Multiple Choice
1. B From the right ventricle, blood exits through the pulmonary valve into the pulmonary artery, travels to the lungs for gas exchange, returns via the pulmonary vein, and enters the left atrium. The sequence must include the valve before the artery and the vein after the lungs.
2. D Veins carry blood at very low pressure (~5–10 mmHg), often returning blood against gravity. Without pocket valves, blood would pool and flow backward under gravity. Arteries carry blood at ~120 mmHg of sustained forward pressure, this pressure itself prevents backflow, making valves unnecessary.
3. A The key advantage is re-pressurisation. Blood loses pressure in any capillary bed. After losing pressure in pulmonary capillaries, blood returns to the left ventricle, which pumps it at full pressure (~120 mmHg) into the aorta for the systemic circuit. Fish lack this re-pressurisation step, their body tissues receive low-pressure post-gill blood.
4. C Kidneys are metabolically active: O₂ falls, CO₂ rises. Urea is the kidneys' primary filtering target, it falls dramatically from ~6.0 to ~1.8 mmol/L. Glucose is filtered but completely reabsorbed by renal tubule cells via active transport, no net change in blood glucose concentration across the kidneys.
5. B Capillary function is exchange, O₂, CO₂, glucose, and waste products must cross between blood and tissues. The rate of diffusion is inversely proportional to distance (Fick's law). A one-cell-thick wall (~0.5 μm) minimises diffusion distance, maximising exchange rate. Low capillary pressure means structural strength is unnecessary, thick walls would only impede exchange.
Q6, Model Answer
Right atrium (deoxygenated) → tricuspid valve → right ventricle (deoxygenated) → pulmonary valve → pulmonary artery (deoxygenated) → lungs (gas exchange: O₂ loaded, CO₂ unloaded) → pulmonary vein (oxygenated) → left atrium (oxygenated) → bicuspid (mitral) valve → left ventricle (oxygenated) → aortic valve → aorta (oxygenated) → systemic arteries → capillaries throughout body (O₂ and glucose delivered, CO₂ and waste collected) → venules → systemic veins → superior/inferior vena cava (deoxygenated) → right atrium.
Q7, Model Answer
Difference 1, Wall thickness: Arteries have thick walls containing a prominent smooth muscle layer, elastic fibres, and outer connective tissue. Veins have thinner walls with less smooth muscle and fewer elastic fibres. Arteries must withstand high pressure generated by ventricular contraction, up to ~120 mmHg in the aorta. The thick muscular wall provides structural integrity to prevent rupture, and elastic fibres stretch during systole then recoil during diastole to smooth the pulse into continuous flow. Veins carry blood at low pressure (~5–10 mmHg) and require minimal structural strength; thinner walls also allow veins to be more easily compressed by surrounding skeletal muscle, assisting venous return.
Difference 2, Presence of valves: Veins contain pocket valves at intervals throughout their length; arteries contain no valves. Veins must return blood at very low pressure, often against gravity, pocket valves open when blood is pushed forward by skeletal muscle contractions or breathing, then snap shut to prevent reverse flow. Arteries carry blood at sustained high forward pressure directly from the heart, this continuous pressure makes backflow impossible without valves, so none are needed.
Q8, Model Answer
Glucose: Glucose concentration typically falls across the liver (post-meal) because the liver converts excess glucose to glycogen via glycogenesis, catalysed by glycogen synthase. This removes glucose from portal blood when blood glucose is elevated. When blood glucose is low, the reverse occurs (glycogenolysis), the liver is the primary regulator of blood glucose homeostasis (Module 3).
Urea: Urea concentration rises significantly in blood leaving the liver via the hepatic vein compared to blood entering via the hepatic artery and portal vein. The liver is the sole site of urea production, excess amino acids that cannot be stored undergo deamination: the amino group (–NH₂) is removed as ammonia (NH₃), which is rapidly converted to urea (far less toxic) via the urea cycle. Urea is then released into blood and eventually filtered by the kidneys.
O₂ and CO₂: O₂ concentration falls and CO₂ rises across the liver because hepatocytes are among the most metabolically active cells in the body, simultaneously performing glycogenesis, lipid synthesis, urea synthesis, bile acid production, and detoxification of substances absorbed from the gut. This high metabolic demand requires sustained aerobic cellular respiration, consuming O₂ and producing CO₂.