A patient suffers from myasthenia gravis. Which of the following is most likely affected?
AMotor neuron degeneration
BAcetylcholine receptors at neuromuscular junction
CCalcium channels in muscle cells
DMitochondrial function in muscles
Correct Answer:
B. Acetylcholine receptors at neuromuscular junction
EXPLANATION
Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, reducing muscle contraction capability.
Which of the following is the primary function of the loop of Henle in the nephron?
AFiltration of blood
BCreation of osmotic gradient for water reabsorption
CSecretion of hormones
DProduction of urine
Correct Answer:
B. Creation of osmotic gradient for water reabsorption
EXPLANATION
The loop of Henle creates a countercurrent multiplier system that establishes an osmotic gradient, enabling selective water reabsorption in the collecting duct.
During maximal exercise, how do skeletal muscles maintain ATP availability despite increased consumption?
AThrough anaerobic glycolysis and phosphocreatine breakdown
BSolely through aerobic oxidation of glucose
CBy inhibiting ATP consumption in other tissues
DThrough hepatic gluconeogenesis alone
Correct Answer:
A. Through anaerobic glycolysis and phosphocreatine breakdown
EXPLANATION
During intense exercise, muscles use phosphocreatine to rapidly regenerate ATP and switch to anaerobic glycolysis, producing lactate. Aerobic metabolism is insufficient initially.
In renal physiology, how does antidiuretic hormone (ADH) regulate water reabsorption in the collecting duct?
ABy directly transporting water molecules across the membrane
BBy inserting aquaporin-2 channels into the collecting duct membrane
CBy inhibiting sodium reabsorption in the loop of Henle
DBy decreasing glomerular filtration rate
Correct Answer:
B. By inserting aquaporin-2 channels into the collecting duct membrane
EXPLANATION
ADH binds to V2 receptors on collecting duct cells, triggering cAMP production that moves aquaporin-2 water channels to the apical membrane, increasing water permeability.
A person experiences sustained muscle contraction (tetanus) when a muscle is stimulated at high frequency. This occurs because:
ACalcium remains elevated in the sarcoplasm
BATP availability increases during high-frequency stimulation
CMotor neurons fire action potentials more rapidly
DAcetylcholinesterase becomes inactive
Correct Answer:
A. Calcium remains elevated in the sarcoplasm
EXPLANATION
High-frequency stimulation causes calcium to accumulate in the sarcoplasm faster than it can be reuptaken by SR, maintaining sustained actin-myosin interactions.
Correct Answer:
B. By blocking reuptake transporters on the presynaptic membrane
EXPLANATION
SSRIs block serotonin reuptake transporters, preventing reabsorption of serotonin from the synaptic cleft and increasing its availability for receptor binding.
A patient presents with polycythemia (elevated RBC count). How would this affect oxygen delivery to tissues?
ADecreased due to increased blood viscosity reducing blood flow
BIncreased proportionally to the RBC elevation
CUnchanged due to compensatory mechanisms
DDecreased due to reduced hemoglobin binding capacity
Correct Answer:
A. Decreased due to increased blood viscosity reducing blood flow
EXPLANATION
While more RBCs carry oxygen, increased blood viscosity decreases flow rate, potentially reducing net oxygen delivery. The optimal hematocrit is around 45% for maximum oxygen transport.