Anatomy & Phys. Feb. 2013

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CLINICAL ASSISTANT TRAINING CENTRE MUSOMA

NTA LEVEL 4: SEMESTER 1

CMT: 04102: ANATOMY AND PHYSIOLOGY PAPER II CONTINUOUS TEST

TIME: 2 HOURS CAND. NO. ……………….


DATE: …………………….

INSTRUCTIONS:

1. Read the instructions carefully


2. No penalty for any section
3. Attempt all questions
4. Write your Cand. No. on each sheet of paper you use
5. This paper is composed of:
Section A: Multiple Choice Questions 10 marks
Section B: Multiple True & False Questions 10 marks
Section C: Matching Column 10 marks
Section D: Filling Short Answers 40 marks
Section E: Essay 30 marks
TOTAL MARKS 100

SECTION A: MULTIPLE CHOICE QUESTIONS (10 MARKS)

Encircle the most correct answer

1. Classification or types of connective tissues are all except:


a. Loose and dense connective tissue
b. Adipose tissue
c. Blood and bone tissue
d. Cartilage and lymphoid tissue
e. Muscle and nervous tissue.

2. The cartilage have a specialized membrane that covers it called:


a. Pericardium
b. Periosteum
c. Chondroblasts
d. Perichondrium
e. Chondrocytes.

3. White fibrous tissue forms muscle fascia which extends beyond the
muscle that binds the muscles to bones called:
a. Ligament
b. Cartilage
c. Tendon
d. Periosteum
e. Aponeurosis.

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4. The major mechanisms that regulates extracellular fluid volume are all
except:
a. Neural mechanism
b. Diuretic hormone mechanism
c. Renin – angistenosin – aldosterone mechanism
d. Atrial natriuretic hormone mechanism
e. Anti diuretic hormone mechanism.

5. The principle caution of extracellular electrolytes is:


a. Sodium
b. Potassium
c. Chloride
d. Phosphate
e. Bicarbonate.

6. The balance of hydrostatic and osmotic forces causing movement out


and into the capillaries is known as:
a. Osmosis
b. Equilibrium
c. Oedema
d. Acid-base (Alkaline) forces
e. Starling forces.

7. The main components of cardiovascular system are:


a. Heart and lymphatic system
b. Heart and blood vessels
c. Heart, blood and blood vessels
d. Blood vessels, blood cells and heart chambers
e. Arteries and veins.

8. Cardiac plexuses are located near the:


a. Sinus atrial node
b. The Rit ventricle
c. Pulmonary valve
d. The arch of aorta
e. Jingular veins.

9. Foetal blood secures O2 (oxygen) and food from maternal blood instead
of from foetal lungs and digested organs therefore foetal blood reaches
the placenta via:
a. Two umbilical arteries and portal vein
b. Two umbilical arteries and two amblical vein
c. Two umblica arteries and one umbilical veins
d. Foetal ductus venosus
e. Inferioe vena caver.

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10. The heart gets its blood supply from:
a. Coronary arteries
b. From the arch of aorta
c. Rt & Lt subclavian arteries
d. Rt to Lt ventricular shunit
e. Through the heart valves, mitral, tricuspid & aortic valves

SECTION B: MULTIPLE TRUE & FALSE 10 MARKS

Write TRUE for the correct statement and FALSE for the wrong statement.

1. White adipose tissue is found supporting:


a. ……… Kidneys and eyes
b. ……… Between the scapula and axillae
c. ……… Posterior cervical part (nape) of the neck
d. ……… Between muscle fibres and under the skin
e. ……… Supra iliac and peritoneal.

2. About the major fluid compartment:


a. ……… Total body fluid in a normal 70kg man is 42 L
b. ……… Extra cellular fluid (ECF) is 40% of the body’s weight = 28 L
c. ……… Intracellular fluid (ICF) is 20% of the body’s weight = 14 L
d. ……… Extracellular fluid is sub-divided into 3 subcompartment which are
interstitial 11L, Plasma 3 – 5 – 4L and transcellular 1 – 2L
e. ……… In environmental extracellular fluid of 18 L, The interstitial 13 L
and intravascular of plasma 3.5L and Lymph 1.5L.

3. In regard to cardiovascular system:


a. ……… The heart lies in the mediastinum behind the body of the sternum
b. ……… The heart is divided by two chambers one atria and one ventricle
c. ……… The sinuatrial node (SAN) located within the wall of the right atrial
(RA) which generate electricale impulses that are caused by
special conducting tissue to the atrioventricullar node (AVN)
d. ……… Cardiac plexus are combined sympathetic and parasympathetic
e. ……… Umblical vein lary oxygenated blood to the foetus during foetal
circulation.

4. Blood supply to the shoulder:


a. ……… Blood supply to the shoulder is coming mainly from branches of
subclavian artery
b. ……… The suprascapular, the anterior and posterior circumflex humeral
and circumflex scapular arteries are found in the scapular region
c. ……… Around the elbow the brachial artery divides into two major
arteries ulna & radial
d. ……… Blood supply to the thoracic cavity depends on several branches
of carotid artery and thoracic aorta
e. ……… Ischaemia of the elbow and forearm results from clamping the
brachial artery proximal to the deep artery of the arm for extended
period.

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SECTION C: MATCHING QUESTIONS 10 MARKS

1. Match column B to column A.


NO. COLUMN A: ANSWER COLUMN B:
1. Fibrocartilage A. Principle anions of
intracellular
2. Potassium B. Number which messure
the acidy
3. Sodium and bicarbonate C. Acts an shock absorber
and joint stability
4. Hydroxyl ions D. The measures for the
hydrogen ion (H+)
concentration
5. Phosphate E. Principle cations of
intracellular
F. Maintain the shape of
flexibility of organ
G. Principle anions of
extracellur
H. Number which measures
the alkalinity

2.
NO. COLUMN A: ANSWER COLUMN B:
1. The heart’s electrical singals A. Heart’s pace maker
2. The Atrioventricular Node (AVN) B. Pulse taking site
3. Congenital heart disease C. Blood pressure measuring
4. Radial pulse in the distal forearm D. Electrocardiogram
5. A sphygnomanometer E. Persistence of Ductus
venosus after birth
Inferior vena caver
Brachial artery

SECTION D: FILLING SHORT ANSWERS 40 MARKS

1. Mention 5 structures where ciliated epithelium are found (5 marks)


a. …………………………………………………………………….
b. …………………………………………………………………….
c. …………………………………………………………………….
d. …………………………………………………………………….
e. …………………………………………………………………….

2. Macrophages or reticulars endothelium system which engulf foreign


bodies are (5 marks)
a. …………………………………………………………………….
b. …………………………………………………………………….
c. …………………………………………………………………….
d. …………………………………………………………………….
e. …………………………………………………………………….

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3. Mention 5 general functions of the adipose tissue (5 marks)
a. …………………………………………………………………….
b. …………………………………………………………………….
c. …………………………………………………………………….
d. …………………………………………………………………….
e. …………………………………………………………………….

4. Water is lost and leaves the body via 5 exists namely (5 marks)
a. …………………………………………………………………….
b. …………………………………………………………………….
c. …………………………………………………………………….
d. …………………………………………………………………….
e. …………………………………………………………………….

5. Mention 4 functions of electrolytes (4 marks)


a. …………………………………………………………………….
b. ………………………………………………………………….
c. ………………………………………………………………….

6. Mention 2 principle anions of intracellular electrolytes (1 marks)


a. ………………………………………………………………….
b. ………………………………………………………………….

7. Write 5 locations in the upper limb where peripheral pulse can be felt
(5marks)
a. ………………………………………………………………….
b. ………………………………………………………………….
c. ………………………………………………………………….
d. ………………………………………………………………….
e. ………………………………………………………………….

8. Mention 3 deep veins draining the upper limb (3 marks)


a. ………………………………………………………………….
b. ………………………………………………………………….
c. ………………………………………………………………….

9. Mention 3 branches of thoracic aorta (3 marks)


a. ………………………………………………………………….
b. ………………………………………………………………….
c. ………………………………………………………………….

10. Heart is made up of three distinct layers which are: (4 marks)


a. ………………………………………………………………….
b. ………………………………………………………………….
c. ………………………………………………………………….

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SECTION E: ESSAY 30 MARKS

1. Write about cardiac cycle (15 marks)

2. Define circulatory system and regarding its role and its composition
(15 marks)

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