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 cranial nerve supplies the lateral rectus muscle of the eye?

  1. ATrochlear nerve (IV)
  2. BOptic nerve (II)
  3. CAbducens nerve (VI)
  4. DOculomotor nerve (III)
2.Human anatomyHard

A large central disc prolapse at L4–L5 causes saddle anaesthesia, urinary retention and bilateral leg weakness. Which structure is compressed?

  1. AThoracic spinal cord
  2. BFemoral nerve
  3. CSciatic nerve in the buttock
  4. DCauda equina
3.Human physiologyMedium

What is the main effect of vagus nerve stimulation on the heart?

  1. AIt increases ventricular contractility strongly
  2. BIt slows the heart rate
  3. CIt increases the heart rate
  4. DIt constricts the coronary arteries
4.Human physiologyHard

Which substance's clearance is used as the gold standard to measure glomerular filtration rate?

  1. AGlucose
  2. BInulin
  3. CCreatinine
  4. DUrea

2Solutions

1.Human anatomy

Answer: C · Abducens nerve (VI)

Why this is the answer

The abducens nerve (VI) supplies lateral rectus. A lesion stops the eye moving outwards and causes horizontal double vision.

Answer

C · Abducens nerve (VI)
2.Human anatomy

Answer: D · Cauda equina

Why this is the answer

Below L1–L2 the canal holds the cauda equina. Central compression of these lumbar and sacral roots causes cauda equina syndrome, a surgical emergency.

Answer

D · Cauda equina
3.Human physiology

Answer: B · It slows the heart rate

Why this is the answer

The vagus releases acetylcholine on muscarinic receptors in the SA and AV nodes, slowing pacemaker firing and AV conduction.

Answer

B · It slows the heart rate
4.Human physiology

Answer: B · Inulin

Why this is the answer

Inulin is filtered freely and is not reabsorbed or secreted, so its clearance equals GFR exactly. Creatinine is slightly secreted, so it overestimates GFR a little.

Answer

B · Inulin

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