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Foundation

FOUNDATION – Physiology

Compiled Topical Questions of Foundation – Physiology

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Think about the sticky surface layer of cells that helps them recognize and bind to each other.

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Which part of the cell membrane plays a part in cell to cell adhesion?

“Think about what happens to cells when placed in pure water or a very dilute salt solution—do they gain or lose water?”

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What will happen to red blood cells when they are placed in 0.1% sodium chloride solution?

“Why do infants get dehydrated so quickly compared to adults?”

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The total water content of the body is best given by which of the following?

Think about the parasympathetic nervous system’s role in conserving energy and maintaining homeostasis. Consider its effects on the eyes, heart, and blood vessels.

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Which is the effect of parasympathetic stimulation?

“Which process involves vesicles forming at the plasma membrane with the help of a coated protein?”

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Which of the following processes has clathrin as an important factor?

When a patient has hypoesthesia, think about which sensory system is directly responsible for the perception of physical sensations like pressure, temperature, and pain. Which one is primarily affected when there is reduced sensation?

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A paralyzed patient is admitted into the emergency ward with hypoesthesia. Which of the following senses is affected?

Think about the cells that are continuously produced in large quantities to perform a vital function for survival. Which cells exist in trillions in the human body?

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Which are the most abundant cells of the human body?

“Which vesicle transports cellular debris to the cell’s recycling center?”

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From which of the following structures do the worn-out organelles of the cell reach lysosome?

“Which nervous system is responsible for rest-and-digest functions, including slowing the heart and making breathing less efficient?”

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Which of the following occurs as a result of parasympathetic fibers?

Think about the role of the Na+/K+ ATPase pump in maintaining the electrochemical gradient across the cell membrane. How does this gradient contribute to processes like osmotic balance and cell volume regulation?

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Which of these statements regarding the sodium-potassium (Na+/K+) ATPase pump is correct?

Think about what happens when a cell cannot maintain its usual balance of ions — and how water responds to shifts in ion concentrations. Why does water move where solutes accumulate?

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What will happen to the cell if the Na-K pump dysfunctions?

The immune system has specialized cells that can “remember” past infections. These cells do not actively fight infections in the moment but allow for a faster response upon re-exposure to a known pathogen.

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Which of these store information about the epitope of an antigen?

Think about which condition directly affects the kidneys’ filtering system, making them leaky enough for large molecules like proteins to pass through into urine.

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In which condition would proteins be present in urine?

This condition affects the movement of cilia and flagella and can lead to recurrent respiratory infections and infertility.

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Which disease is characterized by the immobility of cilia and flagella?

Your brain learns from mistakes—if a movement isn’t perfect, it adjusts for next time. What do we call this process?

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Sensory nerve signals from the moving parts apprise the brain of whether the movement is performed correctly. If not, the brain corrects it the next time movement is required. What is the name of this process?

Imagine you’re suddenly plunged into an ice bath. What’s your body’s immediate, instinctive reaction to warm itself up? Does it involve relaxing or tensing your muscles?

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A group of friends visited a cold hilly area during their winter vacations. Which of the following physiological responses is most likely to occur in their body?

Think about the type of muscle that works silently in the background, controlling the flow of blood without you even noticing. Which muscle type is always “on duty” in your blood vessels? And that’s not rough but?

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Which of the following types of muscles is responsible for the dilation and constriction of blood vessels?

Think about conditions where both water and electrolytes are lost in equal proportions, leading to a decrease in extracellular fluid volume without altering osmolarity.

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In which of the following conditions does isosmotic volume contraction occur?

Consider the role of ion channels in shaping the different phases of the action potential. Which ion channel, when open, allows positively charged ions to leave the cell, making the inside of the cell more negative?

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What causes hyperpolarization during an action potential?

“Heart cells must beat in unison—what kind of junction allows ions to flow directly between them?”

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Which of the following junctions forms a tube-like structure similar to that of cardiomyocytes?

Think about the building blocks of life. What is the smallest structure capable of performing all the functions necessary for life?

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Which of the following is the simplest unit of a living system?

Think about what happens first when a neuron or muscle fiber is stimulated. Which fundamental change allows positive ions to rush into the cell, making the inside more positive?

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Which of the following initiates depolarization?

Think about the major cation in the extracellular fluid. Is it present in high or low concentrations?

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What is the range of sodium (Na+) in the blood?

The blood vessels in the skin are regulated by the same system that controls involuntary functions such as heart rate and digestion, not by voluntary control of muscles.

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What are the blood vessels in skin supplied by?

Think about the ions involved in maintaining fluid and electrolyte balance, and which one is most abundant in the blood.

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Which of the following is the major ion of extracellular fluid?

Think of the natural flow of water through a membrane when solute concentrations differ on both sides — no energy needed!

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What is the term for the movement of water molecules across a semi-permeable membrane into a region of high solute concentration?

Think about which ion is primarily responsible for establishing the resting membrane potential of a cell and how its movement affects the charge inside the cell. Focus on the ion that has a high intracellular concentration and tends to move out of the cell.

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Increased permeability of the membrane to which of the following ions makes the inside of the cell more negative?

This second messenger is produced from PIP₂ breakdown and directly binds to SR receptors to release Ca²⁺.

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Intracellular Ca2+ concentration greatly impacts the force of muscular contraction. Which of the following second messenger has a role in the release of Ca2+ from the sarcoplasmic reticulum?

Think about the ion channel that opens in response to a change in membrane potential and allows a rapid influx of positively charged ions, leading to depolarization. Consider the initial phase of the action potential.

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Activation of which of these leads to the generation of an action potential?

Think about the role of the Na⁺/K⁺ pump in maintaining the resting membrane potential. Which ions are moved out of the cell, and which are moved into the cell to create the electrochemical gradient?

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Which of the following is correct regarding the Na+/K+ pump?

Think about the sequence of events in the cell cycle. Which phase directly precedes mitosis, and what is its primary function?

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Which of the following is incorrect regarding the cell cycle?

The hormone responsible for stimulating growth and development, including cartilage growth, is the one that acts on growth plates and chondrocytes, influencing skeletal growth.

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Growth of hyaline cartilage is controlled by which hormone of anterior pituitary gland?

Think about the average body water percentage for an average adult male with normal hydration and body composition.

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What percentage of total body weight of a 70 kg man is water?

Think about which rhythm originates from the ventricles, causes a dangerously high heart rate, and can quickly lead to sudden cardiac death if untreated.

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Which of the following is the most lethal dysrhythmia?

Think about the ion gradient that drives the transport of other molecules across the cell membrane. Consider how this gradient is established and maintained.

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Secondary active transport uses energy from which of the following?

Think of it like a see-saw: when one molecule goes in, the other goes out. Which type of transport works like that?

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What is the coupled transport of two different molecules in opposite directions called?

This neurotransmitter is used at ganglionic synapses and target organs in the “rest and digest” system.

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Which neurotransmitter is released at preganglionic and postganglionic nerve terminals of the parasympathetic nervous system respectively?

Think about why developing sperm cells need protection from the body’s immune system—what unique structure do Sertoli cells create to shield them, and how does this relate to their other supportive roles?

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What is the role of Sertoli cells in spermatogenesis?

Think about which organelles are involved in detoxification processes with the use of oxidase and catalase.

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A person consumes alcohol in high quantity. Which of the following organelles are active in the liver to combat the toxic effect of the alcohol?

The resting membrane potential is determined by the balance of ions across the membrane, particularly potassium and sodium. It is important to remember that this potential is negative.

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What is the resting membrane potential in a typical mammalian nerve fiber?

“Your nerves and muscles rely on these ions to function—one is mostly outside the cell, and the other inside. Which values match the normal extracellular range?”

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What is the concentration of Na+ and K+ in the extracellular fluid (ECF) respectively?

 

Think about which part of the pump is responsible for the energy-requiring step of the transport process

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Which subunit of the Na-K pump has ATPase activity?

“Which ion’s high concentration in the extracellular fluid makes it critical for maintaining blood pressure and transmitting nerve impulses?”

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What is the concentration of Na⁺ in the extracellular fluid?

Think about which part of a multi-subunit protein would be responsible for carrying out the actual chemical reactions — such as breaking down ATP to provide energy — and not just supporting structure or regulation.

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Which subunit of the Na-K pump has ATPase activity?

Consider which part of the pump is responsible for the active transport of the ions and therefore needs the binding sites

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Which subunit of the Na-K pump has binding sites for Na+ and K+?

“Think of a busy road where cars are moving in the same direction, carrying different passengers—this is how symport works! Can you identify which transporter carries multiple passengers together?”

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Which of the following is an example of a symport co-transporter?

Think about which cell type is primarily involved in allergic reactions and immediate hypersensitivity responses. What cell type is known for releasing histamine upon activation?

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Histamine is released from basophilic granules of which of the following?

“The balance of water and electrolytes is carefully controlled—what’s the ideal osmolarity range for maintaining homeostasis?”

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What is the normal osmolarity of the body?

Think about what happens to your body when you feel nervous or scared.

Which of these options aligns with the body’s preparation for action?

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A first-year medical student was nervous when taking their viva exam. How will this student’s autonomic nervous system respond?

Think about which ion’s concentration gradient is most aligned with the resting membrane potential—and why the cell membrane’s ‘leakiness’ to this ion outweighs others at baseline.”

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The diffusion potential of the cell membrane is calculated by the movement of which of the following ions?

Think about where molecules and their receptors accumulate on the cell membrane before being taken inside—what is the name of that special area that begins the process?

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Cells uptake large molecules via pinocytosis, involving the attachment of the molecule to receptors on the membrane. These receptors are involved with which site?

 

“Think of capillaries like garden hoses — when the pressure inside the hose increases, water leaks out more forcefully. What would happen if the same thing occurs in your capillaries?”

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Why does edema occur?

Since NaCl cannot cross cell membranes freely, the infused fluid remains in the extracellular space, hence ECF will…?

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A 20-year-old boy mistakenly infused a one-liter extra amount of 0.9% NaCl solution. What will be the intermediate effect of this infusion on his body fluid compartment?

Think about the precursor of the main clotting enzyme — it stays dormant until an injury activates the coagulation cascade.

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Which of the following prevents the clotting of blood in a normal and healthy endothelium by remaining inactive unless it is activated by some factor?

“Think about how amoeboid cells like white blood cells or amoeba know where to move. What type of signals in their environment guide them toward their target—like a battlefield signal pulling soldiers in?”

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What initiates and controls amoeboid movement?

Think about the electrical charges being moved by the pump and how this affects the cell’s membrane potential.

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Which of the following best describes the nature of the Na-K ATP pump?

Think about the general characteristics of endocrine glands and whether intracellular vacuoles are exclusive to certain cell types or present in all cells.

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Which of these is false for endocrine glands?

Consider the osmolarity of the solution relative to the intracellular fluid of RBCs and the direction of water movement across the cell membrane.

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If red blood cells are placed in a solution containing 0.3% NaCl, what will be the effect on them?

Think about the ion that is responsible for maintaining the resting membrane potential of cells. This ion is constantly pumped into cells by an ATP-dependent pump while another ion is pumped out.

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Which ion is present most abundantly in the intracellular environment?

Think about the equation used to calculate the membrane potential in living cells. what degree of distribution does it have, individual or multiple?

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The diffusion potential of the cell membrane can be calculated using which of the following ions?

Think about the transporter that directly consumes ATP to move both ions against their gradients. This transporter plays a key role in maintaining resting membrane potential.

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Which of the following ions are not transported through the secondary active transport?

These neurons transmit sensory information from the periphery of the body to the central nervous system, and their name reflects their structure, which looks like a single branch but functions in transmitting sensory input

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What is the function of pseudo-unipolar neurons?

Think about which ion has the greatest ease of movement across the cell membrane at rest.

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The diffusion potential of the cell membrane is calculated by the movement of which of the following ions?

Think about the balance of fluids inside and outside the cells, and how water makes up the majority of body mass — especially in lean tissue.

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What is the fluid composition in the human body

This anion is key to maintaining the balance of sodium in extracellular fluid and plays an important role in acid-base regulation. Consider the ion that is present in high concentration and works alongside sodium to maintain osmotic pressure in the extracellular compartment.

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Which of the following is the major anion of extracellular fluid?

“Which ion is responsible for repolarization? If too much of this ion leaves the cell, the membrane potential will drop lower than usual—what is this phase called?”

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What causes hyperpolarization during an action potential?

Think about which ion normally leaves the cell to create a negative resting membrane potential. This ion is actively pumped in but passively leaks out, maintaining the electrochemical balance.

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Increased permeability of the membrane to which of the following ions makes the inside of the cell more negative?

 

Think of membrane-bound organelles as the “compartments” of a factory — eukaryotic cells have them, while prokaryotic cells keep everything open in one space.

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Which of the following distinguishes prokaryotic and eukaryotic cells?

“Think about the cellular organelle responsible for folding newly made proteins and ensuring they achieve the correct shape. If this process fails, where would misfolded proteins start accumulating?”

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Which of the following causes protein aggregation?

Think about the type of transport that requires ATP to move substances against their concentration gradient. This transport is crucial for nerve function and maintaining ionic balance.

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Which type of transport is involved in the transport mechanism of the sodium-potassium pump?

Think about the complexity of biological membranes, which are permeable to multiple ions. Which equation accounts for the contributions of all permeable ions to the overall membrane potential?

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When a membrane is permeable to several different ions, which of these is used to calculate diffusion potential?

Think about the movement of ions during the different phases of an action potential. Which ion’s movement out of the cell would make the membrane potential more negative?

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What causes hyperpolarization during an action potential?

Think about the internal “skeleton” of the cell. Just as the human skeleton provides structure and shape to the body, this cellular structure provides shape and support to the cell. What term combines “cell” and “skeleton”?

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What is the complex of proteins and filaments which span the entire cell and is responsible for giving the shape to the cell called?

“Plasma is a part of the fluid circulating in your blood vessels — but when you think of total body fluid, remember that most of it is inside your cells.”

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What fraction of body fluid is the plasma?

Consider the structure of the cell membrane as a phospholipid bilayer with embedded proteins. How would the combined thickness of these components appear under an electron microscope?

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What is the total range of thickness of the cell membrane as measured from an electron microphotograph?

These proteins span the membrane and often have carbohydrate chains on their outer surface, aiding in cell communication and recognition.

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Which of the following is a characteristic of integral proteins in the cell membrane?

Think about the key structural feature of the rough endoplasmic reticulum (the presence of ribosomes) and what cellular process ribosomes are primarily involved in.

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Rough endoplasmic reticulum is involved in which of the following?

Think about how immune cells, like white blood cells, move towards an infection site. What directs their movement? The answer lies in how cells “sense” chemicals in their environment.

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What initiates and controls amoeboid movement?

Think about the electrolyte that makes salty fluids salty. Which cation is responsible for the high osmolarity of blood plasma and other extracellular fluids?

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Which of the following is the major cation present in extra-cellular fluid (ECF)?

This process is used by immune cells to engulf and digest foreign invaders, and it requires vesicle formation and ATP.

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Which of the following processes requires energy?

“Which ions are responsible for maintaining the volume and osmotic balance of extracellular fluid?”

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What are the main cations and anions of the extracellular fluid?

Think about the driving force behind passive movement of molecules across a membrane. What factor directly influences how quickly molecules move from one side to the other?

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The rate of diffusion through the cell membrane is proportional to which of the following?

Think about what gain represents: it’s a measure of how much a system amplifies or reduces an input signal. If you know the correction (output) and the error (difference between desired and actual output), how would you quantify the system’s effectiveness? Which mathematical operation relates these two quantities to give you a measure of amplification?

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The gain of a control system is calculated by which formula?

This organelle produces ATP for sustained muscle contraction.

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During a marathon race of 10km distance, an athlete requires which of the following organelles abundantly in muscle fibers?

Think about how a resting neuron remains ready to fire — creating a polarized state needed for an action potential.

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Which of the following statement is correct regarding charge distribution in an unstimulated neurolemma?

Think about processes where one molecule’s movement powers another’s — like a tandem bike where one rider’s effort propels both forward!

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In which process is the carrier transport protein known as “symport”?

Think about the molecule that stores and transfers energy in cells. Which anion is a key player in cellular energy and structure?

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Which of the following is the most abundant anion in the intra-cellular fluid?

This process explains why plant roots absorb water and why red blood cells shrink or swell when placed in different solutions.

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What is the term for the movement of water molecules across a semi-permeable membrane into a region of high solute concentration?

Think about fluid loss from the body that matches plasma composition — this keeps osmolarity stable, but reduces fluid volume

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In which of the following conditions does isosmotic volume contraction occur?

Consider what happens when blood sugar levels become so high that the kidneys can’t reabsorb all of it. What would you expect to find in the urine as a result?

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What is the name for the condition in which glucose is present in urine?

Consider the electrolyte composition of gastric secretions and the body’s compensatory mechanisms in response to fluid and electrolyte loss.

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What does vomiting lead to?

Consider the origin of germ cells—do they arise from somatic cells like Sertoli cells, or do they have a distinct embryonic lineage? What structures in the testes are solely responsible for germ cell maintenance rather than formation?”

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Which of the following is not a function of sertoli cells?

These cells are highly branched, located in the gray matter, and help form the blood-brain barrier.

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The student is given a histological section of the gray matter of the brain to observe. The image shows cells with multiple cytoplasmic processes spread across. These perivascular cells also sit at various places along the capillary endothelium. Which cells are these?

Think about the proportion of total body water that is contained within cells. What is the approximate volume if total body water is around 42 litres?

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What is the intracellular fluid volume in the human body?

Which neurotransmitter is associated with this system, and is it the same at both preganglionic and postganglionic terminals?

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Which neurotransmitter is released at preganglionic and postganglionic nerve terminals of the parasympathetic nervous system respectively?

“When the body loses fluid rich in hydrochloric acid and potassium, what happens to the sodium concentration when water is retained?”

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What does vomiting lead to?

Think about the process by which cells “take in” substances from their environment. What is the general term for this process, and how does it differ from releasing substances?

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How do large macromolecules enter a cell?

Think about which system is capable of rapid, anticipatory responses to external stimuli. Which system can prepare the body for an action before it occurs?

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Which of the following systems uses a feed-forward control principle?

Think about what happens to the balance of water and solutes across the cell membrane if the pump stops working.

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What will happen to the cell if the Na-K pump dysfunctions?

Consider the different ways oxygen delivery to tissues can be disrupted. Think about the roles of the heart, lungs, blood vessels, and hemoglobin in transporting oxygen. If any of these components fail or are compromised, what happens to oxygen delivery?

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Hypoxia means a decrease in oxygen delivery to tissues. Which of the following can cause hypoxia and eventually lead to the decreased aerobic oxidative respiration? –

If the body detects an excess of water in the plasma, which hormone should decrease to allow more water to be excreted? Similarly, if sodium levels are not significantly altered, what should happen to aldosterone secretion?

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What will be the effect on aldosterone and antidiuretic hormone levels when a hypotonic solution is infused into the body?

“Think about which ion the pump moves out of the cell in greater numbers to maintain the negative resting membrane potential and create gradients essential for nerve signaling.”

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Which of the following statements describes the function of the Na-K pump?

Think about how a barrier makes it harder for molecules to pass through—what factor directly increases this barrier?

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An increase in which of the following decreases the rate of diffusion across the cell membrane?

When substances need to be moved against their concentration gradient (from low to high concentration), the cell often requires energy. The most direct form of energy usage is:

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Energy from ATP is required in which type of transport?

“Think about the specialized lining of the bladder designed to change shape depending on how full or empty the bladder is. What property allows these cells to stretch without damage and return to their original form?”

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Why do cells show different states during the distension and relaxation of the bladder?

Think about the ion that’s constantly being pumped out of the cell to create an electrical gradient. What’s the key player in maintaining the cell’s “battery”?

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Which of the following minerals is required to maintain the membrane potential?

Think about the primary roles of the sodium-potassium pump, particularly its role in maintaining ion gradients and cellular homeostasis.

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Which of the following is a function of the sodium-potassium pump in the cell membrane?

Consider how cells maintain ionic balance—what transport mechanism would allow a cell to simultaneously import one critical ion while exporting a waste product, using the energy from one gradient to power the other?”

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What is the coupled transport of two different molecules in opposite directions called?

This second messenger is targeted by drugs like nitrates and sildenafil (Viagra) to enhance blood vessel relaxation.

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Myocardial ischemia triggers coronary endothelial cells to release nitric oxide. In response, nitric oxide will activate which of the following second messenger?

When the body temperature rises too much, it can exceed the body’s ability to regulate it. Think of how the body typically responds to heat, and then imagine a point where that response isn’t enough.

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What does a 6°C increase in temperature above normal body temperature lead to?

Think about why cells need to maintain different concentrations of sodium and potassium inside and outside — and what kind of energy investment would be required to keep ions moving against their gradients.

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Which of the following statements describes the function of the Na-K pump?

Think about the journey of a protein after it is synthesized. Which organelle is responsible for modifying and preparing it for its final destination?

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What is the function of the Golgi complex?

Why does the Na⁺/K⁺ pump require ATP to function, and how does its activity contribute to the resting membrane potential of neurons?

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Which of the following regarding Na+/K+ pump is true?

Think of pumping substances uphill — it requires energy, just like..?

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What is the term for the transport of substances across membranes with expenditure of energy?

Consider whether the cell needs to use energy directly or relies on another gradient to move ions against their concentration gradient in such a highly acidic environment.

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In the gastric glands H+ ions are secreted from the cells in order to maintain the acidic nature of gastric juice. The mechanism involved in this is which of the following?

 

“Which part of the brain acts as the master regulator of body balance and works closely with the hormonal system?”

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What regulates homeostasis?

Think about how your body reacts when you’re nervous or scared—your heart pounds faster, and you feel “on edge.”

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A first-year medical student was nervous when taking their viva exam. How will this student’s autonomic nervous system respond?

Think of the 2/3rd–1/3rd rule for fluid distribution — most water is inside the cells, while the remaining third stays outside.

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Extracellular fluid constitutes how much of the total body fluid?

After eating, your body focuses on digesting food and resting, not fighting or running—what part of the nervous system controls this?

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A 21-year-old medical student decides to take a nap after having his lunch. Which of the following nervous systems is activated?

Think about the concentration of salt that would “suck water out” of the red blood cells. What happens when the surrounding solution is saltier than the inside of the cell?

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Which of the following solutions would cause red blood cells to shrink?

“Some transporters use ATP directly, while others hitch a ride on an existing gradient. Which one of these doesn’t pay for its own energy?”

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Which of the following proteins is an example of secondary transport?

Think about the rapid changes in membrane potential during an action potential. Which ion channel needs to open and close very quickly, and be subject to both activation and inactivation?

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Tags: 2019

Which of the following ion channels has two gates?

This pump is crucial for resting membrane potential and works by removing more positive charges than it brings in, keeping the inside of the cell more negative.

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Sodium-potassium ATPase functions to pump the which of following ions inside and outside the cell?

Think about the primary components of chromatin and their roles in DNA packaging. Which component listed in the false statement does not belong?

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Which of these is false regarding the chromatin?

This type of volume contraction occurs when the body loses more water than sodium.

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A football player from Lyari, while playing in excessively hot weather, felt dizzy and was brought to the hospital. On examination, he was found to be dehydrated, his blood pressure was low (70/50), and his pulse rate was high (110 b/min). Which of the following explains the patient’s condition?

Think about a physiological process where a small change leads to a bigger and bigger change in the same direction.

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Which of the following systems produces an effect to further enhance the stimulus?

Consider which part of a membrane pump would logically need to interact directly with ions and ATP to move them across the membrane — think about where the “work” of the pump is actually done.

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Tags: 2018

Which subunit of the Na-K pump has binding sites for Na+ and K+?

“Which ion movement typically makes the inside of the cell more negative?”

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Which of the following is responsible for hyperpolarization?

Think about the chemical nature of steroid hormones. Can they easily pass through the cell membrane? Where would you expect to find their receptors?

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In cell signaling, steroid hormones bind to which of the following receptors?

Think about whether the process involves moving substances with or against a gradient and whether it requires cellular effort to reshape structures. Does it passively happen, or does the cell have to actively work to complete it?

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Tags: 2020

Which of the following processes requires energy?

Think about what happens to the charge of the cell membrane when more positive ions are pumped out than in — what kind of potential or gradient would this create?

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Tags: 2018

Which of the following best describes the nature of the Na-K ATP pump?

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