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Physiology graphs for NEET PG: six curves and what each one is really asking

PhysiologyPublished · Recallab

Physiology graphs test one skill again and again: reading what a shift, a slope or a crossing point means for the body.

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The same handful of curves carries most physiology graph questions in NEET PG: oxygen dissociation, lung pressure-volume curves, the cardiac pressure-volume loop, venous return and renal clearance. Each has one feature that settles most questions built on it. Below are six real Recallab MentorQs, each on a graph. Try each before you open the answer.

Before any graph: three questions

  1. What is on each axis, and in what units? Tension or content, volume or pressure, amount or clearance.
  2. Which feature is being asked about? A shift left or right, a slope, a point where two lines meet or cross zero.
  3. What stays fixed? If one curve moves and the other does not, the unmoved one tells you what has not changed.

Breathing: shifts, slopes and crossing points

Recallab example 1 · oxygen dissociation

Three oxygen dissociation curves are drawn in the figure on one pair of axes, with the tension at which each is half saturated dropped to the axis beneath it. A unit of red cells stored for five weeks is transfused. Its curve is one of the three drawn. What has changed inside the stored cells to put it there?

Look first: read the three half-saturation tensions first, then decide which way storage moves them.

Three oxygen dissociation curves, saturation against oxygen tension. Curve C is furthest left, half saturated at 18 mmHg; curve B at 27 mmHg; curve A furthest right, at 35 mmHg.View larger ↗⤢ Tap to enlarge
Recallab question 57310. Three curves, with the half-saturation tension of each.
  1. ALoss of cell potassium
  2. BFall in 2,3-bisphosphoglycerate
  3. CRise in 2,3-bisphosphoglycerate
  4. DAcidification of the stored cells
Show the answer and explanation

Answer: B. Fall in 2,3-bisphosphoglycerate

Rule: the lower the half-saturation tension, the tighter haemoglobin holds oxygen. Stored red cells lose 2,3-bisphosphoglycerate steadily over weeks. Without it the curve moves left, to curve C (half saturated at 18 mmHg), and the tissues are given less oxygen at any tension.

Why the closest rival loses: acid (D) shifts a curve to the right, the opposite of what stored blood shows. A rise in 2,3-bisphosphoglycerate (C) also shifts it right. Potassium leaks out of stored cells (A) but does nothing to oxygen affinity.

Recallab question 57310 · Physiology › Respiratory Physiology · reference: Ganong's Review of Medical Physiology

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Recallab example 2 · lung compliance

Static pressure-volume curves of the lungs of three adults are drawn in the figure. What has happened to the lung that gives curve 1?

Look first: compliance is the slope: find the steepest curve before you name a disease.

Lung volume against transpulmonary pressure for three lungs. Curve 1 is the steepest and highest, rising to 8 litres; curve 2, dashed, is in the middle; curve 3 is the flattest and lowest.View larger ↗⤢ Tap to enlarge
Recallab question 55710. Static pressure-volume curves of three lungs.
  1. AIts airways have narrowed
  2. BIts surfactant production has increased
  3. CIts elastic tissue has been destroyed
  4. DIts alveolar walls have thickened
Show the answer and explanation

Answer: C. Its elastic tissue has been destroyed

Rule: compliance is the change in volume for each unit of pressure, so on this graph it is the slope. Curve 1 is the steepest and holds the most volume at every pressure. Losing elastic fibres, as in emphysema, removes recoil, and the lung distends easily.

Why the closest rival loses: thickened alveolar walls (D) are fibrosis, the stiff lung of flat curve 3. Narrowed airways (A) leave the static curve unchanged, because it is measured without flow. No adult disease raises compliance by adding surfactant (B).

Recallab question 55710 · Physiology › Respiratory Physiology · reference: Guyton and Hall Textbook of Medical Physiology

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Recallab example 3 · lung and chest wall

Volume is plotted against airway pressure in the figure for the lung alone, for the chest wall alone, and for the two together, and each curve is marked where it crosses the line of zero pressure. Which numbered crossing is the volume the whole respiratory system settles at with the muscles relaxed?

Look first: at zero pressure nothing needs holding: find the curve for the two together.

Volume as a percentage of total against airway pressure for the lung alone, the chest wall alone and both together (dashed). Each crosses zero pressure at a numbered point: the lung near empty (1), the chest wall at about 60 per cent (2), and the two together at about 40 per cent (3).View larger ↗⤢ Tap to enlarge
Recallab question 56307. The lung, the chest wall, and the two together.
  1. ACrossing 1
  2. BCrossing 3
  3. CCrossing 2
  4. DThe top of the dashed curve
Show the answer and explanation

Answer: B. Crossing 3

Rule: the relaxed respiratory system rests where the combined curve crosses zero pressure. That is crossing 3, the functional residual capacity, about 40 per cent of the total. There the lung's pull inwards and the chest wall's spring outwards balance.

Why the closest rival loses: crossing 2 (C) is the chest wall on its own, which is why an opened chest springs outwards. Crossing 1 (A) is the lung on its own, emptied almost completely. The top of the dashed curve (D) is total lung capacity, reached only by maximal effort.

Recallab question 56307 · Physiology › Respiratory Physiology · reference: Guyton and Hall Textbook of Medical Physiology

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The heart and the circulation

Recallab example 4 · pressure-volume loop

A left ventricular pressure-volume loop is drawn in the figure with its four sides lettered. During which lettered side are both valves closed while pressure is rising?

Look first: a vertical side means volume is not changing, so no valve can be open.

A left ventricular pressure-volume loop running anticlockwise, with four sides lettered: A rises vertically on the right at about 125 mL; B runs across the top as volume falls; C falls vertically on the left at about 60 mL; D runs along the bottom as volume rises. The width of the loop is marked below the axis.View larger ↗⤢ Tap to enlarge
Recallab question 55110. One left ventricular pressure-volume loop.
  1. ASide D
  2. BSide C
  3. CSide B
  4. DSide A
Show the answer and explanation

Answer: D. Side A

Rule: a vertical side of the loop is isovolumetric, with both valves shut. Side A rises vertically, so pressure climbs while volume is unchanged: isovolumetric contraction. The loop's width, from end-diastolic to end-systolic volume, is the stroke volume.

Why the closest rival loses: side C (B) is also vertical with both valves shut, but pressure is falling there: isovolumetric relaxation. The aortic valve is open along side B (C), and the mitral valve along side D (A).

Recallab question 55110 · Physiology › Cardiovascular Physiology · reference: Guyton and Hall Textbook of Medical Physiology

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Recallab example 5 · venous return

Cardiac output and venous return are plotted in the figure against right atrial pressure, with the normal working point marked where the two lines meet and a second venous return line drawn after an intervention. Which intervention produced the second line?

Look first: see which curve moved, then whether it moved parallel or changed its slope.

Cardiac output and venous return against right atrial pressure. The cardiac output curve is unchanged. The venous return line after the intervention is dashed, moved parallel and to the right, meeting the output curve at point 2, above and to the right of point 1.View larger ↗⤢ Tap to enlarge
Recallab question 57309. Cardiac output and venous return, before and after.
  1. ASudden haemorrhage
  2. BA negative inotropic drug
  3. CRapid transfusion
  4. DArteriolar dilatation
Show the answer and explanation

Answer: C. Rapid transfusion

Rule: a parallel shift of the venous return line is a change in filling pressure, which means a change in volume. The line has moved right without changing slope, so the mean systemic filling pressure is higher. The heart's curve is unchanged, and the new working point has a higher output and a higher atrial pressure.

Why the closest rival loses: arteriolar dilatation (D) changes the slope of the line from the same axis point rather than moving it parallel. Haemorrhage (A) moves the line to the left, and a negative inotropic drug (B) depresses the output curve, which has not moved here.

Recallab question 57309 · Physiology › Cardiovascular Physiology · reference: Guyton and Hall Textbook of Medical Physiology

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The kidney

Recallab example 6 · renal clearance

Renal clearance is plotted against rising plasma concentration for three substances X, Y and Z in the figure, with a dashed line marking the glomerular filtration rate. Substance X is the one used to estimate renal plasma flow. Why does its clearance fall as plasma concentration rises?

Look first: use the GFR line: above it means secretion, below it means reabsorption.

Clearance against rising plasma concentration for three substances, with a dashed line at the glomerular filtration rate. X starts high and falls towards the line; Y lies flat on it; Z starts at zero and climbs up to it.View larger ↗⤢ Tap to enlarge
Recallab question 57107. Clearance of three substances as plasma level rises.
  1. AIt binds plasma proteins
  2. BIts secretory transporter saturates
  3. CIt is progressively reabsorbed
  4. DIts glomerular filtration falls
Show the answer and explanation

Answer: B. Its secretory transporter saturates

Rule: clearance above the GFR line means the substance is secreted; below it, reabsorbed. X is filtered and secreted, so it starts near the plasma flow. As its level rises, the fixed number of secretory carriers saturates, and clearance falls towards the GFR, which filtration alone can remove. Y is filtered only; Z is reabsorbed until its carrier is overwhelmed.

Why the closest rival loses: progressive reabsorption (C) would give a curve below the line, like Z, not X. Filtration (D) is not saturable, and protein binding (A) would lower clearance at every level rather than bring it down towards the line.

Recallab question 57107 · Physiology › Renal Physiology · reference: Ganong's Review of Medical Physiology

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The one-minute routine

If you seeAsk firstIt usually settles
Oxygen dissociation curvesWhich way has the half-saturation tension moved?Left: tighter binding (low 2,3-BPG). Right: acid or high 2,3-BPG
Lung pressure-volume curvesWhich is steepest?Emphysema (steep) or fibrosis (flat)
Lung, chest wall and both togetherWhere does each cross zero pressure?Functional residual capacity on the combined curve
A pressure-volume loopIs the side vertical or horizontal?Vertical: both valves shut. Horizontal: filling or ejection
Venous return and cardiac outputWhich curve moved, and parallel or not?Volume change, resistance change or a change in the heart
Clearance against plasma levelAbove or below the GFR line?Secreted (above), filtered only (on it), reabsorbed (below)

This is the third post on reading graphs, after six NEET PG pharmacology graphs and biostatistics without fear. If you miss one, see how to review a wrong answer.

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Drawn from questions #57310, #55710, #56307, #55110, #57309, #57107 in the Recallab bank, each with its own verified answer and current-edition reference. Last reviewed 29 September 2026.