Download KUHS MBBS First Year 112001 Human Anatomy Paper II Nov 2025 Question Paper

2019 and 2024 Scheme
Q.P. Code: 112001
Reg. no.: .....................
First Professional MBBS Degree Supplementary (SAY) Examinations
November 2025

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Human Anatomy Paper II
Thorax, Abdomen & Pelvis, Lower Limb with Concerned Embryology & Histology
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers

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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
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)

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The MCQ questions (Q.No. i to Q.No. xx) shall be answered only in the OMR sheet provided at page
No. 51 of the answer book (the inner portion of the back cover page (PART III)). Responses for MCQs
marked in any other part/page of the answer book will not be valued. For marking the correct
responses use X mark only
Questions i-v are single response type questions

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i. The most medial structure passing under the inferior extensor retinaculum of the foot is:
a) Deep peroneal nerve
c) Anterior tibial artery
b) Tibialis anterior
d) Peroneus brevis

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ii. The intercostal nerves and vessels course between:
a) Deep fascia and external intercostals
c) Internal and innermost intercostals
b) External and internal intercostals
d) Innermost intercostals and endothoracic fascia

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iii. Which of the following structures in female anatomy is homologous to the gubernaculum testis
a) Uterine tube
b) Ureter
c) Labia minora
d) Round ligament of the uterus

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iv. Classic liver lobules are described as hexagonal prisms that surround which of the following anatomic
structures
a) Central vein
b) Hepatic artery
c) Portal triad

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d) Portal vein
v. The fascia cleared during dissection will be deposited in
a) Yellow bin
b) Green bin
c) Blue bin

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d) Red bin
Question vi-x are case scenario-based questions:
A 32-year-old male is admitted to the emergency department with groin pain. Examination reveals that the
patient has an indirect inguinal hernia. Surgical repair was undertaken
vi. Which of the following nerves is compressed by the herniating structure in the inguinal canal to give

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the patient pain
a) Iliohypogastric
b) Lateral femoral cutaneous
c) Ilioinguinal
d) Subcostal

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vii. During the repair, the internal spermatic fascia is identified and reflected to expose the ductus
deferens and testicular vessels. Which of the following provides the internal spermatic fascia of the
spermatic cord
a) External oblique aponeurosis
c) Transversus abdominis aponeurosis

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b) Internal oblique aponeurosis
d) Transversalis fascia
viii. Following arteries are contents of spermatic cord EXCEPT
a) Artery to ductus deferens
c) Inferior epigastric artery

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b) Cremasteric artery
d) Testicular artery
ix. The resident assisting the case reviews the surgical anatomy and commits to memory that the
internal oblique abdominis contributes to
a) Inguinal ligament b) Conjoint tendon

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c) Internal spermatic fascia d) Deep inguinal ring
x. The Hesselbach's triangle is crossed by the medial umbilical ligament which is raised by the
remnant/obliteration of
a) Urachus
b) Umbilical artery

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c) Left umbilical vein
d) Vitello intestinal duct
Question numbers xi-xv consists of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
a) Both A and R are true, and R is the reason for A

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c) A is correct but R 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
xi. Assertion: Pain from the ovary may be referred to the skin on the medial side of the thigh

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Reason: The obturator nerve supplies the parietal peritoneum adjacent to the ovary
xii. Assertion: Peroneus longus muscle has effects on lateral longitudinal and transverse arches of foot.
Reason: The tendon of the peroneus longus lies in the groove on the undersurface of the cuboid
xiii. Assertion: Femoral shaft fractures can injure the profunda femoris artery
Reason: The profunda femoris artery is in close proximity to the femoral shaft

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(PTO)

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xiv. Assertion: While performing the Trendelenburg test, tilt of the pelvis is observed
Reason: It tests the integrity of gluteus maximus
xv. Assertion: Aspirated foreign bodies are lodged in the right principal bronchus.

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Reason: The right principal bronchus is shorter, wider and in line with the trachea
Question numbers xvi-xx are multiple response type questions. Read the statements & mark the
answers appropriately.
xvi. The phrenic nerves:
1) Arise from the cervical plexus roots 3, 4, 5

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2) Gives sensory branches to the mediastinal and central diaphragmatic pleura
3) Enters the thorax by crossing the necks of the first ribs
4) Are the only motor nerves to the diaphragm
a) 1, 2, 3
b) 1, 3, 4

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c) 1, 2, 4
d) 2, 3
xvii. Regarding the joints of the thorax, the following are synovial joints
1) Manubriosternal
2) Sternoclavicular

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3) 2nd to 7th Sternochondral
4) Xiphisternal
a) 1, 2, 3
b) 1, 3, 4
c) 1, 2, 4

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d) 2, 3
xviii. Failure of differentiation of the individual organs derived from the embryonic foregut would cause
malformation of which of the following organs
1) Gall bladder
2) Oesophagus

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3) Stomach
4) Ascending colon
a) 1, 2, 3
b) 1, 3, 4
c) 1, 2, 4

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d) 2, 3
xix. Compression of the common peroneal nerve at the neck of the fibula will affect:
1) Eversion
2) Dorsiflexion
3) Sensations on the dorsum of the foot

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4) Plantar flexion
a) 1, 2, 3
b) 1, 3, 4
c) 1, 2, 4
d) 2, 3

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xx. The thoracic duct returns lymph from
1) Left half of the body below the diaphragm
2) Right half of the body below the diaphragm
3) Left half of the body above the diaphragm iv
4) Right half of the body above the diaphragm

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a) 1, 2, 3
b) 1, 3, 4
c) 1, 2, 4
d) 2, 3
Long essays

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(2x10=20)
2. A 14-year-old girl was brought to the hospital with complaints of fever, vomiting and acute pain around

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umbilicus. On examination, the surgeon found that she was having maximum tenderness at Mc Burney's
point. From the history and examination, he came to the diagnosis of acute appendicitis. Based on your
anatomical knowledge, answer the following questions.
a) Why is pain felt around umbilicus
b) Where is Mc Burney's point

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c) What are the various positions of vermiform appendix
d) Briefly describe the blood supply, development and microscopy of vermiform appendix (1+1+3+5)
3. Describe knee joint under the following headings: Articular surfaces, Capsule and intracapsular
structures, Movements and muscles causing each movement
(1+6+3)

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Short Essays:

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(6x6=36)
4. Describe the features of the interior of the right atrium. Add a note on its development
(4+2)
5. Explain the subdivisions, innervation and recesses of pleura

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(3+1+2)
6. List the sources of development of the thoracoabdominal diaphragm. Enumerate the structures passing
through its major openings.
(3+3)
7. Describe the gross features and relations of components of extrahepatic biliary apparatus.

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8. Briefly describe the internal features of the anal canal.
9. Describe the microanatomy of the kidney. What are the components of the juxtaglomerular apparatus
(4+2)
Short Notes:
(6x4=24)

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10. Briefly describe the attachments and innervation of hamstring muscles.
11. Describe the anatomical basis of ischemic heart disease.
12. Describe the site and structures pierced while performing a lumbar puncture
13. Reflect on the following scenarios in the dissection hall: i) Placing anatomy books and dissection
instruments on the cadaver ii) Taking pictures of tablemates around the cadaver table and uploading

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them on social media
(2+2)
14. Draw a neat labelled diagram showing contents of superficial perineal pouch in males
15. Clinical importance of venous drainage of lower limb
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