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

Where does fertilisation most commonly take place?

  1. ACervix
  2. BOvary
  3. CBody of the uterus
  4. DAmpulla of the uterine tube
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"?

  1. AMedial collateral ligament, lateral collateral ligament and patella
  2. BPosterior cruciate ligament, lateral collateral ligament and lateral meniscus
  3. CAnterior cruciate ligament, posterior cruciate ligament and patellar ligament
  4. DAnterior cruciate ligament, medial collateral ligament and medial meniscus
3.Human physiologyMedium

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

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

A young woman has muscle weakness that gets worse with repeated use and improves with an acetylcholinesterase inhibitor. What is the most likely mechanism?

  1. AAntibodies against acetylcholine receptors at the neuromuscular junction
  2. BDemyelination of central nervous system tracts
  3. CLoss of motor neurons in the spinal cord
  4. DA defect in the dystrophin protein of muscle

2Solutions

1.Human anatomy

Answer: D · Ampulla of the uterine tube

Why this is the answer

Fertilisation usually occurs in the ampulla of the uterine (fallopian) tube. The embryo then travels to the uterus to implant.

Answer

D · Ampulla of the uterine tube
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: C · 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

C · It slows the heart rate
4.Human physiology

Answer: A · Antibodies against acetylcholine receptors at the neuromuscular junction

Why this is the answer

In myasthenia gravis, autoantibodies reduce the number of functional acetylcholine receptors. Blocking acetylcholinesterase leaves more ACh to bind the remaining receptors.

Answer

A · Antibodies against acetylcholine receptors at the neuromuscular junction

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