2022 - Multiple Choice Questions

The Hering-Breuer Reflex is initiated by which receptors?
  1. J-receptors
  2. Irritant receptors
  3. Pulmonary stretch receptors
  4. Pain receptors
Hering-Breuer Reflex prevents over inflation of the lung
What volume of pancreatic secretions are produced each day?
  1. 100-300mL
  2. 400-600mL
  3. 1000-2000mL
  4. 3000-4000mL
In the kidney, arcuate arteries branch to form what?
  1. Peritubular capillaries
  2. Interlobular arteries
  3. Afferent arterioles
  4. Interlobal arteries
What is the oxygen saturation of haemoglobin in the foetal umbilical vein?
  1. 30-40%
  2. 40-50%
  3. 60-70%
  4. 80-90%
NB Various sources list 70-85%.   
In an erect lung, which portion has the lowest PAO2?
  1. Large airways
  2. West’s Zone 1 alveoli
  3. West’s Zone 2 alveoli
  4. West’s Zone 3 alveoli
Administration of local anaesthetic at which site has the highest rate of systemic absorption?
  1. Brachial plexus
  2. Subcutaneous
  3. Epidural
  4. Intercostal muscle
This was a repeat question
What is the predominant ion flow during phase 3 of ventricular myocyte action potential?
  1. Na+ influx
  2. L-type Ca2+ influx
  3. K+ efflux
  4. T-type Ca2+ influx
Which of the following contains the highest oxygen saturation?
  1. SVC
  2. Pulmonary artery
  3. Renal vein
  4. Coronary sinus
What is the principle or mechanism of how a thermocouple measures temperature?
  1. Resistance of metal oxide relates to temperature
  2. 2 dissimilar metals develop a potential difference (voltage difference) according to temperature
  3. Metal semiconductor which changes its resistance in a predictably non-linear fashion (run-away exponent) with temperature
  4. When heated, the kinetic energy of the liquid increases and it expands, forcing it up the capillary which correlate with temperature
What is the mechanism of action of fluconazole?
  1. Inhibits ergosterol synthesis
  2. Inhibits beta-glucan synthesis
  3. Inhibits DNA synthesis
  4. Binds to ergosterol to weaken the cell membrane and cause pores
Which enzyme is involved in the formation of bradykinin?
  1. Bradykinin converting enzyme
  2. Kallikrein
  3. Prostaglandin
  4. Cytokine
Which of the following is true?
  1. Chlorhexidine causes oxidative damage
  2. Iodine is not effective against fungi and spores
  3. Chlorhexidine 2% with 70% alcohol and povidone-iodine have the same spectrum of activity
  4. Chlorhexidine has a longer duration of activity than povidone-iodine when applied to the skin
Which of these gases are diffusion limited?
  1. Carbon dioxide under exercising conditions
  2. Carbon monoxide under exercising conditions
  3. Oxygen under resting conditions
  4. Nitrous oxide
Blockade of the Na+/K+ ATPase channel by digoxin has what effect?
  • Increases serum K+ level
  • Reduces resting membrane potential
  • Prolongs duration of action potential
  • Decreases intracellular Ca2+
A subject is given 100% FiO2 and takes a single vital capacity breath followed by a full exhalation. Nitrogen concentration is measured over time and an increase in nitrogen concentration is seen after a plateau. Why does this occur?
  1. Effect of gas exchange in poorly compliant part of the lung
  2. Increased dead space
  3. Less oxygen available in apical alveoli
  4. Effect of closing capacity exceeding FRC
What is drug bioavailability?
  1. Percentage of drug excreted by the kidneys
  2. Portion of free portion in plasma
  3. Portion of dose administered that reaches hepatic circulation
  4. Percentage of dose administered that reaches systemic circulation
The equilibrium dissociation constant of a drug relates to which characteristic?
  1. Receptor affinity
  2. Peak concentration
  3. Fat solubility
  4. Protein binding
In pulse oximetry, what is the isobestic point?
  1. Upper inflection point at which the oxygen-haemoglobin dissociation curve plateaus
  2. Point at which oxygen saturation is 50%
  3. Point at which both deoxy- and oxy-Hb absorb light equally
  4. Point at which infrared wavelength is maximally absorbed
Which immunoglobulin subtype crosses the placenta?
  1. IgA
  2. IgG
  3. IgM
  4. IgD