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 type of epithelium lines the urinary bladder?

  1. APseudostratified columnar epithelium
  2. BSimple squamous epithelium
  3. CTransitional epithelium (urothelium)
  4. DSimple columnar epithelium
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. AFemoral nerve
  2. BCauda equina
  3. CSciatic nerve in the buttock
  4. DThoracic spinal cord
3.Human physiologyMedium

Why can cardiac muscle not be tetanised like skeletal muscle?

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

During exercise, blood flow to active skeletal muscle rises greatly. What is the main cause?

  1. ALocal metabolites such as CO₂, H⁺, K⁺ and adenosine dilate the arterioles
  2. BThe heart pumps blood only to the muscles
  3. CSympathetic stimulation constricts the muscle arterioles via alpha receptors
  4. DThe parasympathetic system dilates all arteries

2Solutions

1.Human anatomy

Answer: C · Transitional epithelium (urothelium)

Why this is the answer

Transitional epithelium can change shape from rounded to flattened cells as the bladder stretches, while staying watertight.

Answer

C · Transitional epithelium (urothelium)
2.Human anatomy

Answer: B · 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

B · Cauda equina
3.Human physiology

Answer: C · 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

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

Answer: A · Local metabolites such as CO₂, H⁺, K⁺ and adenosine dilate the arterioles

Why this is the answer

Active hyperaemia: metabolites produced by working muscle relax arteriolar smooth muscle locally, overriding sympathetic vasoconstriction in that tissue.

Answer

A · Local metabolites such as CO₂, H⁺, K⁺ and adenosine dilate the arterioles

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