Human Physiology IV: Main Exam, 25 March 2025

Mount Kenya University · Department of Dental Sciences · Diploma in Community Oral Health · DDS2111/DMP2104

Human Physiology IV (DDS2111) Mount Kenya University 2024-2025 past paper with model answers.

Instructions: ATTEMPT ALL QUESTIONS IN SECTIONS A AND B

ATTEMPT ALL QUESTIONS IN SECTIONS A AND B

Section A (30 marks)

1.

  1. a) Describe three (3) types of keratin produced by the body. (9 marks)
    Model answer
    • Type I (hard) keratin: found in nails, hair cortex and hooves; high sulfur content, forms rigid, protective structures.
    • Type II (soft) keratin: present in the epidermis and inner root sheath of hair; less sulfur, provides flexibility and barrier function.
    • Keratin 6/16 (hyperproliferative keratins): expressed in wound‑healing epidermis and oral mucosa; involved in rapid cell turnover and repair.
  2. b) Outline four (4) main types of cells that comprise the epidermis. (4 marks)
    Model answer
    • Keratinocytes – predominant cells forming the strata spinosum, granulosum and corneum; produce keratin.
    • Melanocytes – located in the basal layer; synthesize melanin for pigment protection.
    • Langerhans cells – dendritic immune cells in the stratum spinosum; present antigens.
    • Merkel cells – tactile receptors in the basal layer; mediate light touch sensation.

2.

  1. a) Explain the main types of human sweat glands. (6 marks)
    Model answer
    • Eccrine glands – numerous, widely distributed; secrete watery sweat directly onto skin surface for thermoregulation.
    • Apocrine glands – located in axillae and genital area; release viscous, lipid‑rich secretion into hair follicles, active after puberty.
    • Modified apocrine (ceruminous, mammary, eyelid) glands – specialized forms; produce earwax, milk, or tear‑associated secretions.
  2. b) State the functions of human sweat glands. (4 marks)
    Model answer
    • Thermoregulation – evaporative cooling lowers body temperature.
    • Excretion – eliminates water‑soluble waste (e.g., urea, salts).
    • Skin hydration – maintains moisture of the stratum corneum.
    • Antimicrobial defence – sweat contains lysozyme and dermcidin that inhibit bacterial growth.

3. Identify common skin appendages. (5 marks)

Model answer
  • Hair
  • Nails (including toenails and fingernails)
  • Sebaceous glands
  • Sweat glands (eccrine and apocrine)
  • Hair follicles (pilosebaceous unit)

4. What are heat cramps? (2 marks)

Model answer
  • Heat cramps: painful, involuntary muscle spasms occurring during or after intense exercise in hot conditions, caused by electrolyte (especially sodium) loss and dehydration.

Section B (40 marks)

5.

  1. a) Identify three (3) forms of melanin produced by the body. (6 marks)
    Model answer
    • Eumelanin – dark brown to black pigment found in skin, hair, and eyes.
    • Pheomelanin – reddish‑yellow pigment present in red hair and freckles.
    • Neuromelanin – dark pigment located in certain brain neurons, especially in the substantia nigra.
  2. b) Explain the functions of melanin in the body. (14 marks)
    Model answer
    • UV protection – absorbs and scatters ultraviolet radiation, preventing DNA damage.
    • Free‑radical scavenging – neutralises reactive oxygen species, reducing oxidative stress.
    • Photoprotection of tissues – protects skin, eyes and other tissues from photo‑induced injury.
    • Thermoregulation – influences heat absorption and dissipation through skin colour.
    • Pigmentary signalling – contributes to visual perception of colour and facial recognition.
    • Immune modulation – interacts with immune cells, influencing inflammatory responses.
    • Neuroprotective role – neuromelanin may sequester toxic metals in the brain.
    • Endocrine influence – melanin synthesis is regulated by melanocortin hormones, linking to appetite and energy balance.
    • Genetic marker – variations in melanin genes affect susceptibility to skin cancers.
    • Aesthetic and cultural significance – determines skin tone, influencing social interactions.
    • Barrier function – contributes to the skin’s protective barrier by maintaining pigment layers.
    • Diagnostic marker – abnormal melanin distribution can indicate disorders such as melanoma or albinism.
    • Photoreceptor protection – in the retina, melanin shields photoreceptors from light damage.
    • Therapeutic potential – melanin analogues are explored for photoprotection in medical devices.

6.

  1. a) Outline major senses of the human body. (5 marks)
    Model answer
    • Vision – perception of light and colour.
    • Hearing – detection of sound waves.
    • Taste – identification of flavours.
    • Smell – detection of odours.
    • Touch – sense of pressure, vibration, temperature and pain.
  2. b) Describe the functions of the skin. (15 marks)
    Model answer
    • Barrier protection – prevents pathogen entry and water loss.
    • Thermoregulation – regulates body temperature via sweat and vasodilation.
    • Sensory reception – contains receptors for pain, temperature and pressure.
    • Excretion – removes waste through sweat.
    • Vitamin D synthesis – skin converts 7‑dehydrocholesterol to vitamin D3.
    • Immune defence – houses Langerhans cells and produces antimicrobial peptides.
    • Hormone production – synthesises melatonin and other peptides.
    • Water balance – maintains hydration by controlling transepidermal water loss.
    • Chemical protection – secretes sebum and ceramides to shield against microbes.
    • Structural support – collagen and elastin provide tensile strength.
    • Signal transduction – skin cells communicate with nervous system.
    • Repair and regeneration – rapid cell turnover heals wounds.
    • Sensory integration – integrates tactile information for motor coordination.
    • Metabolic regulation – stores and releases fatty acids.
    • Barrier to toxins – filters harmful substances from circulation.

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