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IUG,Nursing College Midwifery Department

Anatomy & physiology(B) Final Exam, For Midwives

Name

Number

12/ 6/2010

Time : 2 hours

=================================================================== I-Define ONLY 5 of the following ( 2 points each ) 1-Tropic hormone 2- Hematocrit 3- Surfactant 4- Mammography 5- Air- blood barrier 6- Nephron

II Mention in short ONLY 5 of the following


1-Sources of water intake per day and the amount of each.

(3 points each)

2- Shunts in fetal circulation

3- Ducts of the female reproductive system

4- Processes of urine formation

5- Gasrtrointestinal changes of pregnancy

6- Abnormal urinary constituents and the names of THREE of these condition

III-Complete the following sentences with proper words

( 20+1 points )

* The juice which can digest all types of food is-----------------------------. * The highly specific resistance to disease is called--------------------------------. *-----------------------is a phagocytic white blood cells that increases in chronic infection. * The distal end of fallopian tube is called----------------------. * The best site to take blood sample is--------------------------------*------------------- is a vitamin if given to pregnant mother reduces neurological problems in her infants. *The normal yellow color of urine is due to-------------------------------pigment *Termination of pregnancy before 20 weeks is called-----------------* Small intestine joins large intestine at----------* Most of cholesterol is formed by the -------------*Lungs occupy the entire thoracic cavity except the central area which is called---* The target organ of erythropoiten is------------------------* The nose is separated from oral cavity by-----------------* O2 loading and CO2 unloading is called-----------------*-----------------------is a triangle in urinary bladder * Small intestine begins with----------------* High level of LDLs in blood may initiate---------------------* Elimination of indigestible substances via the anus is called----------------------* The least fluid compartment is------------* The actual sperm forming factories are---------------* The first part of male duct system is----------------IV- Label the following ( 5 points )

V-Put ( ) OR ( X ) accordingly
( ( ( ( ( ( ( ( ( ( ( ( ( ( (

(15 points ) ) About one quarter of blood pass through the kidneys each minute. ) Proliferative stage of uterine cycle results from rising progesterone level. ) In hypertension, proteins may pass the glomeruli. ) Efferent lymphatic vessels are more than afferent. ) Surfactant is formed after 36 weeks of pregnancy. ) In severe kidney disease, severe bleeding episodes occur. ) Semen is slightly acidic. ) B cells are associated with cellular immunity. ) IgG can cross the placenta. ) Meosis occurs in gonads only. ) Cancer infiltrated lymph nodes are swollen and tender. ) Expiration become active if passageways are narrowed or blocked by mucus. ) Intrapleural pressure is always negative. ) Unlike glomerulus, peritubular capillaries has high pressure. ) Bile contains enzymes that help fat digestion.

VI- Choose the correct answer

( 20 points ) ( ) - What is the portion of the ECG that indicates ventricular repolarization? a- R spike b- QRS complex c- P-Q interval d- P wave e- T wave ( ) - A protein in the plasma which contributes to the osmotic pressure of blood? a- Globulin. b- prothrombin. c- Albumin. d- Thrombin. e- Fibrinogen ( ) - What is the term for difficult or labored breathing? a- dyspnea b- cyanosis c- apnea d- eupnea e- hyperpnea ( ) - What prevents food from entering the trachea? a- epiglottis b- saliva c- pharynx d- vocal cords e- Soft palate ( ) - The finger-like projections of the small intestinal mucosa, which are so important in nutrient absorption, are the? a- rugae b- plicae circulares c- lacteals d- villi e- capillaries ( ) - From first to last, the correct order in which the filtrate would pass through the structures listed is? a- collecting duct-glomerular capsule-PCT-loop of Henle-DCT b- glomerular capsule-collecting duct-PCT-loop of Henle-DCT c- glomerular capsule-PCT-loop of Henle-DCT-collecting duct d- glomerular capsule-DCT-loop of Henle-PCT-collecting duct ( ) - Which of the following terms refers to an inflammation of the urinary bladder? a- pyelitis b- cystitis c- ptosis d- urethritis e- glomerulonephritis ( ) - What is the rupture of the Graafian follicle called? a- placentation b- mastication c- menstruation d- ovulation e- fertilization ( ) - The finger-like structures around the opening of the uterine or Fallopian tube are known as the? a- cervix b- fundus c- cilia d- endometrium e- fimbriae ( ) - The tubular portion of the uterus, that extends downwards into the upper part of the vagina, is known as the? a- myometrium b- epimetrium c- peritoneum d- cervix e- endometrium ( ) Oxygen unloading and carbon dioxide loading between cells and capillaries is called a- breathing b- internal respiration c- external respiration d-ventilation ( ) - The two structures that keep food in the stomach during digestion are the ?

a- submucosal and myenteric plexi b- hepatic and splenic flexures c- cardioesophageal and pyloric sphincters d- rugae and ileocecal valve ( ) - The "tube" that carries urine from the bladder to the outside world is-----and the "tube" that carries urine from the kidney to the bladder is the------a- collecting duct, nephron b- nephron, collecting duct c- urethra, ureter d- ureter, urethra ( ) - Which of the following describes a pathway an ovum follows to body`s outside a- ovary fundus uterine tube urethra b- ovary uterine tube uterus vagina c- ovary vagina myometrium endometrium d- ovary uterus vagina fallopian tube ( ) - Testosterone production is carried out by the ______ cells after stimulation by----a- follicle, progesterone b- interstitial, luteinizing hormone c- egg, estrogen d- sperm, progesterone e-interstitial ,FSH ( ) from fertilization through week 8 ,the conceptus is called: a- fetus b- embryo c- infant d- neonatal ( ) implantation a- begins 6 -7 days after ovulation b- occurs in endometrium c- completed 12 days after ovulation d- all are true e- a+b ( ) body systems are established after a- 1 month of gestation b- 2 months c-3 months d- 4 months ( ) pregnant women, because of change of center of gravity, may develop : a- scoliosis b- kyphosis c- lordosis d- backaches e- a+d ( ) oxytocin hormone causes a- let-down reflex b- uterine contraction c- milk production d- all e- a+b VII- Match Table A with Table B ( 15 points ) Table A Table B ( ) Macrophage 1- humoral immunity ( ) T killer 2- appear after secodarty response ( ) B cell 3- causes graft rejection ( ) NK cell 4-promote lysis of virus-infected and cancerous cell ( ) Plasma cell 5- antigen presenter 6- antibody forming machine Table A Table B ( ) ERV 1-amount of air inhaled or exhaled normally ( ) IRV 2-air taken forcibly over normal respiration ( ) Tidal volume 3-air exhaled forcibly after normal expiration ( ) Residual volume 4-the sum of TV+IRV+ERV ( ) Vital capacity 5-the air that cannot be voluntarily expelled 6-the air that never reaches the alveoli Table A Table B ( ) LH 1-secreted by posterior pituitary ( ) FSH 2-hormone of pregnancy ( ) Estrogen 3- needed for spermatogenesis and oogenesius ( ) Progesterone 4-leads to corpus luteum formation ( ) Testosterone 5-developes female sex characters 6- developes male sex characters GOOD LUCK

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