Anatomy and Physiology: cram pack

Formula sheets, the key method steps for every topic and 4 practice problems, with full solutions at the back.

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1Practice problems

1.Human anatomyMedium

Which nerve is compressed in carpal tunnel syndrome?

  1. AMedian nerve
  2. BUlnar nerve
  3. CRadial nerve
  4. DMusculocutaneous nerve
2.Human anatomyHard

When inserting a chest drain or needle into the pleural space, why is it placed just above the upper border of a rib?

  1. AThe pleura is thickest just above each rib
  2. BThe intercostal muscles are absent above each rib
  3. CThe intercostal vein, artery and nerve run along the lower border of each rib
  4. DThe lung does not reach the area above each rib
3.Human physiologyMedium

Why can cardiac muscle not be tetanised like skeletal muscle?

  1. AIt is controlled only by hormones
  2. BIt has no calcium in the sarcoplasmic reticulum
  3. CIt is not striated
  4. DIts long refractory period lasts almost as long as the contraction
4.Human physiologyHard

Which change shifts the oxygen–haemoglobin dissociation curve to the right?

  1. AHigher pH
  2. BHigher temperature
  3. CLower CO₂
  4. DLower 2,3-BPG

2Solutions

1.Human anatomy

Answer: A · Median nerve

Why this is the answer

The median nerve passes through the carpal tunnel under the flexor retinaculum; compression causes tingling in the thumb, index and middle fingers.

Answer

A · Median nerve
2.Human anatomy

Answer: C · The intercostal vein, artery and nerve run along the lower border of each rib

Why this is the answer

The intercostal neurovascular bundle (vein, artery, nerve from above down) lies in the costal groove under each rib. Going just above the rib below avoids it.

Answer

C · The intercostal vein, artery and nerve run along the lower border of each rib
3.Human physiology

Answer: D · Its long refractory period lasts almost as long as the contraction

Why this is the answer

The plateau of the cardiac action potential gives a long refractory period, so the muscle relaxes before it can be excited again. This allows the heart to refill.

Answer

D · Its long refractory period lasts almost as long as the contraction
4.Human physiology

Answer: B · Higher temperature

Why this is the answer

Higher temperature, CO₂, H⁺ (lower pH) and 2,3-BPG lower haemoglobin's affinity and shift the curve right, releasing more oxygen to active tissues.

Answer

B · Higher temperature

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