Levels of structural organization and body systems MCQs With Answer

Understanding the levels of structural organization and body systems is essential for B.Pharm students who must link molecular action to organ-level drug effects. This concise introduction covers hierarchical levels — chemical/molecular, cellular, tissue, organ, organ system, and organism — and explores major body systems (cardiovascular, respiratory, nervous, endocrine, hepatic, renal, immune) relevant to pharmacology, ADME, and toxicology. Emphasis on histology, homeostasis, inter-system communication, and organ-specific functions helps students predict drug targets, distribution, metabolism, and elimination. Clinical examples illustrate how structural organization determines therapeutic response and adverse effects. Now let’s test your knowledge with 30 MCQs on this topic.

Q1. Which level of structural organization is directly above the chemical (molecular) level?

  • Organ level
  • Tissue level
  • Cellular level
  • Organ system level

Correct Answer: Cellular level

Q2. Which organelle is the primary site of ATP production and energy metabolism in most cells?

  • Ribosome
  • Golgi apparatus
  • Mitochondrion
  • Lysosome

Correct Answer: Mitochondrion

Q3. How many basic tissue types are recognized in human histology?

  • Two
  • Three
  • Four
  • Five

Correct Answer: Four

Q4. Which of the following is a primary function of epithelial tissue relevant to drug absorption?

  • Contraction and force generation
  • Support and extracellular matrix production
  • Barrier, absorption and secretion
  • Impulse conduction

Correct Answer: Barrier, absorption and secretion

Q5. Which components primarily make up connective tissue?

  • Cells, extracellular matrix and fibers
  • Thin sheets of cells only
  • Contractile filaments and sarcomeres
  • Neurons and synapses

Correct Answer: Cells, extracellular matrix and fibers

Q6. Which organ is a classical example composed of all four tissue types (epithelial, connective, muscle, nervous)?

  • Liver
  • Heart
  • Spleen
  • Thyroid

Correct Answer: Heart

Q7. Which organ is most important for first-pass metabolism and biotransformation of drugs?

  • Kidney
  • Liver
  • Lung
  • Pancreas

Correct Answer: Liver

Q8. Which body system provides the most rapid communication for short-term regulation of physiological processes?

  • Endocrine system
  • Nervous system
  • Immune system
  • Lymphatic system

Correct Answer: Nervous system

Q9. Compared to the nervous system, endocrine signaling is generally:

  • Faster and shorter in duration
  • Slower and longer in duration
  • Restricted to synaptic clefts only
  • Independent of blood circulation

Correct Answer: Slower and longer in duration

Q10. The blood-brain barrier is primarily formed by which structural feature?

  • Tight junctions between cerebral capillary endothelial cells
  • Fenestrated capillaries in the brain
  • Loose endothelial junctions and lymphatics
  • Myelin sheath around neurons

Correct Answer: Tight junctions between cerebral capillary endothelial cells

Q11. Glomerular filtration in the kidney takes place in which anatomical structure?

  • Loop of Henle
  • Renal corpuscle (glomerulus and Bowman’s capsule)
  • Proximal convoluted tubule
  • Collecting duct

Correct Answer: Renal corpuscle (glomerulus and Bowman’s capsule)

Q12. The spleen and lymph nodes are principal organs of which body system?

  • Endocrine system
  • Respiratory system
  • Lymphatic/immune system
  • Digestive system

Correct Answer: Lymphatic/immune system

Q13. Which tissue type is specialized for contraction and force generation?

  • Nervous tissue
  • Epithelial tissue
  • Connective tissue
  • Muscle tissue

Correct Answer: Muscle tissue

Q14. What is the basic contractile unit of skeletal muscle?

  • Myofibril
  • Sarcomere
  • Motor unit
  • Sarcoplasm

Correct Answer: Sarcomere

Q15. Which neurotransmitter is released at the typical neuromuscular junction in skeletal muscle?

  • Glutamate
  • Gamma-aminobutyric acid (GABA)
  • Acetylcholine
  • Dopamine

Correct Answer: Acetylcholine

Q16. Most synaptic transmission in the peripheral nervous system is which type?

  • Electrical via gap junctions
  • Chemical via neurotransmitter release
  • Direct cytoplasmic continuity
  • Mechanical propagation

Correct Answer: Chemical via neurotransmitter release

Q17. The predominant cell type in the epidermis that produces keratin is called:

  • Melanocyte
  • Keratinocyte
  • Fibroblast
  • Langerhans cell

Correct Answer: Keratinocyte

Q18. Which organelle is specialized for synthesis of secreted and membrane proteins?

  • Smooth endoplasmic reticulum
  • Rough endoplasmic reticulum
  • Mitochondrion
  • Lysosome

Correct Answer: Rough endoplasmic reticulum

Q19. In skeletal muscle cells, which structure stores and releases calcium for contraction?

  • Golgi apparatus
  • Sarcoplasmic reticulum
  • Rough endoplasmic reticulum
  • Microtubules

Correct Answer: Sarcoplasmic reticulum

Q20. Cytochrome P450 enzymes responsible for many drug oxidations are primarily located in which cellular compartment of hepatocytes?

  • Mitochondrial matrix
  • Smooth endoplasmic reticulum (microsomal fraction)
  • Lysosomal lumen
  • Nuclear envelope

Correct Answer: Smooth endoplasmic reticulum (microsomal fraction)

Q21. Which blood vessel type is the primary site for exchange of gases, nutrients, and drugs between blood and tissues?

  • Arteries
  • Veins
  • Capillaries
  • Arterioles

Correct Answer: Capillaries

Q22. Which organ system is the main regulator of extracellular fluid volume, electrolyte balance, and excretion of water-soluble drug metabolites?

  • Respiratory system
  • Urinary system (kidneys)
  • Endocrine system
  • Integumentary system

Correct Answer: Urinary system (kidneys)

Q23. Where does most oral drug absorption occur due to large surface area and specialized epithelium?

  • Stomach
  • Small intestine
  • Large intestine
  • Esophagus

Correct Answer: Small intestine

Q24. Choose the correct order from smallest to largest in structural organization:

  • Organ system → organ → tissue → cell
  • Cell → tissue → organ → organ system
  • Tissue → cell → organ → organ system
  • Molecule → organ system → organ → tissue

Correct Answer: Cell → tissue → organ → organ system

Q25. Which receptor family is a common drug target that is a seven-transmembrane, GTP-binding protein-coupled receptor?

  • Ligand-gated ion channel
  • Receptor tyrosine kinase
  • G-protein-coupled receptor (GPCR)
  • Nuclear hormone receptor

Correct Answer: G-protein-coupled receptor (GPCR)

Q26. Which organ system contains bone marrow and is the primary site of hematopoiesis?

  • Respiratory system
  • Skeletal system
  • Digestive system
  • Endocrine system

Correct Answer: Skeletal system

Q27. Blood is classified histologically as which type of tissue?

  • Epithelium
  • Muscle tissue
  • Connective tissue
  • Nervous tissue

Correct Answer: Connective tissue

Q28. Which organ is primarily responsible for first-pass hepatic metabolism after oral drug administration?

  • Stomach
  • Liver
  • Small intestine
  • Kidney

Correct Answer: Liver

Q29. Lymph from most of the body drains into the venous circulation at which major structure?

  • Right atrium
  • Superior vena cava
  • Thoracic duct into the left subclavian vein
  • Hepatic portal vein

Correct Answer: Thoracic duct into the left subclavian vein

Q30. Which two body systems primarily cooperate to maintain homeostasis through rapid and long-term control?

  • Respiratory and digestive systems
  • Nervous and endocrine systems
  • Cardiovascular and lymphatic systems
  • Integumentary and skeletal systems

Correct Answer: Nervous and endocrine systems

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