Date: 12-04-2023
4002
First Year MBBS Examination
I MBBS Anatomy Paper 2 (New)
Time: 3 hours

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Max Marks: 100
Instructions:
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

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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 hip
joint:
A. Adductor longus
B. Rectus femoris
C. Piriformis

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D. Vastus lateralis
d. 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 chromosome
e. Cilia are present in the lining epithelium of all
of the following, EXCEPT:

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A. Trachea
B. Ureter

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C. Principal bronchus
D. Uterine tube
f. Villi are present in:
A. Transverse colon
B. Esophagus

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C. Stomach
D. Jejunum
g. Most common position of appendix is:
A. Retrocaecal
B. Promonteric

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C. Pelvic
D. Midinguinal
h. Anterior boundary of oblique sinus of
pericardium is formed by:
A. Right atrium

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B. Pulmonary veins
C. Left atrium
D. Inferior vena cava

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i. Right free margin of lesser omentum contains
all of the following, EXCEPT:

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A. Common bile duct
B. Portal vein
C. Short gastric arteries
D. Hepatic artery proper
j. Moderator band is present in:.

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A. Right atrium
B. 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 duct
gives rise to Meckel's diverticulum
A. Entire

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B. Proximal
C. Middle

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D. Distal
m. Colliculus seminalis is seen in:
A. Prostatic urethra
B. Seminal vesicle
C. Ductus deferens

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D. Trigone of urinary bladder
n. Following structure passes most medially deep
to superior extensor retinaculum
A. Anterior tibial artery
B. Deep peroneal nerve

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C. Tibialis anterior
D. Extensor halluces longus
o. Which of the following lies behind lesser sac ?
A. Stomach
B. Pancreas

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C. Lesser omentum
D. Caudate lobe of liver
p. Following nerve emerges through medial

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border of psoas major muscle:
A. Obturator

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B. Femoral
C. Genitofemoral
D. Tliohypogastric
q. Kupffer cells are seen in:
A. Pancreas

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B. Kidney
C. Liver
D. Ileum
r. Following structure passes through the aortic
opening of diaphragm:

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A. Right phrenic nerve
B. 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 recess
B. Inferior duodenal recess
C. Retroduodenal recess

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D. Paraduodenal recess
t. From above downwards, what is the

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arrangement of intercostal nerve & vessels in
the costal groove?
A. Vein, Artery, Nerve
B. Artery, Vein, Nerve
C. Nerve, Vein, Artery

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D. Nerve, Artery, Vein
1.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. Describe
genicular 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)

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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 the
hospital 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 was
diagnosed 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 the
integrity 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 students
of the opposite team hit him with the hockey in
the left leg. Examination revealed that student
was unable to dorsiflex & evert his left foot.

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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 which
suggested 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?

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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, arterial
supply 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 aspect
in 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 vein
b. 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

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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 maintaining
the medical longitudinal arch of foot.
f. What is embalming? Which arteries are
commonly used for this procedure?

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