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EXAMINATION SEPTEMBER 2024
(SUPPLEMENTARY EXAM)
FIRST MBBS
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ANATOMY (PAPER - II) (NEW) - LEVEL 1[Time: As Per Schedule]
[Max. Marks: 100]
Instructions:
Seat No:
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1. Fill up strictly the following details on your answer booka. Name of the Examination : FIRST MBBS
b. Name of the Subject : ANATOMY (PAPER - II) (NEW) -
LEVEL 1
c. Subject Code No : 2406000101010502
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2. Sketch neat and labelled diagram wherever necessary.3. Figures to the right indicate full marks of the question.
4. All questions are compulsory.
5. Write to the point.
Student's Signature
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Section AQ.1 MCQS
20
1. The boundaries of Calot's triangle formed by all of the following EXCEPT:
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a. Portal veinb. Cystic duct
c. Visceral surface of liver
d. Common hepatic duct
2. All the following are muscle of the floor of femoral triangle, which of
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following muscle has dual nerve supply?a. Iliacus
b. Psoas major
c. Adductor longus
d. Pectineus
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3. Structures crosses dorsal surface of ischial spine are all, EXCEPT:a. Internal pudendal vessels
b. Pudendal berve
c. Nerve to obturator internus
d. Obturator nerve
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4. Select the incorrect statement about Meckel's diverticulum:a. Located 2 feet proximal to the anorectal junction
b. Attached to the antimesenteric border
c. Usually 5 cm long
d. May cause intestinal obstruction
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5. Brunner's gland is prominent feature of histology of _____a. Duodenum
b. Appendix
c. lleum
d. Colon
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6. Hypertrophy of following lobe of prostate causes obstruction of internal
urethral orifice in old age:
a. Lateral lobe
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b. Posterior lobec. Median lobe
d. Middle lobe
7. Stomach bed consists of all except:
a. Spleen
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b. Splenic arteryc. Pancreas
d. Right kidney
8. Vertebral level of esophageal opening in thoraco-abdominal diaphragm is __
a. T8
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b. T10c. T11
d. T12
9. All are derivatives of mesonephric duct in male EXCEPT
a. Epididymis
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b. Ductus deferensc. Seminal vesicle
d. Prostate
10. Pepsin is secreted by:
a. Oxyntic cells
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b. Chief cellc. Mucus neck cells
d. Argentaffin cells
11. Cri-du-chat syndrome is represented as:
a. 47, XY, +21
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b. 47, XXYc. 46, XX, 5p
d. 45, XO
12. Which of the following is a structural chromosomal aberration?
a. Deletions
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b. Translocationsc. Inversions
d. Recombinations
13. Guy ropes includes all EXCEPT:
a. Semitendinosus
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b. Semimembranosusc. Gracilis
d. Sartorius
14. Meralgia paresthesia is due to involvement of:
a. Lateral cutaneous nerve of thigh
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b. Ilio-inguinal nervec. Genitofemoral nerve
d. Saphenous nerve
15. Following nerve supplies skin of the first interdigital cleft on the dorsum of
the foot:
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a. Saphenous nerveb. Superficial peroneal nerve
c. Deep peroneal nerve
d. Sural nerve
16. Transverse sinus is present posterior to which structure
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a. Rigt atriumb. Left atrium
c. Pulmonary trunk
d. Superior vena cava
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[2 of 5]17. All drain into coronary sinus EXCEPT:
a. Middle cardiac vein
b. Small cardiac vein
c. Posterior vein of left ventricle
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d. Anterior cardiac vein18. From above downwards, what is the arrangement of intercostal nerve &
vessels in the costal groove?
a. Vein, Artery, Nerve
b. Artery, Vein, Nerve
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c. Nerve, Vein, Arteryd. Nerve, Artery, Vein
19. Following structure passes most medially deep to superior extensor
retinaculum:
a. Anterior tibial artery
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b. Deep peroneal nervec. Tibialis anterior
d. Extensor halluces longus
20. All of the following structures form impressions on the mediastinal surface
of the left lung except
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a. Azygos veinb. Oesophagus
c. Descending thoracic aorta
d. Arch of aorta
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Q.2 Case base question (two out of three)16
1. A 45 year old chronic alcoholic man, visited a general physician with
complaints of pain in the abdomen, yellowish discoloration of skin and
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eyeball and repeated episodes of vomiting of blood since last 2 weeks. Doctordo a palpation of abdomen in deep inspiration and do a diagnosis of liver
cirrhosis with hepatomegaly and splenomegaly. (2+2+2+2)
a. Define the terms: hepatomegaly and splenomegaly. Write their common
cause.
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b. Write the blood supply of liver.c. Enumerate the tributaries of portal vein.
d. Enlist the sites of porto-caval anastomosis.
2. A 55 year old man went to the hospital with complain of swelling in groin on
the right side. After examination, doctor found that swelling was located
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supero-medial to the pubic tubercle & it was coming out of the superficialinguinal ring. Patient was diagnosed with direct inguinal hernia. (1+3+2+2)
a. What is direct inguinal hernia?
b. How to differentiate direct from indirect inguinal hernia?
c. What is superficial inguinal ring? Which structures emerge through it?
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d. Which factors help in maintaining the integrity of the inguinal canal?3. A 62-years-old man was admitted to casualty ward for sensation of pressure
in the chest on the left side. He complained of sweating, shortness of breath
and vomiting. The symptoms occurred in the morning when he was drinking
his morning tea about an hour ago. After taking the ECG, the doctor
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diagnosed the condition as myocardial infarction. Based on this case, answer
the following: (2+2+2+2)
a. What is myocardial infarction?
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b. Where the pain of myocardial infarction radiates and why there?c. Why did the patient complaint of nausea and vomiting?
d. What is coronary bypass? Which blood vessels are used in this surgery?
Q.3 a) Write short note (two out of three)
10
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1. Medial longitudinal arch with relevant clinical anatomy
2. Ligaments of hip joint and applied anatomy of hip joint
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3. Enumerate the palpable arteries of lower limb. Write their point of
palpation. Describe course, relation and branches of anyone of them.
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b) Write short note on
10
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1. Histology of compact bone OR Transitional epithelium
2. Histology of pancreas OR Histology of jejunum
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c) Write short note (one out of two)
4
1. Down's syndrome
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2. Lyon's hypothesisSection C
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Q.4 Long question (two out of three)
16
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1. Supports of uterus: classification, describe transverse cervical and broad
ligament in detail and applied anatomy
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2. Ischi-anal fossa: boundaries, contents, recesses and applied aspect3. Rectus sheath: formation, contents, importance and clinical anatomy
Q.5 a) Write short note (two out of three)
10
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1. Thoracic duct in detail
2. Superior mediastinum
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3. Broncho-pulmonary segment: definition, structure, classification andrelevant clinical anatomy
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b) Write short note on (two out of three)10
1. Development of kidney
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2. Midgut rotation
3. Development of inter-atrial septum
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c) Write short note (one out of two)
4
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1. Precautions during handling cadaver2. Hysterosalpingography
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