KMTC/QP-08/EPS
tAEDICAL   TRAINING
                                                           COLLEGE
                      KENYA MEDICAL TRAINING COLLEGE
    DEPARTMENT OF HEALTH PROMOTION AND COMMUNITY HEALTH
                             END SEMESTER EXAMINATION
                             CLASS    CHA SEPTEMBER 2021
SUBJECT:   ANATOMY AND PHYSIOLOGY
DATE:      MONDAY,31/1/2022
TIME:      9AM-NOON
     INSTRUCTIONS
    Answer all   questions    in the examination        booklet provided
    Read the examinationquestion         carefully.
    Do not write   outside the   margin   in    the examination      booklet provided.
    Write your examinationnumber           in     allanswer sheets you     use
PART ONE: MCOs 20 MARKS
Q1. Ankle jointis a:
          a) Hinge joint
          b) Gliding joint
          c)    Ball   and socket   joint
          d) Condyloid joint
Q2. The         cells   responsible for secreting cerebral                   spinal     fluid   are:
          a)   The microglia
          b)   The ependymal cells
          c)   The oligodendrocytes
          d)   The astrocytes
                                                                    direct response to blood glucose, this     is   an   example
Q3. When the pancreas               releases       insulin     in
of
                        stimulation.
     a) humoral
     b) neural
     c) hormonal
     d) negative feedback
04. Mixed          cranial   nerves include:
          a) Olfactory, optic,       oculomotor
          b) Trigeminal,      facial,     glossopharyngeal
          c)    Vagus,accessory, hypoglossal
          d) Abducens,       trochlear,     vestibulocochlear
                                                                                                        are:
 Q5. The             of parasympathetic stimulation on the cardiovascular systemn
                effects
          a) Vasodilation of the coronary arteries, increased blood pressure
          b) Vasoconstriction of the peripheral   blood vessels, increased heart rate
          c) Vasodilation of the skeletal vessels, decrease in blood pressure
          d)   Vasoconstriction of coronary              arteries,      decreased heart rate
          The mucosa-associated             lymphoid         tissue   include
 Q6.
          a)   Tonsils, thymus
          b)   Lymph      nodes, spleen
          c) Tonsils,peyer's patches
          d)   Thymus,spleen
 07. Indicate           whether   TRUE      or   FALSE
     i.        Atriventricular      bundle    is   part of the conducting system of the heart
                                                                      Page   2 of   5
  ii.
             The   semi-lunar valves cannot open without the support of the chordae tendineae
Q8. The main function ofneutrophils                        is:
        a) Elimination of         parasites
        b) Protecting against         bacterial      invasion
        c) Mediating       allergic    reactions
        d) Production of antibodies
Q9. The skin plays           a   role in the manufacture of vitamin
        a)   A
        b)   B
        c)   C
        d)   D
 Q10. Which         of   the following       constitutes         the largest     solute   component         of   urine?
    a)     Sodium
        b) Potassium
    c) Urea
    d) Creatine
Q11. A person with no              antigen     has blood group?
    a)       A
    b)       B
    c)       O
    d)       AB
O12. What role do the lymphatic vessels have when                                it   comes to    fluid   movements across        capillary
beds?
    a) Lymphatic           vessels reclaim any             fluid      from the tissue spaces that doesn't get returned                to
             the blood.
    b) Lymphatic           vessels also deliver O2               to   tissues.
                           vessels provide the hydrostatic pressure that drives
                                                                                                           filtration.
    c)       Lymphatic
                                                                       osmotic pressure               the capillaries     that reclaims
   d) Lymphatic            vessels provide the             colloid                               in
             wastes from the      tissues     for transport in the blood.
Q13. The photosensitive pigment responsible                            for visualizing in the dark is:
    a)       Rods
        b) Visual purple
                                                                   Page   3 of 5
   c)     Cones
    d) Optic disc
Q14. The most         inmportant        role of theeccrine          sweat gland            is.
    a) milk production
    b) stress-induced sweating
    c)    body temperature              regulation
    d) earwax production
Q15 The normal          haemoglobin            level     for a female      is
   a)    9-13 g/100ml
   b)    11.5-16.5 g/100ml
   c)    12.5-15.4 g/100ml
   d)    13-18 g/100ml
 Q16.An atom's nucleus contains:
   a)    protons
   b)    neutrons
   c)    electrons and protons
    d) protons and neutrons
 Q17.The most abundant              cation          ofthe   ECF   is                and the most abundant anion               in   the   ECF   is
   a)    K*; HPO,2
   b) Mg2+;           HCO;
   c)    Ca²*;     so2
   d) Nat; CIH
Q18. Youwould expect               to   find                 fibers in areas        that    undergo a   lot   of   stretch   and rebound.
   a)    elastic     fibers
   b) collagen         fibers
   c)    reticular     fibers
   d) white        fibers
Q19. Muscle        cells    are referred       to   as
   a)    muscle      fibers
   b) muscle spindles
   c) muscle myosin
   d) muscle actin
Q20. The process whereby excess glucose                        is stored        in cells    is called
   a) glycogenesis
   b) glycogenolysis
   c) gluconeogenesis
   d) glycolysis
                                                               Page 4   of      5
PARTTWO SHORT ANSWER QUESTIONS
 Ql.Draw    and label the diagrams Nephron                                                                            5
                                                                                                                      5
Q2. Briefly       explain short term blood pressure control
                                                                                                                      5
  Q3.State five (5) functions                ofthe vertebral          column
 Q4. State       five (5) hornmones          involved     in    bone development
                                                                                                                      4
 Q5. Outline        four    ways     in   which the body loses heat through the skin
                                                                                                                      6
  Q6. Briefly       describe the process of urine formation
  Q7. State five (5) functions                of   the liver
   Q8. State       five (5) factors that        affect   heart rate
    PART THREE: LONG ANSWER QUESTIONS
                                                                            fractured leg following a   bodaboda accident.
      Q1. Mr.       KM      is    admitted   in your     ward with
                                                                                                                  2 mks
                                            bones in the body
                  a) List four (4)types of                                                                        4 mks
                                               of bones
                   b) State four (4) functions                                                                    6 mks
                                             (3)factors        that   influence bone development
                   c) Explain three                                                                               8 mks
                                                                         healing
                    d)   Describe the stages of          fracture
       02.The        cell    is   the basic unit of      human           being
                                                                                                                      4
                             four (4)functions of the
                                                                  cell   membrane
           i.       State                                                                                             3
           ii.      List six (6) cell organelles                                                                       3
         iii.       Outline three         (3)cell   extensions                                                            10
                                                of                 cell division
            iv.      Describe the mitotic phase
                                                                             Page 5of   5
                                                                                                  KMTC/QP-08/EPS
                                                        OARDICAL   TRAININ
                                 KENYA MEDICAL TRAINING COLLEGE
                          FACULTY OF DIAGNOSTIC SCIENCES
                 DEPARTMENT OF MEDICAL LABORATORY SCIENCES
                  DIPLOMA IN MEDICAL LABORATORY SCIENCES
                 YEAR I, SEMESTER EXAMINATIONS (1.1)
                                              I
                 PAPER: HUMAN ANATOMY AND PHYSIOLOGY
DATE: 06/02/2023                            TIME:       3        HOURS       9.00    12.00   NOON
INSTRUCTIONS
  1.    This paper consists of:
                 Section    1 (20Multiple choice questions)
                 Section    2 (8short answerquestions)
                 Section    3 (2long   answer question)
  2. Attempt      ALL      Questions
                   COLLEGE         NUMBER         on   all    the answer sheets provided and on the question
  3. Write the
        paper.
                                                                  are handed    in   at the end   ofthe examination
  4. Ensure that     all   examination answer      scripts
                                                                                                             Policy
                                               handled as per the College Examination
  5.    Any   examination malpractices will be
                                             register         provided
   6.   Ensure you sign the examination
   COLLEGE NUMBER....
                                                  Page       1   of 5
                                                                                                  KMTC/QP-08/EPS
SECTION        1:   MC     (20 MARKS)
  1.   Which        of the following   cell   organelles          is   involved in protein synthesis?
       a)    Mitochondrja
       b) Lysosome
       c) Ribosome
        d) Centrosome
  2.   Non- keratinized squamous epithelial                     cells are   found   lining   the surfaces   of
       a) Skin
       b)     Hair
       c)    Blood vessels
       d)    Mouth
  3.   Connective       tissue cells that are responsible for
                                                              repair in the                  body are
       a)    Adipocytes
       b) Fibroblasts
       c) Neutrophils
       d)    Macrophages
  4. The blood vessel that carries blood from the
                                                  heart to the lungs                           for oxygenation   is
       a)    Pulmonary vein
        b)   Portal Vein
       c)    Coronaryartery
       d)    Pulmonary artery
  5. The function of lymphatic system                  is
       a)    Drainage    of tissue   fluid
       b)    Production    of red blood       cells
       c)    Cell division
       d)    Repair   of damaged tissues
  6. The     cell   nucleusof a normal cell           is   composed of
       a)    23 chromosomes
       b)    46 chromosomes
       c)    46 pairs ofchromosomes
       d)    46 DNA     molecules
  7. Which       of the following plays a role             in   respiration?
       a) Intercostal muscles
       b) Cardiac       sphincter
       c)    Pyloric sphincter
       d)    Subdural    space
                                                           Page    2 of 5
                                                                                                              KMTC/QP-08/EPS
8.    The left lung is
                       made up of
      a) 3 lobes
       b) 5 lobes
       c)     2lobes
       d)      1lobe
9.     One of the        following is        a cartilage   that formsthe larynx
       a)    Soft palate
       b) Vocal cords
       c)    Cricoid
    d) Pharynx
10. The type of epithelium                   that lines the upper part            of   trachea is
       a) Ciliated           columnar
       b)    Simplesquamous
       c)    Stratified squamous
       d)    Simplecuboidal
11.Exchange ofgases betweenblood                           in   the   capillaries       and the body cells          is referred   to   as
       a) Alveolar ventilation
      b)     External respiration
      c)     Vital capacity
      d)     Internal        respiration
12.   Composition             of gastricjuice includes
      a) Trypsinogen
      b)     Hydrochloric         acid
      c) Enterokinase
      d) Sodium taurocholate
13.   The middle section  the small     of           intestine        is   known       as
      a)    Ileum
      b)    Duodenum
      c)    Caecum
      d) Jejunum
14.The muscle            that controls contents        from the stomach                 to   the small   intestine     is
      a)     Pyloric sphincter
      b) Ileo-caecal valve
      c) Cardiac sphincter
      d) Gastric muscle
15.Blood        rich    in   nutrients from the small           intestine    is   taken      to   the liver   via
      a)    Hepatic artery
      b)    Portal     vein
      c)    Hepatic vein
      d) Mesenteric            artery
                                                           Page    3 of 5
                                                                                                            KMTC/QP-08/EPS
       16.   The   largest part of the brain            is
             a)   Medullaoblongata
             b)   Pons
             c)   Cerebrum
             d) Cerebellum
       17. Exocrine function                ofthe pancreas          is
             a)   Production       of glucagon
             b)   Production       of trypsinogen
             c) Production         of pancreatic juice
             d) Production         of enterokinase
       18.   The   outer layer of the heart            is
             a)   Endocardium
             b)    Pericardium
             c)    Myocardium
             d)    Mediastinum
       19. Adiposetissue isresponsible for
             a)    Secretion     of substances
             b) Absorption             of fluids
             c)    Maintenance          of body temperature
             d)    Immunityofthe body
       20. Skeletal and cardiac muscles have the following                               similarities?
             a) Both are involuntary
             b) Both have          striations
             c) Both are attached               to   the skeleton
             d)    They are      all   voluntary
 SECTION            2:SHORTANSWER                           QUESTIONS (40 MARKS)
21. Describe the metaphasestage                        of    cell   division                  (5marks)
22. List any five (5)functions of the Liver                                                   (5 marks)
23. Enumerateany five (5) ingredients of pancreatic juice                                     (5marks)
 24.   Draw and clearly           label     the diagram         of a     human    heart       (5marks)
25. Name any (5) parts of the respiratory system                                              (5 marks)
26. Define the following                                                                      (5 marks)
                      a)      Peristalsis
                         b)   External respiration
                      c)      Food      metabolism
                      d)      Pulmonary circulation
                      e)      Anatomical         position
27. List five (5)functions of the skin                                                        (5   marks)
28. Name five functions of lymphatic system                                                   (5   marks)
                                                                         Page   4 of 5
                                                                                     KMTC/QP-08/EPS
SECTION 3: LONG ANSWER OUESTIONS (40 MARKS)
29. With the aid of a diagram describe the formation of urine                          (20marks)
30. a) Describe   the three sectional planes. Explain     how   sectional   anatomy can   provide
     a three   dimensional   (3-D)depiction   of the   human body or its     parts     (10marks)
b)Describe     functions   of human   bones                                           (10marks)
                                               Page    5 of 5