Neurochemistry Test – Questions and Answers – 15 MCQs | Kenya MBChB

15 Year 3: Endocrine and Metabolic Pathology exam questions on Neurochemistry Test – Questions and Answers for medical students. Includes MCQs, answers, explana

This MCQ set contains 15 questions on Neurochemistry Test – Questions and Answers in the Year 3: Endocrine and Metabolic Pathology unit. Each question includes the correct answer and a detailed explanation for active recall and exam preparation.

Q1: What neurotransmitter is associated with runner's high?

  1. A. GABA
  2. B. Dopamine
  3. C. Endorphins
  4. D. Norepinephrine

Correct answer: C – Endorphins

Endorphins are the body's natural opioids that create feelings of euphoria and pain relief. During intense exercise like running, the body releases endorphins, which bind to opioid receptors and produce the characteristic "runner's high" - a feeling of well-being and reduced pain perception. ---

Q2: Where do neurons store the genetic information they use to code and build all the proteins required for their functions?

  1. A. In the axon
  2. B. In the endoplasmic reticulum
  3. C. In the nucleus
  4. D. In the synapse
  5. E. In the messenger ribonucleic acids (mRNAs)

Correct answer: C – In the nucleus

The nucleus contains the cell's DNA, which stores all genetic information. This DNA is transcribed into mRNA, which then travels to ribosomes for protein synthesis. The nucleus is the central control center for all cellular functions. ---

Q3: The effect of tetrodotoxin (puffer fish poison) on axons demonstrates

  1. A. The role of potassium channels in hyperpolarization
  2. B. The role of sodium channels in depolarization
  3. C. The role of potassium channels in depolarization
  4. D. The role of chloride channels in hyperpolarization
  5. E. The role of sodium channels in hyperpolarization

Correct answer: B – The role of sodium channels in depolarization

Tetrodotoxin specifically blocks voltage-gated sodium channels, preventing action potentials from occurring. This demonstrates that sodium influx through these channels is essential for depolarization and action potential generation. ---

Q4: What neurotransmitter is associated with mood disorders?

  1. A. Acetylcholine
  2. B. GABA
  3. C. Serotonin
  4. D. Dopamine
  5. E. Norepinephrine

Correct answer: C – Serotonin

Serotonin is strongly associated with mood regulation. Low serotonin levels are linked to depression, anxiety, and other mood disorders. SSRIs (Selective Serotonin Reuptake Inhibitors) are commonly prescribed antidepressants that increase serotonin availability. ---

Q5: What neurotransmitter is associated with seizures?

  1. A. Serotonin
  2. B. Acetylcholine
  3. C. Glutamate
  4. D. GABA

Correct answer: C – Glutamate

Glutamate is the primary excitatory neurotransmitter in the brain. Excessive glutamate activity or insufficient GABA inhibition can lead to seizures, as the brain becomes hyperexcitable with uncontrolled neuronal firing. ---

Q6: What is one of the functions of Dopamine?

  1. A. Eating
  2. B. Memory
  3. C. Pleasure
  4. D. Sleeping
  5. E. Arousal

Correct answer: C – Pleasure

Dopamine is central to the brain's reward system and pleasure pathways. It's released in response to rewarding experiences and motivates behavior toward pleasurable activities. This is why dopamine is often called the "feel-good" neurotransmitter. ---

Q7: What is one of the functions of Endorphins?

  1. A. Major excitatory neurotransmitter
  2. B. Major inhibitory neurotransmitter
  3. C. Sleeping
  4. D. Emotion centers of the brain
  5. E. Pleasure

Correct answer: E – Pleasure

Endorphins are the body's natural opioids that produce feelings of pleasure and well-being. They're released during exercise, stress, pain, and other activities, binding to opioid receptors to create euphoric feelings and reduce pain perception. ---

Q8: What neurotransmitter is associated with Alzheimer's disease?

  1. A. Acetylcholine
  2. B. Serotonin
  3. C. GABA
  4. D. Dopamine
  5. E. Glutamate

Correct answer: A – Acetylcholine

Alzheimer's disease involves significant loss of acetylcholine-producing neurons, particularly affecting memory and cognitive function. Cholinesterase inhibitors, which increase acetylcholine availability, are used as treatments for Alzheimer's. ---

Q9: Which of the following best discriminates between small-molecule neurotransmitters and peptide neurotransmitters?

  1. A. Peptide neurotransmitter precursors and their enzymes are axonally transported in vesicles
  2. B. Small-molecule neurotransmitters are stored in large dense-core vesicles
  3. C. Small-molecule neurotransmitters are synthesized in the soma
  4. D. Peptide neurotransmitters are synthesized at the synaptic terminals
  5. E. Peptide neurotransmitters are synthesized in the nucleus of the neuron

Correct answer: A – Peptide neurotransmitter precursors and their enzymes are axonally transported in vesicles

Peptide neurotransmitters are synthesized in the cell body and transported down the axon in vesicles, while small-molecule neurotransmitters are typically synthesized locally at nerve terminals. This is a key distinguishing feature between these two types of neurotransmitters. ---

Q10: Which neurotransmitter is released by the postganglionic neurons of the sympathetic nervous system?

  1. A. GABA
  2. B. Dopamine
  3. C. Serotonin
  4. D. Norepinephrine
  5. E. as their neurotransmitter. This activates adrenergic receptors on target organs, producing the "fight or flight" response characteristic of sympatheti

Correct answer: D – Norepinephrine

Most postganglionic sympathetic neurons release norepinephrine (noradrenaline) as their neurotransmitter. This activates adrenergic receptors on target organs, producing the "fight or flight" response characteristic of sympathetic activation. ---

Q11: A neuron cannot produce an action potential

  1. A. During the relative refractory period
  2. B. When there is an inhibitory postsynaptic potential
  3. C. When the voltage-dependent potassium channels are closed
  4. D. During the absolute refractory period
  5. E. Both b and d

Correct answer: D – During the absolute refractory period

During the absolute refractory period, sodium channels are inactivated and cannot be reopened regardless of stimulus strength. This ensures unidirectional propagation of action potentials and limits firing frequency. ---

Q12: Synaptic autoreceptors normally

  1. A. Increase the number of excitatory postsynaptic potentials at a synapse
  2. B. Reduce neurotransmitter release at a synapse
  3. C. Increase the size of action potentials in the post-synaptic neuron
  4. D. Decrease the size of action potentials in the post-synaptic neuron
  5. E. Increase neurotransmitter release at a synapse

Correct answer: B – Reduce neurotransmitter release at a synapse

Autoreceptors provide negative feedback control. When activated by the neurotransmitter they respond to, they reduce further neurotransmitter release, serving as a self-regulating mechanism to prevent excessive synaptic activity. ---

Q13: The process whereby the content of synaptic vesicles is released into the synaptic cleft/gap is called

  1. A. Exocytosis
  2. B. Endocytosis
  3. C. Phagocytosis
  4. D. Pinocytosis
  5. E. None of the above

Correct answer: A – Exocytosis

Exocytosis is the process by which synaptic vesicles fuse with the presynaptic membrane and release their neurotransmitter contents into the synaptic cleft. This is triggered by calcium influx following action potential arrival. ---

Q14: Small transmitter molecules are

  1. A. Packaged in large synaptic vesicles
  2. B. Made in the soma, packaged in small synaptic vesicles and transported down axons
  3. C. Neuropeptides that are synthesized in synaptic terminals
  4. D. Packaged in small synaptic vesicles
  5. E. Soluble gases that freely cross lipid membranes

Correct answer: D – Packaged in small synaptic vesicles

Small molecule neurotransmitters (like acetylcholine, dopamine, serotonin) are stored in small, clear synaptic vesicles, typically synthesized locally at nerve terminals, unlike peptide neurotransmitters which are made in the cell body. ---

Q15: Which one of the following is not a criterion for small neurotransmitter (NT) status?

  1. A. Packaged in large synaptic vesicles
  2. B. Made in the soma, packaged in small synaptic vesicles and transported down axons
  3. C. Neuropeptides that are synthesized in synaptic terminals
  4. D. Packaged in small synaptic vesicles
  5. E. Soluble gases that freely cross lipid membranes

Correct answer: A – Packaged in large synaptic vesicles

Small molecule neurotransmitters are packaged in small synaptic vesicles, not large ones. Large dense-core vesicles are typically used for peptide neurotransmitters and neuromodulators. ---

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