Form 4 · Practice questions

Homeostasis and Human Urinary System, practice questions

Original SPM-style practice questions on Homeostasis and Human Urinary System, Paper 1 multiple-choice and Paper 2 structured questions, with answers.

How to use these questions

  • Cover the answer, attempt each question aloud or on paper, then check.
  • Re-attempt the ones you miss a day later, spaced recall makes content stick.

Paper 1-style multiple-choice

1

Which process forces small molecules out of the blood at the glomerulus?

  1. Selective reabsorption
  2. Ultrafiltration
  3. Osmoregulation
  4. Active transport
Show answer

B, High hydrostatic pressure at the glomerulus forces water and small solutes into the Bowman capsule; that is ultrafiltration.

2

Why is there normally no glucose in the urine of a healthy person?

  1. It is too large to be filtered
  2. It is destroyed in the bladder
  3. It is fully reabsorbed in the tubule
  4. It is never filtered from the blood
Show answer

C, Glucose is filtered but completely reabsorbed by active transport in the proximal convoluted tubule.

3

Which structure detects the water potential of the blood?

  1. Pituitary gland
  2. Collecting duct
  3. Osmoreceptors in the hypothalamus
  4. Glomerulus
Show answer

C, Osmoreceptors in the hypothalamus detect changes in blood water potential and regulate ADH release.

4

When the body is short of water, the kidney produces urine that is

  1. large in volume and dilute
  2. small in volume and concentrated
  3. rich in glucose
  4. rich in protein
Show answer

B, More ADH increases water reabsorption, giving a small volume of concentrated urine.

5

Which hormone lowers the blood glucose level?

  1. Glucagon
  2. Insulin
  3. ADH
  4. Adrenaline
Show answer

B, Insulin promotes glucose uptake and storage as glycogen, lowering blood glucose.

6

During vasoconstriction in cold conditions, skin arterioles

  1. widen to lose more heat
  2. narrow to reduce heat loss
  3. produce sweat
  4. break down glycogen
Show answer

B, Narrowing the arterioles reduces blood flow near the surface, conserving heat.

7

Which substance is found in the glomerular filtrate but not in normal urine?

  1. Urea
  2. Water
  3. Glucose
  4. Salts
Show answer

C, Glucose is filtered into the filtrate but fully reabsorbed, so it is absent from normal urine.

8

Which tube carries urine from the kidney to the bladder?

  1. Urethra
  2. Ureter
  3. Renal vein
  4. Renal artery
Show answer

B, The ureter carries urine from the kidney to the bladder; the urethra carries it out of the body.

9

Haemodialysis removes urea from the blood mainly by

  1. active transport into the fluid
  2. diffusion down a concentration gradient
  3. ultrafiltration under pressure
  4. osmosis of urea
Show answer

B, Dialysis fluid has no urea, so urea diffuses out of the blood down its concentration gradient.

10

Negative feedback keeps a condition stable because the response

  1. amplifies the original change
  2. opposes the original change
  3. stops all further change
  4. removes the receptor
Show answer

B, A negative feedback response counteracts the deviation and returns the condition toward its set point.

Paper 2-style structured questions

1

The diagram of a nephron shows the glomerulus, Bowman capsule and tubule. (a) Name the process at the glomerulus. (b) State two substances forced into the Bowman capsule. (c) Name the process that returns glucose to the blood. (d) State why proteins stay in the blood.

[4]
Show answer

• (a) Ultrafiltration.
• (b) Any two of water, glucose, salts, urea.
• (c) Selective reabsorption (by active transport in the tubule).
• (d) Protein molecules are too large to pass through the filtration membrane.

2

A student exercises hard and sweats heavily. (a) State how this affects the water potential of the blood. (b) Name the hormone released in response. (c) State the effect of this hormone on the collecting duct. (d) Describe the urine produced.

[4]
Show answer

• (a) The blood water potential falls / blood becomes more concentrated.
• (b) ADH (antidiuretic hormone).
• (c) It makes the collecting duct more permeable to water, so more water is reabsorbed.
• (d) A small volume of concentrated urine.

3

Compare the control of blood glucose after a meal and between meals. (a) Name the organ that controls it. (b) Name the hormone released after a meal and its effect. (c) Name the hormone released between meals and its effect. (d) State the general control pattern involved.

[4]
Show answer

• (a) The pancreas.
• (b) Insulin; it makes cells take up glucose and store it as glycogen, lowering blood glucose.
• (c) Glucagon; it makes the liver break glycogen into glucose, raising blood glucose.
• (d) Negative feedback.

Recall questions

1

Explain Homeostasis.

Show answer

Homeostasis is the maintenance of a constant internal environment, temperature, blood glucose, water content and pH, despite changes outside the body. It keeps conditions stable enough for enzymes and cells to function normally, and is controlled through negative feedback involving the nervous and endocrine systems. Without homeostasis, small outside changes could disrupt enzyme activity and cell metabolism throughout the body.

2

Explain Urinary system.

Show answer

The urinary system removes urea and excess water and salts from the blood. The kidneys filter the blood continuously; ureters carry the urine they produce to the bladder, which stores it; the urethra then carries urine out of the body during urination. This removal of urea, a waste product of protein breakdown, is why the urinary system is described as an excretory organ system.

3

Explain The nephron.

Show answer

The nephron is the kidney's individual filtering and processing unit, made of the glomerulus, Bowman's capsule and a system of tubules. Each kidney contains a very large number of nephrons working in parallel, which is why kidney function can still be adequate even if some nephrons are damaged. This same arrangement explains why a person can stay healthy with only one functioning kidney.

4

Explain Ultrafiltration.

Show answer

High blood pressure in the glomerulus forces water, glucose, salts and urea out of the blood and into Bowman's capsule, forming the glomerular filtrate. Large plasma proteins and blood cells are too big to pass through the filter and stay in the blood. This high pressure exists because the vessel carrying blood into the glomerulus is wider than the one carrying it out.

5

Explain Selective reabsorption.

Show answer

As the filtrate flows along the tubule, useful substances are reabsorbed back into the blood: all of the glucose, most of the water, and some of the salts, depending on the body's needs. What remains becomes urine. This process is described as selective because different substances are reabsorbed to different extents rather than all being treated the same way.

6

Explain Osmoregulation and kidney health.

Show answer

Antidiuretic hormone (ADH) adjusts how much water the tubules reabsorb, concentrating or diluting urine to keep blood water content steady. When the kidneys fail, waste and excess water build up in the blood, and treatment is by dialysis or a kidney transplant. More ADH is released when the body is short of water, producing a smaller volume of more concentrated urine.

7

Explain Negative feedback.

Show answer

Negative feedback is the general control pattern behind homeostasis: a receptor detects a change away from the normal level, a control centre triggers a response, and an effector corrects the change so the condition returns toward the set point. Thermoregulation, osmoregulation and blood glucose control all follow this same pattern, which is why learning one example well makes the others easier to explain.

8

Explain Thermoregulation.

Show answer

The skin and the hypothalamus in the brain work together to keep body temperature constant. When the body is too warm, skin blood vessels dilate and sweat glands become more active to lose heat; when it is too cold, skin blood vessels constrict and muscles may shiver to generate heat. Hair standing on end (goosebumps) is a related response that traps a thin layer of warm air near the skin.

9

Explain Blood glucose regulation.

Show answer

The pancreas keeps blood glucose within a narrow range using two hormones with opposite effects: insulin lowers blood glucose by increasing its uptake into cells and its storage as glycogen, while glucagon raises blood glucose by breaking glycogen back down. Glycogen is stored mainly in the liver and muscles, acting as a short-term reserve of glucose.

10

Explain Kidney stones and urinary tract infection.

Show answer

A kidney stone is a hard, crystallised deposit that forms when substances in concentrated urine build up, causing pain as it passes through the urinary tract. A urinary tract infection occurs when bacteria multiply in the bladder or urethra, which can cause pain and a frequent urge to urinate. Drinking enough water so urine stays more dilute is a simple factor linked to lowering the risk of both conditions.

Apply what you know

  1. Describing ultrafiltration and reabsorption in the nephron in the correct order.
  2. Explaining osmoregulation, including the role of ADH in adjusting water reabsorption.
  3. Comparing the composition of blood, glomerular filtrate and urine.
  4. Explaining thermoregulation using vasodilation and vasoconstriction of skin blood vessels.
  5. Describing how insulin and glucagon keep blood glucose within a narrow range.
  6. Linking a urinary health issue, such as a kidney stone or infection, to the part of the system it affects.

Frequently asked questions

What is homeostasis?
Homeostasis is the maintenance of a constant internal environment in the body, such as steady body temperature, blood glucose level, water content and pH, despite changes outside. It keeps conditions ideal for enzymes and cells to work, and is controlled by organs including the kidneys, liver, skin and the nervous and endocrine systems. Almost every homeostatic mechanism in the body follows the same negative feedback pattern of detecting, responding to and correcting a change.
How is urine formed in the nephron?
First, ultrafiltration: high pressure in the glomerulus forces water, glucose, salts and urea out of the blood into the Bowman's capsule, while large proteins and blood cells stay behind. Then selective reabsorption: as the filtrate flows along the tubule, useful substances such as all the glucose, some salts and much of the water are reabsorbed into the blood. What remains, mainly urea, excess salts and water, becomes urine. This urine then flows through the ureter to the bladder, where it is stored before being released.
Why is there normally no glucose in urine?
Glucose is small enough to be filtered out during ultrafiltration, but it is a useful nutrient, so it is completely reabsorbed back into the blood during selective reabsorption. Healthy urine therefore contains no glucose. If glucose appears in urine, it often means blood glucose is too high, as in diabetes.

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