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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.