Q.P. Code: 104001
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Reg. No.: .....................
First Professional MBBS Degree Supplementary Examinations
June 2026
Physiology ? Paper II
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Time: 3 HoursTotal Marks: 50
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
Answer all parts of a single question together ? Leave sufficient space between answers
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Draw table/diagrams/flow charts wherever necessaryLong essay
(10)
1. A 43-year-old female patient, Ms. Y, presents with central obesity, hirsutism, proximal
muscle weakness, and depressive symptoms. On physical examination, she has thin
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skin, multiple striae on the abdomen, and a "buffalo hump". Her fasting blood sugar is170 mg/dL and blood pressure is 180/94 mm Hg. Laboratory tests show elevated
plasma cortisol levels with loss of normal diurnal variation.
a) What is the most probable diagnosis
b) Explain the physiological basis for the clinical features observed in this patient
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c) Write a short note on the normal diurnal variation of cortisol secretiond) Name the hormones involved in the hypothalamic-pituitary-adrenal (HPA) axis
regulating cortisol secretion (1+5+2+2)
Short essays
(2x5=10)
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2. Properties of skeletal muscle3. Brown-Sequard Syndrome
Answer briefly
(5x3=15)
4. Tests for ovulation
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5. Any Three errors of refraction and their corrections6. Myasthenia Gravis
7. Differences between REM and NREM Sleep
8. Hormones for Lactation
Draw and label
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(2x2?=5)9. Pain pathway
10. Accommodation reflex pathway
Explain the physiological basis of the following
(5x2=10)
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11. Stretch reflex12. Impedance Matching
13. Tetany
14. Vasectomy
15. Babinski Sign
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