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BIO 202 Final Exam Review

Total questions: 68

Worksheet time: 34mins

Name
Class
Date
1.

Which characteristic differentiates endocrine glands from exocrine glands?

a)

Release chemical messengers into synapses

b)

Deliver hormones directly into bloodstream

c)

Store enzymes for extracellular digestion

d)

Secrete into ducts toward body surfaces

2.

Which hormone primarily regulates basal metabolic rate in adults?

a)

Insulin from pancreatic beta cells

b)

Thyroid hormones T3 and T4

c)

Cortisol from adrenal cortex

d)

Growth hormone from anterior pituitary

3.

Negative feedback in endocrine control is best illustrated by which example?

a)

TSH decreases when thyroid hormones rise

b)

Oxytocin increases uterine contractions

c)

Insulin secretion during high stress

d)

Glucagon release after carbohydrate meal

4.

Which immediate effect of cortisol during stress is most accurate?

a)

Increases insulin secretion from beta cells

b)

Decreases sympathetic nervous output

c)

Raises blood glucose via gluconeogenesis

d)

Lowers blood glucose by glycogen storage

5.

Insulin secreted by pancreatic beta cells primarily does what to blood glucose?

a)

Has no effect on blood glucose

b)

Prevents glucose absorption in gut

c)

Lowers blood glucose concentration

d)

Raises blood glucose concentration

6.

Which statement correctly contrasts endocrine and exocrine signaling?

a)

Both diffuse locally without transport

b)

Both use ducts to reach targets

c)

Endocrine uses blood; exocrine uses ducts

d)

Endocrine uses ducts; exocrine uses blood

7.

Which ion is most closely associated with parathyroid hormone regulation of blood levels?

a)

Sodium concentration in plasma

b)

Calcium concentration in plasma

c)

Chloride concentration in plasma

d)

Potassium concentration in plasma

8.

Prostaglandins are best described as local mediators that commonly cause which response?

a)

Systemic endocrine hormone release

b)

Long-distance neural transmission

c)

Promotion of inflammatory processes

d)

Inhibition of inflammation universally

9.

Which blood component primarily transports oxygen bound to hemoglobin?

a)

Leukocytes during inflammation

b)

Platelets with surface proteins

c)

Erythrocytes carrying hemoglobin

d)

Plasma proteins like albumin

10.

In the ABO system, which type has anti-A antibodies in plasma?

a)

Type AB with no antibodies

b)

Type O with universal antibodies

c)

Type B with anti-A antibodies

d)

Type A with anti-B antibodies

11.

Rh incompatibility risk increases when a mother is Rh negative and the fetus is:

a)

Type O lacking A and B antigens

b)

Rh positive expressing D antigen

c)

Rh neutral without surface antigens

d)

Rh negative with A antigen

12.

Which leukocyte function is best described as defense against infection?

a)

Maintaining osmotic pressure

b)

Phagocytosis and immune signaling

c)

Forming clotting proteins

d)

Transporting dissolved gases

13.

The pacemaker of the heart that initiates normal rhythm is the:

a)

AV node conducting delay

b)

Bundle branches in septum

c)

Purkinje fibers in ventricles

d)

SA node generating impulses

14.

Which vessel type typically has the largest diameter and carries blood away from the heart?

a)

Capillary enabling exchange

b)

Vein with valves and low pressure

c)

Artery with elastic walls

d)

Arteriole regulating flow

15.

Where does gas exchange primarily occur in systemic tissues and lungs respectively?

a)

Arteries and atria

b)

Veins and bronchi

c)

Aorta and pulmonary trunk

d)

Capillary beds and alveoli

16.

Which pathway correctly describes the pulmonary circuit?

a)

From aorta to capillaries

b)

From right heart to lungs

c)

From left ventricle to body

d)

From veins to left atrium

17.

Which feature best distinguishes innate immunity from adaptive immunity?

a)

Slow response with specificity

b)

Antibody production by plasma cells

c)

Clonal expansion after exposure

d)

Rapid response without memory

18.

Which cell type primarily provides antibody-mediated (humoral) immunity?

a)

B lymphocytes

b)

Neutrophils

c)

CD8 T cells

d)

NK lymphocytes

19.

Antigen-presenting cells most directly activate which T cell subset during initiation of adaptive responses?

a)

Regulatory T cells

b)

CD8 cytotoxic T cells

c)

CD4 helper T cells

d)

Memory B cells

20.

Which statement best explains why vaccines provide protection?

a)

They induce active immunity

b)

They supply passive antibodies

c)

They block innate barriers

d)

They inhibit complement proteins

21.

Which process moves food through the gastrointestinal tract by coordinated smooth muscle contractions?

a)

Mass movements in the large intestine

b)

Haustral churning in colonic sacs

c)

Peristaltic waves in muscular walls

d)

Segmentation contractions in circular layers

e)

Pendular movements in small bowel

22.

Which stomach condition best favors pepsin activity during protein digestion?

a)

Isotonic environment with water absorption

b)

Acidic lumen from hydrochloric acid

c)

Alkaline environment from pancreatic juice

d)

Neutral lumen with bicarbonate mucus

e)

Weakly basic pH from bile salts

23.

Pancreatic lipase primarily acts to digest which macronutrient before absorption?

a)

Complex carbohydrates into maltose units

b)

Long-chain triglycerides into fatty acids

c)

Fiber into short-chain fatty acids

d)

Nucleic acids into nucleotide bases

e)

Polypeptides into short peptide chains

24.

Which small intestinal structure maximizes nutrient absorption by increasing surface area?

a)

Plicae circulares with submucosal ridges

b)

Colonic haustra with sacculations

c)

Gastric rugae with mucosal folds

d)

Appendiceal lymphoid nodules clusters

e)

Intestinal villi with microvilli brush border

25.

In the large intestine, which process predominates with respect to luminal contents?

a)

Chylomicron assembly into lymph

b)

Lactase-mediated lactose hydrolysis

c)

Protein emulsification by bile

d)

Water and electrolyte reabsorption

e)

Active glucose uptake from chyme

26.

Which statement correctly pairs calorie sources with approximate energy density?

a)

Carbohydrates four, fats nine, proteins four

b)

Carbohydrates five, fats seven, proteins three

c)

Carbohydrates six, fats eight, proteins four

d)

Carbohydrates four, fats seven, proteins five

e)

Carbohydrates three, fats nine, proteins six

27.

The Recommended Dietary Allowance (RDA) is best described as which measure?

a)

Upper intake level avoiding chronic toxicity

b)

Average intake meeting half of group needs

c)

Requirement based solely on basal metabolism

d)

Minimum intake preventing acute deficiency

e)

Daily intake sufficient for nearly all individuals

28.

Anabolism primarily uses ATP for which cellular purpose?

a)

Catabolic heat generation from substrates

b)

Mechanical work of skeletal muscle contraction

c)

Synthesis of complex biomolecules from precursors

d)

Transport of oxygen by hemoglobin binding

e)

Excretion of nitrogen as urea formation

29.

Which formula best represents how Body Mass Index (BMI) is calculated?

a)

Weight divided by height, cubed

b)

Height divided by weight, squared

c)

Weight multiplied by height, squared

d)

Height multiplied by weight, squared

e)

Weight divided by height, squared

30.

Which structure is the primary site of gas exchange in the lungs?

a)

Terminal bronchioles

b)

Respiratory bronchioles

c)

Alveoli sacs

d)

Tracheal mucosa

31.

During inspiration, what does diaphragmatic contraction primarily do to thoracic volume?

a)

Decreases slightly

b)

Remains unchanged

c)

Increases markedly

d)

Oscillates rapidly

32.

Most oxygen in blood is transported by binding to which molecule?

a)

Bicarbonate ion

b)

Plasma lipids

c)

Hemoglobin iron

d)

Albumin protein

33.

Pulmonary surfactant primarily lowers alveolar surface tension. What is the direct physiological consequence?

a)

Reduced alveolar collapse

b)

Enhanced mucus clearance

c)

Increased airway resistance

d)

Accelerated ciliary motion

34.

Smooth muscle in bronchioles most directly regulates which parameter?

a)

Airway diameter

b)

Pleural pressure

c)

Alveolar number

d)

Pulmonary compliance

35.

Low arterial oxygen levels stimulate release of which hormone from the kidney?

a)

Angiotensin II

b)

Erythropoietin

c)

Aldosterone

d)

Renin enzyme

36.

In emphysema, which structure is characteristically destroyed leading to reduced surface area?

a)

Cilia bundles

b)

Alveoli walls

c)

Bronchial cartilage

d)

Tracheal rings

37.

The medulla adjusts ventilation primarily in response to changes in which variables?

a)

CO2 and pH

b)

Osmolality

c)

Blood glucose

d)

Na+ and K+

38.

Respiratory compensation for metabolic acidosis typically involves which ventilatory change?

a)

Hypoventilation

b)

Periodic apnea

c)

Variable tidal breaths

d)

Hyperventilation

39.

Which structure is the functional unit of the kidney responsible for filtration and reabsorption?

a)

Loop of Henle

b)

Collecting duct

c)

Nephron

d)

Glomerulus

40.

In the glomerulus, what primarily drives filtration of blood into Bowman's capsule?

a)

Hydrostatic pressure

b)

Osmotic pressure

c)

Active transport

d)

Oncotic pull

41.

Which segment establishes the corticomedullary osmotic gradient essential for water reabsorption?

a)

Loop of Henle

b)

Proximal tubule

c)

Distal tubule

d)

Renal pelvis

42.

Antidiuretic hormone (ADH) increases water reabsorption mainly in which nephron region?

a)

Collecting duct

b)

Proximal tubule

c)

Ascending limb

d)

Glomerulus

43.

Renin release from juxtaglomerular cells primarily helps regulate which variable?

a)

Body temperature

b)

Blood pressure

c)

Blood glucose

d)

Serum calcium

44.

What is the normal arterial blood pH range in humans?

a)

7.05–7.15

b)

7.35–7.45

c)

7.15–7.25

d)

7.55–7.65

45.

Which buffer system is the principal extracellular buffer maintaining blood pH?

a)

Protein buffer

b)

Hemoglobin buffer

c)

Phosphate buffer

d)

Bicarbonate buffer

46.

Respiratory acidosis is most directly caused by which physiological change?

a)

Elevated CO2 with low ventilation

b)

Excess base intake with low CO2

c)

Decreased CO2 with hyperventilation

d)

Loss of bicarbonate from kidneys

47.

During renal compensation for acidosis, kidneys primarily do what?

a)

Excrete H+ and reabsorb HCO3−

b)

Decrease ammonium production

c)

Excrete HCO3− and retain H+

d)

Increase CO2 elimination

48.

Metabolic alkalosis commonly results from which mechanism?

a)

Bicarbonate depletion

b)

Carbon dioxide retention

c)

Hydrogen ion loss

d)

Lactic acid accumulation

49.

Which structure is the primary male gonad responsible for sperm and testosterone production?

a)

Testes

b)

Seminal vesicles

c)

Prostate gland

d)

Bulbourethral glands

50.

In the male tract, identify the correct pathway for sperm from formation to exit.

a)

Seminiferous tubules → urethra → epididymis → vas deferens

b)

Epididymis → seminiferous tubules → vas deferens → urethra

c)

Seminiferous tubules → epididymis → vas deferens → urethra

d)

Vas deferens → seminiferous tubules → urethra → epididymis

51.

Which hormone released by anterior pituitary primarily stimulates ovarian follicle development?

a)

LH

b)

Prolactin

c)

Progesterone

d)

FSH

52.

During the menstrual cycle, what event marks the end of the follicular phase?

a)

Endometrial shedding

b)

Rise in progesterone

c)

Corpus luteum regression

d)

Ovulation of the oocyte

53.

Which cells in the testes synthesize testosterone under LH stimulation?

a)

Sertoli cells

b)

Leydig cells

c)

Primary spermatocytes

d)

Spermatogonia

54.

Which accessory gland adds fructose-rich secretions that nourish sperm within semen?

a)

Epididymis

b)

Bulbourethral glands

c)

Seminal vesicles

d)

Prostate gland

55.

What hormonal surge directly triggers ovulation in a typical human cycle?

a)

FSH peak

b)

Progesterone spike

c)

LH surge

d)

hCG release

56.

Which uterine layer prepares to receive a blastocyst for implantation?

a)

Decidua basalis

b)

Endometrium

c)

Perimetrium

d)

Myometrium

57.

Approximately how many million sperm are produced daily in healthy adult males?

a)

Fifty million

b)

Ten million

c)

Two hundred million

d)

One hundred million

58.

Menopause is characterized by chronically low levels of which hormone produced by the ovary?

a)

Cortisol

b)

Insulin

c)

Testosterone

d)

Estrogen

59.

Which structure forms shortly after fertilization and implants into the endometrium around day 6–7?

a)

Gastrula stage embryo

b)

Morula stage embryo

c)

Blastocyst stage embryo

d)

Zygote single cell

60.

Which hormone produced by the placenta is commonly detected in pregnancy tests?

a)

hCG hormone

b)

Estrogen hormone

c)

Oxytocin hormone

d)

Progesterone hormone

61.

Place the developmental stages in the correct sequence from earliest to latest: fertilization, fetus, blastocyst, gastrula.

a)

Gastrula → blastocyst → fertilization → fetus

b)

Blastocyst → fertilization → fetus → gastrula

c)

Fertilization → blastocyst → gastrula → fetus

d)

Fertilization → gastrula → blastocyst → fetus

62.

Which maternal complication is characterized by high blood pressure during pregnancy?

a)

Ectopic implantation tubal

b)

Preeclampsia disorder

c)

Gestational diabetes mellitus

d)

Placental abruption condition

63.

During labor, which hormone mediates a positive feedback loop to enhance uterine contractions?

a)

Oxytocin hormone release

b)

Prolactin hormone surge

c)

Estrogen hormone peak

d)

Progesterone hormone drop

64.

What is the primary function of the amnion during fetal development?

a)

Thermoregulation control

b)

Waste removal

c)

Mechanical protection

d)

Nutrient exchange

65.

The umbilical cord typically contains two arteries and one vein. What do the arteries primarily carry from fetus to placenta?

a)

Oxygenated blood flow

b)

Deoxygenated blood

c)

Nutrient-rich blood

d)

Hormone-laden blood

66.

Exposure to teratogens is most harmful during which periods of pregnancy?

a)

Preconception months

b)

Critical developmental periods

c)

Late third trimester

d)

Postnatal neonatal phase

67.

Which stage of childbirth involves delivery of the placenta?

a)

Transition stage phase

b)

Placental stage phase

c)

Expulsion stage phase

d)

Dilation stage phase

68.

During lactation, prolactin primarily stimulates milk production, while oxytocin triggers which process?

a)

Ductal remodeling change

b)

Alveolar growth expansion

c)

Milk ejection reflex

d)

Milk synthesis initiation