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Final Exam OUM Human Anatomy and Physiology April 2024

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PART A
QUESTION 1
(a) Cells in the human body perform a multitude of functions, each vital for the overall
health and functioning of the organism. Here are five key functions:
i.
Energy Production (Metabolism):
Cells generate energy through various metabolic processes, primarily
through the production of adenosine triphosphate (ATP) in organelles like
mitochondria. This energy is essential for powering cellular activities,
including muscle contraction, nerve impulse transmission, and biochemical
reactions.
ii.
Cellular Communication:
Cells communicate with one another through chemical signals, allowing for
coordinated responses and the regulation of various physiological
processes. This communication occurs via signaling molecules such as
hormones, neurotransmitters, and cytokines, which bind to receptors on the
cell surface or within the cell to initiate specific responses.
iii.
Homeostasis Maintenance:
Cells maintain internal balance, or homeostasis, by regulating the
concentration of ions, nutrients, and other molecules within their cytoplasm.
They also participate in processes like osmoregulation, pH regulation, and
temperature control to ensure optimal conditions for cellular function.
iv.
Cell Growth, Repair, and Reproduction:
Cells undergo growth, division, and repair to replace damaged or old cells
and to support tissue growth and regeneration. This includes processes
such as cell cycle regulation, DNA replication, and cell differentiation, which
enable cells to perform specialized functions in various tissues and organs.
v.
Defense and Immunity:
Cells play critical roles in the body's defense against pathogens and foreign
substances. Immune cells such as white blood cells, macrophages, and
lymphocytes detect and neutralize pathogens through phagocytosis,
antibody production, and cell-mediated immunity. Additionally, cells produce
molecules like interferons and cytokines to coordinate immune responses
and inflammation.
(b) A cell’s basic characteristics are fundamental to their structure and function:
i.
Plasma Membrane: This membrane serves as a barrier that regulates the
passage of substances into and out of the cell, maintaining internal
homeostasis.
ii.
Genetic Material: Cells contain genetic material in the form of
deoxyribonucleic acid (DNA), which carries the instructions for the cell's
structure, function, and development.
iii.
Cytoplasm: The cytoplasm is the gel-like substance that fills the interior of
the cell, surrounding organelles and other cellular structures. It consists of
water, salts, and various organic molecules, providing a medium for
metabolic reactions and cellular processes.
iv.
Organelles: Cells contain various organelles, each with specific roles in
cellular processes. For example, mitochondria. Centrioles, Cilia, Flagella,
Microvilli, spindle fibers, ribosomes, and rough endoplasmic reticulum
(RER).
(c) List and describe the component of the nucleus:
The nucleus consists of several components, each with specific functions:
i.
Nuclear Envelope/Membrane: The nuclear envelope is a double membrane
structure that surrounds the nucleus, separating its contents from the
cytoplasm. It consists of an outer nuclear membrane and an inner nuclear
membrane, which are fused at various points to form nuclear pores
ii.
Nuclear Pores: Nuclear pores are protein-lined channels that span the
nuclear envelope, facilitating the exchange of molecules between the
nucleus and the cytoplasm.
iii.
Nucleoplasm: The nucleoplasm, also known as the nuclear matrix or
karyoplasm, is the gel-like substance that fills the interior of the nucleus.
iv.
Chromatin: Chromatin is the complex of DNA and proteins found within the
nucleus, representing the cell's genetic material.
v.
Nucleolus (Plural: Nucleoli): The nucleolus is a distinct structure within the
nucleus responsible for the synthesis and assembly of ribosomal RNA
(rRNA) and ribosomal subunits. It appears as a dark-staining region and is
composed of proteins, RNA, and DNA.
vi.
Nuclear Lamina: The nuclear lamina is a protein meshwork that lines the
inner surface of the nuclear envelope, providing structural support and
stability to the nucleus. It helps maintain the shape of the nucleus and
anchors chromatin and nuclear pore complexes to the nuclear envelope.
QUESTION 2
(a) The skeletal system is a complex network of bones, cartilage, and connective
tissues that provides structural support, protects vital organs, facilitates movement,
produces blood cells, and stores minerals. Its main functions include:
i.
Support and Structure: The skeletal system provides the structural
framework for the body, supporting and maintaining its shape.
ii.
Protection of Vital Organs: The skeletal system protects vital organs from
injury and damage.
iii.
Facilitation of Movement: Bones, in conjunction with muscles and joints,
enable movement and locomotion.
iv.
Blood Cell Production (Hematopoiesis): Within certain bones, such as the
marrow cavities of long bones and the spongy bone tissue of flat bones,
hematopoiesis occurs.
v.
Mineral Storage and Homeostasis: Bones serve as reservoirs for essential
minerals, primarily calcium and phosphorus.
(b) Phases involved in bone repair are hematoma formation, callus formation, callus
ossification, and bone remodeling, respectively.
i.
Hematoma formation is the initial response to a bone injury, such as a
fracture. When a bone is fractured, blood vessels within the bone and
surrounding tissues are damaged, leading to bleeding. As blood leaks out
of the damaged vessels, it accumulates in the fractured area, forming a
hematoma (blood clot). The hematoma serves as a temporary scaffold and
provides a source of nutrients and signaling molecules for the subsequent
repair processes.
ii.
During callus formation phase, After the formation of the hematoma, the
body initiates the repair process by forming a callus. The callus is a mass of
tissue that stabilizes the fractured bone and bridges the gap between the
broken ends. Initially, fibroblasts from surrounding tissues and periosteum
(the outer membrane of bone) migrate to the fracture site. These fibroblasts
produce collagen fibers, which form a fibrous tissue matrix, and
chondroblasts, which produce cartilage matrix. The combined action of
fibroblasts and chondroblasts results in the formation of a soft callus
(fibrocartilaginous callus) that stabilizes the fracture and provides structural
support.
iii.
Callus ossification is when the soft callus undergoes a process called
ossification, during which it is gradually replaced by bone tissue. Osteogenic
cells (osteoblasts) within the soft callus differentiate into bone-forming cells.
These osteoblasts deposit new bone matrix (osteoid) onto the surface of the
soft callus. Over time, the osteoid mineralizes, forming immature woven
bone tissue. This process transforms the soft callus into a hard callus (bony
callus) composed of immature bone tissue.
iv.
The final phase of bone repair is bone remodeling, during which the bony
callus is reshaped and strengthened to restore the bone's original structure
and function. Osteoclasts, specialized cells that break down bone tissue,
resorb excess bone material from the callus. Concurrently, osteoblasts
deposit new bone matrix in a more organized manner, replacing the woven
bone with lamellar (mature) bone tissue. The remodeling process continues
over months to years, during which the bone gradually regains its pre-injury
structure and strength. It is influenced by mechanical stresses and hormonal
factors, ensuring that the healed bone adapts to its functional requirements.
(c) Synovial and fibrous joints are two types of structural classifications of joints in the
human body. Here are the key differences between them along with examples of
each:
i.
Structure:
i. Synovial Joints: Synovial joints are characterized by the presence of
a synovial cavity, which is filled with synovial fluid. The articulating
surfaces of the bones are covered with articular cartilage, and the
joint is surrounded by a joint capsule composed of dense connective
tissue.
ii. Fibrous Joints: Fibrous joints are connected by fibrous tissue and
lack a synovial cavity. The bones in fibrous joints are held together
by fibrous connective tissue, which may be dense regular connective
tissue or fibrocartilage.
ii.
Movement:
i. Synovial Joints: Synovial joints are highly mobile and allow a wide
range of movements, including flexion, extension, abduction,
adduction, rotation, and circumduction. The mobility of synovial joints
depends on their specific structure and the arrangement of their
ligaments.
ii. Fibrous Joints: Fibrous joints are typically immobile or have limited
mobility. The degree of movement in fibrous joints depends on the
length and flexibility of the fibrous connective tissue that binds the
bones together.
iii.
Examples:
i. Synovial Joints: Examples of synovial joints include the ball-andsocket joint (e.g., shoulder and hip joints), hinge joint (e.g., elbow and
knee joints), pivot joint (e.g., between the atlas and axis vertebrae),
condyloid joint (e.g., between metacarpals and phalanges), saddle
joint (e.g., between the carpal and metacarpal of the thumb), and
gliding joint (e.g., between the carpal bones of the wrist).
ii. Fibrous Joints: Examples of fibrous joints include the sutures of the
skull (e.g., sagittal suture, coronal suture), syndesmoses (e.g., distal
tibiofibular joint, interosseous membrane between radius and ulna),
and gomphoses (e.g., teeth held in sockets of the maxilla and
mandible by periodontal ligaments).
QUESTION 3
(a) The anterior pituitary gland, also known as adenohypophysis, secretes several
important hormones that regulate various physiological processes throughout the
body. Here are the hormones released by the anterior pituitary gland and their
sites of action:
i.
Adrenocorticotropic Hormone (ACTH):
i. ACTH stimulates the adrenal cortex (the outer layer of the adrenal
glands) to produce and release cortisol, a stress hormone.
ii.
Thyroid-Stimulating Hormone (TSH):
i. TSH stimulates the thyroid gland to produce and release thyroid
hormones, primarily thyroxine (T4) and triiodothyronine (T3).
iii.
Follicle-Stimulating Hormone (FSH):
i. FSH plays a key role in regulating the growth and development of
ovarian follicles in females and spermatogenesis (sperm production)
in males.
iv.
Luteinizing Hormone (LH):
i. LH works in conjunction with FSH to regulate reproductive function
in both males and females.
v.
Prolactin (PRL):
i. Prolactin primarily regulates lactation (milk production) in mammary
glands following childbirth.
vi.
Growth Hormone (GH):
i. GH, also known as somatotropin, plays a crucial role in growth,
development, and metabolism.
(b) Thyroid hormones, primarily thyroxine (T4) and triiodothyronine (T3), play a
crucial role in modulating basal metabolic rate (BMR), which is the amount of
energy expended by the body at rest to maintain basic physiological functions
such as breathing, circulation, and cell maintenance. Thyroid hormones play a
central role in regulating basal metabolic rate by influencing cellular metabolism,
oxygen consumption, thermogenesis, and the metabolism of carbohydrates, fats,
and proteins. Dysfunction of the thyroid gland, such as hypothyroidism or
hyperthyroidism, can disrupt metabolic homeostasis and lead to alterations in
BMR, resulting in metabolic disorders and related symptoms.
(c) The pancreas plays a crucial role in the regulation of blood sugar levels through
the release of two key hormones: insulin and glucagon. These hormones work in
tandem to maintain blood glucose within a narrow physiological range. Here's
how their action mechanisms contribute to blood sugar control:
i.
Insulin:
i. Secretion: Insulin is produced and released by beta cells located in
the islets of Langerhans within the pancreas in response to elevated
blood glucose levels.
ii. Action Mechanism:
1. When blood glucose levels rise, insulin is secreted into the
bloodstream.
2. Insulin binds to specific receptors on target cells, such as
muscle, adipose tissue, and liver cells.
3. Binding of insulin to its receptors triggers a series of
intracellular signaling pathways, leading to the translocation of
glucose transporter proteins (GLUT4) from intracellular
vesicles to the cell membrane.
4. The translocation of GLUT4 proteins facilitates the uptake of
glucose from the bloodstream into target cells, promoting
glucose utilization for energy production, glycogen synthesis,
and lipid synthesis.
5. Insulin
also
inhibits
the
breakdown
of
glycogen
(glycogenolysis) in the liver and the production of glucose from
non-carbohydrate
sources
(gluconeogenesis),
further
reducing blood glucose levels.
iii. Overall Effect: Insulin promotes the storage of glucose, fatty acids,
and amino acids while lowering blood glucose levels, thus
counteracting hyperglycemia.
ii.
Glucagon:
i. Secretion: Glucagon is produced and released by alpha cells in the
pancreatic islets in response to low blood glucose levels.
ii. Action Mechanism:
1. When blood glucose levels decrease, glucagon secretion is
stimulated.
2. Glucagon binds to specific receptors on target cells, primarily
hepatocytes (liver cells).
3. Binding of glucagon to its receptors activates adenylate
cyclase, leading to the production of cyclic AMP (cAMP).
4. Increased cAMP levels activate protein kinase A (PKA), which
phosphorylates enzymes involved in glycogen breakdown
(glycogenolysis) and gluconeogenesis.
5. As a result, glycogen stored in the liver is broken down into
glucose (glycogenolysis), and glucose is synthesized from
non-carbohydrate precursors (gluconeogenesis).
iii. Overall Effect: Glucagon promotes the release of glucose from liver
glycogen stores and increases blood glucose levels, thus
counteracting hypoglycemia.
Together, insulin and glucagon play complementary roles in the regulation of blood
sugar levels, ensuring that glucose is available to meet the energy needs of cells
throughout the body. This dynamic interplay between insulin and glucagon maintains
blood glucose homeostasis, preventing hyperglycemia (high blood sugar) or
hypoglycemia (low blood sugar) and supporting overall metabolic health.
Dysregulation of insulin and glucagon secretion or action can lead to metabolic
disorders such as diabetes mellitus.
Part B
QUESTION 1
Carbohydrate metabolism in the gastrointestinal (GI) system is a complex process
involving several organs and enzymes. Here's a breakdown of the process:
Mouth
Stomach
Small
Intestine
Liver
Large
Intestine
•The digestion of carbohydrates begins in the mouth with the action of salivary
amylase.
•This enzyme starts breaking down complex carbohydrates like starch into simpler
sugars like maltose.
•Carbohydrate digestion is briefly paused in the stomach due to the acidic
environment, which inhibits salivary amylase.
•However, some digestion continues due to the action of lingual amylase until the
food bolus is further broken down into chyme.
•The majority of carbohydrate digestion and absorption occur in the small
intestine.
•Pancreatic amylase, released from the pancreas, further breaks down complex
carbohydrates into disaccharides like maltose, sucrose, and lactose.
•Disaccharidases, located in the brush border of the small intestine, break down
disaccharides into monosaccharides (glucose, fructose, and galactose) that can be
absorbed into the bloodstream.
•Glucose and galactose are absorbed via active transport, while fructose is
absorbed via facilitated diffusion.
•Once absorbed, monosaccharides travel to the liver via the portal vein.
•The liver metabolizes galactose and fructose into glucose.
•Glucose is either stored as glycogen, converted into fat for storage, or released
into the bloodstream to provide energy to cells throughout the body.
•Any undigested carbohydrates, as well as fibers, reach the large intestine where
they undergo fermentation by the gut microbiota.
•Fermentation produces short-chain fatty acids (SCFAs) and gases like carbon
dioxide, hydrogen, and methane.
•SCFAs can be absorbed and used as an energy source by the body.
2. Below is a diagram illustrating the role of female sex hormones in synchronizing the
ovarian and uterine (menstrual) cycles:
i.
Follicular Phase:
a. Ovarian Cycle: During this phase, follicle-stimulating hormone (FSH)
from the anterior pituitary stimulates the growth and maturation of
ovarian follicles. As the follicles develop, they produce estrogen.
b. Uterine Cycle: Estrogen released from the developing follicles stimulates
the proliferation of the endometrial lining in the uterus. This phase
prepares the uterus for potential implantation of a fertilized egg.
ii.
Ovulation:
a. Ovarian Cycle: A surge in luteinizing hormone (LH), triggered by rising
estrogen levels, induces ovulation. The mature follicle ruptures,
releasing the egg into the fallopian tube.
b. Uterine Cycle: There is no significant change in the uterine cycle during
ovulation.
iii.
Luteal Phase:
a. Ovarian Cycle: After ovulation, the remaining follicular cells transform
into the corpus luteum, which secretes progesterone and estrogen.
These hormones prepare the uterine lining for potential implantation and
maintain the pregnancy if fertilization occurs.
b. Uterine Cycle: Progesterone from the corpus luteum stimulates the
secretory phase in the uterus, where the endometrial lining becomes
more vascularized and glandular, ready to support implantation.
iv.
Menstrual Phase:
a. Ovarian Cycle: If fertilization does not occur, the corpus luteum
degenerates, leading to a decrease in progesterone and estrogen levels.
b. Uterine Cycle: With the decline in hormone levels, the endometrial lining
is shed, resulting in menstrual bleeding.
The interplay of estrogen and progesterone, along with the feedback loops involving
FSH and LH, regulates the ovarian and uterine cycles. This synchronization ensures
proper preparation of the reproductive system for potential fertilization and pregnancy.
Any disruptions in hormone levels or feedback mechanisms can lead to irregular
menstrual cycles or fertility issues.
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