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Biology  ·  NDA

BN03 — Human Physiology

📖 Chapter BN03  ·  NDA Class 11–12 Level 🎯 NDA Level : High Priority

Human Physiology is the largest and most heavily tested Biology chapter in NDA. Questions span all seven organ systems — digestive, respiratory, circulatory, excretory, nervous, skeletal, and endocrine. Factual recall of gland-hormone pairs, blood group properties, heart chambers, kidney nephron steps, and cranial nerve count are direct NDA favourites. This chapter rewards systematic revision of one system at a time.

📌 What to expect in NDA (based on 2022–2025 pattern):
(1) Digestive enzymes — secreting organ, substrate, product;
(2) Blood composition — RBC lifespan, blood groups, clotting, plasma proteins;
(3) Heart — chambers, valves, pacemaker, double circulation;
(4) Kidney — nephron steps, dialysis concept, osmoregulation;
(5) Hormones — gland-hormone-function-deficiency pairs (pituitary, thyroid, adrenal, pancreas);
(6) Cranial nerve count, autonomic divisions, reflex arc.

Systems at a Glance

① Digestive System
Organs, enzymes, absorption
② Respiratory System
Breathing, gas exchange
③ Circulatory System
Heart, blood, vessels
④ Excretory System
Kidney, nephron, urine
⑤ Nervous System
CNS, PNS, ANS, reflex
⑥ Skeletal System
Bones, joints, functions
⑦ Endocrine System
Glands, hormones, disorders

1. Digestive System

1.1
Organs and Functions
Alimentary canal = mouth → pharynx → oesophagus → stomach → small intestine → large intestine → rectum → anus
Mouth & Salivary Glands
Mechanical digestion (teeth). Salivary amylase (ptyalin) converts starch → maltose. Saliva lubricates bolus. pH ~7 (neutral).
Oesophagus
Transports food by peristalsis (wave-like muscular contractions). No digestion occurs here. Food moves by peristalsis, not gravity.
Stomach
Churns food → chyme. Gastric juice: HCl (kills bacteria, activates pepsinogen), pepsin (protein → peptides), renin (milk casein in infants). pH 1.5–2 (highly acidic).
Small Intestine (SI)
Major site of digestion and absorption. Duodenum receives bile (liver) + pancreatic juice. Jejunum and Ileum absorb nutrients via villi. SI = 6–7 m long. Succus entericus (intestinal juice) completes digestion.
Liver
Produces bile (stored in gall bladder). Bile emulsifies fats (breaks into droplets for lipase). Also: detoxification, glycogen storage, plasma protein synthesis, heat production.
Pancreas
Exocrine: secretes pancreatic juice (trypsin, lipase, amylase, nuclease). Endocrine: secretes insulin and glucagon. Only gland with dual function (exo + endocrine).
Large Intestine
Absorbs water and electrolytes. Bacteria synthesise Vitamin K and some B vitamins. Compacts waste into faeces. No digestion of nutrients.
📌 Digestive Enzyme Table — NDA Most Tested:
EnzymeSourceSubstrateProduct
Salivary Amylase (Ptyalin)Salivary glandsStarchMaltose
PepsinGastric glands (stomach)ProteinsPeptides
RenninStomach (infants)Casein (milk protein)Paracasein (clot)
TrypsinPancreasProteins/PeptidesAmino acids
Pancreatic AmylasePancreasStarch/GlycogenMaltose
Pancreatic LipasePancreasEmulsified fatsFatty acids + Glycerol
Maltase / Sucrase / LactaseSmall intestine (brush border)Maltose / Sucrose / LactoseGlucose / Fructose / Galactose
🧠 Absorption Sites:
Fats → absorbed into lacteals (lymph capillaries of villi) → lymphatic system → blood
Glucose, amino acids, vitamins, minerals → absorbed into blood capillaries → portal vein → liver
Water → mainly large intestine (also small intestine)
Vitamin B12 requires intrinsic factor (from stomach) for absorption in ileum.
PYQTopic-Wise PYQs — Digestive System
Q1. Which enzyme is responsible for the digestion of proteins in the stomach?
  1. A. Amylase
  2. B. Lipase
  3. C. Pepsin
  4. D. Trypsin
Answer: C — Pepsin. Pepsin is secreted as inactive pepsinogen by gastric chief cells. HCl activates it. Pepsin breaks proteins into smaller peptides. Trypsin (pancreas) and further intestinal enzymes complete protein digestion to amino acids. Amylase = starch; Lipase = fats.
Q2. Bile is produced by the liver and stored in the gall bladder. Its primary function in digestion is:
  1. A. Digesting proteins
  2. B. Emulsifying fats
  3. C. Neutralising stomach acid
  4. D. Converting starch to sugar
Answer: B — Emulsifying fats. Bile does NOT contain digestive enzymes — it contains bile salts (emulsifiers) that break large fat globules into tiny droplets, increasing the surface area for pancreatic lipase to act. Bile also neutralises HCl from the stomach (alkaline pH 7.6–8.6), making Option C partially correct, but emulsification is the primary digestive function tested in NDA.
Q3. Fat-soluble vitamins are absorbed from the small intestine through:
  1. A. Blood capillaries directly
  2. B. Lacteals (lymph capillaries)
  3. C. Portal vein
  4. D. Hepatic artery
Answer: B — Lacteals. Fat-soluble vitamins (A, D, E, K) and dietary fats are absorbed into lacteals (lymphatic capillaries inside villi), not blood capillaries directly. They enter the lymph as chylomicrons and eventually reach the bloodstream via the thoracic duct. Water-soluble vitamins (B, C) and glucose/amino acids go into blood capillaries.
TRICKY🧐 Digestive System Traps
⚠️ "Pancreas is only an endocrine gland." True or False?
False. The pancreas is a mixed gland — both exocrine AND endocrine. Exocrine function: acinar cells secrete pancreatic juice (enzymes) into the duodenum via the pancreatic duct. Endocrine function: Islets of Langerhans secrete insulin (β cells) and glucagon (α cells) directly into the blood. NDA has repeatedly asked about this dual function.
⚠️ "Food moves through the oesophagus because of gravity." True or False?
False. Food moves by peristalsis — rhythmic wave-like muscular contractions of the oesophageal wall. This is why you can swallow food even upside down. If it were gravity, astronauts in space couldn't swallow food, which they can. Peristalsis operates throughout the alimentary canal.

2. Respiratory System

2.1
Organs, Breathing Mechanism & Gas Transport
Know the pathway of air and how O₂/CO₂ are transported in blood — both are NDA tested

🨘 Pathway of Air

  • Nasal cavity → filters, warms, humidifies air
  • Pharynx → common passage for air and food
  • Larynx → voice box; contains vocal cords; epiglottis prevents food entry
  • Trachea → windpipe; C-shaped cartilage rings keep it open
  • Bronchi → two branches (one per lung)
  • Bronchioles → smaller branches; no cartilage
  • Alveoli → tiny air sacs; site of gas exchange; ~300 million in lungs

💨 Breathing Mechanism

  • Inspiration (inhalation): Diaphragm contracts and moves down; intercostal muscles contract; chest volume ↑; pressure ↓ → air rushes in
  • Expiration (exhalation): Diaphragm relaxes; chest volume ↓; pressure ↑ → air pushed out
  • Normal breathing rate: 15–18 breaths/minute
  • Tidal volume: ~500 mL per breath
  • Vital capacity: maximum air exhaled after maximum inhalation (~4.6 L)
  • Residual volume: air always remaining in lungs (~1.2 L)

🔴 O₂ Transport in Blood

  • 97% carried as oxyhaemoglobin (O₂ + Hb in RBCs)
  • 3% dissolved in plasma
  • Haemoglobin has 4 haem groups; each binds 1 O₂
  • 1 Hb molecule carries 4 O₂ molecules
  • O₂ released at tissues (low O₂ pressure)
  • CO (carbon monoxide) binds Hb 210× more than O₂ → poisoning

🔵 CO₂ Transport in Blood

  • ~70%: as bicarbonate ions (HCO₃⁻) in plasma (via carbonic anhydrase in RBCs)
  • ~23%: as carbaminohaemoglobin (CO₂ + Hb)
  • ~7%: dissolved in plasma
  • CO₂ + H₂O ⇌ H₂CO₃ ⇌ H⁺ + HCO₃⁻ (carbonic anhydrase reaction)
  • CO₂ released in lungs (low CO₂ pressure)
📌 Gas Exchange at Alveoli: Alveoli walls are one cell thick (simple squamous epithelium). O₂ diffuses from alveolar air into blood (high → low pressure). CO₂ diffuses from blood into alveolar air. This is simple diffusion — no active transport. Alveoli are surrounded by dense capillary networks (pulmonary capillaries).
PYQTopic-Wise PYQs — Respiratory System
Q4. Most of the CO₂ produced during cellular respiration is transported in blood as:
  1. A. Dissolved CO₂ in plasma
  2. B. Carbaminohaemoglobin
  3. C. Bicarbonate ions (HCO₃⁻)
  4. D. Oxyhaemoglobin
Answer: C — Bicarbonate ions (HCO₃⁻). About 70% of CO₂ is converted to bicarbonate ions in RBCs by the enzyme carbonic anhydrase, and transported in plasma. ~23% is carried as carbaminohaemoglobin, and ~7% is dissolved. Oxyhaemoglobin transports O₂, not CO₂.
Q5. The site of gas exchange in the human respiratory system is:
  1. A. Trachea
  2. B. Bronchi
  3. C. Bronchioles
  4. D. Alveoli
Answer: D — Alveoli. The ~300 million alveoli provide a massive surface area (~70 m² — size of a tennis court) for gas exchange. Their extremely thin walls (one cell thick) and rich capillary supply enable rapid diffusion of O₂ into blood and CO₂ out.

3. Circulatory System

3.1
Human Heart — Structure & Double Circulation
4 chambers, 4 valves, pacemaker, and the two circuits — all tested in NDA
Human Heart — Chambers, Valves & Blood Flow Right Atrium (RA) Left Atrium (LA) Right Ventricle (RV) Left Ventricle (LV) Tricuspid Bicuspid/Mitral Superior Vena Cava Aorta Pulmonary Artery (deoxygenated) Key Facts ● 4 chambers: 2 Atria + 2 Ventricles ● Right side: deoxygenated blood ● Left side: oxygenated blood ● Pacemaker: SA node (Right Atrium) ● Tricuspid valve: RA → RV (3 cusps) ● Bicuspid/Mitral: LA → LV (2 cusps) ● LV wall thickest (pumps to whole body) ● Normal HR: 72 beats/min; BP: 120/80 ● AV node: relays impulse to ventricles
Fig. 1 — Human Heart: RA/LA = atria (receive blood); RV/LV = ventricles (pump blood). Left ventricle wall is thickest — pumps blood to the entire body via the aorta.

🔄 Pulmonary Circulation (Heart → Lungs)

  • RV → Pulmonary artery → Lungs (O₂ absorbed, CO₂ released)
  • Lungs → Pulmonary vein → LA
  • Pulmonary artery carries deoxygenated blood (exception to "arteries carry oxygenated")
  • Pulmonary vein carries oxygenated blood (exception to "veins carry deoxygenated")

🔄 Systemic Circulation (Heart → Body)

  • LV → Aorta → Body tissues (O₂ delivered)
  • Body → Superior/Inferior Vena Cava → RA
  • Double circulation = pulmonary + systemic circuits; blood passes heart twice per cycle
  • Discovered by William Harvey (1628)
3.2
Blood Composition & Blood Vessels
Blood group, RBC lifespan, clotting, and vessel comparison — all direct NDA MCQ topics
RBC (Erythrocytes)
4–5 million/mm³
  • No nucleus (mature mammalian RBC)
  • Lifespan: 120 days
  • Destroyed in spleen ("graveyard")
  • Formed in red bone marrow
  • Contain haemoglobin (O₂ transport)
  • Biconcave disc shape
WBC (Leukocytes)
5,000–10,000/mm³
  • Have nucleus; colourless
  • Lifespan: days to years (variable)
  • Immunity and defence
  • Neutrophils (most common ~60–70%): phagocytosis
  • Lymphocytes: antibody production
  • Monocytes: phagocytosis
Platelets (Thrombocytes)
1.5–4 lakh/mm³
  • Smallest; no nucleus
  • Lifespan: 5–10 days
  • Blood clotting (coagulation)
  • Release thrombokinase → clotting cascade
  • Low platelets → dengue/thrombocytopenia
Plasma
~55% of blood volume
  • ~90% water; pale yellow fluid
  • Proteins: albumin, globulin, fibrinogen
  • Transports: nutrients, hormones, waste
  • Fibrinogen → fibrin (clotting)
  • Serum = plasma minus fibrinogen
📌 Blood Group System (ABO + Rh) — NDA Direct Questions:
O⁻ (O Rh-negative) = Universal donor  |  AB⁺ (AB Rh-positive) = Universal recipient
Blood group O: no A/B antigens on RBC; both anti-A and anti-B antibodies in plasma
Blood group AB: both A and B antigens on RBC; no antibodies in plasma
Rh factor: Rh+ has Rh antigen; Rh– does not. Rh incompatibility → erythroblastosis foetalis in baby
VesselDirectionWallValvesBlood type
ArteryAway from heartThick, muscular, elasticAbsentMostly oxygenated (exception: pulmonary artery)
VeinToward heartThin, less elasticPresent (prevent backflow)Mostly deoxygenated (exception: pulmonary vein)
CapillaryConnects artery to veinOne cell thick (endothelium)AbsentMixed; site of gas/nutrient exchange
PYQTopic-Wise PYQs — Circulatory System
Q6. Which blood group is called the "Universal Donor"?
  1. A. AB positive
  2. B. O negative
  3. C. A positive
  4. D. B negative
Answer: B — O negative (O⁻). O⁻ RBCs have no A, B, or Rh antigens, so they can be given to patients of any blood group without triggering an immune reaction. AB⁺ is the universal recipient (can accept all blood types). This is one of NDA's most repeated Biology facts.
Q7. The pacemaker of the human heart is the:
  1. A. AV node
  2. B. Bundle of His
  3. C. SA node
  4. D. Purkinje fibres
Answer: C — SA node (Sinoatrial node). The SA node is located in the wall of the Right Atrium and generates electrical impulses that set the heart's rhythm (~72 beats/min). It is called the natural pacemaker. The AV node relays the impulse to ventricles. Purkinje fibres distribute it through the ventricular wall.
Q8. Which of the following carries deoxygenated blood?
  1. A. Aorta
  2. B. Pulmonary vein
  3. C. Pulmonary artery
  4. D. Carotid artery
Answer: C — Pulmonary artery. The pulmonary artery is the only artery that carries deoxygenated blood (from RV to lungs). The pulmonary vein is the only vein that carries oxygenated blood (from lungs to LA). This reversal of the "arteries = oxygenated" rule is one of NDA's classic Biology traps.
TRICKY🧐 Circulatory System Traps
⚠️ "The lifespan of RBCs is 120 days — where are they destroyed?"
Spleen — called the "graveyard of RBCs." After 120 days, old RBCs are phagocytosed by macrophages in the spleen and liver. Haemoglobin is broken down: haem → bilirubin (pigment; excreted in bile, giving stool its colour); globin → recycled amino acids; iron → stored and reused for new RBC production in bone marrow. NDA may ask: "Where is haemoglobin broken down?" → Spleen and liver.

4. Excretory System

4.1
Kidney Structure & Urine Formation
Three-step urine formation (filtration → reabsorption → secretion) is the key NDA sequence

🟡 Kidney — Key Facts

  • Bean-shaped; one pair; retroperitoneal (behind peritoneum)
  • Right kidney slightly lower (due to liver)
  • Each kidney: ~1 million nephrons (functional units)
  • Outer cortex + inner medulla + renal pelvis
  • Receives blood via renal artery (from abdominal aorta)
  • Urine leaves via ureter → urinary bladder → urethra

🟡 Nephron — Functional Unit of Kidney

  • Glomerulus: capillary tuft inside Bowman's capsule
  • Bowman's capsule: cup-shaped; collects filtrate
  • PCT (Proximal Convoluted Tubule): glucose, amino acids, 70% water reabsorbed
  • Loop of Henle: concentration of urine (ascending = salt, descending = water)
  • DCT (Distal Convoluted Tubule): selective reabsorption and secretion
  • Collecting duct: final water reabsorption (ADH-regulated); opens into renal pelvis
Step 1: Glomerular Filtration
Blood filtered under pressure in glomerulus into Bowman's capsule. Filtrate contains: water, glucose, urea, salts, amino acids. Proteins and RBCs do NOT pass (too large). Rate: ~180 L/day (Glomerular Filtration Rate = GFR).
Step 2: Selective Reabsorption
Useful substances reabsorbed back into blood: all glucose, amino acids, 99% water, Na⁺, K⁺. Glucose in urine (glycosuria) indicates diabetes — glucose not fully reabsorbed when blood level exceeds renal threshold.
Step 3: Tubular Secretion
Additional waste actively secreted into tubule from peritubular capillaries: H⁺, K⁺, NH₃, certain drugs. This further cleans the blood. Final urine: ~1.5 L/day (of the 180 L filtered).
🧠 Urine Composition & Clinical Facts (NDA):
Normal urine: ~95% water, urea (2%), uric acid, creatinine, salts; no glucose, no proteins
Glycosuria (glucose in urine) = Diabetes mellitus  |  Proteinuria = kidney damage
ADH (Anti-Diuretic Hormone) from posterior pituitary → controls water reabsorption in collecting duct
Dialysis: artificial filtration of blood when kidneys fail (haemodialysis)
PYQTopic-Wise PYQs — Excretory System
Q9. The functional unit of the kidney is the:
  1. A. Nephron
  2. B. Glomerulus
  3. C. Renal tubule
  4. D. Loop of Henle
Answer: A — Nephron. Each kidney contains about 1 million nephrons. The nephron is the complete structural and functional unit responsible for filtration, reabsorption, and secretion. The glomerulus is just one part of the nephron (filtration component), not the complete unit.
Q10. Presence of glucose in urine (glycosuria) is associated with:
  1. A. Kidney stones
  2. B. Diabetes insipidus
  3. C. Diabetes mellitus
  4. D. Proteinuria
Answer: C — Diabetes mellitus. In diabetes mellitus, blood glucose exceeds the renal threshold (~180 mg/dL). The kidney cannot reabsorb all the glucose, so it spills into urine. Diabetes insipidus is caused by ADH deficiency and results in large volumes of dilute urine (but no glucose). Proteinuria indicates kidney membrane damage.

5. Nervous System

5.1
CNS, PNS & ANS
Cranial nerve count, brain parts and functions, autonomic divisions — NDA direct recall facts

🧠 CNS — Brain

  • Cerebrum (Forebrain): voluntary actions, intelligence, memory, speech, sensory interpretation. Largest part (~85% brain weight)
  • Cerebellum (Hindbrain): balance, posture, coordination of voluntary movements. "Little brain."
  • Medulla oblongata (Hindbrain): controls involuntary functions — breathing rate, heartbeat, vomiting, swallowing. Most vital centre.
  • Hypothalamus: controls pituitary gland; thermoregulation, hunger, thirst, sleep
  • Thalamus: relay station for sensory impulses to cerebrum

⚡ CNS — Spinal Cord

  • Extends from medulla oblongata to L1–L2 vertebra
  • Protected by vertebral column + meninges (3 layers: dura, arachnoid, pia)
  • CSF (Cerebrospinal fluid): fills subarachnoid space; shock absorber
  • Controls reflex actions (without brain involvement)
  • White matter (outside in SC; inside in brain) — conducts impulses

🔄 PNS & ANS

  • Cranial nerves: 12 pairs (from brain)
  • Spinal nerves: 31 pairs (from spinal cord)
  • Sympathetic NS: "Fight or flight" — increases HR, dilates pupils, inhibits digestion
  • Parasympathetic NS: "Rest and digest" — decreases HR, constricts pupils, stimulates digestion
  • Both divisions work antagonistically
📌 Reflex Arc (NDA Favourite):
Stimulus → Receptor → Afferent nerve (sensory) → Spinal cord (integration) → Efferent nerve (motor) → Effector (muscle/gland) → Response
Reflex actions bypass the brain — they are mediated by the spinal cord. Examples: knee-jerk reflex (patellar reflex), withdrawal reflex (touching hot object), pupillary reflex. The time from stimulus to response is called reflex time.
🧠 Cranial Nerves — 12 Pairs Mnemonic:
"On Old Olympus Towering Top A Finn And German Viewed Some Hops"
I-Olfactory · II-Optic · III-Oculomotor · IV-Trochlear · V-Trigeminal · VI-Abducens · VII-Facial · VIII-Auditory(Vestibulocochlear) · IX-Glossopharyngeal · X-Vagus · XI-Accessory · XII-Hypoglossal
PYQTopic-Wise PYQs — Nervous System
Q11. The number of pairs of cranial nerves in humans is:
  1. A. 10 pairs
  2. B. 31 pairs
  3. C. 12 pairs
  4. D. 24 pairs
Answer: C — 12 pairs. Humans have 12 pairs of cranial nerves originating from the brain. There are 31 pairs of spinal nerves (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal). Confusing 12 and 31 is a classic NDA trap — 12 = cranial, 31 = spinal.
Q12. Which part of the brain is responsible for maintaining body balance and coordination?
  1. A. Cerebrum
  2. B. Medulla oblongata
  3. C. Hypothalamus
  4. D. Cerebellum
Answer: D — Cerebellum. The cerebellum coordinates voluntary movements, maintains posture, and regulates balance. Damage to the cerebellum causes ataxia (loss of coordination). Cerebrum handles voluntary decisions; Medulla controls involuntary functions (breathing, heartbeat); Hypothalamus controls autonomic functions and hormone release.
TRICKY🧐 Nervous System Traps
⚠️ "Reflex actions involve the brain." True or False?
False — for spinal reflexes. Spinal reflex actions (knee-jerk, withdrawal from pain) are mediated entirely through the spinal cord without brain involvement. The impulse goes: receptor → sensory neuron → spinal cord → motor neuron → effector. The brain is informed after the reflex has occurred (you feel the pain after you've withdrawn your hand). However, some cranial reflexes (pupillary reflex, blink reflex) DO involve the brain stem, not the spinal cord.

6. Skeletal System

6.1
Skeleton — Functions, Key Bones & Joints
Total bone count, joint types with examples, and axial vs appendicular — NDA recall facts

🦵 Functions of the Skeleton

  • Support: provides structural framework; maintains body shape
  • Protection: skull protects brain; vertebral column protects spinal cord; ribcage protects heart and lungs
  • Movement: bones act as levers; muscles attach via tendons
  • Haemopoiesis: red bone marrow produces RBCs, WBCs, platelets
  • Mineral storage: calcium and phosphorus stored in bone matrix
  • Fat storage: yellow bone marrow stores fat (energy reserve)

📓 Key Skeletal Facts (NDA Numbers)

  • Total bones in adult: 206 (infant: ~270, fuse during growth)
  • Smallest bone: Stapes (in middle ear)
  • Longest bone: Femur (thigh bone)
  • Strongest bone: Femur
  • Axial skeleton: 80 bones (skull, vertebral column, ribcage)
  • Appendicular skeleton: 126 bones (limbs, girdles)
  • Skull bones: 22 (8 cranial + 14 facial)
  • Vertebrae: 33 (26 in adult after fusion)
  • Ribs: 12 pairs (24 total)
🔴 Ball & Socket — shoulder, hip (360° movement)
🔵 Hinge — elbow, knee (one plane)
🟠 Pivot — atlas-axis (neck rotation)
🟢 Gliding — wrist, ankle (sliding)
🔴 Fixed (Fibrous) — skull sutures (no movement)
🔷 Saddle — thumb joint (2 axes)
📌 Bone vs Cartilage:
Bone: hard; matrix of calcium phosphate (hydroxyapatite) + collagen fibres; vascularised (has blood supply)
Cartilage: flexible; matrix of chondroitin sulphate + collagen; avascular (no blood supply) — heals slowly after injury
Cartilage found at: nose tip, ear pinna, trachea rings, intervertebral discs, joint surfaces (articular cartilage)
PYQTopic-Wise PYQs — Skeletal System
Q13. The smallest bone in the human body is:
  1. A. Stapes
  2. B. Femur
  3. C. Patella
  4. D. Malleus
Answer: A — Stapes. The stapes (stirrup) is the smallest bone in the human body, located in the middle ear. It is one of the three ossicles (malleus, incus, stapes) that transmit sound vibrations from the eardrum to the inner ear. Femur is the longest and strongest bone.
Q14. The type of joint found at the shoulder is:
  1. A. Hinge joint
  2. B. Pivot joint
  3. C. Ball and socket joint
  4. D. Fixed joint
Answer: C — Ball and socket joint. Ball and socket joints (shoulder and hip) allow maximum range of motion in all directions (360°). Hinge joints (elbow, knee) allow movement in one plane only. Pivot joints (atlas-axis) allow rotation. Fixed joints (skull sutures) allow no movement.

7. Endocrine System

7.1
Important Glands, Hormones & Disorders
Gland → hormone → function → deficiency/excess — the complete NDA format
🔵 Pituitary Gland
Base of brain; "Master gland" — controls other glands
  • GH (Growth Hormone): bone/muscle growth; deficiency = Dwarfism; excess = Gigantism (child) / Acromegaly (adult)
  • TSH: stimulates thyroid gland
  • ACTH: stimulates adrenal cortex
  • FSH/LH: regulate gonads (sex glands)
  • ADH (Vasopressin): water reabsorption in kidney; deficiency = Diabetes insipidus
  • Oxytocin: uterine contractions; milk ejection
  • Prolactin: milk production
🟢 Thyroid Gland
Neck; butterfly-shaped; largest endocrine gland
  • Thyroxine (T4) / T3: regulates metabolic rate, growth, development; requires iodine
  • Deficiency in child: Cretinism (stunted growth, mental retardation)
  • Deficiency in adult: Myxoedema (hypothyroidism — sluggishness, weight gain)
  • Excess: Exophthalmic goitre / Graves' disease (protruding eyes)
  • Iodine deficiency: Simple goitre (thyroid enlargement)
  • Calcitonin: lowers blood calcium levels
🔴 Adrenal Gland
Above each kidney (suprarenal); has cortex + medulla
  • Adrenaline (Epinephrine) — medulla: "fight or flight" hormone; raises HR, BP, blood glucose
  • Cortisol — cortex: stress hormone; anti-inflammatory; regulates metabolism
  • Aldosterone — cortex: regulates Na⁺/K⁺ balance (water retention)
  • Addison's disease: adrenal cortex hypofunction; fatigue, low BP, skin darkening
  • Cushing's syndrome: excess cortisol; obesity, moon face
🟡 Pancreas (Islets of Langerhans)
Behind stomach; both exo- and endocrine
  • Insulin (β cells): lowers blood glucose → glycogen synthesis; deficiency = Diabetes mellitus (Type 1)
  • Glucagon (α cells): raises blood glucose → glycogenolysis
  • Insulin and glucagon are antagonistic
  • Type 1 DM: no insulin produced (autoimmune)
  • Type 2 DM: cells resistant to insulin (lifestyle-related)
🟠 Parathyroid Gland
4 tiny glands embedded in posterior thyroid
  • PTH (Parathormone): raises blood calcium (mobilises Ca²⁺ from bone)
  • Antagonistic to calcitonin (thyroid)
  • Deficiency: Tetany (muscle spasms due to low Ca²⁺)
  • Excess: Bone weakening (osteoporosis-like)
🔷 Reproductive Glands
Testes (male) / Ovaries (female)
  • Testosterone (testes): male secondary sex characters; sperm production
  • Oestrogen (ovaries): female secondary sex characters; menstrual cycle
  • Progesterone (corpus luteum): maintains pregnancy
  • Melatonin (Pineal gland): regulates circadian rhythm (sleep-wake cycle)
📌 Hormone Deficiency/Excess Summary — NDA Most Repeated Disorders:
HormoneDeficiency DisorderExcess Disorder
GH (child)DwarfismGigantism
GH (adult)Acromegaly
ADHDiabetes Insipidus (excess dilute urine)
Thyroxine (child)Cretinism
Thyroxine (adult)Myxoedema (hypothyroidism)Graves' disease (goitre + protruding eyes)
InsulinDiabetes MellitusHypoglycaemia (low blood sugar)
PTHTetany (muscle spasms)Bone resorption
CortisolAddison's diseaseCushing's syndrome
PYQTopic-Wise PYQs — Endocrine System
Q15. Deficiency of insulin causes:
  1. A. Diabetes insipidus
  2. B. Diabetes mellitus
  3. C. Myxoedema
  4. D. Cretinism
Answer: B — Diabetes mellitus. Insulin (from β cells of islets of Langerhans in pancreas) lowers blood glucose. Deficiency → high blood glucose (hyperglycaemia) → Diabetes mellitus. Diabetes insipidus is caused by ADH deficiency — these two diseases share "diabetes" in the name but are completely unrelated. Myxoedema = hypothyroidism; Cretinism = thyroid deficiency in childhood.
Q16. Which gland is called the "Master gland" of the endocrine system?
  1. A. Thyroid gland
  2. B. Adrenal gland
  3. C. Pituitary gland
  4. D. Pancreas
Answer: C — Pituitary gland. The pituitary gland (hypophysis) secretes tropic hormones (TSH, ACTH, FSH, LH) that control the activity of other endocrine glands. This is why it's called the master gland. However, the pituitary itself is controlled by the hypothalamus via releasing and inhibiting hormones — so the hypothalamus is sometimes called the "master of the master gland."
Q17. Cretinism is caused by deficiency of which hormone during childhood?
  1. A. Growth hormone
  2. B. Insulin
  3. C. Thyroxine
  4. D. Cortisol
Answer: C — Thyroxine. Thyroxine deficiency during foetal development or early childhood causes cretinism — characterised by stunted physical growth (dwarfism-like) and severe mental retardation. This differs from GH deficiency (dwarfism) in that cretinism also involves mental impairment. Iodine deficiency in diet is the root cause.
TRICKY🧐 Endocrine & Multi-System Traps
⚠️ "Diabetes insipidus and Diabetes mellitus are caused by the same hormone deficiency." True or False?
False — completely different glands and hormones. Diabetes mellitus → insulin deficiency (Pancreas → Islets of Langerhans). Diabetes insipidus → ADH (vasopressin) deficiency (Posterior Pituitary). Common feature: "diabetes" means excessive urination. DM: urine contains glucose (sweet); DI: urine is very dilute (insipid = tasteless). NDA has tested this as a direct match-the-column question in 2023 and 2024.
⚠️ "Adrenaline is a steroid hormone." True or False?
False. Adrenaline (epinephrine) is an amino acid-derived hormone (catecholamine), not a steroid. Steroid hormones are derived from cholesterol — examples: cortisol, aldosterone (adrenal cortex), testosterone, oestrogen, progesterone. The adrenal medulla (adrenaline) and adrenal cortex (cortisol, aldosterone) are in the same gland but produce chemically different hormones. This distinction is tested in NDA statement-type questions.

📄 Quick-Reference Fact Sheet — BN03

🨘 Digestive Enzyme Quick-Ref
  • Salivary amylase → starch → maltose (mouth)
  • Pepsin → protein → peptides (stomach, HCl activates)
  • Rennin → casein in milk (infants only)
  • Trypsin → protein → amino acids (pancreas)
  • Pancreatic lipase → fats → fatty acids + glycerol
  • Bile: emulsifies fats (no enzymes); from liver, stored in gall bladder
  • Absorption: glucose/AA → blood capillaries; fats → lacteals
💨 Respiratory Quick-Ref
  • Gas exchange site: Alveoli (~300 million)
  • O₂ transport: 97% as oxyhaemoglobin; 3% dissolved
  • CO₂ transport: 70% as HCO₃⁻; 23% carbaminoHb; 7% dissolved
  • CO poisoning: CO binds Hb 210× > O₂
  • Normal RR: 15–18/min; Tidal volume: 500 mL
  • Vital capacity: ~4.6 L; Residual volume: ~1.2 L
🔄 Circulatory Quick-Ref
  • Pacemaker: SA node (Right Atrium)
  • RBC lifespan: 120 days; graveyard = spleen
  • Universal donor: O⁻; Universal recipient: AB⁺
  • Pulmonary artery: deoxygenated (only artery)
  • Pulmonary vein: oxygenated (only vein)
  • LV wall: thickest (pumps systemic circuit)
  • Tricuspid: RA→RV; Bicuspid/Mitral: LA→LV
🟡 Excretory Quick-Ref
  • Nephron functional unit; ~1 million per kidney
  • GFR: ~180 L/day; final urine: ~1.5 L/day
  • Glucose in urine = Diabetes mellitus
  • ADH: water reabsorption in collecting duct
  • Protein in urine = kidney membrane damage
  • Right kidney lower than left (due to liver)
⚡ Nervous System Quick-Ref
  • Cranial nerves: 12 pairs; Spinal nerves: 31 pairs
  • Cerebrum: voluntary actions, intelligence
  • Cerebellum: balance, coordination
  • Medulla: breathing, heartbeat (vital centre)
  • Sympathetic: fight or flight; Parasympathetic: rest and digest
  • Reflex: bypasses brain → spinal cord
🔵 Endocrine Quick-Ref
  • Master gland: Pituitary (hypothalamus controls it)
  • GH↓ child = Dwarfism; GH↑ child = Gigantism
  • ADH↓ = Diabetes insipidus (NOT mellitus)
  • Thyroxine↓ child = Cretinism; adult = Myxoedema
  • Insulin↓ = Diabetes mellitus; PTH↓ = Tetany
  • Adrenaline: fight-or-flight (NOT a steroid)
  • Largest endocrine gland: Thyroid
🦵 Skeletal Quick-Ref
  • Total adult bones: 206
  • Smallest bone: Stapes (ear)
  • Longest bone: Femur
  • Skull: 22 bones; Vertebrae: 26 (adult)
  • Ball & socket: shoulder, hip
  • Hinge: elbow, knee; Pivot: atlas-axis
🔄 Blood Composition
  • RBC: 4–5 million/mm³; 120-day lifespan
  • WBC: 5000–10000/mm³; immune defence
  • Platelets: 1.5–4 lakh/mm³; clotting
  • Plasma: 55% of blood; 90% water
  • Serum = Plasma − Fibrinogen
  • Most common WBC: Neutrophil (~60–70%)
📌 NDA Classic Traps
  • Pulmonary artery = deoxygenated (unlike all other arteries)
  • Pancreas = both exo AND endocrine
  • Diabetes insipidus ≠ Diabetes mellitus (different hormones)
  • Adrenaline = NOT a steroid
  • Bile = no enzymes (only emulsifier)
  • Largest endocrine gland = Thyroid (NOT pituitary)

⚡ Quick Revision Booster — BN03

🨘 Digestion Shortcuts
  • Pepsin = stomach protein enzyme
  • Bile = emulsify fats (no enzymes)
  • Pancreas = enzymes for all 3 nutrients
  • Vitamin B12 needs intrinsic factor
  • Large intestine = absorb water only
🔄 Heart Shortcuts
  • SA node = pacemaker (RA)
  • Tricuspid = RA→RV; Mitral = LA→LV
  • Pulmonary A = deoxygenated (exception)
  • Pulmonary V = oxygenated (exception)
  • LV wall = thickest
🟡 Kidney Shortcuts
  • Nephron = functional unit
  • PCT reabsorbs glucose + amino acids
  • ADH → water reabsorption in CD
  • GFR = 180 L/day (final urine = 1.5 L)
  • Glucose in urine = Diabetes mellitus
⚡ Nervous System Shortcuts
  • Cranial = 12 pairs; Spinal = 31 pairs
  • Cerebellum = balance/coordination
  • Medulla = breathing/heartbeat
  • Reflex = spinal cord (no brain)
  • Sympathetic = fight-or-flight
🔵 Hormone Shortcuts
  • Insulin↓ = DM; ADH↓ = Diabetes Insipidus
  • GH↓ child = Dwarfism; ↑ = Gigantism
  • Thyroxine↓ child = Cretinism
  • PTH↓ = Tetany; Cortisol↑ = Cushing's
  • Master gland = Pituitary
🦵 Skeleton Shortcuts
  • Adult bones = 206; Infant = ~270
  • Smallest = Stapes; Longest = Femur
  • Ball & socket = shoulder, hip
  • Hinge = elbow, knee
  • Skull sutures = fixed/fibrous joints
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