NUMS — Medical & Dental Entry Test

NUMS Biology — Nervous and Chemical Coordination, Immunity (Set 3)

Take the NUMS Biology — Nervous and Chemical Coordination, Immunity (Set 3): 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. During the rising phase of an action potential, the membrane potential changes rapidly because:

    • A. Na⁺/K⁺ pumps pump Na⁺ in
    • B. Cl⁻ channels close
    • C. voltage-gated Na⁺ channels open and Na⁺ enters the axon ✓
    • D. K⁺ channels open and K⁺ enters

    Answer: C. voltage-gated Na⁺ channels open and Na⁺ enters the axon

    Explanation: Depolarisation results from rapid Na⁺ influx; repolarisation follows as K⁺ leaves.

  2. Q2. A local anaesthetic such as lidocaine blocks voltage-gated Na⁺ channels. The most likely effect is:

    • A. K⁺ cannot leave neurons
    • B. the resting potential becomes more positive
    • C. neurotransmitter is destroyed
    • D. action potentials cannot be generated or propagated in the pain fibres ✓

    Answer: D. action potentials cannot be generated or propagated in the pain fibres

    Explanation: Without Na⁺ influx there is no depolarisation, so pain impulses are blocked.

  3. Q3. Myelinated axons conduct impulses faster because the action potential:

    • A. jumps from one node of Ranvier to the next ✓
    • B. travels along the myelin
    • C. needs no Na⁺ channels
    • D. spreads in both directions equally

    Answer: A. jumps from one node of Ranvier to the next

    Explanation: Saltatory conduction restricts depolarisation to the nodes, saving time and energy.

  4. Q4. If a neuron is stimulated by a sub-threshold stimulus, the result is:

    • A. a local graded potential that does not trigger an action potential ✓
    • B. an action potential of reduced amplitude
    • C. a smaller action potential
    • D. hyperpolarisation always

    Answer: A. a local graded potential that does not trigger an action potential

    Explanation: Action potentials follow the all-or-none law; sub-threshold depolarisation dies out.

  5. Q5. During the refractory period a second stimulus cannot produce another action potential because:

    • A. Na⁺ channels are inactivated ✓
    • B. myelin blocks the node
    • C. all Na⁺ is outside the cell
    • D. K⁺ has been depleted

    Answer: A. Na⁺ channels are inactivated

    Explanation: Inactivated voltage-gated Na⁺ channels cannot reopen until the membrane repolarises.

The other 25 questions

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  1. Q6. Botulinum toxin causes muscle paralysis by:

    • A. stimulating acetylcholinesterase
    • B. preventing acetylcholine release from motor neuron terminals
    • C. destroying myosin
    • D. blocking Na⁺ channels in muscle
  2. Q7. Organophosphate insecticides inhibit acetylcholinesterase. A farmer exposed to them would show:

    • A. decreased salivation
    • B. slower heart rate only
    • C. continuous stimulation of muscles and glands
    • D. muscle weakness from lack of transmitter
  3. Q8. Which neurotransmitter is deficient in the substantia nigra of Parkinson's patients?

    • A. GABA
    • B. Serotonin
    • C. Acetylcholine
    • D. Dopamine
  4. Q9. Which statement about the synapse is correct?

    • A. Transmission is one-way because only the presynaptic neuron releases neurotransmitter
    • B. Synapses use only electrical transmission in humans
    • C. Impulses travel equally well in both directions
    • D. The synaptic cleft is filled with a myelin sheath
  5. Q10. Which brain region maintains balance and coordinates fine voluntary movements?

    • A. Medulla
    • B. Cerebellum
    • C. Cerebrum
    • D. Hypothalamus
  6. Q11. Damage to the left side of the cerebral cortex responsible for speech production (Broca's area) leads to:

    • A. difficulty in forming words although comprehension is largely retained
    • B. loss of balance
    • C. loss of vision
    • D. inability to regulate temperature
  7. Q12. In the reflex arc of the knee jerk, the sequence is:

    • A. receptor → sensory neuron → motor neuron → effector
    • B. effector → receptor
    • C. sensory neuron → brain → effector
    • D. receptor → motor neuron → sensory neuron
  8. Q13. The sympathetic nervous system causes all of the following EXCEPT:

    • A. increased heart rate
    • B. increased peristalsis
    • C. dilated pupils
    • D. bronchodilation
  9. Q14. Rods differ from cones in that rods:

    • A. use three types of pigment
    • B. are concentrated in the fovea
    • C. are more sensitive to dim light and do not detect colour
    • D. give sharp visual acuity
  10. Q15. In a person with a deficiency of vitamin A, which condition is the earliest to appear?

    • A. Glaucoma
    • B. Night blindness
    • C. Cataract
    • D. Colour blindness
  11. Q16. Insulin and glucagon act as antagonists. After a carbohydrate-rich meal, which change occurs?

    • A. Glucagon rises
    • B. Adrenaline rises
    • C. Glycogen breakdown increases
    • D. Insulin rises and glucose is taken up by muscle and liver
  12. Q17. A person with type 1 diabetes forgets to take insulin. Which would be expected?

    • A. Low blood glucose with hunger
    • B. High blood glucose with ketone production
    • C. Increased glycogen storage in the liver
    • D. Reduced thirst and urine output
  13. Q18. A tumour of the adrenal medulla producing excess adrenaline would cause:

    • A. low blood glucose
    • B. a slow heart rate
    • C. weight gain from retention
    • D. palpitations, raised blood pressure and sweating
  14. Q19. Cortisol, released from the adrenal cortex in prolonged stress, causes:

    • A. muscle protein synthesis
    • B. increased immune activity
    • C. decreased blood glucose
    • D. increased gluconeogenesis and suppressed inflammation
  15. Q20. Deficiency of iodine in the diet leads to goitre because:

    • A. less thyroxine is made, so TSH enlarges the gland
    • B. too much thyroxine is made by the gland
    • C. the pituitary gland stops growing
    • D. TSH is no longer secreted by the pituitary
  16. Q21. Which pair of hormones acts antagonistically in regulating blood calcium?

    • A. Insulin and thyroxine
    • B. FSH and LH
    • C. Oxytocin and ADH
    • D. Calcitonin and parathyroid hormone
  17. Q22. Oxytocin is released from the:

    • A. thyroid
    • B. anterior pituitary
    • C. adrenal cortex
    • D. posterior pituitary
  18. Q23. Excess growth hormone in an adult after the epiphyseal plates have closed causes:

    • A. acromegaly
    • B. cretinism
    • C. dwarfism
    • D. gigantism
  19. Q24. Steroid hormones act differently from peptide hormones because steroids:

    • A. bind receptors on the cell surface with cAMP as the only messenger
    • B. are destroyed in the blood
    • C. never reach the nucleus
    • D. pass through the membrane and bind intracellular receptors to alter gene expression
  20. Q25. A plant growing towards light shows positive phototropism because auxin:

    • A. accumulates on the lit side
    • B. accumulates on the shaded side, promoting elongation
    • C. stops being synthesised in the tip
    • D. is destroyed in the shaded cells
  21. Q26. Ethylene is used commercially to:

    • A. promote stem elongation in lettuce
    • B. delay leaf fall
    • C. prolong dormancy of seeds
    • D. ripen fruit uniformly
  22. Q27. In vaccination, memory cells ensure that on re-exposure to the pathogen:

    • A. no antibodies are produced
    • B. only innate immunity operates
    • C. the response is slower than the primary
    • D. a faster and stronger secondary response occurs
  23. Q28. Which immunoglobulin crosses the placenta to give passive immunity to a fetus?

    • A. IgA
    • B. IgG
    • C. IgM
    • D. IgE
  24. Q29. In an allergic reaction, histamine is released by:

    • A. neutrophils
    • B. plasma cells directly
    • C. mast cells after allergen binds IgE
    • D. platelets only
  25. Q30. A transplant recipient is given cyclosporine, which suppresses T-cell activation. The aim is to prevent:

    • A. viral replication
    • B. antibody secretion by memory B cells only
    • C. graft rejection
    • D. blood clotting