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This section includes 697 Mcqs, each offering curated multiple-choice questions to sharpen your Biology knowledge and support exam preparation. Choose a topic below to get started.
201. |
Regarding bilirubin: |
A. | unconjugated bilirubin is more soluble than conjugated |
B. | all conjugated bilirubin is excreted via the intestine |
C. | bile duct obstruction causes jaundice secondary to unconjugated hyperbilirubinaemia |
D. | haemolytic anaemia may cause ?????? hyperbilirubinaemia |
Answer» E. | |
202. |
Which form of intestinal smooth muscle contraction does NOT occur in normal health? |
A. | peristalsis |
B. | weak antiperistalsis |
C. | peristaltic rushes |
D. | tonic contractions |
Answer» D. tonic contractions | |
203. |
In the adrenal cortex: |
A. | the zona glomerulosa has 17 alpha-hydroxylase and no aldosterone synthase |
B. | all the cholesterol is synthesised from acetate |
C. | zona fasciculata makes up 10% of the mass of the adrenal gland |
D. | angiotensin II binds to receptors in the zona reticularis |
Answer» F. | |
204. |
Regarding the islets of Langerhans: |
A. | D cells secrete pancreatic polypeptide |
B. | A cells are the most common |
C. | they are most plentiful in the body of the pancreas |
D. | blood from the islets drain into the hepatic portal vein |
Answer» E. | |
205. |
Thyroid hormones increase the oxygen consumption of: |
A. | lymph nodes |
B. | spleen |
C. | brain |
D. | anterior pituitary gland |
Answer» F. | |
206. |
Regarding protein metabolism, which statement is CORRECT? |
A. | increases the respiratory quotient to values > 1.0 |
B. | has a specific dynamic action (SDA) of approximately 10% |
C. | endogenous protein breakdown is inhibited by glucagon |
D. | creatinine excretion is not depressed in starvation |
Answer» E. | |
207. |
Which factor stimulates insulin secretion? |
A. | thiazide diuretics |
B. | phenytoin |
C. | theophylline |
D. | blockers |
Answer» D. blockers | |
208. |
The action of gastrin includes all EXCEPT: |
A. | stimulation of insulin secretion after a carbohydrate meal |
B. | stimulation of gastric acid secretion |
C. | stimulation of gastric motility |
D. | contraction of gastro-oesophageal junction musculature |
Answer» B. stimulation of gastric acid secretion | |
209. |
Regarding carbon dioxide transport in blood, which statement is INCORRECT? |
A. | oxygen is about 20 times less soluble in blood |
B. | deoxygenation of blood increase its ability to carry carbon dioxide |
C. | arterial blood transports about 20% in dissolved form |
D. | venous blood has higher haematocrit than arterial blood |
E. | carbamino compounds are formed by reaction with both plasma proteins and Hb |
Answer» D. venous blood has higher haematocrit than arterial blood | |
210. |
Fanconi s syndrome of decreased levels of ATP in the tubular epithelium of the PCT: |
A. | decreases Na+ extrusion from the cell into the interstitium |
B. | causes increased phosphate absorption |
C. | causes metabolic alkalosis |
D. | results in decreased amino acid excretion |
E. | collecting duct |
Answer» B. causes increased phosphate absorption | |
211. |
Regarding free fatty acids in plasma, which of the following is NOT true? |
A. | they account for less than 10% of total fatty acids in plasma |
B. | they are complexed with a protein carrier |
C. | they can be metabolised to CO2 and water in skeletal and cardiac muscle |
D. | their level in plasma decreases as plasma adrenaline increases |
E. | they are converted to energy by the citric acid cycle |
Answer» E. they are converted to energy by the citric acid cycle | |
212. |
Uric acid handling by the kidneys involves: |
A. | filtration only |
B. | secretion by tubules only |
C. | filtration and secretion |
D. | filtration and reabsorption |
E. | filtration, reabsorption and secretion |
Answer» F. | |
213. |
Regarding serotonin: |
A. | the highest concentration is in the brain |
B. | formed by hydroxylation and decarboxylation of tyrosine |
C. | catabolised by COMT |
D. | some receptors are ion channels |
E. | mediates smooth muscle relaxation |
Answer» E. mediates smooth muscle relaxation | |
214. |
All but which of the following cause contraction of the mesengial cells? |
A. | endothelins |
B. | angiotensin II |
C. | ADH |
D. | noradrenaline |
E. | cAMP |
Answer» F. | |
215. |
Serotonin is noted in all but: |
A. | sexual behaviour |
B. | obesity |
C. | platelet aggregation |
D. | mood |
E. | vomiting |
Answer» B. obesity | |
216. |
All but which of the following are involved in the movement of Na+/Cl- across the apical membrane of the proximal tubules? |
A. | Na+ / 2Cl- / K+ co-transporter (CT) |
B. | Na+/ glucose CT |
C. | Na+/P??? CT |
D. | Cl- / base exchanges |
E. | Na+ / H+ exchanges |
Answer» B. Na+/ glucose CT | |
217. |
Which of the following substances would NOT cause contraction of mesangial cells? |
A. | angiotensin II |
B. | dopamine |
C. | vasopressin |
D. | histamine |
E. | platelet activating factor |
Answer» C. vasopressin | |
218. |
Which of the following will cause an increase in GFR? |
A. | dehydration |
B. | ureteral obstruction |
C. | afferent arteriole constriction |
D. | hypoproteinaemia |
Answer» E. | |
219. |
Which statement regarding parathyroid hormone (PTH) is INCORRECT? |
A. | it is continuously secreted by the parathyroid glands |
B. | it is synthesised and secreted by the oxyntic cells |
C. | it is rapidly cleaved in the Kupffer cells of the liver |
D. | it increases osteoclasts activity in bone |
E. | it increases formation of 1,25-dihydroxycholecalciferol |
Answer» C. it is rapidly cleaved in the Kupffer cells of the liver | |
220. |
Cardiac muscle fibres: |
A. | develop tetany only at very high stimulation frequencies |
B. | develop less tension when stretched due to decreased actin-myosin overlap |
C. | can derive only 5% of basal caloric requirement from fat |
D. | have a T-system located at the A-I junctions |
E. | remain absolutely refractory until the membrane potential repolarises to - 50mV |
Answer» F. | |
221. |
Which statement is TRUE regarding cardiac muscle? |
A. | cardiac muscle fibres are multinucleated |
B. | they are smaller than skeletal muscle fibres |
C. | Ca2+ release is triggered by membrane repolarisation |
D. | the elastic Titin protein component is greater than in skeletal muscle, adding stiffness |
E. | the amount of Ca2+ in the sarcoplasmic reticulum is decreased by catecholamine stimulation |
Answer» C. Ca2+ release is triggered by membrane repolarisation | |
222. |
For cardiac muscle, which is FALSE? |
A. | HERG really is the acronym for human ether-a-go-go related gene |
B. | intercolated discs are calcified structures within cardiac muscle cells |
C. | resting membrane potential is -90mV |
D. | cardiac muscle requires continuous supply of O2 to function |
E. | cardiac muscle action potential time decreases with increasing heart rate |
Answer» C. resting membrane potential is -90mV | |
223. |
Regarding cardiac muscle, which statement is INCORRECT? |
A. | resting membrane potential is about -90mV |
B. | energy source at rest is mainly fat |
C. | mechanical response lasts about twice as long as electrical response |
D. | tetanus cannot occur |
E. | it has an all-or-nothing contractile response |
Answer» D. tetanus cannot occur | |
224. |
Regarding the structure of cardiac muscle, which statement is INCORRECT? |
A. | T-system lies at Z-lines |
B. | functions as a syncytium due to the presence of tight junctions |
C. | intercalated discs occur at Z-lines |
D. | contains large numbers of elongated mitochondria |
E. | thin filaments include troponin T, C and I |
Answer» C. intercalated discs occur at Z-lines | |
225. |
Which of the following does NOT increase plasma calcium? |
A. | parathyroid hormone |
B. | vitamin D |
C. | growth hormone |
D. | thyroxine |
E. | calcitonin |
Answer» F. | |
226. |
Regarding the cardiac muscle action potential, which statement is INCORRECT? |
A. | sodium ions enter via fast channels in phase 0 |
B. | chloride ions may enter cell during phase 1 |
C. | sodium ions enter via slow channels in phase 2 |
D. | relative refractory period ends in phase 3 |
E. | class I anti-arrhythmics reduce the slope of phase 4 |
Answer» B. chloride ions may enter cell during phase 1 | |
227. |
Stimuli that increase aldosterone secretion and do not effect glucocorticoid secretion includes all EXCEPT: |
A. | low Na+ intake |
B. | high K+ intake |
C. | standing |
D. | secondary hyperaldosteronism |
E. | haemorrhage |
Answer» F. | |
228. |
Which of the following does NOT increase secretion of glucagon? |
A. | diabetes mellitus |
B. | adrenoceptor agonists |
C. | GABA |
D. | starvation |
E. | exercise |
Answer» D. starvation | |
229. |
Regarding extracellular volume maintenance: |
A. | control of sodium balance is the major mechanism maintaining ECF volume |
B. | a rise in ECF volume stimulates vasopressin secretion |
C. | osmotic stimuli over-ride volume stimuli in the regulation of vasopressin secretion |
D. | vasopressin causes Na+ retention by the kidney |
E. | angiotensin II inhibits aldosterone secretion |
Answer» B. a rise in ECF volume stimulates vasopressin secretion | |
230. |
Opioid peptides: |
A. | are not formed from precursors |
B. | include morphine as an example |
C. | form the opioid receptors in the brain |
D. | are mainly found in the brain and gastrointestinal tract |
E. | are almost always excreted unchanged |
Answer» E. are almost always excreted unchanged | |
231. |
A decrease in extracellular K+: |
A. | makes the resting membrane more negative in nerve cells |
B. | causes a similar effect in nerve cells as a decrease in extracellular Na+ |
C. | has little effect in nerve cell membrane potential |
D. | may decrease nerve cell action potential size |
E. | cause a similar effect in nerve cells as an increase in extracellular Ca++ |
Answer» F. | |
232. |
Which of the following does NOT increase aldosterone secretion? |
A. | constriction of the IVC in the thorax |
B. | ACTH |
C. | surgery |
D. | hyperkalaemia |
E. | lying supine from the standing position |
Answer» F. | |
233. |
Which of the following do NOT increase TSH secretion? |
A. | TRH |
B. | glucocorticoids |
C. | infants exposed to cold temperature |
D. | acute psychosis |
E. | night time |
Answer» C. infants exposed to cold temperature | |
234. |
Which of the following does NOT increase parathyroid hormone secretion? |
A. | high plasma magnesium |
B. | low plasma calcium |
C. | high plasma phosphate |
D. | -adrenergic discharge |
E. | cyclic AMP |
Answer» B. low plasma calcium | |
235. |
Which of the following does NOT increase secretion of atrial natriuretic peptide? |
A. | -adrenoceptor agonists |
B. | immersion in water up to the neck |
C. | exercise |
D. | endothelin |
E. | changing from erect position to supine |
Answer» B. immersion in water up to the neck | |
236. |
Which of the following is NOT associated with an increase in erythropoietin secretion? |
A. | aminophylline |
B. | renal cell carcinoma |
C. | cobalt salts |
D. | thyroxine |
E. | adenosine |
Answer» B. renal cell carcinoma | |
237. |
All of the following increase renin secretion EXCEPT: |
A. | sodium depletion |
B. | diuretics |
C. | hypertension |
D. | cardiac failure |
E. | cirrhosis |
Answer» D. cardiac failure | |
238. |
Which of the following does NOT inhibit secretion of glucagon? |
A. | ketones |
B. | adrenoceptor agonists |
C. | secretin |
D. | amino acids |
E. | somatostatin |
Answer» E. somatostatin | |
239. |
Which of the following does NOT increase intestinal calcium absorption? |
A. | hypocalcaemia |
B. | parathyroid hormone (PTH) |
C. | glucocorticoids |
D. | hypervitaminosis D |
E. | protein in diet |
Answer» D. hypervitaminosis D | |
240. |
Which of the following does NOT inhibit insulin secretion? |
A. | somatostatin |
B. | atropine |
C. | propranolol |
D. | gastrin |
E. | phenytoin |
Answer» E. phenytoin | |
241. |
Which of the following does NOT decrease intestinal calcium absorption? |
A. | hypercalcaemia |
B. | decreased PTH |
C. | hypovitaminosis D |
D. | growth hormone |
E. | phytic acid and oxalate in intestine |
Answer» E. phytic acid and oxalate in intestine | |
242. |
The content of chylomicrons includes: |
A. | aproprotein E and aproprotein A |
B. | cholesterol 30%, protein 20%, triglyceride 50% |
C. | lethicin 10%, cholesterol 25%, triglyceride 65% |
D. | protein 2%, cholesterol 5%, triglyceride 90% |
E. | the enzyme protein phospholipase |
Answer» E. the enzyme protein phospholipase | |
243. |
Regarding the intracellular fluid, which is NOT CORRECT? |
A. | it accounts for 40% of body weight |
B. | its volume can be estimated using radio-active inulin |
C. | it contains more protein (in mg/L water) than extracellular fluid |
D. | the composition of intracellular fluid varies with the nature and function of the cell |
E. | all of the above are true |
Answer» C. it contains more protein (in mg/L water) than extracellular fluid | |
244. |
Regarding the insulin receptor, which statement is INCORRECT? |
A. | it is present even in cells which do not increase their glucose intake in response to insulin |
B. | insulin binds to the subunit on the outer surface of the cell membrane |
C. | it is a tetramer of two and two subunits |
D. | the binding of insulin decreases the activity of tyrosine kinase on the intracellular end of the receptor |
E. | the complex of insulin and receptor become internalised by the cell |
Answer» C. it is a tetramer of two and two subunits | |
245. |
Which statement regarding the thyroid gland and its hormones is INCORRECT? |
A. | thyroid hyperactivity is associated with an increase in plasma catecholamines |
B. | iodide trapping by thyroid cells is an active process |
C. | thyroid hormones enter cells by diffusion across the cell membrane |
D. | thyroid hormones cause an increase in 2,3 - DPG |
E. | thyroid hormones increase growth hormone secretion |
Answer» B. iodide trapping by thyroid cells is an active process | |
246. |
The opioid receptor is involved in: |
A. | analgesia |
B. | respiratory depression |
C. | miosis |
D. | dependence |
E. | all of the above |
Answer» B. respiratory depression | |
247. |
In which state is extracellular buffering more important than intracellular? |
A. | respiratory acidosis |
B. | respiratory alkalosis |
C. | metabolic acidosis |
D. | metabolic alkalosis |
E. | collecting duct |
Answer» E. collecting duct | |
248. |
Which substance relaxes mesangial cells? |
A. | angiotensin II |
B. | ADH |
C. | noradrenaline |
D. | thromboxane A2 |
E. | ANP |
Answer» F. | |
249. |
With regard to the effect of thyroid hormone on the cardiovascular system, which of the following are TRUE? |
A. | level of noradrenaline are increased |
B. | adrenergic receptor affinity is decreased in heart muscle |
C. | circulating adrenaline levels are decreased |
D. | thyroid hormone levels alter the ratio of cardiac myosin isoform types |
E. | none of the above |
Answer» E. none of the above | |
250. |
Regarding the iodide pump in thyroid cells, which is NOT true? |
A. | it is stimulated by TSH |
B. | it depends on Na+ / K+ ATPase activity |
C. | it pumps iodide into the colloid, after entering the cell down an electrical gradient |
D. | it pumps iodide against an electrical gradient |
E. | its activity can be measured with trace doses of radioactive iodine |
Answer» D. it pumps iodide against an electrical gradient | |