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Chapter:

100+ Nervous System Solved MCQs

in Physiology

These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Biology .

Chapters

Chapter: Nervous System
1.

Regarding muscle spindles:

A. are composed of extrafusal fibres
B. receive δ efferents
C. all subtypes send afferents via “flower spray” ended 1a nerves
D. nuclear chain fibres show dynamic response
E. afferent discharge decreased with muscle stretch
Answer» B. receive δ efferents
2.

Regarding the dorsal column:

A. carries ipsilateral pain and temperature
B. ascends to the nuclei gracillis and ?????
C. receives efferents from contralateral stimuli
D. sacral efferents lie laterally
E. runs anteriorly in the cord
Answer» B. ascends to the nuclei gracillis and ?????
3.

Temperature sensation:

A. respond to compartitive temp gradient ??? skin
B. cold receptors predominate
C. warm receptors respond 30° - 100°
D. afferents carried via the dorsal column
E. warm and cold afferents carried via Ad fibre
Answer» B. cold receptors predominate
4.

Regarding visual receptors:

A. rods predominate in the jovea
B. rhodopsin is the primary pigment of rods
C. lie anterior (superficial) to their neural pathway
D. colour blindness is an autosomal recessive gene
E. supplied by retinal vessels
Answer» B. rhodopsin is the primary pigment of rods
5.

Regarding sound and hearing:

A. high pitched sounds are detected at the apex of the cochlear
B. Harr cells are bathed in endolymph
C. defected by hair cells found within the tectorium membrane
D. 95% of afferent neurones → outer ??? cells
E. supplied by retinal vessels
Answer» E. supplied by retinal vessels
6.

Regarding noradrenergic stimulation:

A. miosis occurs
B. increases blood flow to the skin
C. increases thresholds in the reticular formation
D. causes erection in males
E. elevates free fatty acid levels
Answer» D. causes erection in males
7.

Regarding cholinergic stimulation:

A. causes amylase secretion from salivary glands
B. decreases secretion from pancreatic ?????
C. relaxes the gallbladder
D. has no effect on renal arterioles
E. relaxes bronchial smooth muscle
Answer» D. has no effect on renal arterioles
8.

The emotional component to pain is due to activation of:

A. post central gyrus
B. sylvian fissure
C. hippocampus
D. cingulated cortex
E. calcavine fissure
Answer» A. post central gyrus
9.

The chemical agent that initiates impulses in pain fibres is:

A. ATP
B. substance P
C. Ca2+
D. H+
E. K+
Answer» B. substance P
10.

Regarding thermoceptors:

A. there are more warm receptors than cold receptors
B. cold receptors respond to 10-38°C
C. afferents for cold receptors are C fibres only
D. afferents found in the ventral spinothalamic tract
E. respond to the temperature gradient across the skin
Answer» C. afferents for cold receptors are C fibres only
11.

Regarding body temperature:

A. humans are poikilothermic
B. oral temperature is usually higher than rectal temperature
C. it is usually lowest at 6am
D. children have more precise temperature regulation
E. emotion has no effect on core temperature
Answer» E. emotion has no effect on core temperature
12.

Regarding the hypothalamus:

A. it has neural connections with the anterior pituitary gland
B. it integrates the vomiting reflex
C. the anterior hypothalamus responds to cold
D. it controls circadian rhythms via the supraoptic nuclei
E. it has osmoreceptors in the anterior hypothalamus to stimulate thirst and vasopressin release
Answer» B. it integrates the vomiting reflex
13.

Regarding the vomiting reflex, which is INCORRECT?

A. it is integrated by the medilla
B. breath is held in expiration
C. the glottis closes
D. it involves salivation
E. there are afferents from vestibular nuclei
Answer» B. breath is held in expiration
14.

Herring bodies are:

A. nuclei of the hypothalamus
B. secretory granules in the posterior pituitary
C. circumventricular organs
D. neurons connecting vestibular nuclei with the vomiting centre
E. vesicles containing ACTH, TSH, GH, FSH, CH and PRL
Answer» C. circumventricular organs
15.

The neurotransmitter secreted by primary afferent fibres for severe pain is:

A. glutamate
B. acetylcholine
C. substance P
D. opioid peptides
E. noradrenaline
Answer» D. opioid peptides
16.

Regarding rods and cones:

A. Na+ channels are closed in the dark
B. light striking the outer segments results in a depolarising receptor potential
C. the receptor potentials are all-or-nothing
D. rhodopsin is a serpentine receptor
E. acetylcholine is released from the synaptic terminal
Answer» C. the receptor potentials are all-or-nothing
17.

The visual cortex is situated at the:

A. parieto-occipital sulcus
B. cuneus
C. calcanine fissure
D. lateral geniculate body
E. angular gyrus
Answer» D. lateral geniculate body
18.

In the visual pathway:

A. the lateral geniculate bodies are made up of t layers
B. fibres for reflex pupillary constriction leave the optic nerve at the optic chiasm
C. pituitary tumours can cause homonymous hemianopia
D. macular sparing may or may not occur with lesions in the geniculocalcanine tract
E. binasal visual field fibres decussate at the opticchiasm
Answer» D. macular sparing may or may not occur with lesions in the geniculocalcanine tract
19.

When a normal innervated skeletal muscle is stretched, the initial response is contraction, but with increasing stretch, the muscle suddenly relaxes because:

A. with strong stretch, the efferent discharge is decreased
B. with strong stretch, the discharge from the annulospiral endings of afferent nerve fibres is inhibited
C. with strong stretch, there is decreased activity in the afferent nerve fibres from the Golgi tendon organs
D. with strong stretch, there is increased activity in the afferent nerve fibres from the Golgi tendon organs
E. because of reciprocal innervation, there is increased discharge in the afferent nerve fibres from the antagonists to the stretched muscle
Answer» E. because of reciprocal innervation, there is increased discharge in the afferent nerve fibres from the antagonists to the stretched muscle
20.

In a polysynaptic reflex, which of the following happen when the strength of the adequate stimulus is increased?

A. the amplitude of the motor response is increased
B. the motor response spreads to include other muscles and even other limbs
C. there is increased inhibition of stretch reflexes
D. the duration of the motor response increases
E. all of the above are true
Answer» A. the amplitude of the motor response is increased
21.

A tumour causing external compression to the anterior cervical spinal cord would be expected to:

A. impair pressure and pain sensation mostly from sacral and lumbar areas
B. impair fine touch and vibration mostly from sacral and lumbar areas
C. impair pain only from cervical areas
D. impair vibration sense only from cervical areas
E. impair joint position from sacral areas only
Answer» D. impair vibration sense only from cervical areas
22.

Which of the following need to be intact for normal stereognosis:

A. dorsal columns
B. parietal lobe
C. pressure pathways
D. all of the above
E. none of the above
Answer» B. parietal lobe
23.

Bitemporal hemianopia is most likely to be caused by a lesion at the:

A. optic nerve
B. optic chiasm
C. optic tract
D. optic radiation
E. visual cortex
Answer» D. optic radiation
24.

Regarding temperature regulation, which is NOT true?

A. the anterior hypothalamus contains temperature sensitive cells
B. shivering is activated by the posterior hypothalamus
C. the anterior hypothalamus controls mechanisms activated by heat
D. horripilation acts to increase heat production
E. fever is produced by the action of cytokines on the hypothalmus
Answer» E. fever is produced by the action of cytokines on the hypothalmus
25.

When a visual stimulus falls on a given point in the retina for a long time:

A. the image becomes more clearly focused
B. there is adaptation in the visual cortex
C. the discharge rate in the bipolar cells increases
D. the pupils constrict
E. the image fades and disappears
Answer» A. the image becomes more clearly focused
26.

Which of the following affect visual activity?

A. cataracts
B. vitamin A deficiency
C. astigmatism
D. contrast between stimulus and background
E. all of the above
Answer» E. all of the above
27.

The ‘tympanic reflex’:

A. is activated by foreign bodies in the external auditory canal
B. results in vertigo
C. is activated by high-pitched sounds only
D. results in the decreased transmission of sound
E. none of the above
Answer» D. results in the decreased transmission of sound
28.

Regarding pain transmission, which is NOT true?

A. ‘fast pain’ fibres are Aδ fibres
B. ‘slow pain’ fibres are C fibres
C. substance P is the central transmitter
D. all impulses pass through the central horn
E. pain sensation results from over-stimulation of other sensory modalities
Answer» E. pain sensation results from over-stimulation of other sensory modalities
29.

Which is NOT a part of the basal ganglia?

A. caudate nucleus
B. cuneate nucleus
C. substantia nigra
D. putamen
E. globus pallidum
Answer» B. cuneate nucleus
30.

With regard to pain pathways, all the following are true EXCEPT:

A. peripheral afferents are transmitted along A (delta) and C fibres
B. an intact cerebral cortex is necessary for pain sensation
C. the synaptic transmitter released by primary afferent fibres subserving pain is substance P
D. afferent fibres subserving pain sensation from viscera reach the CNS by both sympathetic and parasympathetic pathways
E. the sensory organs for pain are marked nerve endings
Answer» B. an intact cerebral cortex is necessary for pain sensation
31.

Cerebellar disease in humans causes all of the following EXCEPT:

A. dysmetria
B. scanning speech
C. lead pipe rigidity
D. rebound phenomenon
E. dysdiadockokinesia
Answer» C. lead pipe rigidity
32.

The righting reflex is pronounced after sectioning of the neural axis above which level:

A. spinal cord
B. medulla
C. mid-brain
D. subcortical nuclei
E. all above intact but decerebellate
Answer» C. mid-brain
33.

Regarding muscle spindles, which is NOT true?

A. they contain nuclear bag and nuclear chain fibres
B. they receive a motor supply via Aγ fibres
C. they discharge more upon stretching of the muscle
D. they are responsible for the inverse stretch reflex
E. they relay information to the cord via Ia fibres
Answer» D. they are responsible for the inverse stretch reflex
34.

The action potential of a neuron (influx):

A. is initiated by efflux of Na+
B. is terminated by efflux of K+
C. declines in amplitude as it moves along the axon
D. results in transient reversal of the concentration (?electrical) gradient of Na+ across the cell membrane
E. is not associated with any net movement of Na+ of K+ across the cell membrane
Answer» E. is not associated with any net movement of Na+ of K+ across the cell membrane
35.

The functions of tropomyosin in skeletal muscle include:

A. releasing Ca2+ after an action potential
B. sliding on actin to produce shortening
C. binding to myosin during contraction
D. acting as a “relaxing protein” at rest by covering up the sites where myosin binds to actin
E. generating ATP which passes to the contractile mechanism
Answer» D. acting as a “relaxing protein” at rest by covering up the sites where myosin binds to actin
36.

Regarding the autonomic nervous system:

A. it does not have a reflex arch like the somatic nervous system
B. it has dopamine as the main transmitter
C. it has cholinergic division which increases activity of the intestinal musculature and increases gastric excretion
D. neurotransmitter noradrenaline is metabolised by pseudocholinesterase
E. it is not onvolved with visceral sensation (?involved)
Answer» C. it has cholinergic division which increases activity of the intestinal musculature and increases gastric excretion
37.

Which of the following does NOT act via an intracellular receptor?

A. atrial natriuretic peptide
B. cortisol
C. thyroxine
D. aldosterone
E. retinoic acid
Answer» E. retinoic acid
38.

Steps involved in skeletal muscle contraction include all of the following EXCEPT:

A. binding of acetylcholine to nicotinic receptors
B. increased Na+ and K+ conductance in end plate membrane
C. spread of depolarisation along T tubules
D. binding of calcium to troponin T, with uncovering of its actin-myosin binding site
E. CTP (cytidine triphosphate)
Answer» E. CTP (cytidine triphosphate)
39.

Regarding the resting membrane potential in peripheral nerves:

A. membrane permeability of potassium ions via K+ leak channels produces the resting potential
B. a decrease in extracellular Ca2+ decreases excitability
C. decreasing external Na+ concentration lowers the resting membrane potential
D. changing the external Na+ concentration has no effect on the action potential
E. decreasing the external K+ concentration increases the resting membrane potential
Answer» A. membrane permeability of potassium ions via K+ leak channels produces the resting potential
40.

Regarding excitation-contraction coupling in skeletal muscle, which statement is INCORRECT?

A. calcium ions bind to troponin T
B. troponin I – tropomyosin complex constitutes a “relaxing protein”
C. each cycle of attachment and detachment shortens muscle length by about 1%
D. ATP is the immediate source of energy
E. globular head of myosin – II possesses actin binding site
Answer» A. calcium ions bind to troponin T
41.

Microglia:

A. are involved with myelin production
B. are scavenger cells
C. are performed in the brain
D. are important in GABA uptake
E. induce capillaries to form tight junctions and thus the blood brain barrier
Answer» B. are scavenger cells
42.

The action potential:

A. is always monophasic
B. has an absolute refractory period lasting to the start of the after depolarisation
C. has a relative refractory period lasting until repolarisation is complete
D. requires opening of voltage gated Na+ channels
E. results in ↓ K+ conductance
Answer» D. requires opening of voltage gated Na+ channels
43.

Which of the following nerve fibre types is MOST sensitive to hypoxia?

A. A-alpha
B. A-beta
C. A-delta
D. B
E. C
Answer» D. B
44.

Regarding smooth muscle contractility, which statement is INCORRECT?

A. increased by acetylcholine
B. decreased by activation of phospholipase C
C. increased by cold
D. decreased by cAMP
E. increased by stretch
Answer» B. decreased by activation of phospholipase C
45.

Regarding smooth muscle, which statement is INCORRECT?

A. multi-unit smooth muscle is present in the jejunum
B. may exhibit pacemaker potentials
C. mechanical response is much slower than striated muscle
D. the membrane potential is unstable
E. functions as a syncytium in viscera
Answer» A. multi-unit smooth muscle is present in the jejunum
46.

A sarcomere:

A. contains two separate halves of an A-band and an I-band
B. is the space between two A-bands
C. is between two Z-lines
D. has the T-system of the sarcotubular system at sarcomere junctions
E. contracts when the troponin molecule binds to the myosin head
Answer» C. is between two Z-lines
47.

Type I muscle fibres:

A. have fast glycolytic rates
B. have low oxidative capacity
C. are more commonly found in muscle that performs explosive work
D. do not have a very high glycolytic capacity
E. are not abundant in endurance athletes
Answer» D. do not have a very high glycolytic capacity
48.

Regarding cardiac muscle, which statement is INCORRECT?

A. resting membrane potential is about -90mV
B. energy source at rest is mainly fat
C. mechanical response lasts about twice as long as electrical response
D. tetanus cannot occur
E. it has an all-or-nothing contractile response
Answer» C. mechanical response lasts about twice as long as electrical response
49.

Regarding denervation:

A. it causes skeletal muscle hypertrophy
B. does not lead to fibrillation
C. causes hyposensitivity to acetylcholine in skeletal muscle
D. smooth muscle is able to contract if it occurs in vivo
E. causes fasciculations
Answer» D. smooth muscle is able to contract if it occurs in vivo
50.

Which of the following nerve fibre types is MOST sensitive to pressure?

A. A-beta
B. A-gamma
C. A-delta
D. B
E. C
Answer» A. A-beta

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