1.Easy
Which hormone, released by the pineal gland in darkness, helps regulate the sleep–wake cycle?
- AAdrenaline
- BMelatonin
- CCortisol
- DOxytocin
2.Easy
Which neurotransmitter is released at the neuromuscular junction of skeletal muscle?
- ASerotonin
- BDopamine
- CNoradrenaline
- DAcetylcholine
3.Easy
Which hormone, made mainly by the kidneys, stimulates red blood cell production?
- AThrombopoietin
- BRenin
- CAldosterone
- DErythropoietin
4.Medium
Low plasma albumin, as in severe liver disease, causes oedema mainly because:
- APlasma oncotic pressure falls
- BLymphatic drainage increases
- CCapillary hydrostatic pressure falls
- DThe capillaries become impermeable
5.Medium
Which hormonal event triggers ovulation?
- AA fall in oestrogen
- BA rise in progesterone from the corpus luteum
- CA surge of prolactin
- DA surge of luteinising hormone (LH)
6.Medium
During which phase of the cardiac cycle are all four heart valves closed while ventricular pressure rises?
- AIsovolumetric contraction
- BRapid filling
- CAtrial systole
- DRapid ejection
7.Hard
Which combination of signs is expected in a patient in early hypovolaemic shock after major bleeding?
- ATachycardia, cool pale skin and reduced urine output
- BBradycardia, warm flushed skin and high urine output
- CTachycardia, warm flushed skin and high urine output
- DBradycardia, cool pale skin and high urine output
8.Hard
After a head injury, a patient passes large volumes of very dilute urine and plasma sodium rises. What is the most likely cause?
- ALack of ADH release (cranial diabetes insipidus)
- BUncontrolled diabetes mellitus
- CExcess aldosterone
- DExcess ADH release (SIADH)
Answer key
- 1. B · Melatonin
- 2. D · Acetylcholine
- 3. D · Erythropoietin
- 4. A · Plasma oncotic pressure falls
- 5. D · A surge of luteinising hormone (LH)
- 6. A · Isovolumetric contraction
- 7. A · Tachycardia, cool pale skin and reduced urine output
- 8. A · Lack of ADH release (cranial diabetes insipidus)
Full step-by-step solutions: practise this topic on examproblems.com.