Understanding forms of intracellular signaling—contact-dependent, paracrine, synaptic, and endocrine—is essential for B. Pharm students. These signaling modes differ by distance, speed, mediators and pharmacological targets: contact-dependent (juxtacrine) uses membrane-bound ligands like Notch; paracrine signaling uses local mediators (histamine, nitric oxide); synaptic signaling uses neurotransmitters for rapid, targeted responses; endocrine signaling uses hormones in blood for long-range effects. Key concepts include receptors, ligands, second messengers (cAMP, IP3, DAG, Ca2+), signal transduction pathways, receptor desensitization and drug modulation. Mastery links physiology to therapeutic targeting and adverse effects. Now let’s test your knowledge with 30 MCQs on this topic.
Q1. Which form of signaling requires direct cell–cell contact via membrane-bound ligands?
- Contact-dependent (juxtacrine)
- Paracrine signaling
- Synaptic signaling
- Endocrine signaling
Correct Answer: Contact-dependent (juxtacrine)
Q2. Local signaling that affects nearby cells through secreted mediators is called:
- Paracrine signaling
- Endocrine signaling
- Synaptic signaling
- Contact-dependent signaling
Correct Answer: Paracrine signaling
Q3. Which signaling mode provides the fastest communication between cells?
- Synaptic signaling
- Endocrine signaling
- Paracrine signaling
- Contact-dependent signaling
Correct Answer: Synaptic signaling
Q4. Signals that travel long distances via the bloodstream are classified as:
- Endocrine signaling
- Paracrine signaling
- Contact-dependent signaling
- Synaptic signaling
Correct Answer: Endocrine signaling
Q5. Which of the following is a classic paracrine mediator involved in vasodilation?
- Nitric oxide
- Insulin
- Acetylcholine
- Thyroxine
Correct Answer: Nitric oxide
Q6. Notch–Delta signaling between adjacent cells is an example of:
- Contact-dependent (juxtacrine) signaling
- Endocrine signaling
- Paracrine signaling
- Synaptic signaling
Correct Answer: Contact-dependent (juxtacrine) signaling
Q7. Which molecule is commonly released into the synaptic cleft as a neurotransmitter?
- Acetylcholine
- Insulin
- Thyroxine
- Nitric oxide
Correct Answer: Acetylcholine
Q8. Activation of Gs-coupled GPCRs primarily increases which second messenger?
- cAMP
- IP3
- DAG
- Ca2+
Correct Answer: cAMP
Q9. Ligand binding to many receptor tyrosine kinases commonly initiates which intracellular cascade?
- MAP kinase (ERK) cascade
- cAMP pathway
- NO–cGMP pathway
- Ligand-gated ion channel opening
Correct Answer: MAP kinase (ERK) cascade
Q10. Which hormone circulates largely bound to carrier proteins, prolonging its half-life?
- Thyroxine (T4)
- Acetylcholine
- Histamine
- Nitric oxide
Correct Answer: Thyroxine (T4)
Q11. A common paracrine mediator released during allergic reactions is:
- Histamine
- Insulin
- Thyroxine
- Acetylcholine
Correct Answer: Histamine
Q12. Which signaling type provides the highest spatial specificity to a single target cell?
- Synaptic signaling
- Endocrine signaling
- Paracrine signaling
- Contact-dependent signaling
Correct Answer: Synaptic signaling
Q13. Compared to paracrine signals, endocrine signals are typically:
- Long-range and long-lasting effects
- Rapid and very short-lived
- Restricted to membrane-bound ligands
- Always mediated by gases
Correct Answer: Long-range and long-lasting effects
Q14. G-protein coupled receptors belong to which structural class?
- Seven-transmembrane (GPCR) receptors
- Receptor tyrosine kinases
- Ligand-gated ion channels
- Nuclear receptors
Correct Answer: Seven-transmembrane (GPCR) receptors
Q15. Nitric oxide exerts many effects by:
- Activating guanylyl cyclase and increasing cGMP
- Inhibiting adenylate cyclase and lowering cAMP
- Directly opening sodium channels
- Binding to nuclear steroid receptors
Correct Answer: Activating guanylyl cyclase and increasing cGMP
Q16. Receptor desensitization often involves which cellular process?
- Phosphorylation followed by receptor internalization
- Immediate transcription of new receptors
- Permanent ligand binding without removal
- Secretion of ligand-degrading enzymes into blood
Correct Answer: Phosphorylation followed by receptor internalization
Q17. When a cell secretes a factor that acts back on the same cell, this is called:
- Autocrine signaling
- Paracrine signaling
- Endocrine signaling
- Synaptic signaling
Correct Answer: Autocrine signaling
Q18. Activation of phospholipase C produces which pair of second messengers?
- IP3 and DAG
- cAMP and cGMP
- Ca2+ and cAMP
- NO and cGMP
Correct Answer: IP3 and DAG
Q19. Juxtacrine signaling is typically mediated by:
- Membrane-bound ligands such as Notch/Delta and ephrins
- Circulating peptide hormones
- Volatile gases only
- Diffusible blood-borne carriers
Correct Answer: Membrane-bound ligands such as Notch/Delta and ephrins
Q20. Which hormone acts via intracellular nuclear receptors to modulate gene transcription?
- Cortisol
- Acetylcholine
- Histamine
- Insulin
Correct Answer: Cortisol
Q21. The typical width of a chemical synaptic cleft is approximately:
- 20 nanometers
- 1 micrometer
- 1 millimeter
- 1 nanometer
Correct Answer: 20 nanometers
Q22. Which statement best contrasts paracrine and endocrine signaling?
- Paracrine acts locally and is rapidly degraded; endocrine travels in blood to distant targets
- Paracrine travels in blood; endocrine acts only on neighboring cells
- Both always require membrane-bound ligands
- Endocrine signaling never uses carrier proteins
Correct Answer: Paracrine acts locally and is rapidly degraded; endocrine travels in blood to distant targets
Q23. Beta-adrenergic blockers primarily antagonize which receptor class?
- Beta-adrenergic receptor (GPCR)
- Insulin receptor (RTK)
- Nicotinic acetylcholine receptor (ion channel)
- Thyroid hormone receptor (nuclear)
Correct Answer: Beta-adrenergic receptor (GPCR)
Q24. Homeostatic regulation of many endocrine axes is achieved mainly by:
- Negative feedback loops
- Positive feedback loops only
- Autocrine amplification exclusively
- Destruction of receptors
Correct Answer: Negative feedback loops
Q25. A principal role of intracellular second messengers is to:
- Amplify and distribute the signal within the cell
- Serve as long-range blood carriers
- Function only as extracellular matrix components
- Trigger immediate cell lysis
Correct Answer: Amplify and distribute the signal within the cell
Q26. Which enzyme synthesizes cAMP from ATP?
- Adenylate cyclase
- Phospholipase C
- Guanylyl cyclase
- Protein kinase A
Correct Answer: Adenylate cyclase
Q27. Activation of many receptor tyrosine kinases requires which immediate event?
- Ligand-induced dimerization and autophosphorylation
- G-protein activation without phosphorylation
- Direct DNA binding by the receptor
- Formation of gap junctions
Correct Answer: Ligand-induced dimerization and autophosphorylation
Q28. Endocrine glands secrete hormones directly into the:
- Bloodstream
- Synaptic cleft
- Extracellular matrix only
- Cell membrane bilayer
Correct Answer: Bloodstream
Q29. Which molecule can act both as a neurotransmitter and as a hormone when released into blood?
- Norepinephrine
- Insulin
- Histamine
- Erythropoietin
Correct Answer: Norepinephrine
Q30. A common downstream consequence of activating many signaling pathways is:
- Changes in gene transcription and protein expression
- Immediate membrane rupture in all cases
- Permanent loss of all receptors
- No change in cellular behavior
Correct Answer: Changes in gene transcription and protein expression

I am a Registered Pharmacist under the Pharmacy Act, 1948, and the founder of PharmacyFreak.com. I hold a Bachelor of Pharmacy degree from Rungta College of Pharmaceutical Science and Research. With a strong academic foundation and practical knowledge, I am committed to providing accurate, easy-to-understand content to support pharmacy students and professionals. My aim is to make complex pharmaceutical concepts accessible and useful for real-world application.
Mail- Sachin@pharmacyfreak.com
