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Columbia University (CUSO) Invitational — Anatomy and Physiology

Anatomy and Physiology · Division C · Columbia University (CUSO) Invitational · 2023

130 questions · 207.5 points · 50 min

Original test source

Welcome to Anatomy and Physiology! You will have 50 minutes to complete this test. Please write your answers on the given answer sheet. No credit will be given for work in the test packet. Good luck!

TEST PACKET — Multiple Choice

Question 1

1 pt

Which of the following are not lymphocytes?

Question 2

1 pt

Which cells release histamine during the inflammatory response?

Question 3

1 pt

Which of the following best describes how antivirals work:

Question 4

1 pt

Which of the following is not part of the lymphatic system?

Question 5

1 pt

Which of these is not a component of humoral immunity?

Question 6

1 pt

Which of these are phagocytes?

Question 7

1 pt

Which of these terms characterizes haptens?

Question 8

1 pt

Which of these are not lymphocytes?

Question 9

1 pt

Which of these are not leukocytes?

Question 10

1 pt

Where do lymphoid precursors develop into mature T cells?

Question 11

1 pt

Acquired Immunodeficiency Syndrome (AIDS) results from infection by the Human Immunodeficiency Virus (HIV); which best describes HIV?

Question 12

1 pt

Women who are or have been pregnant recently are at higher risk of developing this autoimmune disorder.

Question 13

1 pt

The anti-citrullinated protein antibody is present and is heavily associated with this disorder.

Question 14

1 pt

Skin develops a burning rash when irritants are exposed to sunlight.

Question 15

1 pt

Experts recognize 4 courses of this chronic disease: progressive-relapsing, secondary progressive, primary progressive, and relapsing-remitting

Question 16

1 pt

A common course of treatment for this disorder are antiretrovirals and nucleoside reverse transcriptase inhibitors.

Question 17

1 pt

Monocytes move from the systemic circulatory system into general connective tissues, where they differentiate into what phagocytic cell type?

Question 18

1 pt

Myelogenous leukemias are caused by the cancerous production of innate (non-specific) immune system cells: in which tissue is such production most likely to occur?

Question 19

1 pt

Recognition of self vs. non-self by the adaptive immune system in humans is accomplished in which of the following ways?

Question 20

1 pt

In the developing fetus, prenatal hematopoiesis (the differentiation and development of immune cells) is not generally known to occur in which of the following organs?

Question 21

1 pt

The average tidal volume of healthy adult male:

Question 22

1 pt

What is the correct order of the airway branches leading into your lungs?

Question 23

1 pt

The airways beyond the larynx can be divided into two zones (the conducting zone and the respiratory zone) based on their functions. Which of the following is not a function of the conducting zone?

Question 24

1 pt · select all that apply

What is true about lung compliance? (select 2)

Question 25

1 pt

Bronchodilators are a class of drug often used in the treatment of asthma and COPD, which act on β-adrenergic receptors of the airways to induce smooth muscle relaxation. The anatomic distribution of these receptors is closely correlated to the function of each structural component of the lungs. What structural component(s) of the airway would be most affected by the use of a bronchodilator, and in what functional zone(s) are they found?

Question 26

1 pt

The partial pressures of carbon dioxide and oxygen in the atmosphere at sea level are 0.3 mmHg and 160 mmHg respectively, but the partial pressures of these gasses in blood leaving the lungs are 40 mmHg and 95 mmHg, respectively. What factor most likely accounts for this difference?

Question 27

1 pt

Interstitial lung disease (ILD) refers to a set of conditions which affect the pulmonary interstitium-- the area of tissue and space which lies between the alveoli and alveolar capillaries. What factor in the setting of severe ILD, would NOT decrease the extent to which oxygen passes from the air sacs of the lungs into the blood?

Question 28

1 pt

If the mouth and nose are closed at the peak of a complete inspiration, but before expiration, and the breath is held, what is the pressure of gasses within the alveoli relative to the pressure of atmospheric air?

Question 29

1 pt

Which of the following causes a rightward shift in the oxygen dissociation curve?

Question 30

1 pt

____, which is produced during glycolysis, reversibly binds with hemoglobin, allosterically causing it to have a lower affinity for oxygen.

Question 31

1 pt

The medial wall of the respiratory region, the nasal septum, is smooth, but the lateral walls are thrown into folds by the presence of three shelf-like, bony projections called ____.

Question 32

1 pt

Which of the following is true for the nasal vestibule?

PassageFor questions 33–36

Determine the state of the lung in the following H&E stain micrographs:

Question 33

1 pt

Identify the part labeled 33 in the figure.

Question 34

1 pt

Identify the part labeled 34 in the figure.

Question 35

1 pt

Identify the part labeled 35 in the figure.

Question 36

1 pt

Identify the part labeled 36 in the figure.

Question 37

1 pt

Where are Clara cells found?

Question 38

1 pt

Mark has the genetic condition called ɑ1-antitrypsin deficiency, which leads to increased neutrophil elastase activity. Which disease is Mark most likely to have?

Question 39

1 pt

Which type of cartilage are the C-rings of the trachea made from?

Question 40

1 pt

A patient presents with salty sweat, cough that produces sputum; frequent lung infections; intestinal blockage What disorder is described by the list above?

Question 41

1 pt

Which of the following is the largest salivary gland?

Question 42

1 pt

Ducts of lingual salivary (Von Ebner’s) glands empty their serous secretion into the base of the moats of ____.

Question 43

1 pt

Which of the following layers of the teeth is the hardest?

Question 44

1 pt

What anchors the teeth to its socket walls?

Question 45

1 pt

Which bacterial species causes tooth decay?

Question 46

1 pt

Meissner’s plexus is a network of unmyelinated nerve fibers and ganglion cells. In which layer of the alimentary canal is it located?

Question 47

1 pt

The Serosa is composed of:

Question 48

1 pt

Which of the following types of Hepatitis spreads only blood-to-blood?

Question 49

1 pt

A patient has symptoms of nausea, loss of appetite and pain around the navel. What condition is the patient most likely to have?

Question 50

1 pt

Which sphincter controls the release of chyme into the small intestine?

Question 51

1 pt

Which of the following is NOT a possible cause for pernicious anemia?

Question 52

1 pt

Pepsinogen is secreted by ____.

Question 53

1 pt

Which part of the alimentary canal has receptors to the gastrointestinal hormone ghrelin?

Question 54

1 pt

Which of the following cells located in the intestinal mucosal epithelium are responsible for antimicrobial secretions?

Question 55

1 pt

Which of the following cells are present in the small intestine, but not in the large intestine of humans?

Question 56

1 pt

GALT (Gut-associated lymphoid tissue) is more developed in the large intestine due to the large number of microorganisms that live in the lumen. Which layer of the large intestine is GALT in?

Question 57

1 pt

Where are carcinoid tumors most often found in young adults and children?

Question 58

1 pt

The Anal transition zone (ATZ) is a transition zone from the colorectal zone to the squamous zone. It thus represents a transition between the ____ of the rectal mucosa and the stratified squamous epithelium of the perianal skin.

Question 59

1 pt

What is the main function of the Kupffer cell?

Question 60

1 pt

Through which of the following pancreatic ducts does both bile and pancreatic secretions empty into the duodenum?

Labeling

Question L1

18 pts

1. Stomach

Question L2

8 pts

2. Spirometer

Question L3

9 pts

3. Alimentary Canal

Question L4

6 pts

4. Acid-base NomogramWord bank: Acute respiratory alkalosis, Acute respiratory acidosis, Chronic respiratory alkalosis, Chronic respiratory acidosis, Metabolic alkalosis, Metabolic acidosis

Free Response

PassageFor questions 1a, 1b, 1c, 1d

For each digestive enzyme, identify its organ of origin, and function (8 points).

Question 1a

2 pts

trypsin

Question 1b

2 pts

pepsin

Question 1c

2 pts

lysozyme

Question 1d

2 pts

maltase

Question 2

2 pts

Define peristalsis and explain how it relates to mechanical digestion

Question 3

1.5 pts

List the three functions of saliva OTHER than chemical digestion

Question 4

1.5 pts

List the three salivary glands in humans

Question 5

3 pts

We often take swallowing for granted, but it is actually quite a complex process, integrating a variety of different muscle groups and digestive system structures, including the pharynx and the esophagus. Name three key differences between the lining of the esophagus and the lining of the rest of the digestive tract

Question 6

1.5 pts

The stomach is the primary site of chemical digestion, through a multitude of different enzymes. Because the pH of stomach acid is so low, it is a miracle that this organ doesn’t simply digest itself! What are three ways the stomach lining prevents itself from being digested?

Question 7

4 pts

You have just eaten a full course meal and which has turned into chyme in your stomach. In which ways does the chyme trigger your gastrointestinal reflexes?

Question 8

2 pts

What are the two hormones secreted by the enteroendocrine cells of the duodenum that regulate the exocrine pancreas?

PassageFor questions 9a, 9b

For each of the following types of stomach cells, name the major secretion (2 points)

Question 9a

1 pt

G Cell

Question 9b

1 pt

D Cell

Question 10

2 pts

The alkaline tide is a phenomenon that describes why the blood draining from the stomach is more alkaline than the blood entering the stomach. Why does this occur? Hint: think about ion transport during HCl secretion

Question 11

3 pts

The colon is the final tube through which foodstuff travels in its perilous journey through the human digestive system. How does the lining of the colon differ from that of the small intestine?

Question 12

2 pts

Outline the role of the liver in the storage of nutrients

Question 13

4 pts

Describe the process of erythrocyte and hemoglobin breakdown in the liver

PassageFor questions 14a, 14b, 14c

Clostridium difficile, commonly referred to as C diff, is a bacterial infection of the colon that occurs commonly after intense, prolonged, diarrhea. Unfortunately, the treatment for such a condition is a little bit unsavory.

Question 14a

1 pt

Why might diarrhea increase one’s susceptibility to C diff?

Question 14b

1 pt

The appendix has a hypothesized role in helping the body rebound from this sort of illness. What could this mechanism be?

Question 14c

1 pt

Why is a fecal transplant necessary to treat this infection? A fecal transplant is unfortunately exactly what it sounds like.

PassageFor questions 15a, 15b, 15c, 15d, 15e, 15f, 15g, 15h

List the main function for each of the following immune cells and state whether they are derived from myeloid or lymphoid stem cell (8 points)

Question 15a

1 pt

Macrophage

Question 15b

1 pt

Eosinophil

Question 15c

1 pt

Cytotoxic T cells

Question 15d

1 pt

Helper T cells

Question 15e

1 pt

B cells

Question 15f

1 pt

Basophil

Question 15g

1 pt

Neutrophil

Question 15h

1 pt

Natural Killer cells

Question 16

2 pts

Describe the difference between red and white pulp in the spleen.

Question 17

1 pt

What is the major function of the tonsils?

Question 18

2 pts

Why are the tonsils often removed in children?

PassageFor questions 19a, 19b, 19c, 19d

For each of the following sites of barrier defense, describe the specific defense and mechanisms by which they contribute to immune protection (4 points)

Question 19a

1 pt

Skin

Question 19b

1 pt

Oral cavity

Question 19c

1 pt

Stomach

Question 19d

1 pt

Mucosal surfaces

Question 20

2 pts

Describe the difference between cytokines and chemokines

Question 21

1 pt

You are walking up the stairs when you stub your toe. What are the four characteristics of inflammation?

Question 22

4 pts

Describe the four parts to the inflammatory response.

Question 23

2 pts

There are two chains in the T cell receptor, and each chain consists of two domains: variable region and constance region. Describe the function of each region

Question 24

1 pt

The COVID-19 mRNA vaccine uses mRNA created in a laboratory to teach our cells how to make a protein—or even just a piece of a protein—that triggers an immune response inside our bodies. This immune response, which produces antibodies, is what helps protect us from getting sick from that germ in the future. What type of immunity does this trigger?

Question 25

2 pts

Explain why antibiotics are used to treat bacterial but not viral diseases

Question 26

3 pts

Polio is a viral disease which affects the nervous system. Describe the different ways in which the body could acquire immunity to this disease

Question 27

3 pts

Outline how the skin and mucous membranes prevent entry of pathogens into the body

Question 28

1 pt

What is the scientific term for the “Adam’s apple?”

PassageFor questions 29a, 29b, 29c, 29d

The alveolar wall consists of three major cell types: type I alveolar cells, type II alveolar cells, and alveolar macrophages (4 points)

Question 29a

1 pt

Which cell type removes debris and pathogens that have reached the alveoli?

Question 29b

1 pt

Which cell type is most common?

Question 29c

1 pt

Which cell type secretes pulmonary surfactant?

Question 29d

1 pt

What is the function of pulmonary surfactant?

Question 30

2 pts

What are the two major functions of the pleura?

Question 31

1 pt

The medulla oblongata and pons are the main center in the brain that drive respiration. What is the major factor that stimulates the medulla oblongata to produce respiration?

Question 32

4 pts

There are two types of sleep apnea: obstructive sleep apnea and central sleep apnea. Both have similar symptoms, but have different underlying causes. For each type of sleep apnea, describe the physiological mechanism that causes it and suggest a potential medical condition that could lead to it

Question 33

1 pt

There are four main gases that make up the composition in the air in both the atmosphere and the alveoli. Rank the relative concentration of these gases.

PassageFor questions 34a, 34b

A type of device used in some areas of medicine that exploits the behavior of gases is hyperbaric chamber treatment. A hyperbaric chamber is a unit that can be sealed and expose a patient to either 100 percent oxygen with increased pressure or a mixture of gases that includes a higher concentration of oxygen than normal atmospheric air, also at a higher partial pressure than the atmosphere (2 points each)

Question 34a

2 pts

How might hyperbaric chambers help a patient with carbon monoxide poisoning?

Question 34b

2 pts

How might they help a patient with an anaerobic bacterial infection?

Question 35

1.5 pts

What are the three methods by which carbon dioxide is transported in the blood?

Question 36

2 pts

An increase in altitude results in a decrease in atmospheric pressure. Although the proportion of oxygen relative to gases in the atmosphere remains at 21 percent, its partial pressure decreases. As a result, it is more difficult for a body to achieve the same level of oxygen saturation at high altitude than at low altitude. What is the major mechanism that results in acclimatization?

Question 37

2 pts

A smoker develops damage to several alveoli that then can no longer function. How does this affect gas exchange?

Question 38

2 pts

What are the factors that determine lung compliance?

PassageFor questions 39a, 39b, 39c, 39d, 39e, 39f, 39g

State the values of the respiratory volumes and capacities for the following (Young adult male): (3.5 points)

Question 39a

0.5 pts

Inspiratory reserve volume

Question 39b

0.5 pts

Expiratory reserve volume

Question 39c

0.5 pts

Residual volume

Question 39d

0.5 pts

Vital capacity

Question 39e

0.5 pts

Inspiratory capacity

Question 39f

0.5 pts

Functional residual capacity

Question 39g

0.5 pts

Total Lung Capacity

Question 40

4 pts

State the two main anatomical components of the medullary respiratory center and state their functions.