2019 Scheme
Q.P. Code: 112001
Reg. no.: .....................
First Professional MBBS Degree Supplementary (SAY) Examinations October 2024
Human Anatomy Paper II
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The Answers to MCQ questions (Q.No. i to Q.No. xx) shall be written continuously on the first two writing
Questions i-v are single response type questions
i. Crypts of Lieberkuhn are present in
a) Stomach
b) Liver
d) Pancreas
ii. Which of the following pleura forms the pulmonary ligament
a) Visceral
b) Costal
d) Mediastinal
iii. The lining epithelium of uterine endometrium is
a) Simple squamous
b) Simple cuboidal
d) Pseudostratified columnar
iv. All of the following are derived from hindgut EXCEPT:
a) Rectum
b) Appendix
d) Sigmoid colon
v. Which one of the following bones is devoid of muscular attachments
a) Talus
b) Cuboid
d) Navicular
Question vi-x are case scenario-based questions:
A 35 year old man noticed a gradually increasing swelling in the right groin. After manually reducing the
swelling the surgeon occluded the deep inguinal ring with the thumb and then asked the patient to cough.
vi. The deep inguinal ring is a deficiency in the
a) External oblique aponeurosis
b) Internal oblique muscle
c) Transversalis fascia
vii. Which defense mechanism closes the superficial inguinal ring when the external oblique muscle
contracts
a) Ball valve
b) Shutter
d) Slit valve
viii. The artery which is just medial to the deep inguinal ring is
a) Superficial epigastric
b) Superficial circumflex iliac
d) Deep circumflex iliac
ix. The medial boundary of Hesselbach's triangle is formed by
a) Conjoint tendon
b) Inferior epigastric artery
d) Lateral border of rectus abdominis
x. Which one of the following structures has triple relation (anterior, roof and posterior) to the inguinal
canal?
a) Internal oblique
d) Conjoint tendon
Question numbers xi-xv consists of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
xi. A: Superolateral quadrant of gluteal region is a safe site for intramuscular injection
a) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
b) Both A and R are true and R is not the reason for A
d) A is incorrect but R is correct
R: Coronary sinus is the largest vein of the heart
a) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
b) Both A and R are true and R is not the reason for A
xiii. A: Pudendal nerve is related to the dorsal surface of ischial spine
R: Pudendal nerve block is given during episiotomy suturing after vaginal delivery
a) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
d) A is incorrect but R is correct
(PTO)
xiv. A: Internal thoracic artery can be used for coronary bypass surgery
a) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
b) Both A and R are true and R is not the reason for A
d) A is incorrect but R is correct
R: Tibial nerve is a branch of sciatic nerve
a) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
b) Both A and R are true and R is not the reason for A
Question numbers xvi-xx are multiple response type questions. Read the statements & mark the
answers appropriately.
xvi. Which of the following statement/s is/are true about thoracic duct
1) It begins at the lower border of T12 vertebra
3) It is about 25 cm in length
4) Injury to the thoracic part of the duct may cause chylothorax
a) 1, 3
b) 2, 3, 4
d) 1, 2, 4
xvii. Which of the following statement/s is/are true about rectum
1) The rectosigmoid junction corresponds to third sacral vertebra
2) Fascia of Waldeyer seperates the rectum from the urinary bladder
4) The puborectalis sling maintains the angulation at the anorectal junction
a) 2, 3, 4
b) 1, 4
c) 1, 2, 3
xviii. In addition to aorta, structures passing through the aortic opening of diaphragm are:
1) Thoracic duct
2) Vagus nerve
3) Azygos vein
a) 1, 2, 3
b) 1, 2, 4
c) 1, 3
d) 2, 4
1) Biceps femoris
2) Tensor fascia lata 3) Gluteus medius
4) Gluteus maximus
a) 1, 3
c) 2, 4
d) 1, 2, 3
xx. Branches arising from the posterior division of internal iliac artery are:
1) Internal pudendal 2) Iliolumbar
4) Superior gluteal
a) 2, 4
b) 1, 2, 3
c) 1, 3
Long essays
2. A 60 year old man who is a smoker, alcoholic and known hypertensive suddenly developed pain in the
left side of chest radiating along the medial border of left arm. ECG showed myocardial ischaemia.
Coronary angiogram was advised for further evaluation. Based on your knowledge of anatomy answer
the following:
b) Add a note on coronary dominance
c) Explain the nerve supply of heart
(6+2+2)
3. Describe the boundaries, contents and applied anatomy of femoral triangle.
Short Essays:
(6x6=36)
4. Describe the course, branches and applied anatomy of typical intercostal nerve
(2+2+2)
(4+2)
6. Describe the boundaries and contents of perineal pouches
(3+3)
7. Describe the internal features, lobes and clinical importance of prostate
8. Describe the development and microscopy of pancreas
(4+2)
9. Describe the cruciate ligaments and menisci of knee joint and their clinical importance (3+3)
Short Notes:
10. Describe the microscopic structure of liver
11. Explain the various positions of vermiform appendix and its applied anatomy
12. Explain the course, branches and clinical importance of dorsalis pedis artery
13. Explain the anatomical basis of venous engorgements of anterior abdominal wall and anal canal in portal
14. Draw a neat labelled diagram of mediastinal surface of right lung
15. Describe the importance of communication skill in medical profession
*********************
Q.P. Code: 112001
Reg. no.: .....................
First Professional MBBS Degree Supplementary (SAY) Examinations October 2024
Human Anatomy Paper II
--- Content provided by FirstRanker.com ---
Thorax, Abdomen & Pelvis, Lower Limb with Concerned Embryology & HistologyTime: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
--- Content provided by FirstRanker.com ---
Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The Answers to MCQ questions (Q.No. i to Q.No. xx) shall be written continuously on the first two writing
--- Content provided by FirstRanker.com ---
sheets (ie Page No. 3 & 4) onlyQuestions i-v are single response type questions
i. Crypts of Lieberkuhn are present in
a) Stomach
b) Liver
--- Content provided by FirstRanker.com ---
c) Small intestined) Pancreas
ii. Which of the following pleura forms the pulmonary ligament
a) Visceral
b) Costal
--- Content provided by FirstRanker.com ---
c) Diaphragmaticd) Mediastinal
iii. The lining epithelium of uterine endometrium is
a) Simple squamous
b) Simple cuboidal
--- Content provided by FirstRanker.com ---
c) Simple columnard) Pseudostratified columnar
iv. All of the following are derived from hindgut EXCEPT:
a) Rectum
b) Appendix
--- Content provided by FirstRanker.com ---
c) Descending colond) Sigmoid colon
v. Which one of the following bones is devoid of muscular attachments
a) Talus
b) Cuboid
--- Content provided by FirstRanker.com ---
c) Calcaneumd) Navicular
Question vi-x are case scenario-based questions:
A 35 year old man noticed a gradually increasing swelling in the right groin. After manually reducing the
swelling the surgeon occluded the deep inguinal ring with the thumb and then asked the patient to cough.
--- Content provided by FirstRanker.com ---
The swelling was prevented to come out which was suggestive of indirect inguinal hernia.vi. The deep inguinal ring is a deficiency in the
a) External oblique aponeurosis
b) Internal oblique muscle
c) Transversalis fascia
--- Content provided by FirstRanker.com ---
d) Transversus abdominisvii. Which defense mechanism closes the superficial inguinal ring when the external oblique muscle
contracts
a) Ball valve
b) Shutter
--- Content provided by FirstRanker.com ---
c) Flap valved) Slit valve
viii. The artery which is just medial to the deep inguinal ring is
a) Superficial epigastric
b) Superficial circumflex iliac
--- Content provided by FirstRanker.com ---
c) Inferior epigastricd) Deep circumflex iliac
ix. The medial boundary of Hesselbach's triangle is formed by
a) Conjoint tendon
b) Inferior epigastric artery
--- Content provided by FirstRanker.com ---
c) Medial border of internal obliqued) Lateral border of rectus abdominis
x. Which one of the following structures has triple relation (anterior, roof and posterior) to the inguinal
canal?
a) Internal oblique
--- Content provided by FirstRanker.com ---
b) External oblique c) Transversalis fasciad) Conjoint tendon
Question numbers xi-xv consists of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
xi. A: Superolateral quadrant of gluteal region is a safe site for intramuscular injection
--- Content provided by FirstRanker.com ---
R: Injection into the medial quadrants will endanger important nerves and vesselsa) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
b) Both A and R are true and R is not the reason for A
d) A is incorrect but R is correct
--- Content provided by FirstRanker.com ---
xii. A: Anterior cardiac veins open into coronary sinusR: Coronary sinus is the largest vein of the heart
a) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
b) Both A and R are true and R is not the reason for A
--- Content provided by FirstRanker.com ---
d) A is incorrect but R is correctxiii. A: Pudendal nerve is related to the dorsal surface of ischial spine
R: Pudendal nerve block is given during episiotomy suturing after vaginal delivery
a) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
--- Content provided by FirstRanker.com ---
b) Both A and R are true and R is not the reason for Ad) A is incorrect but R is correct
(PTO)
xiv. A: Internal thoracic artery can be used for coronary bypass surgery
--- Content provided by FirstRanker.com ---
R: Internal thoracic artery is a branch of ascending aortaa) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
b) Both A and R are true and R is not the reason for A
d) A is incorrect but R is correct
--- Content provided by FirstRanker.com ---
xv. A: Injury to tibial nerve results in foot dropR: Tibial nerve is a branch of sciatic nerve
a) Both A and R are true and R is the reason for A
c) A is correct but B is incorrect
b) Both A and R are true and R is not the reason for A
--- Content provided by FirstRanker.com ---
d) A is incorrect but R is correctQuestion numbers xvi-xx are multiple response type questions. Read the statements & mark the
answers appropriately.
xvi. Which of the following statement/s is/are true about thoracic duct
1) It begins at the lower border of T12 vertebra
--- Content provided by FirstRanker.com ---
2) It has a beaded appearance due to the presence of numerous valves3) It is about 25 cm in length
4) Injury to the thoracic part of the duct may cause chylothorax
a) 1, 3
b) 2, 3, 4
--- Content provided by FirstRanker.com ---
c) 1, 2, 3d) 1, 2, 4
xvii. Which of the following statement/s is/are true about rectum
1) The rectosigmoid junction corresponds to third sacral vertebra
2) Fascia of Waldeyer seperates the rectum from the urinary bladder
--- Content provided by FirstRanker.com ---
3) The inferior rectal valve is the largest and most constant4) The puborectalis sling maintains the angulation at the anorectal junction
a) 2, 3, 4
b) 1, 4
c) 1, 2, 3
--- Content provided by FirstRanker.com ---
d) 3, 4xviii. In addition to aorta, structures passing through the aortic opening of diaphragm are:
1) Thoracic duct
2) Vagus nerve
3) Azygos vein
--- Content provided by FirstRanker.com ---
4) Hemiazygos veina) 1, 2, 3
b) 1, 2, 4
c) 1, 3
d) 2, 4
--- Content provided by FirstRanker.com ---
xix. Muscles inserted into the iliotibial tract are:1) Biceps femoris
2) Tensor fascia lata 3) Gluteus medius
4) Gluteus maximus
a) 1, 3
--- Content provided by FirstRanker.com ---
b) 2, 3, 4c) 2, 4
d) 1, 2, 3
xx. Branches arising from the posterior division of internal iliac artery are:
1) Internal pudendal 2) Iliolumbar
--- Content provided by FirstRanker.com ---
3) Lateral sacral4) Superior gluteal
a) 2, 4
b) 1, 2, 3
c) 1, 3
--- Content provided by FirstRanker.com ---
d) 2, 3, 4Long essays
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
(2x10=20)2. A 60 year old man who is a smoker, alcoholic and known hypertensive suddenly developed pain in the
left side of chest radiating along the medial border of left arm. ECG showed myocardial ischaemia.
Coronary angiogram was advised for further evaluation. Based on your knowledge of anatomy answer
the following:
--- Content provided by FirstRanker.com ---
a) Describe the origin, course, branches and distribution of coronary arteriesb) Add a note on coronary dominance
c) Explain the nerve supply of heart
(6+2+2)
3. Describe the boundaries, contents and applied anatomy of femoral triangle.
--- Content provided by FirstRanker.com ---
(3+5+2)Short Essays:
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
(6x6=36)
4. Describe the course, branches and applied anatomy of typical intercostal nerve
(2+2+2)
--- Content provided by FirstRanker.com ---
5. Explain the formation and contents of rectus sheath(4+2)
6. Describe the boundaries and contents of perineal pouches
(3+3)
7. Describe the internal features, lobes and clinical importance of prostate
--- Content provided by FirstRanker.com ---
(2+2+2)8. Describe the development and microscopy of pancreas
(4+2)
9. Describe the cruciate ligaments and menisci of knee joint and their clinical importance (3+3)
Short Notes:
--- Content provided by FirstRanker.com ---
(6x4=24)10. Describe the microscopic structure of liver
11. Explain the various positions of vermiform appendix and its applied anatomy
12. Explain the course, branches and clinical importance of dorsalis pedis artery
13. Explain the anatomical basis of venous engorgements of anterior abdominal wall and anal canal in portal
--- Content provided by FirstRanker.com ---
hypertension14. Draw a neat labelled diagram of mediastinal surface of right lung
15. Describe the importance of communication skill in medical profession
*********************
--- Content provided by FirstRanker.com ---