Exam Code: MCAT
Exam Questions: 815
Medical College Admission Test: Verbal Reasoning, Biological Sciences, Physical Sciences, Writing Sample
Updated: 02 Sep, 2026
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Question 1

Although we know more about so-called Neanderthal men than about any other early population, their exact
relation to present-day human beings remains unclear. Long considered sub-human, Neanderthals are now
known to have been fully human. They walked erect, used fire, and made a variety of tools. They lived partly in
the open and partly in caves. The Neanderthals are even thought to have been the first humans to bury their
dead, a practice which has been interpreted as demonstrating the capacity for religious and abstract thought.
The first monograph on Neanderthal anatomy, published by Marcelling Boule in 1913, presented a somewhat
misleading picture. Boule took the Neanderthals’ lowvaulted cranium and prominent brow ridges, their heavy
musculature, and the apparent overdevelopment of certain joints as evidence of a prehuman physical
appearance. In postulating for the Neanderthal such “primitive” characteristics as a stooping, bent-kneed
posture, a rolling gait, and a forward-hanging head, Boule was a victim of the rudimentary state of anatomical
science. Modern anthropologists recognize the Neanderthal bone structure as that of a creature whose bodily
orientation and capacities were very similar to those of present-day human beings. The differences in the size
and shape of the limbs, shoulder blades, and other body parts are simply adaptations which were necessary to
handle the Neanderthal’s far more massive musculature. Current taxonomy considers the Neanderthals to have
been fully human and thus designates them not as a separate species, Homo neanderthalensis, but as a
subspecies of Homo sapiens: Homo sapiens neanderthalensis.
The rise of the Neanderthals occurred over some 100,000 years – a sufficient period to account for evolution of
the specifically Neanderthal characteristics through free interbreeding over a broad geographical range. Fossil
evidence suggests that the Neanderthals inhabited a vast area from Europe through the Middle East and into
Central Asia from approximately 100,000 years ago until 35,000 years ago. Then, within a brief period of five to
ten thousand years, they disappeared. Modern human, not found in Europe prior to about 33,000 years ago,
thenceforth became the sole inhabitants of the region. Anthropologists do not believe that the Neanderthals
evolved into modern human beings. Despite the similarities between Neanderthal and modern human anatomy,
the differences are great enough that, among a population as broad-ranging as the Neanderthals, such an
evolution could not have taken place in a period of only ten thousand years. Furthermore, no fossils of types
intermediate between Neanderthals and moderns have been found.
A major alternative hypothesis, advanced by E. Trinkaus and W.W. Howells, is that of localized evolution.
Within a geographically concentrated population, free interbreeding could have produced far more pronounced
genetic effects within a shorter time. Thus modern human could have evolved relatively quickly, either from
Neanderthals or from some other ancestral type, in isolation from the main Neanderthal population. These
humans may have migrated throughout the Neanderthal areas, where they displaced or absorbed the original
inhabitants. One hypothesis suggests that these “modern” humans immigrated to Europe from the Middle East.
No satisfactory explanation of why modern human beings replaced the Neanderthals has yet been found. Some
have speculated that the modern humans wiped out the Neanderthals in warfare; however, there exists no
archeological evidence of a hostile encounter. It has also been suggested that the Neanderthals failed to adapt
to the onset of the last Ice Age; yet their thick bodies should have been heat-conserving and thus well-adapted
to extreme cold. Finally, it is possible that the improved tools and hunting implements of the late Neanderthal
period made the powerful Neanderthal physique less of an advantage than it had been previously. At the same
time, the Neanderthals’ need for a heavy diet to sustain this physique put them at a disadvantage compared to
the less massive moderns. If this was the case, then it was improvements in human culture – including some
introduced by the Neanderthals themselves – that made the Neanderthal obsolete.
All of the following are hypotheses about the disappearance of the Neanderthals EXCEPT:

Section: Verbal Reasoning 

Options :
Answer: C

Question 2

The nuclei of certain unstable isotopes will spontaneously decay, producing a more stable nucleus and
releasing a particle or quantity of energy. Alpha decay releases a helium nucleus, beta decay emits an electron,
while gamma decay is the emission of a high energy photon. Each type of radioactive decay is characterized, in
part, by the half-life of the radioactive material – the time required for half of the nuclei in a sample to undergo
decay. Examples of such decays are shown in Figure 1.
MCAT-part-2-page295-image91
Figure 1
A Geiger counter can be used to detect the decay of radioactive materials. A simple Geiger counter consists of
a hollow metal cylinder with a wire along its axis. The cylinder is filled with low pressure argon gas and a high
voltage difference is applied between the wire and the cylinder. When alpha, beta, or gamma radiation passes
through the cylinder, it interacts with the gas particles and leads to the formation of ions which cause a
discharge between the wire and the cylinder. The consequent current may be used to drive a speaker,
producing the characteristic clicking sound of the Geiger counter each time a pulse of current occurs. The
Geiger counter circuitry is shown in Figure 2.
MCAT-part-2-page295-image90
Figure 2
A Geiger counter is best suited for which of the following applications:

Section: Physical Sciences 

Options :
Answer: A

Question 3

Four major blood types exist in the human ABO blood system: types A, B, AB, and O; and there are three
alleles that code for them. The A and B alleles are codominant, and the O allele is recessive. Blood types are
derived from the presence of specific polysaccharide antigens that lie on the outer surface of the red blood cell
membrane. The A allele codes for the production of the A antigen; the B allele codes for the production of the B
antigen; the O allele does not code for any antigen.
While there are many other antigens found on red blood cell membranes, the second most important antigen is
the Rh antigen. Rh is an autosomally dominant trait coded for by 2 alleles. If this antigen is present, an
individual is Rh+; if it is absent, an individual is Rh−. For example, a person with type AB blood with the Rh
antigen is said to be AB+.
These antigens become most important when an individual comes into contact with foreign blood. Because of
the presence of naturally occurring substances that closely mimic the A and B antigens, individuals who do not
have these antigens on their red blood cells will form antibodies against them. This is inconsequential until
situations such as blood transfusion, organ transplant, or pregnancy occur.
Erythroblastosis fetalis is a condition in which the red blood cells of an Rh+ fetus are attached by antibodies
produced by its Rh− mother. Unlike ABO incompatibility, in which there are naturally occurring antibodies to
foreign antigens, the Rh system requires prior sensitization to the Rh antigen before antibodies are produced.
This sensitization usually occurs during the delivery of an Rh+ baby. So while the first baby will not be harmed,
any further Rh+ fetuses are at risk.
The Coombs tests provide a method for determining whether a mother has mounted an immune response
again her baby’s blood. The tests are based on whether or not agglutination occurs when Coombs reagent is
added to a sample. Coombs reagent contains antibodies against the anti-Rh antibodies produced by the
mother. The indirect Coombs test takes the mother’s serum, which contains her antibodies but no red blood
cells, and mixes it with Rh+ red blood cells. Coombs reagent is then added. If agglutination occurs, the test is
positive, and the mother must be producing anti-Rh antibodies. The direct Coombs test mixes the baby’s red
blood cells with Coombs reagent. If agglutination occurs, the test is positive, and the baby’s red blood cells
must have been attacked by its mother’s anti-Rh antibodies.
How might one most practically assess the risk of erythroblastosis fetalis in a pregnant woman?

Section: Biological Sciences 

Options :
Answer: C

Question 4

TMS (tetramethylsilane) is commonly added to nuclear magnetic resonance (NMR) samples. It has a chemical
shift which is upfield of most organic signals, and it gives a strong, sharp singlet peak and can be easily
removed. Why is TMS added to NMR samples?

Section: Physical Sciences 

Options :
Answer: B

Question 5

All of the following are true regarding the function of neurons EXCEPT:

Section: Biological Sciences 

Options :
Answer: C

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