Date: 05-08-2024
0824 E202
First Year MBBS Examination
I MBBS Physiology Paper 1
Time: 3 hours
Instructions: 1. Answer to the points. 2. Use
separate answer books for each section. 3. Draw
diagrams wherever necessary.
Section 1
(Any 1 out of 2) 1x10=10 Marks (10)
a. Define cardiac cycle and give its duration.
Describe the various atrial and ventricular
events occurring during cardiac cycle along
b. With the help of a neat labelled diagram
describe the Pace maker potential in heart.
Explain the efforts of Sympathetic and
Parasympathetic stimulation on Pace maker
2. Case based scenario/ Applied short notes (any 2
out of 3) 2x6=12 marks (12)
a. A 55-year-old male came to OPD with
complaint of pain in chest radiating to left arm
office. There was no pain at rest. His ECG was
recorded. His condition was diagnosed as
Angina Pectoris. a) Draw and label a normal
ECG as recorded in limb lead 1. (2) b) What
can it be relieved? (1) c) Explain why the pain
was radiating to the left arm? (1) d)Whatare
the other investigations required to diagnose
such a case? (1) e0Explain the role of daily
case. (1)
b. A 10-year-old boy was brought to casualty with
complaints of puffiness of face, edema of feet
and decreased urinary output since last 3 days.
On examination: Pulse - 90/minute, B.P
150/110 mm Hg Urine examination: Albumin
++ Blood Urea and serum creatinine were
increased. He was diagnosed as acute
between sore throat and acute
glomerulonephritis (2) B. Why is there
puffiness of face and edema of feet? (1) C Why
albumin was present in his urine? D. Explain
c. A 65-year-old man came to medicine OPD
with complaint of cough with expectoration
since last one week. He was having
progressive breathlessness since one month.
last 25 years. One examination chest was
barrel shaped. Respiratory rate: 20/minute
Lung function test showed: 1) FRC -3.5.Liters
2) FVC -4 Liters 3) FEV:-65% 4) FEV,75% 5)
the abnormal Lung function Tests and give
their normal values. (1) Calculate the specific
lung compliance from above report and give
the significance of specific compliance. (2)
chronic smokers. (2) Why was his chest barrel
shaped? (1)
3. Write shorts notes on the following, (Any 3 out of
4) 3 X 6 = 18 Marks (18)
b. Anemias
c. Rh blood group system.
d. Active Transport mechanisms across cell
membrane.
X 2 = 10 Marks (10)
a. Positive feedback mechanisms.
b. Function of Thrombin.
c. Facilitated Diffusion.
e. Heart Sounds.
f. Ejection Fraction.
Section 2
1. Write the following structured long questions.
a. Describe the chemical regulation of
respiration. Explain in detail Hypoxic
Hypoxia. (6+4)
b. Describe the transport of oxygen from lungs to
oxygen Haemoglobin dissociation curve.
Explain the conditions that shift this curve to
left or right (5+3+2)
2. Write short notes on (Any 2 out of 3) 2 X 6 = 12
a. Cardio - respiratory changes during exercise.
b. Role of Kidney in maintaining Acid base
balance.
c. Mechanisms involved in blood clotting.
4) 3 X 6 = 18 Marks (18)
a. Glomerular filtration rate.
b. Mechanisms of concentration of Urine
c. Renal handling of glucose.
4. Answer in only 2 - 3 sentences. (Any 5 out of 6) 5
X 2 = 10 Marks (10)
a. Obesity
b. Mechanisms of Heat gain.
c. What is Bohr Effect and Haldane Effect.
d. What is Oxygen Debt.
e. what is Scuba Diving.
f. Why a shipwreck victim drinking sea water
cannot survive.
0824 E202
First Year MBBS Examination
I MBBS Physiology Paper 1
Time: 3 hours
--- Content provided by FirstRanker.com ---
Max Marks: 100Instructions: 1. Answer to the points. 2. Use
separate answer books for each section. 3. Draw
diagrams wherever necessary.
Section 1
--- Content provided by FirstRanker.com ---
1. Write the following structured long question(Any 1 out of 2) 1x10=10 Marks (10)
a. Define cardiac cycle and give its duration.
Describe the various atrial and ventricular
events occurring during cardiac cycle along
--- Content provided by FirstRanker.com ---
with pressure and volume changes. (2 + 8)b. With the help of a neat labelled diagram
describe the Pace maker potential in heart.
Explain the efforts of Sympathetic and
Parasympathetic stimulation on Pace maker
--- Content provided by FirstRanker.com ---
potential. (4 + 6)2. Case based scenario/ Applied short notes (any 2
out of 3) 2x6=12 marks (12)
a. A 55-year-old male came to OPD with
complaint of pain in chest radiating to left arm
--- Content provided by FirstRanker.com ---
when he climbed the stairs to his fourth-flooroffice. There was no pain at rest. His ECG was
recorded. His condition was diagnosed as
Angina Pectoris. a) Draw and label a normal
ECG as recorded in limb lead 1. (2) b) What
--- Content provided by FirstRanker.com ---
as the cause of pain in angina pectoris? Howcan it be relieved? (1) c) Explain why the pain
was radiating to the left arm? (1) d)Whatare
the other investigations required to diagnose
such a case? (1) e0Explain the role of daily
--- Content provided by FirstRanker.com ---
administration of low dose of aspirin in such acase. (1)
b. A 10-year-old boy was brought to casualty with
complaints of puffiness of face, edema of feet
and decreased urinary output since last 3 days.
--- Content provided by FirstRanker.com ---
There was past history of repeated sore throat.On examination: Pulse - 90/minute, B.P
150/110 mm Hg Urine examination: Albumin
++ Blood Urea and serum creatinine were
increased. He was diagnosed as acute
--- Content provided by FirstRanker.com ---
glomerulonephritis. A. What is the relationshipbetween sore throat and acute
glomerulonephritis (2) B. Why is there
puffiness of face and edema of feet? (1) C Why
albumin was present in his urine? D. Explain
--- Content provided by FirstRanker.com ---
the Hypertension in this case. (2)c. A 65-year-old man came to medicine OPD
with complaint of cough with expectoration
since last one week. He was having
progressive breathlessness since one month.
--- Content provided by FirstRanker.com ---
He was smoking 10 cigarettes per day sincelast 25 years. One examination chest was
barrel shaped. Respiratory rate: 20/minute
Lung function test showed: 1) FRC -3.5.Liters
2) FVC -4 Liters 3) FEV:-65% 4) FEV,75% 5)
--- Content provided by FirstRanker.com ---
Lung compliance - 0.4 Licm of water Identifythe abnormal Lung function Tests and give
their normal values. (1) Calculate the specific
lung compliance from above report and give
the significance of specific compliance. (2)
--- Content provided by FirstRanker.com ---
Explain how emphysema is developed inchronic smokers. (2) Why was his chest barrel
shaped? (1)
3. Write shorts notes on the following, (Any 3 out of
4) 3 X 6 = 18 Marks (18)
--- Content provided by FirstRanker.com ---
a. Functions of Neutrophils,b. Anemias
c. Rh blood group system.
d. Active Transport mechanisms across cell
membrane.
--- Content provided by FirstRanker.com ---
4. Answer in only 2-3 sentences, (Any 6 out of 6) 5X 2 = 10 Marks (10)
a. Positive feedback mechanisms.
b. Function of Thrombin.
c. Facilitated Diffusion.
--- Content provided by FirstRanker.com ---
d. BY Function of Lymphocytes.e. Heart Sounds.
f. Ejection Fraction.
Section 2
1. Write the following structured long questions.
--- Content provided by FirstRanker.com ---
(Any 1 out of 2) 1 X 10 = 10 Marks. (10)a. Describe the chemical regulation of
respiration. Explain in detail Hypoxic
Hypoxia. (6+4)
b. Describe the transport of oxygen from lungs to
--- Content provided by FirstRanker.com ---
tissues. Draw a neat labelled diagram ofoxygen Haemoglobin dissociation curve.
Explain the conditions that shift this curve to
left or right (5+3+2)
2. Write short notes on (Any 2 out of 3) 2 X 6 = 12
--- Content provided by FirstRanker.com ---
Marks. (12)a. Cardio - respiratory changes during exercise.
b. Role of Kidney in maintaining Acid base
balance.
c. Mechanisms involved in blood clotting.
--- Content provided by FirstRanker.com ---
3. Write short notes on the following. (Any 3 out of4) 3 X 6 = 18 Marks (18)
a. Glomerular filtration rate.
b. Mechanisms of concentration of Urine
c. Renal handling of glucose.
--- Content provided by FirstRanker.com ---
d. Doctor - Patient relationship4. Answer in only 2 - 3 sentences. (Any 5 out of 6) 5
X 2 = 10 Marks (10)
a. Obesity
b. Mechanisms of Heat gain.
--- Content provided by FirstRanker.com ---
c. What is Bohr Effect and Haldane Effect.
d. What is Oxygen Debt.
e. what is Scuba Diving.
f. Why a shipwreck victim drinking sea water
cannot survive.
--- Content provided by FirstRanker.com ---