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YEAR ONE SUNDERLAND MEDICINE JANUARY MOCK PAPER

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A mock paper for year ones in medical school, covering units 1-4 January exam SBAs, KFPS, MCQs 100 marks answers provided

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Mock paper Year 1 Exam

Section A (25 SBAs – A-E)
1. Which is the primary function of lysosomes?
A. Protein synthesis
B. ATP production
C. Intracellular digestion via acid hydrolases
D. DNA replication
E. Lipid synthesis

2. A defect in lysosomal enzymes most directly leads to:
A. Increased glycolysis
B. Accumulation of undegraded substrates in cells
C. Reduced ribosome formation
D. Failure of mitosis
E. Increased transcription

3. Which structure lies immediately posterior to the sternum in the anterior
mediastinum?
A. Oesophagus
B. Descending aorta
C. Thymus (especially prominent in children)
D. Vertebral column
E. Thoracic duct

4. Which checkpoint primarily ensures DNA is undamaged before entering S
phase?
A. G2/M checkpoint
B. Spindle checkpoint
C. G1/S checkpoint
D. Cytokinesis checkpoint
E. Telomere checkpoint

, 5. p53 is best described as:
A. A cyclin-dependent kinase
B. A tumour suppressor transcription factor activated by DNA damage
C. A membrane receptor for growth factors
D. An anti-apoptotic mitochondrial protein
E. A DNA ligase

6. Cyclin B is most associated with progression through:
A. G1 phase
B. S phase
C. Cytokinesis only
D. G2 to M phase transition
E. G0 phase

7. Loss of p53 function most directly increases risk of cancer because:
A. DNA damage is less likely to trigger arrest/apoptosis
B. Cells cannot synthesise proteins
C. Mitochondria cannot produce ATP
D. Ribosomes fail to assemble
E. Cell membranes become unstable

8. Most lymph nodes of the axilla ultimately drain into:
A. Parasternal nodes
B. Deep cervical nodes
C. Superficial inguinal nodes
D. Popliteal nodes
E. Apical axillary nodes

9. Which structure passes through the diaphragm at the level of T10?
A. Aorta
B. Oesophagus
C. Inferior vena cava
D. Thoracic duct
E. Sympathetic trunk

10. What type of epithelium lines the normal adult oesophagus?
A. Simple squamous
B. Stratified squamous keratinised
C. Stratified squamous non-keratinised
D. Simple columnar
E. Transitional

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