4002
First Year MBBS Examination
I MBBS Anatomy Paper 2 (New)
Time: 3 hours
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Max Marks: 100Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each section.
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4. Draw diagrams wherever necessary.5. Write legibly.
Section 1
1.Multiple Choice Question (MCQs) 20x 1=20
a. Which of the following is a derivative of
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hindgut?A. Jejunum
B. Caecum
C. Ascending colon
D. Descending colon
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b. Ankle joint isanexample of type of joint:A. Hinge
B. Syndesmosis
C. Secondary cartilaginous
D. Saddle
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c. Following-muscle is a lateral rotator of hipjoint:
A. Adductor longus
B. Rectus femoris
C. Piriformis
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D. Vastus lateralisd. Turmer's syndrome occurs due to:
A. Monosomy of X chromosome
B. Trisomy of X chromosome
C. Tetrasomy of X chromosome
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D. Pentasomy of X chromosomee. Cilia are present in the lining epithelium of all
of the following, EXCEPT:
A. Trachea
B. Ureter
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C. Principal bronchusD. Uterine tube
f. Villi are present in:
A. Transverse colon
B. Esophagus
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C. StomachD. Jejunum
g. Most common position of appendix is:
A. Retrocaecal
B. Promonteric
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C. PelvicD. Midinguinal
h. Anterior boundary of oblique sinus of
pericardium is formed by:
A. Right atrium
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B. Pulmonary veinsC. Left atrium
D. Inferior vena cava
i. Right free margin of lesser omentum contains
all of the following, EXCEPT:
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A. Common bile ductB. Portal vein
C. Short gastric arteries
D. Hepatic artery proper
j. Moderator band is present in:.
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A. Right atriumB. Right ventricle
C. Left atrium
D. Left ventricle
k. Anteriolateral boundary of adductor canal is
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formed by:A. Vastus lateralis
B. Adductor mangus
C. Sartorius
D. Vastus medialis
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l. Persistance of part of vitello-intenstinal ductgives rise to Meckel's diverticulum
A. Entire
B. Proximal
C. Middle
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D. Distalm. Colliculus seminalis is seen in:
A. Prostatic urethra
B. Seminal vesicle
C. Ductus deferens
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D. Trigone of urinary bladdern. Following structure passes most medially deep
to superior extensor retinaculum
A. Anterior tibial artery
B. Deep peroneal nerve
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C. Tibialis anteriorD. Extensor halluces longus
o. Which of the following lies behind lesser sac ?
A. Stomach
B. Pancreas
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C. Lesser omentumD. Caudate lobe of liver
p. Following nerve emerges through medial
border of psoas major muscle:
A. Obturator
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B. FemoralC. Genitofemoral
D. Tliohypogastric
q. Kupffer cells are seen in:
A. Pancreas
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B. KidneyC. Liver
D. Ileum
r. Following structure passes through the aortic
opening of diaphragm:
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A. Right phrenic nerveB. Thoracic duct
C. Esophageal branches of left gastric artery
D. Vagal trunks
s. Inferior mesenteric vein is closely related to:;
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A. Superior duodenal recessB. Inferior duodenal recess
C. Retroduodenal recess
D. Paraduodenal recess
t. From above downwards, what is the
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arrangement of intercostal nerve & vessels inthe costal groove?
A. Vein, Artery, Nerve
B. Artery, Vein, Nerve
C. Nerve, Vein, Artery
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D. Nerve, Artery, Vein1.Write following structured essay question
(1 out of 2)
(1 x 10 =10 Mars)
a. Describe boundaries,contents & clinical
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highlights of popliteal fossa. Describegenicular anastomosis.
(2+3+3+2)
b. Describe articular surfaces, ligaments,
movements and applied anatomy of ankle
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joint.(1+3+3+3)
Section 2
2.Case bas?d questions. (2 out of 3)
(2x 5-10 Marks)
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a. A 59 year old man went to thehospital with complain of swellin in groin on
the right side. After examination, doctor found
that swelling was located superomedial to the
pubic tubercle & it was coming out of the
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superfacial inguinal ring, Patient wasdiagnosed with direct inguinal hernia.
i. What is direct inguinal! hernia?
ii. What is superficial inguinal ring? Which
structures emerge through it?
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iii. Which factors help in maintaining theintegrity of the inguinal canal?
b. A 21 year old college students was taken to
the hospital with difficulty in movements of his
left foot. On asking, his friends said that he
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had fight while playing hockey & few studentsof the opposite team hit him with the hockey in
the left leg. Examination revealed that student
was unable to dorsiflex & evert his left foot.
Doctor also noticed sensory loss over the
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dorsum of left foot.i. What is your probable diagnosis?
ii. Name the indured structure & at which site it
is likely to be injured ?
iii. Explain the anatomical basis of motor &
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sensory loss in this case.c. A 49 year old male was taken to the
emergency department with complains of
severe chest pain, vomiting & sweating. He
was also experiencing pain along the medial
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side of his left arm. ECG was taken whichsuggested myocardial infraction. Coronary
angiography was done & bypass surgery was
advised.
i. Which artery is the most frequently blocked
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in myocardial infraction?ii. What is coronary angiography & coronary
angioplasty? How these procedures are
performed?
iii. Which is coronary artery bypass surecry?
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Which vessels are commonly used for it?3.Write short notes on
(10)
a. Polymerase chain reaction.
b. Lyon Hypothesis
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4A.Write short notes on (1 out of 2)(5)
a. Implantation of blastocyst
b. Chorionic Villi
4B.Short answer questions (2 out of 3)
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(10)a. Arterial supply & lymphatic drainage of
stomach
b. Rectus sheath
c. Paintar arch
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Section 3
5.Write following structure essay question:
(1 out of 2)
(1 x 10 =10 Marks)
a. Enumerate components of extrahepatic biliary
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apparatus. Describe parts & relations, arterialsupply and applied anatomy of gall bladder.
(1+4+1+4)
b. Describe formation & course, parts
& relations & tributaries of portal vein. Write
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portocaval anastomosis with its applied aspectin detail.
(2+2+2+4)
6.Write short notes on (2 out of 3):
(2 x 5-10 Marks)
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a. Azygos veinb. Anatomy of conducting tissues of heart
8A.Write microscopic structure of:.
(1 x 5=05 Marks)
Trachea OR Epidsidymis
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8B.Write short notes on:(1 x 5=05 Marks)
Developmental of interatrial septum OR
Developmental anomalies of uterus
9.Write answers in one or two sentences. (5
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out of 6)(5 x 2 =10 Marks)
a. Enumerate all branches of posterior trunk of
internal iliac artery
b. Which nerves supply pectineus & adductor
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magnus muscles?c. Enumerate any four posterior relations of right
kidney.
d. What is costo-diaphragmatic recess? Mention
its clinical importance.
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e. Write any four factors that help in maintainingthe medical longitudinal arch of foot.
f. What is embalming? Which arteries are
commonly used for this procedure?
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