NUMS — Medical & Dental Entry Test

NUMS Biology — Nervous and Chemical Coordination, Immunity (Set 4)

Take the NUMS Biology — Nervous and Chemical Coordination, Immunity (Set 4): 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 motor nerve is stimulated at two points 30 cm apart along its length. The muscle responses differ in latency by 3 ms. What is the conduction velocity?

    • A. 1 m/s
    • B. 10 m/s
    • C. 1000 m/s
    • D. 100 m/s ✓

    Answer: D. 100 m/s

    Explanation: Velocity = distance ÷ time difference = 0.30 m ÷ 0.003 s = 100 m/s, typical of a large myelinated axon.

  2. Q2. A neuron needs 15 mV of depolarisation to reach threshold. Each excitatory input gives +6 mV and each inhibitory input −5 mV. Three excitatory inputs and one inhibitory input arrive simultaneously. What happens?

    • A. Net +18 mV, so threshold is exceeded and an action potential fires
    • B. Net +13 mV, so threshold is not reached and no action potential fires ✓
    • C. Net +11 mV, so threshold is not reached and the neuron stays at rest
    • D. Net +13 mV, which is above threshold, so an action potential fires

    Answer: B. Net +13 mV, so threshold is not reached and no action potential fires

    Explanation: Summation: 3 × 6 − 5 = +13 mV, below the 15 mV threshold. Without the inhibitory input, 18 mV would exceed it.

  3. Q3. Tetrodotoxin blocks voltage-gated Na⁺ channels. When applied to an axon and the axon is stimulated, what is observed?

    • A. The action potential lasts longer
    • B. Hyperpolarisation is produced, but the action potential is unchanged
    • C. A larger action potential is produced
    • D. No action potential is generated, since depolarisation cannot reach the peak ✓

    Answer: D. No action potential is generated, since depolarisation cannot reach the peak

    Explanation: The rising phase depends on Na⁺ influx through voltage-gated channels; blocking them prevents regenerative depolarisation.

  4. Q4. In multiple sclerosis, myelin sheaths are damaged by autoimmune attack. Which consequence best matches the cause?

    • A. Increased number of nodes of Ranvier
    • B. Faster conduction, due to exposed axon
    • C. Failure of neurotransmitter synthesis in the cell body
    • D. Slower or failed impulse conduction, as saltatory conduction is lost ✓

    Answer: D. Slower or failed impulse conduction, as saltatory conduction is lost

    Explanation: Myelin insulates the axon so that impulses jump between nodes; demyelination slows conduction and can block it.

  5. Q5. An organophosphate insecticide inhibits acetylcholinesterase at neuromuscular junctions. What is the immediate result?

    • A. Acetylcholine is not released from the presynaptic terminal, so the muscle becomes paralysed
    • B. Muscle relaxes completely because acetylcholine is broken down too quickly in the cleft
    • C. Acetylcholine receptors are destroyed on the muscle membrane, so contraction cannot occur
    • D. Acetylcholine persists in the cleft, causing continuous muscle stimulation and spasm ✓

    Answer: D. Acetylcholine persists in the cleft, causing continuous muscle stimulation and spasm

    Explanation: Without the enzyme, ACh is not broken down, so the postsynaptic membrane stays depolarised, causing twitching and then paralysis.

The other 25 questions

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  1. Q6. In myasthenia gravis, muscles weaken with repeated use. Antibodies against which target explain this?

    • A. Acetylcholinesterase enzyme in the synaptic cleft
    • B. Acetylcholine receptors at the neuromuscular junction
    • C. Voltage-gated K⁺ channels in presynaptic nerve terminals
    • D. Myosin heads in the sarcomeres of the muscle fibres
  2. Q7. A patient treated with atropine, which blocks muscarinic acetylcholine receptors, will show

    • A. increased heart rate, dilated pupils and dry mouth
    • B. decreased blood pressure from vasodilation only
    • C. decreased heart rate and constricted pupils
    • D. increased salivation and slow digestion
  3. Q8. A person walks into a dark room and, as their eyes adjust, becomes able to see dim objects. Which receptor property mainly explains vision at low light?

    • A. Rods with rhodopsin, which are very sensitive to dim light
    • B. Cones, because they give high acuity in the dark
    • C. Optic nerve fibres changing their velocity
    • D. Cones with iodopsin, which are most sensitive to dim light
  4. Q9. After a stroke a patient walks with clumsy, uncoordinated movements and an unsteady gait, but understands speech and has normal sensation. Which brain region is most likely damaged?

    • A. Hypothalamus
    • B. Broca's area
    • C. Cerebellum
    • D. Medulla oblongata
  5. Q10. A patient has lost the ability to form new long-term memories but old memories and skills are preserved. Which structure is most likely damaged?

    • A. Hippocampus
    • B. Thalamus
    • C. Cerebellum
    • D. Pons
  6. Q11. In an experiment on a spinal reflex, the dorsal root of a spinal nerve is cut. After this, a pin-prick on the skin supplied by that nerve causes

    • A. no reflex and no sensation, since sensory information cannot enter the cord
    • B. normal reflex and sensation, because the motor neuron in the ventral root is intact
    • C. sensation but no reflex, since sensory fibres still reach the brain through the ventral root
    • D. a reflex but no sensation, because the motor fibres in the ventral root are intact
  7. Q12. In the knee-jerk reflex, how many synapses lie in the reflex arc within the spinal cord?

    • A. Three, with two relay neurons
    • B. Two, with one relay neuron
    • C. One, between the sensory neuron and the motor neuron
    • D. None; the sensory neuron is the motor neuron
  8. Q13. A patient has high blood glucose and also high plasma insulin. The most likely explanation is

    • A. the β-cells have been destroyed by autoimmunity
    • B. the α-cells secrete too little glucagon
    • C. the kidneys fail to filter glucose
    • D. target cells respond poorly to insulin (insulin resistance)
  9. Q14. A patient has low thyroxine and high TSH. Which diagnosis fits best?

    • A. Hyperthyroidism due to a thyroid tumour secreting excess thyroxine
    • B. Primary hypothyroidism, a failure of the thyroid gland itself
    • C. Hyperthyroidism due to excess TSH secreted by a pituitary tumour
    • D. Secondary hypothyroidism, a failure of the pituitary gland
  10. Q15. In a region with iodine-deficient soil, people often develop an enlarged thyroid (goitre). Which sequence explains this?

    • A. High thyroxine → raised TSH → thyroid enlargement from overstimulation
    • B. Low thyroxine → raised negative feedback on the pituitary → low TSH → no enlargement
    • C. Low thyroxine → reduced negative feedback → raised TSH → thyroid enlargement
    • D. Low TSH → reduced stimulation → thyroid atrophy and lower thyroxine output
  11. Q16. After removal of the thyroid gland, a patient develops muscle spasms and tetany because the parathyroid glands were accidentally removed. What is the cause of tetany?

    • A. High plasma potassium, due to lack of ADH
    • B. Low plasma sodium, due to lack of aldosterone
    • C. Low plasma calcium, due to lack of parathyroid hormone
    • D. High plasma calcium, due to lack of calcitonin
  12. Q17. A patient takes high-dose oral cortisol-like steroids for months. What happens to the patient's own adrenal cortex?

    • A. It is unchanged, because steroids do not affect the pituitary
    • B. It enlarges, because ACTH rises
    • C. It makes more aldosterone only
    • D. It shrinks, because ACTH secretion is suppressed by negative feedback
  13. Q18. After surgical removal of the anterior pituitary, which hormone is still released normally?

    • A. ACTH
    • B. Oxytocin
    • C. TSH
    • D. Growth hormone
  14. Q19. A tumour of the pituitary secretes large amounts of ADH. Which blood and urine changes are expected?

    • A. High plasma sodium and large urine volume because collecting ducts become impermeable to water
    • B. Concentrated plasma and large volumes of dilute urine because water reabsorption is blocked
    • C. Normal plasma volume and glucose in the urine because the kidneys cannot reabsorb it
    • D. Dilute plasma with low sodium concentration and small volumes of concentrated urine
  15. Q20. Adrenaline acts on liver cells by binding to a membrane receptor and raising cAMP. Why is a second messenger needed?

    • A. Adrenaline cannot cross the membrane, so cAMP relays the signal and amplifies it inside
    • B. cAMP is the hormone that is secreted into the blood and carries the signal to the liver
    • C. cAMP binds directly to DNA to switch on genes and so stops glycogenolysis in the liver
    • D. Adrenaline is a steroid that must enter the nucleus, so cAMP is needed to carry it there
  16. Q21. A coleoptile tip is covered with an opaque cap and illuminated from one side. What is observed after a day, and why?

    • A. It grows straight, because the tip cannot sense the light to redistribute auxin
    • B. It bends away from the light
    • C. It stops growing because auxin is blocked from the base
    • D. It bends toward the light
  17. Q22. The terminal bud of a plant is removed and lateral buds start to grow. Applying auxin paste to the cut stump prevents this. What does this show?

    • A. Cytokinin is made in the apical bud and inhibits lateral buds there
    • B. Auxin promotes the growth of lateral buds directly once it reaches them
    • C. Auxin from the apical bud suppresses lateral buds (apical dominance)
    • D. Gibberellin from the stump prevents lateral buds from growing
  18. Q23. Unripe bananas are stored in a closed room with a few ripe ones and ripen faster than those stored separately. Which hormone is responsible?

    • A. Auxin
    • B. Abscisic acid
    • C. Gibberellin
    • D. Ethylene
  19. Q24. In a drought, a plant's leaf cells produce a hormone that triggers K⁺ loss from guard cells. What is the result?

    • A. Stomata close to reduce water loss
    • B. Seed dormancy is broken
    • C. Cell elongation increases
    • D. Stomata open wider to cool the leaf
  20. Q25. A person is infected with a virus twice, months apart. How does the antibody response to the second exposure differ from the first?

    • A. It is faster and larger, because memory B cells were formed
    • B. It is faster but smaller, because antibodies are diluted
    • C. It is slower, because plasma cells are depleted
    • D. It is the same, because antibodies are not stored
  21. Q26. Immunoglobulin G has two identical antigen-binding sites. How many antigen molecules can be bound at most by 6 IgG molecules if each antigen has only one epitope?

    • A. 3
    • B. 6
    • C. 24
    • D. 12
  22. Q27. A person is bitten by a dog and is given ready-made rabies antibodies immediately. This is

    • A. natural passive immunity
    • B. artificial active immunity
    • C. natural active immunity
    • D. artificial passive immunity
  23. Q28. A child lacking a thymus from birth is most likely to suffer from

    • A. loss of innate immunity only, since phagocytes and complement depend on the thymus
    • B. absence of red blood cells, because the thymus is the main site of erythropoiesis
    • C. defective cell-mediated immunity and poor antibody responses requiring T helper cells
    • D. normal immunity, because B cells mature in the thymus and make antibodies without help
  24. Q29. A virus-infected body cell is destroyed by a lymphocyte that recognises viral peptides displayed on the infected cell's surface. Which pairing is correct?

    • A. B cell recognising peptide on MHC class II to release perforin
    • B. Cytotoxic T cell (CD8⁺) recognising peptide on MHC class I
    • C. Plasma cell recognising peptide on MHC class I
    • D. Helper T cell recognising peptide on MHC class I
  25. Q30. A person stung by a bee develops swelling, hives and a sharp fall in blood pressure within minutes. Which mechanism and treatment fit best?

    • A. IgG-mediated killing of cells by complement; antibiotics are the emergency treatment
    • B. IgE-mediated mast cell release of histamine; adrenaline is the emergency treatment
    • C. Complement deficiency in the plasma; a plasma transfusion is the emergency treatment
    • D. Delayed T-cell response to the venom; a vaccine is required as emergency treatment