1123 E350
First Year MBBS Examination
I MBBS Anatomy Paper 2
Time: 3 hours Max Marks: 100
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Instructions: 1. Answer to the points. 2. Figureto the right indicates marks. 3. Use separate
answer books for each section. 4. Draw
diagrams wherever necessary. 5. Write legibly.
Section 1
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1. Write the following structured Long Question(any 1 out of 2) (10)
a) Describe the knee joint under: (2+3+3+2=10)
a) Bones forming the joint and classification. b)
Menisci & cruciate ligaments c) Locking &
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Unlocking d) Clinical anatomyb) Write the root value, course & relations and
branches of sciatic nerve (1+3+2+4=10)
2. Write the following Case based
scenario/Applied short notes. (Any 2 out of 3)
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(12)a) A 42 year old bus conductor reports to
surgery OPD with complaints of pain and
swellings in both legs on prolonged standing.
On examination he found to have dilated and
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tortuous veis on medial side of boththe legs.Tortuosity was maximum ianterior to medial
malleolus.With knowledge of anatomy answer
the following: (1+5=6) 1. What condition the bus
conductor is suffering from and which vein is
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involved. 2. Describe the course, tributaries andperforators of the vein
b) A 70 year oldpatient with history of chronic
bronchitis and constipation complained that he
noticed a gradually increasing swelling in the
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right groin and often feels dragging and achingsensation at the site. On examination doctor
noticed a gradually increasing lumo above and
medial to the right pubic tubercle which
expands on coughingAfter manually reducing
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the swelling/lump doctor occludes the deepinguinal ring with his thumb and asked the
patient to cough. A swelling appeared medial to
the thumb. Diagnosis of direct inguinal hernia
was made(3+3=6)1. What is inguinal hernia?
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Describe types of inguinal hernia 2. Mention themechanisms to maintain the integrity of inguinal
canal.
c) Explain the anatomical basis of retrosternal
pain and its radiation to left arm in a patient
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whose coronary angiogram revealed a block inthe anterior interventricular artery. Dwscribe
area of distribution of left coronary artery
(2+4=6)
3. Write short notes (Any 3 out of 4) (18)
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a) Process of spermatogenesisb) karyotyping and criteria for classification of
chromosomes in karyotyping
c) Development of intervenricular septum and
its applied aspect
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d) Draw a neat labelled diagram and explain themicroscopic structure of fundus of stomach
4. Answer only in 2-3 sentences (any 5 out of 6)
(10)
a) Enumerate Congenital anomalies of kidney
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b) Lyons hypothesisc) Enumerate the derivatives of mesonephric
duct in the male
d) Mucosa associated lymphoid tissue (MALT)
e) Meckle`s diverticulum
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f) Enumerate the differences between proximalconvoluted tubules and distal convoluted
tubules
Section 2
5. Write the following structured Long Question
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(any 1 out of 2) (10)a) Describe the uterus as follows: (5+3+2=10).
a) Supports of uterus and its clinical anatomy.
b) Development and congenital anomalies. c)
Histology of proliferative phase of endometrium
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b) Describe formation, course and relation ofthe portal vein. Add anote on sites of
portosystemic anastomosis and their applied
anatomy (3+5+2=10)
6. Write short notes (Any 2 out of 3) (12)
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a) Nerve supply of urinary bladder and its
clinical anatomy
b) Factors amintaining medial longitudinal arch
of the foot and its clinical anatomy
c) With a schematic diagram depict anterior
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and posterior relation of right and left kidney7. Write short notes (Any 3 out of 4) (18)
a) Internal features of right atrium
b) Enumerate the major openings in thoraco
abdomibal diaphragm and structures passing
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through. Add anote on the development ofdiaphragm
c) Azygos system of veins
d) Draw a neat labelled diagram of th medial
surface of left lung showing hilum and
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relations/impressions8. Answer only in 2-3 sentences (any 5 out of 6)
(10)
a) Developmetal basis of difference in the
course of right and left recurrent laryngeal nerve
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b) Enumerate the contents of superficialperineal pouch in the male
c) Enumerate the branches of superior
mesenteric artery
d) Name the boundaries of popliteal fossa
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e) Location of myenteric and meissner's plexusf) Trabecular carneae.