Exam Instructions for Module Assessment
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When does oxyhemoglobin release oxygen?

The breakdown of oxyhemoglobin releases oxygen for tissue use. This happens in conditions of low oxygen levels, low pH (acidity), and actively metabolizing tissues, all of which increase the demand for oxygen.

What blood type combinations avoid transfusion reactions?

A transfusion reaction occurs when incompatible blood types are mixed. The safest combination is when the donor's blood type has no antigens that the recipient's immune system will recognize as foreign.

Thrombin triggers the formation of what?

Thrombin is a key enzyme in blood clotting. It converts fibrinogen, a soluble protein in plasma, into fibrin, an insoluble protein that forms a mesh-like structure trapping blood cells and platelets, ultimately forming a clot.

Where is Erythropoietin produced and what does it do?

Erythropoietin is a hormone produced by the kidneys. It stimulates the production of red blood cells in the bone marrow, which carry oxygen throughout the body.

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Why are veins called capacitance vessels?

Veins act as capacitance vessels because they can stretch and expand to accommodate larger volumes of blood. This allows for blood to be stored in the veins, especially when the heart contracts.

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What is the primary pacemaker of the heart and where is it located?

The sinoatrial (SA) node, located in the wall of the right atrium, acts as the primary pacemaker of the heart. It generates electrical impulses that initiate the heart's rhythmic contractions.

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What factors determine resistance to blood flow?

Blood flow resistance is influenced by the diameter of the blood vessel, its length, and the viscosity (thickness) of the blood. Narrower vessels, longer vessels, and thicker blood all increase resistance to flow.

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What primarily determines blood flow?

Blood vessel diameter is the primary factor that influences blood flow. Vasoconstriction (narrowing) increases resistance, while vasodilation (widening) decreases resistance.

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How is the heart muscle supplied with oxygen?

The heart muscle is supplied with oxygen and nutrients by the coronary arteries, which branch off from the aorta. These arteries provide a vital blood supply to the heart tissue.

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How does growth hormone affect metabolism?

Growth hormone (GH) plays a significant role in metabolism. It stimulates protein synthesis, increases tissue mass, promotes fat breakdown, and increases blood glucose levels, all contributing to overall growth and development.

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What hormone increases water permeability in the kidneys?

Antidiuretic hormone (ADH), also known as vasopressin, acts on the kidneys to increase their permeability to water. This allows for more water to be reabsorbed back into the bloodstream, reducing urine volume and conserving water.

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Where is cortisol produced?

Cortisol, a steroid hormone, is produced by the adrenal cortex. It plays a crucial role in stress response, regulating blood sugar levels, and influencing the immune system.

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What is the primary role of melatonin?

Melatonin, a hormone produced by the pineal gland, helps regulate the body's internal clock, also known as the circadian rhythm. It is involved in controlling sleep-wake cycles and other biological processes.

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What hormone is regulated by the renin-angiotensin-aldosterone system and blood potassium concentration?

Aldosterone, a mineralocorticoid hormone produced by the adrenal cortex, is primarily regulated by the renin-angiotensin-aldosterone system and blood potassium concentration. It controls sodium and potassium balance in the body, influencing blood pressure and fluid volume.

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How is lymph pumped throughout the body?

Lymph is propelled through the body by various mechanisms. Contractions of smooth muscle in lymph vessels, muscle contractions, and changes in thoracic pressure during breathing all contribute to lymph circulation.

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What is NOT a function of the spleen?

The spleen is a vital immune organ. It removes worn-out red blood cells, stores blood, and filters microorganisms from the blood. It is not involved in fat absorption, which is done by the small intestine.

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Which blood component is not present in lymph?

Red blood cells are not present in lymph. This is because the lymphatic system is a separate circulatory system that does not transport red blood cells, but carries white blood cells, proteins, and fluids.

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What is thymosin and what does it do?

Thymosin is a hormone produced by the thymus gland, not the thyroid gland. It plays a crucial role in the development and maturation of T-cells, which are essential components of the immune system.

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What is the amount of air left in the lungs after a forceful exhalation called?

The residual volume is the amount of air that remains in the lungs even after a forceful exhalation. It helps to keep the alveoli open and prevents lung collapse.

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What happens when chemoreceptors detect increased CO2 in the blood?

Increased carbon dioxide levels in the blood make it more acidic. This triggers chemoreceptors to send signals to the brain, increasing the rate and depth of breathing to expel excess carbon dioxide and restore the blood's pH balance.

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How does carbon dioxide affect blood pH?

Carbon dioxide dissolves in blood, forming carbonic acid, which increases the hydrogen ion concentration, making the blood more acidic. This is why increased CO2 levels lead to a decrease in blood pH.

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What substance prevents alveoli from collapsing?

Surfactant, produced by septal cells in the alveolar walls, is a substance that reduces surface tension in alveoli, preventing them from collapsing and allowing for efficient gas exchange.

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What is NOT a function of the larynx?

The larynx, or voice box, serves as the pathway for air, aids in sound production, and prevents food and liquids from entering the trachea. However, it does not serve as a common passageway for food.

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What is peristalsis?

Peristalsis is a series of coordinated muscle contractions that propel food through the digestive tract. It's like squeezing a toothpaste tube, moving the contents forward.

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Where does most nutrient absorption occur?

Most nutrient absorption occurs in the small intestine, where the vast surface area provided by villi and microvilli allows for efficient uptake of digested food molecules into the bloodstream.

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Which digestive organ also has an important role in the endocrine system?

The pancreas, an accessory organ of digestion, also produces hormones like insulin and glucagon, which regulate blood sugar levels. It plays a crucial role in both digestive and endocrine functions.

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How many layers make up the alimentary tract?

The alimentary tract, the digestive system, is composed of four layers of tissue: the mucosa (innermost), submucosa, muscularis, and serosa (outermost). Each layer has specific functions in digestion.

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What is the order of the layers of the alimentary tract from outside to inside?

The digestive tract layers are arranged from outside to inside: serosa, muscularis, submucosa, and mucosa. This ensures proper functioning and protection of the digestive organs.

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What is NOT an accessory organ of the digestive system?

Accessory organs of digestion support the main organs of the digestive tract. They include the salivary glands, liver, gallbladder, and pancreas, all contributing to the breakdown and absorption of food.

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Which digestive organ is lined with stratified squamous epithelium?

The esophagus, being the passageway for food, is lined with stratified squamous epithelium, which is tough and resistant to abrasion from food particles.

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What do chief cells in the stomach secrete?

Chief cells in the stomach secrete digestive enzymes, specifically pepsinogen, which is converted to pepsin (a protein-digesting enzyme) in the acidic environment of the stomach.

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What is NOT a function of the stomach?

The stomach's primary functions are to secrete gastric juices, produce gastrin (a hormone that regulates digestion), and secrete intrinsic factor (essential for vitamin B12 absorption). However, it does not initiate deglutition (swallowing).

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What substances are NOT absorbed by active transport?

Active transport is a process that requires energy to move molecules against their concentration gradient. Glucose, amino acids, and dipeptides are absorbed through active transport, while water moves passively through osmosis.

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What are microglia and what do they do?

Microglia are specialized macrophages that reside in the central nervous system (CNS). They act as the immune defense cells of the brain and spinal cord, removing debris and pathogens.

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What is NOT true about neurons and glial cells?

Neurons, unlike most other cells, cannot replicate after maturity. While glial cells can divide after maturity, they remain specialized and provide support to neurons.

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What is the correct pathway for impulse conduction in a neuron?

The correct pathway for impulse conduction in a neuron is from the dendrite, receiving signals, to the cell body, processing information, and then to the axon, transmitting the signal to other neurons or target cells.

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What is the innermost layer of the meninges?

The pia mater is the innermost layer of the meninges, a set of three membranes that surround the brain and spinal cord. It is closely attached to the brain and spinal cord, providing a delicate protective layer.

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What is NOT a plexus of the spinal nerves?

The thoracic region of the spinal nerves is not a plexus. The other listed regions (cervical, brachial, lumbar) form plexuses, which are networks of interconnected nerves that allow for complex movements and sensory functions.

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What is the signal flow in a reflex arc?

The correct flow of signals in a reflex arc is from the sensory neuron, detecting the stimulus, to an interneuron, which processes the signal, and then to the motor neuron, executing the response.

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How many ventricles are there in the brain?

The brain has four ventricles, fluid-filled cavities within the brain that contain cerebrospinal fluid (CSF), which cushions and nourishes the brain.

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What is NOT a result of parasympathetic stimulation?

Parasympathetic stimulation, part of the autonomic nervous system, generally promotes relaxation and rest. It slows heart rate, but the other options (contraction of urinary bladder, relaxation of digestive sphincters, increased salivation) are all effects of parasympathetic stimulation.

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Where are somatic senses 'mapped'?

The cerebral cortex, the outer layer of the cerebrum, is where somatic senses are 'mapped'. This means that different areas of the cortex are responsible for processing sensory information from different parts of the body.

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What is the major role of the cerebellum?

The cerebellum, located at the back of the brain, plays a crucial role in coordinating skilled muscle activity, maintaining balance, and regulating muscle tone. It ensures smooth, coordinated movements.

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What is the osteon or Haversian system?

The osteon, or Haversian system, is the basic structural unit of compact bone. It contains a central canal that houses blood vessels and nerves, which supply nutrients and remove waste from bone cells.

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What cells enlarge the medullary cavity in bone growth?

Osteoclasts are bone-resorbing cells that break down bone matrix. This process is essential for bone remodeling, allowing for new bone formation and repair.

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Which vertebrae are the most massive?

The lumbar vertebrae are the largest and sturdiest of the vertebrae. They bear the weight of the upper body and are located in the lower back region.

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What is the intervertebral disc made of?

Intervertebral discs are composed of fibrocartilage, a tough and resilient type of cartilage that acts as shock absorbers between vertebrae, allowing for flexibility and preventing bone-on-bone contact.

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What is a fontanelle?

A fontanelle is an unossified area in an infant's skull. These soft spots allow for the skull to expand as the brain grows during infancy. They gradually close as bone ossification progresses.

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Which skull bone articulates with the first vertebra?

The occipital bone, located at the back of the skull, articulates with the first vertebra (atlas) to provide support for the head and allow for head movement.

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What is the upper part of the sternum called?

The manubrium is the upper part of the sternum, or breastbone. It articulates with the clavicles (collarbones) and the first two ribs, providing structure for the chest.

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Where would a fractured patella cause discomfort?

The patella, or kneecap, is a small bone that sits in front of the knee joint. It protects the knee joint and helps with knee extension.

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What is the layman's name for the clavicle?

The clavicle is the collarbone, a long bone that connects the shoulder blade to the sternum. It helps stabilize the shoulder joint and allows for arm movement.

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What movement is associated with the thumb?

Opposition is a unique movement associated with the thumb, allowing it to touch the other fingers on the same hand. This movement is essential for grasping and manipulation.

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What movement is allowed by the joint between the axis and atlas?

The joint between the axis (second vertebra) and the atlas (first vertebra) allows for rotation of the head, enabling us to turn our heads left and right.

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What encloses a muscle fascicle?

Perimysium is a connective tissue layer that encloses muscle fascicles, which are bundles of muscle fibers. It helps organize and hold muscle fibers together, allowing for coordinated muscle contractions.

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What is the plasma membrane of a muscle fiber called?

The sarcolemma is the plasma membrane of a muscle fiber. It plays a crucial role in transmitting nerve impulses to the muscle fiber, triggering muscle contraction.

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What innervates skeletal muscles?

Skeletal muscles are controlled by somatic motor neurons, which are part of the voluntary nervous system. These neurons transmit signals from the brain and spinal cord to skeletal muscles, initiating muscle contractions.

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What is NOT part of the axial skeleton?

The clavicle is part of the appendicular skeleton, which includes the bones of the limbs and girdles. The axial skeleton includes the bones of the head, neck, and trunk.

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What happens during fertilization?

Fusion of pronuclei, the male and female haploid nuclei, occurs during fertilization. This event marks the beginning of a new diploid organism, with genetic material from both parents.

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What cells are produced by cleavage?

Blastomeres are the individual cells that result from cleavage, the rapid cell division of the zygote. These cells become smaller with each division, forming a morula, then a blastocyst.

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What is the primary organ of the urinary system?

The kidney is the primary organ of the urinary system, responsible for filtering waste products from the blood, regulating fluid balance, and producing urine.

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Where does filtrate go after the glomerular capsule?

After leaving the glomerular capsule, filtrate enters the proximal convoluted tubule, the first segment of the renal tubule where most of the reabsorption of nutrients and water occurs.

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What is reabsorption in the kidneys?

Reabsorption in the kidneys is the process of moving substances from the renal tubule back into the bloodstream. This helps to conserve essential nutrients and water, while waste products are excreted in urine.

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Which hormone causes the body to secrete excess water?

Antidiuretic hormone (ADH) causes the body to conserve water by increasing reabsorption in the kidneys. It does not cause the body to secrete excess water, which is primarily regulated by other mechanisms.

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How do substances travel from the glomerulus into the glomerular capsule?

Filtration in the glomerulus is a passive process driven by pressure. Substances move from the blood in the glomerulus into the glomerular capsule, driven by the pressure difference between the blood and the capsule.

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What is the definition of embryonic and fetal development?

Embryonic development is defined as the period from week 1 to week 8 after fertilization, while fetal development is defined as the period from week 9 until birth.

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What would happen if the trophoblast did not secrete hCG upon implantation?

The trophoblast is an outer layer of cells in the blastocyst that is essential for implantation into the uterine wall. It secretes human chorionic gonadotropin (hCG), which helps maintain the corpus luteum and prevents menstruation.

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What gland produces a 'conditioning cream' for hair and skin?

Sebaceous glands produce sebum, an oily substance that lubricates the hair and skin, preventing dryness and protecting against bacteria.

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How is the healthy epidermis formed?

The epidermis is the outermost layer of skin, composed of stratified squamous epithelium. It undergoes continuous regeneration as new cells from the basal layer push older cells upwards, creating a protective barrier.

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How long does it take for the epidermis to regenerate completely?

The epidermis undergoes complete regeneration approximately every 28 days. This means that the entire outer layer of skin is replaced about once a month.

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Where would you find an especially thick stratum corneum?

The soles of the feet, constantly under pressure and abrasion, have a thicker stratum corneum than other areas of the body.

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Which T cell produces cytokines and cooperates with B cells to produce antibodies?

Helper T-cells, a type of T-cell, produce cytokines that stimulate other immune cells, including B-cells, to produce antibodies.

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What type of immunity is developed in response to vaccination?

Active artificially acquired immunity is developed by the administration of a vaccine, which contains a weakened or inactive form of a pathogen. This allows the immune system to develop immunity without getting sick.

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Why does an inflamed area swell?

Inflammation causes swelling because blood vessels in the region become more permeable, allowing fluids to leak into tissue spaces. This leads to accumulation of white blood cells and tissue debris, contributing to swelling.

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Where does the ovum travel after ovulation?

The ovum, after ovulation, enters the uterine tube, where it travels towards the uterus. This is the location where fertilization can occur if sperm is present.

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What hormone is thought to trigger ovulation?

Luteinizing hormone (LH) is thought to trigger ovulation. It causes the fully developed follicle to rupture, releasing the ovum into the uterine tube.

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What hormone is responsible for male secondary sexual characteristics?

Testosterone is a hormone produced by the testes. It is responsible for the development of male secondary sexual characteristics, such as deeper voice, increased muscle mass, and growth of facial hair.

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What does the zygote become before implantation?

The zygote, after fertilization, undergoes rapid cell division and develops into a blastocyst, a hollow ball of cells consisting of an outer trophoblast and an inner cell mass. This is the stage when implantation occurs in the uterine lining.

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What tissue forms the middle layer of the uterine tube?

The middle layer of the uterine tube wall is composed of smooth muscle, which contracts rhythmically to propel the ovum towards the uterus. This ensures that the ovum is transported to the uterus, where fertilization can occur.

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Study Notes

Exam Instructions

  • Exam consists of 2 parts: multiple choice and short answer questions
  • Multiple choice questions: select only 1 alternative per question (1 mark each)
  • Short answer questions: various formats (matching, fill in the gaps, tick boxes) (marks vary per question)
  • Answer all questions
  • Total marks: 100

Important Notes

  • Calculators: the module coordinator decides if calculators are allowed (non-programmable, non-data transmitting)
  • Dictionaries: not permitted, except under alternative assessment arrangements
  • Electronic devices: switch off mobile phones, smart watches, and other data transmitting devices; place them face down under the desk; personal stereos and distracting items are not allowed

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This document outlines the exam format, which includes multiple choice and short answer questions, along with important instructions regarding the use of calculators and electronic devices during the assessment. Ensure you follow all guidelines to maintain an organized testing environment.

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