NUMS — Medical & Dental Entry Test

NUMS Biology — Digestion, Gaseous Exchange and Transport (Set 1)

Take the NUMS Biology — Digestion, Gaseous Exchange and Transport (Set 1): 30 multiple-choice questions (40 minutes) with instant scoring and a full…

What this test covers

Sample questions with answers

The first 5 questions of this test, with the correct answer and explanation.

  1. Q1. A patient whose gall bladder has been removed is advised to reduce fatty meals. This is because:

    • A. Fats are absorbed only in the stomach
    • B. Lipase can no longer be produced
    • C. Insulin secretion stops
    • D. Bile is no longer stored and released in large amounts to emulsify fats ✓

    Answer: D. Bile is no longer stored and released in large amounts to emulsify fats

    Explanation: Bile still forms in the liver but trickles continuously; a large fatty meal cannot be emulsified efficiently without stored bile.

  2. Q2. Bile helps fat digestion mainly by:

    • A. Neutralising lipase activity
    • B. Emulsifying fats into small droplets, increasing surface area for lipase ✓
    • C. Hydrolysing fats into fatty acids and glycerol
    • D. Converting fats into glucose

    Answer: B. Emulsifying fats into small droplets, increasing surface area for lipase

    Explanation: Bile salts contain no enzymes; they emulsify fats so pancreatic lipase can act on a larger surface area.

  3. Q3. Pepsin is secreted as inactive pepsinogen. The main advantage of this is that:

    • A. It makes pepsin work faster in alkaline conditions
    • B. It allows pepsin to digest starch
    • C. It prevents pepsin from being destroyed by bile
    • D. It prevents the enzyme from digesting the cells that produce it ✓

    Answer: D. It prevents the enzyme from digesting the cells that produce it

    Explanation: Secreting proteases as inactive zymogens protects the chief cells; HCl converts pepsinogen to pepsin in the stomach lumen.

  4. Q4. Enterokinase secreted by the duodenal wall is needed to:

    • A. Convert trypsinogen into active trypsin ✓
    • B. Convert pepsinogen into pepsin
    • C. Emulsify fats
    • D. Digest maltose into glucose

    Answer: A. Convert trypsinogen into active trypsin

    Explanation: Enterokinase (enteropeptidase) activates trypsinogen; trypsin then activates other pancreatic zymogens.

  5. Q5. Which hormone stimulates the pancreas to release a bicarbonate-rich juice when acidic chyme enters the duodenum?

    • A. Gastrin
    • B. Secretin ✓
    • C. Insulin
    • D. Cholecystokinin

    Answer: B. Secretin

    Explanation: Acid in the duodenum triggers secretin, which causes the pancreas to secrete bicarbonate to neutralise the chyme.

The other 25 questions

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  1. Q6. Fatty acids and monoglycerides absorbed into intestinal epithelial cells are reassembled into triglycerides and enter:

    • A. The stomach
    • B. The lacteals as chylomicrons
    • C. The large intestine
    • D. The hepatic portal vein directly as free fatty acids
  2. Q7. The function of villi and microvilli in the small intestine is to:

    • A. Produce peristaltic waves
    • B. Greatly increase the surface area for absorption
    • C. Store bile
    • D. Secrete hydrochloric acid
  3. Q8. A peptic ulcer is most commonly associated with infection by:

    • A. Vibrio cholerae
    • B. Helicobacter pylori
    • C. Escherichia coli
    • D. Salmonella typhi
  4. Q9. Which statement about the large intestine is correct?

    • A. It is the main site of protein digestion
    • B. It contains villi for fat absorption
    • C. It absorbs most of the remaining water and some vitamins made by bacteria
    • D. It secretes pancreatic amylase
  5. Q10. During inspiration in humans:

    • A. Pressure in the lungs rises above atmospheric pressure
    • B. The diaphragm contracts and flattens, and external intercostals raise the ribs
    • C. Internal intercostals contract to lower the ribs
    • D. The diaphragm relaxes and becomes dome-shaped
  6. Q11. Most carbon dioxide is transported in human blood as:

    • A. Carbaminohaemoglobin
    • B. Bicarbonate ions in the plasma
    • C. Carbonic acid inside platelets
    • D. Dissolved CO₂ in plasma
  7. Q12. As bicarbonate ions diffuse out of red blood cells into the plasma, chloride ions move in. This is called:

    • A. Bohr effect
    • B. Haldane effect
    • C. Chloride shift
    • D. Osmoregulation
  8. Q13. In actively respiring muscle, higher CO₂ and lower pH shift the oxygen dissociation curve to the right. This means:

    • A. Less oxygen is delivered to muscles
    • B. Haemoglobin releases oxygen more readily to the tissues
    • C. Haemoglobin binds oxygen more tightly
    • D. Carbon monoxide binding is reduced
  9. Q14. Fetal haemoglobin has a dissociation curve to the left of adult haemoglobin. This allows the fetus to:

    • A. Carry more carbon dioxide than oxygen
    • B. Avoid needing oxygen at all
    • C. Take oxygen from maternal blood across the placenta
    • D. Release oxygen faster to the mother
  10. Q15. Carbon monoxide is dangerous because it:

    • A. Shifts the dissociation curve to the right
    • B. Destroys red blood cells by lysis
    • C. Blocks the trachea
    • D. Binds haemoglobin far more strongly than oxygen, forming carboxyhaemoglobin
  11. Q16. Breathing rate rises during exercise mainly because chemoreceptors detect:

    • A. A decrease in blood glucose
    • B. An increase in blood CO₂ and H⁺ concentration
    • C. An increase in blood oxygen
    • D. A fall in body temperature
  12. Q17. In emphysema, the walls of alveoli break down. The main effect is:

    • A. Reduced surface area for gas exchange, causing breathlessness
    • B. Increased elasticity of lungs
    • C. Narrowing of the trachea only
    • D. Increased oxygen uptake
  13. Q18. Surfactant secreted in the alveoli is important because it:

    • A. Carries oxygen across the membrane
    • B. Increases surface tension to aid recoil
    • C. Kills inhaled bacteria
    • D. Lowers surface tension, preventing alveoli from collapsing
  14. Q19. Which feature of the alveolus does NOT directly increase the rate of diffusion of gases?

    • A. Rich capillary network maintaining a gradient
    • B. Presence of cartilage rings
    • C. Very thin walls
    • D. Large total surface area
  15. Q20. Stomata of a plant open when guard cells:

    • A. Lose water by osmosis
    • B. Accumulate abscisic acid
    • C. Lose K⁺ ions and become flaccid
    • D. Take up K⁺ ions, lower their water potential and become turgid
  16. Q21. The cohesion-tension theory explains water movement in xylem as mainly being caused by:

    • A. Pressure from phloem sieve tubes
    • B. Root pressure alone
    • C. Active pumping by xylem vessels
    • D. Transpiration pull from the leaves acting on a continuous column of water
  17. Q22. The Casparian strip in the endodermis of roots forces water and solutes to:

    • A. Flow back to the cortex
    • B. Pass through the cytoplasm of endodermal cells (symplast) rather than the cell walls
    • C. Move only through dead xylem cells
    • D. Enter the phloem directly
  18. Q23. In the pressure-flow (mass flow) hypothesis, sucrose moves in phloem from source to sink because:

    • A. Loading sucrose at the source draws in water, creating high pressure that pushes sap towards the sink
    • B. Xylem vessels pump sucrose upward
    • C. Phloem cells are dead and empty
    • D. Sucrose diffuses only from root to leaf
  19. Q24. A ring of bark (including phloem) is removed from a tree trunk. After some weeks the bark just above the ring swells. This shows that:

    • A. Sugars are transported downward in the phloem
    • B. Minerals move through the bark
    • C. Xylem carries sugars downward
    • D. Water moves upward in the phloem
  20. Q25. Which factor would decrease the rate of transpiration?

    • A. Increase in temperature
    • B. Increase in light intensity
    • C. Increase in wind speed
    • D. High humidity of the surrounding air
  21. Q26. The sinoatrial (SA) node is called the pacemaker because it:

    • A. Carries impulses down the septum
    • B. Generates impulses that initiate each heartbeat
    • C. Closes the semilunar valves
    • D. Delays impulses between atria and ventricles
  22. Q27. The delay of the impulse at the atrioventricular (AV) node is important because it:

    • A. Speeds up the heart rate
    • B. Prevents the SA node from firing
    • C. Allows the atria to finish contracting before the ventricles contract
    • D. Lets both atria and ventricles contract together
  23. Q28. The 'lub' sound of the heartbeat is produced by:

    • A. Opening of the semilunar valves
    • B. Closure of the atrioventricular valves at the start of ventricular systole
    • C. Closure of the semilunar valves
    • D. Contraction of the atria
  24. Q29. Which blood vessel carries oxygenated blood?

    • A. Pulmonary vein
    • B. Pulmonary artery
    • C. Superior vena cava
    • D. Hepatic portal vein
  25. Q30. Tissue fluid forms at the arterial end of a capillary because:

    • A. Osmotic pressure exceeds hydrostatic pressure
    • B. Red blood cells squeeze out of the capillary
    • C. Lymph is pumped into the capillary
    • D. Hydrostatic pressure of the blood exceeds the osmotic pressure of plasma proteins