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1Practice problems
1.Human anatomyMedium
Which pulse is felt just behind the medial malleolus of the ankle?
ADorsalis pedis artery
BFibular artery
CPopliteal artery
DPosterior tibial artery
2.Human anatomyHard
A footballer takes a blow to the outside of the planted knee. Which combination of injuries is classically called the "unhappy triad"?
APosterior cruciate ligament, lateral collateral ligament and lateral meniscus
BAnterior cruciate ligament, posterior cruciate ligament and patellar ligament
CMedial collateral ligament, lateral collateral ligament and patella
DAnterior cruciate ligament, medial collateral ligament and medial meniscus
3.Human physiologyMedium
Why is the oxygen–haemoglobin dissociation curve S-shaped?
AHaemoglobin can bind only one oxygen molecule
BBinding of one oxygen makes the next bind more easily
COxygen dissolves better in plasma at high partial pressure
DRed cells change size as they take up oxygen
4.Human physiologyHard
Why is severe hyperkalaemia dangerous for the heart?
AIt depolarises cardiac cells, inactivating sodium channels and causing arrhythmias
BIt blocks the binding of calcium to troponin
CIt hyperpolarises cardiac cells, so they can never fire
DIt speeds up the SA node until tachycardia causes fainting
2Solutions
1.Human anatomy
Answer: D · Posterior tibial artery
Why this is the answer
The posterior tibial artery passes behind the medial malleolus into the sole. The dorsalis pedis pulse is felt on the top of the foot.
Answer
D · Posterior tibial artery
2.Human anatomy
Answer: D · Anterior cruciate ligament, medial collateral ligament and medial meniscus
Why this is the answer
A valgus force with rotation tears the MCL, the ACL and the medial meniscus, which is firmly attached to the MCL.
Answer
D · Anterior cruciate ligament, medial collateral ligament and medial meniscus
3.Human physiology
Answer: B · Binding of one oxygen makes the next bind more easily
Why this is the answer
Haemoglobin shows cooperative binding: each bound O₂ increases the affinity of the remaining sites, giving a sigmoid curve.
Answer
B · Binding of one oxygen makes the next bind more easily
4.Human physiology
Answer: A · It depolarises cardiac cells, inactivating sodium channels and causing arrhythmias
Why this is the answer
High extracellular potassium makes the resting potential less negative. Many fast sodium channels then become inactivated, slowing conduction and risking fatal arrhythmias.
Answer
A · It depolarises cardiac cells, inactivating sodium channels and causing arrhythmias