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FINAL EXAMINATION JUNE 2013 SEMESTER 3/13/34 ACADEMIC SESSION COURSE COURSE CODE DURATION FACULTY PROGRAMME LECTURER : : : : : : ANATOMY AND PHYSIOLOGY 1 MJD 1114 3 HOURS BIOMEDICAL AND HEALTH SCIENCES DIPLOMA IN NURSING MR YUSMI BIN MOHD YUNUS INSTRUCTIONS TO CANDIDATES This paper consists of three (3) sections: Section A – 30 questions (objective questions) Section B – 4 questions (short answer questions) Section C – 3 questions (essay questions) Answer all questions in Section A and B and only two (2) questions in Section C. All answers of: Section A must be written in OMR objective paper provided. Section B and Section C must be written in answer booklet provided. The answer for each question must start on a new page. Candidates are NOT ALLOWED to bring any unauthorized items into the exam hall except with the permission of your invigilator. Do Not Open the Question Paper Until Instructed This Question Paper Consists of Ten (10) Printed Pages CONFIDENTIAL FBHS/MJD1114/JUN2013 SECTION A: OBJECTIVE QUESTIONS (30 MARKS) Choose ONE best statement to answer the questions. 1. The plasma membrane consists of (A) (B) (C) (D) 2. Endocytosis is an example of (A) (B) (C) (D) 3. excretion active transport simple diffusion passive transport The movement of water across a selectively permeable membrane is called (A) (B) (C) (D) 4. mostly proteins carbohydrates and lipids entirely of phospholipids phospholipids, proteins, and carbohydrates osmosis filtration active transport facilitated diffusion Mitosis produces cells that have (A) (B) (C) (D) only one chromosome each diploid number of chromosomes, 92 for human haploid number of chromosomes, 23 for human double the number of chromosomes, 92 for human 5. Which of the following connective tissue cells is derived from a B lymphocyte and is responsible for antibody production? (A) (B) (C) (D) fibroblast adipocyte plasma cell macrophage CONFIDENTIAL/2 FBHS/MJD1114/JUN2013 Diagram A 6. Diagram A represent a structure of the following epithelial tissue (A) (B) (C) (D) 7. An example of lymph gland is (A) (B) (C) (D) 8. liver tonsil spleen thyroid The smallest unit of matter that retains the properties and characteristics of an element is the (A) (B) (C) (D) 9. cuboidal stratified columnar connective atom proton electron molecule The sum of all of the chemical reactions that occur in the body is called (A) (B) (C) (D) synthesis anabolism catabolism metabolism 10.Which of the following is NOT a function of plasma membrane proteins? (A) (B) (C) (D) form ion channels stiffen the cell membrane act as cell-identity markers transport molecules across the membrane CONFIDENTIAL/3 FBHS/MJD1114/JUN2013 11. Powerhouses of the cell, most important site of ATP production is found in (A) (B) (C) (D) centrioles lysosomes mitochondria Golgi apparatus 12. Which of the following cells has been implicated in playing a role in immunological reactions in the skin? (A) (B) (C) (D) Melanocyte Hair follicle cell Capillary epithelial cell Epidermal dendritic cell 13. Which of the following is a function of muscle tissue? (A) (B) (C) (D) storage of triglycerides destabilizing body position absorbing heat from the environment controlling flow of materials out of the stomach and urinary bladder 14. The ability of a muscle tissue to stretch without being damaged is called (A) (B) (C) (D) elasticity irritability contractility extensibility 15. The right side of the heart deals with (A) (B) (C) (D) oxygenated blood deoxygenated blood interdeoxygenated blood mixture of oxygenated and deoxygenated 16. The function of the serous fluid of the pericardial membranes is to (A) (B) (C) (D) nourish the myocardium prevent friction as the heart beats keep blood flowing through the heart prevent abnormal clotting in the chambers of the heart CONFIDENTIAL/4 FBHS/MJD1114/JUN2013 17. How is excess glucose stored in liver and muscle cells? (A) (B) (C) (D) as starch as cellulose as glycogen as glucose-6-phosphate 18. Cardiac output is closely related to (A) (B) (C) (D) heart rate cardiac reserve ventricular mass index amount of blood pumped out by the left ventricle 19. During one cardiac cycle (A) (B) (C) (D) there is no specific pattern of contraction the atria and ventricle contract simultaneously the ventricles contract first, followed by contraction of atria the atria contract first, followed by contraction of ventricles 20. Keratinization is a process where the skin (A) (B) (C) (D) produces sebum continual cell division in deeper layers prevent loss of water and protect the nuclei loses water, their nuclei and undergoes chemical changes 21. Which of the following is considered part of the respiratory system? (A) (B) (C) (D) mouth larynx tongue oesophagus 22. Most of the extracellular fluid is located (A) (B) (C) (D) between the cells within the blood vessels within the lymphatic vessels within the brain, ventricles and spinal cord CONFIDENTIAL/5 FBHS/MJD1114/JUN2013 23. Which of the following blood vessels bring blood to the inferior vena cava? (A) (B) (C) (D) radial and brachial vein renal and common iliac veins external jugular and carotid artery coronary sinus and subclavian veins 24. What happens to the cells when it is immersed in hypertonic solution? (A) (B) (C) (D) The cell loses water and shrink The cell retains its normal shape Water enter cell continuously until it is bloated and burst Water is partially diffused across the selectively permeable cell membrane 25. Which of the following represents the outermost layer of the heart? (A) (B) (C) (D) epicardium myocardium subendocardium parietal pericardium 26. The sites of exchange between the blood and the tissues are the (A) (B) (C) (D) arteries venules arterioles capillaries 27. The scalenes and sternocleidomastoids are predominantly involved in (A) (B) (C) (D) quit expiration quit inspiration active expiration active inspiration 28. The following statement is the responsibilities of skeletal system EXCEPT (A) (B) (C) (D) assisting in movement to maintain homeostasis protecting internal organs from injury providing a supporting framework for the body CONFIDENTIAL/6 FBHS/MJD1114/JUN2013 29. Which of the following is NOT part of the conduction system of the heart? (A) (B) (C) (D) Bundle of His Purkinje fibres atrioventricular node atrioventricular valve 30. Each of the following is a protection provided by the skin EXCEPT to (A) (B) (C) (D) promote dehydration secrete substances that kill microbes prevent UV radiation from reaching underlying tissues protect underlying tissues from abrasions and chemicals CONFIDENTIAL/7 FBHS/MJD1114/JUN2013 SECTION B : SHORT ANSWER QUESTIONS (30 MARKS) Answer ALL questions 1. Refer to the Figure 1, answer all questions. Figure 1: Upper respiratory system i. Where are the nasal conchae? ii. This portion of the pharynx has five openings in its wall iii. Which tonsils are found in the oropharynx? iv. What is also referred to as the Adam’s Apple? v. Where is the larynx? vi. This is a ring of hyaline cartilage that forms the inferior wall of the larynx. vii. Where is the uvula? viii. Where is the soft palate? (4 Marks) CONFIDENTIAL/8 FBHS/MJD1114/JUN2013 2. Label Figure 2. Figure 2: The heart (6 Marks) 3. The function of a skeletal system is to support our body a. Justify the FIVE (5) different parts of vertebral column (5 Marks) b. State FIVE (5) types of bone and give an example of each type (5 Marks) c. List FIVE (5) types of synovial joints and give an example of each type (5 Marks) 4. Describe the blood flow through the heart. (5 Marks) CONFIDENTIAL/9 FBHS/MJD1114/JUN2013 SECTION C : ESSAY QUESTIONS (40 MARKS) Answer TWO (2) questions only Question 1 Explain the basic pulmonary and systemic circulatory patterns of blood flow in human. (20 Marks) Question 2 Explain the mechanism of inhalation and exhalation in normal breathing. (20 Marks) Question 3 a. Describe the conditions that affect tissue repair. (6 Marks) b. Explain the FOUR (4) phases in deep wound healing. (14 Marks) END OF QUESTION PAPER CONFIDENTIAL/10