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2021 Exam
2021 Exam
TOTAL 90 MARKS
ALL QUESTIONS SHOULD BE ATTEMPTED.
Choose the ONE correct answer from the alternatives provided.
albumin.
fibrinogen.
haemoglobin.
gammaglobulin
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
2 Which statement BEST DESCRIBES why haemoglobin is perfectly evolved to deliver oxygen to
tissue?
Red blood cells constitute about 40-50% of the total volume of blood.
O 2 binds weakly to the haem iron atom and is readily displaced by CO 2 when the pCO 2
exceeds the pO 2 in tissue.
Maximum marks: 1
3 A leukaemia patient has undergone an autologous bone marrow transplant. Which statement
BEST DESCRIBES what procedure has been performed?
A sample of the patient's bone marrow was treated with EPO, GM-CSF and G-CSF before
being re-injected.
A small number of CD34+ stem cells were isolated from the patient's bone marrow then re-
injected before the patient's white blood cells and marrow were ablated by radiation.
A small number of CD34+ stem cells were isolated from the patient's bone marrow then re-
injected after the patient's white cells and bone marrow were ablated by radiation.
After receiving whole body irradiation, the patient was injected with bone marrow from an
unmatched donor.
Maximum marks: 1
4 The white cells that are first to arrive at the site of an infection are:
monocytes.
lymphocytes.
neutrophils.
macrophages.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
5 The white cells that have the unique capacity to rearrange a section of their genome are:
B cells only.
neutrophils.
T cells only.
Maximum marks: 1
6 Heparin is a common drug used to prevent premature blood coagulation. Heparin's MAIN mode of
action is to:
Maximum marks: 1
7 When a pathogenic bacterium first enters the skin, the event that occurs SECOND is?
Anaphylotoxins are released to signal the presence of the bacterium to innate immune cells.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
Maximum marks: 1
9 Toll-like receptors (TLR) are widely expressed on innate immune cells. Which statement BEST
DESCRIBES their primary function?
They initiate an inflammatory response that signals the presence of foreign tissue.
Maximum marks: 1
10 A critically ill patient is diagnosed with SEPTIC SHOCK. What is the PRIMARY reason for this?
TLR4 expressed on the patient's innate immune cells has bound bacterial
lipopolysaccharide (LPS) initiating a systemic inflammatory response.
The patient has a bacterial infection that is generating too much of the complement
anaphylotoxins.
The patient's lymphocytes have been triggered by a gram-positive bacterial infection that
has produced a storm of cytokines.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
11 There are 5 classes of antibodies in humans. Which statement is MOST CORRECT about their
functions?
IgG and IgM are the two classes that activate complement.
Maximum marks: 1
They have extreme amino acid sequence variation found throughout the molecule.
Maximum marks: 1
Affinity between two free molecules results when the attractive forces between them
exceed the repulsive forces.
Avidity binding is much stronger than the sum of all the affinities.
The avidity of a pentameric IgM molecule binding to the surface of a bacterium is about 5
times the affinity.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
The ancient transposon that initiated adaptive immunity 500 million years ago, inserted only
into the genome of lymphocytes.
Maximum marks: 1
15 The vast amino acid diversity (>1011) that is found at the antigen binding sites of immunoglobulin
and T cell receptors is PRIMARILY a consequence of:
vast numbers of different Ig and TcR genes are present in your genome.
lots of different V, D and J segments that make up the Ig and TcR gene loci.
Maximum marks: 1
16 The term MHC Restriction in viral immunity is BEST DESCRIBED by which statement?
Viral immunity results from recognition of both self MHC and a viral antigen together.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
17 The most important site where T cells develop into mature lymphocytes is:
the spleen.
lymph nodes.
the thymus.
Maximum marks: 1
18 The FUNDAMENTAL reason why MHC molecules have evolved to become highly polymorphic
is to ensure:
that each individual has the greatest capacity to present as many foreign antigens to the
immune system as possible.
that the population has the greatest capacity to present as many foreign antigens to the
immune system as possible.
that T cells are selected in the thymus on as many possible combinations of MHC and
peptides.
there is enough variation in MHC molecules to accommodate all the T cells that develop in
an individual.
Maximum marks: 1
T cells in the blood express both the CD4 and the CD8 molecules on their cell surfaces.
CD8+ T cells are cytotoxic and effectively kill virally infected cells.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
20 Which statement is CORRECT about the congenic mouse strains that were used to show that
MHC genes controlled viral immunity?
The congenic strains are genetically different except for their MHC locus.
The congenic strains are genetically identical except for their MHC locus.
Maximum marks: 1
IgG has passed across the placenta to initiate an allergic response in the foetus.
there are too many mast cells resident in their skin and mucosa.
Maximum marks: 1
They have high affinity but low specificity towards their target.
They can be made to selectively bind to just about any molecular target.
They have high specificity and high affinity towards their target.
They are produced by immortalized antibody producing spleen cells that have been fused
with a myeloma cell line.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
23 Which statement is MOST CORRECT about the important role of the FcE receptor in atopic
allergy?
It binds IgG antibodies with very high affinity that have already bound allergen particles.
It binds IgE antibodies with very high affinity, pre-sensitizing mast cells for when they next
encounter allergen.
Maximum marks: 1
24 A high affinity monoclonal antibody (mAb) has been developed in the laboratory to bind to the
receptor binding domain (RBD) of the SARS-Cov-2 Spike protein. A possible use for this mAb
might be:
administration to Covid-19 patients to rapidly suppress viral spread and the severity of
infection.
as a rapid diagnostic tool for detecting the presence of SARS-Cov-2 virus in patient
samples.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
25 Which statement is INCORRECT about the requirements for a successful SARS-Cov-2 (Covid-
19) vaccine?
Must drive expansion and affinity maturation of B cells clones that produce anti-viral spike
protein antibodies.
Must drive long lasting high affinity IgG antibodies that block virus binding to its ACE-2
cellular receptor.
Must drive long lasting high affinity IgM antibodies that block virus binding to its ACE-2
cellular receptor.
Must drive the development of long-lived memory B and T cells that can respond rapidly
the next time you are challenged by the virus.
Maximum marks: 1
26 Phospholipids:
are orientated in the lipid bilayer so that their hydrophilic head groups interact.
Maximum marks: 1
is 9 µm thick.
is impermeable to water.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
Maximum marks: 1
The higher the body temperature, the lower the rate of diffusion.
The larger the membrane surface area, the greater the rate of diffusion.
The steeper the diffusion gradient, the slower the rate of diffusion.
Maximum marks: 1
30 Membrane fluidity:
is enhanced by an increase in the percentage in poly unsaturated fatty acids in the lipid
bilayer.
is enhanced by double bonds between cholesterol molecules embedded in the lipid bilayer.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
Maximum marks: 1
Maximum marks: 1
Na+ drives the passive diffusion of Na+ from the cytoplasm to the extracellular fluid.
Cl- drives the influx of Cl- when the membrane potential is around -80mV.
Na+ is used to drive the active removal of Ca2+ from muscle cells.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
34 Ion channels:
contain spans of hydrophilic amino acids that interact with the lipid bilayer.
are gated open or closed by the binding of the ion to the pore of the ion channel.
form a water filled pore that spans the hydrophobic core of the lipid bilayer.
contain an ion selectivity filter that binds ions to open the channel.
Maximum marks: 1
only generates a flow of electrical current when the channel is gated open.
Maximum marks: 1
directly uses the hydrolysis of ATP to actively remove H+ from the cell.
uses the energy of the Na+ gradient to actively remove H+ from the cell.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
Maximum marks: 1
is governed by the electrical resistance and ion selectivity of the tight junctions.
Maximum marks: 0
39 Epithelial tissues:
have tight junctions that divide the cells into distinct apical and basolateral membrane
domains.
have fusions of adjacent cell membranes that are composed of lipid to lipid interactions.
have tight junctions at their basolateral margins that restrict movement of molecules
between adjacent cells.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
the glucose concentration in the cytoplasm is lower than that of the blood.
Maximum marks: 1
the active removal of Na+ from the cell maintains the gradient that drives glucose uptake.
Maximum marks: 1
creates an osmotic gradient that draws water into the lumen of the small intestine.
due to a mutation to the gene encoding the GLUT protein results in an osmotic diarrhoea.
due to the saturation of SGLT mediated uptake of glucose results in an osmotic diarrhoea.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
blood glucose concentration exceeds the renal threshold and glucose appears in the urine.
Maximum marks: 1
Maximum marks: 1
is a chloride channel that only mediates the diffusion of Cl- out of epithelial cells.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
46 In chloride secretion:
the generation of a negative potential difference in the lumen drives the paracellular
transport of Na+ to preserve electroneutrality.
the accumulation of Cl- above its electrochemical equilibrium is the rate limiting step.
hydrolysis of ATP by CFTR pumps Cl- ions across the apical membrane.
the NaK2Cl cotransporter uses the energy of ATP hydrolysis to drive the active transport
of Cl-.
Maximum marks: 1
Maximum marks: 1
the presence of aquaporins in the apical membrane of duct cells drive water absorption to
produce a hypotonic sweat.
from patients with cystic fibrosis the secretion of Cl- in the duct cells is defective.
the epithelial cells in the duct of the gland have a depolarised membrane potential.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
49
The graph above shows the kinetics of a carrier protein which transports glucose. What is the
concentration of glucose in the plasma when all binding sites of this carrier protein are occupied?
350 mg/minute
150 mg/minute
Maximum marks: 1
50 What effect will a solution containing 0.15M NaCl and 0.05M urea have on human red cell
volume?
It will cause cells to initially shrink before returning to the initial volume.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
the value of the equilibrium potential for a particular ion, taking into account the
concentration gradient for this ion.
the value of the resting membrane potential (RMP), taking into account both the
concentration gradients and the relative permeability of the cell membrane to ions.
the electrical gradient across the cell membrane for a particular ion.
the concentration gradient across the cell membrane for a particular ion.
Maximum marks: 1
the values of the equilibrium potential for all ions contributing to the resting membrane
potential, taking into account the concentration gradients for these ions.
the value of the resting membrane potential, taking into account the concentration gradients
and the relative permeability of the cell membrane to ions.
the electrical gradients for all ions contributing to the resting membrane potential.
the concentration gradients for all ions contributing to the resting membrane potential.
Maximum marks: 1
cell membrane potential shifts from the resting value (the resting membrane potential)
towards 0 mV.
cell membrane potential becomes more negative than the resting membrane potential.
cell membrane potential reaches the 'overshoot' value (approximately +30 mV).
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
54 At rest, the cell membrane of a neuron is much more permeable to K+ than to Na+ ions. Why?
There are many more voltage-gated K+ channels than voltage-gated Na+ channels.
There is a high concentration of Ca2+ ions outside the cell which partially block leak Na+
channels.
Ligand (or chemically)-gated cation channels favour greater influx of Na+ than K+.
There are many more K+ leak channels than Na+ leak channels in the cell membrane.
Maximum marks: 1
55 Puffer fish poison called tetrodotoxin blocks voltage-gated Na+ channels like a cork. What effect
would this toxin have on the function of neurons?
Action potentials will occur, but would lack the repolarisation phase.
Maximum marks: 1
56 The value of the equilibrium potential can be calculated not only for Na+ and K+ ions, but also for
Ca2+ ions which, at rest, are at a higher concentration outside than inside the cell. The equilibrium
potential for Ca2+ represents the point at which:
the efflux of Ca2+ along its concentration gradient is balanced by the efflux of Na+ and K+
ions along their concentration gradients.
there is no difference in Ca2+ ion concentration between the inside and outside of the cell.
the influx of Ca2+ along its concentration gradient is balanced by the efflux of Na+ and K+
ions along their concentration gradients.
the influx of Ca2+ along its concentration gradient is balanced by the efflux of Ca2+ along the
electrical gradient.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
Maximum marks: 1
corresponds to the voltage where voltage-gated K+ channels open and K+ ions rush out of
the neuron.
corresponds to the voltage where voltage-gated Na+ channels open and Na+ ions rush into
the neuron.
corresponds to the voltage where voltage-gated Na+ channels open and Na+ ions rush out
of the neuron.
Maximum marks: 1
59 A Masters student, Jane, conducted a research project in the Neurophysiology Laboratory at the
University of Auckland. She recorded the resting membrane potential (RMP) in a neuron with an
intracellular microelectrode and found out that, in the neuron she recorded from, the potential was
-68 mV. She then applied a drug which decreases the cell membrane permeability to K+ ions.
What effect did she expect?
The effect could not be determined without knowing the concentrations of Na+ outside and
inside the neuron.
She expected no effect, since the RMP only changes when ion concentrations inside or
outside the neuron change.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
60 The combined duration of the two main stages of the action potentials in a neuron (stage 1 and 2,
excluding the afterhyperpolarization) is approximately:
100-200 ms
1-2 ms
10-20 ms
1-2 s
Maximum marks: 1
61 Which of the following statements about action potential transmission along axons is
INCORRECT?
Action potentials can be transmitted in axons in both directions: away from the cell body
and towards the cell body.
The magnitude of an action potential is directly related to the intensity of the stimulus that
triggers it.
The speed of transmission of an action potential is directly related to the diameter of the
axon, with thicker axons conducting faster.
Maximum marks: 1
62 All the following electrical changes in neurons are graded events, EXCEPT:
receptor potentials.
action potentials.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
Maximum marks: 1
64 With a bipolar stimulating electrode placed in close proximity to a nerve and connected to a
current source (stimulator):
action potential(s) will be generated halfway between the anode and the cathode.
Maximum marks: 1
Transmission of synaptic potentials (EPSPs and IPSPs) along dendrites is mainly passive.
Dendrites increase the cell's surface area which can be contacted by presynaptic boutons.
Dendrites have small appendages called 'dendritic spines' which form the postsynaptic
side of many synapses.
Dendrites, like axons, highly express voltage-gated sodium channels and therefore can
generate and conduct action potentials to the soma and axon initial segment.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
66 Which of the following statements about the transmission across a typical chemical synapse is
INCORRECT?
Maximum marks: 1
Schwann cells.
oligodendrocytes.
Maximum marks: 1
The rate of influx of Na+ ions into the cell is at its maximum level.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
69 What is happening during 'stage 3' of the action potential recorded in an axon, as shown in the
figure below:
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
70 Neurotransmitters can be removed from the synaptic cleft by several mechanisms. Which of the
following statements regarding such mechanisms is INCORRECT?
Maximum marks: 1
Maximum marks: 1
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
73 If, in the cytoplasm of skeletal muscle cells, ATP levels are plentiful but calcium levels are low,
the myosin heads would:
Maximum marks: 1
74 Impaired Ca2+ ATPase pump activity (SERCA) in skeletal muscle would likely result in:
Maximum marks: 1
75 Relative to the maximal response recorded when the muscle was at its resting length (100%),
the response to the same stimulus when the muscle was stretched to 150% of its resting length
would be:
greater, as active tension would be similar but passive tension would be greater.
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
Maximum marks: 1
77 The voltage-gated sodium channels play an important role in which of the following steps in the
excitation and contraction process in skeletal muscle: i. development of the end plate potential ii.
spread of the action potential along the sarcolemma iii. triggering the release of calcium from the
sarcoplasmic reticulum
steps ii only
Maximum marks: 1
78 One action potential in one alpha motor neuron will MOST LIKELY lead to:
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
79 In skeletal muscle cells, at the time point when the muscle develops its maximum tension during
a single muscle twitch, it is MOST LIKELY that the membrane potential is:
0 mV
+30 mV
-70 mV
-55 mV
Maximum marks: 1
80 A marathon runner sees the finish line of the race and has a big increase in speed to sprint the
last 200m, before collapsing just after the finish line. Which statement BEST DESCRIBES the
effort at the end of the race?
The runner would have exclusively used aerobic metabolism throughout the race.
The runner could likely have maintained the faster speed throughout the race.
Maximum marks: 1
81 Which of the following options would increase the force of a contraction in skeletal muscle? i.
Increasing the number of action potentials down a single motor unit. ii. Increasing the number of
motor units stimulated. iii. Increasing the size of the action potential in a single motor unit.
option i only
option ii only
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
82 The ion channels important in determining the absolute refractory periods in skeletal and
ventricular muscle cells are:
voltage-gated potassium channels for both skeletal and ventricular muscle cells.
voltage-gated calcium channels for skeletal muscle cells and calcium-induced calcium
channels for ventricular muscle cells.
voltage-gated sodium channels for both skeletal and ventricular muscle cells.
voltage-gated sodium channels for skeletal muscle cells and voltage-gated calcium
channels for ventricular muscle cells.
Maximum marks: 1
83 Which statement BEST DESCRIBES the role of voltage-gated sodium channels in ventricular
myocytes?
They are essential for the spread of the action potential along the sarcolemma.
They are directly involved in triggering the release of calcium ions from the sarcoplasmic
reticulum.
Maximum marks: 1
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
85 Given your knowledge of the role of acetylcholine esterase (AChE) in muscle, predict which of
the following is likely to be a side effect of an acetylcholine esterase inhibitor?
muscle weakness
Maximum marks: 1
86 In a healthy heart, the immediate effect of increasing the filling of the heart by 20% would most
likely be:
Maximum marks: 1
87 The smooth muscle that makes up the wall of the intestines is BEST DESCRIBED as:
Maximum marks: 1
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1213-1 BIOSCI 107 Offshore (10/06/2021 13:00) Biology for Biomedical Science (Exam)
Activation of calmodulin.
Maximum marks: 1
89 If vascular smooth muscle is stretched to 120% of its initial length the immediate response would
likely be:
no change in tension.
Maximum marks: 1
Maximum marks: 1
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