Practice exam-style IB Biology questions for Homeostasis, aligned with the syllabus and grouped by topic.
What is meant by homeostasis?
Maintenance of the internal environment within limits despite fluctuations
Production of energy by all cells at a constant rate
Maintenance of the external environment at a constant value
Movement of substances across membranes down concentration gradients
Which variable is a homeostatic variable in humans?
Blood osmotic concentration
Number of red blood cells in one capillary
Hair length
Lung volume after a deep breath
A homeostatic variable rises above its set point. What feature of negative feedback restores the variable?
The receptor stops detecting changes in the variable
The response reduces the original increase
The response amplifies the original increase
The set point changes to match the new value
What is the effect of insulin on blood glucose concentration?
It lowers blood glucose by increasing glucose absorption from the gut
It raises blood glucose by stimulating glycogen breakdown in liver cells
It lowers blood glucose by increasing uptake and storage of glucose
It raises blood glucose by preventing cell respiration in muscles
Which pancreatic endocrine cells secrete glucagon when blood glucose concentration falls?
Beta cells
Liver cells
Alpha cells
Adipose cells
Which statement distinguishes osmoregulation from excretion?
Osmoregulation increases body temperature; excretion decreases body temperature
Osmoregulation controls solute concentration of body fluids; excretion removes metabolic wastes
Osmoregulation removes urea; excretion controls blood glucose concentration
Osmoregulation occurs only in the liver; excretion occurs only in endocrine glands
Which nitrogenous waste is mainly excreted by mammalian kidneys after excess amino acids are broken down?
Thyroxin
Insulin
Urea
Glycogen
Define homeostasis.
State one homeostatic variable in humans.
What physiological change is most characteristic of type 2 diabetes in its early stages?
The kidneys produce too much insulin in response to glucose
Target cells respond weakly to insulin
Pancreatic beta cells are destroyed by an autoimmune response
Alpha cells stop secreting glucagon after meals
What is the role of the hypothalamus in thermoregulation?
It integrates temperature information and coordinates corrective responses
It secretes sweat directly onto the surface of the skin
It stores glycogen and releases glucose into the blood
It filters blood plasma to remove urea and excess salts
Why is sweating less effective at cooling the body in very humid air?
Vasoconstriction increases blood flow through skin capillaries
Brown adipose tissue produces less ATP in humid air
Sweat glands secrete no water in humid air
Evaporation of sweat from the skin is reduced
Which feature helps maintain high hydrostatic pressure in the glomerulus?
The proximal convoluted tubule contains many microvilli
The efferent arteriole is narrower than the afferent arteriole
The collecting duct passes through the medulla
The descending limb is permeable to water
What adaptation of cells in the proximal convoluted tubule increases the surface area for selective reabsorption?
Contractile fibres in the lumen
Podocyte slit gaps around capillaries
Thick myelin sheaths around axons
Microvilli on the apical membrane
What is the role of active transport in the ascending limb of the loop of Henle?
To move urea from the bladder into the blood
To move glucose into urine after meals
To move water into the filtrate and dilute the medulla
To move sodium ions into the medulla and maintain a high osmotic concentration
What urine would be produced when ADH secretion is very low?
Urine containing red blood cells and plasma proteins
A large volume of dilute urine
A small volume of concentrated urine
Urine containing all filtered glucose
The diagram shows a generalized homeostatic feedback loop.

State the function of a receptor in the loop.
Outline why negative feedback is used rather than positive feedback in homeostasis.
After a carbohydrate-rich meal, blood glucose concentration rises.
State the pancreatic endocrine cells that respond by secreting insulin.
Explain two effects of insulin on target tissues that lower blood glucose concentration.
Distinguish between the physiological basis of type 1 diabetes and type 2 diabetes.
State two methods used to prevent or manage type 2 diabetes.
State the role of peripheral thermoreceptors in thermoregulation.
Outline how the hypothalamus and pituitary gland can increase metabolic heat production.
Explain how sweating cools the body.
State one behavioural response that can reduce overheating in mammals.
Define osmoregulation.
Distinguish osmoregulation from excretion.
A person drinks a large volume of water in a short time.
Predict the change in ADH secretion.
Explain the effect on aquaporin location.
Predict the effect on urine volume and concentration.
Volunteers exercised for the same time in hot dry air and hot humid air. Sweat production and change in core temperature were recorded.
| Condition | Sweat production / dm³ h⁻¹ | Core temperature change / °C |
|---|---|---|
| Hot dry air | 1.1 | +0.6 |
| Hot humid air | 1.2 | +1.4 |
Compare sweat production in the two conditions.
State which condition caused the greater rise in core temperature.
Suggest why sweating did not cool the body as effectively in that condition.
A simulation models a homeostatic variable after it is displaced above the set point. Two possible feedback responses are shown.

Identify which response shows negative feedback.
Describe the evidence from the graph for your answer.
Explain why the other response would be unsuitable for homeostasis.
Blood osmotic concentration rises after prolonged sweating without water intake. What response is expected in the collecting ducts?
The glomerular filtration barrier becomes permeable to plasma proteins
More aquaporins are inserted into cell surface membranes
Sodium transport in the ascending limb stops completely
Aquaporins are removed from membranes into vesicles
During vigorous physical activity, which change in blood supply is most likely?
Increased blood flow to skeletal muscles and reduced blood flow to the gut
Reduced blood flow to skeletal muscles and increased blood flow to the gut
Complete loss of blood supply to the brain to supply muscles
No change in any organ because cardiac output is fixed
A glucose tolerance test is carried out on two people after they drink the same glucose solution.

State the expected shape of the blood glucose curve in a person without diabetes.
Explain why a person with diabetes may have a higher and more prolonged rise in blood glucose.
Humans respond to cold conditions by vasoconstriction and shivering.
Explain how vasoconstriction reduces heat loss from the skin.
Explain how shivering increases heat production.
The diagram shows part of a nephron and its blood supply.

State where ultrafiltration occurs.
Explain how the filtration barrier prevents most plasma proteins entering the filtrate.
State one small solute that normally enters Bowman’s capsule.
State the main site of selective reabsorption of glucose in the nephron.
Explain how cells at this site are adapted for selective reabsorption.
Explain how the ascending limb of the loop of Henle helps conserve water. [3]
Blood osmotic concentration increases after water loss.
State the receptor and endocrine organ involved in the ADH response.
Explain how ADH changes water reabsorption in the collecting duct.
During vigorous physical activity, blood supply to skeletal muscle changes.
State the change in arteriole diameter in active skeletal muscle.
Explain two benefits of increased blood flow to active skeletal muscle.
State one organ that may receive reduced blood flow during vigorous activity.
Renal blood flow in an adult is 1200 cm³ min⁻¹ during wakeful rest and 900 cm³ min⁻¹ during sleep.
Calculate the percentage change in renal blood flow during sleep compared with wakeful rest.
Suggest one advantage of this change during sleep.
A glucose tolerance test was carried out on two adults after they drank the same glucose solution.

Identify the adult whose results are more consistent with diabetes.
Describe two differences between the two blood glucose curves.
Explain why the curve for the adult with diabetes does not return rapidly to the starting concentration.
A study compared lifestyle factors in adults with and without type 2 diabetes.
| Lifestyle factor | Category | Adults with type 2 diabetes / % |
|---|---|---|
| Body mass | Healthy weight | 5 |
| Body mass | Overweight | 11 |
| Body mass | Obese | 24 |
| Physical activity | High | 6 |
| Physical activity | Moderate | 10 |
| Physical activity | Low | 18 |
| High-sugar food intake | Low | 7 |
| High-sugar food intake | Moderate | 12 |
| High-sugar food intake | High | 20 |
Identify the lifestyle factor most strongly associated with type 2 diabetes in the data.
Describe one trend linking physical activity and type 2 diabetes frequency.
Suggest two prevention methods supported by the data.
Evaluate one limitation of using these data to infer causation.
Thermal images of a hand were taken before and after exposure to cold air. Skin temperature and blood flow in finger capillaries were measured.
| Condition | Skin temperature / °C | Capillary blood flow / perfusion units |
|---|---|---|
| Before cold exposure | 33.7 | 46 |
| After cold exposure | 24.9 | 12 |
Describe the change in skin temperature after cold exposure.
Describe the change in capillary blood flow after cold exposure.
Explain how the change in blood flow helps maintain core temperature.
State one other physiological response to cold.
The concentrations of selected substances were measured in blood plasma, glomerular filtrate and fluid leaving the proximal convoluted tubule.
| Substance | Plasma / % | Filtrate / % | Leaving PCT / % |
|---|---|---|---|
| Water | 100 | 100 | 100 |
| Ions | 100 | 100 | 98 |
| Glucose | 100 | 100 | 2 |
| Urea | 100 | 100 | 140 |
| Plasma proteins | 100 | 0.5 | 0 |
| Blood cells | 100 | 0 | 0 |
Identify one substance that is freely filtered at the glomerulus.
Identify one substance that is largely retained in the blood during ultrafiltration.
Explain the change in glucose concentration between glomerular filtrate and fluid leaving the proximal convoluted tubule.
Suggest why urea remains in the filtrate.
Participants were given either water or a concentrated salt solution. Plasma osmotic concentration, ADH concentration and urine volume were measured over time.
| Time / min | Treatment | Plasma osmotic concentration / mOsm kg⁻¹ | ADH / pg mL⁻¹ | Urine volume / mL h⁻¹ |
|---|---|---|---|---|
| 0 | Water | 290 | 2.1 | 82 |
| 30 | Water | 287 | 1.4 | 110 |
| 60 | Water | 284 | 0.8 | 185 |
| 120 | Water | 286 | 0.9 | 245 |
| 180 | Water | 289 | 1.6 | 160 |
| 0 | Salt solution | 290 | 2.0 | 80 |
| 30 | Salt solution | 296 | 4.1 | 68 |
| 60 | Salt solution | 301 | 7.3 | 48 |
| 120 | Salt solution | 303 | 8.5 | 32 |
| 180 | Salt solution | 299 | 5.6 | 42 |
Identify the treatment that caused the greatest increase in ADH concentration.
Describe the relationship between ADH concentration and urine volume.
Explain the effect of ADH on collecting duct cells.
Blood flow to four organs was measured during wakeful rest and vigorous exercise.
| Organ | Wakeful rest / cm³ min⁻¹ | Vigorous exercise / cm³ min⁻¹ |
|---|---|---|
| Skeletal muscle | 1200 | 12500 |
| Gut | 1400 | 600 |
| Brain | 750 | 800 |
| Kidneys | 1100 | 500 |
Identify the organ with the greatest percentage increase in blood flow during exercise.
Calculate the percentage change in blood flow to the gut during exercise compared with rest.
Explain why blood flow to skeletal muscle changes during exercise.
Osmotic concentration was measured in filtrate at different regions of the loop of Henle and in the surrounding medulla.

Identify the region where sodium ions are actively transported out of the filtrate.
Describe the change in osmotic concentration of the medulla with depth.
Explain how active transport in the ascending limb produces the pattern shown.
Predict the effect on urine concentration if active transport of sodium ions in the ascending limb was inhibited.
A trial tested a drug that blocks ADH receptors on collecting duct cells. Urine volume and urine osmotic concentration were measured before and after the drug was taken.
| Condition | Urine volume / dm3 day^-1 | Urine osmotic concentration / mOsm kg^-1 |
|---|---|---|
| Before drug | 1.6 | 820 |
| After drug | 4.7 | 260 |
Describe the effect of the drug on urine volume.
Describe the effect of the drug on urine osmotic concentration.
Explain these effects using the role of aquaporins.
Suggest one risk to a patient taking this drug without increasing water intake.
Outline the components of a negative feedback loop in homeostasis.
Explain how negative feedback maintains a homeostatic variable within preset limits, including responses to values above and below the set point.
State the pancreatic cell types that secrete insulin and glucagon.
Compare and contrast the regulation of blood glucose by insulin and glucagon.
Distinguish the physiological changes that cause type 1 diabetes and type 2 diabetes.
Discuss prevention and treatment of diabetes, referring to differences between type 1 and type 2 diabetes.
Outline the role of receptors and the hypothalamus in thermoregulation.
Explain physiological mechanisms used by humans to respond to overheating and cooling.
Distinguish between osmoregulation and excretion in the kidney.
Explain how the glomerulus, Bowman’s capsule and proximal convoluted tubule contribute to excretion.
Outline how the loop of Henle maintains a high osmotic concentration in the medulla.
Explain how ADH regulates water reabsorption in the collecting ducts.
Describe how arteriole diameter changes blood supply to an organ.
Evaluate the pattern of blood supply to skeletal muscles, gut, brain and kidneys during vigorous activity compared with wakeful rest and sleep.
State the role of aquaporins and the units used for osmotic concentration.
Discuss why both the loop of Henle and ADH are required for effective osmoregulation by the kidney.