HAP Passing Package Questions With Answers
HAP Passing Package Questions With Answers
• HUMERUS
• RADIUS & ULNA
❖ BONES OF WRIST AND HAND
• scaphoid, lunate, triquetral and pisiform bones.
• trapezium, trapezoid, capitate, and hamate bones.
✓ Bones of Palm
• metacarpal bones.
• carpal bones.
• phalanges. (finger bones)
1. Erythropoiesis: It is the process by which RBCs are formed. In the foetus, RBCs are formed in the liver, spleen
and red bone marrow. After birth, they are formed only in the red bone marrow of sternum, ribs, vertebrae
etc.
The stages in the developments of RBCs are as follows.
❖ Proerythroblast is the first stage. It is a large cell having a nucleus. It does not have hemoglobin
initially. In the latter stages, hemoglobin starts appearing.
❖ Normoblast is the second stage. It is a smaller cell with degenerated nucleus. Hemoglobin is fully
present.
❖ Reticulocyte develops from normoblast. It contains hemoglobin and reticulum in the cytoplasm.
❖ Erythrocyte which is the fully developed RBC. It does not contain reticulum but contains adequate
hemoglobin.
Both vitamin B12 and folic acid are necessary for the development of RBCs.
2. Leucopoiesis: is a process by which WBCs are formed. Myeloblast and monoblast originating from the
granulocytes and monocyte colony forming cells
3. Thrombopoiesis: formation of platelets is known as thrombopoiesis. CMP cells transform into three
different cell types before becoming platelets.
❖ Thrombin is an enzyme which converts soluble fibrinogen of plasma into insoluable fibrin calcium
ions are essential for both the activation and action of thrombin.
❖ Fibrin form a network of threads which traps dead and damaged formed elements of blood to form
the blood colt or coagulum.
Clotting factors: The various factors involved in the scheme of clotting described above are designated by
numbers as factors I, II etc. These factors are:
1. Factor I - Fibrinogen
2. Factor II - Prothrombin
3. Factor III - Thromboplastin
4. Factor IV - Calcium
5. Factor V- Quick's labile factor
6. Factor VI - Existence of this factor not accepted.
7. Factor VII - Quick's stable factor
8. Factor VIII - Antihemophilic factor
9. Factor IX Christmas factor
10. Factor X – Stuart power factor
11. Factor XI – plasma thromboplastin antecedent
12. Factor XII – Hageman factor
13. Factor XIII – Fibrin stabilizing factor.
❖ Agglutination occurs between the same type of agglutinogen and agglutinin (e.g., A and a). But no
agglutination occurs between different types of agglutinogen and agglutinin (e.g., A and b).
❖ So, it can be seen that group O blood (contains no agglutinogen) can match with all other blood
groups. But this group of individuals can receive blood only from 0 group and not from any other
group.
❖ Individuals with 0 group of blood are called Universal donors. Individuals with blood group AB
(contains no agglutinins) can receive blood from all groups. They are called as (Universal recipients).
Rh factor: It is another type of agglutinogen. It is called as Rhesus factor (Rh factor) since it was first seen in
Rhesus monkey. Rh +ve individuals have this factor. But Rh -ve individuals do not have this. The
corresponding agglutinin is never present in the body. But it is developed after the first exposure to the
agglutinogen. If a Rh +ve blood is given to a Rh -Ve person, no immediate reaction occurs. But during a
second transfusion, the Rh -ve person develops Anti-Rh agglutinin. This further leads to agglutination.
❖ The right atrium receives deoxygenated blood from superior vena cava, inferior vena cava and
coronary sinus. Pulmonary artery carries deoxygenated blood from right ventricle to lungs for
oxygenation. The left atrium receives oxygenated blood from lungs through four pulmonary veins.
The aorta carries oxygenated blood from left ventricle and supplies to all parts of the body. The
opening of aorta and pulmonary valves are guarded by semilunar valves.
❖ The heart receives blood supply through right and left coronary arteries. They are the first branches
of aorta. Venous blood of heart is collected by coronary sinus which opens directly into the right
atrium.
❖ Heart is supplied by sympathetic and vagus nerves. Branches from these nerves pass to the Sino
auricular node.
2. Pulmonary circulation: It is the circulation involving the purification of blood in lungs. Impure
venous blood is drained out by right ventricle through pulmonary artery to lungs where it gets
oxygenated. Four pulmonary veins carry this pure blood from lungs to left atrium of the heart.
3. Coronary circulation: It is the circulation involving blood supply to heart itself. Ascending aorta
gives off left coronary artery and right coronary artery which supply heart itself. Venous blood is
collected by coronary sinus that opens into right atrium.
4. Portal circulation: It is the circulation of blood through liver. Portal vein carries blood that has
circulated in stomach, intestines, and pancreas to liver. It divides into capillaries in liver. These
capillaries join with the capillaries of hepatic artery. The venous blood of liver is collected by
hepatic vein which joins inferior vena cava.
At the same time, the atrioventricular valves are closed. This period of muscular contraction of the
heart is called Systole.
• This is followed by a period of rest called Diastole.
• This sequence of events constitutes the cardiac cycle.
VC = 4500ml
VIII. Total lung Capacity (TLC): It is the maximum amount of air that lungs can hold, in its inspiratory
reserve volume, tidal volume, expiratory reserve volume and residual volume are included.
TLC = IRV + TV + ERV + RV
= 3000ml + 500ml + 1000ml + 1200ml
TLC = 5700 ml (6000ml)
• A left lobe
❖ Surfaces: They are:
• Superior surface which is in contact with the wit surface of diaphragm.
• Inferior surface which is facing the abdominal viscera.
• The hilum or portal fissure is present in the inferior surface.
• The blood vessels of liver and bite duct pass through the hilum.
• Anterior surface which is separated from ribs and costal cartilages by the diaphragm. 4.
Posterior surface which lies in front of vertebral column, aorta, inferior vena cava and lower
end of oesophagus.
Internal (minute or microscopic structure):
• The liver consists of a large number of liver cells called lobules each lobule has a central vein or
intralobular vein.
• The connective tissue lying in between the lobules contains the branches of:
➢ Portal vein
➢ Hepatic artery
➢ Bile duct
FUNCTIONS OF LIVER
➢ Secretion of bile.
➢ Synthesis and storage of glycogen.
➢ Formation of urea by the de-amination of amino acids.
➢ Synthesis of plasma proteins like albumin and globulin.
➢ Conversion of unsaturated fats into saturated fats.
➢ Storage of iron and Vitamin B12 (which are necessary for the formation of RBC).
➢ Synthesis of prothrombin and fibrinogen which are necessary for blood coagulation.
➢ Synthesis of heparin, the natural anticoagulant.
➢ Production of heat because of metabolic reaction.
➢ Inactivation of toxic substances and drugs.
➢ Storage of vitamins A, D, E and K.
Functions of stomach
• Its act as a storage of food material
• The water present in the stomach further liquifies food material which is swallowed.
• It helps in mixing of food.
• The gastric gland presents I the stomach secrets gastric juices which help in chemical digestion.
• Stomach helps in absorption of water glucose and certain drugs.
Function
• Sensory and motor tracts are contained within the white matter of the spinal cord.
• The sensory tracts conduct nerve impulses towards the brain and the motor tracts conduct motor
nerve impulses from the brain to the effector organs.
• The grey matter of the spinal cord forms the spot for integration (summing) of Excitatory and Inhibitory
Postsynaptic Potentials (EPSPs and IPSPs, respectively).
• CNS is connected to the sensory receptors, muscles, and glands all over the body via the spinal nerves
and their branches.
• All reflex activities are mediated through spinal cord.
Reflex action
• An action produced instantaneously and automatically without intentions, in response to a mechanical
stimulus (produced by stimulation of specific receptors) is termed as a reflex activity.
20. Write physiology of cerebrum, cerebellum, medulla oblongata, basal ganglia, and hypothalamus.
(ANYONE)
a. Cerebrum
❖ Frontal lobs
• Controls voluntary activities if opposite half of the body.
• Control the spoken speech.
• Control emotional, concentration, attention, and judgement.
❖ Parietal lobs
• Perception of exteroceptive (touch, pain, and temperature).
❖ Occipital lobs
• Reception and perception of isolated visual impression of colour, size, form, motion .
❖ Temporal lobs
• Reception and perception of isolates auditory impression of loudness, quality, and pitch.
b. Cerebellum
❖ Body posture and equilibrium is maintained by the cerebellum. The muscles, joints, eyes, and
the ears bring in the sensory input for these functions.
❖ To maintain the balance and equilibrium of the body, the cerebellum acts to influence impulses
leading to the skeletal muscle contraction. It is responsible for controlling and coordinating the
movements of several groups of muscles, resulting in smooth, even, and clearcut action.
❖ The coordination of voluntary muscular movement is carried out by the cerebellum. Activities of
the cerebellum cannot be controlled voluntarily.
c. Medulla oblongata
❖ Medulla oblongata (med-oo-la ob-long-ah-ta), often just called the medulla, is a key part of your
nervous system.
❖ It’s key not only because of its location but also because of what it controls.
❖ Some of its jobs include:
• Manages heart, circulation, and breathing. Your medulla is where your cardiovascular and
respiratory systems link together into a united system that controls your heart rate,
breathing, blood pressure and more.
• Manages other automatic processes. These are things that your body often does without you
having to think about them. Some examples include coughing, sneezing, swallowing, vomiting
and maintaining your balance.
• Nerve connections. Most major nerves converge at your spine, carrying signals to and from
your brain. That means those signals must pass through your medulla. Four of your 12 cranial
nerves (which connect areas of your throat and tongue directly to your brain) pass through
your medulla.
• Crossover point. your medulla is the location of a region called “the pyramids,” where most of
the movement-related nerves in your body crisscross. That crossover is why one side of your
brain almost always controls parts on the opposite side of your body.
d. Basal gangalia
❖ The basal ganglia are best known for how they help your brain control your body’s movements.
However, ongoing research continues to uncover other ways that the basal ganglia interact with
other parts of your brain.
❖ Though experts continue to uncover more about the inner workings of the basal ganglia, there’s
much about them that remains unknown.
Movement
• The basal ganglia are a key part of the network of brain cells and nerves that control your body’s
voluntary movements.
• They can approve or reject movement signals that your brain sends, filtering out unnecessary or
incorrect signals.
• If the basal ganglia approve a signal, it continues to the motor pathways, the nerves that
eventually carry the signal down your spinal cord and nerves to their destination muscle. If they
don’t approve the signal, they redirect it into an area where other brain cells dampen those signals
until they stop.
• The parts of your brain that process information from your senses, namely sight, sound, smell,
taste, and touch, also send that information to your basal ganglia.
• That sensory information helps the basal ganglia refine your movements further.
Decision-making
• Another job of the basal ganglia is processing how you evaluate goals and risks. It also processes
signals that affect your emotions and your motivation. That means it also plays a role in learning
and forming habits, planning, and carrying out tasks, and more.
e. Hypothalamus
❖ Hypothalamus receives chemical messages from nerve cells in your brain and from nerve cells in
your body (your peripheral nervous system), which is also responding to signals outside your
body.
❖ Hypothalamus’s main function is to react to these messages to keep your body in a stable state or
internal balance.
• Body temperature.
• Blood pressure.
• Hunger and thirst.
• Sense of fullness when eating.
• Mood.
• Sex drive.
• Sleep.
❖ Hypothalamus performs many of its “body balancing” jobs either by directly influencing the
autonomic nervous system or by managing hormones. Your autonomic nervous system (bodily
functions that work automatically) controls several important functions, such as your heart rate
and breathing (respiration).
❖ Hypothalamus makes some hormones itself that are stored elsewhere (in your posterior
pituitary)
❖ Sends signals (hormones) to your pituitary gland, which either releases hormones that directly
affect a part of your body or sends another signal (hormone) to a different gland in your body
that then releases its hormone.
• Ganglia are close to the CNS and distant from • Ganglia are near or within the wall of visceral
visceral effectors. effectors.
• The preganglionic nerve fibres are smaller. • The preganglionic nerve fibres are longer.
• The postganglionic nerve fibre is larger. • The postganglionic nerve fibre is smaller.
• The targeted receptors are mostly • The targeted receptors are mostly
adrenergic. cholinergic.
MECHANISM OF HEARING
✓ Sound waves in air are collected by pinna.
✓ The external auditory meatus directs these waves to the tympanic membrane which then vibrates.
✓ The vibrations are transmitted by malleus incus and stapes to the membrane covering fenestra.
✓ From the inner surface of this membrane, vibrations are transmitted to organ of Corti through perilymph
and endolymph.
✓ From the organ of Corti the impulses (produced by perilymph and endolymph. Vibrations) are carried to
brain stem through cochlear portion of 8th nerve.
✓ The fibres are then carried to auditory centre of brain which is present in the temporal lobe of the
opposite side.
MECHANISM OF EQUILIBRIUM
✓ Movement of head or alteration in its position produce movement of endolymph present in the semi-
circular canals.
✓ The movement of endolymph stimulates the nerve endings in ampullae.
✓ The impulses are carried to brain through the vestibular portion of 8 th nerve.
✓ These impulse produce sensations which make us conscious about the position of the head.
✓ If the position of head is disoriented, we can then adjust it to maintain balance and equilibrium.
Functions of skin
1. SECRETIONS OF SKIN: The two secretions of skin are Sweat and Sebum.
❖ Secretion of sweat: Sweat is secreted by sweat glands arise from dermis.
✓ They are twisted tubular glands, and their ducts open in epidermis.
✓ Sweat glands are more numerous in the palms of hands and sole of feet. About 400 ml of sweat is
formed in 24 hours.
✓ Sweat contains water, some salts and trace of other waste products.
❖ Secretion of sebum: Sebum is a greasy secretion produced by sebaceous glands.
✓ They are small, flask shaped glands present in dermis. They have a duct which opens into a hair
follicle.
✓ The sebaceous glands are present in the skin of many parts except the palm of hands and sole of
feet. Sebum keeps the skin oily and prevents it from drying.
2. Regulation of body temperature: Regulation of body is an important function performed by the skin.
✓ The normal body temperature is 98.4°F (37°C). It may be slightly lower in the morning, and it may
increase in severe muscular exercise.
✓ The normal body temperature is maintained by a balance between heat production and heat loss.
3. Sensation: for the detection of stimuli of temperature, touch, pressure, and pain these are the numerous
receptors and nerve endings present on the skin.
4. Protection: skin function as a physical barrier.
5. Physiology of pain: Pain is a protective mechanism which warns the body against disorders and defects
in its parts. Pain can be classified into:
❖ Cutaneous pain: It may be produced by:
✓ Pathological states of skin
✓ Injury to skin.
✓ Release of chemical substances such as those which produce itching.
❖ Visceral pain: It may occur due to an altered physiology of an internal organ like kidney, liver etc.
✓ Sometimes sensation of pain is displaced from the affected area and felt at adjacent areas, and
it is called as referred pain.
❖ Deep pain: It arises from the receptors of muscles, tendons, and joints.
❖ Headache: Headache may occur due to a variety of conditions like anxiety, tension, pathological
changes in intracranial blood vessels or visual defects.
3. Tubular reabsorption: The rate of glomerular filtration is about 100 ml per minute.
✓ So about 6 litres of glomerular filtrate can be formed in one hour. But the volume of urine eliminated
per day is only about 1.5 litres.
✓ It is so, because nearly 99 percentage of the glomerular filtrate is reabsorbed.
✓ Reabsorption of water occurs in the convoluted tubules and collecting tubule. In addition to water,
some salts are also reabsorbed in the renal tubules.
II. POSTERIOR PITUITARY: The posterior lobe of pituitary secretes two hormones. They are oxytocin and
vasopressin.
Oxytocin:
i) Contraction of uterus during labour (delivery) and o bring about parturition (i.e., birth of
baby).
ii) Ejection of milk from the breast.
Vasopressin (Antidiuretic hormone, ADH):
i) Decreasing urine output by increasing tubular reabsorption in the kidney.
ii) Increasing blood pressure by constricting capillaries and arterioles.
28. Name the hormones of adrenal gland adrenal gland and write its functions.
1. An outer cortex: secretes three groups of hormones.
a. Zona glomerulosa secretes mineralocorticoids.
b. Zona fasciculata secretes glucocorticoids.
c. Zona reticularis secretes sex steroids.
➢ Mineralocorticoids: The mineralocorticoids are aldosterone and deoxycorticosterone. They influence
water and mineral metabolism.
• By increasing the reabsorption of sodium in the renal tubules.
• By promoting excretion of potassium.
➢ Glucocorticoids: The glucocorticoids are cortisol, cortisone, and corticosterone. The glucocorticoids
influence carbohydrate metabolism.
• Increase the synthesis of glycogen.
• Increase the breakdown of protein into amino acids.
• Anti-inflammatory and anti- allergic effect.
➢ Sex steroids: They are androgens (in males) and oestrogens (in females). These two hormones are like
those produced by testes and ovaries. These two hormones influence growth and sex development.
Note: These questions totally carry 59 marks. Select the chapters you feel easy to study.
Highlighted Chapters with yellow colour can be ignored if you want to just pass.
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