explanation:

      mRNA is transcribed from DNA and is carried to the cytosol to be translated. Hence it is mainly found in the cytosol and the nucleus of a cell. It is single stranded and contains the base uracil instead of thymine.

    • This question is part of the following fields:

      • Genetics
      • Physiology
      20.9
      Seconds
  • Question 19 - Male to male transmission is a key factor of which type of inheritance?...

    Incorrect

    • Male to male transmission is a key factor of which type of inheritance?

      Your Answer: X linked dominant

      Correct Answer: Autosomal dominant

      Explanation:

      Autosomal dominant type of inheritance can include both sexes in the same ratio. There is no skipping a generation and father to son transmission is common. The passing of the trait is sex independent.

    • This question is part of the following fields:

      • Genetics
      • Physiology
      32.5
      Seconds
  • Question 20 - With regard to cell membrane proteins: ...

    Correct

    • With regard to cell membrane proteins:

      Your Answer: Carriers are involved in facilitated diffusion

      Explanation:

      Pumps use a source of free energy such as ATP to transport ions against a gradient and is an example of active transport. Unlike channel proteins which only transport substances through membranes passively, carrier proteins can transport ions and molecules either passively through facilitated diffusion, or via secondary active transport. Channels are either in open state or closed state. When a channel is opened, it is open to both extracellular and intracellular. Pores are continuously open to both environments, because they do not undergo conformational changes. They are always open and active.

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      15.5
      Seconds
  • Question 21 - Free radicals are best defined by which of the following statements. ...

    Incorrect

    • Free radicals are best defined by which of the following statements.

      Your Answer: Atoms or molecules with electrical charge

      Correct Answer: Atoms or molecules with unpaired electrons

      Explanation:

      Free radicals form when one of weak bond between electrons is broken and an uneven number of electrons remain. This means the electron is unpaired, making it chemically reactive and attempt to steal an electron from a neighbouring molecule to stabilize itself.

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      11.1
      Seconds
  • Question 22 - An exaggerated response to a noxious stimulus is called: ...

    Correct

    • An exaggerated response to a noxious stimulus is called:

      Your Answer: Hyperalgesia

      Explanation:

      Allodynia is sensation of pain following non-painful stimulation. Hyperalgesia is enhanced intensity of pain sensation. Causalgia is a constant burning pain resulting from peripheral nerve injury. Hyperesthesia is the abnormal increase in sensitivity to stimuli of sense.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      1229.2
      Seconds
  • Question 23 - Which of the following derivatives of proopiomelanocortin is an opioid peptide? ...

    Incorrect

    • Which of the following derivatives of proopiomelanocortin is an opioid peptide?

      Your Answer: Melanotropins

      Correct Answer: ß-endorphin

      Explanation:

      ß-endorphin is an endogenous opioid neuropeptide which is mainly synthesized and stored in the anterior pituitary gland, derived from the precursor proopiomelanocortin (POMC). Some studies have shown that immune system cells are also capable of synthesizing ß-endorphin. β-endorphin is thought to exert a tonic inhibitory influence upon GNRH secretion and to be an important regulator of reproductive function.

    • This question is part of the following fields:

      • Endocrinology
      • Physiology
      176.2
      Seconds
  • Question 24 - Where is the carotid sinus located? ...

    Correct

    • Where is the carotid sinus located?

      Your Answer: After the bifurcation of the carotid artery, on the internal carotid

      Explanation:

      The carotid sinus is a small dilation in the internal carotid artery just above its bifurcation into the external and internal carotid branch. Baroreceptors are present at this dilation.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      152.7
      Seconds
  • Question 25 - Which of the following features do mast cells and basophils have in common:...

    Incorrect

    • Which of the following features do mast cells and basophils have in common:

      Your Answer: They both have low-affinity receptors for IgE

      Correct Answer: Are essential for immediate type-hypersensitivity reactions

      Explanation:

      Anaphylaxis is a severe immediate allergic reaction of rapid onset affecting many body systems. It is due to the release of inflammatory mediators and cytokines from mast cells and basophils. Basophils are the least common of the granulocytes, representing about 0.5 to 1% of circulating white blood cells. However, they are the largest type of granulocyte. They are responsible for inflammatory reactions during immune response, as well as in the formation of acute and chronic allergic diseases, including anaphylaxis, asthma, atopic dermatitis and hay fever. They can perform phagocytosis (cell eating), produce histamine and serotonin that induce inflammation, and heparin that prevents blood clotting. Mast cells are similar in appearance and function. Both cell types store histamine, a chemical that is secreted by the cells when stimulated.

    • This question is part of the following fields:

      • Immunology
      • Physiology
      10.7
      Seconds
  • Question 26 - Which of the following runs in the upper part of the falx cerebri?...

    Incorrect

    • Which of the following runs in the upper part of the falx cerebri?

      Your Answer: Diaphragm sella

      Correct Answer: Superior sagittal sinus

      Explanation:

      Falx cerebri is a sickle cell fold of dura between the two hemispheres. Its posterior part blends with the superior part of the tentorium cerebelli. The superior sagittal sinus runs in its upper fixed margin, the inferior sagittal sinus in the free concave margin and the straight sinus along its attachment to the tentorium cerebelli.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      15.7
      Seconds
  • Question 27 - The first enzyme carbohydrates encounter in the digestive tract is? ...

    Incorrect

    • The first enzyme carbohydrates encounter in the digestive tract is?

      Your Answer: Amylose

      Correct Answer: Amylase

      Explanation:

      Carbohydrate digesting enzymes are known as amylase. Salivary amylase or ptyalin is the first enzyme to begin carbohydrate digestion in he oral cavity. Amylose is a component of carbohydrates and is not an enzyme. Isomaltase, maltase and sucrase are enzymes found in the small intestines that digest disaccharides like maltose and sucrose to monosaccharides.

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      293.1
      Seconds
  • Question 28 - Habituation… ...

    Incorrect

    • Habituation…

      Your Answer: Is a form of explicit memory

      Correct Answer: Is a simple form of learning in which a neutral stimulus is repeated many times

      Explanation:

      It is a simple form of learning where an organism decreases or ceases it’s response to a certain stimuli after repeated presentation. The organisms learns to stop responding to a stimulus which is no longer biologically relevant.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      19.9
      Seconds
  • Question 29 - The reflex responses activated by cold are controlled by which area? ...

    Incorrect

    • The reflex responses activated by cold are controlled by which area?

      Your Answer: Anterior pituitary

      Correct Answer: Posterior hypothalamus

      Explanation:

      The posterior nucleus of the hypothalamus is responsible for thermoregulation and thermogenesis. Studies have shown that the neurons in the posterior hypothalamus which mediate the reflex of shivering are sensitive to temperature; damage to this nucleus produces hypothermia.

    • This question is part of the following fields:

      • Endocrinology
      • Physiology
      8.9
      Seconds
  • Question 30 - What is the most appropriate management of a DVT during pregnancy? ...

    Correct

    • What is the most appropriate management of a DVT during pregnancy?

      Your Answer: Heparin

      Explanation:

      Low molecular weight heparin (LMWH) is safe in pregnancy and is therefore the first line management. Warfarin is teratogenic and must be avoided whilst the other options have no role to play.

    • This question is part of the following fields:

      • Physiology
      • Respiratory
      20.8
      Seconds
  • Question 31 - In adults, the major site of haematopoiesis is? ...

    Incorrect

    • In adults, the major site of haematopoiesis is?

      Your Answer: The liver

      Correct Answer: The axial skeleton

      Explanation:

      Bone marrow is the flexible tissue in the interior of bones. In humans, red blood cells are produced by cores of bone marrow in the heads of long bones.

    • This question is part of the following fields:

      • Haematology
      • Physiology
      11.2
      Seconds
  • Question 32 - The principal enzyme of lipid digestion is: ...

    Incorrect

    • The principal enzyme of lipid digestion is:

      Your Answer: Trypsin

      Correct Answer: Lipase

      Explanation:

      Lipase is the principle enzyme that digest lipids. Amylase digest carbohydrates. Colipase is a co-enzyme that optimize the activity of lipase. Trypsin digest proteins and cholesterol esterase digest cholesterol.

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      20.4
      Seconds
  • Question 33 - Which of the following does not lower ventricular rate in atrial fibrillation? ...

    Incorrect

    • Which of the following does not lower ventricular rate in atrial fibrillation?

      Your Answer: Digitalis

      Correct Answer: Adrenaline

      Explanation:

      Adrenaline is a sympathetic neurotransmitter which increases the heart rate. During atrial fibrillation the atria is contracting at more than 200 beats/min. Acetylcholine is a parasympathetic neurotransmitter decreasing the heart rate. Digital also depresses the conduction at the AV conduction. Vagal discharge and occulocardiac reflux decrease the heart rate and convert the tachycardia into normal sinus rhythm.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      4.9
      Seconds
  • Question 34 - Polymerase Chain Reaction. All true except: ...

    Incorrect

    • Polymerase Chain Reaction. All true except:

      Your Answer: Is an in vitro technique

      Correct Answer: There is a linear rise of DNA copies during amplification.

      Explanation:

      All are true except option E. There is an exponential rise in amplification of DNA.

    • This question is part of the following fields:

      • Genetics
      • Physiology
      10.3
      Seconds
  • Question 35 - Approximately what percentage of the world is infected with tuberculosis: ...

    Incorrect

    • Approximately what percentage of the world is infected with tuberculosis:

      Your Answer: 0.2

      Correct Answer: 0.3

      Explanation:

      One-third of the world’s population is thought to be infected with TB.

    • This question is part of the following fields:

      • Infectious Diseases
      • Physiology
      17.3
      Seconds
  • Question 36 - Which of the following is true of the Natriuretic hormones? ...

    Incorrect

    • Which of the following is true of the Natriuretic hormones?

      Your Answer: They are released in response to hypervolemia

      Correct Answer:

      Explanation:

      Natriuretic hormones are vasodilators released in response to hypervolemia

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      11.7
      Seconds
  • Question 37 - Choose the correct answer: The cerebrocerebellum… ...

    Correct

    • Choose the correct answer: The cerebrocerebellum…

      Your Answer: All options are correct

      Explanation:

      Cerebrocerebellum is comprised of two lateral regions, the cerebellar hemispheres and communicates with the cerebral cortex. It is principally responsible for controlling coordination of movement. Three fiber bundles carry the input and output of the cerebellum. There are three cerebellar peduncles with different connections and functions. The three are mainly, superior, middle and inferior. The superior cerebellar peduncle is also known as the “Brachium conjunctivum”. It predominantly contains efferent fibers from the cerebellar nuclei, as well as some afferents from the spinocerebellar tract. The efferent pathways include cerebellorubral, dentatothalamic, and fastigioreticular fibers. These are tracts projecting from the deep cerebellar nuclei to the thalamus and red nucleus. The middle cerebellar peduncle connects to the pontine nucleus and the dorsal spinocerebellar tracts run through the superior cerebellar peduncle

    • This question is part of the following fields:

      • Neurology
      • Physiology
      13.4
      Seconds
  • Question 38 - The cell membrane: ...

    Incorrect

    • The cell membrane:

      Your Answer: Is an impermeable membrane

      Correct Answer: Is a bilayer of amphipathic lipids

      Explanation:

      The cell membrane consists of a bilayer of amphipathic lipids with embedded proteins. The basic function of the cell membrane is to protect the cell from its surroundings. It is selectively permeable to ions and organic molecules. The entire membrane is held together via non-covalent interaction of hydrophobic tails, however the structure is quite fluid and not fixed rigidly in place. Membranes are typically 7.5–10 nm in thickness and typically have a large content of proteins, around 50% of membrane volume.

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      10.6
      Seconds
  • Question 39 - The lower oesophageal sphincter is under neural control. Which of the following causes...

    Incorrect

    • The lower oesophageal sphincter is under neural control. Which of the following causes contraction of the intrinsic sphincter?

      Your Answer: Nitric oxide

      Correct Answer: Acetylcholine

      Explanation:

      The lower oesophageal sphincter (LOS) is a specific region of the oesophageal circular smooth muscle. It allows the passage of a food bolus to the stomach and prevents the reflux of gastric contents into the oesophagus. The tone of the LOS is myogenic in origin and depends on smooth muscle properties that lead to the opening of Ca2+ channels but can also be modulated by enteric motor neurons, the parasympathetic and sympathetic extrinsic nervous system and several neurohumoral substances. Nitric oxide causes LOS relaxation. Acetylcholine and tachykinins are involved in the LOS contraction.

    • This question is part of the following fields:

      • Gastrointestinal
      • Physiology
      14.8
      Seconds
  • Question 40 - Calcium is transported over the brush border in the gut, via which transporter...

    Incorrect

    • Calcium is transported over the brush border in the gut, via which transporter / channel?

      Your Answer: TRPV 5

      Correct Answer: TRPV 6

      Explanation:

      Transient Receptor Potential Vanilloid 6 or TRPV 6 is a calcium channel located in the cell membrane which is present in a variety of organs, including small intestine, oesophagus, stomach, colon, placenta, kidney, and uterus. In the intestine, it is located in the apical brush-border membrane of the enterocyte, regulating the entry of calcium into the cell.

    • This question is part of the following fields:

      • Endocrinology
      • Physiology
      11.8
      Seconds
  • Question 41 - Translation usually begins at which codon? ...

    Incorrect

    • Translation usually begins at which codon?

      Your Answer: UGA

      Correct Answer: AUG

      Explanation:

      The start codon is the first codon of a messenger RNA (mRNA) transcript translated by a ribosome. The start codon always codes for methionine in eukaryotes and the most common start codon is AUG.

    • This question is part of the following fields:

      • Metabolism
      • Physiology
      20.3
      Seconds
  • Question 42 - Cardiac muscle and skeletal muscle are alike, but there are a few key...

    Incorrect

    • 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: Striation of cells

      Correct 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
      16.5
      Seconds
  • Question 43 - Telomeres are best described as: ...

    Incorrect

    • Telomeres are best described as:

      Your Answer: A complex repetitive glycoprotein structure at the end point of DNA protecting the DNA from damage.

      Correct Answer: A repetitive DNA sequence at the end of a DNA molecule.

      Explanation:

      Telomeres are non-coding DNA consisting of repetitive nucleotide sequences plus proteins that are found at the end of the linear chromosomes. They maintain the integrity of the chromosomes and prevent their shortening.

    • This question is part of the following fields:

      • Genetics
      • Physiology
      8.6
      Seconds
  • Question 44 - Cell membrane proteins may act as: ...

    Incorrect

    • Cell membrane proteins may act as:

      Your Answer: Enzymes

      Correct Answer: All of the options

      Explanation:

      Membrane proteins perform a variety of functions including:Membrane receptor proteins relay or carry signals between the cell’s internal and external environments.Transport proteins move molecules and ions (ionic channels) across the membrane. Membrane enzymes may have many activities, such as oxidoreductase, transferase or hydrolase andCell adhesion molecules

    • This question is part of the following fields:

      • Cell Biology
      • Physiology
      5.9
      Seconds
  • Question 45 - Which of the following antiarrhythmic drugs may be used in the treatment of...

    Correct

    • Which of the following antiarrhythmic drugs may be used in the treatment of long QT syndrome?

      Your Answer: Atenolol

      Explanation:

      Beta-blockers are the mainstay of treatment in long QT syndrome. Implantable cardioverter-defibrillators are the most effective treatment in genotypes with a high risk of recurrence.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      21.4
      Seconds
  • Question 46 - Which of the following skin coloration abnormalities occurs due to adrenal insufficiency due...

    Correct

    • Which of the following skin coloration abnormalities occurs due to adrenal insufficiency due to primary adrenal disease?

      Your Answer: Hyperpigmentation

      Explanation:

      Addison’s disease, also known as primary adrenal insufficiency, or hypocortisolism is an endocrine disorder. Hyperpigmentation is one of its most common signs; it occurs as a result of an increase in pro-opiomelanocortin to produce more ACTH in response to the decreased levels of cortisol. Pro-opiomelanocortin is a precursor of melanocyte stimulating hormone (MSH), which stimulates melanocytes, causing darkening of the skin.

    • This question is part of the following fields:

      • Endocrinology
      • Physiology
      20.9
      Seconds
  • Question 47 - Which substance has the lowest taste threshold concentration, in other words which substance...

    Incorrect

    • Which substance has the lowest taste threshold concentration, in other words which substance can be present in the lowest concentration before taste buds will respond?

      Your Answer: Sodium chloride (salt)

      Correct Answer: Strychnine hydrochloride (bitter)

      Explanation:

      The lowest concentration of a gustatory stimulus to which the taste buds respond is considered to be the threshold concentration for that substance. The threshold concentration for strychnine is 0.0001 mm; this is because it allows the body to detect potentially dangerous substances (bitter plant components) at lower concentrations.

    • This question is part of the following fields:

      • Neurology
      • Physiology
      33.7
      Seconds
  • Question 48 - Myocardium requires more oxygen to expel blood in: ...

    Incorrect

    • Myocardium requires more oxygen to expel blood in:

      Your Answer: An incompetent tricuspid valve

      Correct Answer: A stenotic aortic valve

      Explanation:

      In aortic valve stenosis, increased ventricular pressure Is needed to expel the blood into the aorta. Increased pressure means increased contractility hence increase O2 consumption by the heart muscles.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      97.7
      Seconds
  • Question 49 - Endothelial cells produce the following substance(s): ...

    Incorrect

    • Endothelial cells produce the following substance(s):

      Your Answer: Endothelins

      Correct Answer: All of the above

      Explanation:

      Endothelial cells produce thromboxane, prostacyclins, nitric oxides, endothelins, IL-1 and TNF.

    • This question is part of the following fields:

      • Cardiovascular
      • Physiology
      31.8
      Seconds
  • Question 50 - Which enzyme hydrolyses triglycerides in lipoproteins into free fatty acids for storage in...

    Incorrect

    • Which enzyme hydrolyses triglycerides in lipoproteins into free fatty acids for storage in fat cells?

      Your Answer:

      Correct Answer: Lipoprotein lipase

      Explanation:

      Lipoprotein lipase is a water-soluble enzyme that hydrolyses triglycerides in lipoproteins, such as those found in chylomicrons and very low-density lipoproteins (VLDL), into two free fatty acids and one monoacylglycerol molecule.

    • This question is part of the following fields:

      • Metabolism
      • Physiology
      0
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Cardiovascular (4/10) 40%
Physiology (16/49) 33%
Gastrointestinal (3/7) 43%
Immunology (2/3) 67%
Genetics (2/5) 40%
Respiratory (0/2) 0%
Neurology (1/6) 17%
Infectious Diseases (0/2) 0%
Cell Biology (1/6) 17%
Haematology (0/2) 0%
Endocrinology (2/4) 50%
Metabolism (1/2) 50%
Passmed