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Subject Knowledge 4% exam weight

Biology: Human Physiology

Part of the NAT-I (NTS) study roadmap. Subject Knowledge topic sub-6 of Subject Knowledge.

By Last updated 4% exam weight

Biology: Human Physiology

🟢 Lite — Quick Review (1h–1d)

Rapid summary for last-minute revision before your exam.

Human physiology studies how the organ systems of the human body — digestive, respiratory, circulatory, nervous, endocrine, excretory, musculoskeletal, and reproductive — function together to keep the internal environment stable, a state called homeostasis. For NAT-I (NTS), the highest-yield items are the cardiac cycle, lung volumes, blood-pressure arithmetic, the insulin/glucagon pair, and nephron function.

  • Cardiac output: CO = SV × HR (≈ 70 mL × 72 bpm ≈ 5 L/min in a resting adult)
  • Mean arterial pressure: MAP = DBP + ⅓(SBP − DBP)
  • Vital capacity: VC = TV + IRV + ERV (≈ 4600 mL in an adult male)

Remember: the right ventricle sends blood to the lungs, not the body — examiners love this reversal.

🟡 Standard — Regular Study (2d–2mo)

Standard content for students with a few days to months.

Organ-System Map

The body is organised as cells → tissues → organs → organ systems → organism. Each system is tested through one mechanism or number; the table below lists the must-know pairings for NAT-I (NTS).

SystemKey organ / structureDefining mechanism
DigestiveSmall intestine villiAmylase → pepsin → trypsin → lipase + bile emulsify food
RespiratoryAlveoliO₂ diffuses into blood; CO₂ out; carried by haemoglobin
CirculatoryHeart (4 chambers)Cardiac cycle: systole (contraction) + diastole (relaxation)
NervousNeuron / synapseResting potential ≈ −70 mV; action potential via Na⁺/K⁺ flux
EndocrinePancreas isletsInsulin lowers blood glucose; glucagon raises it
ExcretoryNephronFiltration → reabsorption → secretion → excretion
ReproductiveOvary / testisFSH and LH drive gametogenesis and the 28-day menstrual cycle

Core Quantitative Relationships

Three formulas recur as numerical MCQs. Memorise the variables, not just the letters.

  1. CO = SV × HR — at SV = 70 mL and HR = 72 bpm, CO ≈ 5040 mL/min ≈ 5 L/min.
  2. MAP = DBP + ⅓(SBP − DBP) — for 120/80 mmHg, MAP = 80 + ⅓(40) ≈ 93.3 mmHg.
  3. GFR = K_f × (P_GC − P_BS − π_GC) — net filtration pressure drives plasma from glomerulus to Bowman’s capsule.

Typical NAT-I Item Types

  • “Which hormone lowers blood glucose?” → Insulin (trap: glucagon raises it).
  • “Order of digestion: starch is broken down by salivary amylase in the mouth, not the stomach.”
  • MCQs on vital capacity vs tidal volume — students often confuse the two.

🔴 Extended — Deep Study (3mo+)

Comprehensive coverage for students on a longer study timeline.

Worked Numeric — Cardiac Output and MAP

For a resting adult with SV = 70 mL/beat and HR = 72 beats/min:

  • CO = 70 × 72 = 5040 mL/min (≈ 5 L/min).
  • If BP = 120/80 mmHg, MAP = 80 + ⅓(120 − 80) = 80 + 13.33 ≈ 93.3 mmHg.

A trained endurance athlete may push CO to 25–35 L/min because stroke volume increases — heart rate alone does not scale linearly, a fact the examiner uses to test deeper understanding.

Edge Cases and Common Mistakes

MisconceptionCorrect fact
Digestion starts in the stomachSalivary amylase (ptyalin) begins starch digestion in the mouth
Tidal volume = vital capacityTidal volume ≈ 500 mL (normal breath); vital capacity ≈ 4600 mL (max exhale after max inhale)
Insulin raises blood glucoseInsulin lowers it by promoting cellular uptake and glycogen synthesis; glucagon raises it
Urine = filtrate onlyUrine is filtrate minus ~99% of water and solutes reabsorbed, plus secreted wastes
Motor vs sensory neurons swappedMotor: CNS → effector; sensory: receptor → CNS

The oxygen-haemoglobin dissociation curve (sigmoidal, shifts right with ↑CO₂, ↑H⁺, ↑temperature, ↑2,3-BPG) ties respiration to circulation. The sliding-filament theory (actin–myosin cross-bridges powered by ATP, gated by Ca²⁺ on troponin) ties musculoskeletal contraction to cellular respiration. Together they form an integrated physiology cluster that NAT-I weights as one MCQ block.

Practice Prompts

  1. A patient has BP 140/95 mmHg. Calculate MAP and identify whether this stage corresponds to Stage 1 or Stage 2 hypertension.
  2. After a carbohydrate-rich meal, trace the fate of glucose from the small intestine to its storage as hepatic glycogen, naming each hormone involved.

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