1.Easy
Which neurotransmitter is released at the neuromuscular junction of skeletal muscle?
- ADopamine
- BSerotonin
- CNoradrenaline
- DAcetylcholine
2.Easy
Which hormone, released by the pineal gland in darkness, helps regulate the sleep–wake cycle?
- AAdrenaline
- BOxytocin
- CMelatonin
- DCortisol
3.Easy
Which ion triggers contraction by binding to troponin in skeletal muscle?
- APotassium
- BSodium
- CCalcium
- DChloride
4.Medium
During which phase of the cardiac cycle are all four heart valves closed while ventricular pressure rises?
- ARapid filling
- BAtrial systole
- CRapid ejection
- DIsovolumetric contraction
5.Medium
The Frank–Starling mechanism describes that:
- AContractility falls when temperature rises
- BStroke volume rises when ventricular filling increases
- CHeart rate rises when arterial blood pressure falls suddenly
- DThe atria contract after the ventricles
6.Medium
Low plasma albumin, as in severe liver disease, causes oedema mainly because:
- ACapillary hydrostatic pressure falls
- BThe capillaries become impermeable
- CLymphatic drainage increases
- DPlasma oncotic pressure falls
7.Hard
Which combination of signs is expected in a patient in early hypovolaemic shock after major bleeding?
- ATachycardia, warm flushed skin and high urine output
- BBradycardia, warm flushed skin and high urine output
- CBradycardia, cool pale skin and high urine output
- DTachycardia, cool pale skin and reduced urine output
8.Hard
A pulmonary embolus blocks blood flow to a well-ventilated region of lung. How does the ventilation–perfusion (V/Q) ratio of that region change?
- AIt becomes very high, acting as dead space
- BIt becomes zero, acting as a shunt
- CIt becomes low, like in pneumonia
- DIt stays normal because ventilation falls too
Answer key
- 1. D · Acetylcholine
- 2. C · Melatonin
- 3. C · Calcium
- 4. D · Isovolumetric contraction
- 5. B · Stroke volume rises when ventricular filling increases
- 6. D · Plasma oncotic pressure falls
- 7. D · Tachycardia, cool pale skin and reduced urine output
- 8. A · It becomes very high, acting as dead space
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